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0185 VINEYARD ROAD - Health
185 Vineyard Road Cotuit A= 015-008-004 TOWN OF BARNSTABLE LOCATION 1 g U my,%-irE-(2N R-N_ SEWAGE# VILLAGE(Cite p- ASSESSOR'S MAP&PARCEL 19— INSTALLER'S NAME&PHONE NO. .,e� �tL—�if SEPTIC TANK CAPACITY 1��A�� LEACHING FACILITY:(type)----T—t2L----Wet$— (size) �D Jr •d��dZ�-o NO.OF BEDROOMS OWNER PERMIT DATE: -i — COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility - Feet Private Water Supply Well and Leaching Facility(If any wells.exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BYi�/ ,d�� 9sr v 1 k r'�b 'S 0 q' a Y No. 1 Fee �D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Apphration for Nsposar *pstem Construction i3ermit Application for a Permit to Construct( ) Repair(,<Upgrade( ) Abandon( ) L/J 6omplete System ❑Individual Components Location Address or Lot No. (?J V 1'1 e 1/. - PJ. Qw�ner's Name,Aj`ddress,and Tel.No. .5M- q-23- YQ 91' J G o b e le(- C/U YLSeY'F( doe-)s+r.,r'1''cn Assessor's Map/Parcel {S K O -q P.a a(o S Cc,+o�+ M/6. 6;*35' Installer's Name,Address,and Tel.No. 60 2S- Ya S- aqy, Dtees"igner's�7Name,Address,and Tel.No. �� QOrdO�a�L Yl� c'u�.�-1C41 46XTI '�Lon( �. ,..0 _, �0. Cn �rMde1'( ,1nC Q3�t ttitcl�N Lftxr--J i 16 KA 024 Type of Building: 22 Dwelling No.of Bedrooms J Lot Size Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ,Design Flow(min.required) 330 gpd Design flow provided 3 3Co gpd Plan Date R) I r) aZ O 1 C-� Number of sheets l Revision Date Title T i� Jo tC �- S y i n e1jal a Aj Size of Septic Tank /S0o 0 Type of S.A. Soco c,LQ C.fYLM6!5 .�•$3�X�o�S f7stta Description of Soil. i O Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and ma' the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environme Code and n o place the system in operation until a Certificate of Compliance has been issued by this Board of Healt Si ed Date Application Approved by Date ;7,o Application Disapproved b Date for the following reasons Permit No. 2a i I- 2 33 Date Issued 912 4 Z,o 1z of :.. Fee ��0Z) THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN.OF BARNSTABLE, MASSACHUSETTS Yes 0[pplication for MisposaI pstem �OIYBtrUctiOn Prmit Application for a Permit to Construct( ) Repair 0 ,Upgrade( ) Abandon( ) ❑/'Ccomplete System ❑Individual Components Location Address or Lot No. ( $J- vt 1 I y G to PO. Owner's Name,Address,and Tel.No. S02S- yaZ 3_ �f Cjr�� Cc�t�- Kec�(ec' c c} Fi-ct-sar C'latiis+rLrrH'cn Assessor'sMap/Parcel 1$ f -y (�•D.( j �{S Cv v ;t)� Ca�4e35 Installer's Name,Address,and Tel.No. 6016- Yd 8-18191;160 Designer's Name,Address,and Tel.No. 5-0 �a.�e tvkk t� s5 i I(S a l a � 9 . � , or Type of Building: - 2 - ,,W:-� �! Dwelling No.of Bedrooms 3 Lot Size 1 U �r>=5 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required.) 330 gpd Design flow provided 3 3Q gpd Plan Date Si, l v�d Number of sheets / Revision Date Title Size of Septic Tank �.SOO t -/U II Type of S.A.