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HomeMy WebLinkAbout0324 NYE ROAD - Health 324 Nye Road Centerville P A = 148 012001 r III C i f No. 7 0 / U ; Fee t1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Dtgpogal *pgtem Construction Ver t Application for a Permit to Construct( ) Repair(Xgrade( ) Abandon( ) ❑.Complete System . Individual Components Location Address or Lot No.3.2T Wye /<J, Lam+' P Owner's Name,Address,and Tel.No. �CLiyl i<e 3,y g t /1J Assessor's Map/Parcel / 7 .•-^']], a ��, _/�Q e_w��/v& Installer's Name,Address,and Tel.No./JO �'' /4"oT2�• c4m��•� Designer's Name,Address and Tel.No.c)51,�4f', r �;rJ,Q/7 �✓ 9�� ��i� S may-Y,2-r-Y9;2G 14.All#r, AVAIL- Type of Building: 4. Dwelling No.of Bedrooms Lot Size v1/J 3 VT sq. ft. Garbage Grinder (IA161 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ? t/ Design Flow(min.required) ✓� gpd Design flow provided JAC gpd Plan Date& .�,lf�1�' Number of sheets Revision Date Title 2ri S" 5,/, 4.1 �� ��y �!/ �� �,-y��"Il / Size of.Septic Tank Type of S.A.S Jr., C T650 Description of Soil J/{ e/1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this ar t Signed Date Application Approved by Date u Application Disapproved by. Date for the following reasons Permit No. G�9 `� Date Issued Mal U ' 3 r r� �. b a/�.• s No. '' Fee - - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: , PUBLIC HEALTH DIVISION'=TOWN OF BARNSTABLE, MASSACHUSETTS Yes ppficatiou for Migpogaf �&pgtem con. truction Vern ait Application for a Permit to Construct(, ) Repair grade( ) Abandon O ❑ Complete System ©Individual Components Location Address or Lot No.3Z7 41yt Owner's Name,Address,and Tel.No.S2AiiQ « Assessor's M.ap/Parcel _1� ,yert +, Installer's Name,Address,and Tel.No.Jo,//le- 7 . 67xJ o4. Designer's Name,Address and Tel.No.�' yrr�l�s 17 n�Aw Y / • Type of Building: Dwelling No.of Bedrooms Lot Size v24 3 V1 74 sq. ft. Garbage Grinder (� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures l Design Flow(min.required) 730 gpd Design flow provided 37d gpd Plan Date �� :7 ��d t Number of sheets_ Revision Date Title.,/ r--�/ 7,404, ss� T7c/ /I� /1rl Size of.Septic Tank /W �,r,�,l,�,� Type of S.A.Sly)7,4t4 ha-- T650 Description of Soil 421 a �2! Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of H,e�alth, Signed //. Date t i Application Approved by Date Application Disapproved by: Date — t for the following reasons Permit No. r,0 k- _ 'T :y Date Issued _, •� ���—_—__--_- - - - --.=_------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( (i�/Upgraded ( ) Abandoned( )by V__ ./ /_ LI- at 7-7 t/ �/ _ �� /` �, //„ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.^�2"14-- 77<) dated Installer _ / ,�� '�'��",J Designer / l,,,,/ 4.4-f G-'fjr'/w-06'10_7 #bedrooms '; Approved design flow y0 /� gpd The issuance of this pier it shall / s(haal�l n construed as a guarantee that dt be c the system wi"l'Hunn�c-tion as designed. �1/{ �//J � 0 Date L/ Y.,( ; //-)o Inspector. _----------------t--- -� - No. 70 Fee a�vu 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Migogat 6pgtem CoYCgtrurtton permit Permission is hereby granted to Construct ( ) Repair ( (��/Upgrade ( ) Abandon ( ) System located at _ 1.14 41�f a•,v r �a�T.s r L �. and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. /f Date r„/it/,, V Approved by t „ I FROM :down cape engineerhng inc FAX NO. :15083Er29880 Sep. 25 2008 01:33PM P2 Town. of Barnstable coo, -/ 7 � Regulatory Services Thomas F.Geilcr,Director II sAuvsr M►S. )Public Health Division Y6jy. F,(� Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 (]free; 508-862-4644 Fax: 508-790-6304 installer& Designer Certification Form Date: Sewage Permit# ate" �� Assessor's MapTarcel n 1 Designer: Installer: d� dl�Ykc; O v.. p Address: ty Mgt r J Address: lQ U 6o jl �la,y-g,Vk 0(A44_.. (10 tti' llz MA On �I/®� _ ��� [1Gc1� was issued a permit to install a (date) C� /y (installer) :peptic system at. ,YL 7, J -._ batted on a design drawn by (address) e �� dates. .