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HomeMy WebLinkAbout0159 TROUT BROOK ROAD - Health 159 TROUTS - COTUIT A =A22 082 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this.form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. DOUGLAS A BROWN INC Company Name P.O BOX 145 Company Address CENTERVILLE MA 02632 City/Town State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification -4 5-:25� c �y I certify that I have personally inspected the sewage disposal system at this adds s and that~-Fie y., information reported below is true, accurate and complete as of the time of the in-,p,:p ction. Th? inspecti on was performed based on my training and experience in the proper function and rnai tenancef on sits sewage disposal systems. I am a DEP approved system inspector pursuant to 4 ction 15.340 ofi Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ,,Q �.s ❑ Needs Further Evaluation by the Local Approving Authority 2/21/13 Inspe or'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 is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-11110 Title 5 Official Insp do orm Subsurface Sewage Disposal System-Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. City/Town State Zip Code . Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: AT TIME OF INSPECTION SYSTEM MET ALL PASSING REQUIREMENTS "`8) 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): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is COTUIT MA 2/21/13 required for , every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑, distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary.Assessments M 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. City/Town State Zip Code Date of Inspection. B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has 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. . 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: . Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/day flow t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-.Page 4 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M s 159 TROUT BROOK RD Property Address HOLLAND Owner Owners Name information is required for COTUIT MA 2/21/13 every page. Cityfrdwn State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. - El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® 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 y 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 9 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that'one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"'to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"nb"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(if they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior--of.the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner)provided with. information on the proper maintenance of subsurface sewage°disposal systems? The size and location of the Soil Absorption System (SAS) .o`n 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 P ft C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] =pr D. System Information 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 t5ins•11110 Title 5 Official Inspection"Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 159 TROUT BROOK RD " Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. City/Town State Zip Code Date of Inspection D. System Information Description: ACCORDING TO AS-BUILT SYSTEM CONSISTS OF A 1500 GALLON TANK D-BOX AND S.A.S THATS12X45X2 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: 2012------276 2011-----298 GPD Sump pump? ❑ 'Yes ❑ No Last date of occupancy: 2/2013 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): ' Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if,available: t5ins•11l10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 _ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. Cityrrown 'State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: 2/2013 Date Other(describe below): General Information Pumping Records: .Source of information: Was system pumped as part.of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑, Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative%Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 f - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: SYSTEM INSTALLED IN SEPT OF 2001 Were sewage odors detected.when arriving at the site? ❑ Yes ❑ No . 