HomeMy WebLinkAbout0471 HUCKINS NECK ROAD - Health .-47`1 Huckina Neck Road
Centerville P
A = 233 049
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No. 4210 1/3 ®RA
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Pendaflex'
Arm
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' VI 5
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
a
DEPARTMENT OF ENVIRONMENTAL PROTECTION
MAP 2.3
PARCEL ;��9•-4.�-,0
TITLE 5 LOT fl
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: / ~gp �Ro"
Owner's Na
Owner's Address: ( P'�
:Date of Inspection:
Name of Inspector: pleas print) a r4Q1-�j`f�4� �
Company Name:
Mailing Address:
{ Telephone Number: 7 7 /. 1-01 �•,�O
. NEP
CERTIPICATION STATEMENT '
I certify thattl 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 to P P systems.ms. I am a DEP
g P Y
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
_ Fails
Inspector's Signature: / Date: if 3q-J03'
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of tile
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
ir
****This report only describes conditions at the time of inspection and under the conditions of use at that
time. This inspection does not address how the system will.perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page I
Page 2 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address. `� 7
Owne
Date of Inspection:o0m4LY-11.bed
.Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. ystem 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:
ti
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass"section need to be replaced or
repaired. The system, upon completion of the replacement.or repair, as approved by the Board of Health, will pass.
Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent:System will pass inspection if the
existing tank is replaced with a.complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with.
,approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass inspection if(with approval of the Board of Health):.
broken pipe(s)are replaced
obstruction is removed
ND explain:
2
Page 3 of I']
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION'FORM
PART A
a C_ERTTIIFICATION(continued)
Property Address: 7� rid /CZC�P
' .e4
Owner. '
Date of Inspection: Ply
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system'
is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the
system is not functioning in a manner which.will protect public health,safety and the environment:
Cesspool or privy is within 50 feet of a surface water
— Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. 'System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the
system is functioning in a manner that protects the public health,safety and environment:
_ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
— The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SAS and the SAS is less than 100,feet but 50 feet or more from a
private water supply well**. Method used to determine distance
**This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the 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
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Page 4 of 1 l
I
OFFICIAL.INSPECTION FORM—NOT FOR.YOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART.A
CERTIFICATION(continued)
Property Address: .71
Owner.
Date of Inspection:
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to'each of the following for all inspections:
Yes No/
W 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
t/ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
/ cesspool
Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
// of times pumped
Any portion of the SAS, cesspool or privy is below high ground water elevation.
1/ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
/ water supply.
_ 1! 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 I00 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds .
indicates that the well is free from pollution from that facility and th.epresence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
�l^� 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 of the above failure criteria exist as
described in 310 CMR 15,303,therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a.large'system the system must serve a facility with a-design flow of 10,000 gpd to.15,000
gpd•
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
_ the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped
Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered
"yes" in Section D above the large system has failed.The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304.The system owner should contact the appropriate regional office of the Department.
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Page 5 of H
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEW AGE'DISPOSAL,SYSTEM INSPECTION`FORM
F,< PART
CII-ECKOST
Property Address: 7
Owne '
Z� t-
Date of Inspection: PR.�.
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?
v 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)
V, _ Was the facility or dwelling inspected for signs of sewage back up?
V 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 tI baffles or tees,material of construction, dimensions,depth of liquid,depth.of sludge and depth of scum?
Was.the facility owner(acid occupants if different from owner).provided with information on the proper
maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS)on the site has been determined based on:
Yes no
-jZ/_ Existing information. For example,a plan.at the Board of Health. -
V _ 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
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Page 6 of 11
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OFFICIAL INSPECTION=FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAG '-DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address:
1d
Owner.
Date of.Inspection: U
FLOW CONDITIONS
RESIDENTIAL`
Number of bedrooms(design):,3 . Number of bedrooms(actual): 2D
DESIGN flow based'-on 310 CMR 15.203 (for example: 11:0 gpd x#of bedrooms):
Number of current residents:
Does residence have.a garbage grinder(yes or no)' +-
Is laundry on a separate sewage system (yes or no .[if yes separate inspection required]
Laundry system inspected(yes or noW
Seasonal use: (yes or no)
Water meter readings, if available(last 2 years usage(gpd)):�l'1n019 0,,
Sump pump(yes or noyzff -�/
Last date of occupan y) 4 L2/1C�
COMMERCIAL/INDUSTRL,P -
Type of establishment:
Design flow(based on 310 CMR.15.203): gpd
Basis of design-flow(seats%persons/sgft,ef . . ,c.):
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.Apart'ofth inspection(yes orno),d
If yes, volume pumped:_ ;_gallons--How was qu tiafi typumped determined?