-- & m (de finer) 1 certify that the septic system refL:Tcnccd above was installed substantially according to the design, which may include minor approved CW1Mges such as lateral relocation of the distribution hox and/or septic tank. V1 certify that the septic system referenced above was installed with nl jor changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any " nponent of th.e se.tic systcm. but in accordance with State& T,cx:sYl Regulations. Plan .reviginn or c�ertifs-built by dcsiglner to tiollaw. N J,kc I\A OF INgc (Installer's Signature) DANIF-LA. yGs OJALA can q u CIVIL ? c � No.a85n2o )esigner's Signature) (X ix D sL P Hrre) PLEASE RETURN To BARNSTABLE PUBLIC HEAI,TH DIVISION. CERTIFICATE OF COMFLI4.WT, WILL NOT BE ISSUED U.NI'11, BOTH THIS FORM AND AS-BUILT C'ARn ARE RE,CF..TVF,D_BY THE BARN- ,TABLE PURTdC:HEALTH DIVLSION. THANK YOU. ();t lealtiv;icpticrlksigner Ce"ification Form 3-264 4_doc r FROM :down cape engineering inc FAX NO. :150836?9880 t Sep. 25 2008 01:33PM P3 2tlC 90' ; / LOT 1 --QIE Orf� MOSIMS 3 8R DWELLING TOP OF / FNDN. ._ AA L WALL) -s WAEL LL) TM ALL) 0 22" 1 PINE le- C®J ` 's I p A� BENdi MARK - CTR. OF `I C,BASIN ELEV, = 47,3' l A DANIEL ycN x A, OOJALA i Scale-1"- 30' SEPTIC AS-BUILT 0 15 30 45 60 75 FEET IN off W8-352-441 CENTERVILLE, MA fax Sm 362—mm 324 down cope engineering, inc. PREPAREDFOR CIVIL ENGINEERS BORTOLOTTI CONST. LAAID SURVEYORS 939 Main Street — YARMOUVYPORT, MASS. DATE: SEPTEMBER 23, 2008 DCE #08--179 08-179 B0RT0L0Tn-5AMin_AS_8uaT.Dwc (DDF) TOWN OF BARNSTABLE LOCATION a ZI SEWAGE#.&a a- 3 70 VILLAGE/ ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. &eU eA, e:�,flAylo v %1 F,rye" SEPTIC TANK CAPACITY LEACHING FACILITY:(type),.,f,l j,�,4r� -WAP V (size) NO.OF BEDROOMS OWNER .2?�►/�i PERMIT DATE: 9//-e 9 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S f 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 �l 431/ f •. � > Town of Barnstable Health Inspector oFtt tp� Office Hours o Regulatory Services 8:30-9:30 Thomas F.Geiler,Director 1:00—2:00 « BARNSTABLE, 163 ,�� Public Health Division pjfp �a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: 7 Address: 'v Map .Parcel Name: Phone 9:6 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms? If yes, how many? 2c. How many bedrooms total are proposed at this property (including the amnesty unit)?LL 2d. Please include a copy of the floor plans for the entire property - showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label . each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO "' `If theHdwelling is.connected to public sewer,skip_questaons#4'through#9below, 4. Location of dwelling is INSIDE i or OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? 6. Is a disposal works construction permit on file? YES or NO 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or NO .8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9. Has the septic system been inspected,by a DEP certified inspector within the last two years? YES or. NO FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: Signed: Date: Q;/health/wpfiles/amnestyapp McKean, Thomas From: Dillen, Elizabeth Sent: Thursday, October 06, 2005 9:03 AM To: McKean,Thomas Subject: 324 Nye Road, Centerville Hi Tom - Attached please find the photo forwarded to me by Deb Samia of 324 Nye Road, Centerville, showing that she has removed the door to the first floor office and widened the opening to five feet, per your request. If you could fax over her approval for three bedrooms today, I'd appreciate it.Thanks, Beth Samiaftto.Doc(1 MB) Elizabeth Dillen Town of Barnstable Growth Management Department 367 Main Street, Hyannis