HomeMy WebLinkAbout0122 WHITMAR ROAD - Health 122 Whitmar Read.
Cotuit
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TOWN OF BARNSTABLE
CATION I Z Z (r�l c�F M a✓ SEWAGE# U00$'1 ys
VILLAGE_ (tom ASSESSOR'S MAP&PARCEL U 76
INSTALLERS NAME&PHONE NO.�caQe W�d� ��� 4Z f' cfy'Z& I
SEPTIC TANK CAPACITY /SoU
LEACHING FACILITY:(type) f Z S
l�l r C an (size) !y X 3 T
NO.OF BEDROOMS
OWNER ''Q, c n r C r 0
PERMIT DATE: 144 — ZOOS COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ivu Private ;Water Supply Well and Leaching Facility(If any wells exist Feet
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on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet I
within 300 feet of leaching facility)
FURNISHED BY �4 ear• Feet
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- TOWN OF BARNSTABLE
LOCATION 1 Z Z. WL 4 sv,a SEWAGE# 1008" 14S
VILLAGE C�,��,. ASSESSOR'S MAP&PARCEL bs� U?(o
INSTALLERS NAME&PHONE NO.
SEPTIC TANK CAPACITY /SoU 4i O
LEACHING FACILITY: / �, S
(type) f �- 2 es �,can (size) !4 X 3 1-
NO.OF BEDROOMS
OWNER IC :e�aar C. C to
PERMIT DATE: LA COMPLIANCE DATE: �le
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility wu :( 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 �
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: x�
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
pplication for aigogal 6pgtem Con.0truction Permit
Application for a Permit to Construct( ) Repair(-,Kupgrade(Abandon( ) ❑.Complete System Individual Components
Location Address or Lot No. I ZZ ��i`{I►,-aet iu :;,d Owner's Name,Address,and Tel.No. f?C4,a,-d q 54*t-, trade y,
Co i-ui t" vi
Assessor's Map/Parcel 0
' i�f,�,kd,�
Installer's Name,Address,and Tel.No. L4 Designer's Name,Address and Tel.No. Gc/vc3
q Zj Lto 2, �v: Jj�� 1!m3 /2 4s�J�isv)1�itildl
Type of Building:
Dwelling No.of Bedrooms Lot Size ��,Uoo sq. ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3 o gp'd Design flow provided �j�J god
Plan Date 14'1 L"Z 014 Number of sheets vision Date
Title 112, Wk i4er 2
0
Size of Septic Tank I S0. 0 Type of S.A.S.
Description of Soil Se a lon G 2;ly
t
o _ X31
Nature of Repairs or Alterations(Answer when applicable) IJ e LJ 11c,ArS
Date last inspected: per,
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. S
S igne Date y' 1`�'��o a y
Application Approved by Date T/y cur
Application Disapproved b Date
for the following reasons
Permit No. .2W ff yJ Date Issued "�
N Fee
YA"
THE COMMONWEALTH Entered in computer: Ij
4 OF MASSACHUSETTS
0 C , , , S
V ABLE,
PUBLIC HEALTH DI ISION - TOWN OF BA"S MASSACHUSETTSi Yes
2pplication for ai5po!gal 6pqtem Conotructton Permit
Application for a Permit to Construct O Repair Abandon Complete System 21indiidual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No. 45�4,,,
0 i-V 7
Assessor's Map/Parcel 05(, 076
Installer's Name,Address,and Tel.No. C,07e4d--VL C4/f KjOy t'-vj Designer's Name,Address and Tel.No. 4.)
d
Type of Building:
,
Dwelling No.of Bedrooms 44q 0oo
Lot Size sq.ft.—Garbage Grinder
Other Type of Building No.of Persons Showers Cafeteria
Other Fixtures
�
Design Flow(min.required) 33o
gpd Design fl 4P
ow, rovideda G 3 gpd i
Plan Date 4-12.—Z04t Number' _
of sheets Rdrision Date
Title I X
Size of Septic Tank Isa' a Type of S.A.S. 5 to L-j 0 f 5`- I'
Description of Soil 2.1
f,40 f
A I P P di
Nature of Repairs or Alterations(Answer,w,en applicable) Lj .6
Ap
Date last inspected:
00
Agreement: N
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewagd'disposal system in
accordance with the provisions of Title 5 of the Environmental Code,and not to place the system in operation•until a Certificate of
Compliance has been issued by this Board of Health.