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.): Septic Tank(locate on site plan): Depth below grade: 1.5feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 GALLON Sludge depth:. HEAVIEST AT INLET t5ins•11/10 A Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness VARYING Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): r 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 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 A , Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name ` information is required for COTUIT MA 2/21/13 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): Tight or Holding Tank(tank must be pumped at time Of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes , ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): s *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 _ F: i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2121/13 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) - Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert off 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.): BOX LEVEL NO SIGNS OF LEAKAGE OR SOLID CARRY OVER, SOME CORROSION OF CONCRETE IN D-BOX BUT IT WAS FUNCTIONING PROPERLY AT TIME OF INSPECTION Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of,pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: NO OBSERVATION PORT FOUND EVEN THOUGH IT SHOWS ON ON AS-BUILT CARD t5ins•1111D Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M yy< 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 7 cultec 330 ❑ leaching galleries number: ❑ leaching trenches °"number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure., level of ponding, damp soil, condition of vegetation, etc.): observation port was not able to be located , there were no signs of failure at time of inspection, the chambers could not be opened to determine the level of ponding Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth:-top of liquid to inlet invert - Depth of solids layer Depth of scum layer Dimensions of cesspool ,Materials of construction. Indication of groundwater inflow ❑ Yes. ❑ No " t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4M s 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments G1,N ,•�'� 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: GREATER THAN 5 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach'documentation) ❑ Accessed USGS database-explain: , You must describe how you established the high ground water elevation: OBSERVED SITE AND AUGERED TO 11 FT IN THE BACK YARD AND ENCOUNTERED NO GROUND WATER Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments M 159 TROUT BROOK RD Property Address HOLLAND Owner Owner's Name information is required for COTUIT MA 2/21/13 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E,checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information`—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Assessing As-Built Cards Page 1 of 1 G - 1 V I�l\VL'UML\J 1 AULLi LOCATION�� ,T&ilr free SEWAGE# 2ca/- d3S' VILLAGE U i' ASSESSOR'S MAP&LOT.9,ILZ D,"a INSTALLER'S NAME&PHONE NO..-7,0/_' !7/6/ - '/VB SEPTIC TANK CAPACITY LEACHING FACILITY: (type)? /Vi✓ff- _ (size) NO.OF BEDROOMS 3 BUILDER OR OWNER 4 LL A/ PERMITDATE: COMPLIANCE DATE: Cl kgO 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) L1G Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 fee of leaching facility) Furnished Feet Furnished by ,�'1�9CT �L tA,? f- ..