HomeMy WebLinkAbout2198 MAIN ST./RTE 6A(BARN.) - Health 2198 Main Street/Rte 6A (Barn)
W. Barnstable P
A 237 010 -
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TOWN OF BARNSTABLE
LOCATION c�`��/'°1,�ti� �--t`' SEWAGE# c4016- '176
VILLAGE ( .A t2 _ ASSESSOR'S MAP&PARCELS- O 10
INSTALLER'S NAME&PHONE NO. -� d dam- 7 7(-
SEPTIC TANK CAPACITY C%t l A, -A0
, F 1
LEACHING FACILITY:(type) `12131,(�p - (size)
NO.OF BEDROOMS -2 3'rc_04,�.-
Z �L
OWNER ,%"—,
PERMIT DATE: COMPLIANCE DATE: -7
Separation Distance Between the: _
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY �esi✓vw-r/rc Jyy'r�/
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No.&_'�QJ(D +/76 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpf ration for Misposal 6pstrm Constru>rtion 3pPrmit
Application for a Permit to Construct( ) Repair(,20 Upgrade( ) Abandon( ) ❑Complete System Windividual Components
Location Address or Lot No. a 98 Mal :S+' Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel ,737 1710 ' l�Ct rut s lw— ` -+Awl �14" 6t1"
Installer's Name,Address,and Tel.NoaSU$-1Y)I"'`399 D signer's Name,Address,and Tel.No.
6>r Coro� Ca�st-rtx ,'on, c D 1� �+ee rxty 6e brK5,E n C 9a aA Gros
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size Lf7 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures 7
Design Flow(min.required) ,330 gpd Design flow provided J f S, gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank QC154-f m 1CYaad^� Type of S.A.S. - /����
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and mainte the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environme ode and to place the system in operation until a Certificate of
Compliance has been issued by this Board,of Hea
igned Date /
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. C:�o ?/� Date Issued 3
No.(:310)(O ;fG C Fee �D d
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2pplication for ]Disposal 6pstem Construction permit
Application for a Permit to Construct( ) Repair(?O Upgrade( ) Abandon( ) ❑Complete System RrIndividual Components
Location Address or Lot No.a)Qg >UQ;n 5 Owner's Name,Address,and Tel.No. ✓'--s-36 y-95—,S.7
Assessor's Map/Parcel a37 O/U ' rn s ra"ICJ LY2aLA)
• 6n *_%" -44 A- o�e.9 sf
Installer's Name,Address,and Tel.No. 01-9399 . Designer's Name,Address,and Tel.No.Ste-
Npr44>(otU_ (vrs}-r'tx-47 on • '' ui �%��P1i'nJq GLbrKs, LA C %A7 40-On's5/m, .
OaG 1� r Q_V
Type of Building:
Dwelling No.of Bedrooms 3 1 Lot Size:f7. $O sq.ft. Garbage Grinder( )
Other Type of Building j No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) �3� gpd Design flow provided ��g. gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank C.)(IS' i r!j /(X60m( Type of S.A.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,ofthe afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental'Code and,ndf to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health:''
" igned .� - r^�""� Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. C-_ fo Date Issued 3
---------------------------------------------------------------------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
4 (Certificate of Compliance
THIS IS TO CERTIFY,that
__the
/On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( )
Abandoned( )by ►'Y�IaL!e 1 CM/►�r sICNi. Y�C
at 1g�1 cr ,v, Sf' EU� LLg has been constructed in accordance h
with the provisions of Title 5 and the for Disposal System Construction Permit Now` 4 176 dated
Installer ✓ �Gp,� ��(JYtr Designer i//7L'/ 2�ni-4iaP
#bedrooms 3 Approved desig6flow gpd
The issuance of this permit shall not be construed` as a guarantee that the system will function as design
Date /1 °" i 1( �1�,� Inspector p f IIrr a f bga
------------ ---------- / LC Fee /--------- -------- _-------- •-- ---- --- ------------------------------------ ----------- ---------
No. e -- Cld
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
]Disposal fppstP ConBtrUctionPrmit
Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( )
System located at
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction ust a cj etedwithin three years of the date of this pe c it.
Date 3 Approved by '�_
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
HARNSTA13 E.
i639
Public Health Division,
Thomas;McKean.Director
200:Main Street,Hyannis;MA 0260.1,
Office: 508-W-4644 Fax: 50940.076304
Installer&:Designer-Ce' rt fication Form
23� -0 1
Date: � 2l 4- Sewage Permit# Zee 6 - I"1 P Assessor's 1VIaplParcel 6_
Designer: 15-:. .�n :�.^ r,c;, vc rins 1 r L Installer• C
Address: i Z r ti ts,s sAt `\et KI 1 Address:; U a3 a C�y
lc_ Nth. c z c� ` o,�'S4-0,nsV ( s. .
M4
On was issued a-permit to install a
(date) (installer)
septic 2 I 2 0 stem at. g - a- S}-
P Y Mk�o� based on a design drawn by
(address).
L ,n t- : f Cf dated y t 2_7 I l 4 R-4v qt G
(designer)
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, Strip out;-(if required) was inspected and the soils
were found.satisfactory.
I certifv that the septic system referenced above-.was installcd.'with major changes ( .e:
greater than 10.7 lateral:relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State &,Local Regulations. Plan revision or
certified as-built by designer to follow. Strip out if required)'was inspected and the soils
were found satisfactory. `Zevt5.ed P 1pk,;� Oc,�-td . 6 (,s t G At+rcle_a
I certify that � stem referenced above was constructed in co liance:with the terms
of the appr al letters (if applicable)
44Ss9cy/
o PETER T.
taper's Signattue}: c�vi � LA
N6. 35109
(Designer's Signature) (Affix Desi Here)
' PLEASE.RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH.THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH.DIVISION.
THANK YOU.