gne Date
y-
Application Approved by Date —a
Application Disapproved b 4 Date
411 11
kI for the following reasons
Permit No. lu,4- I yii--
Date Issued V
----------------------------------------------
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 CAX-eit3lL an�d_f
LL C
<! at I has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 'gook dated V--/V-
Installer (e4v".LL e-�N OJtSr. Designer it LA,
bedrooms Approved design flow 5- _1i gpd
The issuance of this permith I of dnstru d s a guarantee that the system it,l'u C 0 jaspesigned j
Date Inspector ector I
'W
- ——————————
No. Dr,J2 Fee
O��V
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
'wi,5po,5a[ *p!gtem Cow9truction Permit
i Permission is hereby granted to Construct Repair (V Upgrade Abandon
System located at I Z1 LL)\.X, 6-7,ak a_QA 1
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: Co struction must be completed within three years of the date of this-perim
i Date Approved by
Town of Barnstable
Regulatory Services
3 Thomas F. Geiler,Director.
AAgm
i Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: ' �2 CQ Sewage Permit# 2W&i q,5 Assessor's Map/Parcel 0 5 b _0'7
Installer&Designer.Certification Form
g ,�NB� 1 W y�'.k S Installer: R iQ-ew`aLC
Designer: �r;n a
Address: IZ VJ - CT'O 5 S-�-e Cf f Address: 4010 1 0-r` -7 (o-5
C�Z�3Z
-2vo�6 �ew i OLE &4-e,1, was issued a permit to install a
(date) (installer)
ZZ W fit, rvia� 2c
septic system at I`� r 62+V I abased on a design drawn by
(address)
Fpkk -1: H crK fe e ni✓• dated �
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such zs lateral relocation.of;the
distribution box and/or septic tank. Stripout (if required).was inspected and the.soils
were found satisfactory.
I certify that the septic system referenced above was installed with.major changes (i.e.
greater than 10' laterai relocation of the SAS or any vertical re f any component
of the septic system)but in accordance with State&Local gtroi• revision or
certified as-built by designer to follow. Stripout(if requ' d the soils
were found satisfactory.
o PETER T
o MCENTEE
CIVIL
No. 35109
(In ler's Signa re) CM
2-
(Designer's Signature) (Affix Designer's Stamp Here)
PLEASE:RETURN TO BARNS TABLE PUBLIC HEALTH DW, ION. TIFICATE
OF COMPLIANCEWE[,L NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANKYOU.
gAoffice-formAdecigoamfifwation fonadoc
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i riPR: 18: 204$ 11 .43AM CAPE C'OD'WINWAT. :ER N0. 15b P. 2 i
1 i, I I Fi
April 14, 20018
e
E:
Mr, Bob Sousa I 4i
I Cape Cod Winwater Works ! }
p I i,
174 Airport Road
I Hyannis, MA
R9. Bio Diffuser!Standard Model (1100BD)Cha�nbiter Installation lj
Town of Barnstable
itrl
Dear Bob;
.
It is our understanding that Cape Wide:Enterprises has installed an onsite wastewater disposal
system for the Town of Barnstable. We understand;as well that the system was designed by
Peter McEntee, and called!for use of our 816Diffuser Standard Model (1100BD) chambers In an
H-20 load bearing application) f
Please be informed by way of,this letter that ADS/Hancorwiil fully warranty the performance of F
the BioDiffuser Standard Model (1100BD) chambers'in this H-20 load bearing application. iI
I „1
If you or others have any questions or concerns about this a'ppllcatlon,'please refer them to our
area onsite market specialist,':►teve Minor, at 207-240-5967
;�
Sincerely,
Dick Bacholder
ADS, Inc,/PSA, Inc,
CC; Mr. ,dim Talarico, AbS/Hancor it
Mr. Steve Minor, ADS/,H8ricor it
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COMMONWEALTH OF MASSACHUSETTS
f EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
d DEPARTMENT OF ENVIRONMENTAL PROTECTION
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TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION k
Property Address: #122 Whitmar Road
Cotuit,MA
Owner's Name: Ruth E.Healey
Owner's Address: 122 Whitmar Road , 1��
Cotuit,MA 02635 6 7
Date of Inspection: 11/03/05co
Name of Inspector: (please print) Mr.Carmen E.Shay
Company Name: CAPEWIDE ENTERPRISES,LLC �- m
Mailing Address: P.O.Box 763
Centerville,MA 0632
Telephone Number: (508)-428-4028
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
XX Passes
Conditionally Passes
o CARMEN
Needs Further Evaluation by the Local Approving Authority E
Fails o SHAY
Inspector's Signature: Date: 11/03/05
FS INSPE�'
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.
