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0018 BRIARCLIFF LANE - Health
A= 208-:i u" S M E A D No.2453LOR UPC 12534 smead.com • Made In USA �wT FIBFRUWNTWPROD=UNE OFMSRMROGRW REOUIRE+ANfS SO RCWEG WWWWROGCMILORG UNITED STATE IC ai • Sender: Please print your name, address, and ZIP+4 in this box• I I I Engineering Works, Inc. 12 West Crossfield Road I Forestdale, MA 02644 A COMPLETE • ■ Complete items 2,and 3.Also complete A Sig 71ure / item 4 if Restricted Delivery is desired. X .���� ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B.-Received by(P�'qted Name) C. Date of Delivery ■ Attach this card to the back of the maiipiece, A�/ 3I 1 or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: '-'^- If YES,ente4r-,delivery address below: ❑No, A ` 10 �f JAN 0 6 ZO � S3 Sq%, :tv%_v••. 3. Service Type Certifled Mail i❑Express Mail Vxo- S.4zys l�l� ` f (� ❑Registered El-Return Receipt for Merchandise /6 Z(o 4� ❑Insured Mail ❑C.O.D. 0 4. Restricted Delivery?(Extra Fee) ❑Yes r2.7Article Number, it j7QO8 183O('0pO,4 'S5S6; 66F02; („ sfer from serv/ce label) L PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ' UNITED STATE- . TPL �p�/I ::w '� •�••wzn�' �p, -. :; ,.:.,F s%4.* e, es P !� '.5z y .M' S�u'ks@:,'b T1;1}N& • Sender: Please print your name, address, and ZIP+4 in this box • Engineering Works, Inc. i 12 West Crossfield Road Forestdale, MA 02644 I I s '.i it astt ii{i1��e4 �lit�tllli s�i III 1111HIII iiI1111110111 11 it SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY. ■ Complete items 1,2,and 3.Also complete A— ` re item 4 if Restricted Delivery is desired. X [3 Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, /� _g , S or on the front if space permits. �P4 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No Prop ID:208I04 CONRAD,MICHAEL P SR& li GARRETT,BARBARA AI 6 BRIARCLIFF LANE CENTERVILLE,MA 02632 3. Service Type WCertifled Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number �(i a " � l� 4 (Transfer from service label) 7 O 0 8 18 3 0 bob 4 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES PO:STAL SERVICE F46tqa -'F m6& -eas Paid. Sender: Please print your name, addr6s's,'and 21"P44--iti't b is box Engineering Works, Inc. 12 West Crossfield Road Forestdale MA 02644 SENDER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3.Also complete 7Received �atureitem 4 if Restricted Delivery Is desired. ❑Agent I ■ Print your name and address on the reverse ❑Addressee I so that we can return the card to you. Printed Na 6DI � I t ■ Attach this card to the back of the mailpiece, [(j 1 or on the front if space permits. D. Is delivery address di event from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No I � I PERNA,AMANDA i 83 GREEN STREET 1 CHARLESTOWN,MA 02129 1 3. Service Type — — --— — - -- Certified Mail ❑Express Mail ' ❑Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number :: ,. ((transfer from servli { t t:t7007+ 2560' 0000 i895 5535 l t PS Form 3811,February 2004Domestic Return Receipt 102595-02-M-1540 UNITED STATE -OSTAL-. ERV. y. C1 • Sender: Please print your name, address, and ZIP+4 in this box• M I Engineering Works, Inc. 12 West Crossfield Road Forestdale, MA 02644 iil„�+,f,!}Ili,ofskl,ls,l��l�llfiEoe+,tlfififi►,f���lit�itfi,�l,! SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign re item 4 if Restricted Delivery is.desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Na e) C. ate of Delivery ■ Attach this card to the back of the mailpiece,or on the front if space permits. i`E _ _ im D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No --max.- ECHTELER,STEPHEN,TRS ECHTELER REALTY TRUST 110 SOUTH ROBERTS ROAD 3. Spice Type ROSEMONT,PA 19010 &Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ;,Ti F i; -- - j (Transfer from service/abed 7008 18 3 0 l 0 0 0 4 5 5'5 6 .6`6 2':6 Y J PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 l UNITED STATES POR 0? first Classes ........... • Sender: Please print your name, address, and ZIP+4 in this box • Engineering works, Inc. 12 West Crossfield Road Forestdale, MA 02644 40% fill,,I fill 1111111111 SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ,(//�, ❑Agent ■ Print your name and address on the reverse / f3 Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of elivery ■ Attach this card to the back of the mailpiece, _ or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Prop ID:208103 �V-AL-ARIOTI,-JOSEPH A&JENNYI 53 CENTRAL ST MARLBORO,MA 01752T 3. Service Type 14 Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. i 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number '7�`08 ` 00� '' " E 1`83� ' 04"5`55*6116LrI (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540,� UNITED STATE9.P Sr"tvE =r,_: 6 Y AAfi a.., aMnau"d`. • Sender: Please print your name, address, and ZIP+4 in this box • I I i Engineering Works, Inc. 12 West Crossfield Road Forestdale, MA 02644 �t,i li�!!!!!�l1l��Fili!tl!{!��31f!!�f!!!illifi�t4i!llliilll�!!!i:f COMPLETE •N COMPLETE THIS SECTIONON ■ Complete items-1,2,and 3.Also complete A item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery I ■ Attach this card to the back of the mailpiece, ��f1 ; i or on the front if space permits. D. Is delivery address different from Rem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Prop ID:208105 BOVI,ERNEST&DIANNA L 14 BRIARCLIFF LN CENTERVILLE,MA 02632 3. Service Type { 19 Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 117 0 0 81 fl 8 3 010�0 0 4115 5 5 6 f 6 619 (Transfer from service labeq PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 f' . ri`9f 4?Sw � UNITED STATES *6� L"9i ERy . rC � - ,� d�lS FX & ai I • Sender: Please print your name, address, and ZIP+4 in this box • I I � I � � I Engineering Works, Inc. 12 West Crossfield Road I Forestdale, MA 02644 i I. w=r'Q 111:!l:il1l till till I!IilI I III fill 111111i11MII fill 11 ill IAll .. r COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A• item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Recei Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, ,. or on the front if space permits. y ` r0 D 1. Article Addressed to: D. Is deb ery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No DAVIS,STEPHEN JAMES i 197 MAIN ST CENTERVILLE,MA 02632 �3. Service Type i Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Transfer from service Iabeo IJ ir 17008 1830 t 1DDD4 j5556,1 66331 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 f - 1 j DATE: 1 w/gw FEE: 6 REC. BY Town of Barnstable SCHSD. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862 4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: l g 1 a,�l t C l, Ce�1 e vi )Le r14 Assessor's Map and Parcel Number: J O G Size of Lot: 606 `" Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: 6 V S a J► S'+w d n �6 A Phone '6 8 - Z�'-9 6 1 Z, Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: A&�P- U�a c-(-o (`C3 _ Name: C--o v s a A S; �-1 o,r 6 1 Z W Gres s f, e l ZP4 Address: (D0 Address: 1�1a csa�vtis V\Z tks, KA 0 Z(. Phone: 5a-"!g�q� Phone: 56 2r° %-7 7—.31-3 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) C.`M(Z 1 j&!L10 5 ('Q NATURE OF WORK: House Addition ❑00000 House Renovation 0 Repair of Failed Septic System Checklist (to be completed by office staff person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form _r` - 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) ' Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewal's[same owne�Jessee 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 Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\N9Y64YM8\VARIREQ Oct2oo9.DOC Board of Health Abutter List for Map & Parcel(s): 9208106/ Direct abutters(no set distance) and the properties located across the street. Total Count: 7 Close Map&Parcel Owners Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 208102 PERNA,AMANDA 83 GREEN STREET CHARLESTOWN, 22821/76 MA 02129 208103 VALARIOTI,JOSEPH 53 CENTRAL ST MARLBORO, MA USA 5167/001 A&JENNY 01752 208104 CONRAD,MICHAEL GARRETT,BARBARA 6 BRIARCLIFF LANE CENTERVILLE, USA 10222104 P SR& A MA 02632 BOVI,ERNEST& CENTERVILLE, 208105 DIANNA t 14 BRIARCLIFF LN MA 02632 12101/326 208106 BARRARO,ADELE R 60 HARTFORD AVE MARSTONS 10985/050 MILLS,MA 02648 208107 ECHTELER, ECHTELER REALTY 110 SOUTH ROSEMONT, PA 21873/17 STEPHEN,TRS TRUST ROBERTS ROAD 19010 209002 DAVIS,STEPHEN 197 MAIN ST CENTERVILLE, USA 11253/220 JAMES MA 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 12/29/2009. http://66.203.95.236/arcims/appgeoapp/AbutterReport.aspx?type=BOH 12/29/2009 Town of Barnstable Geographic Information System December 30,2009 209114 #33 �209113 ;':..; 09110 209092 :„ 209087002 026 209111 2 #2 20047 036 #25 226 209112 0225 �093 #25209043 ter, a.. r. P 209046288 sr '- z r_ G q. 209044 iS #LOY e?yZ..+ 2(>8D4 2 054 #183 +r . ....... :::: a ft fr Y 208101 208055 #191 #22 �= �= 208099001 208096 4_z �3.,,'i?}:'':::::�J:�.��t::�`�.:�':i t}:''r::'.;.,`':.:r'`:.:'':i i�i�r'':?.tj'�i�:.::.'.�C:'�:i:`�r'r:-:%%:�'r':!;r:':::'•:'['r}:`<:'::�;�'�.�':.::':`'.:''`i rr'r:?.�•:.`�i�:�:�'•��::f f_.. 04, . #177 #167 t --- - - ':. 29 >S =z .A, 208058 #8 Q1 a 208097 r'....:. 20 N. ?k09,cr.;.::':':.:ii..' ..-::.,' 20810$':.:2:<.' :. '.;'. .$7'> :': `):': 20809900 -- .' -*-8;'' ii'.:.:.:'S: ';i'iir'J:i:i.:`:,`i.:':'.i:;i'i:':.;l i'. i:::':i:7.;4'.::•.::''.' '•'i':i'::7:.Gi'.' 9 1 #25 R i 4 'A 208148 a - 208048 159 r. #310 < 208113 F ?• 208095 #29 9- . ams ,mot.-f 153 gym.. `Fr,.tom•,:-a „na 208 099�3 yekg T+ �208112 #31 #17 °' 0 208098 #32 208114 #3 11 ref. 208089002 7 2DB111 208108 00 #33 F 042% 57 Fee ,i B O � 110 208109 2120 �088001 329 #43_ #57 o � DISCLAIMERS:This map is for planning purposes only. it is not adequate for legal Map:208 Parcel:106 Board of Health • boundary determination or regulatory Interpretation. Enlargements beyond a scale of Selected Parcel Abutter List Type-Direct abutters(no set distance)and the properties located f•=too'may not meet established map accuracy standards.The parcel lines on this map are only graphic representations of Assessor's tax parcels.They are not true property across the street. Abutters E boundaries and do not represent accurate relationships to physical features on the mapr,• such as building locations. Buffer "I'll/. f Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 TeVFax(508)477-5313 December 30, 2009 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 18 Briarcliff Lane, Centerville, MA, Title 5 Septic Upgrade Representation Authorization Dear Board members: I hereby authorize Peter McEntee PE to represent my interests for the subject project. Susan Simon —Owners POA E ng i nee ring Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 December 31, 2009 Re: 18 Briarcliff.Lane.,-Centerville, MA (Assessors Map 208, Parcel 106) Construction Title 5 Septic System Dear-Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5,and-Local Regulations have been submitted to the Barnstable Health Department for approval. The following variances are being requested: • 310 CMR 15.405(h)(i) &a)—CONTENTS OF LOCAL UPGRADE-APPROVAL 1. A 1' variance to the required 5' separation between maximum seasonal high groundwater elevation and bottom of the SIA.S., for a 4' separation. 2. A reduction to the requirement of-a-12" separation between inlet and outlet pipes servicing the septic tank/pump chamber and high groundwater. Watertight sleeves shall be pre-installed on septic tank/pump chamber inlet and outlet and clamped to pipes. LOCAL REGULATION, Chapter 360, Article 1 — Setback Requirements 1. An 18' variance, S.A.S. to wetland, for a 82' setback. 2. A 19' variance, septic tank to wetland, for an 81' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, January 12, 2010, at 3:00 p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA rely, v� Peter T. McEntee_P.E. Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 December 31, 2009 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 18 Briarcliff Lane., Centerville, MA (Assessors Map 208, Parcel 106) Construction Title 5 Septic System Dear members of the Board: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to-the Barnstable Health Department for approval. The following variances are being requested: • 310 CMR 15.405(h)(i) & 0)—CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 1' variance to the required 5' separation between maximum seasonal high groundwater elevation and bottom of-the S.A.S., for a 5' separation. 2. A reduction to the requirement of a 12" separation between inlet and outlet pipes servicing the septic tank/pump chamber and high groundwater. Watertight sleeves shall be pre-installed on septic tank/pump chamber inlet and outlet and clamped to pipes. • LOCAL REGULATION, Chapter 360, Article 1 — Setback Requirements 1. An 18' variance, S.A.S. to wetland, for a 82' setback. 2. A 19' variance, septic tank to wetland, for an 81' setback. Variance requests are being made due to site constraints. Sincerely, Peter T. McEntee P.E. ` Engineering Works, Inc. EXISTING FLOOR PLAN 12 W. Crossfield Road 18 Briarcliff Lane, Centerville, MA Forestdale, MA 02644 Job No. 214-09 D-ate: 12/31 /09 (508) 477-5313 Page 1 of 1 ENTR11 [-]I E0 BATH BED RM. 11 'x11 ' KIT./DIN.& HALL L1 V. R M. 20'x24' CL• SH UTfL. R BATH CL. HALL BED RM. EN TRI CL 11 'X 10' NOTE: SKETCH IS FOR SCHEMATIC PURPOSES ONLY — NOT TO SCALE 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 s DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner MODIFIED CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: CULTEC, Inc. P.O. Box 280 878 Federal Road Brookfield, CT 06804 Trade name of technology and model: CULTEC Chamber models: Field Drain Contactors C4; Contactor EZ-24, 100, and 125; and Recharger 180, 280, and 330XL(hereinafter the "System"). Schematic drawings of each model are attached and made a part of this Certification. Transmittal Number: W037676 Date of Issuance: December 17, 2003, revised April 18, 2006, revised July 24, 2006, July 19, 2007,November 2, 2007, August 29, 2008. Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: CULTEC, Inc., P.O. Box 280, 878 Federal Road, Brookfield, CT 06804 (hereinafter "the Company"), for General Use of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. August 29, 2008 Glenn Haas, Acting Assistant Commissioner Date Bureau of Resource Protection. This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. MassDEP on the World Wide Web: http://www.mass.gov/dep Za Printed on Recycled Paper CULTEC Modified Certification for General Use Page 2 of 7 I. Purpose 1. The purpose of this Certification is to allow use of the System in Massachusetts, on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority, or by DEP if DEP approval is required by 310 CMR 15.000. H. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1. Chamber Dimensions Dimensions Invert Model* W x L x H Height Inches Inches Field Drain Contactor C4 48 x 96 x 8.5 3 Contactor EZ-24 16 x 96 x 12.5 6 Contactor 100 36 x 90 x 12.5 6 Contactor 125 30 x 75 x 18 12 Recharger 180 36 x 76 x 20.5 14 Recharger 280 47 x 84 x26.5 20.5 Recharger 330XL 52 x 102 x 30.5 24 2. The System is an open-bottom leaching unit molded from high density, high molecular weight polyethylene (HDPE) with a 3.5 to 4.5 ounce non-woven geosynthetic filter fabric cover (CULTEC No. 410TM). It can be installed without aggregate or distribution pipe as an absorption trench in accordance with the requirements in 310 CMR 15.251 or as a bed or field in accordance with the requirements in 310 CMR 15.252. 3. The use of aggregate as specified in 3.10 CMR 15.247 is not necessary with the System when installed as a trench, bed or field. When designed with aggregate in accordance with 310 CMR 15.253, the System shall be designed in accordance with Section H item 10. * All models also include a Heavy Duty(HD) model for H2O loading. CULTEC Modified Certification for General Use Page 3 of 7 4. The minimum separation between any two trenches shall be as specified in 310 CMR 15.251. 5. The requirement that the Chamber installed in trench configuration as specified in 310 CMR 15.253(6) be provided with inlets at intervals not to exceed 20 feet is not applicable to the System. In accordance with 310 CMR 15.240 (13) a minimum of one inspection inlet shall be installed per system. The inlet shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. For new construction, the applicant can size the System in a trench configuration without aggregate, using the effective leaching areas presented in Table 2. No System shall be designed and constructed with a soil absorption system area of less than 400 square feet of effective area. Table 2. Effective Leaching Area for Trench Configuration for New Construction And Remedial Sites' Effective Effective Model Leaching Leaching Area Area SF/LF SF/LF Field Drain Contactor C4 NA 3.54 Contactor EZ-24. 3.9 NA Contactor 100 6.7 NA Contactor 125 7.5 NA Recharger 180 8.9 NA Recharger 280 NA 6.44 Recharger 330XL NA 74 1. Effective April 21, 2006, 310 CMR 15.251(1)(b)maximum trench width is 3 feet. 2. Effective leaching area is equal to 1.67 (bottom width+(2x invert height)) for Systems 3 feet or less in width. 3. Effective leaching area is equal to 1.00 (3 +(2x invert height)) for Systems with a width greater then 3 feet. 4. The maximum trench width allowed to calculate effective leaching area is 3 feet. 7. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Table 2 above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. CULTEC Modified Certification for General Use Page 4 of 7 8. In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR 15.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 3 No system shall be designed and constructed with a leaching area of less than 400 square feet of effective area. Table 3:. Effective Leaching Area for Bed or Field Configuration Effective Model Leaching' Area SF/LF Field Drain Contactor C4 6.7 Contactor EZ-24 2.2 Contactor 100 5.0 Contactor 125 4.2 Recharger 180 5.0 Recharger 280 6.5 Recharger 330 7.2 1. Effective Leaching area is equal to 1.67 times bottom width only. 9. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 3 above or additional reductions in soil absorption system area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 10. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or Chambers, shall have an aggregate base and/or be surrounded by aggregate and shall be sized as specified in 310 CMR 15.253 (1) (a) and (b), effective leaching area is equal to 1.0 times a conventional aggregate system. Effective depth can be increased up to two feet with the corresponding addition of up to 21 inches of base aggregate for the Field Drain Contactors, up to 18 inches with the Contactor 100, up to 12 inches for the Contactor 125, up to 8 inches with the Recharger 180, and up to 3.5 inches with the Recharger 280. No additional aggregate base is required for the Recharger 330. Bottom width can be increased by two to eight SF/LF with the corresponding addition of one to four feet of aggregate per side. CULTEC Modified Certification for General Use Page 5 of 7 11. When the System is installed as specified in 310 CMR 15.255: Construction in Fill, the finished 15 foot horizontal separation distance, item (2), shall be measured from the top of the chamber. III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed, and no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless allowed pursuant to 310 CMR 15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. For new construction, the owner initially shall size a soil absorption system in accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil adsorption system using aggregate, including a reserve area, can be installed on the site. The owner may than size the soil absorption system for the System. The total area required for the aggregate system, which may include the area designated for the System, and a reserve area shall be preserved and the owner shall ensure that no permanent structures or other structures are constructed on that area and that the area is not disturbed in any manner that will render it unusable for future installation of a conventional Title 5 soil absorption system. 3. The owner of the System shall at all times properly operate and maintain the on- site sewage disposal system. CULTEC Modified Certification for General Use Page 6 of 7 4. The owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. 5. No owner shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. V. Conditions Applicable to the Company 1. By January 31st of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner, or Company owner that contains information on the System for the previous calendar year. The report shall state known failures, malfunctions, and corrective actions taken for the System as well as the date and address of each event. 2. The Company shall notify the Department's Director of Watershed Permitting at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification, applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System, with a copy of this Certification. 5. The Company shall prepare and provide the Department with an installation manual specifically detailing procedures for installation of its System. The Company shall institute and maintain a training program in the proper installation of its System in accordance with the manual and provide a training course at least annually for prospective installers. The Company shall certify that installers have passed the Company's training qualifications, maintain a list of certified installers, submit a copy to the Department, and update the list annually. Updated lists shall be forwarded to the Department. 6. The Company shall not sell the System to installers unless they are trained to install these Systems by the Company. CULTEC Modified Certification for General Use Page 7 of 7 VI. Conditions Applicable to Installers of the System 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. . 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. VII. Reporting I. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 VIH. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or.failure to disclose fully all relevant facts or any change in or discovery. of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. r TOWN OF BARNSTABLE LOCATION SEWAGE# 07'14 VI-LAGE CZWOICJ1944 0 ASSESSOR'S MAP&PARCEL* - /06 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: e �, ii (typ ) '�Yc •' vn size) • NO.OF BEDROOMS S .d�— j�j p�L14 OWNER 5"W16,1611. AtTy. PERMIT DATE: a7/Q COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private-Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY � A- i � 3 -i 36( �. 4 `a" ` 7' Ye� b i tic-IV)i i 7v �' Gov w� No. I) O p / w Fee a!3 � THE COMMONWEALTH OF MA ACHUSETTS Entered in computer: �Vb PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Bisposal 6pstent Construction 3pertnit Application for a Permit to Construct( ) Repair(grade( ) Abandon( ) Complete System [IIndividual Components Location Address or Lot No. /��cL I�F I� Owner's Name,Address,and Tel.No.('F&jj�U I Lt F �- C"�j�)Zvi(_�� 4-- Assessor's Map/Parcel' Installer's Name,Address,and Tel.No. ,;- - q 3 -;006 Designer's Name,Address,and Tel.No. F �� C Type of Building: Dwelling No.of Bedrooms """` Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria4_.�.— Other Fixtures Design Flow(min.req ired) a dZ gpd Design flow provided gpd Plan Date_ � 3 Number of sheets 3 Revision Date l D Title Size of Septic Tank ,s IC PUPP Type of S.A.S. — f Description of Soil Nature of Repairs or Alterations(Answer when applicable) / s' /�L L 04) , rP,�71C TO PA? C14AjA'9EZ COM,%, - 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 d not to place the system in operation until a Certificate of Compliance has been issued by this Board o a Si d Date Application Approved by 4V, go Date v U Application Disapproved by Date for the following reasons Permit No. a0j u 6 7 Y Date Issued 3 �3 / No. 010 i :,/-: ss / t� Fee 06 , THE COMMONWEALTH OF MA ACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ` 2tlfication for Di-slow; ;pstrm Construction Permit Application for,a Permit to Construct( ) Repair Upgrade( ) Abandon( ) •'Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. �z.v l�cf VO4 � A sessor s ap/Parcel' T L Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. C Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder{�� Other Type of Building No.of Persons Showers( ) Cafeteria_L_,L Other Fixtures Design Flow(min.required) a gpd Design flow provided S gpd Plan , Date - J Number of sheets Revision Date D Title ol Size of Septic Tank (//h+ Type of S.A.S. Description of Soil C f Nature of Repairs or Alterations(Answer when applicable) l L L O Mn c (o \J i% 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 not to place the system in operation until a Certificate of • 'Y Compliance has been issued by this Board of Zh_ Si u d W1 Date Application Approved b 461d Date 612 / Application Disapproved by Date for the following reasons d Permit No. O_�t��17 U / Date Issued € - - - = THE - COMMONWEALTH OF MASSACHUSETTS r ,BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�O Upgraded( ) Abandoned( )by // at / Qr, r E 1 cc o 1/1P has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. jti o -07 dated ? o Installer n Designer #bedrooms —d& rvlri c& Approved des(i`gn flo grid.The issuance thi permit shall not be construed as a guarantee that the system will fun ti+ as desig ed. c Date 2 v� Inspector d No. - 0 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposal ,pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at I 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 m st be completed within three years of the date of this pe t. c Date 'a T,, Approved by / G i Stanton, David From: Stanton, David Sent: Thursday, March 18, 2010 10:14 AM To: McKean, Thomas Subject: 18 Briar cliff Tom, I have a set of plans I'm waiting to sign off on for 18 Briar Cliff, Centerville. The staff comments were"IW, not 5'to High h20?" In the past, the Board always required IW or 5' separation. This plan did not propose IW, but it appears the Board approved it (looking a copy of the minutes.)for only 4'separation to h20. I just want to confirm this change in policy by the Board before I sign off on the permit with "Approved by the Board", especially with the fact that the abutting neighbor that put in their septic in the same area a year ago had to have the 5'of separation because they did not want to do an IAA. So it will be a tall mound next to a short mound. Thanks, Q ' -f ff j f J, Dave n p y �v 0 C,� wn� la `Ov� t'5 44� nt f YP T N or/\t.C4- C o nn �� z 1 1�PCGM ,IXa��/u�l �U f S hit 7�d Y fuud 7 p,,r c Gtc.k UOS hv�Corec� 3 /0( m /S Oal(a) 3 (0c 2 rS. 2sS� X 2 (dt5 4 {Na �oc2�uf Pal j h)a i III. Variance — Septic (New): GRANTED A. Peter McEntee, Engineering Works, representing Adele WITH Barraro, owner— 18 Briarcliff Lane, Centerville, CONDITIONS Map/Parcel 208-106, 0.35 acre lot, failed septic system, requesting four variances. L The Board voted to approve the variances with the following conditions: -1)� ' correct the spelling error on 2-1 to "separation", 2) correct'the-buoyancy` calculation (using 6'5" not 6'6"), 3) provide the 7-page checklist and 4) record a�2-13edroom Deed Restriction providing-the Public Health Division with the , proper copy. The approval will be dependent on the staff's review of the checklist. GRANTED B. Peter McEntee, Engineering Works, representing Keith and WITH Susan Francis, owners — 249 Holly Point Road, Centerville, CONDITIONS Map/Parcel 232-070, 0.40 acre lot, failed septic system, requesting three variances. The Board voted to approve with the following condition: 1) supply the 7- page checklist, and 2) correct the wording on item #12 using "designer". The approval will be dependent on the staff's review of the checklist, and 3) record a three-bedroom Deed Restriction and supply the Public Health Division with the proper copy. IV. Variance — Food (Cont.): CONTINUED A. Louis Capolino, Caffe "E" Dolci — 430 Main Street, WITH Hyannis, grease trap variance previously granted, addition TEMPORARY to menu (continued from December 2009 meeting) APPROVAL The Board voted to approve the expanded menu temporarily until a period of when the Big Dipper representative can appear before the Board with the following conditions: 1) continue with the grease log, 2) health inspections will continue every two weeks, 3) not to use the refrigerator as storage until further discussion, ( 4) the trap must be installed'in the sink drain), and the 5) discussion will continue in approximately 2 month_ s once the Big Dipper Representative is available. V. Variance — Food (New): GRANTED Patience Taylor representing Marstons Mills Farmer's Market, WITH requesting a temporary food permit at Liberty Hall, 2150 Main CONDITIONS Street, Marstons Mills, multiple dates. Cyndi Jacobs and Patience Taylor presented their request for a Farmer's Market which would include vegetable, baked goods, produce (salad greens Page 2 of 2 BOH 1/12/10 r } GRANTED A. Peter McEntee, Engineering Works, representing Adele WITH Barraro, owner— 18 Briarcliff Lane, Centerville, CONDITIONS Map/Parcel 208-106, 0.35 acre lot, failed septic system, requesting four variances. v� Xxxxxx Peter McEntee summarized the proposed plan noting the request includes a 4foot var. separation on 1st variance. (Letter = type error of 5 but plan shows 4) Mr. McKean mentioned the checklist was not submitted. Under the general notes on plan, #12 should be corrected to "designer", and 12 x 6.6 on third o page would be corrected to 12x6.5. Health inspector suggested a 2- bedroom deed restriction. Dr. Miller mentioned that this is an extraordinary improvement to the current \J system. With this plan, there will now be a three foot mount. Upo� a u motion_dl_y_made--b_y_Dr_.Cann.iff,_seconded_by M.r_.