Q:\SepticUDesigncr-CertificationF.or milee8-14-T3:doc
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Town of Barnstable P 4t / 93
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Departinelnt of Regulatory Services i$
` Public Health Division 3 l
HA MASS. ' Date
� MASS.
A s639 `e� 200 Main Street,Hyannis MA 02601
• Ifp��A
Date Scheduled Time `� t 00 O� P
_ Fee Pd.
Soil Suitability Assessment for,Sewage.Disp►osal
Performed By: �2�-y dA C.�r4A_eR -5G -1.s�.-z� T
. Witnessed By: v,
LOCATION & GENERAL INFORMATION
Location Address 'Zigg ((2�eOwner's Name
- � ca r� �� ✓ r 1 ey Address Ztg7s N!w�St�121 C�o�
Assessor's Map/Parcel' Engineer's Name �vwj��nDF!3'iy
s
NEW CONSTRUCTION REPAIR '�C� Telephone# _C{-j] 3 (3 -
Land Use �Sa' i,w z,, l Slopes(30) Surface Stones ��
Distances from: Open Water Body 7-too ft Possible Wet Area too ft Drinking Water Well ft
Drainage Way 11J`Af ft Property Line �� ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands to proximity to holes)
f/
t
.40 �4A
. -Sty
dot
Parent material(geologic) 1✓�. -p Depth to Bedrock 'V
Depth to Groundwater. Standing Water in Hole: ± ►z Weeping from Pit Pace
Estimated Seasonal High Groundwater a
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
'D; pth Observed standing in obs. We: in, Depth to§oll mottles;
Depth'io weeping from side of obs.hole: _ in, Groundwater Adjustment ft.
Index Well# Reading Date:_ Index Well level .Adj,factor Adj.i3roundwater Level n
PERCOLATION TESL' Thne--
Observation I
Hole# Time at h"
Depth of Pere 4-61 Time at d" 2
Start Pre-soak Time @ Time(9"-V)
End Pre-soak t
Rate Min./Inch, 2-
Site Suitability Assessment: Site Passed 2C 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, 4 v
Barnstable Conservation Division at least one (1) week prior to beginning.
Q:\,SEPTIC\PERCFORM.DOC
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
tp Consistency, ray I
r... _t t f [6-1 dt
A t
Lj j� )20 ¢. (sue 2"s Y
,F�
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,% rave
D .- 1`t-• /� _ • �,.,�t� Lam•� t� �LW�z
Z-• ' S-A c a- y(&-17-y
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).r Mottling (Structure,Stones,Boulders.
Consistency.
Flood Insurance Date M—anr
Above 500 year flood boundary Noe Yes
Within 500 year boundary No & Yes ...
Within 100 year flood boundary NoX,— 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?
If not,what is the depth of naturally occurring pervious material? -
Cer'fif~ication
Lcertify that on l °i (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 tr ' g,expertise and experience described in 310 CMR 15.017. /
Signature
Date
Q:\SEFTIC�PERCFORM•DOC
FREIVED7 2000 L ��
TROY WILLIAMS
SEPTIC INSPECTIONS Towry of lH DEPT.
HEALTH DEPT.
Certified by MA Department of Environmental Protection (508) 385-1300
19 Hummel Drive
South Dennis, MA 02660
CCU Plf
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500
TRUDY CORE
Secretary
ARGEO PAUL CELLUCCI DAVID B. STRUHS
Governor Commissioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
q p 1 CERTIFICATION
lO Tt /Zou�r� �o'4011
Property Address: O�/2 A Name of Owner 6µr�4 ✓N _ d S
Q(�.✓N.f C. Address of Owner: 20 Ce 1,941"
Date of Inspection: a_I30 /�9 6 13
M I Jr c d
Name of Inspector:(Please Print) rey Williamswlliams Ve_v� , �
CG Cw �, ,�
am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000)/
Company Name: Trod Williams Se tic Inspections
MaikngAddress: 19 Hummel.Drive, So. Dennis, MA 02660
Telephone Number: (508) 385-1300
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 inspection. The Inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fails
� ,
Inspectors Signatur z Date: a� 476
9
The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty(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 Department of Environmental Protection. The original should be sent to"
system owner and copies sent to the buyer,if applicable,and the approving authority.
NOTES AND COMMENTS
Although system meets the minimum requirements set forth by the Massachusetts Department of
Environmental Protection,certification is not to be construed as a guarantee of future working condition
of system,piping or components. This inspection represents the conditions of the system on the Date of
Inspection noted above.
revised 9/2/98 P.te l of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PARVA
CERTIFICATION(corrtirxied)
Property Address:
Owner: 2198 Route 6A,West Barnstable,MA
Date of k-Pectian: Robert Cotton&Barbara Cotton-Jeffords .
December 30, 1999
INSPECTION SUMMARY: Check A, B, C, or D:
A.-/SYSTEM PASSES:
V I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 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.
Indicate yes;no,or not determined(Y,,N,or ND). Describe basis of determination in all instances. If"not determined", explain why not.
The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or
the septic tank, whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration, or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as
approved by the Board of Health.
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)
or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of
Health).
broken pipe(s)are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumping more than four 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
revised 9/2/98 Page zeru
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 2198 Route 6A,West Barnstable,MA
Owner: Robert Cotton&Barbara Cotton-Jeffords
Date of kupecb(n: December 30, 1999
C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: A//1
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
public health, safety and 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 THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
Cesspool or privy is within 50 feet of 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 W A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and sop absorption system and the SAS Is less than 100 feet but 50 foet or more from a
private water supply well,unless a well water analysis 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. Method used to determine distance (approximation not valid).
3) OTHER
revised 9/2/98 Nge3oru
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
2198 Route 6A,West Barnstable, MA
Property Address: Robert Cotton&Barbara Cotton-Jeffords .-
Ownef= December 30, 1999
Date of inspection:
D. SYSTEM FAILS: /v�A
You must indicate either "Yes" or "No" to each of the following:
I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this
determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure.
