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0060 POWERS DRIVE - Health
60 Powers Drive Centerville P A = 167 018 Commonwealth of Massachusetts ~ 079 =r� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments y �5,i 60 POWERS DR Property Address DAMIAN DUPUY__ Owner Owner's.Name information is required for every CENTERVILLE . _ ` _ — _ ___ _MA 02632 9/2/2020_ V page. City/Town 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. fmngoutf Important: A. Inspector Information C541409 p . filling out forms on the computer, use only the tab. Christopher Maki key to move your Name of Inspector cursor-do not —E d Septic Services use the return key. Company Name 350 Main St. Company Address W Yarmouth MA 02673 City/Town State Zip Code relmn 508-775-2825 SI-14423 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on n;y training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 9/11/2020 Inspector's Slgnatore mate The system inspector shall Submit a copy of this inspect',n 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 tr7e DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report:only describes conditions at the tittle 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 Lille. 15insp.doc-rev 7126/2018 Title 5 Official Ins,action Fonn:Subsurface Sewage Disposal System•Page 1 of 16 � Commonwealth of Massachusetts � Title �� �-�� � i��i��l IN���00���������� �~ �����0N ' | ~ ~~ ~~ Official-~ ~~ Inspection m~ -~ -~ ~~ ~~ ^ ~ Form ~ ^ ~ ~ � Subsurface Sewage Disposal System Form ' Not for Voluntary Assessments � OO POWERS D Property Address Owner ����������-�----- -----------�------ 'information uwnersmomo is mqvi��hxave� C _-__ MA 02632 9/2/2020 pogo. City/Town State Zip Code Date ufInspection C. Inspection Summary ` Inspection Summary: Complete 1, 2, 3.or 5 and all of and 8. 1) System Passes: I have not found any information which indicates that any of the failure criteria described in31UCK4R 15.3O3nrin31OCK8R15.3O4 exist. Any hyi|ure criteria not evaluated are indicated be|uw. Comments: SYSTEM IS IN WORKING CONDITION � ' 2) System SystonnConditionally Passes: One or more systern components as described in the "Conditional Pass" section need to be replaced o/ repaired. The eysbam, upon completion of the replacement or repair, no approved by the Board of F|aa|ih, will pass. � Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not dehennined.^ please explain. The septic tan|� is maia| and omar20 years [dU° 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 exi-sting tank is replaced with a con,ifilying septic tank as approved by the Board of Health. /\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 2O years old inavailable. � [� Y N ND (Explain be|ow): � Form:Subsurface Sewage Disposal System-Page xofm c Commonwealth of MassachUsetts Title 5 Official Inspection For I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments - � 60 POWERS — Property Address DAMIAN DUPUY Owner Owner's Name _ information is CENTERVILLE MA 02632 9/2/2020 required for every -._ ..._..__ ._. _.___.. ---- _ .. . page. City/Town State Zip Code Date of°Inspection C. Inspection W-flrnary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): ❑ disL0Luflo? 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): 3) Further Eva lU3,r.ir,:l IS R.i:quir€:d by the Board of Ho._lth: ❑ Conditions,, ti:;•:iSt which require further evaluation by the Board of Health in order to determine if the systen-i is f-clilingi to protect public health, safety or tl,e environment. a. Sys.terl! Wi,l ,.)a-ys. unless Board of Health caat.!rnllines in accordance with 310 CMR 15.303(1)(b) Ef,ai itle system is not functioning in a manner which will protect public health, safety and thc: -ivironlrrlent: t5insp.doc•rev.7/26/2018 Title 5 Official Insp:ac+i6n Perm Subswiace Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts - ? Title 5 Official Inspection For Subsurface Sewage Dispersal System Form - Not for Voluntary Assessments 60 POWERS DR Property Address DAMIAN DUPUY Owner Owner's Name information is CENTERVILLE MA 02632 9/2/2020 required for every _ _.. _ _ page. City/Town State 2�lj code Date of Inspection C. Inspection.. SLiiiiniary (cant.) ❑ 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 b. System 'vvill fI.H Unless the Board of Health (wid Public Water Supplier, if any) determines 'Lhat the system is functioning in a fist nncr r that protects the public health, safety and eYiv 1 ,=ttrCeY�t: ❑ The system has a septic tank and soil absorpl.ion 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 syste:rn tia Y ;:t septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The systr:;i a iios a septic tank and SAS and tree SijS is ?e s thaY1 100 feet but 50 feet or more from a pi Nate water supply well**. Method used t.) deternnine distance: ** This system passes if the well water analysis, perfort,ned at a DEP certified laboratory, for fecal coliform bacteria: indicates absent and the presence of arr-nnonia nitrogen and nitrate nitrogen is equal to or less tnan ppin, provided that no other failure t.riterit. C rc triggered. A copy of the analysis must be attach d to ih,s i"jrrtt. c. Other: 4) System Failure Grit ria Applicable to All Syst-zmis: You muse indicate `:Yes" or "No" to each of the fullowing for all inspections: Yes No ❑ ® 33ckup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of of lur nt tro t?te surface of the ground or surface waters r,;,e to an overloaded or clv , _t cr cesspool t5insp.doc•rev.712 612 01 8 Title 5 Uf1wo, _,6en Disposal System•Page 4 of 18 | � | Commonwealth of Nlass8chQSettS ~N~�'���� �� �~�/��~�~~��N M���������m��°���� ����V�0�� � � ���� �� Official Inspection �~ ' �� ������ .��ma ��uamm Subsurface Sewage Diupomo| 6yotonm Form ' Not for Voluntary Assessments GO POWERS OR Property Address DAM|AN DUPUY Owner Owner's Name ------ --------��' information is required for every CENTERV|LLE _ K8A __ O2O32____ Q/2/2O2O page. City/Town ota= z c,./v Date ofInspection C. ynspect'O[tSU|x't6lfUry /CDOt.\ 4) Systenn FaUonm Criteria AppHcab/oto All Systems: (cont.) Yes No Siatic liquid level in the distribution b,,-,x 7.ibove cutlet invert due to an overloaded ^� �~ or clogged SAS oroesspou| �l �� L"�oi0 depth in mranpoo| is |eosL�an �^ below inve�nr available volume h; �ss ^� ~~ Nan % day flow �� �� �oquino� pumping mona than 4 times in the last year NOT due bo or �� �� ubatruchad pipe(s). Number oftimes pumped: Any portion of the SAS, cesspool or privy is below high ground water elevation. ` � Fl Any po�ionof cesspool or privy iovoi|hin1OO feet ofnsu�aoo water supply or � �� �� bIbutoryioasu'facDwaleroupp|y. m'ypodionofaoesspu�| of- ia �.id/ixo Zone 1 ofnpublic water supply �l �� m'ypu/`iw' of u ��xupuu| or privy /s within ou feet nraprivate water supply well. � 1�0 �� Any portion ofa cesspool or privy iu less than 1OO feet but greater than 50feet � fiam o private vvater Supply well *iih no acceptable water quality analysis. [This passes if U'ow/nil -/�.i"� uo_|yais^ per ornnedaiaDEPcertified /�oora�ory, h»/f,�-cs| cnii/u.°. ^.uto.�u h/Jioutas absent and the presence u^zoumUmia aitrmgcx axd x'u�LW is mqumkio or less than 5 ppmm 1.,ovidndthatnootha/ |oi|uneu/ibariaunetriggermd' AcopyoYthwamelrsis Ch�ifl o4"USstOdy Must ba uHMzhed bo &h;,E, form.] Tlie system iaa cesspool serving o facility with a design flow of2OOOgod- 1O.000Qpd. ih: oystemnYaUu | huVad8�»' )o� th�ionao moreVf the above failure [l �� �---� '^ ' -- _— ui,ihaha exist asdescribe(iio )5383. U)t-!lehona the system fails. The s,smm owner should cc..o.x + .xuL.J .