HomeMy WebLinkAbout0110 WINDSWEPT WAY - Health 110 Windswept Way
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Osterville F � .
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TOWN OF BARNSTABLE
LOCATION _ C SEWAGE #
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VILLAGE_ ' SSESSOR'S�MAP && LOTE)— _
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY /'4b--4b
LEACHING FACILITY: (type) (size) /3 tc rx
NO.OF BEDROOMS 4 ter,
BUILDER OR OWNER
PERMITDATE: COMPLIANCE TE:
Separation Distance Between the:
Maximum Adjusted'Groundwater Table to the Bottom of Leaching Facility —N/A 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) 44 Feet
Furnished by �
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No. r "Y1 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Rpplication for �Digponl *pgtem Congtruction Permit
- -,
Application for a Permit to Construct( )Repair(V Upgrade( )Abandon( ) IJ Complete System Adividual Components
Location Address or Lot No. Ila i Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
/l
Installer's Name,Address,and Tel..No. Designer's Name,Address and Tel.No.
Type of Building: .
Dwelling No.of Bedrooms Lot Size /. �✓ sryt. Garbage Grinder(_60
Other Type of Building Ge No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow 330 gallon .
Plan Date Number of sheets l Revision Date Z Z 749
Title 1aX 0 %1,e
Size of Septic Tank sro * l Type of S.A.S. Z--�®D G S
Description of Soil
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 issued by t 's Boar f alth. �_..
Signe Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. �' y Date Issued G
No. S v V �'`t; Fee
Y Entered in computer:
THE COMMONWEALTH OF MASSACHUSETTS Yes - -_
' �-i.PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS-f
i "t zl}\
ZIpprication for Moont"Opeum Construction Permit
Application for a Permit to Construct( )Repair(t' )Upgrade(4,F )`Abandon( ) Complete System LiJ ndividual Components
Location Address or Lot No. J
llD W/ ✓e✓v ` Owner's Name,Address and Tel.No.
f9�/ �°f'Or�rir
VSO's MaVQ SL O✓ �U��//�
Installer's Name,Address,and Tel.No; Designer's Name,Address and Tel.No. ?
7 7/`��9y' .36 Z —4'S7y/
Type of Building:
Dwelling No.of Bedrooms Lot Size S �sq. Garbage Grinder( �
Other Type of Building es1�0« No. of Persons Showers( ) Cafeteria(
Other Fixtures
Design Flow . / gallons per day. Calculated daily flow 3�D gallon . J
Plan Date g O Number of sheets / Revision Date
Title s S/I`� �D�4// O — Ile
Size of Septic Tank rof� h®yn /��1.,IY,rJ Type of S.A.S. �—S tJ � G*Qi04_113
Description of Soil 4G/3",7
Nature of Repairs or Alterations(Answer when applicable)
l
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance.of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued b s o
Signe Date !/3 0 -
Application Approved by Date 51(g-10 5
Application Disapproved for the following reasons
Permit No. "S U Date Issued 5)) G�
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERPFY,that the On-site ewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by
at �� has been constructeql accordance
with the provisio of Till 5 an�jthe r Disposal System Construction Permit No. CAS !v dated �in
Installer ` 1 Designer L
The issuanc f Ithis permit shall not be construed as a guarantee that the s l tem w 1 ction a designe�j
Date 2 Inspector
._
No.
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION — BARNSTABLE: MASSACHUSETTS
wigozar *p5tem Construction Permit
Permission is hereby g;anted to Construct �Repair )Abandon( )
System located at /
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 datee of`this a it
Date:_ G 5 Approve�b. _
_
JUN-09-2005 02 :02 PM DOWN CAPE ENGINEERING 508 362 9880 P. 02
Town of Barnstable
Regulatory Services
$ Thomas F. Geiler,Director
M8N�1'A9LC L
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: ,b(l SIPS Sewage Permit# OS=Z1� Assessor's Map\Parcel
Designer: 12W n a C Installer:
Address: HA ,n Address: �
On / l // v"
��`� �01-tol'w ��c5 was issued a permit to install a
(date) (installer)
/ septic system at `i n kw6oW based on a design drawn by
(ad ress)
dated , d', N)00�6
( igner)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
01
ARNE H cy�s
(Ina aller's Signature) OJALA
CIVIL.
No. 30792
ss/ON l END
'(Designer's Signatu ) 9f (Affix Des tamp ere)
PLFA E RETURN TO BARNSTAflLE PUBLIC HEALTH DIVISIQN, CERTIFICATE OF
COMPLJ&[!CE WILL NOT BE I&SUED UNTIL AOTH THIS FORM AND AS-11UILT CAP& ARE
RECEIVED BY THE BAMbUABLE PUBLIC HEALTH D[VISJoI THANK YOU,
Q: HcWth/Septic/Designcr Ccrtiflcation Porm 3-26-04.doc
Town of Barnstable
t' V.�Ylfh f -
,65 Board of Health
200 Main Street,Hyannis MA 02601
Office: 508-862-4644 Susan G.Rask,R.S.
FAX:
508-790-6304 Sumner Kaufman,MSPH
Wayne Miller,M.D.
June 1, 2005
Ms. Lynne Whiting Hamlyn
Hamlyn Consulting
690 Thousand Oaks Drive
Brewster, MA 02631
RE 110`1Nmtlswept 1Nay, Osterville; MA A= 052'=005 `
Dear Ms. Hamlyn,
You are granted conditional variances on behalf of your client, Robert Morrisey,
to install an onsite sewage disposal system at 110 Windswept Way, Osterville,
Massachusetts. The variances granted are as follows:
Section 360-1: The septic tank will be located 57 feet away from a coastal bank,
in lieu of the one-hundred (100) feet minimum separation distance
required per the Board of Health Regulation.
