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HomeMy WebLinkAbout0036 HARVEST LANE - Health f3lHarvest Lane C A 067002 I I Slll ��a�uFo UPC 12543 : No.. 53LOR HASTINOA. UN aoq,a(R-66a-- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form• Not for Voluntary Assessments i-_: 36 Harvest Lane Property Address a, David Vercollon t_; Owner Owner's Name information is Centerville MA 02632 7-19-18 required for every „g. page, CityfTown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important When A. General Information o filling out forms 1!V4 13/v q! ```��Nut►it u�u„���� OF on the computer, `�1tHSy., use only the tab 1. Inspector: a_0# • • �s0 lt key to move your � '•;Gn y cursor-do not James D Sears = ;• JAMES :r„ use the return Name of Inspector SEARS ;Cakey. Capewide Enterprises w Company Name �y,�J�'•.•RT1F,••G�O\`�. 153 Commercial Street '�Y,F s jNgPEa�..e '�'elttnmrmt�et Company Address atia Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 Telephone Number License Number B., Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7-20-18 nspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6116 Title 5 Official Inspection Form;Subsurface Savage Disposal System•Page 1 of 17 �oe 5b a6ed xed dH 8l.:EZ 860Z ZZ lnr Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 36 Harvest Lane `r Property Address David Vercollone Owner Owner's Name information is required for every Centerville MA 02632 7-19-16 page. Cltyrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are Indicated below. Comments: The system is a 1500 Gal. Tank D Box and Three Chamber's B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain, The septic tank is metal and over 20 years old'or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. `A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ NO (Explain below): 15ins.doc-rev.6116 -itle 5 offidai inspection Form:Subsurtaoe Sewage Disposal System•Page 2 of 17 g-V a6ed xed dH 91,U 860Z 22 lnr Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercoilone owner Owner's Name Information is required for every Centerville MA 02632 7-19-18 page. City/Town state Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumpslalarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1xb)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 16103.doc•rev.6/16 Title S Official Inspection Form:Subsurface SawaSe Disposal System•Pape 3 of 17 Lt7 abed xed dH 66i£Z 860Z ZZ lnr Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form,-Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is required for every Centerville MA 02632 7-19-18 page. cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"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 ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in is less than 6" below invert or available volume is less than%day flow /-W111wC t5ins.doe-ray.6116 Title 5 Oftal Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 gb a5ed xed dH 6V£Z 8lOZ 22 lnr i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is required for every Centerville MA 02632 7-19-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOTdue to clogged or obstructed pipe(s). Number of times pumped; ❑ ® Any portion of the SAS, cesspool or privy is below high ground water 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 1 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 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysts, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 16.