MA 508.862.4683 1 McKean, Thomas From: McKean, Thomas Sent: Friday, April 01, 2005 9:34 AM To: Dillen, Elizabeth; Shea, Kevin Cc: Witter, Denise; Agostinelli, Joan; Daley, Jim; Desmarais, Donald; Kelleher, Maureen; McKean, Thomas; Miorandi, Donna; Saad, Dale; Stanton, David; Wallace, Amy Subject: 324 Nye Road/Deb Samia W— oI -�01 324 Nye Road- PROBLEM: The submitted floor plan shows five rooms with privacy afforded for sleeping (bedrooms). This site is located within a nitrogen sensitive area and the lot size is only 0.49 acre. Therefore, no additional bedrooms are authorized. Please inform the applicant that if she wishes to proceed with this process, her other option is to remove the doors to the "massage room"and to the"office/den" and to provide minimum five feet openings to these rooms. Also, the Health Division does not have a record of a Title 5 septic system at this property. Please have the applicant hire a septic inspector to submit an 11 page inspection report. TO: Kevin and Beth: FOR FUTURE REFERENCE The formula is: one bedroom per every 10,000 square feet of land for parcels located within zone of contributions and in areas where there are private water supply wells . EXAMPLE 1 : If a parcel of land is 30,000 square feet located within a ZOC (or within an area where there are private wells), the applicant could build a three bedroom home on that lot. He/she could not construct a fourth bedroom. EXAMPLE 2. If a parcel of land is 20,000 square feet located within a ZOC (or within an area where there are private wells), the applicant could construct a two bedroom dwelling on that parcel. That applicant couldn't construct a third bedroom on that parcel of land. EXAMPLE 3. If a parcel of land is 10,000 square feet within a ZOC (or within an area where there are private wells), the applicant could only construct one bedroom dwelling on that parcel. The applicant couldn't construct a second bedroom on that lot. EXAMPLE 4. If a parcel of land is 15,000 square feet within a ZOC (or within an area where there are private wells), the applicant could only construct one bedroom dwelling on that parcel. The applicant couldn't construct a second bedroom on that lot. EXAMPLE 5. If a parcel of land is 25,000 square feet located within a ZOC (or within an area where there are private wells), the applicant could construct a two bedroom dwelling on that parcel. That applicant couldn't construct a third bedroom on that i parcel of land. EXAMPLE 6: If a parcel of land is 35,000 square feet located within a ZOC (or within an area where there are private wells), the applicant could build a three bedroom home on that lot. He/she couldn't construct a fourth bedroom. z Message Page 1 of 1 McKean, Thomas From: McKean, Thomas Sent: Tuesday, March 15, 2005 4:39 PM To: Dillen, Elizabeth Subject: AMNESTY APPLICATIONS RECEIVED-31 Keela Road/324 Nye Road/200 Oak Neck Road 31 Keela Road, Cotuit- OK-The septic system was permitted on 9/13/95 for three bedrooms.The appl;icant is requesting three bedrooms.. 324 Nye Road-PROBLEM: The submitted floor plan shows five rooms with privacy afforded for sleeping (bedrooms). This site is located within a nitrogen sensitive area and the lot size is only 0.49 acre. Therefore, no additional bedrooms are authorized. Please inform the applcant that she will be required to remove the doors to the"massage room"and to the"office/den"and provide miunimum five feet openings to these rooms. Also, the Health Division does not have a record of a Title 5 septic system at this prperty. Please have the applicant hire a septic inspector to submit an 11 page inspection report. 200 Oak Neck Road- PROBLEM: There were several housing vioations including mold, insufficient heat, leaking water from the refrigerator, and a cracked ceiling during October 2003. At this time, it is unknown whether or not these violations were corrected. These violations shall be corrected before occupancy. 