Notes and Comments
No evidence of hydraulic failure noted in leach it.Leach Pit Riser installed 4' effective h y p c ve depth available.
****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.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
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:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass"section need to be replaced or
repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND)in the 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 eAltration 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.
ND explain:
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
obstruction is removed
distribution box is leveled or replaced
ND explain:
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
obstruction is removed
ND explain:
. . r .,. 2
Page 3 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
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
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 coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the pres.-nce 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:
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
XX Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_ XX Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool -
XX Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
XX Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow
XX Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
XX Any portion of the SAS,cesspool or privy is below high ground water elevation.
_ XX Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
XX Any portion of a cesspool or privy is within a Zone 1 of a public well.
XX Any portion of a cesspool or privy is within 50 feet of a private water supply well.
XX 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 coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility 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.]
NO (Yes/No)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.
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
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
Page 5 of 11
15.304.The system owner should contact the appropriate regional office of the Department.
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM-,
PART B
CHECKLIST
Property Address: #122 Whitmar Road s
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
Yes No
XX Pumping information was provided by the.owner,occupant,or Board of Health
XX Were any of the system components pumped out in the previous two weeks'?
XX _ Has the system received normal flows in the previous two week period? .
XX Have large volumes of water been introduced to the system recently or as part of this,inspection?
N/A Were as built plans of the system obtained and examined?(If they were not available note as N/A)
XX _ Was the facility.,or,dwelling inspected for signs of sewage back up
XX _ Was the site inspected for signs of break out
XX _ Were all system components,excluding the SAS, located on site
XX _ 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?
XX _ Was the facility owner(and occupants if different fr_om 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:
Yes no
XX _ Existing information.For example,a plan at theBoard of Health.
XX _ 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(3)(b)]'
e
4
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Page 6 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 5 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550
Number of current residents: 2
Does residence have a garbage grinder(yes or no): No
Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required]
Laundry system inspected(yes or no):_
Seasonal use: (yes or no): No
Water meter readings,if available(last 2 years usage(gpd)): 109,000 gallons—2003/107,000 gallons 2004
Sump pump(yes or no): No
Last date of occupancy: Currently occupied
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): and
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):_
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: September of 2005
Was system pumped as part of the inspection(yes or no):NO
If yes,volume pumped: gallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
XX 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)
Tight tank , Attach a copy of the DEP approval
Other(describe):
Approximate age of all components, date installed(if known)and source of information:
1987-original,- per Owner&BOH Records
Were sewage odors detected when arriving at the site(yes'or no): No
,,
6
I
Page 7 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
BUILDING SEWER(locate on site plan)
Depth below grade: 18"
Materials of construction: cast iron �40 PVC XX other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK: XX (locate on site plan)
Depth below grade: 12"to Top of Tank
Material of construction: XX concrete_metal_fiberglass_polyethylene
_other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
Dimensions: 5' deep x 5'wide by 10' long (1,500 gallons)
Sludge depth: 4.0'
Distance from top of sludge to bottom of outlet tee or baffle: 2'
Scum thickness: '/4 inch scum laver noted
Distance from top of scum to top of outlet tee or baffle: 8"
Distance from bottom of scum to bottom of outlet tee or baffle: 17"
How were dimensions determined: Measured
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Structural integrity of tank was ok. No evidence of cracks, leaks, or water infiltration/exfiltration. 4" PVC Tee present at
inlet end. Outlet tee present and in good condition. Liquid level equal with outlet invert.
GREASE TRAP:_(locate on site plan)
Depth below grade:_
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:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Page 8of11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
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/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: XX (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:_
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.): D-Box Present—one outlet,no evidence of significant carryover.
PUMP CHAMBER: (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
Page 9 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required)
If SAS not located explain why:
Type
XX 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:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,
etc.): No evidence of hydraulic failure of septic tank or of leach either leach pit. . Top of leach pit is 36"
below ground. New Riser installed. 4' effective death available.
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 or no):
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.):
. . r „� 9
Page 10 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch 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.