-Sa-waya nag i,�the. Board v to ed to_approve the variancesTwith-th-e-following-conditions:-1) correct the-spelling-error-on 2 1=to-:`separation:„2)_cor_r_ecfth_e_bouyance-, ' :63-; ehLlstd )-recordalcu.lation-(using6.5=not 6 );. ) t - k 4 Ca_2-Bed room-Deed-Restriction providing the-Public Health-Division-with the proper-copy:"The approval will`Ue dependent-on-the-staff--s-review-of the checklist. (Unanimously;voted-in-fa-v`or.),..� GRANTED B. Peter McEntee, Engineering Works, representing Keith and WITH Susan Francis, owners — 249 Holly Point Road, Centerville, CONDITIONS Map/Parcel 232-070, 0.40 acre lot, failed septic system, requesting three variances. )) Sy, V— I Z) Skkr 3 Peter McEntee summarized the suggested plan. 3) 1-2- Dr. Miller mentioned the plan is a marked improvement of the current system. The Board prefers to keep the 100 ft variance from wetlands and approve the variance of setback to the side property line. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to approve with the following condition: 1) supply the 7-page checklist, and 2) correct the wording on item #12 using "designer". The approval will be dependent on the staff's review of the checklist, and 3) record a three-bedroom Deed Restriction and supply the Public Health Division with the proper copy. (Unanimously, voted in favor.) . IV. Variance — Food (Cont.): Page 2 of 2 BOH 1/12/10 r o , CITY/TOWN: 9oe'✓ &t-"',6�-�- AP DESIGN F OW.: 3 o gpd REVIER'EI BY: �� f - 1-e� ' DATE Legal boundaries denoted 310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220 4 'u Locus Provided 310 CMR 15.2204(t)] Plan proper scale? (1"=40'for plot plans, 1"= 20' or fewer for ✓ components) 310 CMR 15.220 4 Easements shown 13.10 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for ✓ upgrades]- if not, a variance is required 310 CMR 15.412 4 Location of impervious surfaces (driveways, parking areas etc.) 310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c Location and dimensions of system components and reserve areas. ✓, 310 CMR 15.220(4)(e)] System Calculations 310 CMR 15.220 4 daily flow s c tank capacity(required andprovided) soil abso tiQn s stem(required and provided) whether system designed for arba e grinder North arrow 310 CMR 15.220 4 Existing and o osed contours 310 CMR 15.220(4)(g)) ✓ Location and lob of deep observation holes (existing grade el. on each test) [310 CNM IS.220 4 h Names of soil evaluator and BOH representative [310 CMR 15.220 4 h and Q1 Location and dale of percolation tests (performed at proper elevation?) [310 CMR 15.220 4 i Percolation test results match load' rate? 310 CMR 15.242 Certification statement by Soil Evaluator 310 CMR 15.220 4 Observed and Adjusted groundwater (method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR ✓ 15.22 4 n Address of 9 I N/A O Location of every water supply, public and private,. 1310 OvM within 400 feet of the proposed system location in the case Of surface:wateru des aid vel , : he waterau l: within 250 feet of the ro osed s:stem location in the ease within 150 feet of the proposed system location in the case of : 'vate water weR. Locator of all surface waters and wetlands located up to 100 ft. be, 1����d�310 CMIt 15211 and�ycatch.�basins_e meter hnes apd of er subsurface ut�litcs locafexl [3�'0-G�N.[I2 � ,; 15 220:4 water line cross.see 3 iO`C 1°5.211 ProfYle of invert elevations.of all..system c oe3and, tto of the SAS 310,C> l.S Stahl of,de. : err 3 p CMR 15.220 1' and 3l0 CMR 15,220(2) Starxrp ofRegistered=Land Su veyor(required if construction ats.witi A. of ki 1�z�e; ...3101 15 22,0 Test Holes adequate(two in each of the primw and reserve unlessstr riches as ped"iri:310 erm E1 15,102,(.0r;as a ,rowed for an u e under LUA at:310-C1vIR`I5 4'05 '1 k Test-hole ad }uate-to demonstrate four feet of suita. le material? 310 C1V1R 15.1 4 Test doles #ate to.confirm adequate groundwater separation? A C'MA $ dark #k l 50}75' of_s stem 3,1.0 CNIl 15.,22 4 laters spi�olfications.not jvarious sections of 310 CIVIR j' Syste�ra.compon�nts not> 36" sleep (unless Local Upgrade A loyal ar..L>UA fe: nested 310 CMR 15.,405 1. Add eis @U*t'2 of 0 N/A QK 1Y0. Size OK? 310 CAM 15.223 1 Inlet tee located-ten inches below flow line 310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227(6)1. Outlet tee with gag baffle or approved fdteT 310 CMR 15.227(4)] Note regarding irsallation on stable compacted-ban [310 CNIlZ 15.228 1 Separation between inlet and outlet tees (no less than liquid depth) 310 CNM 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater ✓, (except as described 31-0 CMR 15.227(5)) or permitted for upgrades under LUA 310 CMR 15.405 1 k. Minimum cover (Tanks buried:more.than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 ✓ CMR 15.232 3 Three access coyers (inlet and outlet must be 20" or greater) - middle access at least 8" 7/07 310 CMR 15.228(2)] Access to within'6 " of grade - one port for systems<1000gpd, two for ste1.000 d. 310 CMR 15.2 2 All at-gradeovers'secured to unauthonzed access? [310`CMIt 15.228M] v > i 0 `from foundation 310 CMR 15.21.1 1 Buo an calculation Re uired/Dvne 310 C �15 221 8 H.!20 Where,a -ro riate? 310 CMR 15.226 3 Setbacks jin.T9.8 UTIWs 3 l0 CNM 15.2l 1 Required when gther than single-family dwelling or flow>1000 d 310 CMR 15.223 1 First compartment 200% daily flow; Second compartment 100% Al daily flow P10 CMR.15..22 2. and .3 . "U".pipe;through or over baffle, outlet of each compartment with as baffle or a oved filter 310 CMR 15.224 4 ` �3:Of9 N/A OK NO Located`at least ten feet.from anY water line? [310 CMR 15:222 .2. Disposal piping it least 18" below water line(when water and sewer cross see 3.10 CMR 15.211 1 1 cwritiutslrmtired/ ravided ? f 310 CMR 15.222 8 Thrust blocl s sp Jn force mains? 3-1-O C-9R 15.221 b` c Slop0 of seW&iihe not less than 0.01 (1/8"/$) 0.02 preferable 340 CMR 15.2 . 6 . , Proper pitch'on all runs? (005 within gravity-distributed trenches and beds) [310 CMR 15.251 9 and 310. CMR,I5.252 2 c Si hon ,robiem/_ eacield below pumpchamber Endca sv.o�,�+et ritatiildspecied� Size and orientation of discharge holes.specified?.(not snuger than . 3/8" not larger than 518") [310 CMR 15.251(8) and 310 CMR 15.252 2' "' Materials spjcdfd (310 CMR 15.251(5) specifies various pipe / es allowed Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(4)] Splash'plate..or b, ffie tee required on inlet/provided? (when pressure sewer to d-box or,steep pitch of gravity sewer) [310 CMR 15.323(3)(a Riser il'::dee er thau 9".. 3..10:CMR 15:232 3 Inside hliumuit ension 12 3:10 CMR 15.232 2 Minimum 310 CMR 15.23 2 3 e Watertight cover if<2000gpd); waterproof manhole if>2000gpd J 310 CMR 15.23 2 3 d Cpac�ty( ove wo�cy. saga flan gdesigttw)? [310 t M: Pro er setbacks. 310 CMR 15.211 same ass tic ta� Watertight.20-in mWum access manhole at least 20" MUST BE Tb;GRADE 31.0 CMR 15.23.1. 5 Service contpories accessible (not too deep with piping, L/ disconnects accessible Alarm floats- alarm on circuit agate from s eefied? Exceeds two upi"must have two pumps operating in lead-lag Triode 31:0 CM1�1.5;231; 5 and 8 Stable Cod.Base f310 CMR.15.2212 . . r Sheet'4'of 9 Address J Buq- us needed ?Provided? 310 O 15.221 8 21, 4 In" # rr ' JIT N/A OK NO Calculations-corroct?. 4 feet of naturally occurring material demonstrated? [310 CMR 15.24 1 Required separation togroundwater? 310 CMR 15.212 e ate s dfied as double washed 310 0A 15.247(2)] ✓' System Venting rsq»edlprovided?.(system under driveway-or >36 d 310 CMR 15.24l Inspection parts specified and within 3"final grade? [310 CMR 15.240 13 Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and +� Guidance Document] Chambers and Gal. in trench configuration supplied with inlet every 20 ft. 310 CMR 15.253 6 Each structure vNith one inspection manhole(if>2000 gpd must be /V tograde) 310 CMR 15.253 2 Aggregate 1' minim m- 4' maximum: 310 CMR 15.253 l 2' sidewall credit maximum 310 CNM 15.253 1 a In bed configuration, inlet every 40 sq. ft. r310 CMR 15.253 6 11 Width 2'minimum 3' maximum 310 CMR 15.251 1 b 100 feet - maximum len h 310 CNM 15.251 1 a Minimum separation 2x effective depth or width whichever greater 3x if reserve between trenches 310 CMR 251 1 d / Situated along cpntours 310 CMR 15.251 2 Breakout OK? J 10 CMR 15.211 1)[41 and Guidance Document tribution ncurumurri 2 dis lines "310 CMR 15.252, 2 .a ✓' se i}ran between lines 6' 310 CM'1Z15.252 2 .d Ma�nmun separation between lines and outside of bed 4' [310 Y Chr1R 15:252-2 Aggregate depth below discharge pipes 6" minimum, 12" maxitk�urn 310 CMR 15,252 2 S ' tfon betv+e beds l0' minimum. 310 CM1Z l 5.252 2 �/ Bottom area u in.calculations only 310 CMR 15,25 2 i 5 :6,of 9 J' Pressure Dosed System ? Provided pump and piping calculations v as required 310 CMR 1 5.220 4 r Pressure dosing fequired on all systems >2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use ovals If used in gravellyss system -make sure jet is directed as not to scour soil interfacce. Guidance Document Inspections once Per year(systems<2000 gpd)or quarterly >2000 dgood to note on plan 310 CMR 15.254 2 d CvnstucOon n hill -Did the plan specify that the fill shall meet the specification 310 CMR 15.255 3 ? Impery barrier and/or wall ? Guidance Document Impervious .barrier ft staWion mum be supervised by designer f 310 CMR 15.255 2 Retaining wall must be designed by Registered Professional f En ' eer Q10 C 15.255 2 a Side slope not exceed 3:1 ? 1310 CMR 15.25 5 2 Breakout requirements met? [310 CMR 15.252(2)and Guidance Document At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended 10 CMR 15.255 2 e Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge ✓ to scour soil interface Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet an DEP Approval Conditions? 77 Is there a rote on the plan regarding the requirement for f/� perpetual1 Ton�ance_agreement? An alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? � Has_ '.• .:_submitted a W of a mince Bement? Are the variances listed on the plan ? [310 CMR 15,220 4 RLS Staan •necessary On plan if a component is within five feet of ro a 310 CMR 15.412 4 Adtss rv. : I .. .. ' NE NO x 2 A 3 � v Y..• _: Address - sawSof9.: . u z- N/A 4Ii NU. Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and � 310 CMR 15.210 - also refer to Policy regarding upgrades of such existin systems] Is the system proposed on the same lot as served by private well ? c/ 310 CMR 15.21 2 Are the nitrogen:loads proposed in compliance? [310 CMR �111 IBM , 15.21 1 Pumping to septic tank ? 310 CMR 15.229 Shared System 1-0 CMR 15.290 i i I Address Sheet 9.of 9. • ,ST` B k 24418 P 0 321 012421 03-15-2010 & { DEED RESTRICTION WHEREAS, Adele R. Barraro of 18 Briarcliff Lane located in Centerville, MA, is the owner of 18 Briarcliff Lane, and being described in Exhibit "A"of Deed Book 10985, Page 50, recorded at the Barnstable County Registry of Deeds. WHEREAS, Adele R. Barraro as owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition of obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a Disposal Works Construction Permit for a septic system in compliance with 310 CMR 15.000, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on said lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW THEREFORE, Adele R. Barraro do hereby place the following,restriction on their above referenced land in accordance with their agreement with the Town of Barnstable Board of Health which restriction shall run with the land and be binding upon all successors in title: 1. 18 Briarcliff Lane may have constructed upon it a house containing no more than two (2) bedrooms. Adele R. Barraro agrees that this shall be a permanent deed restriction affecting the dwelling located at 18 Briarcliff Lane, Centerville, MA and being described in Exhibit"A" of Deed, Book 10985, Page 50. Page 1 1 r :} Bk 24418 Pg 322 #12421 For title, of see deed recorded in the Barnstable County registry of Deeds Book 10984, Page 336. Executed as a sealed instrument this l3�4 day of. , 2010. Owner's and/or Power of Attorneys signature COMMONWEALTH OF MASSACHUSETTS , ss Date 2 , 2010 Then personally appeared the above named Su s �,")sJ known to me to be the person/s who executed the following instrument and acknowledged the same to be their free act and deed, before me. w tary iblic .� s� My commission ecesnn o 'wry Public WIV8 8,2012 .•�t�"' y.- �y r,iss6en..xp, s CiUiTii6?L.S14:?:'n' I.QClIUC�a3 r Page 2 BARNSTABLE REGISTRY OF DEEDS 2 i Town n of Barnstable Regulatory Services Thomas F. Geller,Director • Public Health Division •��',�� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit# 07 Assessor's Map/Parcel �2_Ct-y— LC9 eo Installer&DesiL7ner Certification Form 1VoC �'l 3 �- ;(CJ� �/9 Designer: ����n��S�YW , ��� • Installer: � Address: n- W• CM s s�-c.k c l � aT"Address: 5 317 -1 MIA On P,20MtS 1•--ACOVVQOW`vV issued a permit to install a (date) (installer) t '4 septic system at 6 /���f'�-`� Uk�- based on a design drawn by (address) �.}-Vr )) M C En t`e e Z' f dated 11111,i 0 A 1`"'� 1 3 I l e (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. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' 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. Stripout(if required) was inspected and the soils were found sati ctory. OF 44 40 0 9�ti PETER T. (Installer's Signature) o M c E N T E E CIVIL -0 9 No.35109 Q (Designer's Signature) (Affix De PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISI N. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UN BOTH S FORM AS- TIL. BUILT ARD ARE RECEIVED-By BARNSTABLE PUBLIC HEALTH DTVI5ION. THANKYOU. gAoffice formAdesipercer ification form.doc Town of,Barnstable r# 2 Departinent of Regulatory Services r Public Health:Division Hate a ?_(e M a 200 Main Street,Hyannis MA 02601 ii Date Schedtiled l Time Fee Pd. ` o U.C� Soil Suitability Assessment for Sewage disposal Performed By: Q�-2l - Witnessed By: n' 70" LOCATION&GENERAL INFORMATIO Location Address 111 �r C k Owner's Name 1 ci v' rA 0 �f►�l�-Q�J .`� Address NT r)3<�-a re 1`- Lvi Assessor's Map/Parcel: IO Engineer's Name { �_.,NE�4�Oraitirrr a• _ �,_r� aF s f°4- ,, _ e;r.;uc• 'v'"� Telephone# �^0-�—�'3? �-1 6. � I Land Use /2e,5 10�it.I 9, 1 Slopes(4) 2 _ Surface Stones !�O✓� Distances from: Open Water Body 0l—ft Possible Wet Area �Q !— ft Drinking Water Well Drainage Way ft Property Line GCS C �l— ft Other. . ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands?n proximity to holes) i i 1I�s 0- h Parent material(geologic) C.f Qr,"4 0-'a wEs Depth to Bedrock, 4 y Wee to from Pit Pnce JrC�`j --t Depth to Groundwater. Standing Water in Hole: p' g Y n c;A;,e ,r Estimated Seasonal High Groundwater _�Z Ma fi/ T�': '�y Z d { n �? rrt DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in, Depth to soil tnottles: In Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. i .j Index.Well# Reading Date: Index Well level -.,, Adj,tketor—g Adj.droutitlwater Level ,,,e PERCOLATION TEST )Hate Time�. Observation Hole# Time at 9" ' Depth-of-Perc Z1 t Time at 6" Start Pre-soak Time® ,a, Z! 