<4 `jam:,jc-,.0 0— Yt it)(�C..?S 183 rx Svr Shmrn t , Description of Soil Scr U Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and tenance the afore described on-site sewage d'ispo�s�al system in accordance with the provisions of Title 5 of the Environme tal'Code and not,, o place the;sy tem in operation until a Certificate o� of Compliance has been issued by this Board of Health'" Si ed Date Application Approved by r� Date �1Z 4 I Z6/-.7— Application Disapproved b Date for the following reasons Permit No. 2 01 Z 2 33 Date Issued - --------------------------------- ------------ -- -- _ - --- ------: ---.. .--------------- i---- --------- ------------------ THE COMMONWEALTH OF MASSACHUSETTS f BARNSTABLE, MASSACHUSETTS ` Certificate of Compliance THIS IS TO CERTIFY,that the Op-site Sewage Disposal system Constructed Repaired( ) Upgraded( ) Abandoned( )by 86r 0 , nS4C_i r n� C at MS �fltol(�i ts�' �rar CIC,4� has been constructed in accordance / with the provisions o itle 5 and the for Disposal System Construction Permit Nogo(Z- Z-61 dated �(�`{ � 2o+L tt r-1 _ Installer &t"'t-tJ�>✓ ` [���� (s�cti arm. ►�C Designer � C-Lk.t fl i'�C �s vac r r�� f r r�C . 1n C.- #bedrooms 3 Approved design flow gpd The issuance of this permit shh 11 not be construed as a guarantee that the syste ill func dLigned. Date //..��// � Inspector � i --- ------ -- -____ ---- ---- - ----- - --- ------ - ------------------— � -------- No. o cZ 2 Fee (o THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal bpstem Construction J)Prmit Permission is hereby granted to Construct( Repair( ) Upgrade( Abandon( ) System located at _ (/ Ii 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:C nstruct*on must be completed within three years of the date of this permit. Date 2- `7 o, Approved by ti RUG-02-2012 12:31 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.313 9^ FROM :down cape engineering ime FAX NO. :1$083629880 Aug. 02 =2 1.2:27PM P2 TW 2 2 - 000 GAL, CHAMBERS IN STONE BMCHMARK; METAL 00%0 AT ELF-V. 1%4' lir P OAK r uw. V OAK 15W DAL ST D Nfi DWELLING of NL I'C(i 1 PROP. WATERLINE I DIRT > DRIVE 1 � f � SE IC AS-BUILT PREPAR® EXCU.ISNELY FOR THE WEAI.'fH DEFT.. NO r FOR ANY OTHER USE LOCATION 1.85 VINEYARD ROAD, COMT SCALE : 1" = 30' AUGUST 2, 2012 PREPARED FOR., REFERENCE : MAP 15 PARCEL 8.4 BORTOLO MST,/ KEULER DANIEL '�� A• OJAI.A -elk „, N0.40080„ 11p 0 /mIeftAm 1 s R 7�*Ivll a Ingerx► `�/7-j Z- IGK/d ��iAsy YARMOURlPfW AfA 02e2ps DATE REG, LAND SURVEYOR 8 t AUG-02-2012 12:31 From:BDRTOLOTTI CONST 5084-"89399 To:15087906304 P.2/3 FROM :down cape cngin�:ering inc VAX NO. :15083629WO Aug. 02 2012 12:27PM Pi f:a4 Mfi ""kikklUNIPA, 7hnFmlN� �, (ytQ�Cr,Dircdor r ' � )410 MAW Jv A 07,601 e'v�j -- ) a'di mo:>I•• �O t�1 0'1 ��1,!¢vi"4 18es r]11sCn.: 6 r,4u A -,6uAd7-0 Addiresq- RY wns i. UWd m perm t W WstcdI a qe pur sy;Lem AT /0�x �t�✓�IyR�{.(�jy�Jf�r� �u� �,s��acl uu o arm ip dyuwu by �IZ6L4d.'IGi q'1, I er,t,ry to the s' pTiv- rtyYi(:m xril':'Pe7:Iced tthuvo vms in,,l ONI -.nthylttutil;[lly rtcot)TdiIj 111P de sip, which riWy imlude mmox approveil &muge:9 such gis ,lateral ruluor�tznn. 01 'IC I 'esTIJIV that thQ, s�Ptc TY'Aaw A rvenced ubuw, w&q ina5ka ;,td. with =LJjoi c,lWn,gei (Le, goRtrr ll'mu lil" 1uitzaI A• lnc alluu of t c- SAS c:r riLy°vr:vtic:Ed r,[::10Viti.c�in 01 l,uy col�tipr>�tr,,.