Reason Torpumping:
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)
—Tight tank _Attach,.a copy'of the DEP,approval
—Other°(describe):
r ximate age of all components,date installed(if known)and source of information
We�esewage odors'detected when arriving.at the site(yes or no
6
Page 7 of 1 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: f (y .
Owne
Date of Inspection: 0003
BUILDING SEWER(locate on site plan)ke-r
Depth below grade:
Materials of construction:_cast iron _40 PVC_other(explain): .
Distance from private water supply well or suction liner"� ''
Comments (on condition of joints, venting, evidence of leakage,etc.):
SEPTIC TANK: V (locate on site plan)
AI
Depth below grade:0C
Material of construction:_concrete_metal_fiberglass_polyethylene
—other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a.copy of
certificate)
Dimensions:J6•
Sludge depth: Q
Distance from top of sludge to bottom of outlet tee or baffler
Scum thickness:_
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum toAndatio
f outlet tee or baffle:
How were dimensions determine
Comments(on pumping recomm , inlet and outlet tee or baffle condition,structural integrity, liquid levels
related to outlet invert,evidence of leakag , etc.):
-_7 ,�j r�
GREASE TRAP locate on.site plan) %P"
Depth below grade:
Material of construction:_concrete_metal_fiberglass__polyethylene_other.
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of leakage,etc.):
7
Page 8 of I 1
OFFICIAL INSPECTION FORM.—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION:(continued)
Property Address:
Owne
Date of Inspection: a(�o
TIGHT or HOLDING Att(tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass_polyethylene other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches, etc.):
DISTRIBUTION BOX: present must be opened)(locate on site plan)
Depth of liquid level above outlet invert 44V"�
Comments(note if box is level and distribution to o�equal, any evidence of solids carryover, any evidence of
kage into or out of box, c.):
d
PUMP CHAMBER: (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no): w
Comments(note condition o ump climber, condition umps and p rtenances, etc.):
8
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Page 9 of 1 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: (y�tp�
Owner.
Date of Inspection: Q :R
SOIL ABSORPTION SYSTEM (SAS): locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching.pits, number:_
leaching chambers, number:
__�Z leaching galleries,number:
leaching trenches,number, length: .
leaching fields,number, dimensions:
overflow cesspool,number:
innovative/alternative system Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil;condition of vegetation,
CESSPOOLS; &(cesspool must be pumped as part of inspection)(locate on site plan)
L
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.):
PRIV�Y/g&(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.):
i
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Page 10 of 11
OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:
Owner._ ' -
Date of Inspection: ( u
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.
7"
o h)
391
7
10
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Page 11 of 11
OFFICIAL INSPECTION FORM—NOT FOR'VOLUNTARY
Y ASSESSMENTS
SUBSURFACE.SEWAGE DISPOSAL SYSTEM-INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
.Property Address:
Owne
Date of Inspection: / 00)
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water ` 7 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:.
®G! r2
11
Permit Number:
Date:_
Completed by:
HIGH GROUND-WATER LEVEL COMPUTATION
Site Location: Lot No.
:Owner. Address:
Contractor: &/L7G/� j C�h -,address:_
Notes
STEP 1 Measure depth to water table
_ 11/�
' to nearest 1/10 ft. ......... J�/� '
Date 7`
month/oaY/year i
STEP 2 Using Water-Level Range Zone
and,lndex WeN-Map-locate
site and determine:
OAppropriate index well..........................• �i`7 .
Water-level range zone
...................".
STEP 3 Using monthly report."Current
Water Resources Conditions"
determine current deoth to
water level-for index well ...... wI�P�13
month/year
C_E° Using Table of Water-level.
for index well (STEP 2A), current depth i
to water level for index.well (STEP 3).,
'and water-level'zone (STEP 2B)
determine water-level
'ST FP S " Estimate depth to high'water
by subtracting the water-
-level adjustment (STEP 4)
from"measured'de'pth to water
level at site (STEP 1) .:....................................................... .. 7 ,y�
Figure Q.--Reprc-ducible comput2tiori fore.
I
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TOWN OF BARNSTABLE
f 7s=i6z�
LOCATION T 7 "S �'eGk" /� SEWAGE#
VILLAGE C ZLZ% 6 ASSESSOR'S MAP&LOT233-41y�
r�DleJi`i UL S-89�
INSTALLER'S NAME&PHONE NO. �
SEPTIC TANK CAPACITY 75��
LEACHING FACILITY:(type) '�'V4 2n!2g rFy.,r (size)J
NO.OF BEDROOMS_
BUILDER OR OWNER su�fH7 GAS
f PERMITDATE: 7/2�0/9S COMPLIANCE DATE:
f Separation Distance Between the:
Feet
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility
Private Water Supply Well and Leaching Facility (If any wells exist Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by
9 �k
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3
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No. 1.5 //0 27 ` ` FEE S
THE COMMONWEALTH OF MASSACHUSETTS
MASSACHUSETTS
kjapfiration for Pi yosaf,,Sgst.em Tonstrurtion Permit
Application is hereby made for a Permit to Construct( ) ort p ( n On-site Sewage Disposal System at:
Location Address or Lot No. wner's Name,Address and Tel.No.