'Time(911•6") End Pre-soak f 3 6 Rate MinJInch, 2' J Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTI0PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders: Consist v — fZ A Si_ (CS 12`l(z 13 24-30 . C, ivt' 54"� L o DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. v o i L5 to 3�y -9Lj o Z �,-M SDI l.oy �/� �� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. '£^ F166d Insurance Rate May:, Above 500'yearflood boundary No_ Yes Within 500 year boundary No Yes _. Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all.areas observed throughout the area proposed for the soil absorption system? �, If:n'04 what is the depth of naturally occurring pervious material? Certification I certify that on l t`ttO (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 training,expertise and experience described in 310 CMR 15.017. ' Signature /. �jC� �� Date Q S,EPTIWERCFORM.DOC L ,per s. \ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . DEPARTMENT OF ENVIRONMENTAL PROTECTION Y/ J • TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A " CERTIFICATION Property Address: ICJ �t�t - CA LAI)) Owner's Name: IC-r 0-A-0 S 1 rnt� Owner's Address: Date of Inspection: C Name of inspector.(please print) 5 QC3.�1 �Te �S- -- `= Company Name: William E. Robinson Septic Service W Mailing Address: P O Box 1 089 Centerville, 14A � Telephone Number: t S081 775-8776- co to r~ CERTIFICATION STATEMENT u'' Y't 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 15340 of Title 5(310 CAR I5.000). The system: Passes Conditionally Passes eels Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: 91-pi�aoo, The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Heaith•or DEP)within 30 days of completing this inspection_If the system is a shared system or has a design flow of I0,000 gpd or grcater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies--sent to the buyer,if applicable,and the approving authority. Notes and Comments St:pftc 5- Sk-r'- �. -4. 5 ! S ♦.!*This report only describes conditions at the time of inspection and under the conditions of use at that tithe_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 6/15R000 page I Page 2 of I 1 31 S OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued). Property Address:—S—��i+_j('1Cj V— C�'k'4 � Owner. ta' i"Ir(3✓5-� M�,1 Date of inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all oFSection D A. System Passes: /y J I have not found any informati n which indicates that any of the failure criteria described in 310 CMR 1 S_303 or in 310 CMR 15.304 exist_Any failure criteria not evaluated are indicated below. Comments: B- System Conditionally Passes: One or more system components as described in the"Conditional Pass"s replaced or ection need to be repla repaired_The system,upon completion of the replacement or repair,as approved by the Board of reply,will pass, Answer yes,no or not determined(Y,N,ND)in the for the following statements_If Mat deiermin explain. ar please The septic tank is metal and over 20 years old*or the septic tank unsound,exhibits substantial in (whether meta(or not)is structurally infiltration or cxfiitration 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 t Health •A meta(septic tank will pass inspection if it is structurally sound,not leaking and ifa Certificate of Compliance indicating that the tank is less than 20 years old is available_ ND explain_ Observation of sewage backup et bra out or high static water level in the distribution box due turbroken or approval f Bogard of Health}or due toa broken,settled or uneven distribution box.System will pass inspection if(witlt broken pipe(s).are replaced obstruction is remVed distribution box is leveled or replaced ND explain: The system required Pumping more than 4 times a year due to obstzzcted pq�(s)_The system will pass inspection if(with approval of the 8vard of Healht): broken pipe(s)are replaced obstruction is xcmovod ND explain. i Page 3 of 11 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Q f- C1 Owner- Date of Inspection: C. Further Evaluation is Required by the Board of Health: - /1 Conditions exist which require further evaluation by the Board of eaith in order to determine if the system is failing to protect public health,safety or the environment 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and-the environment: _ Cesspool or privy is within 50 feet of a surface water ' _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. — 'lbe system has a septic tank and SAS and the SAS is within a Zone t of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more frotA 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. 3 k Page 4 of i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: ten kQ4 �V�Ltd Owner: _725 Date of Inspection: s D. System Failure Criteria applicable to all systems: You must indicate`)es"or"no"to each of the following for all inspections: Yes No _ Backup of.sewage'into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool N Static liquid level in the distribution box above-outlet invert due to an overloaded or clogged SAS or cesspool _A4 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 of times pumped Any portion of the SAS.cesspool or privy is below high groundwater elevation. 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 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 50 f ct from,a private wAWr supply well with no acceptable water quality analysis.(This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free-from pollution from that facility and the presence Ora mmonia 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.) (Yes/No)The system fails.I have determined that one or more ofthe 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 sys&cmth system must serve a faci!ity with a design now of 10,000 gpd to 15,000 gpd- You must indicate either"ycs"or"no"to each of the following: (nic following criteria apply to! e systems in addition to the criteria above) r yes no - - _ the system is within 4 0 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 li of a public water supply well If you have answered"yes"to any question in Section E flu: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 o«-ner should contact the appropriate regional office of the Department. 4 Page S of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B �a CHECKLIST Property Address: Owner. ��0. Date of Inspection: � ti Check if the followung have been done.You must indicate`yes"or"no"as to each of the following: Yes No �_ Pumping information was provided by the owner.occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in-the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection?_ ✓/___ Were as built plans of the system obtained and examined?(if they were not-available note as NIA) Was the facility or dwelling inspected for signs of sewage back up _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? _ J 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 Soi!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 15.302(3)(b)] 5 r Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: CSC LAP60-Vo I Date of Inspection: x)e 1 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):. cal Number of bedrooms(actual): oZ - DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#i of bedrooms):C19to &P Number of current residents: I Does residence have a garbage grinder(yes br no): Is laundry on a separate sewage system(yes or no): — (if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use:(yes or no):— - Water meter readings,if avail ble(last 2 years usage(gpd)): C L4,000 Sump pump(yes or no}: &00 7_ '-i� 000 Last datee of occupancy: G✓rrwi COMMERCIAIANDUSTRIAL Type of establishment: Al A 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 inspection(yes or no):No If yes,volume pumped: —gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM V Septic tank, ex,soil absorption system _Single cesspool Overflow cesspool —Privy —Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) - -Tight tank Attach a copy of the DEP approval —Other(describe): Approximate age of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):•A/)3 6 I Vagc 7 of I 1 OFFICIAL INSPECTION FORA'[—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEN1 INSPECTION FORN•i PART C SYSTEM INFORMATION(continued) Property Address: (i 13v w- Cat F�- 1t- O—\ Vi.1 .. Owner: Date of Inspecilon: BUILDING SEWER(locate on site plait) Depth below grade: 1� Materials of construction:_cast iron _40 PVC_other(explaut): Distance from private water supply,cell or suction lure: Comments(on condition of juutts,venting,evidence of leakage,etc.): SEPTIC TANK: ✓(locate on site plait) Dcpth below grade: � Matcrial of construction: (/cvncrctc metal fiberglass_polyethylene _othcr(explain) If tank is metal list age:_ is age conta-tttcd-by a Certificate o(Contpliance(ycs or uo):_(attach a copy of certificate) Dimensions: Sludge dcpdc Distance from top of sludge to botiont of outlet tee or bathe: Scum►hickncss: Distance from top of scum to top of outlet tee or baffle: Distance Goat bottom of seu►n to bouont of outlet tee or baffle: I low were dimensions determined: Comments(on pumping reeontmcttdations,inlet and outlet tee or baRic condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): r K —o --&4- e-A A!9c hueax a„1- r,r It j- l -Ve-,tt 4- rePi4cr GREASE TPLAP: —6catc on site plan) Depth below grade:_ Matcrial of construct ion: concrete rectal_fiberglass_--Jtolyetityiene__other (explain): Dimensions: Scum thickness: Distance Gout top of scum to top of outlet(cc or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Conunents(on pumping recommendations,inlet and outlet lee or bafllc eonditioa,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 8ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORNI PART C SYSTEM INFORNIATION(continued) ierty Address: ) CA t ter• 17C�.,`!`�0.o O •t rf'1 ttjn of Inspection: 11T or HOLDING TANK:� nk roust be pumped at time of inspection)(locate on site plan) th below grade: erial of construction: concrete metal fiberglass_polyedtylene oQter(explaut): icnsions: acily: gallons ign Flow: gallons/day rnt present(yes or no): rut level: Alarm in working order(yes or no):— c of Iasi pumping: runcnts(condition of alann and float switches,ctc•): STRIUUTION BOX: resent must be o��p I is ncd)(locatc on site plan) pill of liquid level above outlet invert: nunenis(note if box is level and distribution to outlets equal,any evidence of solids carryovcr,any evidence of ka5c into or out of box,ctc.): 1111P CIIA61BER: (6) ate on site plan) nips in working order(yes or no): amis in working order(yes or no): munents(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9ofll OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1 r6 -gib io-'r( C—) e'c' s1 V l�tC_ Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type aching pits,number._ leaching chambers,number. >1 r—U--a J4n leaching galleries,number leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: inn ovative/altemative system Type/name of technology. Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): A-o CESSPOOLS: �Iccsspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of-solids layer Depth of scum layer. Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): PRIVY: 4(dcatc 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 • 1 Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C' SYSTEM INFORMATION(continued) Property Address:l� _ ��2.tt`•1 11e- 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. G ctl iUAe t OL = �' r� -3 _ C - 3=' 3 ` 10 Page 1.1 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address ` - - �,-�f,"�! Owner. 1�C�-tic C�tz� S� �.c,�t• Date of Inspection: 110-V 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: �Ji't�..,.,rt.�-.:c�ir C,�e,.ra fia... L-4S C3�l6�,t� �y ��n:.( G�✓��.� � d-'L+P t�L�vrt/ I1 I a ,/ } i Commonwealth of Massachusetts ` Executive Office of Environmental Affairs Department of �' FEB a��.7. k Environmental Protection �� T° pLHDSTABIE Wllllam F.Weld Governor Trudy CoxEA e L� Secretary, truhs f���c�f David Br( C.Ni V .Stru Commissioner �S?SUR FCC ��►�jE/�ISPOSAL SYSTEM INSPECTION FORM( G� PART A CERTIFICATION O Property Address: ! p ( Address of Owner: Date of Inspection: /7�y� (If different) Name of Inspector: fell A117-fZ Company Name, Address and Telephone Number: 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 sew disposal systems. The system: _ Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature Date: /6 The System Inspector shall submit a copy of this inspection report to the Approving Authority 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 seni to the system owner and copies sent to the buyer, n applicable and the appro�ing authority, INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTE PASSES: 7I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] STEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate es, 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, 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 conforming septic tank as approved by the Board of Health. (revised 8/15/95) One Winter Street a Boston,Massachusetts 02108 a FAX(617) 656.1049 a Telephone(617)292-5500 i, Printed on Recycled Paper 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A d IRTIFICATIONIT4(continued) Property Address: f Owner: �/l�7 G e�J�awl S Date of Inspection: % � 7 B SYSTE COND IWLLY�SSES (continued) 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 sys m required p mping more than four times a year due to broken or obstructed pipe(s). The system will pass inspectio if(with app oval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRE Y THE BOARD OF HEALTH: Conditions exist which require further aluation 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 LESS BOARD OF HE T ERMINES THAT THE SYSTEM IS NOT FUNCTIONI MANNER WHICH WILL PROTECT THE PUBLIC HEALTH ND SAFETY AND T Cesspool or privy is within 50 feet of a surfs a water Cesspool or privy is within 50 feet of a border vegetated wetland or a salt marsh. 2) S STEM WILL FAIL UNLESS THE BOARD OF HEALTH (AN PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT T E SYSTEM IS FUNCTIONING IN A MANNER THAT PROT T THE PUBLIC HEALTH AND SAFETY AND THE E VIRONMENT: I nt' t]lt' 'i IICtT d ?rtlUL I.dlll\ dllU �.U11 abbulpoull bystelll diiu 1 t.i. ini IVV IGU w u �uw.L. ..u.�• �u1.Y � u• ...0 u.w, .. surface water supply. The SvstFn ha, a septic tank and soil absorption system and is wit in a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is withi 50 feet of a private water supply well. The hay a septic tank and soil absorption system and is less tha 100 feet but 50 feet or more from a private water supply- well, unless a well water analysis for coliform bacteria and volatile rganic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen nd nitrate nitrogen is equal to or less than 5 ppm• D] SYSTE FAILS: ti I ave determined that the system violates one or more of the following failure criteria as defined in.310 CMR 15.303. The basis f r this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct t e failure. 