3/15/2005 ri D_ �. m N m m m N V m A N LL Q1 V O N m N V OD m cl S .9 U CC U) i ) Q w A F 0 ����- , m cc m U) <9 m N V (9 w LL Cl) V O N (9 N V O m In O Z W Z O r a- u Z Q E Q (n I Q a C0 W A E O a LL Town of Barnstable Health Inspector t Office Hours $ Regulatory Services 830-9:30 Thomas F.Geiler,Director I:00-2:00 z saxxsraiaz8, POUM &639. ,� Public Health Division " a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: d Address: V�� - Map Parcel Name: Phone m: 7 2-r 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms?-- I ® If yes, how many? (/ 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? 2d. Please include a copy of the floor plans for the entire property-showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label . each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO ing.Ys: catarzecteel;tUrpp$Iic-s. ! ptui; ;o „ @St2 4. Location of dwelling is INSIDE or OUTSIDE a ZonLofConntjlbution to pulic supply wells? 5. Is the dwetlinb connected to an ONM7E WELL or to ::�, 6. Is a disposal works construction permit on file? YES or NO 6a. If yes,how many bedrooms were approved according to this permit? � Bedrooms- 7. Were any building permits obtained for construction of additional bedrooms? YES or NO .8. Is there an engineered septic system plan on file at the Health Division? YES -or ND 9: Has the septic system been inspected b a DEP certified in spector nspector within the last o two ears? �:.YES , i NO -- ------------ ------------- -�--------- - --- ----- ------ FOR OFFICE L1S y--- ------ -------- t The Public Health Division has no objection to 1 bedrooms at this property. - Special Conditions: -_ Signed: Date: Q;/health/wpfiles/an:nestyapp "- Der Plan v 1¢�C Ta K 9-64, R r r s 9 L/ptirS�.l� n zoo Td Wd8Z:OT S00Z b0 -gad 6b8Z0ZV SOS 'ON 3NOHd ON I d I WUS-d�IHBQ WONA --�7- ti 9rd O-s e (3cX Y � p 72 � d 9/ f L = D GSM' ' I I N I i - --, 1 i ry ry i- Int— A ` < 1 j j m k ►(yf IL cr rl m Limn OD m I FDos) Q) N LO Z w z o / ee cl w :. E W AdC 0 IL® era MAY -I- BE uM^-rE STANDARD LEGEND + + NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY Iwo EDGE OF DECIDUOUS TREES Y 42 ��,^^ EDGE OF BRUSH 3 9 P 1ORCHARD OR NURSERY w AP , I Q�� v�P—v EDGE OF CONIFEROUS TREES . � � = v 0 2 r J� MARSH AREA —• • .— EDGE OF WATER 3 DIRT ROAD :--- DRIVEWAY PARKING LOT 3 Imo—PAVED ROAD MAP — — DRAINAGE DITCH O4 — — — — PATH/TRAIL 27 PARCEL LINE** - Q MAP 326 E---MAP# MA 14H #367 --HOUSE PARCEL NUMBER #367 E HOUSE NUMBER « 1 2 — O 0 2 FOOT CONTOUR LINE —io 10 FOOT CONTOUR LINE Elevation based on NGVD29 / i/4.9 SPOT ELEVATION r MAP STONE WALL -X—X— FENCE RETAINING WALL j — RAIL ROAD TRACK © STONE JETTY " SWIMMING POOL p PORCH/DECK A I48 0 BUILDING/STRUCTURE 1 53 P=FFL DOCK/PIER O O 6 HYDRANT \ � # 3 H B VALVE O MANHOLE 0 POST (D' FLAG POLE T O W N O F B A R N S T A B L E 6 E O O R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T a SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES:Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James w 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE n TOWER 0 25 50 National Map Accuracy Standards at this do not represent actual relationships to phystcal objects Corporation. Planimetrics,topo I rophy,and vegetation were mapped to meet National Map Accuracy Standards p LIGHT POLE o ELECTRIC BOX s 1 INCH=50 FEET* enlarged scale. on the map. at a scale of I-100'. Parcel ines were digitized from FY2004 Town of Barnstable Assessor's tax maps. Page I of 11 TITLE 5 RECEIVED OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSE&1MENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FOW1 S E P 2 3 2002 PART A BASTABLE CERTIFICATION TOWHE�ALTH DEPT. Property Address: 324 NYE ROAD,CENTERVILLE � y