Section 360-1: The pump chamber will be located 70 feet away from a coastal
bank, in lieu of the one-hundred (100) feet minimum separation
distance required per the Board of Health Regulation.
These variances are granted with the following conditions:
(1) No more than three (3) bedrooms maximum are authorized at this
property at this time. Dens, study rooms, offices, finished attics, sleeping
lofts, .and similar-type rooms are considered "bedrooms" according to the
MA Department of Environmental Protection.
(3) The septic system shall be installed in strict accordance with the
engineered plans dated revised February 7, 2005.
(4) The designing engineer shall supervise the construction of the onsite
sewage disposal system and shall certify in writing to the Board of Health
that the system was installed in substantial compliance with the submitted
plans. dated revised February 7, 2005.
Q:HamlynMorrisey
These variances are granted because the physical constraints at the site
severely restrict the location of these system components due to the close
proximity of a coastal bank adjacent Cotuit Bay.
Sinc rely yours,
'
Wayne iller, M.D.
Q:HamlynMorrisey
pF �Oh DATE:
FEE:
BAR'STABLE, ` -
Y MASS. �a .
1639.. �e RE . BY
Mpg' Town of Barnstable
SCHED. DATE:
Board of Health
200 Main Street,Hyannis MA 02601
Office: 508-862-4644 Susan G.Rask,R.S.
FAX: 508-790-6304 Sumner Kaufman,M.S.P.H.
Wayne A.Miller,M.D.
VARIANCE REQUEST FORM
'ca �
LOCATION 1� �
Property Address: U lJ i/`C�S wC n (may t (1
Assessor's Map and Parcel Number: `7 z, Size of Lot: ,4 C + t
rf)3
' Wetlands Within 300 Ft. Yes ✓ _Business Name:
No Subdivision Name:
APPLICANT'S NAME:T 0-+c, 4n 14 t LI lsA-,`,.4,C,-1 Zt^[ Phone (� `. `l r11-c r <! co +
Did the owner of the property authorize you to represent him or her? Yes ✓ No
PROPERTY OWNER'S NAME CONTACT PERSON -- A II—A
Name: Name:
rVy6,c-e
14,1-0.
J
Address: .2 s•-• c r`c- ,e• a�� t�4 ac tS '3�;C t^ Address: C, ` u h
1 �c.�.c1 Gr_Ki F7r�iv�
Phone: Phone:
VARIANCE FROM REGULATION(List Reg.)-REASON FOR VARIANCE(May attach if more space needed)
i .,.,C\�rct it' F c'c t ScA\->t C(L IR,
3u .1c..-.�. .cr Seibi.ctL ei �.t •//a-,� ct-i ,.1.. - � —{ n � , ., t
NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System -�i'
Checklist (to be completed by of staff-person receiving variance request application) ,
Please submit copies in 4 separate completed sets.
Four(4)copies of the completed variance request form
Four(4)copies of engineered plan submitted(e.g.septic system plans)
Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
Signed letter stating that the property owner authorized you to represent him/her for this request
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C
Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same
owner/leasee only], outside dining variance renewals [same owner/leasee only], and variances to repair failed sewage disposal systems
[only if no expansion to the building proposed])
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G.Rask,R.S.,Chairman
MAIL-IN REQUESTS
NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL Wayne A.Miller,M.D.
Please mail the completed variance application form to the address below. Also include four
copies of engineering plans, house plans, authorization letter, etc (see check-list below). In
addition, please include the required fee amount (see fees at bottom of this page). Make $85.00
check payable to: Town of Barnstable. Our mailing address is:
Town of Barnstable
Public Health Division
200 Main Street
Hyannis, MA 02601
Checklist
Four(4)copies of the completed variance request form
Four(4)copies of engineered plan submitted(e.g.septic system plans)
Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
Signed letter stating that the property owner authorized you to represent him/her for this request
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
$85.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same
owner/leasee only],outside dining variance renewals [same owner/leasee only],and variances to repair failed sewage disposal systems
[only if no expansion to the building;proposed])
Variance request submitted at least 15 days prior to meeting date
FOR FAXED REQUESTS
Our fax number is (508) 790-6304' Please fax a completed application form.
Also, you must mail the required $85.00 fee. Please make the check payable to: Town of
Barnstable. The check must be mailed to the address listed above. In addition, please mail four
copies of engineered plans, house plans, authorization letter, etc. (see check-list below):
Ch eckfist
Four(4)copies of engineered plan submitted(e.g.septic system plans)
Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
Signed letter stating that the property owner authorized you to represent him/her for this request
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
$85.00 variance request.application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same
owner/leasee only],outside dining variance renewals [same owner/leasee only],and variances to repair failed sewage disposal systems
[only if no expansion to the building proposed])
Abutters to the Project Locus
Board of Health Variance Request
110 Windswept Way, (Osterville)Barnstable
Assessor's Map 52; Parcel 5
Assessor's Map 52
Parcel 6 James M. & Selma M. Stoneman
1 International Place #4404
Boston, MA 02110
Parcel 15-3 Robert J. Morrisey and
Michael G. Lynch, Trustees
2 International Place #3500
Boston, MA 02110
Parcel 4-1 William B. & Paula O'Keefe
74 Chestnut Street
Boston, MA 02108
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ASSESSORS MAPS
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DIRECTION Of THE. 104
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Of ASSESSORS
4P INC.