Yes No
Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or
cesspool.
Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a 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 I of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
- _ = Any portion of a cesspool or privy is less-than 100 feet but greater than 60 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for
coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E. LARGE SYSTEM FAILS: NI1I
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:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public
health and safety and the environment because one or more of the following conditions exist:
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)
The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional
office of the Department for further information.
revised 9/2/98 Page 4ofII
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 2198 Route 6A,West Barnstable,MA
Owner: Robert Cotton&Barba--a Cotton-Jeffords
Date of Irupection: December 30, 1999
Check if the following have been done: You must indicate either 'Yes" or `No' as to each of the following:
Yes No
Pumping information was provided by the owner, occupant, or Board of Health. ,
_ None of the system components have been pumped-for-at least two weeks and-the system has been-receiving 17ormal flow
rates during that period. Large volumes of water have not been introduced into the system recently or as part of this
/ inspection.
_C _ As built plans have been obtained and examined. Note if they are not available with N/A.
_ The facility or dwelling was inspected for signs of sewage back-up.
_ The system does not receive non-sanitary or industrial waste flow.
3[/ _ The site was inspected for signs of breakout.
�[ _ All system components, excluding the Soil Absorption System, have been located on the site.
�L _ The septic tank manholes were uncovered,opened, and the interior of the septic tank was inspected for condition of baffles
or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum.
/ The size and location of the Soil Absorption System on the site has been determined based on:
_L _ Existing information. For example, Plan at B.O.H.
yl _ Determined in the field(if any of the failure criteria related to Part C is at Issue,approximation of distance is unacceptablel
115.302(3)(b)]
The facility owner(and occupants,if differeni from owner) were.provided with information on tha.
SubSurface Disposal Systems. propermamtartaace�f
revised 9/2/98 page 5of11
• !I
k
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PARY C
SYSTEM INFORMATION
Property Address:
Owner: 2198 Route 6A,West Barnstable,MA
Dace of kupection: Robert Cotton&Barbara Cotton-Jeffords .
December 30, 1999
RESIDENTIAL:
FLOW CONDITIONS
Design flow: 1/0 g.p.d./bedroom.
Number of bedrooms(design): Number of bedrooms(actual): 3
Total DESIGN flow 330
Number of current residents:
Garbage grinder(yes or no): /Ju
Laundry(separate system) (yes or no):—A/o; If yes, separate inspection required (NµS /n oo(c .j
Laundry system inspected (yes or no)
Seasonal use(yes or no):_,LO
Water meter readings,if available(Isst two year's usage(gpd):y8 /I Y = 32,00c)
Sump Pump(yes or no):A10
Last date of occupancy: ()C_ �j rp. Gam(,
COMMERCIAL/INDUSTRIAL:
Type of establishment:
Design flow: Qpd (Based on 15.203)
Basis of design flow
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:
OTHER:(Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information: / f l
P�� b t G. Y✓'h x � I� Y j AGO ✓J G✓ 1 h A ./-� /�
System pumped as pan of inspection.(yes or no)_NU
If yes,volume pumped: gallons
Reason for pumping:
TYPE�OF SYSTEM
—�_F/— 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)
I/A Technology etc.Attach copy of up to date operation and maintenance contract
Tight Tank Copy of DEP Approval
Other
APPROXIMATE AGE of all components,date installed{if known)and source of information: H-j�—r, //L
�a✓ G,-r — 6U
Sewage odors detected when arriving at the site:(yes or no) A10
revised 9/2/98 Page 6ofII
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(eoirtirxiod)
Property Address:
Owner: 2198 Route 6A,West Barnstable,MA
Date of kupection: Robert Cotton&Barbara Cotton-Jeffords .y
BUILDING SEWER: December 30, 1999
(Locate on site plan)
Depth below grade:
Material of construction:Zcast iron Z40 PVC_other(explain)
Distance from privatewater supply well or suction line /y .9
Diameter_9
Comments:(condition of joi venting, evidence of leakage,etc.))
H!i 1^1 t✓t� J r�✓t /! Y G� .} —/ h �'7 iL.ti D T i.H t y J h ._. ._..
SEPTIC TANK:
(locate on site plan) '
Depth bel6W grade: 0"
Material of construction:Zoncrete_metal_Fiberglass _Polyethylene—other(explain)
If tank is metal,list age Is.age confirmed by Certificate of Compliance_(Yes/No)
Dimensions:_ 00 U
Sludge depth: 3'1
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness: Mo/V F
Distance from top of scum to top of outlet tee or baffle: NO .S c v k,
Distance from bottom of scum to bottom of outlet tee or baffle:NO c. l
How dimensions were determined: pj-e bt_
.Comments:
(recommendation for pumpin condition of inlet and outlet tees y�baffles,depth of liquid level in relation to outlet invert,structur egrity,
evidence of leakage,etc.)
o Ji c. -d
/ C-
C-A.)G- S, H G.G O v J•.• c.�
W,.Z
GREASE TRAP: Al I ,i9
(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:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level In relation to outlet invert, structural integrity,
evidence of leakage,etc.)
revised 9/2/98 PaV7of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:
Owner: 2198 Route 6A,West Barnstable,MA
Date of inspection: Robert Cotton&Barbara Cotton-Jeffords
December 30, 1999
TIGHT OR HOLDING TANK:"/ (Tank must be pumped prior to, or at time of, inspection)
(locate on site plan)
Depth below grade:_
Material of construction:_concrete_metal_Fiberglass_Polyethylene_other(ezplain)
Dimensions: ____._._.. ..._...._.
Capacity: gallons
Design flow: gallons/day
Alarm present
Alarm level: Alarm in working order:Yes_ No
Date of previous pumping:
Comments:'
(condition of inlet tee, condition of alarm and float switches,etc.)