� e— OQ 3 14 3 33 � may' t y x h4://www.town.barnstable.ma.us/Assessing/HMdisplay.asp?mappar=022082&seq=1 2/22/2013 r TOWN OF BARNSTABLE LOCATION/5-7 ,-rD(lT 36ow V • SEWAGE # Ze-Q/- 63 VILLAGE ASSESSOR'S MAP & LOT 0AAZ 6cFoZ INSTALLER'S NAME&PHONE NO, Or- 11AA1 Sob• ;�S9- S,y�L SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 2&/ "r-!7' (size) 1 Z X 416' X j NO. OF BEDROOMS .� BUILDER OR OWNER PERMITDATE: 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) ��13G14�. Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 fee of leaching facility) N Feet Furnished by fA ]W .e, 1 /r 1 S-r �Qp d Q G I • J � No. �_ /w_to95 Fee THE COMMONWEALTH OF MASSAaCHUSETTS �, Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNS` MASSACHUSETTS 0(pplication for Mgool *p.5tem Cougtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Z,'Complete System ❑Individual Components Location Address or Lot No. �7)W ffiQBl1� d Owne 's Name,Address and Tel.No. Gltf NA 441,wc, Assessor's Map/Parcel L%Z-% 0CZ), ®$Z % xf M Installer's Name,Address and Tel N Designer's Name,Address and Tel.No., Type of Building: Dwelling No.of Bedrooms �3 Lot Size e O 5 sq.ft. Garbage Grinder( ) Other Type of Building 43 06 V, No. of Persons 1 Showers( ) Cafeteria( ) Other Fixtures tJOI)►t� Design Flow 3'S L gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank n-1 Sob (, Type of S.A.S. C FJ S� Description of Soil sl�N_9_ l X q� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5.of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee 'ss ed by hi Bo d o Health. Signe Date Application Approved11e,3 _Date4q/K?7 Application Disapproved i or the following reasons Permit No Date Issued f Entered in computer, THE COMMONWEALTH OF MALSSAoH�USEtT/, , PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ✓ AppIication for �Mpozat *pztem Construction Permit _ Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. [ i/�V 705Qde)K !.) Own% 's Name,Address and Tel.No. Assessor's Map/Parcel P (AZ O�a O 8Z GD T 026� Installer's Name,Address,and Tel No n Designer's Name,Address and Tel.No. ('� S IJ A1.7U �UI��Phf�'\ `' 3avlQ+J�ti. a1A 50$ 3G� 64 2(p <Type of Building: Dwelling No.of Bedrooms 3 Lot Size 6 1 0V S sq. ft. Garbage Grinder( ) Other Type of Building W 00 Y` No. of Persons 1 Showers( ) Cafeteria( ) Other Fixtures U�V Design Flow gallons per day. Calculated daily flow �99 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank I Sob 6, Type of S.A.S. Larkn i nc- 11CpC., SSG ST Description of Soil JQ) L 1 Nature of Repairs or`Alterations(Answer when applicable) Date last inspected: Agreement: ` The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss-ed by rthi Bo o Health. c -9. Signe `I Date , Application Approved b /1 , m �/1+1% Date Application Disapproved forthe following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(�)Repaired( )Upgraded( ) Abandoned( )by (LPX V` -� t at �c1 __T�­C��% 2_cQa �2C . i has been constructed in accordance With the(provisions of 'tqe 5 arid the for Disposal System Construction Permit No. dated / c/ Installer Designer _ The ss}ance of this permit shall not be construed as a guarantee that the system will function as designed. j Date �%��o �� Inspector \ • �`�`��L � e �( No — 073 --- --------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS �BfgpoOaf *pOtem Construction Permit Permission is hereby granted to Construct(x)Repair( )Upgrade( )Abandon( ) System located at 7`� T t Vu \�(C�U�C `� C 0 rt and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this ermit. p Date: I I�P Approved by `\ G •`lam \ ul .Y-.L ,Ol-.1 O C, w El W o ---------------------------- s Gi I<t E- S REF. SEDER O <L G CL ?mow I—clo 0 0 1- o s (�1» a _lal- = J 0-,t1 os I rY�r AI II"�m:J a ,12 LLI • b L I Y-.