1-.)O 1U S 0 ran dV1 C
Installer's Name,A dress,and Tel.No. Designer's Name,Address and Tel.No.
mciutslv-s rK101- M6 L08— 9?A6 /V1 a,r Z
Type of Building: �y
Dwelling No. of Bedrooms " Garbage Grinder(�p
Other Type of Building No. per Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 1 1 0 gallons per day. Calculated daily flow ? gallons.
Plan Date 7-16— S Number of sheets Revisions Date
Title ropg,- 4JRAJ
Description of Soil s '
Nature of Repairs or Alterations(Answer when applicable); 'Y Se
I �OC7 iG
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal
system in accordance with the provisions of Title 5 of the Environmental Code and riot to place the system in operation until a
Certificate of Compliance has beenyi` ue by thi BoSo of Health.
Signed Date
Application Approved Date
Application Disapproved for the following reasons
Permit No. Date Issued
4
No. ! -1(p+� ! s{ a f FEE
TTHE COMMONW A TH OF-MASSACHUSETTS -
J��V► C �Q --, MASSACHUSETTS
-
AppXtratton for Disposal o*gs#ent Constrnrtton jhrntit ..
Application is hereby made for a Permit to Construct( ) o Ply—)
an On-site Sewage Disposal System at:
Location Address or Lot No. /� ,• wner's Name,Address and Tel.No.
l(. U�M IM r(S
971 N04441S Ned< RD q;' �c�,,S , R�
c4 14ilef- v,y I-e- 3C.a as S Li
Installer's Name,A dress,and Tel.No. Designer's Name,Address and'[el.No.
e' AA i3�-` c c (6'L#0OC
Jil�7
Type of Building:
Dwelling No. of Bedrooms 3 Garbage Grinder(N P
Other Type of Building No. per Persons Showers( ) Cafeteria( )
'Other Fixtures ^�
Design Flow f gallons per day. Calculated daily flow J 3 gallons.
Plan Date .� Number of sheets ( Revision Date
Title roNS.r� A uT
1^ yt Description of Soil
Nature of Repairs or Alterations(Answef-Aen applicable) 5 n( 94"'
1 S-OU ���]iC cX�C) /�vr GA.4MW✓' 1�� lea :,.
C ,h�i I� �a w 4/' 1&-�-e Sad,-s-t 1� n.Js— 'u A P/A4,c,��
-! Date last inspected-
Agreement:
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal
system in accordance with the provisions of Title 5 of the Environmental Code,and not to place the system in operation until a
Certificate of Compliance has been ' sue by thi Boa d of Health.
Signed, Date
Application Approved b� y /�ir'..." Date 7 a
Application Disapproved for the following reasons
Permit No. I A? Date Issued
. ..._THEE COMMONWEIA TH OF MASSACHUSETTS
1J0-4 h S�`�1��f' MASSACHUSETTS
@ter#t�trr�#.e of C�ont�Itttnre
THIS IS TO CERTIFY, that the On-sjt� Sewage Disposal System installed( ) or r d�/replaced ( ) on
' by 1 A t-0 COW I C'cl� for hy N Su✓►� !S 'r
at L/71 Auc4eri4S A R ra `� It been constructed in
accordance with the provisions of Title 5 and the for Disposal'System Construction Permit No. Z dated
Use of this system is conditioned on compliance with the provisions set forth below:
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. This
Certificate expires on `^�► -
DATE C?I/d n 7�i Of
/ 1�7 Inspecto !
t
33 0/ �
THE COMMONWEALTH OF MASSACHUSETTS
No. 16 7 l (wO'ckk , MASSACHUSETTS FEE
Vispveial ,�bps#em Tons#rur#ton 1erutt#
Permission is hereb granted to
to construct( ) or epai ( )an On-site Sewage System loca[egat -Y71 ►Jvckrt4s No R�
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.
All construction must be completed within three years of the date below.