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet invert: L c.121
Comments:
(no e•H level and distribution is equal,evidence.of solids carryover,ev(d�s of leakage into or of box;etc.( �/,j.o. ��
v ' o
PUMP CHAMBER:L✓�,q
(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.)
revised 9/2/98 Page sorli
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:
Owner: 2198 Route 6A, West Barnstable,MA
Date of Inspection: Robert Cotton&Barbara Cotton-Jeffords
December 30,7
SOIL ABSORPTION SYSTEM(SAS).
(locate on site plan,if possible; excavation not required, location may be approximated by non-intrusive methods)
If not located,explain:
Type: /
leaching pits,number:D h.Q_ co X f7 L t G�L �i G✓ i a�5 ,�
leaching chambers,number:_
leaching galleries,number:_
leeching trenches,number,length:
leaching fields, number, dimensions:
overflow cesspool,number:_
Alternative system:
Name of Technology:
Commenis:
(note condition of soil,sins of hydraulic failure, level of ponding; damp soil,condition of vegetation, etc.)
.So; � . / Sca h vl L► K o 7c L
�
`' t' C--` OC r w✓ I `�
CESSPOOLS:
(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(cesspool must be pumped as part of inspection)
Comments:
(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.)
PRIVY:
(locate on she plan)
Materials of construction: Dimensions:
Depth of solids:
Comments:
(note condition of soil,signs of hydraulic failure, level of ponding, condtion of vegetation, etc.)
revised 9/2/98 Page 9ofII
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:
Owner: 2198 Route 6A,West Barnstable,MA -
Date of Inspection: Robert Cotton&Barbara Cotton-Jeffords _
December 30, 1999
SKETCH OF SEWAGE DISPOSAL SYSTEM:.
include ties to at least two permanent reference landmarks or benchmarks
locate all wells within 100'(Locate where public water supply comes into house)
4-w •h c
S�r
fset/6 r•
77
revised 9/2/98 Page loorII
it ..
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(corrtimsed)
log"Address: 2198 Route 6A, Barnstable,MA
Owner:
Date of Inspection: Robert Cotton&Barbara Cotton-Jeffords
December 30, 1999
NRCS Report name
Soil Type_
Typical depth to groundwater
USGS Date website visited S w L C y 7
Observation Wells checked
Groundwater depth: Shallow Moderate Deep ✓
SITE EXAM Slope
Surface water
Check Cellar
Shallow wells
Estimated depth to Groundwater261-Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
Observed SiteiAbutting property, observation hole,basement sump etc.)
V/Determined from local conditions
Checked with local Board of health
Checked FEMA Maps
Checked pumping records
Checked local excavators,installers
Used USGS Data
Describe how you established the High Groundwater Elevation. (Must be completed)
mot, A,
CA-re�IC- i3o�.� �7-'
revised 9/2/98 Pace 11 of 11
TOWN OF BARN-STABLE
LOCATION �� ',—Z SEWAGE #
VILLAGE „ ��' ��� ASSESSOR'S MAP & LOT a/): JO-
INSTALLER'S NAME & PHONE NO. �YiL�4-�Ov�
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type)i I` G J �/� (size) 6r-
NO. OF BEDROOMS PRIVATE WELL OR PU CATER
BUILDER OR OWNER �� CC? D
DATE PERMIT ISSUED: 7 •-4
DATE COMPLIANCE ISSUED: - / a-
VARIANCE GRANTED: Yes No ��
L
� �'
(�
a
'� r----�
��
� �-
�1
T
�'
:�'
C)
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® O`E HEALTH
TOWN OF BARNSTABLE,
Appliration for Dispaii al Hlorkii C ondrur -9�-
Application is hereby made for a. Permit to Construct ( ) or Repair ( Lea'_n Individual Sewage Disposal
System at: t
............ 3.�_ 3".......A— .-. �-.. . . . r�� a 7 Pc its
�... Location-Address
�41��s C�PAFLLWV ' ---------------------1 ................
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.--.. ..........................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers —
a YP g --------------------•------- P ( )-----..Cafeteria---------
Design .
Other fixtures ----------------------------------------------------------------------------------------------
W Flow.........:j.��..................gallons per person per day. Total daily flow------ ......................gallons.
WSeptic Tank 4 Liquid capacity/J gallons Length-----_.......... Width<....._..... Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------/----------- Diameter...._/0....... Depth below inlet....&............ Total leaching area..................sq, ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
rx, Test Pit No. 2................minutes per inch Depth of.Test Pit---:................. Depth to ground water........................
04 ----------------------•-••-••----•------------------------•--•------.......--- ...... -------------- ---------------------------------
0 Description of Soil.......................................................................................... ----------------- ------------•----------..............................
W
U ---------------•--•-------------.....•---------•...-------••-------------•-----•----------------------------•---•------•------------••---•------•---•-•------••---•......---------.......---•----------
W
x -------------• -------------
-
U Nature of Repairs or Alterations—Answer when applicable----.: (6±-5'�7" -� ___l.•�1- _-- ram_T �.......
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been i suede d of health.
;�.
.._ Signed ----- -------�- -,,'-s' - -- ....--- -......--------- ----...................... ...............D�ace �--� ---------
Application Approved By - .-. ...
rI ....................................................................... Date
Application Disapproved for the ollowing reasons- --------------------'
---------------------------- ...-----......-------
Dace
Permit No. . ------�10--- ao.. ----------------- -Issued
Date
O�;l, _ FEz..••.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Applira#ion for Uiijrnaal Works Tons urtiun'rrmi#
Application is hereby made for a Permit to Construct ( ) or Repair ( �an Individual Sewage Disposal
System at 9-T /j3
................� ..._......................................................... .........__.....,.._.............._.............