Swing Ties:
WHITMAR ROAD
A- Tank In— 15'
B- Tank In—27'
A D-Box—25`
B—D-Box-31'
A—Leach Pit —45'
Water:Line B—Leach Pit —27'
Exist House
Garage
A
B
Septic Tank
(1000 Gal.)
N D-Box `
0
Leach Pit
10
f
Page 11 of 11
,t
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: #122 Whitmar Road
Cotuit,MA
Owner: Ruth Healey
Date of Inspection: 11/03/05
SITE EXAM
Slope
Surface water -'h mile+/-
Check cellar -Yes
Shallow wells—None
Estimated depth to ground water 20' feet
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
XX 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)
XX Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Checked with Ouadranele of USGS Map.
Per USGS MAP PLATE 2:
Elev.of Ground=58 Feet
Elev.Of Groundwater=20 Feet
Elev.Of Bottom of Leach Pit 49 Feet
Therefore: 49—20=29 feet separation between Bottom of Leach Pit and Groundwater.
Groundwater Adjustment using Index Well SDW-253(C): 5.2 feet
Adjusted Groundwater Separation=29'—5.2=23.8_feet between bottom of pit and ad*.Eroundwater
Grade=Elev. 58 feet
ED
Pit#1
Septic Tank
Bottom of Pit=Elev.49 feet
Adj. Groundwater=Elev.25.2
Town of Barnstable P#
Department of Regulatory Services
i Public Health Division Hate
200 Main Street,Hyannis MA 02601
�O�Ep Mla
r
- Date Scheduled_ ®/" Time c3 Fee Pd.
Soil Suitability Assessment for Sewa UeDisposal
Performed By: P'p y 1 Lc_15rL4-e-e A Witnessed By: P's
LOCATION& GENERAL INFORMATION
Location Address l Owner's Name
Address 1 2 T w Ao4 m ra f /Lj.+d
Assessor's Map/Parcel: U S�(e �� • / Engineer's NameeP,.>i07 tc
--%14c<
NEW CONSTRUCTION REPAIR ✓ Telephone# joi,- 737- q-7 69
Land Use fps-C A&I Slopes(46) Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands 1'n proximity to holes)
�H 1
l r,
Parent material(geologic) `"'J " Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: /v Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERARNATION FOR SEASONAL HIGH WATER TABLE
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# Reading Date: Index Well level., Adj,ihotor— Adj.Groundwater Level,, e
PERCOLATION TEST we�. Thne
Observation
Hole# Time at 9" "-
Depth of Perc Time at 6" ---
Start Pre-soak Time @ - ���d t�1.1 lime(9"4") ---
End Pre-soak 7 7 a
(�
Rate MinJlnch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 100'of wetland,you must first notify the,
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTICIPERCFORM.DOC
i
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture .Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
icon i tencGravel)
rZo l Z,S 7 ¢�cs
DEEP OBSERVATION HOLE LOG Hole# �-
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
�-- � � l o ►23
SL l_Q rz
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon. Soil Texture . Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Con i en
Flood Insurance Rate Man:
Above 500 year flood boundary No Yes
Within 500 year boundary No X. Yes
Within 100 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
._ area proposed for the soil absorption system? yeS
If not,what is the depth of naturally occurring pervious material? ..�
Certification
I certify that on O-A -(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
the required ,expertise and experience described in 310 CMR 15.017.
Signature Date
Q WEPTIC�PERCFORM.DOC
� TOWN OF BARNSTABLE
71
DPQ'ATION �a ��j�%� Ae Ap SEWAGE
VILLAGE !s►. ASSESSOR'S MAP & LOT Al
INSTALLER'S NAME & PHONE NO.ZC/fs 77/-1269
SEPTIC TANK CAPACITY I rO6 h�
LEACHING FACILITY:(type)A,*ec psi A j (size) J000 Go/
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER 11?6 6G-?' 11eA 1P=Y
DATE PERMIT ISSUED: _ - .I
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No L� `"
MAIL
by
s � e
' I
TOWN OF BARNSTABLE
rnCc- RA,CaXnT' . SEWAGE # -
VT i..AGE .12 c ir ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACEL=: (type) (size) // ObO Cam` Q[
NO.OF BEDROOMS '?3 '
BUILDER OR OWNER 2ox"- E. B G7gLj—=Y
PERMTTDATE: 1I -a4._a COMPLIANCE DATE: I " '
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 3• Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet f leaching facility) AJJA Feet
Edge of Wetland and Lea n Facility(If any w ds exist
within 300 feet of le hing facility) Feet
Furnished by
ds 20
7-1
ko 5 ,
:� _
No�.....:._��� La`s' �(� F;�s.......(.....��...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
t--O.\.....................OF I(�4�.� t ................................