| wdetannine what will be nccleasaryho correct the failure. | S) LargeSyatemms: Tuuv �xwsidoredo |mrgmsyotem the system Muat serve m facility with a design flow of1O,8V" Jpuum i5'080gpd. For large aymtenm. you .i ndi�a�e xih.er^yes^ or .^ to poch ofih, fd|mwiny, in addition to the questions in Secbon � ' Yes No M F] u , ayakam ia within 4OO �.uiu -.u,f_icedhnki.:� wab:roupply to i'uoe drinking water supply stein, Is located in a nitr- � � � , '�/.^.Lvea.rza (|ntehmVVo||headP[ntecUqD / | _f i u rsupp we *"5,*"�.-. .� .Fo",n�i^="»," g"oisp"�sptem'Page 5mm Commonwealth Of MaSSaGhUsetts ��~°��0�� �� a����'~��~��~ ������������~���� ����l���� IT �`����� �� V��� � ������� Inspection �-��zmuu Subsurface Sewage Diupnuai System Form ' Not for Voluntary Assessments POWERS60 Property Address W1| N DUPUY Owner Owne/sNomp information is MACENTE `V|LLE � O2O3� 9/2/2020 required b,,ovo� � - �— �--- -- page. City/Town �___ ��u z:vCo Date cvInspection C. Ynspect'C)n. Su/ulOnary (cont.) If you have anovvered "yes" to any question in Section G.5 the system is considered o significant threat, oranswen:d ^yax^ hz anyqu�odon in Section C�4 above the large nynbam has failed. The owner or operator ut any large system considered m significant threat uoder Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 C�}R 15304. The system owner should contact the ap�roprioha regional office of the Dep�,'u'.enL U. You must indicate ''j=a" or^'no" for auchofthe for all inspections: Yes No PunCIPing infonnaUon wos pnovid`J the owner, occupant, or Board of Health 1:1 LID ofihesystemoomPo/,u t. pad out ill the previous two weeks? z Fl 61C, n. vamr�,oaivednonn�,( i./ the pnavinus two week period? �� Haxe large vo|umesofwohsrbee// tnkoducedho the ayoban� oraSp@�Cf �� ~- thiu,inspeoion? We/earbui� p|�nsof!heayohemob��nedondexornined? (|fUhev were not ^ ava]ub!enoeasNAV /�'s faci|it� o/dmeUi/.O fn'uignoo(sewage hack up? E rl VV�.:o Ueoiic� incp�cc.d for signu �" !-,I noy7 Vxz�ru all aysbemcnmponents. ex:|^Jing the SAS, hncabadonsite? � |� |� the septic tank mznhoby . upanod. -and the |nb*horoy the tank � ios4�uhad for the condition of(ha ba0eo or toes, n1l,,"terial or construction, '.cionn. depth o(|�q�id� dc. ". ] �!�� i��e znJ Jmpth Of SCUM? �� Fl the tsoiUb/ owner (�ndoccu/'^ mi( Jifferon( �mnowne� with �� �� 'r.nabon on d/o p/oparmain` oubourfaco sewage disposal i � size �n� |o�md000fthe � 'on Syohern (SAG) on the o�ehas �.' :�/. uaiermined based o.c IL7] �l � -�b..� io6u/rnuUvn For ersm[|� �,.|�� sdU/,� Gounj ofHeo|dh. �8 �� D:�»=ouned in 1he �e|d (it any '�i [.� � .�|�'ro chb:/ia /Jahad �° Pad C is at issue^~ -~ / / omsp.00c'rev.nzm2010 ��nou"u .^ 11 SE~ge oisp=^syswm'Page om18 � � U � U Commonwealth of NlassachLISLttS Title 5 0 Insp cion Form is Subsurface Sewagie Dispf.),-zd System Form Not for Voluntary Assessments 60 POWERS DR Property Address DAMIAN DUPUY.-- Owner Owner's Name information is CENTERVILLE M A 104`6 3 2 9/2/2020 required for every page. City/Town cute t.p Coyle Date of Inspection D. Systemk 1n1r,',j,,i.-L,,t-'-.'4,3M 1. Residential Flow Cundilioiis: -n s (0 5 ------- -ns (aCtU,91). 5 Number of bedrooms (resign): Number of bedrooms DESIGN flow based on 3 10 C'IVI R 15.2 0 (for Exanip!e: 1 10 x#of bedroorns): 550 Description: Number of currerit its- 2 Does residence have a ciarbacie grinder? El Yes 0 No Does residence have a vdatur treatment unit? ❑ Yes ED No If yes: to: va system? (Include 13LM-dfiry System inspection IS laundry on a - ge;,Iel �) El Yes 0 No informatiu;i in this repcit.) Laundry system El Yes 0 No Seasonal use" El Yes 0 No Water meter '19(!as',2 years Usage fgpd)): 18-52-5208 GPD GPD Detail: SUIT11) PU1111)? El Yes 0 No Last date of occ,upof icy: CURRENT Date t5insp.doc-rev.7126/2018 1 ifle 5 01ficial Insi-6on Form:Subsurface Sewage Disposai System-Page 7 of 18 Commonwealth Of MZ�iSS4CII[Llsetts Title 5 OX-ficiai Inspection Form Subsurface Sevvage Disposal System Form Not for Voluntary Assessments 60 POWERS DR PropertyAddress DAMIAN DUPUY Owner Owner's Name information is required for every CENTERVIL'LE MA 02632 9/2/2020 page. City/Town State Zip Goo..4'e Date of Inspection D. Systern (cont) 2. CommercialflndUstriid Flow Conditions: Type of Estabk1,,--,hrf,ent: Design flow ori 310 UNIFI, 15.203): (".