�t of#}i� scp�ti,c; �iy,1'rr�) 17tl�.1I3.7fCOCC�F],nce �NitL.�ritt [�° 1',u[.A],ke,T[t,�tif7ltL, i'1.isr,.�°��'cstoa Itr. rcrh 9c;d rm-thd by dvigvz iu milrow. DANIELA ' (ltl.at�,llr is 59.�.;11lttLit!!� CIVIL 1u No,40602 � • -L. �sS/DNA �y (��Cti7pySJ .L'.q S'1TStat11,'9!) 1:� c�?_ i,'YTM "id. 6s1 '!', a ': �'t t,I�: ,1��.r:.c�t� �Y!� !g3r�. ��N . Q � a�r�nB, t,; rac.•i .'vnL 'T �`r�[., 6Y�Ci I.��#' 1�,. �'' '+n1.. ? 4q;CX C,D,[XX LTTr P I�iV T f. 1P1[11�L,�lr'LtiJE+AT°9'�i �1VlaJ. T� ,�'i7S�. I C", Town of Barnstable P# ' �=rftr ref Departmwilt of Regulatory Services u TiA AN ETAH1.E, ° Public J[smith Divisioli )date 200 Main Street,Hyanuis MA 02601 U ,t Fl f ' Date Scheduled Tinie Fee Pd'. ( 0 0 ' UQ Soil Suitability Assessment for � ' - e DuIli'(osvl . ,� Pcrfonned By; J_Cb Ltj rA CA 9i liven o 4��` lVllnessed$y.: _VT"_— IL0ICA7[ION ark GJE {RA L J[l�TJC'O)[�IVIC�'�TION Location Address ` e 1 ry e Owner's Name Ka L4— Pit/ C0-w y � / r/ Address _ Assessor's Map/Parcel; `S/L O�_D d 7 L'ugilmer s Naiuc J w r`- e NEWCONSTF-UCTION REPAIR Telephoneff Land Use• � i r� slopes(Yo) `Z Surface Shines AIV Vf Distance's From: Open Water Body S"90 a Possible Wel_Area It Drinking Water Well'.-22G o ft Drainage Way ft Property Line .J 04 ft Other tt SKETCH' (5LTee(.came,dimensions of lot,exact locations of lest holes 8c pert tests, locate wetlands-1 4 n p'oxinuty to holes) s Parent material(geologic)_ yy S\4 Depth l4 Budroel� Depth to Groundwater: Standing Water in Hole: N Gw Weeping fl'am Pit Ffloe A/0 ti Estimated Seasonal High Oioundwater A)CCU rr DE,T ERAIINA7CJfON FOR SEASONAL MG11 WATER TABLE E Mcthod Uscd: Depth Observed stonding in obs. Bole: N/� In. Depth to 54iI muttl.SSl_T T�Trt III, Depth to Weeping from side of obs.hole: Ill, Oroundwu(er Ad)u8Iment„_� ,_ �ft. Index Well!/ Reading Date: rIndexr rWelllrletVarl�l�r/h1��i_r��y�A��R,�frlCthP � ,AtJ,C vowidwutdr Uvul �w ��Ju�,,COL.�tAAJl�.1�,1v A,Jl S Dtltu.7 Z 1�17E�(J/f1V� Observation Hole if JA l Time at 7" L �_� � %✓` Depth of Pere �O Tlmp 4l 6" A Start Pre-soak Time @ , O _ Z 4 �` Time(9`4') � r 9 End Prc-soak e J Rate Min./tnc11 L Z 5itc Suitability Assessment: Site PaSsCd Si(e,-Failed: Additional Testing Needed(Y/N) .A/ original: Dublin health Division Observation Hotr,Data To Be Completed on Back-- - --- ""If peu-colation test is to I)e-conducted witYuin 100' of vveflandl, you must firslt uuotity We .B!1FnstRb1C! Conservation D..ivision at least one (1) week prior to'begin uhig. Q:\S EPTIC\PL'RCF-ORM.DOC Depth From 17-ATI® 1®—LE Soil Horizon Soil Texture Hole # A { .SurF,nce(in.) ',soil Color Soil. "-- - (USDA)_. (R9unsell) Moulin g Other (structure,Stones';Boulders, Con istc c" a ravel Z -v �� ��� "tip .