Appliration for Dispustt1 Morks Tonstru.rtion frrutit
Application is hereby made for a Permit to Construct ( K or Repair ( ) an Individual Sewage Disposal
System at:
.L�c�ti�on,-t,Address -•---------------•---.-•--.-or Lot No.
....... \ .... .....`..l ---•---•--------------------------•---7--- -.--------•- --------..........................................
Address
a :��..(1. ...... ----------- ---------------.---.....•.............----•----
Installer Address ^
U Type of Building Size LotA"1 -,.>.1.....Sq. feet
., Dwelling—No. of Bedrooms......... ................................Expansion Attic X6 Garbage Grinder ( �
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures -----•-•----------------------------------------------......---------------------------...----•-•.........----•----...........---•------•-.....--•-----
d
w Design Flow..:-.....:-15.6.........................gallons per person elr da�. Total daily flow--------3 .0.._..................gallons.
/ P� / P
WSeptic Tank—Liquid capacity l�allons Length_�._...- �. Width.'�..-_A---. Diamete ........... Depth..S..-M.
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.---____--_I-------- Diameter.........1Z....... De i below inlet.............. Total leaching area3.5.�).....sq. ft.
Z Other Distribution box Ye5 Dosing3 nk ( 1 _
~' Percolation Test Results Performed by._.`.� X..-... Al.'I C � B.c�............. Date..17-`.1 ?.`. 5_.......
aTest Pit No. 1...4Z:....minutes per inch Depth of Test Pit.....1t........... Depth to ground water.) bT�A cauktTm;q
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
O Description of Soil......Q.� ..... .. !ek+ 4 1 -t �T ` •• `,
c.,
w
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TL ITi M 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed.. . ... ...��.............. ..•------•---........----••-------•--------
D to
Application Approved B ct - --------------- � 1- Date ---------
PP PP Y
Application Disapproved for the following reasons--------------•-•-••--------...............--•-•-------•--------------------------------.........------•••••.....
-----------------------------•-----................----------...---...........---•--------•-•-------...--•----•---------•-•-•--•------•--•-•----------••-•--.......---•--•-•---......---•-••-----••-•-•.
Permit No............�..� ^.� ................. Issued_........ l_� � .. Date
No.. ........... ..7 L v-T' '7( Fizx I... :'.........
_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
,.
''`} L --=
Appliration for Dhiposal Works Tonotrnrfiort .rrmi#
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
S stem at,
7
,
L0
-�-�,> 1 c
��z r�� ... -•C 1-� ----------------------
�`oc�tion-Address or Lot No.
-• l'4�s:% ' !--•---.. : ... .......................................... ............................................ ....._..-- - ...................
Address
V
a '� ................. - .. !:.......... ....... if...._..( ..__�........- - ..
Installer Address ��tt ,9
U Type of Building Size Lot."2_ 4_: _._ ......Sq. feet
Dwelling—No. of Bedrooms........�.?...:............................Expansion Attic No Garbage Grinder ()t
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures -----•--•---.....--•-------------------•--------•--------------------------------------------•------ :.--•--•...............................---------
W Design Flow.........5.5......................r..gallons per person per day. Total daily flow.._ ?3 ..................--.gallons.
WSeptic Tank—Liquid capacityl. ��gallons Length.! Width`5_:.8 Diameter- ---__---.
x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...........l......... Diameter........ ...._ Deplil below inlet..... .......... Total leaching area.:53......sq. ft.
Other Distribution box _V� Dosing.
Z
Percolation Test Results Performed by...... .............r -............. Date.. Z:_- (-?.'.-��---`%--..........
} ,al Test Pit No. 1-_4 7T..----minutes per inch Depth of Test Pit..._01........... Depth to ground water. JC).k;A_1tQL)m + f_L
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-------___.-• -----------•...-- .. •-•---... ..... .....------'-•----------4-----•----•---------
O Description of Soil----- t�, �.�s�5C5t �. .--I �. ........................................? t�1Et -�
x -------------- ......................... .......