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. (revised 8/15/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A TIFICATION (conti ued) Property Address: � /�� Owner: 15P///f Date of Inspection: �� D] SYSTE FAILS (continue ). ci,��� Static liquid level in the distribution box above outlet invert due to an overloaded or clogg SAS or cesspool. ll Liquid depth in cesspool is less than 6" below invert or available volume is less than 1 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obs ucted pipe(s). Number of times pumped `y 1 Any portion of the Soil Absorption System, cesspool or privy is below the hi groundwater elevation. 1 Any portion of a cesspool or privy is w thin 100 feet of a surface water pply or tributary to a surface water supply. Any portion of a cesspool or privy is wit in a Zone I of a public w Any portion of a cesspool or privy is within 50 feet of a priva water supply well. Any portion of a cesspool or privy is less than 100 feet t greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well h s be analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, am onia nitrogen and nitrate nitrogen. E] LARG SYSTEM FAILS: The following criteria apply to large systems i addition to the c iteria above: The design floe+ of system is 10,000 gpd or greater (Large System) nd the system is a significant threat to public health and safety and the environment because one or ore of the following conditi s exist: the system_is within 40 feet of a surface drinking water sup ly the system is within 200 feet of a tributary to a surface drinkin water supply the system is located in a nitrogen sensitive area (Interim Wellhea Protection Area (IWPA) or a mapped Zone II of a public wateKuppty well: The owner or operator of.any such system shall bring the system and facility into full co liance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the D artment for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST ' Property Address: Owner: Date of Inspection: Check if the foll tng have been done: _ Pum i g information was requested of the owner, occupant, and Board of Health. one of a system components have been pumped for at least two weeks and the system has been receiving normal flaw rates duri that riod. Large volumes of water have not been introduced into the system recently or as part of this inspecCwm. As ilt p ns have been obtained and examined. Note if they are not available with N/A. h acil or dwelling was inspected for signs of sewage back-up. T sy m does not receive non-sanitary or industrial waste flow T e s was inspected for signs of breakout. I syste components, exrlT, �cni�ahsorption System, have been located on the site. Th septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or es, mat ial of construction, dimensions, depth of liquid, depth of sludge, depth of scum. _Th size and location of the Soil Absorption System on the site has been determined based on existing information or proximated by non-intrusive method> The facili:,, o,•., ., ^:' c:ccap2nt-, if;' it ,,. , rw.*nr-r` xprp provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C J CTEM TION tC10 ` Property Address: / k z 'V //" �`Owner. Date of Inspection: �50/ 7 FLOW CONDITIONS RESIDENTIAL: Design allons Number of be ooms: Number of current residents:_ Garbage grinder (yes or no): Yy' Laundry connected to syste (yes or no):1 Seasonal use (yes or no):��B Water meter readings, if available: Last date of occup cy: COMMERCIAUINDUS IAL: Type of establishment: Design flow:_gallons/dad Grease trap present: (yes or no)_ Industrial Waste Holding Tank presen • (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: Z__-2-1 System pumped as pan of inspection: (yes or no)_ G�7 If yes, volume pum;-.! gallons Reason for pumping: TYPE TEM Septic tan(ddistribation-bex/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection re ords, if any) Other(explain) �r2 %i c "deli s2 1, / APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) (revised 8/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SY TEM NFORMATION (continued) Property Address: Owner: /� GU vlli`o �S Date of Inspection: SEPTIC TANK:_ (locate on site plan) Depth below grade: l Material of construction: concrete _metal _FRP_other(explain) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: O Scum thickness: em Distance from top of scum to top of outlet tee or ba Distance from bottom of scum to bottom of outlet tee or ba e" Comments: (recommendation for pumping, condition of 'nlet and outlet tees or baffles, depth of liquid level)n relation to outlet invert, structural integrity, idence of leakage etc. U IQ o Tv u 4 a/,.-�ij�r to CG u " G 017 GREASE TRAP: (loca on site plan) Depth belo� rade: Material of cons lion: _concrete _metal _FRP —other(explain) Dimensions: Scum thickne�>: Distance from top of scum to top o utlet tee or baffle: Dio nce from hottnn, n� :slim to hntln t OLIOP! tee or battle' Comments: (recommendation for pumping, condition of inlet an outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage-. etc.i Y (revised 8/!5/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INjORMATION (continued) Property Address: r, Owner: 77 (lies>> Date of Inspection: �� W ! TIGHT OR HOLDING TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete _meta FRP_other(gxplain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm nd floats itches, et J DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if ie\Ci end duUluu!"A' (•you', c dL;x( o ;�;; �,; �,� , e,idencc\1eakageout of box, etc.) PUMP CHAMBER:_ (locate on site plan) Pumps in working order:(/ber, condition Comments: (note condition of pump of pumps and appurtenances, etc.) ) (revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INE RMATION (continued) J2 �'a� p/. �` . Property Address: if � r,/ :� Owner: /l�✓ ��`/ice �j Date of Inspection: SOIL ABSORPTION SYSTEM (SAS):_ not required but be approximated by non-intrusive methods) (locate on site p Ian if possible; excavationq may If not determined to be present, explain: Type: leaching pits, number:_ l leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) 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: Imitation of ground:,a:cr inflow (cesspool must be pum�ed as part of inspection) r Comments: (note condition of soil, signs of hydraulic fai e, 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 vegeta' n, etc.) i I 1� J (revised 8/15/95) 8 I/ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SY TE FORMATION (continued) lb�- Property Address: �' ` Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' �r 11 ! _ //0"5 r i DEPTH TO GROUNDWATE Depth to groundwater - feet method of determination t,qr approximation: 114 Z If er 'e)LM (revised 8/15/95) 9 TOWN O BARNSTABLE CJ A LOCATION d' /� IL SEWAGE # �� VILLAG �'�/�G�� ° ASSESSOR'S MAP & LO )INSTALLER'S NAME & PHONE NO. O�y/ SEPTIC TANK CAPACITY O a U LEACHING FACILITY:(typeL;:2- /A[�4 " ��S (size)( a NO. OF BEDROOMS 2-- PRIVATE WEAL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: O Z�l DATE COMPLIANCE ISSUED: / VARIANCE GRANTED: Yes No t r yf r lEaY F l ASSESSORS MAP NO: PARCEL NO: l �n No.- Fms.......................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for Disposal arks Tono#rnrtiun rrmit Application is hereby made for a Permit//to Construct ( ) or Repair( ) an IIndividual Sewage Disposal System at* fp or ... Locatio - d ss ................................ Lot No. sesf �� O er / 1�dre s ...... .......... Y•-•------` •- ....---..........---•--..........--------- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aP4 Other—T e of Building No. of persons............................ Showers —Type g ---------------•------------ P ( )--- Cafeteria-( ) dOther fixtures -----•-------------------------------------------------------------------------------------------•----------------. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... 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----_._______-__--.____- 44 Test Pit No. 2................minutes per inch Depth of Test Pit---................. Depth to ground water........................ 9 •----------•----------------•-•------•----....-•------------•------••-----------•----•-•------------......................................................... 0 Description of Soil....................................................................---•------=------------------------------------------------------------------------....._---------- x U .........................................................---............................................-------------------•----------------........................................................... x --------------------------------------------------------------------------------------------------------- ------------. ----------- 7. U Nate of Repairs or A terations—Answer when applicable___ _______________________/_ J`: ��'�1U ._____.____.__. 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 Compli c has b issued b he boar, of health. Signnedd.. ..... ..... .. '---- ... . ... ............................... Application Approved By .... --;. ---/0 � g i Application Disapproved for the following reasons- ----------------------- ------ --------- ----- ........---------------- ----.--...----.....--------------------- ..... .. .......................... . ............... Permit No.�1...:-... ... Issued ......................i�.e-- -- --------...... �.e --- No._ !.._. Fps.jZ 00............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for- Disposal Works Tonstrnrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: C/ (0 ........Z-3.........jo............................ ........... .... Locatios.r fer ss. r Lot No ----• --•-__... �•••••--�o Ow ........................................................... tddres --- ` -- ---------.......-- 0--3--------...------------...----Installer Address UType of Building Size Lot............................Sq. feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons...................':_. Showers ( ) — Cafeteria ( ) a Other fixtures ... w Design Flow........... ................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank-Liquid capacity------------gallons Length................ Width................ Diameter----_........... Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area-------_---_----_-sq. ft. Seepage Pit No--------------------- Diameter.................... 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____----_____-_-------.- fs, Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ ---------------------------------------------------•-------•-•-•-----•---•---------••--......-_............................................................. 0 Description of Soil...............................................................................------------------------------------••--------------•-------------.....-------•-.------ x U .....--••-•---•-•----------•------------------------•••------•--------•-•-•---------•------.....----•••----------••---------•--••---------•--•---•------------•--•------------•----••----••--------...... w U Nat e of Repairs or Alterations—Answer when applicable.________________ /-�7-- / -------------- Agreement: r The undersigned agree 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 issued by the board J of health. L -- Signed r� �� /� `� pa ..... Application Approved By ....... ----L2�..��....-------------v .'- �-.� . �._:-�---------.--- --............ n Z Date �....� 1 Application Disapproved for the following reasons- ............................-------------------------------------------- -- --------------------- ---------- ----------------- - - - ----------- ------------------------------- - ---.----...----- --....----- ---- --..........---------- ..........---------------------------...----------- .................»--ate---................-- Permit No.f... ....... .... Issued --------------------------- ------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE GErtifirate of TIIIKt plianre THIS IS TO,CERTIFY'That the Individual Sewage Disposal System constructed ( ) or Repaired ----------------------------------------------------------------------------------------- -- -------------------------- -- /� ,0?/�- � �"" ,I :�_ Installer —nstaller at ---------; .... ,, --- . ....�� �l�-I------- --------------------------------------------------------------.........-----......-....---......--*------------------------ has been installed in accordance with the provisions of TITLE of,Th t, to Environmental Code as described in the application for Disposal Works Construction Permit No. ---- ---... .. ........... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. C DATE...:......... --------a- f !:��--i-- ------ Inspector ..... ................. .............. r ;------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ������ TOWN OF BARNSTABLE No._,....................... FEE..�O �----.......... Disposal ��kai nnstrudinn rrmit Permission is hereby granted.......� ..._...._..11�1�1 f' -.. .......................... to Construct ( ) or Repair (lj)`an Individual Sewage Disposal System at No........... /D� . .... No.C7_ G f-- i h as shown on the application for Disposal Works Construction Permit . /;(..':!.r%. ated._.___. ! "7/� - ............. ... , ,...._._ olt - DATE..--•---.I t j 1 •.... ........................................ Board f"H ea h FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS � Z 12W — WW 's LLLU- EM �VZ J L: "= s C �E W °'�" w C r°�� Q rn i _0 —w y J 2�C6 Q LTcq 6 �s F3AfRfR"',C fR 5 1 1D NC ADF-) ITI®N 4 RENOVATION cu .a ms� LL ca � �m C w U m J A t NN m om„ �nuo DRAWINCs SHEET INDEX o w X-1 TITLE SHEET E DRAWING LIST o 2 EC-1 EXISTING CONDITIONS-FIRST FLOOR PLAN o EC-2 EXISTING CONDITIONS- CRAWLSPACE FLOOR FRAMING PLAN EC-3 - EXISTING CONDITIONS- ROOF FRAMING PLAN ' } EC-4 EXISTING CONDITIONS- EXTERIOR ELEVATIONS EC-5 EXISTING CONDITIONS- EXTERIOR ELEVATIONS EC-fo EXISTING CONDITIONS- BUILDING SECTION f «•.i a h as `kx D-1 PROPOSED FIRST FLOOR DEMOLITION PLAN A-1 PROPOSED FIRST FLOOR PLAN A-2 PROPOSED SECOND FLOOR PLAN " • w y r'a A-3 PROPOSED EXTERIOR ELEVATIONS A-4 PROPOSED EXTERIOR ELEVATIONS i '-P # 4 �� sMa►;��(-g�+T`iea�is��.wi = A-5 PROPOSED ROOF PLAN �1 • � t, y .v y :rp �S ��' `' __"sr A-6 PROPOSED SECOND FLOOR FRAMING PLAN A-1 PROPOSED ROOF FRAMING PLAN A-8 PROPOSED BUILDING SECTION 6 A PROPOSED BUILDING SECTION e+^ - {7. !P '` ',,y " -� - •o., A-10 PROPOSED DETAILS OFX LOCUS MAP K0 7 FCAr COFSTRU070H V Z �W WW EX F'-Z nvZ w W�J1 J� CZACi , I -- — ---- — ---------------- ——— ————————------- Q. 