� iVY12 z/- 'Y P'�.S/ 3z/3 G ). Y f DREP ORSERVATIONHOLE LOG Depth from Soil Horizon Hole # Z Surface Soil Texture soil Color Soil (USDA)^ ) (Mansell) Mol(lier ng (Structur ,0eIStones, 13oulde�, /�Ye �� co enoy %Craven _ . Ye �f Z.5.'Y6� DEir,,p OBSERVATION I-TOLE LOG De th From Soil Horizon So ,-role Silrface(in:). Soil Tcxtilre Soil Colo[ "'—'----- (USDA) Soil ) (Mansell) Other Ivfottling (,Structure,Stones,Boulders. Consistences p�Ve I JDE-1 P 0-BSJERVA7['IQ�1�1]F O'Depth fi-om soil Horiz L E LOGHole — on Soil Texture #SnfFace(in.) Soil Color Sall � (USDA) (Munsell M O[her ottling (Structure,Stones Boulders, Cons' ten ` 9r�Yel --- _ E godi uunsull-ance lfPa te Map. Abnve 500 year flood boundary No Yes Wthin 500 year boundary No �Jitltin 100}'earfloodboundary No lt5 e�a�➢� a�l�tu�enlr�l➢g �_ �ua�r➢rag]��irw�o�¢s 1V�at Dons at least four fe©t of naturally eri�2 occurring pervious m'tarial exist in all areas observed thl pughout the area proposed for the soil absorption system? Bif—s— llf not, "'hat is the deptl'1 of naturally occurring pervious m8rol'i617 ��>rki�ieatao�u " . A certify that on _ C/t' (date)I have passed the soil evaluator examination approved by the ]Department of Environmental.Protection and that the above analysis was performed by me consistent with xperir;nee1Pe required training expertise and e ucseri ed in iu CRn7 15.017, Signature i6 �t� OCf (M- G Date ® /Z Q:IS2PTlC\PERCr,0lZ 9.D0C i TRANS. NO.: CITY/TOWN: APPLICANT:ADDRESS: `�` �F I�� t tylg DESIGN FLOW: up REVIEWED BY: DATE: N/A OAK i dO yI'- .. ....f... ... .. ....... ..�:r.?::.{.... e..: ...4.. . .:.�::"i;' :a\(.. .fir.. ..,. �_._.; •.L;,.Sr g r r a.., .,.r,... ,... r.,J�f. Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for / components) [310 CMR 15.220(4)] v Easements shown [310 CMR 15.220(4)(b)] System located totally on lot serv.ed.[310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] daily flow septic tank capacity(required and provided) soil absorption system (required and )rovided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and proposed contours [310 CNM 15.220(4)(g)] Location and log of deep observation holes (existing grade PH. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CNM 15.220(4)(h) and (i)] Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(1)] Percolation test results match loading rate? [310 CMR 15.242] Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] Observed and Adjusted groundwater (method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(11)] Address Sheet 1 of 7 N/A OK NO Location of every water supply, public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located[310 CMR J 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[11) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor (required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75 of system [310 CMR 15.220(4)(q)] Materials specifications noted? [various sections of 310 CMR 15.000] / System components not> 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] t f Sheet 2 of 7 Address N/A. OK NO Size OK? [310 CMR 15.223(1)] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase fl depth [310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between v.11et and outlet tees (no less than liquid depth) [310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(1)(k)] Minurrum cover 9" (Tanks buried more than 9" must have users on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1000gpd, two for systems>1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] Required when other than single-family dwelling or flow>1000 gpd [310 CMR 15.223(1)(b)] First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and (3)] "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] Address Sheet 3 of 7 N/A Old NO ]��UYT� TGEI� �P`FYJPIG„ ; ,' � _....... Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18." below water line (when water and sewer cross, see 310 CMR 15.211(1)[1]) Cleanouts required/provided? [310 CMM 15.222(8)] Thrust blocks specified in force roams? 310 CMM 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/fi) 0.02 preferable [310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMM 15.251(9) and 310 CMM 15.252(2)(c)] Siphon problem/ (leachfield below pump chamber) Endcaps or vent manifold specified? Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMM 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) ry Stable compacted base [310 CMM 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9" [310 CMR 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sump 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] Capacity(emergency storage above working—design flow)? [310 CMR 231(2)] Proper setbacks [310 CMR 15.211 (same as septic tanks)] Watertight 20-111 minium access manhole at least 20"MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep with piping, discomlects accessible) Alarm floats - alarm on circuit separate ifi-om pumps specified? Exceeds two units must have two pumps operating ill lead-lag mode. [310 CMR 15.231'6) and(e)] Stable Compacted Base [310 CIAR 15.221(2)] Buoyancy calculations needed? Provided? [310 CMR 15.221(8)] VOW ,rZX-�1 r-t c%rt-:'— S v , Address Sheet 4 of 7 WR $.."Am"O"M(SWI.y)��6'+. h"f Y':Y Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR, 15.240 1 Required separation to groundwater? [310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] .17 System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.2411 . Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[41 and Guidance Document] y... �.i lax rSr Chambers anc Gal. in trench configuration supplied with inlet every 20 ft_ [310 CMR 15.253(6)] Each structure with one inspection manhole (if>2000 gpd must be to grade) [3110 CMR 15.253(2)] Aggregate 1'minimum- 4'maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] No 'A D Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] 100 feet-maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever greater (3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] minimum.2 distribution lines [310 CMR 15.252(2)(a)] z Maximum separation between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6"minimums, 12" maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'minimum. [310 CUR 15.252(2)(f)] Bottom area used in calculations only[310 CMR 15.252(2)(1)] Address Sheet 5 of 7 NIA ®K11_ NO J �A_A1 t Y,'_,'® Pressure Dosed Systern ? Provided pump and piping calculations as required [310 CMR 