Owner's Name: LORRAINE FRIEDMAN V Owner's Address: 324 NYE ROAD,CENTERVILLE A4AP Date of Inspection: 9/5/02 rHRCEL a 12o e) 1 Name of Inspector: DANIEL B.JOHNSON LOT Company Name: DOMESTIC SEPTIC DESIGN,INC,, Mailing Address: 804 MAIN STREET,SUITE B,OSTERVILLE,MA 02655 Telephone Number: (508) 420- 1904 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes _ Conditionally Passes _ Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: r o _ The system inspector shall submit a copy o is inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a-shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments: THE RESULTS OF THE INSPECTION SHOW THAT THE SEPTIC SYSTEM PASSES THE REQUIREMENTS OF TITLE V. IT IS RECOMMENDED THAT THE LEACHING PIT BE PUMPED AND THE BOTTOM SCARIFIED. IN ADDITION,A NEW 4" SCH 40 PVC TEE WITH ZABEL FILTER SHOULD BE INSTALLED AT THE OUTLET OF THE.SEPTIC TANK. NOTE THAT ONLY 1 PERSON HAS LIVED IN THE HOUSE RECENTLY. ****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. i Page 2 of 11 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN Date of Inspection: 9/5/02 L r Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D 's• A. System Passes: t X 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. 1' i Comments: SEE COMMENTS ON PAGE 1 t 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: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN Date of Inspection: 915/02 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: i t Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) r Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN Date of Inspection: 9/5/02 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Nmber I of times pumped I ri — X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. (. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X 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 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.] £ NO (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. 1 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 t the system is within 400 feet of a surface drinking water supply t 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 H 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. f Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORAINE FRIEDMAN Date of Inspection: 9/5/02 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X _ Has the system received normal flows in the previous two week period? _ X Have large volumes of water been introduced to the system recently or as part of this inspection ? N/A _ Were as built plans of the system obtained and examined?(If they were not available note as NIA) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out? X _ Were all system components,excluding the SAS, located on site? X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no X _ Existing information.For example,a plan at the Board of Health. X _ 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)J i Page 6 of I 1 i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN Date of Inspection: 9/5/02 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: 1 ' Does residence have a garbage grinder(yes or no): YES { Is laundry on a separate sewage system(yes or no): [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use:(yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): N/A F Sump pump(yes or no): NO Last date of occupancy: PRESENT COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system (yes or no):, Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: ACCORDING TO THE HOMEOWNERS DAUGHTER,THE SEPTIC TANK WAS PUMPED ON 8/21/02(2 WEEKS, 1 DAY PRIOR TO THE INSPECTION). 