HAMLYN CONSULTING _- A-
690 Thousand Oaks Drive, Brewster, MA 02631 Phone & Fax: (508) 896-5203
March 28, 2005
Dear Abutter:
Acting under the provisions of Town of Barnstable Board of Health Regulations, the
Board of Health will hold a public hearing on the Application of:
Robert J. Morrisey&
Michael G. Lynch, Trustees
2 International Place#3500
Boston,MA 02110
i
to request a variance from Town of Barnstable Board of Health Regulation—The One-
Hundred (100)Feet Setback Regulation—for the upgrade of an existing subsurface septic
system at 110 Windswept Way, Osterville,MA(Assessor's Map 52; Parcel 5).
The hearing will be held on Tuesday, April 19, 2005, in the Hearing Room at Town Hall,
367 Main Street,Hyannis at 7:00 PM. Plans are on file at the Health Department Office,
200 Main Street, Hyannis.
Notice as per Dr. Wayne Miller, Chairman of the Board of Health in and for the Town of
Barnstable.
Yours truly,
Lynne Whiting Hamlyn.
Environmental Consultant
f
I 6Y: bUK,I UL U I i l UUvb i MAR-21 -05 1 0:51 ; PAGE 2/3
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!I� BORTOLOTTi CON
STRlCTlpw INC.
I I
DRf,N1ACE LAND DEVELOPMENT ! SEPTIC SYSTEMS
j March 17,2005
To VIi-,)m It May Concern;
i
r. i, Patricia H. G(x)drich,give Down Cape Friginerring,Inc ermis$ion to represent
ms�inter��sts in getting a Septic System 4ariauce Approval from (hp Barnitable Board Of
HeMth at the April 19,2005 meeting,
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Sittc.ereEj•,
i
Patricia Ti.. Goodrich
er
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30X 704 • M ARSTONS MILLS,MASSACHUSETTS 02648 • {508>771.5399 FAX (508)42-8 9399
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tel.(508)362-4541
939 main street rt 6a fax(508)362-9880
yarmouth port
mass02675 (IDwn CQpQ englneering
civil engineers& land surveyors'
structural design y ,
Ma �, 2005_ Arne H.ojala P.E.. P.L.S.
Daniel A.Ojala. P.L.S.
land court Barnstable Board of Health Timothy H.Covell.P.L.S.
surveys 200 Main Street
Hyannis, MA 02601
site planning Re: .110 Windswept Way, ,Osterville
sewage system Dear Board Members:
designs
On behalf of our client,.we hereby request a,reconsideration of the decision by the
Board at the April 19th hearing for*the above-referenced property.
inspections
To refresh the Board's memory, the'septic system for the existing 3 bedroom cottage
permits was being upgraded to Title 5r from a cesspool system due to.a property transfer. We
had requested a local variance for the septic tank and pump chamber to be 57' to the
top of a coastal bank, with the existing cottage between the coastal bank and the
proposed components. The proposed leaching facility was outside the 100' setback:
The Board, as a condition of approval, required a deed restriction be.placed on the
w .
property, limiting it to bedrooms.
We have revised the plan to show the septic tank and pump chamber outside the 100'
setback, so as not to require any variances, and hence avoid the deed restriction. We T
feel, however, that this is an inferior design, as the tank is inorethan 100' from the
cottage. It is certainly preferable to design the tank location much closer to the
dwelling.
Given that the site is within the aquifer protection district and contains nearly 2 acres,
and the more practical design of the tank and pump chamber closer to the dwelling, we
'respectfully request that the Board rescind the 3 bedroom deed restriction requirement
as a condition of approval for the setback variance for the septic tank and pump ,
chamber to.the coastal bank.:
Thank you for your consideration.
r- t � .
Very truly yours,
Arne H. Ojala,PE, PLS
Down Cape Engineering, Inc.
cc: Attorney John Alger w rn " .
f i '
COMMONWEALTH OF MASSaLCn; US TTS -a 4. -. .1,.�. TABLE
EXECUTIVE OFFICE OF ENVIRONMENTAL AFF_AJRS
II{f 4 ,, P ?if pt.g 1 ('
DEPARTMENT OF ENVIRONMENTAL PROTECTION
FAILED INSPECTION
TITLE 5
OFFICI_AL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address:
Owner.'s.Name.•
Owner's Address: C7 Q�.`7Iv
Date of Inspection:
Name of Inspec (please print) / ICJ/U MAR -
���
Company Nam PARCEL,Mailing Address:
.( `II 0
Telephone Number:. f II iY
I
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:
Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
ails
Inspector's Signature: Date: /`�4Y
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. y
Notes and Comments
****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 I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS .
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM'
PART A
CERTIFICATION(continued)
Property Address:l/
Ownef• � T r ' —(1ZQ,3?k
�`•
Date of Inspection: 42 g'/J'jA
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 3.10 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 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.
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:
2
Page 3 of I 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: (�'
Owner:
Date of Inspection:
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.]00 feet of
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 I of a public water supply.
_ The system has aseptic 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 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:
Page 4 of 11
OFFICIAL INSPECTIO`:FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: LJ
Owne
Date of Inspection: _ /p�
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes N9
1✓ Backup of sewage into facility or system component due to overloaded or.clogged.SAS or cesspool
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
J clogged SAS or cesspool
y/ Static liquid level in the distribution box above outlet invert due to an overloaded or.clogged SAS or
Jcesspool
_ Liquid depth in cesspool is less than 6"below invert or available volume is less than%day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
J of times pumped
Any portion of the SAS, cesspool or privy is below high ground water elevation.
i 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.