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I I I I I I I I I I I I I I I I I I I I I I I I III I I I I I I. I I I I I I I I I I I I I I I I I I I III I I I I I I I I I I I I I I I I I I I I I I I I I III I I I I I I I I I I I I I I I I 1 I I I I I I I I III I I I I I I I I I I I - I I I I I I I I I I I 1 III I II II I ..ILl.,i II II II II II JhI m a IIELI EXIST. "POURED CONC. LME OF EXISTING WALL I I f I I I I I I - FDN.WALL TYP UN.O - ABOVE I I I I I I I I I I Co I I I I I I I I I I N U) EXIST.2X8 FLOOR JOISTS a 16"O.C. I I I I I I I 1 I I ``^^ VJ Z O 21'-44" 15'-2�s'I Z Za O � U O _ o ZOJ H LL cn EC=2 2of6 VEC-Z EXISTIWs CONDITIONS PLAN I/4 - GRAWLSPACE " 1'-0" x�l - Z WW ry _ HZ nwz EXIST.4x6 EX.2X6 RAFTERS RAFTERS 0 20"O.G. r— --- -- -- --- -- -- — -- ---� Q ----Ti----�r-- IF---- ----1r---- ------ N W �2 & - -0 NSW my J !EJ �c6 I I I _ I I I x EX 4.6 RIDGE BEAM EX.2x6 RIDGE BEAM m J I I W W I � y�= co I m .- 1L ----1L---1L---- ----1L---- ----1L----H--- z — , — U) I I o T EX.2X6 RAFTERS I I f ®20"O.G. 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DININCs iii I F J m ------ OF - - — -- ------------------------------------ iscn F===== LIVING I I i it a Nth - - Room - � d co BATH - I O I p � I I - ---�� OFFICE W 0 III I o L-----------------------------------`-------i-- A a I o La w o y L--------------------------------------J - W Z 0 g o � W C/) o _ o 0 00 LL _ 0 _ a D -1 _ XofX 1/D-1 PROPOSED DEMOLITION PLAN - I/4" 1'-0" FIRST FLOOR PLAN Z H W W W wZ �VZ w W�� 4'-I 11'-lokw(VIP) EQ Ea EX.Cc-c S_ SOLAR I _ - W E X N r ---J --- I-4J5 'S W CD q[ U WNW s REF. ��0 Fn �rarou< ro KITCHEN fn w w SD w _0 —w2y UP v E m z a) N o J m Q --- --- DININCs " U J r 1 Ill cFi ri N ap II'-2/'a"IV.IP. 3 �a - ..:. NEW 4X4 STFWICTURAL r - -- — WD POST, US FRGM RIDGEBEAMOTO—— -- ------------- —————————— V PLACE Z` --- -- DISH POURED IN ¢ CO2 4'-0 = TOOTING "0 m LIVING N t --, LINEN cL f FIRE PROTECTION NOTES & KEY ROOM - EX.VAULTED �� d) - + �U CEILMG L--� Q 2�-6 W X C gp PHOTOELECTRIC SMOKE DETECTOR .t a N �bu - BATH1 € : u p� - (10 m - .. _ _ - U w ®p SMOKE&CARBON MONOXIDE PHOTOELECTRIC DETECTOR - 21-8 SD t Q 'o CO2 ' m CO2 N rr-O�� w I I� NOTE: _ I - 2'-0n i_8u ALL SMOKE,CARBON MONOXIDE&HEAT DETECTORS MUST BE HARDWIRED AND INTERCONNECTED WITH BATTERY BACK—UP J - - GL CL- 6" - - NEW 4X4 STRUCTURAL Wo POST,CONTINUOUS mom RIDGE EAM FR B t m CON TRUCTION NOTES W iQ . � ; „ I S D PO IN PLACE ORER v � y 1.THE MATERIALS AND METHODS USED TO CONSTRUCT THE BUILDING € OFFICE - ULU O DEPICTED IN THIS PLAN SHALL CONFORM TO THE 2009 INTERNATIONAL - E I N I- RESIDENTIAL BUILDING CODE(W/COMMONWEALTH OF MASS&TOWN OF .. $ [ LL N Z BARNSTABLE)FOR ONE AND TWO FAMILY DWELUNGS I----------- ------------------- ----------- 2.THE THERMAL ENVELOPE AND ALL ENERGY CONSUMING APPLIANCES EX.CONC. "^""" IEX CONC.STEP I N ¢ - SHALL CODE. CONFORM TO THE 2012 INTERNATIONAL ENERGY CONSERVATION _ BLOCK LOW - - .......... .. ii `u - - RETAINING WALL 14-23/a w w N 3.ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH ALL : J(3 - APPUCABLE TOWN OF BARNSTABLE CODES - - - - - _4 i x 4.DESIGN GN LOADS', FLOORS: 40 PSF LIV S E LOAD LL 10 P DEAD LOAD - IIII .. '. ,» .._..., CEILINGS 10 PSF LIVE LOAD(UNINHABITED) - .....•, ..•,• _.. .., ......... . . O 5 PSF DEAD LOAD - - ROOF: 35 PSF LIVE ROOF LOAD W.LL ncoGN WAND LOADS: O ♦V Z UPLIFT: 200 PLF - z 200 PLF SHE R: 125 PLF 5.ALL FLOOR JOISTS ARE 2X10 STRUCTURAL WOOD®IS-O.C.EXCEPTS AS NOTED IN PLANS. I- 6.ALL BAND MATERIAL IS 2XIO 9 2 SPF 0 7.ALL CEILING JOISTS ARE ZX10 STRUCTURAL WOOD JOISTS AT 16'O.C. — AS NOTED ON THE PLANS. - &ALL CEILING JOISTS.RAFTERS&RIDGE BEAM TO BEAR ON LOAD BEARING WALLS&STRUCTURAL WD.COLUMNS DESIGNED TO CARRY LOAD THROUGH ALL LEVELS AND TERMINATE AT FOUNDATION.LOAD BEARING WALLS&COLUMNS SHALL BE SUPPORTED BY THICKENED SLAB.FOOTING. OR GRADE BEAM DESIGNED TO CARRY DETERMINED LOAD. Aml .. - XofX 1/ PROPOSED CONDITIONS PLAN - - FIRST FLOOR PLAN - OPTION 1 A-I 1/4" = I'-m" _ Z FN W I---Z wZ A6 � J� E E S? E s W gq O.S. BEDROOM I Q m R6 I fn Lu e ' —w-C�5 4'-315" I2'_3v4" — k _ nn♦♦ m—Ta� fa LL ]0 3 3'-4" 4'-4Y,"(EQ) 4'-49"( Q) F J Q o LL m I n L ----_- NEW 4X4 STRUCTURAL ------ 2'-$�� G GL. 9 WD POST,CONTINUOUS - ------ 4.) FROM RIDGE BEAM TO C POURED N PLACE C ------ FOOTNG ty L' •Q m -0 FIRE PROTECTION NOTES & KEY ------ n " CO2 ��� ®p PHOTOELECTRIC SMOKE DETECTOR m pN IA $ BATI-I 3'-1m 4" N `9 I m D SMOKE&CARBON MONOXIDE PHOTOELECTRIC DETECTOR 4' 2'-$" T o CO2 9 1 AAom LLL SMOKE,CARBON MONOXIDE&HEAT DETECTORS MUST BE • HARDWIRED AND INTERCONNECTED WITH BATTERY BACK-UP NEW 4X4 STF2UGTUR4L WD POST,CONTINUOUS SD w U FROM RIDGE BEAM TO m POURED IN PLACE 3 CONSTRUCTION NOTES yp+ FOOTING. 1.THE MATERIALS AND METHODS USED TO CONSTRUCT THE BUILDING BEDROOM 2 W DEPICTED IN THIS PLAN SHALL CONFORM TO THE 2009 INTERNATIONA H- RESIDENTIAL BUILDING CODE(W/COMMONWEALTH OF MASS&TOWN OF ' - O BARNSTABLE)FOR ONE AND TWO FAMILY DWELUNGS. N 2.THE THERMAL ENVELOPE AND ALL ENERGY CONSUMING APPLIANCES 14'-$v4' SHALL CONFORM TO THE 2012 INTERNATIONAL ENERGY CONSERVATION to - ZO CODE. - w - 3.ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH ALL ,.� W IU APPUCABLE TOWN OF BARNSTABLE CODES. r 4.DESIGN LOADS: 0 .. .. FLOORS: 40 PSF LIVE LOAD R1 - 10 PSF DEAD LOAD _ O CEILINGS: 10 PSF LIVE LOAD(UNINHABITED) - 5 PSF DEAD LOAD - ROOF: 35 PSF UVE ROOF LOAD - cl O 4'-83e" $'-$" LLI LL DESIGN WIND LOADS: E f O U) Z . UPLIFT: 200 PLF E�isis°PF GENERAL NOTES SECOND 1s'-m'✓<' a o g 5.ALL FLOOR JOISTS ARE 2XIO STRUCTURAL WOOD 016.O.C.EXCEPTS FLOOR ONLY: 0 a _ AS NO IN PLANS 1. THIS LEVEL SHALL BE HEATED WITH w Q B.ALL BAND MATERIAL IS 2XIO/1 2 S'F HOT WATER BASEBOARD IN ALL o a - HABITABLE SPACES - z _ 7.ALL CEIUNG JOISTS ARE 2XIO STRUCTURAL WOOD JOISTS AT 16'O.C. AS NOTED ON THE PLANS 8.ALL CEILING JOISTS.RAFTERS&RIDGE BEAM TO BEAR ON LOAD - N O BEARING WALLS&STRUCTURAL M.COLUMNS DESGNED TO CARRY LOAD -' THROUGH ALL LEVELS AND TERMINATE AT FOUNDATION.LOAD BEARING WALLS&COLUMNS SHALL BE SUPPORTED BY THICKENED SLAB,FOOTING - OR GRADE BEAM DESIGNED TO CARRY DETERMINED LOAD. A=2 XGTX I/A-2 PROPOSED CONDITIONS PLAN - SECOND FLOOR PLAN 1/4" = 1'-0" COF07RUC7110H Z BEADBOARD SIDING 12 PW 1IO VW I2 WZ �VZ EXIST.SOLAR PANELS W�� mo�E DH DH LU � �N ® (n W a�oQ` -:...4 w Q^)' E m ® W O J _j:E F U � 3 QLL m NEW MUNTIN5 IN EXIST.CEDAR EXISTING SHINGLES 5"T.W. WINDOWS C PROPOSED CONDITIONS ELEVATION I/A-3 FRONT 1/4" = 1'-0" a m U Z r . 2 . 1l 0] • \V I 5EADBOARD SIDING m 0 J 3 EXIST.ARGHITECTUR4L - ASPHALT SHINGLES m o N U ® DH zo z N O Q zo i - V/ V J Z vz Op I- Z a DH O DH O0 U w 0 Om ® ® - EXIST.CEDAR NEW BOX BAY SHINGLES 5"T.W. WINDOW A=3 X ofX 2/A-3 PROPOSED CONDITIONS ELEVATION g I/4" = I'-0° NUT(FOR REAR ®P!�4WU9�Ti 0®E9 ARCHITECTURAL ASPHALT SHINGLES TO BEADBOARD SIDING MATCH EXISTING : W _ WW F-Z LL LL 'L 1TL..t... DH DH .. -�. L 1 1 L.7 C L N -� i x... .t...x r ri r.:.i z i.. c - �r-...... z�r�r— :. fn W ) Y N .-r-r U OE a01i _ i Q 7 _ — r LL o6 NOD NEW MUNTINS IN EXIST.CRAWL EXIST.CEDAR EXISTING SPACE ACCESS SHINGLES 5"T.W. WINDOWS PROPOSED CONDITIONS ELEVATION ID i ucn LEFT SIDE N t H.z 12 Vim_ ARCHITECTURAL ASPHALT SHINGLES TO m BEADBOARD SIDING MATCH EXISTING o 3 � J 0 O H N O �6 Z N 0 z Z Op Z W BOX BAY 0 IT-HU -� w DH ® ui 0 EU10 O 0 a EXIST.CEDAR EXIST.CRAWL L NEW BOX BAY SHINGLES 5"T.W. SPACE ACCESS WINDOW AA .. 5of6 2/A-4 PRPOSED I' CONDITIONS ELEVATION g RIGHT SIDE I/4" -0" hie Fa[p _ Z Wry •- W W nvZ EXISTING ROOF 12:10 PITCH 12:10 PITCH' Q C o n NEW ROOF—,, I I LL1 .'s u Q `�� C LINE OF SECOND FLOOR I (n W S4 .. O W Q O J _ aLL�q I I I 12:10 12:10 I L' -0 ms< 12:4 PITCH 12:4 PITCH m co U m I i . CONSTRUCT o I _ I I I o ION NOTES 1.THE MATERIALS AND METHODS USED TO CONSTRUCT THE BUILDING �W DEPICTED IN THIS PLAN SHALL CONFORM TO THE 2009 INTERNATIONAL - I - Q RESIDENTIAL BUILDING CODE(W/COMMONWEALTH OF MASS.&TOWN OF BARNSTABLE)FOR ONE AND TWO FAMILY.DWELLINGS. - - I - - - Z N Q 2.THE THERMAL ENVELOPE AND ALL ENERGY CONSUMING APPLIANCES - - N O SHALL CONFORM TO THE 2012 INTERNATIONAL ENERGY CONSERVATION CODE - � 3.ALL WORK SHALL BE PERFORMED IN ACCORDANCE WTH ALL I I - - -- APPUCABLE TOWN OF BARNSTABLE CODES. 4.DESIGN LOADS: FLOORS: 40 PSF UVE LOAD 10 PSF DEAD LOAD - - - L - LL O CEILINGS: 10 PSF LIVE LOAD(UNINHABITED) - - - - —— —— —————— � - 5 PSF DEAD LOAD - �0 ROOF: 35 PSF UVE ROOF LOAD - DESIGN,, WHO,QADS, 12:10 PITCH 12:10 PITCH UPLIFT: 200 PLF O Z LATERAL:200 PLF SHEAR: 125 PLF - LL O_ 5.ALL FLOOR JOISTS ARE 2X10 STRUCTURAL WOOD O 16'O.C.EXCEPTS - 0 p LL AS NOTED IN PLANS - - - - 6.ALL BAND MATERIAL IS 2X10 0 2 SPF - ^^ 0 .. .. .. LL Z 7.ALL CEILING JOISTS ARE 2X10 STRUCTURAL WOOD JOISTS AT 16'O.C. AS NOTED ON THE PLANS. 8.ALL CEIUNG JOISTS.RAFTERS&RIDGE BEAM TO BEAR ON LOAD BEARING WALLS&STRUCTURAL WD.COLUMNS DESIGNED TO CARRY LOAD THROUGH ALL LEVELS AND TERMINATE AT FOUNDATION.LOAD BEARING - WALLS&COLUMNS SHALL BE SUPPORTED BY THICKENED SLAB,FOOTING, OR GRADE BEAM DESIGNED TO CARRY DETERMINED LOAD. A=5 X of PROPOSED CONDITIONS PLAN - ROOF PLAN 1/4" = I'-m° ©I Fr(Q COMM Z I-W ' WW HZ N=� W 0� J� EXISTING ROOF--,--, OOF NEW 2x10 WD FLOOR JOISTS O Ib"0G. ._._.........-- .... _.... ..._.— �R € _ r E O Z w (D $ 1 cn LLI E / -0 rn—ma Q) o g o DOUBLE 2x10 HEADER 'I,� r H LLW a0 �O V LZII 3'I-11 NEW 4X4 STRUCTURAL O Rp. H TT ! WD POST,CONTNUOUS N FROM RIDGE BEAM TO (� POURED IN PLACE c: .... _._I.... FOOTING .]5 ...._._...._1-_._..__. cn N•.0 IL - N _-- BEARING WALL (ASSUMED) m FIRST FLOOR WALL i ✓lo ' BELOW m DOUBLE 2x10 JOIST p BEARING WALL (ASSUMED) 3 � J j NEW 4X4 STRUCTURAL - WD POST,CONTINUOUS FROM RIDGE BEAM TO ' POURED IN PLACE - I'-4u i FOOTING CONSTRUCTIONIL 1.THE MATERIALS AND METHODS USED TO CONSTRUCT THE BUILDING ii DEPICTED IN THIS PLAN SHALL CONFORM TO THE 2009 INTERNATIONAL f LU RESIDENTIAL BUILDING CODE W COMMONWEALTH OF MASS @ TOWN OF N O (/ CO Z BARNSTABLE)FOR ONE AND TWO FAMILY OWELUNGS li 2.THE THERMAL ENVELOPE AND ALL ENERGY CONSUMING APPLIANCES y Q SHALL CONFORM TO THE 2012 INTERNATIONAL ENERGY CONSERVATION - o .. CODE _ W 3.ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH ALL kL APPUCABLE TOWN OF BARNSTABLE CODES4.DESIGN LOADS: -FLOORS 40 PSF LIVE LOAD10 PSF DEAD LOAD .. .......__.__ J CEIUNGS` 10 PSF LIVE LOAD(UNINHABITED) - O 'LL DEAD LOAD C) SF ROOF: 35PPSF LIVE ROOF LOAD w V DESIGN WINO LOAD W S UPLIFT: 200 PLF - O^ n 2 LATERAL:200 PLF .. - LL Z Q - PHEAR: 125 PLF 5.ALL FLOOR JOISTS ARE 2X10 STRUCTURAL WOOD®16'O.C.EXCEPTS - - - O - + O AS NOTED IN PLANS. 6.ALL BAND MATERIAL IS 2X10 A 2 SPF p 7.ALL CEILING JOISTS ARE 2X10 STRUCTURAL WOOD JOISTS AT 16'D.C. Z O AS NOTED ON THE PLANS fl ALL CEILING JOISTS.RAFTERS @ RIDGE REAM TO BEAR ON LOAD - rO O , BEARING WALLS R STRUCTURAL WD.COLUMNS DESIGNED TO CARRY LOADTHROU WALLS&ALL LEVELS AND TERMINATE AT FOUNOATON.LOAD BEARING WALLS COLUMNS SHALL BE SUPPORTED BY THICKENED SLAB,FOOTING, OR GRADE E BEAM DESIGNED TO CARRY DETERMINED LOAD. A=6 .. Xof X .. 1/A-o - SECOND FLOOR FRAMING PLAN I/4" = 1'-m" �0u FOR PROPOSED CONDITIONS PLAN �P�STIP34D�4�®G9 Z WW ry F_Z ^wz J� NEW 2x10 WD ROOF-\ RAFTERS 6 16"O.C. EXISTING ROOF 12:10 PITCH 12:10 PITCH _ 12:4 PITCH 12:4 PITCH CID I cE NEW 2x10 NEW 2x10 WD RAFTER 6 16" w �i �m FASCIA BOARD O.C.6 12:4 PITCH(TYP-) Q rn L 12:10 12:10 - c { to w� —� —w � cy � _J � E� 11 Q ll W x 1.. i _ .._ NEW 4X4 STRUCTURAL WD POST,CONTINUOUS -i ' FROM RIDGE BEAM TO c Q .__.._ ........_ POURED N PLACE .� m FOOTING (n 6 11:4=PpTGH 124 I CH: z �m c .. NEW 2x10 WD RAFTER SPACED 6 16"O.G.6 12:10 PITCH(TYP_) co DN m NEW 2x10 WD COLLAR TIE BETWEEN NEW w ROOF RAFTERS FASTENED TOGETHER IN-PLACE W/STRONG-DRIVE HEAVY-DUTY CONNECTOR SCREW$.(TYP) 3 0 J NEW 4X4 STRUCTURAL WD POST,CONTINUOUS - FROM RIDGE BEAM TO POURED N PLACE 12:10 12:10 FOOTING m 3 CONSTRUCTION NOTES w 1.THE MATERIALS AND METHODS USED TO CONSTRUCT THE BUILDING €I I w DEPICTED IN THIS 0 PLAN SHALL CONFORM TO THE 2009 INTERNATIONAL RESIDENTIAL BUILDING CODE(W/COMMONWEALTH OF MASS.@ TOWN OF o N BARNSTABLE)FOR ONE AND TWO FAMILY DWELLINGS. Z N M � 2.THE THERMAL ENVELOPE AND ALL ENERGY CONSUMING APPLIANCES Li SHALL CONFORM TO THE 2012 INTERNATIONAL ENERGY CONSERVATION zo CODE w 3. APPLICABLE TOM OF BARNSTABLE CODES ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH ALL - a.DESIGN LOADS: i( 12:4 PITCH 12:4 PITCH FLOORS: 40 PSF UVE LOAD ILL 10 PSF DEAD LOAD CEILINGS 10 PSF LIVE LOAD(UNINHABITED) O ` 5 PSF DEAD LOAD ROOF: 35 PSF UVE ROOF LOAD w I'I 12:10 PITCH 12:10 PITCH a DESIGN'WINO LOADS. UPLIFT: 200 PLF 3 PLY 2x12 RIDGE BEAM FASTENED TOGETHER IN-PLACE 6 O z LATERAL:200 PLF RIDGE POSITION W/STRONG-DRIVE HEAVY-DUTY CONNECTOR � O Z SHEAR: 125 PLF C SCREWS.STAGER RIDGE BEAM SEAMS AT EACH STRUCTURAL 5.ALL FLOOR JOISTS ARE 2X10 STRUCTURAL WOOD O 16-O.C.EXCEPTS G AS NOTED IN PLANS. COLUMN CONNECTION. ^TT 6.ALL BAND MATERIAL IS 2X10 A 2 SPF LL - � Z 7.ALL CEILING JOISTS ARE 2X10 STRUCTURAL WOOD JOISTS AT 16.O.C. L - AS NOTED ON THE PLANS O U 6.ALL CEILINCALL JOISTS RAFTERS k RIDGE BEAM SI BEAR ON LOAD BEARING WALLS @ STRUCTURAL IWD.NA COWMNS DESIGNED TO CARRY LOAD THROUGH ALL LEVELS ALL TERMINATE ED FOUNDATION.LOAD BEARING WALLS D COLUMNS SHALL BE SUPPORTED BY THICKENED SLAB,FOOTING, OR GRADE BEAM DESIGNED TO CARRY DETERMINED LOAD. A=7 X of I/A—1 PROPOSED CONDITIONS PLAN — 1/4" I'—m" ® �u®ra ROOF FRAMING PLAN Z 4 ILD 3 PLY 2x12 RIDGE BEAM FASTENED TOGETHER W IN-PLACE is RIDGE POSITION W/ W W NEW 2xIO WD COLLAR TIE BETWEEN NEW ROOF STRONG-DRIVE HEAVY-DUTY CONNECTOR Z RAFTERS,SPACED 16"O.C.,FASTENED SCREWS TOGETHER IN-PLACE W/STRONG-DRIVE v r=12 HEAVY-DUTY CONNECTOR SCREWS.(TYP.) s ^v Z 10 ROOF ASSEMBLY: w W 1 {1 :$5 ASPHALT SHINGLES OVER SELF ADHERED FELT J 12Y 3 SY. MEMBRANE •2x10 ROOF RAFTERS a I6"O.C. 4 {� `1�{ R-40 CLOSED CELL SPRAY FOAM INSULATION �n� 1 a x ATTIC/CEILING A55EMBLY: c ^ 777 I I •2x10 CEILING JOIST a 16"O.C. w e g 5/8"TYPE"X"GYPSUM CELNG q Q fi NO RAFTER AT EXTENTS OF NEW p� o:: SECOND STORY DORMER ROOF, j t (n wb9—e REFER TO ROOF FRAMING PLAN —w 2 NO RAFTER AT EXTENTS OF NEW �' FOR FURTHER INFO. SECOND STORY DORMER ROOF, REFER TO ROOF FRAMING PLAN FOR FURTHER INFO. o Q ui v m � ;ZL cq 1'_0" a e 4X4 STRUCTURAL SUPPORT COLUMN, CONTINUOUS FROM ROOF RIDGE BEAM TO NEW 3 FOOTING.REFER TO PLAN FOR SUPPORT FURTHER INFO. COLUMN LOCATIONS d REFER TO DETAILS FOR a m g WALL ASSEMBLY: (� 15ATTEN EXT.FINISH `m 2 0TYVECK OE WATERRESISTANT BARRIER U 3/4"EXTERIOR GRADE PLY.SHEATHING �a>�a ux <°�Uoo o o :> s�e�uo,:_ o< o cr tio�o �o,o:�o>sxr�oos>.:. e��.o.a''f4K >oU�o_ .,52�iz+ c •I/4"HOMESLIGICER ME BRANE FANNING m •2x6 FRAMING®16"O.C. Cu MIN.R-20 CLOSED CELL SPRAY FOAM INSULATION w co5/8"TYPE"X"GYPSUM WALL BOARD & 3 � SECOND FLOORICEILING ASSEMBLY: 2XIO FLOOR JOIST a 16"O.C. R-30 OPEN CELL SPRAY FOAM INSULATION(SOUNDPROOFIN63) C fl 5/8"TYPE"X"GYPSUM CELING m c m 51/2 EXISTING w N O N Z O Z F J co EXIST.(3)2x8 JOIST®16"O.C. C 9 U m 91R" LLj(n W EXIST.GONC.BLK PIE o O - _ O EXISTING FOUNDATI a WALL 4 FOOTING A = 8 XOFX PROPOSED BUILDING 1/2" = I'-0" hie-](FOR 1/A-8 SECTION 3 PLY 2x12 RIDGE BEAM BEYOND Z ROOF c �. ASPHALT ASSEMBLY OVER SELF P2W ADHERED FELT MEMBRANE V W 2x10 ROOF RAFTERS O 16"O.C. W Z R-40 CLOSED CELL SPRAY FOAM F. } • '..i ;. Li sS I 2 {# i ;� <t INSULATION Wry,%a- I'-2" rid ATT G'CEILING ASSEMBLY: �*c2 2. 