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 X 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): Approximate age of all components,date installed(if known)and source of information: ACCORDING TO THE HOMEOWNER,THE SEPTIC SYSTEM WAS INSTALLED IN 1981 Were sewage odors detected when arriving at the site(yes or no): NO i Page 7 of l I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN Date of Inspection: 9/5/02 BUILDING SEWER(locate on site plan) YES Depth below grade: Materials of construction:_cast iron_40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: YES(locate on site plan) Depth below grade: 36" Material of construction:X concrete_metal_f iberglass_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: 8'L X 5'W X 4'H(EFFECT.) Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: 0" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 14" How were dimensions o s determined: SEPTIC MEASURING POLE Comments on pumping recommendations inlet and outlet tee or baffle condition( P P g � ,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): NO NEED TO PUMP(SEPTIC TANK PUMPED OUT 2 WEEKS AND 1 DAY PRIOR TO THE INSPECTION). INLET TEE APPEARS TO BE IN GOOD CONDITION. OUTLET CONCRETE TEE APPEARS IN FAIR CONDITION(CRACKED SIDE WALLS). LIQUID LEVEL AT %2"BELOW OUTLET INVERT(NOTE THAT TANK WAS PUMPED RECENTLY,DOES NOT APPEAR TO BE A TANK LEAK). TANK APPEARS TO BE IN GOOD CONDITION. GREASE TRAP: NONE (locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): i Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN Date of Inspection: 9/4/02 TIGHT or HOLDING TANK: NONE (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: YES(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 LEVEL WITH EVEN DISTRIBUTION(ONLY ONE OUTLET LATERAL). D-BOX IN FAIR CONDITION. ORIGINAL COVER BROKEN(REPLACED WITH CONCRETE BLOCKS AFTER INSPECTION). NO SIGNS OF LEAKS. NO SCUM OBSERVED DURING THE INSPECTION. PUMP CHAMBER: NONE (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): i Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN Date of Inspection: 9/5/02 SOIL ABSORPTION SYSTEM(SAS): YES (locate on site plan,excavation not required) If SAS not located explain why: Type X leaching pits,number: 1 _ leaching chambers,number: _ 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, etc.): NO SIGNS OF HYDRAULIC FAILURE OR PONDING. LIQUID LEVEL APPROXIMATELY 1.5 FEET BELOW INLET INVERT. APPROXIMATELY 3.5 FEET OF STANDING EFFLUENT WITHIN LEACHING PIT. RECOMMEND PUMPING LEACHING PIT AND SCARIFYING BOTTOM OF PIT. COVER AT 34" BELOW GRADE. CESSPOOLS: NONE (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 or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: NONE (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 k Page 10 of 11 F OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN i Date of Inspection: 9/5/02 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. i i r 3\ - 4 W` F 4r') '4 SC ?,3 o- S ,6 „ t Bo _ 9 '� " # r4Nr---,§, ". �E�ufi�G- E D_ 6L�cK P T p,47-1 o Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 324 NYE ROAD,CENTERVILLE Owner: LORRAINE FRIEDMAN Date of Inspection: 9/5/02 SITE EXAM Slope Surface water Check cellar DRY Shallow wells Estimated depth to ground water 17 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) X Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS ELEVATION AT SITE IS 50. ACCORDING TO THE BARNSTABLE GROUNDWATER CONTOUR MAP,GROUNDWATER IS AT ELEVATION 33. BASED ON THE ABOVE,GROUNDWATER IS APPROXIMATELY 17 FEET BELOW GRADE. BOTTOM OF LEACHING PIT IS AT 11 FEET BELOW GRADE. IT APPEARS THAT THE LEACHING PIT IS NOT WITHIN THE HIGH GROUNDWATER TABLE. NOTE THAT THE ONLY DEFINITIVE MEANS TO DETERMINE HIGH GW IS TO PERFORM A SOIL TEST ON THE PROPERTY BY AN APPROVED SOIL EVALUATOR. I - — — —— — — —— — — — — — — — — — — — — — — — — — — — — — — — — - — — — — — — — — — — — — BATH I O � o O O DIN. RM. �r y o i MASTER B/R I O - O BATH IU dn. co - - HALL - - Clos. - - - LIV. RM. Front z" Entry o UI - DEN BEDROOM o