.Location-Address- or LotkNo
jjer V t �C`C�1 Gvl j Ui��Ctv5A (�tCCJc`C-t ...._..--• .................
............ -- - -- -.. ... ..._ •--.......
�ge
ss
......................................................
Installer Address
Type of Building Size Lot............................Sq. feet
�., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures -------------- ---------------------------------•-----•-----••--••------------•---•-•------••--•-• ....................................
W Design Flow............................................gallons per person ,per-day. Total daily flow._.._ ...._._._____.___...--------gallons.
WSeptic Tank Liquid capacity_ gallons Length.__•..._....... Width......... Diameter................ Depth................
x Disposal Trench— o. .................... Width...................
Total Length......1.._,........ Total leaching area•...._..----.__.....sq.'ft.
3 Seepage Pit No______ ___________ Diameter..__��.._...._. Depth below inlet....��.............. Total leaching area.__..__.____......sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
0
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 •---•-•--•-------------------•••-•••••••--............-----••-----••••......•-•--•••........................................................................
ODescription of Soil...............................................................................----------------------------•---------...--------------------•---•---••.._..............
V •I----------------------------------------- ----------------------------------------------------•----------••-----------
W ---------------------•--••-•------......----------------------------•-•--•-.....--•------•••----••-----•--... r .... R= _ :
--••--
+ "� (�•S`l Y<1 t{j liti �%fV r P� tr ram- s
UNature of R pairs or Alterations—Answer, when applicable............... ........:. :...............::..................................----•-----_--.
-... •-•-- -----•-----... --------------- P ... -----------------------------------•.......... ----------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance>hasmbgen issued-by-theaboalyd of-health.
Signed
l
, ' a
.. r Date
Application Approved BY .. ...>✓ :.. t _- ---------- - ^�
Date
Application Disapproved for the following reasons- ------------- --- ---------------------------------------------------------- ---------------------------_--------------........
....................................................----......................................................................... --------
Date
Permit No. a . O
.. Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(9Ertifira P of Contyfianre
THIS IS TO CERTIFY, That-the Indiv•dua-I Se-wage,Disposal System constructed ( `) or Repaired ( )
by ----------------.......................... -..f4-.PL. � �.
/ /1 r•'—+ ClE /'7 Installer
(/ Ji ri 4 to `„ I-
at ........................................................ �.✓
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
5
--
the application for Disposal Works Construction Permit No. ........7y.- O--�'
----- -------- ----- ---- dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE----------..........
..... ..."- ... Inspector .... j�1�`... -�-
-- ------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
r
BOARD OF HEALTH f
9a-3 d TOWN OF BARNSTABLE '� jD
No......................... FEE........................
Disposal Works Touptrudion Vrrmft
Permissionis hereby granted -- . ................••••••---••--•-• .......-•--•••---------••-•-•-....-•••--........----..................._....
to Construct ( ),...-prCRepair ( �))yan Individual Sewage Disposal Systte.rj_� l (�
- � t f
at No............................................. .........................................................................
Street
.as shown on the application for Disposal Works Construction Permit No. ._ �`,�... Dated..........................................
. ci
Board of Health
DATE----------------------------J--...I.............................................
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
c
--58-- EXISTING CONTOUR N RAILROAD
58 PROPOSED CONTOUR
LOCUS
x 50.98 EXISTING SPOT GRADE ® 3 ° o
W EXISTING WATER SERVICE L m 'C
G EXISTING GAS SERVICE cV Route 6A "
-0 H.W.-- OVERHEAD WIRES ° o
� a
v9i°8ip WETLAND FLAG Q�. LOT 1 �� o c
jWETLAND SYMBOL h MBL 237-010 �°
TEST PIT 57,804 ±SF
J - BENCHMARK Q ROUTE_6____-
LEGEND
r /
LOCUS MAP
NOT TO SCALE
Lh
x r.2 i
(V
EXISTING lL EACH PIT o/\
STRIPOUT BOUNDARY o� ; ; x/54.17 TO BE P PED, FILLED WITH ,
G y��L) I SAND Alq((�JD�fABANDONED
SEE NOTE 11 " , ,GS55.59 /
OLD FOUNDATION EXISTING SEP71C TANK,-'
(TO 'fiEMAIN) //
BENCHMARK / / 54.20/ 52.09 INV.(OUT)=V6.74+(VER,IFY) 44.61
CORNER OF STOOP A x 51.34
EL.=57.97 �sT' �i' 44.79
VENT j% / 51.36 .t so. 6
/ 4 .28 If) I
..t^•51.n• • ��� �� /
cn Qr O /
N tn49.52 47.27*
07
46.99
�V-. 5
Q/AQ 47.87 /
/ n 44.89 J
.07
/ 5t9 ��: f / I i \ 45.62 ya �� 42.86
46.2 / J'
x 67Ap
Lam. : TP-2 \\ 0 A
47.31 jlOP VEGETATE D
55177 0
F <49.56 /44 WETLAND
55\45 �56.44 55.52 x ^ x 48.50 \\47`85
4-3
48.24 \ V-102
56.12 x \\ x3\$�� \\ \\ 43.05
\�
/ 56.67 x sM 57.16 � �: BARN a
/ 57.97
PATIO
\ x
/ +56.34 EXISTING � � 5.94 � Q � �F M \1
C \ 5 �a Asf \
HOUSE 2198 =- 55.99 Q\ 9Cy \`}V�-101
.. . \ y`� V/ T.O.F.=57.Of' ;, PAVED ` 'r �� g PETER T. �� 43.89
` 56.83 x -, ;: r \ McENTEE
DRIVE° ><.�° J \ o
56,62 53.54 \ v cn
�' CIVIL
x s7. < ; j o^ 35109
x 57.68
r Z 57.34 / j
53.83
6.94 ''• / 54,511
57.20� xLp4.29
rr 57.24
;': v°j o� 1 �� PLAN REVISION - 6 f 1 Z16
:,5505; °h
REVISE TO 3 BEDROOM DESIGN
PER RECORD AS-BUILT
p + PLAN REVISION - 6/15/16
24.53' 91.56X M SAS LAYOUT CHANGE DUE TO EXISTING TANK
S SIDEWALK BEING FOUND AT DIFFERENT LOCATION. SOIL
°4 71 VERIFICATION REQUIRED AND NOTED, SHEET 2
58.43 57.63 57.17 edge 56,48 Of 56.09 POVe ent 54.62
55.42
OWNER OF RECORD
MAIN (RTE 6 A) STREET BLAIR, MARY A
2198 MAIN STREET
WEST BARNSTABLE, MA 02668
PROPOSED SEPTIC SYSTEM UPGRADE PLAN
WETLAND DELINEATION 2198 MAIN STREET, WEST BARNSTABLE, MA
JACK VACCARO Prepared for: Neils & Mary, Petiet, 2198 Main St., W. Barnstable, MA 02668
Environmental Consultant FLOOD ZONE DESIGNATION Engineering by: ( SCALE DRAWN JOB. NO.