0 CEILING JOIST a 16" 5/8"TYPE"X"GYPSUM CE �i WALL ASSEMBLY: Q BOARD a BATTEN EXT.FINISH TYVECK OR ER WATER RESISTANT D�4 I I bz BARRIER At 1/4"WOMESLICKER MEMBRANE E 3/4"EXTERIOR GRADE PLY.SHEATHING 2x6 FRAMING®-16"O.C. W �5§� 8 MIN.R-20 CLOSED CELL SPRAY FOAM S' m o INSULATION c t .' •5/8"TYPE"X"GYPSUM WALL 50AW U) w -e 7 �r N—magi II CD .2 � L CC�;,UOI OU U'U U U U U U, '. U U •'•C U G ;U - ''Ui C J U U) U U J U -_ } C n'U C U U- ..3 - U U J '�`l- �N U O U r uoo`'nn n o r c o o c f. )^ n n ,n•<x e ,c.. ennn ''c;ru _ \VV I SECOND FLOOR/CEILING ASSEMBLY: NEW BAY 2x10 FLOOR JOIST o 16"O.C. c: R-30 OPEN CELL SPRAY FOAM INSULATION z EXSOW TNG FIRST I (SOUNDPROOFING®INTERIOR) (o m MIN.R-20 CLOSED CELL SPRAY FOAM INSULATION -m-,d TO PLAN FOR 9 EXTERIOR FLOOR AREAS _ FLOOR(REFER z LOCATION a 5/8"TYPE"X"GYPSUM CELNG f SIZE) NEW STAIR TO C FLO D N C m aD -ANEW 4X4 STUCTU WD CONTINUOUS FROI I F DGE BEAM 3 ❑ TO POURED IN P A FOOTING i0 I I 0 U Y ❑ P z O Q II II o a U EXIST.(3)2x8 JOIST ' EXIST.CONC.BLK PIE Z J XISTING FOUNDATION Z I O WALL a FOOTING C) 0 NEW POURED IN PLACE A1 TYP. W U STRUCTURAL COCNRETE PAD a C/) W ` PEDESTAL(REFER TO DETAIL) o d V) d A = 9 XOFX PROPOSED BUILDING SECTION 1/2" I'—ID" HOTFCrs2 Z T 1 _ H W - WW Wz Wry^vZ w C O n Wg 2 E CDG r(D C �L U) Lu — 'C —W^2 y o W U J z J M U t' c Q i 6 - �W m Z m In U m o n 3 4x4 STRUCTURAL SUPPORT COLUMN, � CONTINUOUS FROM NEW RIDGE BEAM TO FOOTING Q bll 3�1 6�� z o L SIMPSON STRONG—TIE 4x4 16—GAUGE GALVANIZED ADJUSTABLE.POST BASE o W/I" DIA. ANCHOR BOLTS W/3x3xa" N H _ WASHER cc O AE cli Oui Q - €) CAST—IN—PLACE CONCRETE _ FOOTING W/PEDESTAL al �r �Ir J Z_ml 0 W TYPICAL FOOTING/PEDESTAL ASSEMBLY DETAIL 0O SCALE: 1"_1°-0 2 0- 0 XOFX 1/A-10 PF OFOSED BUILDING= I" V-O" rr��4 ORrrw DETAILS IG�1wI.�vo®Pi LEGEND EXISTING SEPTIC TANK & S.A.S 1-9.67 CB/DH/ D TO BE PUMPED, FILLED WITH - .,_ - - �2oY ea N - 20 -- EXISTING CONTOUR SAND AND ABANDONED. X o�aPoy x 20.12 EXISTING SPOT GRADE PROPOSED S: l 20.16� 22 PROPOSED CONTOUR 1500 500 CAPACITY X /20,17 ,� _ 19 93, t a Q 22.8 PROPOSED SPOT GRADE 1 /pgRCEL D 102108JOS03PH _ 1 /�� W E LAND/V-10 2 ; �a . -W- EXISTING WATER SERVICE POLYLINER 5' OFF S.A.S. V N CO -G�.� EXISTING GAS SERVICE TOP OF LINER, EL.=22.2 !1 19,39 Fence 1�2.6� ` o. 19,56 0 sf GL*.W OVERHEAD WIRES BOTTOM OF LINER, EL.=19.5 1 / ti t0 O, D N/F 1° RNA, AMANDA x 19,63 WETLAND FLAG ckode / 2 ,31 / S T I `o PARCEL D: 208-002 WET/V-103 STRIPOUT TO / {0 WETLAND SYMBOL SUITABLE SAND o TEST PIT (SEE NOTE 11) 20.7QC' ��g�' ` 19,69 19,25 BENCHMARK X 19,69 1 -\ CB/DH/FN TIp� E 2O, ee �` o LOCUS 0� � � x E STING 20,39` � V?1 3ND co,e �• m RIGHT OF WAY TO LOCUS N/F CONRAD, MICHAEL 01 �A0 HOU E(#18) S.A.S.� \ N P,e Cy c� �o & GARRETT, BARBARA X O TOF= .1•/ Opprox.), �f I _dk ° a PARCEL ID: 208-104 Q 0,06 7 III(Assume \ i��N o LOCUS MAP 2 crawl space floor, .=17.6 1_ " \ Ox 2 W CD I NOT TO SCALE JV 0. 00 /� / / E 1 k' , N /) E R �►N - ,\Ln \� 29 0 / '2p\ ",2 0,3.� m m ,5910 gOFFE of tJ -1 �T WETLAND J 61 6' 100� �,� �.�\N� \� �� c / V-104 GENERAL NOTES: a N 11q•3 ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL \ X t11 8� �C 1. BOARD OF HEALTH AND THE DESIGN ENGINEER. \ 23 73 ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS N O 12 Q" $ 2. OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE t X 20.1�/ I / S,O ,"''.;, LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: �19 3 9 / N/F B VI. ERNEST & DIANNA -' Z2 310 CMR 15.40(h)&(j)- CONTENTS OF LOCAL UPGRADE APPROV W "�� . 1 A 1' reduction to the required 5' separation betwee oximum 20,26 14 BIR CLIFF LANE - X 20.17 �� . 19,45 ) q P PARCEL ID: 208-105 '�/`S iuT-❑ I seasonal high groundwater and bottom of S.A.S., f 4' separation. 9 4 2) A reduction to the requirement of a 12' separation een inlet )( & outlet pipes servicing the septic tank/pump chamber and L t .4 23,57 �\ 20.31 // ,/ groundwater. Watertight sleeves shall be pre-installed on septic tank/ 20.04 Ma 208 X 11 ,97,97 .68 X pump chamber inlet and outlet and clamped to pipes.. p �'r.. . LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements �� 3 An 18' variance, S.A.S. to Wetland, for a 82' setback. Parcel 105 F T- L Y..;'.: �, > \ Benchmark Set 18.4 4) A 19' variance, Septic Tank to Wetland, for a 81' setback. \ 20 Left cor. conc. step WETLA 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 20,48 EXISTING \ I / � !x' . V-10 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE \ �^ 2- 1. J.�; .. EL.=Z1.J4 DESIGN ENGINEER. ABUTTING - ,.g 9�35 H0USE(#14) \ -� 50' BUFFER LIN T- I-F 0 L�Y, 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING X 9,99 ��,;.:.' G' FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN SCr. \ 19.94 �'"- 19 / ENGINEER BEFORE CONSTRUCTION CONTINUES. Pch. \- - - - - Parcel. B - - OC 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. Z 19,92 X - OD pa 16,500f S.F. �� c,� 19,50 \\ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF N Ve/ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF O, Lp D e MO 208 (� HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. V •...x,: 0 � C) - Shed • ' �. / 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. • ��r_ O_ .19,36.: 18,89 Parcel 106 �O 8. THERE ARE NO PRIVATE WELLS WITHIN 15 0' OF THE PROPOSES.A.S.S. o. 20,44 - 19,3"6,.�. ::'':.:195�13: �eA/ 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS / Ve' AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 19 21 . tl DIRECTED BY THE APPROVING AUTHORITIES. Garage 19,69 /. .; Paved. O 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 20.65 Z G 18 79 etc THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 18.73 �' CONSTRUCTION. O 20,71 . 19,3 / O$' I?. "' ) 18.58 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS Ie " 18.76 D-O/V-106S.A.S. AND REPLACE IN THE AREA BENEATH AND ON ALL SIDES OF THE . 17 1'.„ ''.,`:.>."^�'•„ � S E W E� A WITH CLEAN SAND PECIFIED IN 310 CMR 255(3). 12. AREAS REQ ING STRIPOU OF U SUITABLE MATERIALS SHALL BE �co PO�e 20� "^ X UP r� INSPECTED Y DESIGN ENGINEE RIOR TO BACKFILL. OWNER 0EIR 91 19.68 1 f 4y \M\� ' WET V-102 \`' 18.78 c �K Adele Barraro \ c o Susan Simon-Power o Attorne R;ght 19 %44 53 �` WET/V-103 _ _----x\ \ 0q, 60 Hartford Avenue y 19,74 " 2 0 / 1 3�" ��� 18 6 3 18,8 4 �l Mills, MA 02648 9 Q r o / Q� PLAN REVISION 1/13/10 REVISE PER SCONDITIONS OF B.O.H. APPROVAL VOTE. �3°5�i 17.48 OF Mq WET/V 01 co+. _ PROPOSED SEPTIC SYSTEM UPGRADE PLAN X.. W' T/V 104 �P�� ssq�ti WETLAND/V-1 7 QQi WETLAND DELINEATION TER T. �s , - P 18 BRIARCLIFF LANE CENT MA o PE _ � , ERVILLE, VACCARO Environmental Consulting N MCENTEE 18.61 P.O. Box 955 o I o Prepared for: Susan Simon, 60 Hartford Ave., Marstons Mills, MA 02648 Sandwich, MA 02563 ECHTEL , STEPHEN TRS �' CIVIL �� XAL UP (508). 888-5855 ECHTELE REALTY TRUST N 35109 20,14 Engineering by: SCALE DRAWN JOB. NO. PARCEL ID: 208-107 FLOOD PLAIN DESIGNATION `�� W XTLAND/V-108 Engineering Works, Inc. 1 =20 P.T.M. 214-09 Community-Panel No. 250012 0005 C S ��G� CHECKED SHEET NO. Map Revised: aUGUST 19, 1985 19.32 ,,II 12 West Crossfield Road, Forestdale, MA 02644 DATE Zone "C" WET/V-105 (U (508) 477-5313 12/31/09 P.T.M. 1 Of 3 NOTE: TO PREVENT BREAKOUT, A 40 MIL POLY LINER SHALL BE PLACED 5' OUTSIDE THE S.A.S. AS PROPOSED SEPTIC TANK/PUMP CHAMBER SHOWN ON THE PLAN AND SET LINER BETWEEN PROVIDE RISERS WITH METAL FRAMES & COVERS PROPOSED D-BOX EL.=22.2(TOP) AND EL.=19.5(BOTTOM) OVER EACH ACCESS MANHOLE AND SET TO FINISH PROPOSED S.A.S. GRADE. MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT T.O.F.=21.1 t SECURED TO PREVENT UNAUTHORIZED ACCESS. SET TO 6" OF GRADE ' EXISTING F.G. EL.=20.5t F.G. EL: 23.3t F.G. EL: 23.1(MIN.) 36" MAX. COVER/MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 10' L = 6'(MAX) INSPECTION PORT ® S=1% (MIN.) TOP EL.=19.50 4"SCH40 PVC 2" SCH 40 PVC 4" SCH 40 PVC 0 6„ s' 0 S= 1% (MIN.) ta� `` ' to" T;, 'S ARE TO BE HIGH G.W. 3" TO INVERT 3 ROWS OF 3-CULTEC C-4 UNITS x 8'/UNIT=24' 4 SCH 40 PVC EL.=17.3 INV.=21.78 INV.=21.61 INV.=18.257 EFFLUENT1 (USE C-4 HD UNITS - H-20 RATED) FILTER PROPOSED D-BOX SLEALED BOOT (ZABEL OR EQUAL);' INV.=21.55 BOT7. EL.=13.50 5 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) INV.=18.00t SLEALED BOOT INSTALL ONE LENGTH OF 4" SCH 40 PERFORATED PVC ESTABLISH VEGETATIVE COVER INV.=18.00 CULTEC N0. 410 FILTER FABRIC PROVIDE NEW PIPE AT EACH INLET TO EXTEND THROUGH STARTER UNIT BACKFILL WITH CLEAN SAND SEWER OUTLET EFFLUENT FILTER SHALL BE INSTSALLED ON OUTLET WITH CAPPED END. HOLES SHALL BE FACED DOWNWARD. (NATIVE OR PERC SAND) AT, OR ABOVE TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER INV.=18.35 SHALL BE INSPECTED AND CLEANED ANNUALLY. " BREAKOUT=TOP OF UNIT (min.) :r.• (See Pump Detail, Sheet 3 of 3) TOP OF CHAMBER ELEV.=22.1 INV.ELEV.=21.55 150OZ500 GALLON SEPTIC TANK/PUMP CHAMBER BOTTOM ELEV.=21.3 - III�IIIII®IIIII®il EXISTING NOTES: 48" (TYPICAL) SUITABLE 1) SEPTIC TANK/PUMP CHAMBER & D-BOX SHALL BE SET LEVEL 4T.P I EXCAVN. OATION OR G.WVE BOTTOM . EFFECTIVE WIDTH=12.0' SOILS AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). MSHGW EL: 17.3 (MOTTLING) USE 3 ROWS OF 3-CULTEC C-4 FIELD DRAIN UNITS 2) INSTALL INLET & OUTLET TEES AS REQUIRED. WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 3) MAX. COVER OVER SEPTIC TANK, D-BOX & S.A.S. SHALL BE 36". SOIL ABSORPTION SYSTEM (SECTION) 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION. SEPTIC SYSTEM PROFILE w.rs N.T.S. SOIL LOG DESIGN CRITERIA NUMBER OF BEDROOMS: 2 BEDROOMS DATE: NOVEMBER 5, 2009 (REF.# 12,761) SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: PETER MCENTEE PE, CSE DESIGN PERCOLATION RATE: 2 MIN/IN WITNESS: DAVID STANTON RS, CSE DAILY Flow: 0 G.P.D. 33 DESIGN FLOW: 330 G.P.D. Elev. TP- 1 Depth Elev. TP-2 Depth GARBAGE GRINDER: NO CB/DH/FND/BT0I 6PE) �8-5�6,� EXISTING 19•9 q 0" 20.1 A 0" PROPOSED SEPTIC TANK/PUMP CHAMBER: 1500/500 GALLON CAPACITIES 7) HOUSE(#18) SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330) = 445.9 S.F. �`� 1OYR 4/2 10YR 4/2 •74 yr, Assure . )/ 18.9 B 12" 19.4 B 8" USE 3 ROWS OF 3 CULTEC C-4 UNITS WITH NO STONE 31.2' IT LOAMY SAND LOAMY SAND FOR AN S.A.S. HAVING THE DIMENSIONS: 12.0' x 24.0'. % crawl space floor, EL.=176 1OYR 5/8 1OYR 5/8 - BOTTOM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF) `50.5' 17.9 24" 17.3 MOTTLING 34" �O 60 , C1 SILT LOAM 17.1 - 3 UNITS x 8.0'/UNIT = 24.0 FT 0- �� 3 ,�� 5Y 4/3 C1 SILT LOAM 36" 3 ROWS x 24.0' x 6.7 SF/LF = 482.4 SF DcnO DESIGN FLOW PROVIDED: 0.74(482.4 S.F.) = 357.0 G.P.D. 17.4 30" 5Y 4/3 �., 17.3 C2 MOTTLING= 31" 16.6 42„ PROPOSED SEPTIC SYSTEM UPGRADE 40.0 42„ c2 18 B R IARC LI FF LANE, C ENTERVI LLE, MA 16.2 STG. GW = 44 16.3 STG. GW -_ 46" F-M SAND F-M SAND Prepared for: Susan Simon, 60 Hartford Ave., Marstons Mills, MA 02648 10YR 6/6 10YR 6/6 Engineering by: SCALE DRAWN JOB. NO. /� 11.9 96 12.1 96" Engineering Works, Inc. NTS P.T.M. 214-09 SEPTIC LAYOUT PERC RATE = 2 MIN./INCH "C2" HORIZON TP-1 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. HIGH GROUNDWATER AT EL.=17.3 (MOTTLING) TP-1 & 2 (508) 477-5313 12/31/09 P.T.M. 2 Of 3 I A NEMA 4 JUNCTION BOX CORROSION RESISTANT & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED 6" OUT x 8" THICK EXTENDED BASE PROVIDE WATERTIGHT CONCRETE RISER BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE WITH SECURED COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER SPECIFICATIONS: OR EQUAL. B B CONCRETE STRENGTH: 5000 PSI AT 28 DAYS INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING ° 1 _ / STEEL REINFORCEMENT: A-615-68, GRADE 60 HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM DESIGN LOADING: AASHO-H10 1/8" DIAMETER. / 1,760 LB. STRENGTH. FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL \ _ NOTES: ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. 1. PROVIDE POLYMER WATERPROOF COATING. INV.(IN)=18.00 2" GATE VALVE (FIELD ADJUST FOR 20 GPM RATE) 2. SEPTIC TANK SHALL BE SEALED AND WRAPPED WATERTIGHT. 2"SCH. 40 DISCHARGE TO D-BOX 3. WATERTIGHT SLEEVES, 4" INLET/2"OUTLET, SHALL BE PRE-INSTALLED WITH ABILITY TO CLAMP AROUND PIPE DURING INSTALLATION. ALARM ON EL: 16.00 4. SEPTIC TANK SHOWN IS AS MANUFACTURED BY ACME PRECAST CO., 2" 90' ELBOW W/ 1/4" WEEP HOLE 11'-4' INC., 520 THOMAS B LANDERS RD, HATCHVILLE, MA 02536 PUMP ON EL: 15.33 FOR SELF-DRAINING FORCE MAIN A 7 a" 6" OUT 8" THICK EXTENDED BASE PUMP OFF EL: 14.67 24 16 2" SWING CHECK VALVE PLAN BOTTOM OF PUMP CHAMBER g" 2" SCH. 40 PVC DISCHARGE PIPE ELEV.= 13.50 ADDITIONAL 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE OO 3 o OQ PROVIDE 2 FLOATS: (TO PREVENT PREMATURE PUMP BURNOUT) CAST IN 4" COUPLING FLOAT N0.1: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL ABS PL-EF 04W PUMP .4 H.P. 115 V WITH 2" DISCHARGE 48" Liquid Level O 10 PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT ACME PRECAST CO. INC., FALMOUTH, MA. (508) 548-9607 co PUMP DETAIL 8'-2„- � I�-3--I f- --� SECTION B-B SECTION A-A N.T.S. 2 COMPARTMENT 2000 GALLON-SPLIT 1500/500 (WT.=24,000 LBS.) H- 10 SEPTIC TANK/PUMP CHAMBER 1 50O/500 (WITH EXTENDED BASE) CULTEC CONTACTOR FIELD DRAIN C-4(HD) I VCULATIONS MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT BUOYANC SMALL RIB LARGE RIB o 0 o o a o 0 0 0 0 o H-10 SE IC TANK PUMP CHAMBER 6-4" POLYSEAL OUETS BOTTOM OF IT EL.= 13.50 21" TL 2" 2" 1-4" POLYSEAL INLETS HIGH GROU DWATER EL.=17.3 (MOTTLING) •. MODEL FD C-4 E MIDDLE/END ° ° ° ° ° ° BUOY ORCE PER FOOT OF DEPTH: o ° 12.0' 6.5' 1' x 62.4 Ibs./cu.ft. = 4867.2 Ibs. _ 3 SMALL RIB LARGE RIB 48' MAX. LACEMENT= 17.3 - 13.5 = 3.8' - O O yy ^ �y ^ R MAX. UPLIFT PRESSURE = 3.8' X 4867.2 Ibs/ft = 18,495 lbs. cV - to �"I � � � uru% ° WEIGHT OF UNIT EMPTY = 24,000 Ibs. Q icy WEIGHT OF 12" FILL OVER TANK: Cd 12" TOP = 12.0' x 6.5' x 1.0' X 110 Ibs./cf = 8580 Ibs. EXT. BASE = 0.5' x 39' x 6.33' x 110 Ibs./cf = 13,577.9 Ibs. = Top View Section TOTAL WEIGHT OF FILL = 8580 Ibs. + 13,578 Ibs. = 22,158 lbs. 04 D BOX 8 `5' TOTAL COMBINED WEIGHT= 24,000 lbs. + 22,158 Ibs. = 46,158 lbs. 4" DIA. 46,158 Ibs > 18,495 Ibs O.K. 3�� 8.0' o DOSING & STORAGE REQUIREMENTS %& 8.5" 815 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o o o o 0 r DESIGN FLOW: 330 GPD SMALL RIB LARGE RI DOSING REQUIRED: a 330 =CYCLES/DAY2 5S GALLLONS/CYCLE PROPOSED SEPTIC SYSTEM UPGRADE DISONTANDEPUMPUIRED OFFF FLOATS:BETWEEN PUMP 18 BRIARCLIFF LANE, CENTERVILLE, MA CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1.692 CF/FT 82.5 GAL/CYCLE = 125 GAL/FT = 0.66 FT/CYCLE Prepared for: Susan Simon, 60 Hartford Ave., Marstons Mills, MA 02648 ALL CONTACTOR FIELD DRAIN C-414D HEAVY DUTY UNITS ARE MARKED WITH A COLOR STRIPE FORMED INTO THE PART ALONG THE LENGTH OF THE CHAMBER. STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS TM Engineering by: SCALE DRAWN JOB. N0. CULTEC, Inc. PH: (203) 775-4416 STORAGE PROVIDED:I P.O.Box280 PH: (800) 4-CULTEC CULTEC Contactor®and Recharger® INV.