�1 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 welt 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.co.py of:the analysis must be attached to this form.]
(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—I WPA)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.
,4
f --
Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE'SEWAGE DISPOSAL SYSTEM.INSPECTION FORM
PART,B
CHECKLIST
Property Address: C�` , Q
Own CZ/ -�
Date o nspection:
Check if the following have been done. You must indicate`yes"or"no"as to each of the following:
Yes•tNo
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 ?
_,,ZHas 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 backup
(� Was the site inspected for signs of break out?
Were all system components, excluding the SAS, located on site?
Were the septic tank manholes uncovered; opened,and the interior of the tank inspected for the condition
of the
baffles or tees,material of construction, dimensions, depth of liquid, depth of sludge and depth of scum
Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurface sewage disposal systems ? .
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes no
Existing information.For example, a plan.at the Board of Health.
Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance
is unacceptable) [310 CMR 15302(3)(b)]
5
Page 6 of I 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: P
Y
Owne
O�
Date of Inspection: e0oV
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): Number of bedrooms(actual): 73
DESIGN flow based on 310 CMR 15;.203 (for example: 11.0 gpd x of bedrooms): Q
Number of current residents� yt�
Does residence have a garbage.grinder(yes or no): /L/�
Is laundry on a separate sewage system (yes or no)A2C)f if yes separate inspection:required]_
Laundry system inspecte21able
o
Seasonal use: (yes or no)
Water meter readings, if (last 2 years usage(gpd)):
Sump pump (yes or no):
Last date of occupancy: �L
COMMERCIAL/INDUSTRIALVO
Type of establishment:
Design. flow(based on 310 CMR 15.203): gpd
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:
Was system pumped as part of the inspectid yes.or no):
If yes, volume pumped: gallons--How was quantity'pumped determined?
Reason for pumping: 1
TYPE OF SYSTEM
Septic tank,distribution box,soil;absorpticn system
_Single cesspool
_Overflow cesspool
Privy
_Shared system(yes or no)(if yes;attach.pevious inspection records, if any)
_Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Ti ht tank _Attach a copy of the DEP approval
Other(describe): �1
�� oxi ate age of all components, date installed(if known)and source of information:
Were sewage odors detected when arriving at the site(yes or no): �
6
Page 7 of 1 1
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INS '
FORA
PART C
SYSTEM:INFORMATION(continued)
Property Address: //v. I),
Owner
Date of Inspection: Ual
BUILDING SEWER(locate on site plan)41?6)
Depth below grade:
Materials of construction:_cast iron 40 PVC .._other(exp)ain):
Distance from private water supply'well or suction line:
Comments (on condition of joints,venting, evidence of leakage, etc.):
SEPTIC TANK Mboocate on site plan)
Depth below Grade:
Material of construction: . concretz_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:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffler
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:
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.):
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):
7 I�
Page 8 of I 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Propertv Address:
Owne :J
Date of Inspection: iL /0) rjV
TIGHT or HOLDING TANK:,'Jv (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:/ (/ (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.):
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.): ,
8
I
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: �w
Owne : .(/
Date of Inspection:
SOIL ABSORPTION SYSTEM (SAS): .(locate on site plan,excavation not required)
If SAS not located explain why:
Typ
leaching pits,number:� ---
leaching chambers,number. '.
leaching galleries, number:
eaching trenches, number; Iength:
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.
C�lAyjn
J
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 ofgroundwate"r inflow.(yes br 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.): .
9
Page 10 of I 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: Q
Owner".
Date of Inspection,
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.
10
Page l 1 of 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS'
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: �z� t
Date of Inspection:
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated.depth to ground water 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:
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:
AV
y z ,
rm .
� 11
Permit Number: Date:
Completed by:
HIGH GROUND-WATER LEVEL COMPUTATION
Site Location: G�/(�' T v" a Lot No.
Owner: ,ego fC,/4 Address:
Contractor:_/ DO/ Address'
Notes:
STEP 1 Measure depth to water table
to nearest 1/10 ft. .................................:............................................ .Date
month/day/Year
STEP 2 Using Water-Level Range Zone
and Index Well Map locate
site and determine: �L�
OAppropriate index well....................................................
CWater-level range zone
STEP 3 Using monthly report "Current
Water Resources Conditions"
determine current depth to 9�
water level for index well ............ a
month/year
STEP 4 Using Table of Water-level Adjustments
for index well (STEP 2A), current depth
to water level for index well (STEP 3),
and water-level zone (STEP 2B) �3
determine water-level adjustment ..........................................................................................
STEP 5 Estimate depth to high water
by subtracting the water-
level adjustment (STEP 4)
from measured depth to water 7 7
levelat site (STEP 1) ...........................................:.................................................................
Figure 13.-Reproducible computation form.