��
DATE _ —7h f0/_91 5 Approved by
FORM 1255 Re,3/95 A.M.SULKIN CO.-BOSTON,MA
TOWN OF BARNSTABLE
LOCATION �17 #Zl i n S 'Vey � SEWAGE #VILLAGE C2a i^rlle ASSESSOR'S MAP & LOTZ3370qt;
INSTALLER'S NAME&PHONE NO. kIP olyi qZ F gy2!t-l'o
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) f 9"/ 75l,o' �O�' (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 71"ASr COMPLIANCE DATE: -Z 7"
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
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—EXISTING J_c AM L`
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Alm COLVgpW$JPPORTS 1 � I �
TO REMAIN fABOVFJ Q`I`
1 , E%15nN6 RU.L HEI6NT g_________________
FmV WA�LL5
REMP/E BXI5rT1W WALL
MID STAH1 RE.THE WI1N CUT T1% IN LL���JJJ
NEW FRAMIIE 10'TREADS TO LEVEL
WALL ',
RISERS fi1I�IEI.AND HANDRAIL TO LEVEL OF SLAB
REMOVE EXISTING CHIMNEY ISnN6 GONG.
- � �_____ ro LEVEL OF SLAB(FRAME FROST WALLS
(2)2X6 �� AND PAT FLOOR A$NEEDED) TO REMAIN
A I _____ %ISnN6 CELLAR 5A-H
Ab NEW 3 U2'VIA.51L.
caL.aN 3Ox3Oxl coNc. xlsnrNG 2X6 RooR
FOOTING(CM/REMOVE -
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55UMED E%ISrI SLAB \ J01�O REMAIN
NEEDED)TO r XIST.MECHANICAL
POINT SLAB TO BOTTOM OF E405T.Lo15n1) 2X6 FLOOR J015T5 -
EXISTING GI ANIL TV T NAILEDro
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(2)2XB IFLIfi1UBEAM BdLOH) 101ML FROM ABOVE ___ __F___ ___ __ ___ ___ mc�:�
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I ACCESS 1 P T.2X4 GRADE CoNmInONS;4'-0'MIN.F FIN. <m- - - m
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FOUNDATION PLAN E �C Cl �
5CALE. 1/4' ���}IW O
V U-
- job no. :
date MARCH O8,20&
scale AS NOTED
drawn 1cMw
rev.
rev.
0
A_
1
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ISSUED FOR CONSTRUCTION snt: I of 10
bs
so 0
A �
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CSC �Y
I
ar • A
214' EOJAL EWAL ELVAL EOUAL
N
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2.9 3/4 x 4-5 3/ .....--"---...._.-.._----------.._-------H _._..._..
-- - HALL REMOVE EXISTING 5TAIRWAY
AND DOOR;REPLACE WITN
in b 10 EXISTING STAIRS TO NEW FLOOR5TAIR5 W NEW DAL
BE REPLACED PV ALL NEWEL P05T5,1 HANDRAIL
PLG011-3353 m NEW MATERIAL ______n ----- 1
2-9 4 x as 3/4 BEDROOM I
wi Rs GARAGE
b 10' 4-5I/2'
FIRE CODE DOOR
_
-. -.-. - -
...............
a�'o e.c ec m°'ym
, cm
u
0
TOP OF EXIST. ' SEAT, 4-0 CARRIAGE - _ -
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24 5 3/4 0 _ �rOP OF EXISTING O C y (n
BEDROOM 2 3.O =a Eo., F�"D'NALL ovEATw-�(Aeovel,
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w
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PLAN NOTES
c
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m n S TO BE 2X45 a VOL.WALL/DEMOOTETIER M,4'?NICK CNU(a-� _______ TN POCKET pOOR$TOWALLS AND ITEMS TO (TYPICAU N O
BE REMOVED Q
ENLT4N E%IST.FOOTING TO S)PPORi _ %TERIOR 7R5 BY FELLA' LLSTONE VENEER �nry - EXISTING W41L5 TO LgIITS(REFER To ELEVATIONS Q aREMAIN LLE PATTERNS) T
-FRONT AND GARAGE ENTRY DOORS
NEW WALL$ BY 51M1PSoN. C L
_
DEMO NOTES -REFER TO ELEVATIONS FOR WINVcM Q V R 0.TEKallTS ABC,E SUBFLOGR
.AND GRILLE LL
PATTERNS
4'-b I/4' 3'-5 3/4' 3'-5 3/4• 4'-0 I/a' EMAL EDJAL EOUAL T'-0' EXISTING OA5iW WINDOI•G a WALLS
EOJAL TO BE REMOVED AND PATCHED AS job no. o53a
NEEDED OR REPLACED AS NOTED.
Ib'-0' date MARCH 06.200b
scale AS NOTED
drawn Knl
rev.
1 F I R 5 T FLOOR PLAN rev.
EXISTING HOUSE v Ip41 SO.FT.
PROPOSED ADDITION 41 SO FT +
I SCALE. I/4' v I-O'
nTOTAL=1,054 5p.FT.