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes'to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 15ina.doc•rev.6116 Title 5 Official Inspection Form:SubsuAace Sewage Disposal System•Page 5 of 17 6b a6ed Xed dH 66:£Z 9LOZ ZZ lnf Commonwealth of Massachusetts Title 5 official Inspection Form i Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ., 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is Centerville MA 02632 7-19-18 required for every page_ C4frown State Zip Code Date of Inspection C. Checklist Check if the following 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 N/A) ® ❑ 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? ® ❑ 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 r maintenance of s b ?I o propersubsurface sewage disposal systems. The size and location of the Soil Absorption System(SAS) on the site has been determined based on: ® ❑ 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 t5ins.dcc-rev.5116 Title 5 0fhdal Inspection Form:Subsurface Sewage oisposai system-Pape a of 17 0g a5ed xeJ dH OZ:£Z 860Z ZZ lnr Commonwealth of Massachusetts rA Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,�F 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is required for every Centerville MA 02632 7-19-18 page. Cfty/Town State Zip Code Date of Inspection D. System Information Description: 1500 Gal, Tank D Box and three Chambers. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundryon a separate sewage system? Include laundry system inspection P 9 Y � Y Y � information in this report.) El Yes No® Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2016-386-000Gal g ( y g (gp )) 2017-231,OOOGal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present Date Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft,, etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available; t5ins.doc-rev.6116 Tft 5 Official 6tinpection Form:Subsurface Sewage Disposal System-Page 7 of 17 i,g a5ed xed dH OZ:£Z 8602 22 lnr Commonwealth of Massachusetts Title 5 Official Inspection Form d Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercollone Owner Owner's Name Information is required for every Centerville MA 02632 7-19-18 page. City(rown State Zip Code Date of Inspection D. System information (cont.) Last date of occupancy/use: Date Other(describe below): Y General Information Pumping Records: Source of information: 2013/2017 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): 151ns.doc-rev.8198 Title 5 Otfidal Inspecticn Form:Subsurface sewage Dlsposal System-Page 8 of 17 Z5 a6ed xed dH 2:£Z 860Z ZZ lnr Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercollone Owner Owner's Name informationairedfor is Centerville MA 02632 7-19-18 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 2000 Permit #2000-003. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 42" feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc,): Pipeing is 4" PVC SCH -40. Septic Tank(locate on site plan): Depth below grade: 32" feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gal. Precast H-10 Sludge depth: 1° 15ins.doc•rev.W 6 Title 6 Offic sl Inspect on Form:Subsurface Sewage Disposal System-Pepe a of 17 £g abed xed dH 6Z:£Z 860Z ZZ lnr Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form • Not for Voluntary Assessments ' 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is required for every Centerville MA 02632 7-19-18 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(oont.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 17 How were dimensions determined? Asbuilt- Plan-TapeSludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level. Tank and outlet cover at 32" below grade wlinlet cover at 20". In and outlet tee's. No sign of leakage or over loading. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top scum of to to of outlet tee or baffle P Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 15ins.doc rev.6116 Title 5 Official Inspecticn Fain Subsurface Sewage Disposal System-Pege 1Q of 17 bS a5ed xed dH 6Z:£Z 8l•0Z 22 lrr r Commonwealth of Massachusetts . Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Vv_ 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is required for every Centerville MA 02632 7-19-18 page. Cdy/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): •Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 15ins.doc•rev.6116 Tale 5 Offidal Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 5C a6ed xed dH ZZU 860Z ZZ lnr Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form- Not for Voluntary Assessments C 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is Centerville MA 02632 7-19-18 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16"x16"-45"below grade w/cover at 28". Box is clean and solid wltwo line's out. No sign of over loading or solid carry over. Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No* Alarms in working order. ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5im.doe•rev.6116 Title 5 MAI inspectloi Form:Subsurface Sewage Disposal System•Pape 12 of 17 95 a6ed Xed dH ZZU 9l,0Z ZZ lnf, i Commonwealth of Massachusetts UvaTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information a Centerville MA 02632 7-19-18 required for every page. City/Town State tip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovativelalternative system Typelname of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is three 500 Gal. dry well chamber's wl4'stone. Ck D Box and camera out line's. No sign of over loading or holding water. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5lns.doc-rev.Via Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Lg a6ed RJ dH ZZ:£Z 860Z ZZ lnr Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is required for every Centerville MA 02632 7-19-18 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 15ins.doc-rev.6116 Title 5 Ofridal Irepedw Form:subsurface Sewage Disposal System•Page 14 of 17 a6ed xe n 15 � �H ZZ�£Z !6!Z ZZ l (' 1 Commonwealth of Massachusetts Title 5 Official Inspection Form t Subsurface Sewage Disposal System Fom-Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is. required for every Centerville MA 02632 7-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately w�//bows ,,D e0� WI NOS 9 A-a- rs -� A-3 - P- `r q 8,3= 93--l� Mns.doc rev.6116 Title 5 Official hspection Form:Subsurface Sewage Disposal System-Page 15 of 17 69 a6ed xed dH ZZ:£Z 860Z ZZ lnr Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 36 Harvest Lane Property Address David Vercollone owner Owner's Name information required for every Centerville MA 02632 7-19-18 page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth tof igh ground water: 10' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 12-13-99 Date ❑ 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: T.H. on Design plan 12-13-99 10' no G,W.. Bottom of leaching at 8'-6" below grade. Before filing this Inspection Report, please see Report Completeness Checklist on next page. Mmi.doc•ray.W6 Title 5 Official Inspwion Form:Subsurface Sewage Wpwal System•Page 16 of 17 09 a6ed xed dH £ZU 960Z ZZ lnf Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments v 36 Harvest Lane Property Address David Vercollone Owner Owner's Name information is Centerville MA 02632 7-19-18 required for every page, Cityffown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I5ins.doc-row.