P.O. Box 955 MAP NO. 25001 CO554J Engineering Works, Inc. 1"=30' P.T.M. 131-16
Sandwich, MA 02563 EFFECTIVE DATE: JULY 16, 2014 g 9
(508) 888-5855 ZONE X 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0.
(508) 477-5313 4/27/16 P.T.M. 1 Of 2
C
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL:46.2
FOR A DISTANCE OF 15' AROUND THE
PERIMETER OF THE S.A.S.
SEPTIC TANK PROPOSED D=BOX PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET AND PROVIDE ONE ACCESS MANHOLE TO WITHIN 3"
OUTLET SET TO 6" OF FINISH GRADE. INSTALL WATERTIGHT RISER & OF FINISH GRADE FOR INSPECTION PURPOSES
T.O.F.=57.0t COVER SET TO 6" OF GRADE
CHARCOAL VENT
F.G. EL.=56.0t � F.G. EL..=49.0t � F.G. EL.=54.1 t.
F.G. EL.=52.8.(MAX.)
MAINTAIN 2% GRADE (MIN.) OVER S.A.S.
L =26' L = 21'
S=1% (MIN.) 0 S=1% (MIN.)
.4 SCH40 PVC 4"SCH40 PVC
6"
10'1 " 6 ®aaa�a 30
14" BBaa9Ba
EXISTING 48" LIQUID aaaaaaa
LEVEL ADD 4' 4.8' 4'
GAS BAFFLE� INV.=46.47 PROPOSED INV.=46.30
INV.=46.74t D-BOX EFFECTIVE WIDTH = 12.8'
" EXISTING INV.=45.75
EXISTING SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE AS SHOWN
H-20 RATED
TOP CONC. ELEV.=46.85t
BREAKOUT ELEV.=46.25
NOTES: INV. ELEV.=45.75 BaBa
NE
BBBBa aBa0a
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=43.75 Baas eases
INVERTS, PRIOR TO INSTALLATION. 4' 3 x 8.5'=25.5' 4'
2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 33.5'
ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL
STONE BASE, AS SPECIFIED IN 31.0 CMR 15.221(2). 5' MIN. SEPARATION TO G.W. LEACHING SYSTEM SECTION
3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TP-3, EL.=37.0 -
4) CONTRACTOR SHALL INSTALL AN APPROVED GAS 3/4' TO 1-1/2" DOUBLE
BAFFLE ON THE OUTLET TEE. WASHED STONE
SEPTIC SYSTEM PROFILE 3" LAYER OF 1/8" TO i DOUBLE WASHED STONE
N.T.S. (OR APPROVED FILTER FABRIC)
i
SOIL LOG
GENERAL NOTES: DATE: APRIL 12, 2016 (Ref. P#14,993) DATE: JUNE 15, 2016
SOIL EVALUATOR: PETER McENTEE (SE#1542) SOIL VERIFICATION DUE
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. WITNESS: DAVID STANTON R.S.-HEALTH AGENT TO PLAN REVISION
WORK
MATERIALS
TO THE
ENTS
2. AFL HE STATEDENVIRONMENTALCODE, TIT E V, AND ANYQAIPPLICABLE Elev. TP- Depth Elev. TP-2 Depth Elev. TP-3 Depth*
LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 51.5 A 0" 52.0 A 0" 51.0 0"
-310 CMR 15.405(1)(b): A
1) A 3' variance to the 3' maximum cover requirement, for up to SANDY LOAM SANDY LOAM SANDY LOAM
6' of max. cover. S.A.S. shall be H-20 and vented. 1OYR 4/2 1OYR 4/2 1OYR 4/2
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 50.3 14" 51.0 12" 50.0 12"
TO INSPECTION AND-APPROVAL BY'THE BOARD OF HEALTH AND THE B_ B B
DESIGN ENGINEER. SANDY LOAM SANDY LOAM SANDY LOAM
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 47.5 10YR 5/8 48" 47.5 C10YR 5/8 54" 46 8 C10YR 5/8 50"
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN C PERC
ENGINEER BEFORE CONSTRUCTION CONTINUES. 46"/64' 46"/64'
5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM (BARNSTABLE G.I.S.f).
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF SANDY LOAM SANDY LOAM
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF SANDY LOAM 2.5Y 6/4 2.5Y 6/4
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 2.5Y 6/4
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S.
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 41.5 120" 42.0 120" 37.0 156"
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE PERC RATE 2 MIN/IN. ("Cl" HORIZON, TP-1) NO GROUNDWATER OBSERVED
DIRECTED BY THE APPROVING AUTHORITIES. NO GROUNDWATER OBSERVED SOILS CONSISTENT WITH TP-1 & 2
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION. 1EXIShNG///
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS HOUSE#2l98�
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3)..