(IN) EL: 18.00 PUMP ON EL: 15.33 = 2.67' Engineering Works, Inc. NTS P.T.M. 214-09 878 Federal Road FX: (203) 775-1462 Plastic Septic and Stormwater Chambers STORAGE PROVIDED, = 2.67' X 125 GAL/FT = 333.8 GALLONS 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. Brookfield,CT 06804 USA www.cultec.com CULTEC (508) 477-5313 12/31/09 P.T.M. 3 of 3 i } r LEGEND EXISTING SEPTIC TANK & S.A.S - 0--r9,67 CB10H/ o t - 20 -- EXISTING CONTOUR TO BE PUMPED, FILLED WlT_H'-_---- - 909 96 `o y N x 20.12 EXISTING SPOT GRADE PROPOSED ST/PC SAND AND ABANDONED- 20.161 x 22 PROPOSED CONTOUR 1500 500 CAPACITY X 20,17 p-E'- _ 19.93 1 OS/ 22.8 PROPOSED SPOT GRADE /PARCEL H'--691 --/� \��. W E LAND/V-10 2 —W— EXISTING WATER SERVICE POLYLINER 5' OFF S.A.S. �, N 6�' 1 // \ 19.56 St —G— EXISTING GAS SERVICE TOP OF LINER, EL.=22.2 A 19,39 F,nre 2,�• �\o a o yw —O:H.•W,— OVERHEAD WIRES BOTTOM OF LINER, EL.=19.5 r1 1 1// 1 ® O, N/FRNA, AMANDA o °a ono x 18.63 WETLAND FLAG /' 1 toc'°de --�� 20,.31 SAP-T-t D \r. PARCEL': 20088--002 �P WET/V-103 STRIPOUT TO / / \ WETLAND SYMBOL SUITABLE SAND ' /'� G �/ �' II V, TEST PIT (SEE NOTE 11) / __ 20.70 8 \ 19.69 •19.25 e BENCHMARK X 19,69 1 91 20, �� \ �< ff CB/DH/FN TIPf �� t WETLAND e ee 3 LOCUS 0• \\ \ X E STING 20.39` \�� V-103 ' cO�J e 5� RIGHT OF WAY TO LOCUS \ + t EXIST. , C11 N/F CONRAD, MICHAEL - �� HOU E(#18) _ I p & GARRETT, BARBARA X TOF— �1 / �approx.) j ' 0 dL PARCEL ID: 208-104 ry i 0.06 �(Assu5V) 1 iW LOCUS MAP -0 crawl space floor, L =17.6 \-'- '�' O i NOT TO SCALE a 110 of L '1\��\\ T g C �r t�'20,32 Jcn 59 - gUj tJ \Q ' WETLAND' 67' + -100� tJ �.� ,, �- \N� tJ A� { ' V-104 \ \ -I N 3 =, •6 GENERAL NOTES. X 23 73 N \ Z�J U1�� �O�ia,\ 71 8/- �O ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL a : I 1. BOARD OF HEALTH AND THE DESIGN ENGINEER. O9 17v 50 X 20, ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 2. /• f v , .... Z � J19.39 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE N F BOVI. ERNEST & DIANNA O 2 > ,: I LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 14 BRIARCLIFF LANE w x 20 17 ^-_ ' Ix/ 19,45 i 310 CMR 15.4o(h)&(i)- CONTENTS OF LOCAL UPGRADE APPROVAL O 20,26 �� PARCEL)ID: 208-105 CA / E1;�S ❑ / 1) A 1' reduction to the required 5' separation between maximum �� 9 4 "/ seasonal high groundwater and bottom of S.A.S., for 4' sepotaion. `\ L(qt A 23,57 X 2) A reduction to the requirement of a 12" separation between inlet 20 \ en 20.31 & outlet pipes servicing the septic tank/pump chamber and high X Ma L20 X 19.97 D.97 / ,68 groundwater. Watertight sleeves shall be pre-installed on septic tank/ ,04 \ p / I / - � pump chamber inlet and outlet and clamped to pipes.. \ Parcel\\105 / F T QL ,!'� I i Y;. . Benchmark Set 18,4 LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements , 3 An 18' variance, S.A.S. to Wetland, for a 82' setback. 20 L}8 EXISTING \\ \\ _ I /� 2� Left eor. cone. step WETLA 4) A 19' variance, Septic Tank to Wetland, for a 81' setback. � ... :.,.. Z V-10 \ \ �^ _ 1..:4;p`J,/. .. EL.=21..J4 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ABUTTING \ �'�'!.1 9'35 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ` �- `� ' BUFFER-LINE 9 --2F�"H�LZ'50 � � G„�. �.. � DESIGN ENGINEER. HOUSE414) Scr. `19 94 � X 9,99 h / 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING _ ^:.19,26 Porce/ B a / FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN Pch. ------ -- Z 19.92 �I X ao � 16 500t S.F. \0/� ENGINEER BEFORE CONSTRUCTION CONTINUES. ,• N Pd \0 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. wo. ,,• 19,50 p e _: ;. Mop 208 a 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF x•. .. V THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF O •O Shedt' 0� / HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 19 36.: Porcel 106 /`• '' �" " ' '' "' � 118,89 � 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. O 19.3.6.::': `',195 3: 0A 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. o- 20,44 J ve" 19,21-. :'::::` 1 K / 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS Gara e 19,69 ved raj 0 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE g / a DIRECTED BY THE APPROVING AUTHORITIES. P 1 / 20,65 Z / G 1';', : ., '.;; ,.;; .< 18,79 \� 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE O + ' v 18.73 `� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ' 18,5 8 CONSTRUCTION. Q f '2071 / X. 19.� � 0O$ 1 r 18.76 S E W E Tf_A D-0/V-10 6 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 17 1 / IN THE AREA BENEATH AND ON ALL SIDES OF THE S.A.S. AND REPLACE 9Qs1(� WITH CLEAN SAND AS SPECIFIED IN o� Posed 20� / \ x UP N 1 �' h • 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE o Qt �!' - �j �ac)i 18 78 / CQ� INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 1 ``!A 19.68 / :•,f' �ay \M\ WET V-102 \ 1 13*5 ht w 3 WET/V-103 -- �� Adele Barraro _ 5 pl R g. 19' 3'S °� 6/oHSusand Simon-Power im n -Power of Attorney 1 19,74 O 10 -- '_- 18.84 • c,� / �. ;`.,2 ��� '3p53 �%,,• 18,63 1 �� 90 0 % +Q Marstons Mills MA 02648 g doo woo S 17,48 of Mqs WET/ Oim �° PROPOSED SEPTIC SYSTEM UPGRADE PLAN �^ ;:x: � �IFT/V-104 P�� sq� �2o WETLAND/V-1yJ7 QQ 2 WETLAND DELINEATION �'' o� PETER T. ��s % �; P 18 BRIARCLIFF LANE CENTERVILLE MA MX VACCARO Environmental Consulting MCENTEE �\ P.O. Box 955 0 / o Prepared for: Susan Simon, 60 Hartford Ave., Marstons Mills, MA 02648 Sandwich, MA 02563 ECHTELE11R, STEPHEN TRS CIVIL p UP (508) 888-5855 ECHTELER REALTY TRUST 0. 35109 r X 20,14 Engineering by: SCALE DRAWN JOB. NO. FLOOD PLAIN DESIGNATION PARCEL ID: 208-107 RfG E W XTLAND/V-108 Engineering Works, Inc. 1"=20' P.T.M. 214-09 Communit Panel No. 250012 0005 C Map Revised: oUGUST 19, 1985 � 19,32 l0 1 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. Zone "C•' WET/V-105 ?/I�J� (508) 477-5313 12/31/09 P•T.M. 1 of 3 I NOTE: TO PREVENT BREAKOUT, A 40 MIL POLY LINER �. SHALL BE PLACED 5' OUTSIDE THE S.A.S. AS PROPOSED SEPTIC TANK/PUMP CHAMBER SHOWN ON THE PLAN AND SET LINER BETWEEN PROVIDE RISERS WITH METAL FRAMES & COVERS PROPOSED DBOX EL.=22.2(TOP) AND EL.=19.5(BOTTOM) — OVER EACH ACCESS MANHOLE AND SET TO FINISH PROPOSED S.A.S. GRADE. MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT T.O.F.--21.1 t SECURED TO PREVENT UNAUTHORIZED ACCESS. SET TO 6" OF GRADE • EXISTING F.G. EL.=20.5t F.G. EL: 23.3t F.G. EL: 23.1(MIN.) 36" MAX. COVER�AINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 10' L 6'(MAX) INSPECTION PORT ® S=1% (MIN.) TOP EL.=19.50 4"SCH40 PVC 2" SCH 40 PVC 4" 'SCH 40 PVC s s., s, 10^ io^ ® S= 1% (MIN.) 4"'S ARE TO BE HIGH G.W. 3" TO INVERT 4 SCH 40 PVC 3 ROWS OF 3—CULTEC C-4 UNITS x 8'/UNIT=24' E UENT1 EL.=17.3 INV.=21.78 INV.=21.61 (USE C-4 HD UNITS — H-20 RATED) INV.=18.25Y 7TER PROPOSED D—BOX 1 SLEALED BOOT (ZABEL OR EQUAL), INV.=21.55 BOTT. EL.=13.50 5 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) INV.=18.00f SLEALED BOOT INSTALL ONE LENGTH OF 4" SCH 40 PERFORATED PVC ESTABLISH VEGETATIVE COVER INV.=18.00 CULTEC N0. 410 FILTER FABRIC PROVIDE NEW PIPE AT EACH INLET TO EXTEND THROUGH STARTER UNIT BACKFILL NTH CLEAN SAND SEWER OUTLET EFFLUENT FILTER SHALL BE INST ALLIED ON OUTLET WITH CAPPED END. HOLES SHALL BE FACED DOWNWARD. (NATIVE OR PERC SAND) AT, OR ABOVE TEE AS MANUFACTURED BY ZABE� OR EQUAL. FILTER 12" INV.=18.35 SHALL BE INSPECTED AND CLEANED ANNUALLY. BREAKOUT=TOP OF UNIT (min.) �...,. (See Pump Detail, Sheet 3 of 3) TOP OF CHAMBER ELEV.=22.1 INV.ELEV.=21.55 • 1500/500 GALLON SEPTIC TANK/PUMP CHAMBER BOTTOM ELEV.=21.3 III®IIIII®IIII®II EXISTING NOTES: 48" (TYPICAL) SUITABLE 1) SEPTIC TANK/PUMP CHAMBER & D—BOX SHALL BE SET LEVEL 4' MIN. ABOVE BOTTOM OF r= SOILS T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=12.0' AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). MSHGW EL: 17.3 (MOTTLING) USE 3 ROWS OF 3—CULTEC C-4 FIELD DRAIN UNITS 2) INSTALL INLET & OUTLET TEES AS REQUIRED. WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 3) MAX. COVER OVER SEPTIC TANK, D—BOX & S.A.S. SHALL BE 36". SOIL ABSORPTION SYSTEM (SECTION) 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR SEPTIC SYSTEM PROFILE n.ts TO CONSTRUCTION. N.T.S. SOIL LOG DESIGN CRITERIA NUMBER OF BEDROOMS: 2 BEDROOMS DATE: NOVEMBER 5, 2009 (REF.# 12,761) SOIL DESIGN TEXTURAL PERCOLATION CLAN•RATE: CLASS 2 MINI SOIL EVALUATOR: PETER MCENTEE PE, CSE WITNESS: DAVID STANTON IRS, CSE DAILY FLOW: 220 G.P.D. DESIGN FLOW: 330 G.P.D. Elev. TP- 1 Depth ' Elev. TP-2 Depth GARBAGE GRINDER: NO CB/DH/FND/2T ;PPE1 J�6 EX/STING 19 9 q 011 20.1 A 0" PROPOSED SEPTIC TANK/PUMP CHAMBER: 1500/500 GALLON CAPACITIES 7) HOUSE(#18) SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330) = 445.9 S.F. 1OYR 4/2med) 1OYR 4 2 •74 s' TOF=ned)/ 18.9 B B 12" 19.4 8" /(Assu USE 3 ROWS OF 3 CULTEC C-4 UNITS WITH NO STONE 31.2 LOAMY SAND LOAMY SAND FOR AN S.A.S. HAVING THE DIMENSIONS: 12.0' x 24.0'. crawl space floor, EL.=176 lOYR 5/8 10YR 5/8 `50.5, 17 9 24" 17.3 MOTTLING 34" BOTTOM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF) ` C1 SILT LOAM 17.1 36" 3 ROWS x 24.0'Ux 16.7 SF/LLF = 482.4 SF 0 �` Ilk SY 4/3 C1 SILT LOAM DESIGN FLOW PROVIDED: 0.74(482.4 S.F.) = 357.0 G.P.D. % p��' 17.4 30" 5Y 4/3 40.0+ 17.3 C2 MOTTLING= 431 2" 16.6 C2 42" PROPOSED SEPTIC SYSTEM UPGRADE 18 BRIARCLIFF LANE, CENTERVILLE, MA 16.2 STG. GW — 44" 16.3 STG. GW —_ 46" F—M SAND F—M SAND Prepared for: Susan Simon, 60 Hartford Ave., Marstons Mills, MA 02648 10YR 6/6 10YR 6/6 Engineering by: SCALE DRAWN JOB. NO. 11.9 1 96" ' 12.1 1 1 96" Engineering Works, Inc. NTS P.T.M. 214-09 SEPTIC LAYOUT PERC RATE = 2 MIN./INCH "C2" HORIZON TP-1 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. HIGH GROUNDWATER AT EL.=17.3 (MOTTLING) TP-1 & 2 (508) 477-5313 12/31/09 P.T.M. 2 of 3 A • "; NEMA 4 JUNCTION BOX CORROSION RESISTANT & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED 6" OUT x 8" THICK EXTENDED BASE PROVIDE WATERTIGHT CONCRETE RISER BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE WITH SECURED COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER SPECIFICATIONS: OR EQUAL. 8 I 8 CONCRETE STRENGTH: 5000 PSI AT 28 DAYS STEEL REINFORCEMENT: A-615-68, GRADE 60 INSTALL 1 PVC CONDUIT TO HOUSE FOR WIRING / / 1 / DESIGN LOADING: AASHO-H10 HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM O �\�� �/ �/ 1/8" DIAMETER. / 1,760 LB. STRENGTH. FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL - NOTES: ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. I 1. PROVIDE POLYMER WATERPROOF COATING. 2" GATE VALVE (FIELD ADJUST FOR 20 GPM RATE) 2. SEPTIC TANK SHALL BE SEALED AND WRAPPED WATERTIGHT. INV.(IN)=18.00 3. WATERTIGHT SLEEVES, 4" INLET/2"OUTLET, SHALL BE PRE-INSTALLED 2"SCH. 40 DISCHARGE TO D-BOX WITH ABILITY TO CLAMP AROUND PIPE DURING INSTALLATION. ALARM ON EL: 16.00 2" 90' ELBOW W/ 1/4" WEEP HOLE 4. SEPTIC TANK SHOWN IS AS MANUFACTURED BY ACME PRECAST CO., 11'-4'�� INC., 520 THOMAS B LANDERS RD, HATCHVILLE, MA 02536 PUMP ON EL: 15.33 FOR SELF-DRAINING FORCE MAIN PUMP OFF EL: 14.67 24' 16„ 2" SWING CHECK VALVE PLAN 4 6" OUT 8" THICK EXTENDED BASE BOTTOM OF 2" SCH. 40 PVC DISCHARGE PIPE PUMP CHAMBER 8 I 3 O ELEV.= 13.50 ADDITIONAL 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE OO 0 PROVIDE 2 FLOATS: (TO PREVENT PREMATURE PUMP BURNOUT) CAST IN 4" COUPLING FLOAT NOA: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP ------- --------- ------ ------------ oI FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL ABS PL-EF 04W PUMP .4 H.P. 115 V o WITH 2" DISCHARGE 48" Liquid Level � o PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT ACME PRECAST CO. INC., FALMOUTH, MA. (508) 548-9607 ~' co PUMP DETAIL 8'-2" ►--"3'--► f- -6' -� SECTION B-B SECTION A-A N.T.S. 2 COMPARTMENT 2000 GALLON-SPLIT 1500/500 (WT.=24,000 LBS.) H- 10 SEPTIC TANK/PUMP CHAMBER 1 500/500 (WITH EXTENDED BASE) CULTEC CONTACTOR FIELD DRAIN C-4(HD) MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT BUOYANCY. CALCULATIONS SMALL RIB LARGE RIB o o o e o 0 0 0 0 0 0 0 0 �, H-10 SEPTIC TANK/PUMP CHAMBER 21„ 6-4POLYSEAL " BOTTOM OF UNIT EL.= 13.50 nPlAn HIGH GROUNDWATER EL.=17.3 (MOTTLING) 2„ 2" 1 MODEL FD C-4 E MIDDLE/END ��l° ° ° ° °mrn ° ° K12. Y qY�KORCE PER FOOT OF DEPTH: ° x 6k6' 1' x 62.4 Ibs./cu.ft. = 4867.2 lbs. t SMALL RIB LARGE RIB 48 MAX. DIS ACEMENT= 17.3 - 13.5 = 3.8'MAX. UPLIFT PRESSURE = 3.8' X 4867.2 Ibs/ft = 18,495 lbs. N �WEIGHT OF UNIT EMPTY = 24,000 Ibs. WEIGHT OF 12 OVER TANK: 12,, TOP = 12.0' x 6.5' x 1.0' X 110 Ibs./cf = 8580 Ibs. n EXT. BASE = 0. x 39' x 6.33' x 110 Ibs./cf = 13,577.9 lbs. Top View Sect TOTAL WEIGHT OF FILL= 8580 Ibs. + 13,578 Ibs. = 22,158 Ibs. N D BOX TOTAL COMBINED WEIGHT= 24,000 Ibs. + 22,158 Ibs. = 46,158 Ibs. 8.5' 4" DIA. 46,158 Ibs > 18,495 Ibs O.K. 3" 8.0' DOSING & STORAGE REQUIREMENTS r 8.5" 85" kSMALL ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° DESIGN FLOW: 330 GPD RIB LARGE RI DOSING REQUIRED: 330CYCLES/DAY= 2 5S GALLLONS/CYCLE PROPOSED SEPTIC SYSTEM UPGRADE DISTANCE REQUIRED BETWEEN PUMP ON AND PUMP OFF FLOATS: 18 BRIARCLIFF LANE, CENTERVILLE, MA CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1.692 CF/FT 82.5 GAL/CYCLE = 125 GAL/FT = 0.66 FT/CYCLE Prepared for: Susan Simon, 60 Hartford Ave., Marstons Mills, MA 02648 ALL CONTACTOR FIELD DRAIN C-4HD HEAVY DUTY UNITS ARE MARKED WITH A COLOR S7RIPE FORMED INTO THE PART ALONG THE LENGTH OF THE CHAMBER. STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS CULTEC, Inc. PH: (203) 775-4416 TM NTS P.T.M.STORAGE PROVIDED: Engineering by: SCALE O. JOB. 0 P.O.Box 280 PH: (800) 4-CULTEC CULTEC Contactor@ and Recharger® INV.(IN) EL: 18.00 - PUMP ON EL: 15.33 = 2.67' Engineering Works, Inc. T.M 214- 9 878 Federal Road FX: (203) 775-1462 Plastic Septic and Stormwater Chambers STORAGE PROVIDED = 2.67' X 125 GAL/FT = 333.8 GALLONS 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. Brookfield,CT 06804 USA www.cultec.com CULTEC (508) 477-5313 12/31/09 P.T.M. 3 of 3 Wry vw wW 1-Z LLI n�Z W ' U Q LL z EX. OONC STEP a g " — - ¢ E I SOLAR — EQPM. M o o O O - — - 00 Q ' C5 � W u KITCHEN ui U) _ m —'m 0 U --- U -- UP Q� 4? o� M DINING W -- W Q L M --- --- Lo CL, CL� i — -- :> ca I -- n LINEN VJ CL. LIVING ROOM - 4 EX. VAULTED \ �J 2 CEILING - - �N-- „' BATH Qa:: M 0 r� CL. CL. XQ �� v. m o OFFICE o w - N 0 (V z L � --- f' — — O Q 66 EX. GONG. BLOCK- -- EX. GONG. STE I LOW RETAINING w WALL , w o u"i LEGEND // W I SECOND LEVEL OVERLAY 0 0 z oz � g Roza ° '= 0 � o (.) � 00Ww � v > a .A 0 U w 0 _ H u— SKml W XofX 1 /4" 1 '—0" MY FOR 1/SK-1 PROPOSED CONDITIONS PLAN — FIRST FLOOR PLAN — SECOND FLOOR OVERLAY, i i Z wry 1-W VW WZ 1-_ n= ' vZ W W � U Q EX. CONC. STEP a SOLAR X a A W � Lij I Q M w' --- W N O N Mai - Q g � GO CR C) m KITCHEN � s UP � E w - LL a N o DI z J 0 � M � �a: � � dim --- -- Cl o CL. CL. - -i - ,�� IM w ._ j LIVING ROOM — NEN L. � U EX. VAULTED a --------- Lu °0 � }_ _.� ]� _ �' fn °r° a) CEILING � ELI N- BATHa tCS U Q' m Q c) w X O � CL. CL. X¢ J � > m W0�z z Y OFFICE w ----- — —-- o 0 O f Y j Z EX. GONG. BLOCK EX. GONG. STEP,F i6 10 LOW RETAINING WALL w w F a LEGEND W M SECOND LEVEL OVERLAY \11 0 oZ W Z to 0 0 CL of off- � oU `5 0WW _ � > a O � f/1 U V+ N W w {ll 2 SK=l XofX 1 /SK-1 PROPOSED CONDITIONS PLAN - 1/4" 1 '-0" ao'r r=®R FIRST FLOOR PLAN - SECOND FLOOR OVERLAY