&H Title 5Official Inspection form:Subsurfeos Sewage Disposal System-Pape 17 of 17 1,9 a6ed xed dH £Z:£Z 9602 ZZ lnr TO OF BARNSTABLE C�nCc� LCCAT[,:JN 36 eves � �� SEWAGE # ' 63 V ,LAGE CPI.nlA UdiG ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO._ tM of d GW"S SEPTIC TANK CAPACITY S LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: t31 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 r s e, No. q V Fee v O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for ;Mfi5poz .Y Opftem Con!5truction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 6 "U-10 Owner's Name,Address and Tel.Nam )I\'l 0 k\j L �ls1v ` 1 Assessor's Map/Parcel '�D 0 6 7-0 0�.., 3& N Installer's Name kddres ,and Tel.No. C _,07 Designer's Name,Address and Tel.No. S 2�1�AtA,4 Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building a- No. of Persons ;l Showers( ) Cafeteria( ) Other Fixtures Design.Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmen -d nd not to place the system in operation until a Certifi- cate of Compliance has been issued by this BoaPd o alt W. , Date_ Application Approved `r Date 5 ✓� Application Disapproved for the following reasons Permit No. c S I Date Issued Fee DD THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes, PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for 30i5pont *pztem Cottgtrurtion Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 6 Owner's Name,Address and Tel.No. a a !C I Assessor's Map/Parcel D O 6"',.. O Installer's Name kddress,and Tel.No. �0 Designer's Name,Address and Tel.No. 5 Type of Building: t Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil v o-L Q� T� Nature of Repairs or Alterations(Answer when applicable) �r..C_ � �r'1(� AGO (� 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 Environment - .ode and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boa} o t . Signed- ( Date i Application Approved Date Application Disapproved for the following reasons ' �4 f Permit No. cJ 9 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance Tr.7 0 r Ti that t .�c• o Q.•.o.„of.o rl'� System(`nn wr�� t d (' 1 Pnairer-1 1 Tnot'a,.Ho 1. .J CERTIFY, th he O :t„ age Disposal Sy s u c e � . R Y--- � . Upgraded Abandoned( )by at :5(, A has been constructed in a cordance with the provisions of Title 5 and the for Disposal System Construction Permit No. JC)05/9D dated Installer rS a J"A.0-S I Designer The issuance of this peytmt s all not be construed as a guarantee that t e slf`ys etn;�H'10T-6't on as designed Date .S//0 AV 5 Inspector s No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS Mi. fpo$al *p5tem Cold.5truction permit Permission is hereby granted to Con tlru-ct( )R�gair(�)Upgradt2n ) bandon( ) System located at. �9 r� 1� A 'S``II L►'\ Nin)1 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Cons cti n must be completed within three years of the dat of this per i . Date: Jc' �- Approved by TO OF BARNSTABLE LOCATION SEWAGE 4r �/ VILLAGE C wd-Al/�6� _ ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. t4�M°rf c' r,6.- SEPTIC TANK CAPACITY % ) LEACHING FACILITY:.(type) '(size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE:_ntZ2 '. 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 vv�► PA ACQ IC �,�-- p,.9ay. s A TOWN OF BARNSTABLE IJOCAcION Jp Aa-r-11-e-571 l^4l//1 o SEWAGE # 2000'CO 3 Y LLAGE r.t'vl w 1r'�Imo_ JM • A ASSESSOR'S60 - MAP & LOT 241"Q67 INSTALLER'S NAME&PHONE NO. 1 O!/W Vn<1/L14 SEPTIC TANK CAPACITY P l LEACHING FACILITY: (type) �p 1 G �/ (size) 3� X /q NO.OF BEDROOMS 1\ T BUILDER OR OWNER PERMITDATE: I r 1'I'OC? 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 F� 34 3� 4� 4 f d 5'y S� t No. 11_/17 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Tipprication for Miopozar *pe;tern Construction 3permit Application for a Permit to Construct(V)Repair( )Upgrade( )Abandon( ) [RComplete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 77!