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL.
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES,ONLY AND
IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY.
BARN 0)
DESIGN CRITERIA ,4.4,
1.7 °' rn
NUMBER OF BEDROOMS: 3 (PERMIT NO. 92-302) _
SOIL TEXTURAL CLASS: CLASS 11 (LOADING RATE=0.60 GPD/SF) , vi
DESIGN PERCOLATION RATE: 2 MIN/IN 6`eAb+• N j
DAILY FLOW: 330 GPD
DESIGN FLOW: 330 GPDCL
GARBAGE GRINDER: NO-not allowed with design I 01
LEACHING AREA REQUIRED: (330 GPD) = 550.0 SF I a
.60 GPD/SF
S.A.S. LAYOUT
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-20 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 3-500 GALLON LEACHING CHAMBERS IN SERIES 2198 MAIN STREET, WEST BARNSTABLE, MA
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES
Prepared for: Neils & Mary, Petiet, 2198 Main St., W. Barnstable, MA 02668
SIDEWALL AREA: 2(12.8' + 33.5') ;( 2 = 185.2 SF Engineering by: SCALE DRAWN JOB. NO.
BOTTOM AREA: 12.8' x 33.5' = 428.8 SF Engineering Works, Inc. N.T.S. P.T.M. 131-16
TOTAL AREA:.............................................................. 614.0 SF 12 West Crossfield Road, Forestdole, MA 02644 DATE
CHECKED SHEET N0. �
DESIGN FLOW PROVIDED: 0.60 GPD/SF(614.0 SF) = 368.4 GPD (508) 477-5313 4/27/16 P.T.M. 2 Of 2
-58-- EXISTING CONTOUR N RAILROAD
58 PROPOSED CONTOUR
m LOCUS
x 50.98 EXISTING SPOT GRADE ® o F
W EXISTING WATER SERVICE
rt
G EXISTING GAS SERVICE cV Route 6A
--e.H.W OVERHEAD WIRES h
a
9i 61 WETLAND FLAG
O WETLAND SYMBOL LOT 1 e o o
TEST PIT �j MBL 237.-010 0@tea a v
...
57,804 ±SF
BENCHMARK Q ' , ! RotnE 6
LEGEND ! f
LOCUS MAP
pit NOT TO SCALE
! r '
x 0.2 r
/ .
EXISTING fl EIACH PIT O
STRIPOUT BOUNDARY O O' ! ' xlsa.v ! TO BE P MPED, FILLED WITH
SEE NOTE 11 ^ C� !!! / GO � i SAND-A� ABANDONED
MvY ! !/Gs 55 59 r ! i
/
! �! OLD FOUNDATION EXISTING SEP71C TANK-'
/ i (TO'REMA IN) r�
BENCHMARK I. / 54.20J 52.U9 ,// INV.(OUT)='146.74±(VEA1FY) 44.61
CORNER OF STOOP ! �yS°�-5 x 51:34 I i
EL.=57.97 �'/_ 1 44.79
1
VENTs1.36 ' t 50. �\ d0
/ +,51,n / C01
+ 9.52 47.27
52.07
J +46.99- V-105
43.08
0/ /
47.87
44.09
Pf-3 o /
45.62 �� 42.86
.46.2 / J'
pj y0 \ x 67 \ +•
`a L� TP-2 ` \� Ak
_ sss'
44 \ \ • �_�` Q` � \
VEGETATE D
47.31
5 y-lo3
J� 44.10 WETLAND
+ 55.52x X 55)41k, x 46.50 \\4785
Ak
48.24 V-102
56.12 x \� �J55.43�J�� \\ \\ 43.05 A
/ ' \ \
/ 56.67 x BM 57.1 BARN a
57.97 PAT'0- C 567: `5(��5.66 \ V . 3�
\ x \ \
'• .EXISTING V.y;`.��: � ,
HOUSE(#2/98) ✓.l 55.99 /�1 Q� S9Cy \\ v-101
�' .�: 3" �'V fit'
T.O.F.=57.0.t' Z� G 43.89
PAVED ! O� o PETER T.
t 5683 x DRIVE j s3sa g McENTEE
l 56.62 c�
CIVIL
r x 57. • un No. 35109
Z 57.34 x
! 57.68 '
r ��� 53.83•
4J 6.94 54•.58 ! 1
`P cvn 57.20� x s6.o2f° Qh 4.29 C011 I�'
57.24 '_' ;': �O. PLAN REVISION - 6 Z1/16 .
O i
Qi � REVISE TO 3 BEDROOM DESIGN
PER RECORD AS-BUILT
p + `! 1 PLAN REVISION - 6/15/16
24.53' 91.56X M --_ SAS LAYOUT CHANGE DUE TO EXISTING TANK
L SIDEWALK •q BEING. FOUND AT DIFFERENT LOCATION. SOIL
_ VERIFICATION REQUIRED AND NOTED, SHEET 2
58.43 57.63 57.17 edge 56.48 of 56.09 `pavement 54.62
55.42
OWNER OF RECORD
MAIN (RTE, 6 A) STREET B�AIR, MARY A
2198 MAIN STREET
WEST BARNSTABLE, MA 02668
PROPOSED SEPTIC SYSTEM UPGRADE PLAN
WETLAND DELINEATION 2.198 MAIN STREET, WEST BARNSTABLE, MA
JACK VACCARO Prepared for: Neils & Mary, Petiet, 2198 Main St., W. Barnstable, MA 02668
Environmental Consultant FLOOD ZONE DESIGNATION Engineering by: SCALE DRAWN doe. No.