[ t •��J o V" I �- I Yool i y I , cn LLJ ]LD c 4 ' N I N D 0 111, S C H E D U L E DOOR SCHEDULE [ENF_rnan N �y£�LL[ POC%CH OPEAF NC P-VA Ifff P.EMAP.RS A 6 '-6 X 4•-10- 'IR 24 X 24 D.H. 12 OVER 11 L O7Y. ROUGH OFENtuS F.EMAP.C? GROS!,WALL AREA FIRST FL. 960 S.F. ' B - % 4_ 2.38 24 x 20 .H. B 0� R 8 1 T- % -lt U RT FNTRY INR SECOND R. 71E S.F. 16:E` ' 'CG C 4 2-0 X 4•-10• 2.}g 18 x 2a D.H. 6 OVER 6 2 1 6-0 5'16 x 6-6 5/6 6-0 WOOD SLIDING DOOR1676 S.F. j 3 2-6 x 3-6 2.3B 24 X 16 D.H. B UV'ER B 4 - x - I;A - x - I x,1s a % 1' _a x A-A IN7 I R TOTAL GLASS ALLOWED 251 a S.F. E 2 4'-2- X 4'-10- 2.38 2-18 X 24 D.H. 6 OVER 6 -0 x 6-6 1'2' 1'-ID x 6'-6 INTERIOR, COMPONENTS: wwCOws Al . 1175 x 7. 9-2•. 6 ._� x 6- 1, - x - IF g.) 6 75%i- 171C 7 1 - x 6-P_ I ^-0 x E-6 INTERIOR C.t 1,.50 x L. 17.5C I DO^-AS C.J 3E x + - 3E.00 TOTAL GLAZING SHON•N. 172.75 S.F. /C010.RIDGE AIP l2 x 10 RIDGE SCAM(MICA.) 36�3-e' 235/ASHPALT ROOF 5N1GLES 12 -e' . :'- 15/MT PAPER _ -e- e'-B' Y-A' a•_e' +'-B' 0' 5'-e' -.es.tF•o.t. \- Q S/C"Ex1ER10P P,r Dt - - - f as 1Q•P.E. 12 1 r]STg �1/2' FIAPHG cvPGw � I I RAnTRs w rwtc v9� I I, -.. I 6 1 BATH `-Tr• L ALL COLIRC TO HAVE _ I I \ 9'P-30 FIBERGLASSSUL. •. I I 2.-+•x e 6 (^� 1Pwati rOMRUTFO.,Z LATER a II •--. \z'FwWw srR1Ps I I R.- ut2 t 6'S O t6'O{KNJ:P1ATE-, r]x A.ICI;o/TE S/ RYWOCC SUBFLOOR / ` xHb rH.5u6RDOr 2 x lo1's a 16'O.C. .-2 x es Wooc OLuI J 1L 1 x 3 sTR -C J PFpR(1pM z'-z' BSL=^--0 . +\z'Gr•5Uu "r4Wd !b aP[K Hufiau OPTWY-0- TYPICA, WALL CONSTPU^TIGN --. WHITE CEDAR SHINGLES O 5 1/2-T.W. - gEulllc wALL OVER -rr'vrcr- OVER 112-ExTEF10R i P_11 MERGIAS.flu (TYP,I �- PLYWOOD' OVER 2•% • %"-a'STUCS O % WOOD fUu ABOrE e 16'O.C.WRH 2 TOP A110 1 607OM E LIVIIJG Room T;17 ur(n Pur - ,'-E 1/2'STUL WALL - .r.J e-1G'- C) • `R-i9 F18ERQA55 1NSUL(TrP.) ' - 6' / �OFEN TO BELOW-� ' \�.MAT USE 2 x e'S O 16'O.C. 1aE m FL 5/6'PLYWOOD SUBFLOOR / JOOC]:XX1' •2 x 10'S O 16'O.C. 2 x 105 O 16'D.C. - x 6 P.T.SILL—vu SEAL •CV A'_0'.+4BY1ALL A-2 x l0's WOcv MAL, D OLM x 1e'$1L.ANCHOR BOLTS O e'-0'O.C. 3 1/^••CONC,F1L!.ED SR COL(TW 1 i j I PFooE.rsss P-MJ I A e'P.C.M.Wu A r-1o'NIGH I BASEMENT EAVE STORAGE: I 1{ e .I A'P�P ED CONC.SLIE WfiN _-_-- E'%f'I1C WWV WER Q YL POLY -----------------�- �-A.... VMOP.MP..O.iT!W.P.CA/rM OP OF MG.. 11Pfl01ut I%A.FYWAv 6'x Is'coM.P.C.FTC. ...\_z'-S'%"-e'x 10'PCURCD C01C. AA ABA _ FDDT11 IP COL.-Is GENERAL NOTES SECTION B 1. SLATERS PAPER OR "TYVECR- TO BE USED ON ROOF AND SIDEWALL 2. BASEMENT UTILITY WINDOWS AS PER STATE BUILDING CODE. 2: OF FLOOR SPACE 3. PROVIDE GUTTERS AND DOWNSPOUTS 4. PROVDE FLASHING ABOVE ALL WINDOWS AND DOORS 5- PROVIDE CROSSBRIDGING 0 MIDSPAN OF ALL JOISTS 6. DOUBLE JOISTS UNDER ALL PARTITIONS I - 7. ATTIC SPACE TO BE VENTED AS PER STATE BUILDING CODE S. THE DESIGNER ASSUMES NO RESPONSIBILITY FOR THE CONSTRUCTION. THE OWNER AND CONTRACTOR SHALL COMPLY WITH ALL RULES AND REGULATIONS IN THE MA. STATE BUILDING CODE AND LOCAL REGULATIONS. SCALE: DATE: FROJ. fr': 1/4 -1 A'JG-95 FUTURE/OPTIOIJAL 21JD FLOOR, PLAN -gag 24• x .3E� CAP,OLINLIIJA CAPE SHEET A: . C.APOLIHA. CONISTPUCTIOJ COMPANY P.O. BOX 2004 ` COTUIT, Ma.. 02635 _ ' Y u1 I am ' O W Ix v=i � IJ I u 17 �f U I In 1 a � u fY -1. J ,J 1 ip .- Pl II I:i T u Cj 77 0- 2 A-,6 .0.Z A-6 UI-.1,ZI,ZI,01-.I .r-,S .01'.I .0-._ LL- J-.ZI -{- +----�m��+ ^'_l 1-CO I I 1- o'o 1 I I ca a i ICI I I J CL x ,�F 1 1 1 1 1 1 1 1 1 1 1 I = oix 51 �F li q I I I I _ I I I _ --- -- ---------------- -i-- -- -� I S �LYtG OC,FDRETS STIJCO WTI BRI'l PAITFIW OR REAIBRI[?[ FKMG BRCK TO FATERIOR OF WODEN pIMNC1 PROVIDE EITHER STUCCO WITH - BRICN PATTERN AN COLOR OP. COM. W[h:E VENT(ttv.) "REALBRICK"BRICK FACUIG TO WOODEN CNINNET CHASE 12 �� A / \\'�, VENT w5 PEDUIFEL Br uw STUE BWULN:COLE Ip; ) ; 1 — ]$NiIA:LE Sl rIL uENBER) �J L W rl CCYR sNRICIC:0 1/2" [ J .