A-2
0
ISSUED FOR CONSTRUCTION sht: 2 Of 10
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� ro
'V
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Ap
EX TINS E%ISTING EXISTING )ti S E
t
2'-0' EQUAL EQUAL EQIAL BGUAL EMAL EMAIL
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ON�`^'m I EXISTING STAIR FRAMING
m(Tm TO REMAIN:NEW ►t7
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,• ,r r - m I ____________________ _________________
r a LL6.LINE ABOVE
2-FS/4 X -1(ABOVE "
3-II 4/4 3/4 r in FIRED I.ETAL
FIR
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14'_8 V2'r/- 5•_I•
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N6 STAIRS TO BE RE -6 y4
BE REPLACED Y(/ALL PO`r POCKET \ PLGDH-295T - OF RIDbE
NEW MATERIAL, I � 2-5 3/4 x 4-9 3/4
Il axB-O G o. -
„
-__„______ ________ __ _ •. WIG. __
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GENERAL PLAN NOTES A L.L
�n V L L
_________ __r_. ______ ____r_________ _ i
-ALL WALLS TO o e"m Ib'OG. CC WALL/DEMO IWLE55 NOTEv onERwlsel � U � 0
WALLS AND I1EM5 ro -WALLS WITH POCKET DOORS TO
FURED BASE n ^ < v _______. BE REMOVED 2X65(,PIC&) (n 7 E:BELOW -WINWWEXTERIOR DOORS BY'PELLA' 2
EXISTING WALL5 TO PROLINE UNITS(REFER TO ELEVATION$ 0�
REMAIN FOR GRILLE PATTERNS) W
omm onm i NEw WALLS -B�� N ARAbE ENTRY DOORS O
DEMO NOTES
REFER TO ELEVATIONS FOR WINDOW
EQUAL dry EQUAL 6•-0• b'4• R.O NEIGNT5 ABOVE SLWLOOR Q U v � VWI
AND GRILLE PATTERNS
RE
EXI5TING DASlED WINDOW$1 WALL5
16-0 EQJAL EQUAL DE TNEED PLAACED AS NOTEOS NO PATCHED A job no. 0539
date MARCH 08,2006
scale AS NOTED
dram KMW
S E C O N D F L O O R P L A N EXISTING H085E•104 SO.PT. I, rev.
PROPOSED ADDITION=512 50 FT
SCALE, 1/4' (EV.
TOTAL a 1,4'16 50.FT.
Q
g A- 3
W
ISSUED FOR CONSTRUCTION sht: 3 Of 10
$ o u
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qq
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Ab Ab t
e ,e
We
m C2dSi
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17
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FEARED WRGARNERS L _
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MATLN
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D
FRONT ELEVATION Ila
50ALE. I/4' 1'-0"
1] a Lint-Q�'v'mu�q3
Q4 ` --(=-� TYPICAL ELEVATION NOTES
ROOF OF SHED ROOFING: TIMBERLINE R.TRA ASPHALT
12 r DORMER BEYON GAFD 'NT LES YU LONTINWUS RIDGE
III 5117ING: WC.5HIN ES W/WEAVED
LUSTON RAILINGS. CORNERS(4 I/O'EXP.V-) 4AA,
® \ BALUSTERS.AND POSTS LASING: 1X5 JAMBMEAD CASING.]X W(REFER TO DWG.C/At) PVC SILL('AZEK'ERAND OR SIMILAR) O v
i
UA
DOORS: DOORS TO WIVE IXS JAMB/
IXb HEAD LASING ^1 -C CANTILEVERED BALCONY W
W/DECORATIVE BRACKETS MAINNORMER RAKES: W�LOVE MOl DING O
BELOW
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SI,g FLOORA 10 (REFER TO DETAIL:5/A-10)
ND FLOOR NEW lX MAN.OECKIN6 ` ,^ V)
(i0 MATCH EXISiT ON EXIST.PECK FRAM—, MAIN CORNICE(TYPJ: I%'./IXB FASCIA(911LT,pUF) V/
NpT%B FASCIA/RAKE NEN
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(REFER TO DETAIL:11 5/A-10) Q CC Y
`�1B FLOOR DORMER CORNICE I%5/iXB FASCIA U W
W/AlLMINM GRIP EDGE;
pELORATIVE ERALKEi (TO lHA.TLN EXIST IX FR Eff ANON IX BLOCKING; w Z O
(REFER TO DETAIL:Z9,1 4/A-10) O �2 w
WL.SHINGLES W/ FLARED SHINGLE LINE FkM 5%LTNEE9L SHINGLES W r, •O
WEAVED CORNERS E 5UB FLppppR I%4 MAHpG.DECKING L
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US
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U w
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4'STGpE VENEER ON
4'THICK LM1 BASE/ NOG R0. 0539
SIEGE;DN.TO EXIST. EBB FWR
FLOOR � date MARLN OB,2006
(EXISTING)
Stale A5 NOTED
drawn KMW
rev.