--1 Q i/G Assessor's Map/Parcel aQ 9 n_ 1Q� (a-7 Installer's Name,Address,and Tel.No. 3Q�I fq-7 z1 Designer's Name,Address and Tel.No. 7 7 S__ G 7 3 Type of Building: p Dwelling No.of Bedrooms�_ Lot Size dQ 6l sq.ft. Garbage Grinder(A& Other Type of Building A04 n almr No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow G gallons. Plan Date L- - Numb r of sheets Revision Date Title G any Size of Septic Tank /soy Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 ironmental Code and not to place the s stem in operation until a Certifi- cate of Compliance has been ' y this Board ealth. lo Signed oar Date Application Approved by ' Date Application Disapproved for the following reasons Permit No. Z9 d Date Issued 2,5 Fee y THE COMMONWEALTH OF--MASSACHUSETTS.� Entered in co puter://i_,_ PUBLIC HEALTH DIVISION- TOWN OF BARNSTABL"�EMASSACHUSETTS Yes 01ppYication fo� L7 ri.M-15po.5a�f �&pmem Cow5t-ruction Permit , Application for a Permit to Construct(t/)Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. -77� Assessor'sMap/Pazcel JQ I ! ,�bl_�� �' f h_pSr IVW,7 Installer's Name,Address,and Tel.No. 3 �� tf Designer's Name,Address and Tel.No. r7 7 _ 07 3 Type of Building: Dwelling No.of Bedrooms 9 Lot Size,�0 6 sq. ft. Garbage Grinder(A6) Other Type of Buildingdlo*•W aAt,, 'No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow gallons per day. Calculated daily flow V�'G gallons. Plan Date Z- - I Number of sheets_/ Revision Date Title At 4 dap P"Ldj eC/ Size of Septic Tank / 5 D7J Type of S.A.S. Description of Soil( rA t Nature of Repairs or Alterations(Answer when applicable) f Date last inspected: Agreement: k The undersigned agrees to ensure-the construction and maintenance o€;the of r _described on-site sewage disposal system in accordance with the provisions of Title 5 q- ironmental Code and not to pla a the s in operation until a Certifi- cate of Compliance has been yy this Board Health. t� ,.---"' R... j p 'F'.: Signe Date Application Approved by Date Application Disapproved for the"following1 easos Permit No. 452 Al°f 4903 � Date Issued' 1/#-- 140 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance f x THIS IS TO C. TIFY,t~ t t e On-site Sewage Disposal System Constructed(L., Repaired ( )Upgraded( ) —Abandoned( )b roJ at 36 -vfJ use has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. t oO"!dated 4a. Installer ' Designer The issuance of this p t slpll not be construed as a guarantee that the system�wjg-fu—ncaed Date D 3' Inspector i 1 y� No. Alh- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi0o5al *p6tem Construction Permit ' Permission is hereby ranted to Construct(!1?/ Repair( )Ugrade( )Abandon( ) System located at to and as described in the above ApZt?2, ti @t-Diispo,�aI S.Vstcic,Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the folio1• al I rovis' ns k5spZcial conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by y I TOWN OF BARNSTABLE LOCATION #c zze-5 J &d1 tf SEWAGE # 2-00O.—CO VILLAGE C.t�1t11�if ir'i�l�_ ASSESSOR'S MAP&LOT 2-01"CO i INSTALLER'S NAME&PHONE NO. LAfJ SEPTIC TANK �APACITY `C A M-1/6 LEACHING FACILITY: (type) (size) 39 7( /q/ A NO. OF BEDROOMS BUILDER OR OWNER �e- 00r`I�JB Kl3Z� PERMITDATE:" I-q-©Q COMPLIANCE DATE: 03 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 .