-� I O El � ':ENi fll' )`II I�IEIU�V'�E•F.IF --Q I RED CED0I CVPBOAROS ill 1 I I LEFT ELEVAT101', C RNER zo°RES ARE I a 4 a I .> 5 PINE j `f?iCAL) FRQHT ELEVATION POIr-REw�BRICY"FwNClG.URIC'oACt.rC,T,RI*R i.G x CC; E'• 111 REr ;cs s9 L EL 4RIIE i�COOT.RID:,E VENT(Ti P.) T1 \\ \ CCDxA SNMLLLS o�1/:•I T111 WN�n.N IiE50 T.W �-D IYRCwL FOP.SIDES-D RUR PROVIDE EONTIN UOVS SO L] I® Y V OR DOI rN lr s DNP EM CJ EDGE VEIIT - I ( 1 I � FT-1 I MAI RIGHT ELEVATION RE ELEVATIOfJ TE: PROD. AR SCALE: DA y: 1/4' = 1'-0, 31-AUG-95 95-G95 T101� SHEET �:FRONT ELE\ � X _. _:=.P•C�LII'JA GDI•J�TRUCTICdd COI,iF'.N'1' I - P.G. BOr -,on-" + CC L. ITUIT, M .. 0='6�5 "'— I Town of Barnstable P 14 Department of Health,Safety,and Environmental Services opt , Public Health Division Date lrvx 367 Main Street,Hyannis MA 02601 • aenrtatesta, t eusa "�Ee �N Date Scheduled Time J 61 00 Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: ,1`FI�JL �I L(I 'tr1C�L- r ' Witnessed By: " X,b0A.TION !Cl A ., X1 ORMA... /� Location Address 5 Cl Tit g�Ta�lG Owner's Name la(I t3 "aT /'rl'� Nr co l (Ji T Address 17,7 I20lq,. �1,0, ze � 10OPFbeO A4g O/� II Assessor's Map/Parcel: Z Z / 2 Engineer's Name awX4rl�S��FIOIN!9�E'`� NEW CONSTRUCTION REPAIR Telcphooc N Land Use Slopes(%) _ Surface Stones N V Distances from; Open Water Body DPI t ft Possible Wet Area PJIA ft Drinking Water Well ft Drainage Way �� fl 'Property Line 7 (J ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) PCB SZ Je Parent material(geologic) DtJ+t. .. , -y' Depth to Bedrock t Depth to Groundwater; Standing Water in Hole: /V'/t Weeping from Pit Face Estimated Seasonal High Groundwater . MINAT�QI FOTt S>�ASQNA .HT Method Used:, Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: _in. Groundwater Adjustment ft. Index Well N _..... Rending Date;,__.•, Index Well level- Adj.factor..__ Adi.Groundwater Level—, : :. :::. rRCOL�iTION TEST Date f fime. PA Observation f Hole 4Time at 9" Depth of Perc (OUIJ r Gam` i Time at 6" t MP t n�stit n Start Presoak Time cCi t Time(9"•6") End Presoak Rate Min./InchAd 2. Si te Suitability Assessment, Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division ' Observation Hole Data To Be Completed on Back j Copy: Applicant rii� 4SlA'�ZO HG > o1e # Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. 0 -Inc r sl ne a QBSER ..A. IQN HOLE LQG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munselp Mottling (Structure,Stones,Boulderes. Consistent; %Gravel) 1f . —IZ IBC •. ..::.;:.:.:•.:... ����' 0�3SEk�YA'T"�(7N Hb�.E ��� Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes: %Grayffl DEEP 0$S'ERyTION HOLE LaG Hole#, lo Depth from Soil liorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % t Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally�Occurring Pervious Material Does at least four feet of naturally occurring pervious ssQmatteerial exist in all.areas observed throughout the area proposed for the soil absorption'systetn? --- — If not,what is the depth of naturally.occurring pervious material?,+ Certification I certify that Department on (date)I have passed the soil evaluator examination approved by the tment of EnvironnAtal Protection and that the above nalysis was performed by me consistent with the required training, e e ise and perience descri 3 0 CMR 15.017. 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C'C■=CC _...■. ..■..... . ■.■SECS En ■■■. .■...■ ■..■nE ■ . . n E■n.CCC'C'.CCCCCC■':CCCM'CCCman anM■ISEMSM E�■FEE.■ EES.Sr�.E■E■■■� SC � ■EE M■n■■Eu■■ ■E nEn 1■.M n■ ■ E■ ■ �■�E�■■l■■C■■ ■n ■SEES■ n �; ■ I�E EE nE ■E ■■E■EE "'■��'C' •• l . CCC ■ CCCCCCC°°CCCCCCC�■CCCC ■C:v vCCC C' CC CSC CCC 4�E■SC■■CC EEn E■■ ■■C'E ■■■EEnn■■ ME En■■M■E SEE■E■iEE '„ EE ■ ■ C EC■ ■ E ■ ■ ■■SEES■ WCCC.CCE..C..:CC'E C.C■■■.