15.220(4)(1)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system- make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year (systems<2000 gpd) or quarterly (>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] co78struction in fill _Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall ? [Guidance Document] Impervious barrier installation must be supervised by designer [310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] At least 5 ft. fiom impervious battier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] Gr��. t � � Pc"�aldte�s' wFL � aalZe�sss Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface ati r elrti�ataye e�tzc 5�ys errs d/; p.�;°•vcgCe ters�j Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance Are the variances listed on the plan? [310 C1VIR 15.220 (4)(q)] RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] New construction or increased flow proposed - [Refer to 310 CMR 15,414] Sheet 6 of 7 Address N/A OK NO Is the system in a Designated Nitrogen Sensitive Area (Zone II for a public supply well)? [310 CMR 15.214, 310 CN1R 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15 216(l)] 'ly.•LFJ. ;.:�,. r t: .i..: y'r .G�F e�'''.?�' y `le'��. r ,�, !" .�{I .f �-�z i: n ., f .y r Pumping to septic tank ? [ 310 CMR 15.229] Shared System [310 CMR 15.290] Address Sheet 7 of 7 s-,oi r-o" .B:D s.B'.E ,BCE;z u9,G "O-,Y L - „O,Z „5,5 - J J £ o Z-0" 3,6„� 4'_0" 2 '-'6L6- 4'-0" X 10.00„ 2-Bea-8. -12F°' 3,-6i" 2,7., 1Z-6' g o" rn � N N 60'W 13R x 10.00"T I i j 2YN 8;6 x.,0;£ 8:6 x„0-,£ .,8;b x..0-,£ mL ,.�--_��.�?St'��;"�'•.;;`.Tsi' - .;"'s'I -'"+.ma�°'k;., i..,i:w'!�s^y -r..,-a;• - I _ I , t y. ox \ \ ra I �, 1 �r 6- O k I 7-7 I I , f +� K, ,� a l'-8"x 3 0\ ee� e.9 r r• \I 's p 9n _ :_• . ' .:` Rom_.. r . 2 0 x 4 8" ,3 n /0.®0"T 2'0 x 4,_8„ v 2'-0"x 4-8" ALL SYSTEM COMPONENTS SHALL BE SYSTEM PROFILE MARKr:D WITH MAGNETIC TAPE OR �1 Pine Rj 9e Hu// _ PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMP4RABLE MEANS FOR FUTURE LOCATION. NOTES o ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS APPROX. NAVD \ TOP FOUND. EL. 21.2' FILTER FABRIC OVER STONE c 2. MUNICIPAL WATER IS PROPOSED 19.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. PRECAST H-10 BLOCKS OR RISERS (TYP.) PRECAST RISERS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST +x•. 2'0 4"0SCH40 PVC MORTAR ALL H-10 UNITS TO BE AASHO H-1Q Nantucket *: PIPES LEVEL 1ST 2' 4, COMPONENTS INV'S EL.ENDS ( ') 7, SIDES 17.10' 5. PIPE JOINTS TO BE MADE WATERTIGHT. Sound *18.6' 10" 1500 GAL H-10 14" P000�o�= a o oaooeeas o a o 0 0 0 17.0' TEE SEPTIC TANK TEE o 0 0 0 0 0 0 ° o$o °°°°°°° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 16.75' 6" MIN. SUMP o 0 0 o EEEE 0 ���� 0°°000rR M- �®mm ;00000000 °°°°°°°° . 