~ M S 4.1� I olvn of li'arnslable I' rr Department of IIealdl,Safely, and Environ III ell III Services ,ItE Public 11e,11111 Division Dale f� 367 Main Slrecl,I lyannis NIA 02601 • aAMIRTAn14 "As& froe � llille Scheduled / —— f--- Time./fi 32o ( cc I'll. Soil-Scritabilit>> zlssessiiteitt.fnr Selvage Disposal d /\ I'crfunncd Ily: 1UitncsScd Ily: v./DYl/Vlr6- ��•''��� LQCATIQN & GI,NERAL INIF 11 ' IATION LocnlionAddress Cal Owncr'sNilmeB��` � � . C Gz�7 Address,"O.C> ,6-a;x s Assessor's Map/Parcel: 20 — I° 2 I:nginccr's Nam u NEW CONSTRUCTION J ItI:PAIR 'telephone 112 2- a � Land Usc Slopes Surface Stones I 1 M _ Disliloces From: Opco Water Ilody N V1 Il Possible Wel Arra fl Drinking Willer Well fi s Drainage Way —A 1'ropciiy Line1 i�0 II Other Il SKETCH:I: (Sucel name,dimensions of lot,cxacl locations of lest holes&perc tests,locale wetlands in proximily Wholes) I'arenl material(geologic) rOawwoa6 Depth to Iledrock Depth to Groundwaler: Standing 1Valer in �/ I lulc: 1 1 U v ur> Weeping from flit Filet: /1Q� lislimaled Seasonal I ligh Oroundwalcr DETrRMINATION II'QR.SI ASONAI, IIIGII �'V `I'I�LZ.'1'AIILIs Nfelhod Used: Depth Observed standing in obs.hole: in. De11111 to soil mottles: in. Depth to weeping from side of obs.hole: in. Gmumlwaler Adjustment Il. Index Well ll RrndinR Dnle: _ _ Index Well Icvcl _ Adj. factor Adj.Groundwnlcr Lcvcl it Observation I'LS'I' "` ii�ile I l itrire 10 "d� Observation ^ I lole 11 I O� Time al 9" OV Depth of PereCL Tlnre nl 6" Slnrl Prc-soak'I'imc n Timc(9"-6") _ I:nd I're-snak Rate Min./Inch Site Suilabilily Assessmcol: Site Passed Site Failed: Addilionnl Tesliog Needed(YIN) Original: Public Ilcahh Division Observaljon little Dala To Ile Completed on liaclt j Copy: Applicant 1)1P,1�,1' 08S1,0tVA'1'1ON 110LI LOG hole ll Depth fluor Soil l lorizun Soil Texture Soil Color Soil ()tiler Stirince(in.) (USDA) (Nlonscll) Mottling (Slnrclurc,S(oncs,Iloulderes. ------ - - _ .__�-._ . -- - ADkIQl_ 6 C � $ �'1 --_ __ . --- ----------- ._ --- s- g_Gy—/6 - - - I)E EP OBSERVATION IIOI,IP, LOC: 11oie Jt G Depth limn Soil Ilorizon Soil'fcxlurc Soil Color Soil Olhcr Surface(in.) (IISI)A) INIIIl scII) Nlollling (.Slruclurc,Stones, Iluuldcres. tom - -- -------- OPOT OBSERVA`1'ION 11OL1�, LOG Itole 11 _ Depih from Soil Ilorizon Soil'ficxlurc Soil Color Sail ()tiler Snrfacc fill.) (l)SI)A) (t\lunscll) Mottling (Slnrclure,Shines,Ilooldcrcs. Glaycl) — -------- --------------- — llIi,LP OI.ISLRVATION II0I.X1 LOG Ilulc JI Depth hollf Soil I lorizon Soil Texime Soil Color Sail Other Sorl-ace(ill.) (IISI)A) (t\iunSCll) t`lullling (Shnclurc.Stones,flouldcres. --- -- -- islcicy,so(ililycl) l I Iood Insur_iiice Wife Nin.p_ Above 500 year flood boundary No Yes Within 500 year houmhuy No Yes Within 100 year flood boundary No Yes Mplll of N_itlma-11Y Occurri)Il;_I'cr ims (Y merial Does ;if least four feel of na(urally occurring pervious lu lterial cxisl in all areas obsaved tluoughorll Ilse area proposed for file soil absorption system? If nol, what is file depth of nalurally occurring pervious Ilmicrial'? cl_li_Icaliolll I certify Ihat on (date) I have passed the soil evaluator examination approval by the Deparfitncn( of l?rivnonnlcntal Prolecfion and that the above analysis \Vas performed I)y me eonsimew \vill, file required (ra i ning, �expa(ise and experience described in 310 CMIZ 15.017. Signature -.._/_.! 5����'s°`'`- } - -- -- Oale • zs IV 70' /W DARTMOUTHi POOLS&5s���, �t��:: - �-�3S.Ie� op 8W MT. PLEASANT ST?EEr . NEW BEDF'ORD, MA 02745 f/rleco%tokr � 01. .. Y .. � .. � `�`'-. tl':�'- _... •+f��`. .Z:..."_`..+n'e�+.�aea"'�-.a."'. ..7..w'pwS�'.a.e!vaS.•4`l. .!u:P`�t W-b' la,_o. ..._..I �. 14'-0' 22'-0' ..I n .. 'R� T-b• b'-b• 6'-3• 6'-3' I01-3 -CC ' ' I DOOR iv n c ——— ———_ -- TRAY GEIUPIG t L MASTERS � v 3/4 NI5 BEDROOMBULK . CARPE 2T 2 v MEAD OAK '3 V2'd %3/4' 3/4' o� 2&4 W o ® STEEL m ,3'tm2-0 m — ———— — STM COL. - r--- t P STMR.am"-_ 1 k t _ ADOVB 1 x a x 0 1 90' A.F.F. t t t' It >' SITTING EN ±L a it d o®AK `v OAK ' — `—�————— _ F� <o :.D1'I I� II .dam: �' -- --T— r. 2 2A 2A L !2 1 i - TE SKMITE .l. ® cATuEDMaL L— F/L I r �� I FAMILY 2s"-2 ® o c.