■■ CCC: ■ ■C■ .C11sormul C C ' a ' C'CC ...E..... . ON CCCCC°■uCn°iEC■"■iCa e ored For: Paul Thomas t l,l! t IV/ Assessor's Map: MAP: 22 - ' PARCEL: 82 B , Nye & Community Pane! Number: 250001 0 Baxter,021 D y F.LR.M. MOP Zone: C Holmgre, Inc. Registered Professional- Plan Reference: 26814 Engineers and Land Surveyors Deed Reference: 8418/097 812 Main St. Owners: Anthony & William Alberti " �0b Number. 2000-rt7ne.�wc Osterville, MA 02655 (per Assessors) Phone - (508) 420-7900 Fox - (508)-420-3819' Scale: 1" = 40' Date: 05-09-2001• w O a 00 O ` rn r �,L p o o . N 77.340 ' . 20,088 w � JO2.0, IX 0.4.6 AC R S LSvr COL J► . N 0. o p °p. o00 o O 0 q6 - 0. ►s= yo u 4. 1 1 ff HEREBY CERTIFY THA7,1THE FOUNDATIONS " ,/�RELATION TO MONUMENTS FOU 'p MOWN ONfTHIS^PLAN IS LOCATED IN .�� �F lac Tu[ nnn. - ___ NDpF N FURI.nN(, WAV.�L- �^ r =".ri a "xy" " trY� ...r. �w �^ucr,�„"" .. iG}°"'at-z msr_ .yri�e.„.rI -r< ,ry - —�,--•,a...' �".Yg,'5 0 gg x y.� w , .: TOWN OF BARNSTA$LE e �' LOCATION&'/ Ti�DIJTiP ,L �7 SEWAGE # Zc / d� .;, F VII;I AGES ASSESSOR S MAP & LOT 4o?�Z `G�a INSTALLER'S NAME&PHONE NO. AlQ- SEPTIC.TANK CAPACITY LEACHING FACILITY (type) �/�L'i/ (size) NO:OF BEDROOMS BUILDER OR OWNER 6LG / PERMIT DATE CO MPLIANCE'DATE:. Separation Distance Between the: J Maxtmum Adjusted Groundwater Table to the Bottom'of Leaching Facility Feet Private:Water Supply Well and Leaj. ctung Facility (If any wells east oon on site or within 200 feet of leactung facility) .Feet ..o )✓dge:of Wetland and Leaching Factlity;(If any`wetlands exist. within 300 fee .of leaching facility) " Feet Furnished byf� , {{ 1 .2 Y b: Ilk N. j • � tr LEGEND Design Schedule ELEVATION Leaching Area Requirements EXISTING PROPOSED Edge of Pavement - TOP OF FOUNDATION 52.00 3 BEDROOMS AT 110 GPD/BEDROOM = 330 GPD s Sewer Pipe s FINISHED BASEMENT FLOOR 44.00 - Water Pipe w — FINISHED GARAGE FLOOR 43.5 ADDITIONAL 50% FOR GARBAGE DISPOSAL -NA- GPD -- --- Drain Pipe SEWER INVERT AT FOUNDATION 42.50 --•-----------G Gas Pipe -------------c SEWER INVERT INTO SEPTIC TALK 42.25 PERC RATE = <2 MIN. / INCH (CLASS 1 ) O Manhole Cover - ❑ Catch Basin SEWER INVERT OUT OF SEPTIC TANK 42.00 ■ LIAR = 0.74 GPD/S.F. Water Gate N Light Pole �o �� SEWER INVERT INTO DISTRIBUTION BOX 41.92 Utility Pole -f I I I I 1 'i \ / SEWER INVERT OUT OF DISTRIBUTION BOX 41.75 � MIN. LEACHING AREA OF S.A.S. fl- y �' / I I cn + ; i \ SEWER INVERT INTO LEACHING SYSTEM 41.5 2p0 Contours s73j, / �/ / I o N�a-do o N BOTTOM OF LEACHING SYSTEM 39.5 330 GPD 0.74 GPD S.F. 442 S.F. MIN. 2ooXoo Spot Grade I I o , •P \ / / Test Pit I , I ( I I i ' ', , °' s WATER TABLE <28.5 PROPOSED SYSTEM 399 GPD W/LEACHING AREA OF 539 S.F. 1 l t 114 Ol�S' �4.42,17� f 352 i ------ TD +I to GENERAL NOTES of LO 0 0 ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TR 110 Z TITLE V OF THE STATE SANITARY CODE DATED 3s� o MARCH 31, 1995 & ANY LOCAL RULES APPLICABLE. t i LOCUS �-- I ' I I \� ,�` t t+ tt` , II '' ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING oo , I I I i=o - I \ , \AS�SES��RS, MA 22 \ �— � ter• M °� \,1 t\ ' ,t PAPPELI\ 82 t 5 �P BY JOHN K. HOLMGREN P.E. F0 00 I I ZI �� OLD WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, 1 i t` \ ` \ 1 _ OYSTER � NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT 151 t� 1 \ \\ i\ ,t \ `\ ` RD FOR INSPECTION. -` FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. LOCUS MAP THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN 1 HOLMGREN P.E. ASSESSORS MAP 8 I I tt\ ` � �� � � I \ ASSf J SORS MAP 22 =1000'f APPROVAL BY JOHN K. HOLM PARCEL 8 � 1 � \ , + � PARCEL 84 ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC. �^I H e0ok i t� i I II ,� 3 EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING 1 - M SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5, PER If ' 310 CMR 15.255. I 1t to \ EXIST 12" CMP �/ 52 M j i 11 11 I I \ N DRAIN OUTLET % / / I I 1 ;O PRIMARY BENCHMARK ' TP 1 / // / U04 1- I I $o o N PROJECT BENCHMARK ; I ❑bC7❑ ,1 49 159 2 1 ' I I I LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND 2 1 FINISHED GRADE SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE x i st i n g bldg. " 12" IN. \\ \\ \\ \\ \\ �� \\ \\ \\ \\ \\ \\\�,\ UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. k I t #171 36 MAX.