15
t
i
sE tuft
ISN, r
i "
LEGEND SEPTIC DESIGN: (GARBAGE DISPOSER IS NaT AI I nwFn )
TOP FNDN = 23.1' SEPTIC PROFILE TEST HOLE LOGS
ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE)
�� DESIGN FLOW: -3 BEDROOMS ( 110 GPD) = 330 GPD ACCESS COVER (WATERTIGHT) TO D.A. OJALA, SE &
100.0 PROPOSED SPOT ELEVATION //" ENGINEER: >-
USE A 330 GPD DESIGN' r , ,! 23.6' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 27 5' - 28 0' WITNESS: DAVID STANTON, IRSo
100x0 EXISTING SPOT ELEVATION SEPTIC TANK: 330 GPD 2 ) = 660
1 0 0 FOR FIRST 2'
PROPOSED CONTOUR USE A 1500 GALLON S' :C T . ,:C � RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 12j30/04 J_ RAND ISLwo
PROPOSED 1500 3 MAX. PERC. RATE _ < 2 MIN/INCH coTurr BAY
USE A 1000 GALLON PUMP CHAMBER * ,70 GALLON SEPTIC TEE
100 EXISTING CONTOUR 20.25
TANK (H- 10 ) 20 0 0 lI ' kL4.19' .N ig
25.0' CLASS I SOILS P# 10,888 W
LEACHING: BAAFFLE 24.36 q 2 O I D 0 0 0 o a a a LOCUS'' o
SIDES: 2(25 + 12.83) 2 (.74) = 11 MIN 1 0 � a' AROUND-�- 2
( 9� SLOPE) �6" CRUSHED STONE OR MECHANICAL 0 � � � 0 � ELEV.
25 x 12.83 (.74) COMPACTION. (15.221 [2]) 80 o Q a
BOTTOM: = 237 4' g 2 DODO (� OO �
DEPTH OF FLOW = MIN �" 27.5'
TOTAL: 472 S.F. 349 GPD TEE SIZES: " ( 1 % SLOPE) ( 1 o SLOPE) 3 4" TO 1 1 2" DOUBLE WASHED STONE O/A ` 2
USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR INLET DEPTH = 10 / /
10YR 3/2
6.67'
EQUAL) WITH 4' STONE ALL AROUND OUTLET DEPTH = 14" 8" B
LOCATION MAP NTS
LS
FOUNDATION 26't SEPTIC TANK 11' PUMP 88' D' BOX 4 LEACHING
CHAMBER FACILITY �� 10YR 6/6 ' ASSESSORS MAP 52 PARCEL 5
BOARD ❑F HEALTH *THE INSTALLER SHALL VERIFY THE 36 24.5
LOCATIONS OF ALL UTILITIES AND ALL
APPROVED DATE MA BUILDING SEWER OUTLETS AND ELEVATIONS BOTTOM TH ELEV. 15.5' VARIANCE REQUESTED FROM ARTICLE I, SECTION
360-1: REDUCTION IN SETBACK, SEPTIC TANK AND
PRIOR TO INSTALLING ANY PORTION OF C PUMP CHAMBER TO COASTAL BANK (100' TO 57'
SEPTIC SYSTEM PERC AND 100' TO 70' RESPECTIVELY)
PROVIDE MIN. 2% PITCH TO
PROP. SEPTIC TANK M/C
SAND
2.5Y 6/4
ALARM AND CONTROL PANEL 144" 15.5'
TO BE INSTALLED INSIDE �; ;-1 y
CO TUI T BAY BUILDING. ALARM TO BE ON I NO WATER ENCOUNTERED
SEPARATE CIRCUIT FROM PUt NV, IN 19.80'
1000 GAL, H-10 S/ 2" PRESSURE LINE
- 700 GAL.+ SLOPE TO DRAIN BACK TO PC APPROX. MHW (PER GIS MAP) �' ALARM ON
RESERVE WEEP HOLE
FLOAT SWITCH
� SETTINGSI PUMP ON CHECK VALVE
4' WORKING RANGE 8
ZOELLER 'WASTEMATE' NOTES:
4' - SUBMERSIBLE MODEL M282 1/2 HP PUMP
PUMP OFF 8' SYSTEM (OR EQUAL) 1 . DATUM IS APPROX. NGVD
000 000 DODO 000<:> DODO 2. MUNICIPAL WATER IS EXISTING
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10
PUMP CHAN4BER 5. PIPE JOINTS TO BE MADE WATERTIGHT.
(NOT TO SCALE; 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
ENVIRONMENTAL CODE TITLE V.
7. THIS PLAN 'IS FOR PROPOSE[) WORK ONLY AND NOT TO BE
i
USED FOR LOT LINE STAKING.
8. -PIPE FOR SEPTIC- SYSTEM EM TO SCH. 40-A" PV.,.
9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
INSPECTION BY BOARD OF HEALTH, AND PERMISSION OBTAINED
\ FROM BOARD OF HEALTH.
\
.o 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE
a LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR
�30.5 TO COMMENCEMENT OF WORK.