® 1 1 2• a l - MASTER o wALL - �6436{'. OPEN :4� P TRT 1 3414' Cat- TILE GAK ON v ARW _ c TItE UMB —7 ® o H to10 fO, D TI n DPI m' LE 25 2a Sj2 4x4 - S11 L NGLfT T P09T 90' A.F.F.ABOW — H f (2)9 I/4' S FLUSH 2'-I0' d'-d' s UP (2)A 1 V.1VL'8.FJ.11S4 m 2 6 y�{�UNDER BEARIPIG�WALL AHW$ V-1y o OAK 1 1 1 � " QLNING + OAK 3� $ ' �A POWDER — coPlc. SLAa I OOM K Q 31 ..! h 10 6 cpSI Q I � � S O.K. :„ ti I MC� F f n a 4 2- SMOKE DETECTOR 1!I m Q y' I 25 3/4'*"3/4' O[ 3 n A /f n 17 - v ....... 6�• 18'--0• 13'-6` 13'-00 27-00 .. :;� - 9'-d 9`-d 6`-S• 6'_Ior 6'-9� 6'-3' 4'-4• It'-Id' 5' . I ic I „� ..�_�.}. _ mod ��-._..._ '"'"_--==•-'S � - .m.. -. -.. I 4e• wse E I .a - .�.- mI TRAY COLING. /----------- // \� MEDIA ROOM IIE.TI F \ OAK SEM o ' I I G4 1 i LF9�.j 8'-6• CmuN4 WQ4T 2f '�• LINEN CARPEr f3EDR�00M #2 Q Q Ca D= 2 / HALL ON S8 {• -13� " - 2 - ® 1 U�RPET m Aw 12'-9 U4. 0 �. .. 2A 0 2A 2fi tt ® BATH sty � ` - ---- TILE® 'v / � 8 rt, BUREAU Hl CARPET I Ys sor I n. BEDFZOQE"I Si3. n g x-lo• A nn h J Q IJ I � T�s� j so CTo� otc,c3., � I 1 ......... -�, 4k 102 8 o 3 Sl ICE x , 1 J i TEST HOLE LOG __ DATE:��,./3/994 ra- 91v39 SOIL EVALUATOR:.% /y/o T UE'�^/ WITNESS:-.. Ar.). .yio•2raova PERC RATE: --, Z 2 A 3Z y�l /o y2 S� g Jr 4 G C S9.✓� SAti a z. sy� zsy� �O.G �U L.JA7� E.uC•oc�iJT�=lZE.� DESIGN DATA DAILY FLOW:W)BDRMS.z 110 GPD GPD 5 SEPTIC TANK. yi10 GPD z 200%= 88o GPD p �,�� USE:/✓oo GALLON PRECAST SEPTIC TANK d4 LEACHING FACILITY: USE: 3) vN CAPACITY: y SEDEWALL: 3 ar Z BOTTOM:-l;-X 3.3. S Xo J yr-vz7,3 YY�G TOTAL: ..-. OF DANI!EL E. p CIVIL v No.32686C --i NOTES: 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. Ss��NAt EN 2. PIPE TO BE LAID LEVEL FOR V OUT OF DISTRIBUTION BOX. 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL. =`=^ S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEE 2•LAYER OF Yr PEASTONE OVER 3r4•-1 112•WASHED STONE ALL AROUND TOP OF FtO,UND. r��2 /Q EL. S/•/O 1o• 14, 9 �a��.• yys C2. yy zS SEPTIC SYSTEM PROFILE .BEC Dcv �S'S + �sT. Fco a,t' SITE SEWAGE PLAN GENERAL NOTES FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR -- -- TO ANY EXCAVATION OR CONSTRUCTION. -- - ���TE?d/L L-, �'�A• L SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR kQ CMR IS.00;TITLE V. 3. THIS PLAN 18 NOT TO BE USED FOR PROPERTY LINE T Imo- DETERMINATION. 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. DATE: �G--Z,_Z9/999 SCALE: TURBEDRE �s/T,t� , S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS WELLER & ASSOCIATES . FIr[ 1645FALMOUTH ROAD CENTERVILLE, MA. 02632 EL: (508)7754735 FAX: (508)775-0754 ' 11 APPROVED BY: h 4 4 I I Al o s� rvvo 1 i I V O t I o I LJ 1 t1V LL' LlJll DATE:,o�c,/3/999 �- 91v39 SOIL EVALUATOR:.% O�ofi�✓, cs� T.Sf/S SOT I�o� s �o T ci.E'ice,/ WITNESS:-. O. PERC RATE: Z 2.2 , 6 4 ,�} �.s• 5 0� A c,s, y� c C � 7 S-9N.1) ,SAv D z. sy� zsy�� DESIGN DATA DAILY FLOW: (f )BDRMS.z 110 GPD=#Yo GPD �T 5 SEPTIC TANK: Wo GPD z 200%= 88o GPD USE:/Soo GALLON PRECAST SEPTIC TANK (l LEACHING FACILITY: ,�o�n� 53 USE: GeJ/y aic STo.�J�'. CAPACITY: y SIDEWALL: 93-y z X o,2 Y- /32, BOTTOM:..l3'X 33, S X02 5/2 YZZ,3 TOTAL: ... i I � d �A OF M DANIEI E. U ` p NA A)l CIVIL S 4ri No.32696C —4 R NOTES: P� 1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION A BOX. 6 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6"OF FINISH GRADE. 1 z 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE DISPOSAL. 