RIGHT ELEVATION re,,
Q 5GALE: 1/4- = 1'-0'
0
A-4
"' ISSUED FOR CONSTRUCiIDN $m: a Of 10
uy1 V
G R% N
() a A fd
Ab
Ab Ab M 6
� r =
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D J
to \ /
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CUSTOM RAILINGS. , p E
BALU$TFR5,AND P05T5 S
FRCANTILEVERED BALCONY - t
W/DECORATIVE BRACKETS
BELOW
Fml
(FLOOR
SECAFLOOR MF:
IXSA6 CORNERBOARD V J
(TO MATOX E%15T)
NDN-ET T - NEW 1X4 MAH,pEGKING W
RAKE ON ON I% ON EXIST.DECK FRAMING;
BLCCKINS BPWNEWEL
- ::::....._•'�: SUB FLOOR
............ m SECOND BOOR
................ ' -ffi0 H42TfExIST� � f0
DECORATIVE BRACKET Y-1_L.1 ... _ ........ _ _______ __________ NECT FLOOR�C ~'
T ~ u f
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DEGKINS AT SIDES
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AND(3)G XI) POST
AND(B)2X6 BM.
0*0
REAR ELEVATION 't �
SCALE: 1/4' a 1-0'
A
Ab
m�u ohm- _EHw
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TTPICAL ELEVATION NOTE5
ROOFING: GAF TIMBERLINE ULTRA ASP T
5HIN61-E5 W/CONTINLOU•RIDGEc-
VENT.
50N6: W C.SHINGLES W/V�4VED
® ® CORNERS(4 D EXP.•,
CASING: PV JVILL. AD cn RA,.2x
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IX6 READ CA51N u
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i
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(REFER TO DETAIL:5/A-IO) c c
MAIN CORNICE(TYP): MAX6 FA561A(WILT-OUT)
(ON MVO P.T D W/ALUMINUM DRIP EDGE: O
6025 CODE NYAILOING ON
IX FRIEZE ON IX BLOCKING:
LIL-1 D (REFER TO DETAIL:I Is 5/A.10) V
ME
COND FLOOR
DORMER CORNICE 1X511"FASCIA(g11LT-OUT) (V(/' O
W/ALUMINUM DRIP EDGE;
_ SUB FL�R �6025 COVE MOXVING ON < i I1
_ SE (X FRIEZE ON IX
REFER i0 pE ABLOCKING:/A.101 "V W
1 NEW IXa MAN DECKING TO MATCH Ex15i
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NEW BALU5rER5.NEWEL G.SHINGLES W
P0575,I HANDRAIL MARED CORE 1 BLOCKING A5 NEEOED =
E%ISTIN6 4Xa POST ® 4'STONE VENEER ON
Q L
ANO(B)2xB BM. 4'THICK CMU BASE/ r+1
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CANT,FLOOR
DECORATIVE BRACKET
Q��U w
SUB FLOOR
�_ FIRST FLOOR JOG R0. 0539
(E%)STING)
date MARCH 08,2006
Scale A$NOTED
dram KMW
rev.
s
LEFT ELEVATION rev.
m SCALE: I/4" I-O' - 5
A
O
m
ISSUED FOR CONSTRUCTION SGt: 5 Of 10
GAF TIMBERLINE'LLTRA
ROOP SNIN6LE5
LD%PLYWOOD RIDGE VENT GAP -
vlos a Ib OL y U
12'-b 114'
a f0
(2) 9/4 X T I/4'LVL WI0X26 STEEL BEAM -
- NOR W(3)2%b POST W 2x12
RIDGE BOARD ON 2X NAILER N
2%55 a 16'O.G. BOLTED
TO TOP OF FLANGE OF
W 2Xb LL6.WISrS STEEL BEAM:(4/2x6 POST DOWN -
TO LVL IEADER
B fi)2XIO RAF TER5 l V
(BEYOND)
RIDGE VENT CA
OVER 13/4"X II /B' 12
TOP OF VOL. / TOP OF Om' LVL RIDGE BO
PLATE O DORMER �_ PLATE a FAMILY \ M r A
(2) 3/4'X S Ih'LVL \ I F2)1 '%9 V4'LVL GAF TI@ERLI ULTRA I] TOP OF DBL.
(2)1 /'X 2X4'LVL \ / W(2)13/4'% ROOLD RY 5 D 2XB5 a Ib',G. I— ��a SIrnNb
/A'LVL S1RWT.