- 12 i IN.//\//\/j\//\//\//\//\�//\�//\�//\�//��/\�/��/\�// COMPACTED FILL ex,s ing bldg. �. a - / 'PROPOSED I \ 2- #43 38 0 / HOUSE I i \\ ...., ° TON° PEAS TONE 56 � � d 40 Ate, -- I. I 30.5" . : d .0 ° ° ° 3/4" TO' 1 1/z " r, . .4 .a °. DOUBLE. d• <4 WASHED STONE k� . , - - tJL i l .R�r to i NO SCALE 54 CULTEC FECHARGEA 330 ° i---- - _ ALL PIPES TO BE SCHEDULE 40 PVC 52 o• / �.►"— ^_ ' `125.00 — _ — _ ` v' 153.45' 125.00' �s_ l tlo '�' o� . N 27'd9b24-W 595.75' ------ 48 w PROPOSED o 0: TROUMROOK ROAD WATER SERVICE f I N=)�- (40 PRNATE WAIF °D z \ 46g77 Septic Design • Trout Brook Road 0 Cotuit, Massachusetts PREPARED FOR Paul Thomas TITLE Sanitary Disposal System TYPICAL SYSTEM PROFILE J.K. HOLMGREN & ASSOCIATES IN ,. P#9902 FINISHED GRADE =44.0 SOIL LOGS DATE : 12/26/2000 ENGINEER BOARD OF HEALTH AGENT TOP OF NOT To SCALE JOHN D. KUCHINSKI, PE ED BARRY BAXTER, NYE & HOLMGREN, INC. •- FOUNDATION =52A, TEST PIT 1 TEST PIT 2 TEST PIT 3 Registered Professional FINISHED GRADE OVER TANK = 43.75 G.S.E. =35.2 G.S.E. = 38.9 G.S.E. = Engineers and Land Surveyors FINISHED GRADE OVER D. BOX = 43.6 I g12 Mann Street OSterVllle MA 02655 FINISHED GRADE OVER LEACHING TRENCH =t45.0 3 , , ti 0 OGANIC 2 0 OGANIC 81MIN. 3" (mi . Phone- (508)428-9131 Fax - (508)428-3750 4" SCED. 40 PVC (TYPICAL) 4" SCED. 40 PVC FIRST 2' (TO BE LEVEL) 12" (min) Cover 0" A FINE SAND 0" A FINE SAND s•((min. 0" min 36" (max) Cover 10" CI�rE�s 1 OYR 412 GAS BAFFLE 6" SUMP 4" SCED. 40 PVC " " " I 5" 10YR 4/2 3" 20 0 20 40 FINISHED CONSTRUCT ACCESS 2 Layer 1/8 tot/2 BASEMENT - MANHOLE OVER INLET Peastone LEACHING CHAMBERS FLOOR =44.0 :.; • TO TANK TO AT LEAST : •• r:`.:; �... ':.'::.•••� ••.:•.•s•"..�_ ,.:•.•.. :. :.,.... B FINE ND B p WITHIN 6" FINISH G NE SA FINE SAND SCALE IN FEET REINFORCED CONCR STONE SHED Slope 0.005 min lOYR 5 6 FOOTING O O • O O O • O O O O O 19" 10YR 4/6 12" / " �..•._..:..,:;::. .:. . .,., 4 PVC SCALE:1 =20 DATE: 01/16/2001 O O O O O O O O O O O O C MEDIUM SAND C MEDIUM SAND REV. DATE: REMARKS BOTTOM ELEv _ _ 125" 2.5Y 6/4 120" 2.5Y 7/6 co , BOTTOM BOTTOM 1500 GALLON SEPTIC TANK DISTRIBUTION BOX 5' MIN NO WATER ENCOUNTERED NO WATER ENCOUNTERED TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE DRAWING NUMBER SEPTIC TANK TO BE INSPECTED & CLEANED ANNUALLY 7 OUTLETS REQUIRED No Groundwater Observed CULTEC® RECHARGER 330 PERC 0 51" TP2 H:\2000\2000-117\SURVEY\worksht\2000117septic.dwg RATE= <2 MIN/IN Job # 2000- 11 7 LEGEND N. EXISTING PROPOSED Design Schedule ELEVATION Leaching Area Requirements - Edge of Pavement - TOP OF FOUNd�, ION 52.00 3 BEDROOMS AT 110 GPD/BEDROOM = 330 GPD s Sewer Pipe s FINISHED BASEOENT FLOOR 44.00 E Water Pipe w — FINISHED GARAG, FLOOR 43.5 ADDITIONAL 507. FOR GAIR13AGE DISPOSAL -NA-' GPD -------------G Drain Pipe Gas Pipe ------ -----c SEWER INVERT,INVERT ,j FOUNDATION 42.50 i PERC RATE _ <2 MIN. INCH (CLASS 1 O Manhole Cover • SEWER INVERT 0 SEPTIC TANK 42.25 I / ) E ❑ Catch Basin SEWER INVERT O T OF SEPTIC TANK 42.00 .' Water Gate N GPD/S.F. LIAR = 0.74 GPD Light Pole SEWER INVERT I DISTRIBUTION BOX 41.92 i a�� / ' ' I 1 ' r SEWER INVERT 0 -OF DISTRIBUTION' BOX 41.75 i 00 -0-- Utility Pole --� � �• CO N / I i i I I �� , ; \� _ MIN. .LEACHING AREA OF S.A.S. : a Contours 9j.37' / i ° o i a o cn ' `� SEWER INVERT I LEACHING SYSTEM 41.5 .