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEE. 2"LAYEROF 3B"PEASTONE OVER 3/4"-1 112"WASHED STONE ALL AROUND TOP OF FOUND. @ EL. Syoo 0 y9 G o y8.1o7 yB.00 �� y9 Zs �y.oo �z o C> SEPTIC SYSTEM PROFILE SITE SEWAGE PLAN GENERAL NOTES -4 3 FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR T (1i TO ANY EXCAVATION OR CONSTRUCTION. 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH PREPARED FOR 310 CMR IS 00:TITLE V. 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE / Y DETERMINATION.. DATE: ,OC49, Z9/99 9 SCALE: /�S /jE,a 4. ALL DISTURBED AREAS TO LOANED AND SEEDED. •S40 y/Zc>o Z 5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS. i FT[ WELLER & ASSOCIATES 1645FALMOUTH ROAD CENTERVILLE, MA. 02632 EL: (508)775-0735 FAX: (508)775-0754 22'-0' 4V 4'-4° II'-10° 5'-10° O II'-6° 4V t1 tom. FLAT RUBBER ROOF - tp I 48° RISE� TRAY CEILING - TV8'-6° CEILING NGNT pN >fR O ,, MEDIA ROOM OAK -- D 0 !2& 104 F8JVELUX � (� W-O CEILING NGNT — D BEDROOM #2 BATH #3 LINEN rol 24 5o c.v. DD CARPET OCC A-2 WALL DN _ CS 13'-4° 2H ® 0-10 I/4° ® CARPET m 14'=0° 12'-A 3/4° — 'v 58 3/4 5q 4° d O D� z 0 22fi 2f ® cu�LT BATH #2 N TILE ---- u —_= I I PNaue in BUREAU -- - Q _P- z 10 z I — - -- = u lu m (VS 606 I I I m a® O- II 8'- ' CEILING NGNT I ro R I BEDROOM #3 m � � CARPET lu I 2'-)W 2'-10° ,C\ TV m s N o SNEET Np K x W N SECOND FLOOR PLAN SCALE 1/4" = I'-D" SOB. 0237 24'-6° DRAWN BY: KW DATE: It/12/02 ® I I _ EXISTING - r R IB'-Or 14'-O' 12'-Gr 22'-0" SILL II'-2'ABOVE 8-6' 10'-3' II'-9° FINISH FLOOR---� (3)DCG 2929 q 6,_6'Sr 2,_br +dP 7'O' 6' 29 3/4'IQ9 3/4° 11(R1 y ♦S 9a �__ 1P - WINEET l�l� III O • 5 DOOR CRE 76 Lq V p ADDITION Q *f I 25'-0° TRAY CEILING m MASTER Y "E STEP " SC D CN 0 2'-9' 3'-5' 2'-6' 6'-0' 2'^6' Id-10' c 9 L BEDROOM DOC -2 N - ` a'-4 p�p 3 ' 3/4 HIS CARPET ° 5REAKFAST g m z'-o^ n m WW 1 OAK 63 3/4 20'0' I o � � i`i 'v ,n 2 o ANT ___ v. JJJIII _ 57 P 5 T R II o o HERS REF. 29 31 V 2q 3/4 I ware S o 0 e II _ I 2fi O m SITTING _ o KITCHEN II OAK r K� OAK I .I--",-- T r _ a.rers 2k -- I SKY4ITE ABbV E E I CAB I DB DCC 4753 F 3 p m L Q DW I I LAB JE CATHEDERAL L—J LL ___ BATH H 47 3/4'x63 3/4' 9 2& 24 ® L .20 I ® II AMI i TILE n� a I I onrc FIL I o LJl u I z' - GIA59 BIOOC 2669-2 WALL 5..CK D - —_ 36'z36' MASTER OVEN ——— P NTRY I ^J O 6FICK - \\ 30 3/4'x59 3/4' BA A ARCH 1/(y\,_I --Cr--- TILE LAUNDR n DN 0 El TILE G 2g O CATHEDERAL N ® ®96° 2 2A 5Q GLASS P 0 REG ROOM OAK 2h CL SET IT ———————— ® ———————————————————— -IJ. UP �� F g m STORAGE STORAGE �' CABINETS CABINETSFOYER I^ °g OAK � I I\�� w 3 o I az I I Q Q � � Q e 5� x D I I r OAK POWDER m 6 G Q o GARAG ROOM m R° n m w CONC.SLAB OAK m V m z R O -A / Q e Z I O Q m m q I pQ( Q V F 9 2' mDCC 2559 ,ri' VyOL c �+ 25 3/40X59 3/4' $ LI n w FaQ - FI 5T FL OR PL N 2S 4'-0'9-6. 3-2Y 3_5, 4,_I. 6,_6r 5,_6° 4'-W 7'-9' 9'-O' 7'-yr 6,_4r 6,_0r 73,-0. ADDITION EXISTING SWEET 3 OF 3 Hiii 8 JOB: 303 DRAWN BY: K DATE: r 12 _ ID p 12 v6 12 lop Z7 u L---J RIGa4T ELEVATION SCALE: 1/4' = I'-O° EXISTING ADDITION EXISTING < 0 RIDGE VENT - 2.12 RIDGE BOARD L �/ w ASPHALT SHINGLES .O OS N 5/8'COX SWEATHING Oy® 0 Z 6'-2" 2'-6• 6'-11' 2'-6' la_IO' � R37 INSUL. •C _ 1.1 O MAINTAIN AIR SPACE 2 Ws @ I6 O.C. Q Q A n lL Lu CONT.VENTING DRIP EDGE ---- Lu H lx8 FASCIA ——(2)4 1/4'LVL NOR \ ——————————— Ix4 SECOND MEMBER ——————_ u _— —— ———— I ALUM.GUTTERS/DN.SPOUTS O :o I I IX FRIEZE BOARD/MOULDINGS REMOJE EXISTING WINDOW FOR �` B°x3'-9°CONC.WALL I p 1,°, ACCESS ® WAG-CONTINUOUS FOOTING I I _� 2.6 EXT.STUDS @ 16"O.C. L+-t U I " _ RI9 F.G.WOOD 0 > Lu I /2°PLYWOOD SHEATHING Q REC. ROOM QL _ I TYVEK WRAP ro O O CEDAR CLAPBOARDS IN FRONT I Q P SHINGLES SIDES t REAR ' r F -1 I � 1r z ___ I I r FINISH FLOOR > 7-F 0 + PKT I I = 3/4'PLY SUBFLOOR 2x10'S @ 16'O.C. 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