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ff�� •Ib' L. O ,
+ TOP b DEL. @I Gb.)AND - IR"GYP,BOARD ,
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I/2'GYP.BOARD 4 HDR ON(2)1 3/4'% BEADBOARD ON R-30 Fb.IlEi1L. p E
ON 1X3 STRAPPI 9 I/4'LVL STRUGT. 2%b CLb.JOISTS S
/ R-30 F6.IN5ULAT RAFTER(BEYOND) SITTING D
5/4'T16 PLYWOOD y
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ib•OL WCONT. 2XI0 FLOOR.YJIS
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3/4'RI JOIST TOP OF Ei1B FLR. ---. 16.OL.W CONT.
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R-13 F6.INSV... R� PLATE s ENTRY
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TOP OF`a9 FLR .16.OL. ON IK STRAPPING i 1X6 EDGE 1 LTR-
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RO MATCH E%15T1 WC.SHINGLES 2XB CL6 J015T5 ON EXIST'DECK FRAMING;
„~� 21•LOX 6'04 O.G. NEW BALUSTER$IEWFL
TOP ._., EXISTING WALL m 1%45 o Ib'OL. PORCH POSTS.1 HANDRAIL
RATE a ILr :.-., AND s IRS:RERACE WITH R-13 F6.IN51.1.. ENTRY
g'GYP.BOARD NEW F HALL L.
IN6.10'TREADS 4 C�
ON OF$
TRAPPING =-+ RI HEJ•AND NANDAAIL PORCH
R-19 F6.INSULATION
tAs NEEDED) IJ ENTRY 1X4 MAN.DECKING 3/4'vb PLYWOOD
ON P.T.2%6 FRAMING 24 FLOOR JOISTS
FLARED
SMItKIF (2) 3/4'X S i/2'LVL - TOP OF 5JB FLR s Ib'O.C.W CONT. EXISTNfi 4%4 POSTS AND
2X6 RIM JOIST (3)2X5 BEAM TO REMAIN
a NOR W 0)2X6 POST i �....( FIRST FLOOR(EXIST)
R-19 F6.INSUL. FIRST F (EAISrJ e1
(3) 9/4'X II 1/6'LVL T TOP OF X_IS a M�
STONE VENEER ON R (PUSH W JOIST H4NSER5) P TE'•"^`kME
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JO15T5 TO REMAIN
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i rz¢Pit.SILL WEOLTS Q i NEEDED)
o FIRST FLOOR -19 Fb.1N5LL.A5 I$DEDI fR-19 Fb.I REM IN - 2
NEEDED/ a PIP L) 6J
— — I 1 (rrP1LA�-) P MECHANICAL
Ex1s�6) - MECHANICAL F
6•CW FROST WALL EXI5TIN6 CONCRETE -
EXISTING BEAMS ON 20'X 12. `
ro RE wM"'N AB )r CRAWL SPACE - �1 �1
CONCRETE FOOTING FOOTING TO IN -
"
W KEY pP pF SLAB
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FpOTI1K TOE REmMrVN
5EGT1 ON 5EGTI0N '' �J
A
R
.+mew SCALE: I/4' a I'-O' SCALE: I/4' I'-O'
RIDGE VENT LAP
OVER 1 3/4•X 11 7/6'
LVL RIDGE BOARD 5
GAF'5HIN RUNE'ULTRA RIDGE VENT GAP
ROOF SHINGLES \
5/B•LDX PLYWOOD
2%12 RIDGE BOARD 2%105 a Ib'OL.