------------------------------------------------
•----------------------
•---------
..................._...---------------------------------------
-----------------------------------------------
W ------------------••-•---------•---...-•-----••-=--••--•-•----••---------•-•----._._........----....__......_...----------------....-------•------------------------...-•---•--..............-----------
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITI1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued-by the board of health.
Signed-- .-f' ................................
D to
Application Approved By.... t:_ --_��_°!......................... ------�L�f!�� f.
Date
Application Disapproved for the following reasons:----•-•--------•---------------------------------------•----...-•----------......----...._.............---•----
.................•--••------•------..............----•-•.................-----...-------•--••----•----.........---•--------------....------------------------•--------------•------•--•-•-•......--------
Date
Permit No................. .......--........................... Issued-------- �... .
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OFHEALTH
..............................O F.........................`............................................................
(Irrtifirate of foot littnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed Qom) or Repaired ( )
by................. e.4-,--.....[. .... ...----------------•-----•---insca.i�. ...........0 . r -----------------------------------------
••--------•---- --------
at.....................---•. ��. .... �`. 1:!�t.............` ...................... ........---------.............•.........---•------------------- ----------
has been installed in accordance with the provisions of TIT-LZ_, 5of The State Sanitary Code a desc"r�iped in the
application for Disposal Works Construction Permit No..........r`?._7.-_`.] dated-----------i.�_ ..��-:rll_�` �...........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.................. .. ..-. •..........................•---..... Inspector........------ �---•--......-•---..............._........_...-----
y
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O-E_ HEALTH
.........................................
No......................... FEE........................
�i�����1 ork�_�on�#ruan rrutit
Permission is hereby granted.........`.,'..:. ..._t _.-_j�.......
l�
to Construct, ( ) or Repair ( 1) an Individual Sewage Disposszl System
atNo................ =�=.......E-0.--------lf=' .......... :_�....----•-......--�== ---- c. `�-t'----------------------------------------------------------------
Street
as shown on t application for Disposal Works Construction i°7"� Dated�_ .y,
-----•------ ...•- l - -•--......--•------•--•-•--•----...._
Board of
DATE..... ....................................... ;
I.. �1
FORM 125 HOBBS & WARREN. INC.. PUBLISHERS
t. r�
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s�au�
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1.-OCAME33 WI TVA 21J-rHI- -'LoZm7puk,t1,• THis Kati 15 fAoT'$AStp DNAN INSTRUMENT
5uRyE'f AND 1 HE OFFSET5 5HO\)VN 5HMILU Iq4T
t3 e usEq Ta E5TX7 51...15 H I_a-f' L 1 NE 5.
_ OCT�,� g�
5tt E k Z�Z
wI Stvs
,
Q — — - - t - __. _- ram--taEcS oG` -Av.6mC►A 7
OF
PETER
_ 1... o SULLIVAN \
__ .... .._ . . No 29,33
F41ON At tdop
N�'\
j 1p 6 �1
;� Q.D1�AE.��v.ltrL,�.�ti1Gc
0 RiCHARD
_ Na 24*46
,
oT1Co:
4
LoTlro
k , �r'�PLtCAl 7.
�XTEZ NyG. 11.4�
. k t
�5TEZ1 L.L6-1--l-l-It...........
`��ALBANEHE:' G111UE k.INE i�j Sb�1 1
4 10 X ,O. he INCH —_. �...s �...
rt �
s N Y_.
® ?10 Za {D
rcp
De�jO � T4p� o � (She t96�gA - � '
0 3) /
v - ! Uj
a
Z
l/ �
oy O a
LOCUS x 99.80 rn 0
LOCUS MAP I ---14' 4
NOT TO :SCALE 30'
r—�--� rr•r--r-r ,
LL1�1 113
Im I I I to I I
I m 1 W rfila-t-1
Iml
D I IIjI IDl' l lIj
x 101,00 I TP-4 V) IC7 TPx199.10
i----'� Lit
1 TP-3 TP-2
EXISTING LEACH PIT
t TO BE PUMPED, .FILLED i 100.00,
W/SAND & ABANDONED
EXISTING SEPTIC TANK
TOP OF TANK, EL.=99.01± ��
INV.(OUT)=97.68±
I BENCHMARK -LA
1BULKHEAD CORNER C? ?