P.O. Box 955 MAP NO. 25001 CO554J Engineering Works, Inc. 1"=30' P.T.M. 131-16
Sandwich, MA 02563 EFFECTIVE DATE: JULY 16, 2014 9 g
(508) 888-5855 ZONE X 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
(508) 477-5313 4/27/16 P.T.M. 1 Of 2
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NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL:46.2
FOR A DISTANCE OF 15' AROUND THE
PERIMETER OF THE S.A.S.
SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET AND PROVIDE ONE ACCESS MANHOLE TO WITHIN 3"
OUTLET SET TO 6" OF FINISH GRADE. INSTALL WATERTIGHT RISER &
COVER SET TO 6" OF GRADE OF FINISH GRADE FOR INSPECTION PURPOSES
T.O.F.=57.0t CHARCOAL VENT
• F.G. EL.=52.8.(MAX.)
F.G. EL.=56.0t F.G. EL.=49.0t F.G. EL.=54.1 t
MAINTAIN 2% GRADE (MIN.) OVER SA.S.
L =26' L = 21'
S=1% (MIN.) ® S=1% (MIN.)
4"SCH40 PVC 4"SCH40 PVC
6"
to"I " as o 9a
14" 6 coos Mom
aaaaaaa
EXISTING 48" LIQUID aaaaaaa
LEVEL GAS BAFFLE / 4' 4.8' 4'
• J INV.=46.47 PROPOSED INV.=46.30
INV.=46.74t DD-BOX EFFECTIVE WIDTH = 12.8'
r EXISTING INV.=45.75
EXISTING SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE AS SHOWN
H-20 RATED
TOP CONC. ELEV.=46.85t
BREAKOUT ELEV.=46.25 ell
NOTES: INV. ELEV.=45.75 aaaa
aaaa'68:5'=25.5'
63 as
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=43.75 aaaaaaaaB
INVERTS, PRIOR TO INSTALLATION. 4' 3 x 4'
2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 33.5'
ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL.
STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. SEPARATION TO G.W. LEACHING SYSTEM SECTION
3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TP-3, EL.=37.0 -
4) CONTRACTOR SHALL INSTALL AN APPROVED GAS 3/4" TO 1-1/2" DOUBLE
BAFFLE ON THE OUTLET TEE. WASHED STONE
SEPTIC SYSTEM PROFILE 3" LAYER OF 1
DOUBLE WASHED HEED STT ONEE
N.T.S. (OR APPROVED FILTER FABRIC)
SOIL LOG
GENERAL NOTES: DATE: APRIL 12, 2016 (Ref. P#14,993) DATE: DUNE 15, 2016
SOIL EVALUATOR: PETER McENTEE SE 1542 SOIL VERIFICATION DUE
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL ( # )
TO PLAN REVISION
BOARD OF HEALTH AND THE DESIGN ENGINEER. WITNESS: DAVID STANTON R.S.-HEALTH AGENT
2 FL HOERSTATE ENVIRONMENTAL CODE,K AND MATERIALS SHALL TIT E V, AND ANYTO THE QAIPPMCABLE L ENTS Elev. TP- Depth Elev. TP-2 Depth Elev. TP-3 Depth
LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 51.5 A 0" 52.0 A 0" 51.0 A 0"
-310 CMR 15.405(1)(b):
1) A 3' variance to the 3' maximum cover requirement, for up to SANDY LOAM SANDY LOAM SANDY LOAM
6' of max. cover. S.A.S. shall be H-20 and vented. 10YR 4/2 1OYR 4/2 1OYR 4/2
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 50.3 14" 51.0 12" 50.0 12"
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH' AND THE S S B
DESIGN ENGINEER. SANDY LOAM SANDY LOAM SANDY LOAM
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 47.5 10YR 5/8 48" 47.5 C10YR 5/8 54" 46 8 C10YR 5/8 50"
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN C PERC
ENGINEER BEFORE CONSTRUCTION CONTINUES. 46"/64' 46"/64'
5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM (BARNSTABLE G.I.S.t). `
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF SANDY LOAM SANDY LOAM SANDY LOAM
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 2.5Y 6/4 2.5Y 6/4
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 2.5Y 6/4
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S.
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 41.5 120" 42.0 120" 37.0 156"
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE PERC RATE 2 MIN/IN. ("Cl" HORIZON, TP-1) NO GROUNDWATER OBSERVED
DIRECTED BY THE APPROVING AUTHORITIES. NO GROUNDWATER OBSERVED SOILS CONSISTENT WITH TP-1 & 2
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION. /EX�ST�NGI /
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS HOUSE(112198)
IN. THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY.
BARN o;
E0
DESIGN CRITERIA �4. •
1.7 4 °' rn
NUMBER OF BEDROOMS: 3 (PERMIT NO. 92-302)
SOIL TEXTURAL CLASS: CLASS II (LOADING RATE=0.60 GPD/SF) vi r
DESIGN PERCOLATION RATE: 2 MIN/IN 36e¢6• t�j
DAILY FLOW: 330 GPD • w Ito
DESIGN FLOW: 330 GPD r o��
GARBAGE GRINDER: NO-not allowed with design r r
LEACHING AREA REQUIRED: (330 GPD) = 550.0 SF S.A.S. LAYOUT '`12
.60 GPD/SF
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-20 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 3-500 GALLON LEACHING CHAMBERS IN SERIES 2198 MAIN STREET, WEST BARNSTABLE, MA
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES
Prepared for: Neils & Mary, Petiet, 2198 Main St., W. Barnstable, MA 02668
SIDEWALL AREA: 2(12.8'. + 335) X 2 = 185.2 SF
BOTTOM AREA: 12.8' x 33.5' = 428:8 SF Engineering by: SCALE DRAWN JOB. N0.
Engineering Works, Inc. N.T.S. P.T.M. 131-16
TOTAL AREA:.............................................................. 614.0 SF 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.60 GPD/SF(614.0 SF) = 368.4 GPD (508) 477-5313 4/27/16 P.T.M. 2 Of 2
I