� zoahoo Spot Grade i l ► ; `� o N , ` �' \ BOTTOM'OF LEA NG SYSTEM 39.5 330 GPD/ 0.74 GPD/S.F. _ 442 S.F. MIN: Test Pit WATER TABLE.... <28. PROPOSED SYSTEM 399 GPD W LEACHING AREA OF 539 S.F. 352, 1. C 1 + I 1 ` It l I I i o I ' I GENERAL NOTES � I 1 ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH I 1 0 39 ( �R � TITLE V OF THE STATE SANITARY CODE .DATED ° + .. .. .,.. ' I A ` MARCH 31 1995 & ANY LOCAL RULES APPLICABLE. ,•1 LOCUS �� E `AS ES ( RS,+ MA 22 + \ 5, ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING PARr�EL� 82 + + �P BY JOHN K. HOLMGREN P.E.co I i + + \ - 71 I� OLD . ILL �' OLD WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, ,` '+ \+ + \...:. ..... 1 1 - NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT OYSTER - � • - FOR INSPECTION. I E, + FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. - I p07 LOCUS NAP '; THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN ASSESSORS MAP 8 , + , I I + ASSES FORS MAP 22 1 =1000 f APPROVAL BY JOHN K. HOLMGREN P.E. PARCEL 8 It \+ ��� \\ \ i i P,;KCEL 84 ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC. I � 600, \ x3 EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING se p F 1 r I , M SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5, PER 1 310 CMR 15.255. EXIST 12" CMP r35.2 00 1 r I 1 r I I + �n DRAIN OUTLET ® l a , r r I +� N ' TP 1 i� I rf ir�l I 10 ` PRIMARY BENCHMARK ' I ' -. cn " 1CR - PROJECT BENCHMARK ` ) 49.5I I 12, � , � , I I I 2 , � LOCATION OF UNDERGROUND UTILITIES. ARE APPROXIMATE AND \ _ FINISHED GRADE SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE existing bldg. UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. 171 36 MIAX.- 12 IN. //��//��//��//��//��//��//��//��// //��/j // /,� // // COMPACTED FILL existing bldg. 38 -a . i / ,�ROPfbS D i ' �\ 2" ...................... _ PEASTONE #43 0 � / HORSE I � � \ ° e _ J ' I 56 AC 3/4" TO 1 1/2 � per,� �,-�. / ' N d �. d d DOUBLE WASh°ED STONE R SECTION j t NO SCALE d s • I , 1 54 CULTEC i�;GrIAE'' ;� 330 = , 52 ALL PIPES TO .,BE SCI-IEDULi, 40 PVC � Nc). 2PP.a f .rpIN 153.45' 125.00' _ Sn 125.00' �`+; h� . ' of 00. Q N 2Td9'72z-W 595.75, — - fY Q PROPOSED I R -0oP m TROUTBROOK ROAD WATER SERVICE I N:340 PRIVATE WA m Z 4E677 ` - ,� Septic Design Trout Brook Road Cotuit, Massachusetts PREPARED FOR s . Paul Thomas TITLE Sanitary Disposal System FINISHED GRADE -44.0 TYPICAL SYSTEM PROFILE J.K. HOLMGREN & ASSOCIATES ►��C. P#9902 SOIL LOGS DATE : 12/26/2000 ENGINEER BOARD OF HEALTH AGENT NOT TO SCALE PE ED BARRY BAXTER, NYE & HOLMGREN, INC. _ JOHN D. KUCHINSKI, Top of FOUNDATION =52. ' FINISHED GRADE OVER TANK = 43.75 TEST PIT 1 TEST PIT 2 TEST PIT 3 Registered Professional FINISHED GRADE OVER D• BOX = 43.6 G.S.E. =35.2 G.S.E. = 38.9 G.S.E. Engineers and Land Surveyors ` FINISHED GRADE OVER LEACHING TRENCH =t45.0 3 812 Main Street, Osterville,MA 02655 $..: s"MIN. 3 ( ' 0 OGANIC 2 0 OGANIC 4" SLED. 40 PVC : ..... .... ml FIRST Phone - (508) 428-9131 Fax - (508)428-3750 ,... (TYPICAL) 1. 4" SCED. 40 PVC ST 2 (TO BE LEVEL) ••' 12" (min) Cover " " �-- pL2 min 36" (max) Cover 0 A FINE SAND 0 A FINE SAND 10YR 2 4 110- GAS BAFFLE 6" SUMP IOYR 4 2 / FINISHED CONSTRUCT ACCESS 4 SCED. 40 PVC / " BASEMENT :'' MANHOLE OVER INLET ": :. 2"Layer 1/8"to 1/2" 5 3 20 0 20 40 FLOOR =44.0 :.; : TO TANK TO AT LEAST ,.. ::•• :.: ..y- :.,•.. Peastone FIN SAND LEACHING CHAMBERS WITHIN 6" FINISH G " .. +T: B E B FINE SAND ::.,•- REINFORCED CONCR 6 CRUSHED Slope 0.005 min i SC N ET :. STONE ALE I FEET 1OYR 5/6 FoonNc ,.... .;..:..,:"". . ..;.::;: 4" PVC • O • O O O O O • O • O 19" 1OYR 4/6 12" I SCALE:1"=20' DATE: 01 16 2001 O O O O O O O O O O "0' O O O O O O O O O O O O O C MEDIUM SAND C MEDIUM SAND REV. DATE: REMARKS " 2.5Y 6/4 120" 2.5Y 7/6 ! aorroM M. 125 _ _ Col BOTTOM BOTTOM 1500 GALLON SEPTIC TANK DISTRIBUTION BOX 5' MIN NO WATER ENCOUNTERED NO WATER ENCOUNTERED TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE DRAWING NUMBER SEPTIC TANK TO BE INSPECTED dt CLEANED ANNUALLY 7 OUTLETS REQUIRED No Groundwater Observed CULTEC® RECHARGER 330 PERC 0 5 1" TP2 H:\2000\2000-117\SURVEY\worksht\2000117septic.dwg RATE= <2 MIN/IN Job 2000- 1 1 7