v N I � dn. fa L - - - - - - - - - - - J— — — — — — — — — — — — — — — — — — — — — — — — — — - - - - 2 0-O" '\ DATE: LARRY GORDON ARCHITECTURAL DESIGN Smile ReSidence REV.: 2-3-10 Centerville, MA 02G32 508-750- 1 24 324 Nye Rd., Centerville A PART. EXIST. FLO® PLAN rev. date: SCALE: t�— ® 1 6 9 1 4 —it—oil r - y „e a t j a. El El o ® o a ® o oaoo 0- - - - - - - - - - - - - - - - - - --- - - - - - - -- - - - - - - - - - - - - - - - - - a o 0 0 00 LARRY GORDON ARCHITECTURAL DE51GN Sarnia Residence REV.:EXIST. FRONT ELEVATION °ATE` 2-3- 10 Centerville, MA 02G32 508-790- 1 24G 24 Nye Rd., Centerville, MA rev. date: SCALE: 7f 16 =19—p ff �f 2xG ridge bm. 12 L 2x6 @ I G" rafters, typ. 2-2x4 top plate, typ. 2xG A I G" O.C. 2x4 ext. wall, typ. I 0"-0" dr. 3'- 1 " clr. 13'-G" clr. BEDROOM HALL MASTER B/R exist. grade 2x 10 @ 1 G" O.C. 4" lally col.5 8" pour. conc. wall, typ. @7'-9" O.C. 32x 10 B =III=III=III=III=III - Beam GARAGE III=III=III=III-III- '—III—III=III—III—III III=III=III=III=III—' 'i-1 11-1 11=iTi-1 I II I I I I I� 28'-0" REV.: DATE:id 2-3- 10 Re sidence esence AL LARRY GORDON ARCHITECTURAL DESIGN $am �����e � ® � ���,��® Centerville, MA 02G32 508-790- 1 24G 324 Nye Rd., Centerville, NIA �e�. date: SCALE: $ _1 _o G, new appr. 36x60 tiled shower - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - BATH DIN. RM. .relocated stacking w�p washer/dryer SITTING RM. 010 r LAV. �} v.; 5 cased opening - low : t N oak railm newel HALL ! �> ¢ 9 P ost s N smoke detector w/ white balusters .n LIV. RM. --- 4 O 2- 1 12" 2' 0„ � r � CIo5 e. up I I 0 BEDROOM , Front A-8 I m Entr Y - 2'-4" 3'-7" 3'-0" t �- �c � CIb5. - � O J Walk-In N - - - - � I CI05. L — — - - - dn. L — — = — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — J 2 0-0" Samia Residence DATE: 2-3-10 GORDON ARCHITECTURAL REV.:RAL DESIGN �® S. FIRST FLOOR 324 Nye Rd., Centerville date: SCALE: Cenrwcrlle, MA 02632 508-790- 1246 Y ' 9 1 4"=1 '—O" whirlpool tub in appr. 38"x72" 41 N4 I " neo-angle shower tiled platform (see Spec.$) (see Spec.$) F — - - = - - - - 4 - - - - - 1 - - - - - - - - - - - - - - � L M - 6-22' 3_2� 2_g 1 1 '-1 O 2' oo align w/ windows 3 - BATH O p O /� O on first fir., typ. (tile); _ MASTER P/' m — — — — (carpet) NOTE: Dimensions are to FACE a? of framing or to CENTER of walls, � doors, windows. r — z 2 I x28 attic 42" vanity w/ 18"w. I I I access panel x 2 1 "d. x 78" h. O cab. ea. side a.ik-3� - � os. car et _� m - 0 0smoke detector s ( Exising Attic ) _ - .r 4' 3-z'° I'-82" 5' 42' O 0 ® bath fan 0 Storage m N HALL 10 _O 5 p _(car et) — 4-2a711 I I s � I o I desk w/ shelves over I I I dn. align w/ windows on first fir., typ. � I OFFICEIN 1 30 ht. wall w/ cap (carpet) cJ P 0 2 LO F7 r (carpet) O 13'-11" I2'-1" s - - - - - - - - - - - - - - - — - - - - - - - - - J I align w/wnaows I on first fir., typ. 2 G'-0" ol DATE: 2—3—.10 IARRY GORDON ARCHITECTURAL DESIGN $���� Residence REV.: Centerville, MA 02G32 508-790- 1 246 24 Nye d., Centerville, ®�® ° SECOND FLOOR rev. sate: SCALE: 4"-1'-011 SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROXIMATE NGVD Roee 4 017e oio, ACCESS COVERS TO WITHIN 6" OF FIN. GRADE I `rro 9� TOP FOUND. EL (SEE VENT NOTE ON PLAN) 2. MUNICIPAL WATER IS EXISTING 55.2' PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 50.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. a' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 49.0' 0 PRECAST H-10 4. DESIGN LOADING FOR ALL PROPOSED PRECAST a� RISERS (TYP.) UNITS TO BE AASHO H-M 2 47.0 f 4"OSCH40 PVC +. 4"SCH40 PVC o PIPES LEVEL 1 ST 2' 2" DOUBLE WASHED PEASTONE 5. PIPE JOINTS TO BE MADE WATERTIGHT. g I s **EXISTING 1000 GAL OR GEOTEXTf FABRIC CL *EXISTING gip" SEPTIC TANK 14" y 45.53' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE .L WITH 310 CMR 15.000 (TITLE V.) '� EXISTING TEE TEE 5.6 f o 0 0 0'0 00 W78' ocus GAS BAFFLE::: °o°o°000° 0 45.03' AT SIDES7. THIS PLAN IS FOR PROPOSED WORK ONLY AND"' NOT TO BE USED FOR LOT LINE STAKING OR ANY45.21' 45.04' go 2' .8' Al END OTHER PURPOSE. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR DEPTH OF FLOW = 4' 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2" DOUBLE WASHED STONE CONCEALED WITHOUT INSPECTION BY BOARD OF COMPACTION. (15.221 [21) HEALTH AND PERMISSION OBTAINED FROM BOARD TEE SIZES: 0 OF HEALTH. INLET DEPTH = 1.0" OUTLET DEPTH = 14" 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP VERIFYING THE LOCATION OF ALL UNDERGROUND & ( 1 % SLOPE) ( 1 % SLOPE) 36.0' BOTTOM TH-1 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000'f NO GROUNDWATER FOUND WORK. FOUNDATION EXISTING SEPTIC TANK 39' D' BOX 3' LEACHING 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 148 PARCEL 12-1 FACILITY SHALL BE REMOVED 5' BENEATH AND AROUND THE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **THE INSTALLER SHALL CONFIRM MIN. PROPOSED LEACHING FACILITY. LOCUS IS WITHIN ESTUARINE WATERSHED, UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS SEPTIC TANK SIZE AT 1000 GALLONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AND ITS SUITABILITY FOR RE-USE 12. EXISTING LEACHING FACILITY SHALL BE PUMPED GROUNDWATER PROTECTION AND WELLHEAD AND REMOVED OR PUMPED AND FILLED WITH CLEAN PROTECTION OVERLAY DISTRICTS. SAND. LEGEND_ 99- EXISTING CONTOUR X 99.1 EXIST. SPOT ELEV. 200.90' PROPOSED CONTOUR 198.41 PROPOSED SPOT EL. TH1 �i- LOT 1 TEST HOLE HE - OHE �� 21348 SF f SYSTEM DESIGN: , OHE ..�_ 2= SLOPE OF GROUND OHE 90 GARBAGE DISPOSER IS NOT ALLOWED UTILITY POLE DECK CD C FIRE HYDRANT DESIGN FLOW. 3 BEDROOMS ® 110 GPD = 330 GPD WM' Nor Au SYMOM MAY APPEAR IN DRWW_j EXISTING 50'/ USE A 330 GPD DESIGN FLOW 3 BR DWELLING O O SEPTIC TANK: 330 GPD (2) = 660 TEST HOLE LOGS -%X/ TOP OF **RE-USE EXISTING 1000 GAL. SEPTIC TANK FNDN. LP 12" TREE DAVID FLAHERTY ,S., SE255 L. 55.2' LEACHING: ENGINEER: ' R 7 ZI j (TALL o SIDES: 2 (30 + 10) 2 (.74) = 118 GPD WITNESS: DONNA MIORANDi, R.S. � � �WALL) 12" SPRUCE ,. AUGUST 20, 2008 / EL. 51.0 , ' BOTTOM 30 x 10 (.74) = 222 GPD DATE: (SHORT TH-2 j ) 38.6' . PERC. RATE = WALLTOTAL: 460 S.F. 340 GPD < 2 MIN/INCH TH-1 USE (4) STANDARD "3050" INFILTRATORS CLASS I SOILS P# 12329 o / sag �o WITH 0.8' STONE AT ENDS AND 2.8' AT SIDES o O. PROVIDE VENT WITH CHARCOAL FILTER ELEV. ELEV. ya ' 22" WHI E AND BUGSCREEN (FINAL PLACEMENT p" 49.0 off 49.0 �2N WITH HOMEOWNER CONSULTATION) A _ A ®� 00 MA J APPROVED DATE BOARD OF HEALTH _ LS LS - 9 10YR 3/3 10 10YR 3/3 I �® � 222� » » TITLE 5 SITE PLAN B B I OF LS LS P PVE� oRwE 324 NYE RD. 28 10YR 4/6 46.7' 28" 46.7' BENCH MARK CTR. OF 10YR 4/6 (CENTERVILLE) BARNSTABLE� MA I - C.BASIN ELEV. = 47.3' PREPARED FOR I BORTOLOTTI CONSTJ c c DEBRA SAMIA PERC VVARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE DATE: AUGUST 28, 2008 IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR MS MS BY HEALTH INSPECTOR PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED off 508-362-4541 2.5Y 7/3 2.5Y 7/3 BY THE BOARD OF HEALTK� REVISED DURING A PUBLIC ZH OF Mq fax 508-362-9880 HEARING HELD ON NOVEMBER 15, 2005 sic ���wdFpss downcape.com o D N EL 9GN� �o�� LANIEL A.�cy� 3) FAILED SYSTEMS ONLY - SOIL ABSORPTION SYSTEM down cafe ong/neering� //1c. OJALA INSTALLATIONS PROPOSED MORE THAN THREE FEET BELOW U O�aLA CIVIL civil engineers 156" 36.0' 156" •° � - �� No,46502 9 __ 36.0' GRADE WITH PROPER VENTING (PIPED TO THE ATMOSPHERE) °firs \a� �o land Surveyors Scale: 1"= 20' AND WITH H-20 LOADING, BUT 1N NO CASE SHALL THE SAS �gtir,s � SON 939 Main Street ( Rte 6A) NO GROUNDWATER ENCOUNTERED BE LOCATED MORE THAN FIVE FEET BELOW GRADE. S � � ! 9 Main Rt 0) 2675 LICE #08- ' 7J 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. 08-179 BORTOLOTTI_SAMIA.DWG (DDF)