EL.=100.00 (Assumed) I �? x 99.82
100.20 x
z
N O
0 O
O N0 IQ
1 ()0 � 00 0
11) N -
`- 100.20 x -_
f,
z / F/ ,/, j / %/ ,l� l /; x 99.05
f`fXISTING
('GARAGE.
// ///// /
/ HOUSE (#122)
/fT.0.F.-1D0.67±-
f
DRI kiEWA
r WATER SERVICE PROVIDED
FROM STREET TO HOUSE
it - •
_ LOT 16
APN 056-076
43,560%P
150.00'
' _ ) N 23'30'59" W
_... ....... P
_...._ __..,.._ 3 .dge of pavement
a
WHITMAR ROAD
ol- M
LEGEND PROPOSED SEPTIC SYSTEM UPGRADE PLAN
--104 -- EXISTING CONTOUR PETER T. ✓�
Mc TEE 122 WHITMAR ROAD, COTUIT, MA
x 100.98 EXISTING SPOT GRADE CIVIL
No. 35109 Prepared for: Richard Copen, 122 Whitmor Rood, Cotuit, MA 02635
94 PROPOSED CONTOUR ED Engineering by: SCALE DRAWN JOB. NO.
A TEST PIT �4N EngineenngWorks 1"=20' P.T.M. 149-08
v 2 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
BENCHMARK /� ( (508) 477-5313 4/12/08 P.T.M. 1 of 2
Y
t NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL:97.42
FOR A DISTANCE OF 15' AROUND THE
PERIMETER OF THE .S.A.S.
PROPOSED TANK PROPOSED D-80X
• PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT ,
T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE
EXISTING F.G. EL.=99.8t F.G. EL: 99.4t' F.G. EL: 99.4t
MAINTAIN 2% GRADE (MIN.) OVER S.A.S.
INSPECTION
L 38' L = 7'(MAX) PORT
0 S=1% (MIN.) S=1%
4"SCH40 PVC
4"SCH40 PVC ,
6"
LL1
t01 s 6.4" TO
14"
EXISTING 48' LIQUIDLEVEL
INVERT ----------- -- ----
.I
INV.=97.32 INV.=97.15
GAS�RAAFFFLE 5 ROWS OF 5 AT 6.25'/UNIT + 0.5' INSERT= 31.8'
PROPOSED D-BOX 4 OUTLETS (MIN.) INV.=97.03 SOIL ABSORPTION SYSTEM (PROFILE)
EXISTING SEPTIC TANK INV.=97.68t
ESTABLISH VEGETATIVE COVER
BACKFILL WITH CLEAN NATIVE OR
PERC SAND TO TOP OF CHAMBERS
BREAKOUT=TOP
NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE TOP ELEV.=97.42
ON A MECHANICALLY COMPACTED SIX INCH CRUSHED INV. ELEV.=97,03
STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2), BOTTOM ELEV.=96.50
2) INSTALL INLET & OUTLET TEES AS REQUIRED. 2.8' -�
3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' MIN. ABOVE BOTTOM OF [--
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL, T.P. EXCAVATION OR G.W. EF. CTIVE WIDTH=14.0'
4 CONTRACTOR SHALL VERIFY ALL EXISTING PIPE EXISTING SUITABLE `
INVERTS-PRIOR TO CONSTRUCTION.
NO GROUNDWATER, EL=89.3 = MATERIAL
SEPTIC SYSTEM PROFILE WITHOWS NO -EPA �ARION BETWEENADS EACHIODIFFUSER ROW & NOUNITS STONE
TYPICAL SECTION
N.T.S. n,ts r
SOIL LOG = 75°
DATE: MARCH 20, 2008 (REF#12,148)
SOIL EVALUATOR: PETER .MCENTEE PE -
WITNESS: .
DONALD DESMARAIS R.S.
HEALTH AGENT
ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH
a 99.3 A 0„ 99.3 A 0' f ' 76"
SANDY LOAM SAND`! LOAM
10YR 4/2 1OYR 4/2. PROFILE
99,0 4" 99.0 4"
B B
SANDY LOAM SANDY LOAM
10YR 5/8 1OYR 5/8
97.3 24" 97.1 26"
C1 PERC Cl
MED. SAND -36" ."MED:-,SAND--
2.5Y 6/4 2.5Y;6/4
10% gravel 10% gravel
93.8 66" 93.8 66" -
C2 C2 �'� 34" �
MED. SAND MED.. SAND SECTION END CAP
2.5Y 6/4 2.5Y 6/4
11" STANDARD (H-20) BIODIFFUSER UNIT
89.3 120" 89.3 120"
MODEL 11" STD,
ELEV. TP-3 DEPTH ELEv. TP-4- DEPTH LENGTH' 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT
99.3 ,0 99.3 0 EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY
A 'A DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE.