° TITLE 5 SITE PLAN
OF 110 WI
N DSWEPT WAY
GGP�
F \ IN THE TOWN OF:
UG TEL & ELEC
\
f. 9.6 LiOSTERVILLE BARNSTABLE
N � OPNK
p 90�OM O 9.0 7
H -I- PREPARED FOR: BORTOLOTTI
+ 29.0 \ CONSTRUCTION/MORRISEY
9
+ 28A + 2 . s g29. \ 30 0 30 60 90
27.3 /
+ z
\
`LZ 25.3 �, �'� �Q. LOT 1
1 4.6 ��' 8 i 1.95 Act \ SCALE: 1 " = 30' DATE: JARtUARY� 05 2005
18 2 23. r 27J / /
22. / /
2 .2 22.0 + 25.6 26.3 �, $ / \ ��(H of b�ASSAcy lw \n U,rm
0 26. + 2 .2 / �o ARNE H -N ARNF
v + 26.5 0 o OJALA t
+ 19. EXIST o 26.1 GP + 2 = / \ CIVIL ' OJALA
pEC� DWELL i �26.6 E A No. 30792 ALA No,O
PO 'PF �O 4
+ 19 6 2 26348
PROP. 1500 + + 26.3 + 26.6 E + 28.1 \ �F 0�E 8 9 0%�
GAL. ST .1-1
N DIRT
2 � -�
f / 5.7 RIVE + 2 a \ ARNE H. OJALA, P.E., P. .S. DATE
CATW 25.5
�q�3.3 TV
1.6
L o � TH + 2$.5-- --
BENCH MARK - CORNER `'' - -
bo
CONC.\FLAGSTONE W ��
r,, PROP. 1000 GAL. 18' W PINE 20' RIGNT
STEP. ELEV = 23.6 `'' + 2 .6 PUMP HAMBER 277•09, + 28.1 OF WAY
+ 2 . PROVIDE VENT WITH CHARCOAL FILTER 205•SI:'
AND 3�R + ,_ 2 " OAK HOMEOWN ER TATION)CEMENT WITH wQ�
2s + 28.7 Gj
EXISTING CESSPOOL (PUMP AND a r'cP 1ST
REMOVE) h 5.8
APPROX. LOCATION OF WATERLINE
(CONTRACTOR TO CONFIRM
LOCATION)
LOT 2
off 508-362-4541
1 fox 508 362-9880
I
down cape engineering, inc,
CIVIL ENGINEERS
LAND SURVEYORS
939 main st, yarmouth, mo, 02675
04-353
s '
t
SEPTIC PRDEILE TEST HALE LAGS
LEGEND SEPTIC DESIGN: (GARBAGE DISPOSER Is NT AI I OWFn ) TOP FNDN = 23.1' -)T
I
ACCESS COVER TO WITHIN 6" OF FIN. GRADE �,=JT TO SCALE)
(�
100.0 PROPOSED SPOT ELEVATION DESIGN FLOW: _3 BEDROOMS ( 110 GPD) 330 GPD AccEss COVER (WATERTIGHT) To ENGINEER:
D.A. OJALA, SE
USE A 330 GPD DESIGN FLOW MINIMUM ,75' OF,COVER OVER PRECAST '�JITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM ' DAVID STANTON, RS d
27.5 - 28.0 WITNESS:
100x0 EXISTING SPOT ELEVATION SEPTIC TANK: 330 GPD ( 2 ) - 660 �Y
I_ RAND ISLAND
lOO 77 RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 12/30/04
PROPOSED CONTOUR USE A 1500 GALLON SEPTIC TANK �t-FOR FIRST 2' < 2 MIN/INCH
PROPOSED 25.QQ 3'• MAX. PERC. RATE = corulr enr
USE A 1000 GALLON PUMP CHAMBER * GALLON SEPTIC/ ,
100 EXISTING CONTOUR s 18.5' PUMP CHAMBER 18.25 ITEE
25.0 CLASS I SOILS P# 10,888
I COMBINATION GAS �� �\'24.19' Locus" 'y
LEACHING: •• -E 24.36' O O O 0 0 ED O ED O
SIDES: 2(25 + 12.83) 2 (.74) = 11 M2 � CI 0 0 Cl m 0 � 0 0 4' AROUND
1 ( X SLOPE) (SEE DETAIL 6- CRUSHED STONE OR MECHANICAL ELEV'
0
BELOW) COMPACTION. 15.221 2]) 80 2' (� 0 � 0 I1 � �" 27.5'BOTTOM; 25 x 12.83 (.74) = 237 ( [ � / .29 ;
MIN 1 O/A \
TOTAL: 472 S.F. ^349 GPD DEPTH OF FLOW = 6'58' ( 1 y SLOPE) ( % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE
fn
USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR TEE SIZES: 10YR 3/2
INLET DEPTH = 10"
EQUAL) WITH 4 STONE ALL AROUND LOCATION MAP NTS
6.67' B
FOUNDATION 110' SEPTIC TANK 11 . PUMP 50 D' BOX 4' LEACHING LS 1 ! A
FACILITY 1OYR 6/6 ASSESSORS MAP 52 PARCEL 5
CHAMBER 36" 24.5'
BOARD OF HEALTH *THE INSTALLER SHALL VERIFY THE
LOCATIONS OF ALL UTILITIES AND ALL
MA BUILDING SEWER OUTLETS AND ELEVATIONS BOTTOM TH ELEV. 15.5' ----- --
APPROVED DATE PRIOR TO INSTALLING ANY PORTION OF C
SEPTIC SYSTEM PERC ;
PROVIDE MIN. 2% PITCH TO
PROP. SEPTIC TANK M/C
SAND
NOTE: 330 GAL RESERVE
PROVIDED IN PC
ALARM AND CONTROL PANEL ' 2.5Y 6/4
TO BE INSTALLED INSIDE g
BUILDING. ALARM' TO BE ON
SEPARATE CIRCUIT FROM PUMP INV. Ns*
• 2" PRESSURE LINE
ALARM ON 14" TEE SLOPE TO DRAIN BACK TO PC
FLOAT SWITCH WEEP HOLE 144" 15.5'
COTUIT BAY SETTINGS: PUMP ON - 1500 GAL MIN. CHECK VALVE NO WATER ENCOUNTERED
4" WORKING RANGE OF BAFTHIS FLE
6'1 t/4" SUBMERSIBLE E 4/10 HP PUMP
APPROX. M '� 'HW (PER GiS MAP) '-�
.PUMP OFF �.58 � SYSTEM (OR EQUAL)
oo�o 000 0 00 0000
NOTES:
GAS 6" BAFFLE
BAFFLE
1. DATUM IS APPROX. NGVD M
2500 GAL. `SEPTIC TANK/PUMP CHAMBER COMBINATION 2. MUNICIPAL WATER IS EXISTING
(NOT TO SCALE) 3. MINIMUM PIPE. PITCH TO BE 1/8" PER FOOT:
4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10
5. PIPE JOINTS TO BE MADE WATERTIGHT.
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
ENVIRONMENTAL CODE TITLE V.