0���0�®��® °°°°°° �QQ�mmm00 °°°°°°°° WITH 310 CMR 15.000 (TITLE 5.) °0°O°O°O°O°O 0 >°O r oo°oOO O o°o°o°o°GAS BAFFLE::` °°_°°°°°O°°°° 12" MIN INT. DIM. ° 0000aoaooae EEEOOO,0 0_ >°O°O°O°° ° ° oop °°^o. ° N 00000000 �a®aaoao�ais 000000oaoaoaa® .00000000 ,7. THIS PLAN' IS FOR PROPOSED WORK ONLY AND 16.57' 16.4' °°°°°°°° °°°°°° °°°°°°°° 14.27 NOT TO BE USED FOR LOT LINE STAKING OR ANY •: : 4' LIQ. LEVEL (ACME OR EQUAL) °°°°° OTHER PURPOSE. J00000000°0°0°0°0°0°0°0°0°O°0°O°0°0°0°0°0000� °0°0°00 °°0°0°0°0°0°0°0° H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. $, PIPE FOR SEPTIC SYSTEM TO SCH, 40-4" PVC. o ° Co o_r`_�_�_o_°.o ° 3/4"-1-1/2" DOUBLE WASHED STONE - (2) UNITS REQUIRED 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30' X 9.83' 9. COMPONENTS NOT TO BE BACKFILLED OR Locus COMPACTION. (15.221 [21) CONCEALED WITHOUT INSPECTION BY BOARD OF Co HEALTH AND PERMISSION OBTAINED FROM BOARD ( 1 6 % SLOPE) ( 1 % SLOPE) ( 1 % SLOPE) OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP 10' 18' LEACHING CALLING DIGSAFE (1-888-344-7233) AND FOUNDATION- SEPTIC TANK D BOX 15 FACILITY 8.0' BOTTOM TH 1 VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL WORK. UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS ASSESSORS MAP 15 PARCEL 8-4 PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 13. NO KNOWN POTABLE WELLS WITHIN 150' OF PROPOSED LEACHING FACILITY VACANT SEPTIC DESIGN CALCS: GARBAGE DISPOSER IS NOT ALLOWED 39s'S . DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD USE A 330 GPD DESIGN FLOW x 16.46 SEPTIC TANK: 330 GPD (2) = 660 - _ USE (1) 1500 GAL. H-10 SEPTIC TANK -1721 x 18.65 m LEACHING: x18.42 SIDES: 2 (30 + 9.83) 2 (.74) = 118 GPD . .. _ TEST HOLE LOGS x 17.80 BOTTOM 30 x 9.83 (.74) = 218 GPD TH 8.99 TOTAL: 454 S.F. 336 GPD ENGINEER: ARNE H. OJALA, PE, SE TH 2 1 DON DESMARAIS, RS LOT 1 x 863 9 x1980 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL WITNESS: DATE: 7/12/12 Pw BENCHMARK: METAL i:OVER 12" ITCH x19.92 WITH 2.5� STONE AT SIDES, 4 AT ENDS AND 5f �` .3 AT ELEV. 19.4' x PINE BETWEEN UNITS PERC. RATE _ < 2 MIN/INCH 0`` " OA 8.8: OLD CONC. 79 x 18. 9 x 8 1.90 x 19.71 s CLASS I SOILS P# 13695 sLae 9.12 4'1g+• E o x 8" OAK 19.00 �9. 19.20 8 1 x19.72 19.00 1 18. 7 903 ELEV. ELEV. 8 1� � 19.14 x19 MA 2" E:P 19.0' O" 19.2' .'8.9 1908 -19.11 APPROVED DATE BOARD OF HEALTH ' EXISTING 19.49 O/E A x19.11 19.40 DWELLING ORGANIC/ 19.67 i PINE NEEDLES LS 9.42 19.E 0" 10YR 2 3 24 19.49 / 10YR 4/2 ELEC 9.42 9.54 TITLE 5 SITE PLAN 7f 19.55 E 6 METER 819.34 /n / 19.49 OF FS E 9.57 � 24 / ff / �19.51 1 10YR 5/1 FS o /f19.36 �� 185 VINEYARD ROAD HDM 10YR 5/6 / 1 219.20 FS N ,79.57 19.52 COTUIT 15" 10YR 6/6 I DIRT �19.63/ PROP. WATERLINE E Bw DRIVE ), PREPARED FOR �� i �o FS LS a. 1 1/�, BORTOLOTTI CONSTRUCTION/ 22" 10YR 5/1 1 OYR 5/8 TOM WATER \ �oPo KEULER 7 ` BS 22" /18. 4 17.3' \ // 8.. 4 JULY 17, 2012 x 19.S5 32" 1OYR 5/8 16.3 X18.11 ' - ' C / �ZW d�Mass ��A OF MA off 508-362-4541 _ C / DANiELA.q � ss�c fax 508-362-9880 PERC MS �`� i DANIEL ��Nm I downcope.com MS ��p606 x/sas OJALA 0o `�" OJALA N down cope engineering ift 132" 2.5Y 6/6 8.0' 132" 10YR 6/6 8.2' �- 1�No.46 No.40980 , " OFF�G,S T ERA F 0 civil engineers SCQIe: 1 = 3O TEL 4o - 1-)2 S ON AL ENG ! OSUR\4 land surveyors NO GROUNDWATER ENCOUNTERED RISER •-� / 939 Main Street ( Rte 6A) MOMIL 2_ > 83 0 15 30 45 60 75 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675