SANDY LOAM SANDY LOAM SIDE WALL HEIGHT 6.4"
/ 10YR 4/2
10YR 4 2 OVERALL HEIGHT
4" 11"
- 99.0 4" 9,,o.0 o
BSANDY LOAM BSANDY LOAM OVERALL WIDTH 34" 4640 TRUEMAN BLVD
tOYR 5/8 10YR 5/8 9.2 CF HIWARD, OHIO 43026
97.3 C1 24 36"" 97.1 C1 26" CAPACITY (68.8 GAL) ADVANCED DRAINAGE SYSTEMS, INC.
MED. SAND PERC MED, SAND
2.5Y 6,/4 44" 2.5Y 6/4 GENERAL NOTES:
10% gravel 10% graver
93.8 66" 93.8 66" 1' ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH.AND
C2 C2 THE DESIGN ENGINEER.
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL
MED. SAND MED. SAND CODE, TITLE V, AND ANY APPLICABLE LOCAL REGULATIONS.
2.5Y 6/4 2.5Y 6/4 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND
APPROVAL BY, THE BOARD OF HEALTH AND THE DESIGN ENGINEER, IF REQUIRED.
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCT30N DIFFERING FROM THOSE SHOWN
89.3 120" 89.3 120" HEREON SHALL BE REPORTED TO THE 'DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES,
PERC RATE <2 MIN/IN. ("Cl & C2 HORIZONs) 5. ALL ELEVATIONS BASED ON MEAN SEA LEVEL DATUM (NGVD).
NO GROUNDWATER OBSERVED 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR TO
NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. ,
8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S.
DESIGN CRITERIA 9, ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY
OWNER AND CONTRACTOR.
NUMBER OF BEDROOMS: 3 BEDROOMS 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF
ALL UNDERGROUND UTILITIES, PRIOR TO'BEGINNING CONSTRUCTION.
SOIL TEXTURAL CLASS: CLASS 1 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA
DESIGN PERCOLATION RATE: <2 MIN,/INCH BENEATH AND FOR 5' ON ALL SIDES OF. THE S.A.S. AND REPLACE CLEAN SAND AS
DAILY FLOW: 330 G.P.D. SPECIFIED IN 310 CMR 255(3).
DESIGN FLOW: 550 G.P.D. (FUTURE EXPANSION) 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY THE
GARBAGE GRINDER: NO �V� HEALTH DEPARTMENT PRIOR TO BACKFILL.
LEACHING AREA : 5 = 743.2 S.F. 1 13. ENGINEER IS NOT RESPONSIBLE FOR POSSIBLE UNDOCUMENTED EXISTING
IV) SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN.
4 -'�°
E t G/SEPTIC TANK: 150E GALLON_CAPACITY PROPOSED SEPTIC SYSTEM UPGRADE PLAN
OPOSED D-BOX:: 1 INLET, 4 0�l7L T (MINIMUM), H-10 RATED
E 5 ROWS OF'5-1 1" (H-20 ADS B DIFFUSER .UNITS PLUS 1-6" q�122 WHITMAR ROAD, COTUIT, MA '
A ER W NO STONE FOR AN S.A.S. WITH DIMENSIONS 14.0' x 31.8' Prepared for: Richard Capen, 122 Whitmar Road, Cotuit, MA 02635
SID ALL AREA: NOT APPLICABLE
BOTT AR (GENERAL USE PR Engineering by: SCALE DRAWN JOB. N0.
5 x 8' OVAL FOR 4.7 SF/LF)x 4.7 SF/LF = 747.3 SF Engineering Works NTS P.T.M. 149-08
DESIGN FLOW PROVIDED: 0.74 x 747.3 = 553,0 GPD 12 West Crossfield Road, Forestdoie, MA 02644 DATE CHECKED SHEET NO.
(508) 477-5313 4/12/08 P.T.M. 2 of 2