7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
USED FOR LOT LINE STAKING.
8. PPE OR STEM TO SCH. 40-4" PVC.
' F SE TIC SYSTEM I P
_N0-T:T!.,_3 BACK i ED' OR �C��'CEALED r^J!THOUT----
F(I
' INSPECTION BY BOARD :OF HEALTH AND PERMISSION OBTAINED
\ FROM BOARD OF HEALTH.
I
10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE'
a.o \ I LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR
TO COMMENCEMENT OF WORK.
�30.5 I
TITLE 5 SITE PLAN
OF 110 WIN DSWEPT WAY
cod \ IN THE TOWN OF:.
UG TEL & ELEC ,
N F B�,K+ 9.6 OSTERVILLE BARNSTABLE
o e°RoM ° 9.0 ,7 PREPARED FOR: BORTOLOTTI
+ \ CONSTRUCTION/MORRISEY
29.0
9 \ 30 0 30 60 90
+ 28.4 + � 8 429�
7.3 ���""" / \
LOT t SCALE: 1" = 30' DATE: JANUARY 8, 2005
4.625.3 2 REV 2 7/05
g / 1.95 ACt REV 4/28/05
.1 '
18 2 23. 27.7
�.0 9
22.
+ 25.6 �Jrk OF��ti �yZH OF�eqs
26.3 P N NOTE: DEED INDICATES WATERLINE \ ��W " o�� py
2 .2 22.0 26 + .2 SERVES LOCUS VIA LOT 2 TO THE p ARNE 6G ,� ARNE H GN
+ 26.5 o SOUTH. CONTRACTOR TO CONFIRM H. 'tin OJALA
c CIVIL s
+ 19. 26.1 Gp + 2 J LOCATION. \ OJALA n )
348 v �o 30792 /G� EXIST � �26.6 /i� �' �' . ��`"• /'`
QE DWELL. PROP. C. E
+ \ O GIc
+ 19 6 2 :6 + + 26.3 + 26.6 / E + vo
�IRr
N 23. / sS7 /// RIVE + 2 4 AR W OJALA, P.E.; P.L.S. DATE
CATV CA Tid 25.5'
/ 00
1.6
TH
BENCH MARK - CORNER
1 # y,-
CONC.\FLAGSTONE 18 W PINE _ __ _ �
STEP. ELEV = 23.6 w i FIGHT OF WAY - A�
c�
+ 2 .6 + 2 277 09, + 28.1 PROVIDE VENT WITH CHARCOAL FILTER 205..6, ' :3 tr'
3 AND BUGSCREEN (FINAL PLACEMENT-WITH
J A�. + 2 „ OAK HOMEOWNER CONSULTATION) �� c+T u�7
EXISTING CESSPOOL (PUMP AND �s + 28.7 t:3 m
REMOVE) 5.8 r',� cP �1
LOT 2 - . off 508-362-4541
t fox 508 362-9880
` 4 I
down cape engineering, inc,
CIVIL ENGINEERS
LAND SURVEYORS
939 thin st, yarmouth, ma 02675
04--353
SEP FIC PROFILE
LEGEND TOP FNDN = 23.1 ' TEST HOLE LOGS
rt SEPTIC DESIGN: (GARBAGE DISPOSER IS NaT AI I owFn ) ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE)
d
100.0 PROPOSED SPOT ELEVATION DESIGN FLOW: -3 BEDROOMS ( 110 GPD) = 330 GPD ACCESS COVER (WATERTIGHT) TO D.A. OJALA, SE
ENGINEER:
USE A 330 GPD DESIGN FLOW 23.6' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM DAVID STANTON, RS o
27.5 - 28.0 WITNESS:
100x0 EXISTING SPOT ELEVATION SEPTIC TANK: 330 GPD ( 2 ) = 660 �y RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE 12 30 04 i RAND ISLAND