W 2x8 RAFTERS ' m.`c _ -
16.OL. ,O -on'm' E-
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n o Oc
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M
Q4 9.im3o - �oPaoa DX LYYl20D 2XI2 RIDGE BOARD ON 2X m
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N�13/4'%91PL TOP5 OF 5L. NEAD� rD01W TO LVL .65�16'0 0
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R-30 F 'IN31IL. BALUSTERS,AND POSTS &11LT-CUT W 2X5 �(2) 3/4'X 4 1/4'LVL
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job no. : ,,5q
date : MARLH 06.2006
ROOF FRAMING PLAN
ROOF PLAN
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SCALE•I In"=1•-0' date MARCH OS,2006
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BENCHMARK 4" SCHEDULE 40 PVC PIPE SOIL TEST
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r- 2" LAYER OF DATE OF SOIL TEST
ELEV. _ fit• ' 10 FT. MINIMUM 2" PRESSURE PIPE 4HED
SOIL TEST DONE BY
150 PSI MINIMUM ELEV. _ ". - STONE VENT
WITNESSED BY
CONCRETE � --
COVERS OBSERVATION HOLE 1 ELEV.= OBSERVATION HOLE 2 ELEV.=
1 CU. FT. OF PERCOLATION RATE MIN./INCH AT INCHES PERCOLATION RATE MIN./INCH AT INCHES
CONCRETE DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER
ANCHOR
4' CAST IRON PIPE 6" MA - - -- -j (OR EQUAL) MINIMUM C fi C
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no CHECK ' SOIL ABSORPTION INDEX P?fZ�iUM 'TC�I�C.�L `
-- — VALVE 3/4" To 1 1/2-- SYSTEM I�SAS)
ADJUST SA3
JO BE PLACED ON FIRM BASE:) 77 WASHED STONE \
500 GALLON PUMP BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. = WATER ENCOUNTERED AT I :S� ELEV. a WATER ENCOUNTERED AT ELEV. _
SEPTIC TANK CHAMBER OBSERVED WATER TABLE ( - / / ) ELEV. =
ELEV. AT INVERT INLET 38-7 PUMP CHAMBER CALCULATIONS: LEGEND: DESIGN CALCULATIONS
NUMBER OF BEDROOMS
ELEV. AT ALARM ON - EXISTING SPOT ELEVATION OOxO --r-
REQUIRED FLOW PER CYCLE .25 X GAL/CYCLE EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT
SEWAGE DISPOSAL SYSTEM PROFILE ELEV. AT PUMP ON t VOLUME PER CYCLE GAL;CYCLE /7.48 GAL cu. FT. _ CU. FT. CYCLE
NOT TO SCALE ELEV. AT PUMP OFF / FINAL SPOT ELEVATION TOTAL ESTIMATED FLOW
VOLUME OF WATER IN PIPE 3.14 X 0.00694 X FT. _ " CU. FT. X BR.) GAL/DAY
BOTTOM OF INSIDE PUMP CHAMBER FINAL CONTOUR � -- — '—GAL./BR./DAY
TOTAL MINIMUM VOLUME PER CYCLE CU. FT.
BOTTOM OF OUTSIDE PUMP CHAMBER SOIL TEST LOCATION REQUIRED SEPTIC TANK CAPACITY GAL.
DISCHARGE ' CU. FT. / 34.67 CU.FT./FT. = # FT. (1000 G.S.T.)
STORAGE CAPACITY (�O_ GAL/DAY / 7.48 GAL./CU.FT. / 34.67 CU.FT./FT. = I ' FT. UTILITY POLE -O ACTUAL SIZE OF SEPTIC TANK GAL
TOWN WATER SOIL CLASSIFICATION
t CATCH BASIN `®j DESIGN PERCOLATION RATE < MIN./IN.
M F 1 i_T RA T0R1 •.,v T H 1-fi S-�O E 010 0_.Vr_NS + Sibs� GAS LANE --G= ----- - EFFLUENT LOADING RATE GAL/bAY/S.F.
LEACHING AREA SQ. FT.
� � � �, "1ta1�E R + 7 w `"� LEACHING CAPACITY (AREA X R TE) GAL/DAY
44
,. RESERVE LEACHING CAPACITY �� CAL/DAY
.3
NOTES:
1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.
TITLE 5 AND THE TOWN OF RULES AND
1�S REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
}�UN �� �.O,�•-�' WITHIN 6" OF FINISHED GRADE.
3. ALL :OMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
WITHSTANDING H-10 LOADING UNLESST'IEY ARE UNDER OR WITHIN
r 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS.
4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL
BE: MORTARED IN PLACE.
S. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE MATH
DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
b. U`DLfilES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR
IS TO CALL "DIG-SAFE' AT 1-800-322-4-844 AT LEAST 72 HOURS
✓f`,�_.- PRIOR TO COMMENCING WORK ON SITE.
7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE.
8. PARCEL IS IN FLOOD ZONE
9, LOT IS SHOWN ON ASSESSORS MAP Z 3 AS PARCEL _ `�_
10. PUMP AND ALARM ARE TO BE ON SEPERATE CIRCUITS.
11. A_ARM IS TO BE BOTH AUDIO AND VISUAL.
12. SEPTIC TANK AND PUMP CHAMBER ARE TO BE TESTED IN INSURE
THAT THERE IS NO INFILTRATION OF GROUNDWATER INTO FACILITIES.
•.CPI(.... C:)O + f '.'�'I { r';i'V N IV)L t'.� *A//11 1 i.•t1 F AA ail
BRUCE
/ 1. VN teArjt �1�tJK �:� TC .St. AP,
APPROVED: BOARD OF HEALTH
DATE AGENT
, w PROPOSED PLOT PLAN
r� r
� FOR
e
PROJECT LOCATION
t
BR UCE G. HURPHY
-- "y -+ REGISTERED SANITARIAN
508- 77 SPUR LANE
432-3358 MARSTONS MILLS, MASS. 02648
0t 1 SCALE DATE ,
REVISED REVISED
i ; � � . o�� �- C--- LOCATION MAP ---� Joe No. SHEET
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