PROPOSED vinn ' PERC. RATE < 2 MIN/INCH COTUIT SAY
100 PROPOSED CONTOUR FOR FIRST 2' 3 MAX.
USE A 1500 GALLON SEPTIC TANK •�
USE A 1000 GALLON PUMP CHAMBER
$ 100 EXISTING CONTOUR GALLON SEPTIC 20.0' a�� TEE - ,
20.25 TANK H- 10 o I , 25.0 CLASS I SOILS P 10,888
( ) GAS
L4.19
LEACHING: •'�•' '• BAFFLE g 0000c`
24.36 � 000 0 0000 Locus o
2(25 + 12.83) 2 (.74) = 11
SIDES: M2 O ED 0 0 0 C C o 0 4' AROUND
( % SLOPE) 6" CRUSHED STONE OR MECHANICAL
�- CCCO 0 oaaC 4 ELEV. 2
BOTTOM: 25 x 12.83 (.74) _ 237 COMPACTION. (15.221 (2])
4' oo $ z DCCD 0 CCDC
`. DEPTH OF FLOW = MIN ' �" 27.5'
TOTAL: 472 S.F. 49 GPD TEE SIZES: ( 1 % SLOPE) (1_% SLOPE) 3 ¢" TO 1 1 2" DOUBLE WASHED STONE 0/A \
USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR INLET DEPTH = 10" / N
st; „ 10YR 3/2
r EQUAL) WITH 4' STONE ALL AROUND OUTLET DEPTH = 14"
B LOCATION MAP NTS
6.67'
LS
FOUNDATION 26't SEPTIC TANK 11' PUMP 88' D' BOX 4' LEACHING ASSESSORS MAP 52 PARCEL 5
CHAMBER FACILITY " 1OYR 6/6
BOARD OF HEALTH *THE' INSTALLER SHALL VERIFY THE 36 24.5
MA LOCATIONS OF ALL UTILITIES AND ALL VARIANCE REQUESTED FROM ARTICLE I, SECTION
' APPROVED DATE BUILDING SEWER OUTLETS AND ELEVATIONS BOTTOM TH ELEV. 15.5' 360-1: REDUCTION IN SETBACK, SEPTIC TANK AND
PRIOR TO INSTALLING ANY PORTION OF C PUMP CHAMBER TO COASTAL BANK (100' TO 57'
SEPTIC SYSTEM PERC AND 100' TO 70' RESPECTIVELY)
PROVIDE MIN. 2% PITCH TO
w; PROP. SEPTIC TANK M/C
SAND
�. 2.5Y 6/4
ALARM AND CONTROL PANEL
' 144 15.5
TO BE INSTALLED INSIDE CO TUI T BAY BUILDING. ALARM TO BE ON NO WATER ENCOUNTERED
SEPARATE CIRCUIT FROM PUf PV. IN 19.80'
1000 GAL, H-10 S/ 2" PRESSURE LINE
700 GAL.+ SLOPE TO DRAIN BACK TO PC
wq �/ APPROX. ALARM ON
" FLOAT SWITCH RESERVE WEEP HOLE
SETTINGS; PUMP ON
CHECK VALVE
4' WORKING RANGE 8'
ZOELLER 'WASTEMATE' NOTES'
4 SUBMERSIBLE MODEL M282 1/2 HP PUMP
PUMP OFF 8' SYSTEM (OR EQUAL) , 1. DATUM IS APPROX. NGVD
�4g' o�0000 �oo�oo oocso 0000 2. MUNICIPAL WATER IS EXISTING
3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
' 10
PUMP CHAMBER
4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- -
5. PIPE JOINTS TO BE MADE WATERTIGHT.
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
(NOT TO SCALi_)
ENVIRONMENTAL CODE TITLE V.
7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
USED FOR LOT LINE STAKING.
8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
2 ,1 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
�R�"iSSi•, �r��A;I�C.�
\ . nvJr'EC r i0i4'$i- C30Ai2D Or- HEE�LT��i r.�•a;,:.�� �;�; ,•;�.�•.
FROM BOARD OF HEALTH.
4.0 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE
LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR
pn, TO COMMENCEMENT OF WORK.
�30.5
o \ TITLE .5 SITE PLAN
p
OF 110 WIN DSWEPT WAY
F IN THE TOWN OF:
, 9.6 UG TEL & ELEC (OSTERVI -LE) BARN STABLE
Cc OF
• � + eo.000 .7 PREPARED FOR: BORTOLOTTI
29.0 \ CONSTRUCTION/MORRISEY
A,�
+ 28.4 + s g29, \ 30 0 30 60 90
7.3 /
i' 25.3 2 LOT 1 SCALE. 1 30 DATE. JANUARY 8, 2005
' 1 4'6 8 / 1.95 ACt j REV 2/7 05
1
18 2 23. r 27.7
rry N 2. -9.0 9 U�
'- 22.
M + 25.6
26.3
� N
NOTE: DEED INDICATES WATERLINE ARNE ARNE H.
2 .2 22.0 26 + .2 Q / SERVES LOCUS VIA LOT 2 TO THE
SOUTH. CONTRACTOR TO CONFIRM OJALA
•i• 19. v 26.1 + 26.5 G + 2 = / LOCATION. p Cil�
pEG4 DWEL o
L26 s E
+ E �.
PROP. 1500 + + 26.6
Ail + 196 2�6 GAL. ST + 26.3 + 28.1DIRT Y D• iV#'L. •� �'' ! 7C.YJ.�
N ,� 2 / s.7 / RIVE + 2 4 A OJALA, , P.L.S. DATE
�q3.3 TV CAT1!25.5
1,6 0 TH
+ 2$.5
' . BENCH MARK - CORNER _
CONC.\FLAGSTONE _
ICI' STEP. ELEV = 23.6 w PROP. 1000 GAL. 18 PINE 2 ' RIGHT OF "-
+ 2 .6 PUMP HAMBER + 28,1 wA
277.09 205
t 2 PROVIDE VENT WITH CHARCOAL FILTER S¢
�j AND BUGSCREEN (FINAL PLACEMENT WITH
+ 2 OAK HOMEOWNER CONSULTATION) �.
„5 TING EXIS
CESSPOOL (PUMP AND �S + 28.7
REMOVE)
+15.8
LOT 2
off 508-362-4541
-14
fox 508 362-9880
c' r
down cape engineering, inc,
{-. ti r 3 !
I CIVIL ENGINEERS
b
LAND SURVEYORS
939 main st, yarMouth, rya 02675
04--35