-d1ons per day(gpd) Basis of deslyn fkuvv, etc.)* GreL�se ti—;[:, present' D Yes El No Water treatri-ient Uilit [-An::!sent? ❑ Yes 0 No If di,.,,Charges to: Industrial Waste hokliwy t--fflk present? El Yes El No Non-sanitary vjz.,izste discharged to the Title 5 system? El Yes E] No Water to e f e r re;:i d i 7 1 gs, ::f--A.v.-.,.i I a 1)1 e Last data of Date Cthc-r 3. P—npinc; 11/29/2018-CC SEPTIC -2000 GALLONS Source of inforniatioii. Was system puiqPer! as pad(of the inspection? El Yes 0 No If Yes, Volume pJn t)ed. gallons Rea,:on l')!- t5insp.doc-rev.712612018 Title 5 Official ln,po-ction Form'.Subsurface Sewage Disposal System-Page 8 of 18 Cominnoinwealth of PA'assachusetts This 5 Officla-- i Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 60 POWERS DR Property Address DAMIAN DUPUY Owner Owner's N,,1111e information is CENTERVILLE MA 02632 9/2/2020 required for every page. CiTy/Town, stat, Zip cr"le, Date of Inspection D. Sy--stern 11nr`I,).,.,r,--!,-..t',3i1 (Co it.) 4. Type of Slysteirt: LZI Sepk tank, distribution box, soil absorption system 'Slingle Cesspool Overflow cesspool ❑ Privy ❑ sharf=d system ("es Or flo) (if yes, attach previous inspection records, if any) technology. Attach a copy of the current operation and contract (to be obtained from system owner) and a copy of latest I, I) ll by system operator under contract :. the I/A systei Ell Ti Il ti�.i n k. Attach a copy of the DEP approval. Approximate age corri:.)onerits, date ltistalled (if known) L.,ncl source of information: ----------Were sewage oduis del.c.;cted when arriving at the site? EJ Yes 2 No 5. Building Sew e- (I,)c—itc an �Jte plan)-, Depth below feet Material of construf31.,-011 ❑ cast iron %lr ❑ other(explain): Distance from [ J,,.1t-.` V.�1LI well or suction line: 10'+ feet Comments (on ccj(.c!.Gj:I of icints, veni.�ng, evidence of!cnI1,L`.ge, etc.): LINE CHECKED VVI-17i 1 SEVVER CAM'ERA AND WAS FOUND TO BE CLEAN AND PROPERLY PITCHED t5insp doc-rev.7/26/2018 Tide (;:ficial l-,gym Subsurface Sewage Disposal System-Page 9 of 18 60 POWERS DR Property Address Owner Owner's N�,nie .information is required for every CENTERVILLE -.MA— 02632 9/2/2020 page. city/1"UVVI-1- SiLI(-a Zip Code Date of Inspection D. Systern (cont.) 6. Septic Tank (locate on site pl,-.)n): Depth below gi de: feet El concrete I I El fiberglass [:1 polyethylene El other(explain) If Lank is i-nietal, kz�� years Is age corifirtyieCl f�y C-1 Certific.,ite of Compliance? (attach a copy of certificate) F-1 Yes El No Din-tensions: 2000 GALLONS Sludge dcpth: Oi��nce .--romtop .)f«cumbz top Uf Outlet tee nrbaffle Distance �o/n o/ucu/ntobottomof outlet tee nrbaffle ESTIMATED |*�snnined? Comments (on pmo�ing nerummendatkona, inlet and Outlet tee cv baffle condition, structural integrity, | liquid |evtl-|o as io oudat invert, evidence of leakage, etc.), � 2UOO GALLON H'28 RATED 2 COMPARTMENT TANK |N GOOD CONDITION. PVC TEES |N PLACE ATNORN�LOPERAlAG LEVEL. COVER ATGRADE -------'— - ' — --- t5insp.doc-rev.7126/2018 Tillu,5 Official lnpectiun Foint:Subsurface Sewage Disposal System-Page 10 of 18 --'---' -- ---'-- — � b Commonwealth 0 MitSSaChUsettS _ Iq Title , ��_'� n'uctio dorm _ ^�� Y b`.D Disposal �� . Subsurface s�,erd��,�. C3,.,C��..ai :�ysY�.rn Fol•lta - Not for Voluntary Assessments 60 POWERS DR Property Address DAMIAN DUPUY Owner Owner's Name requirationis CENTERVILLE MA 0`632 9/2/2020 required for every — ___ page. City/Town ZV C'�.ie Date of Inspection D. Systern 7. Grease Tr%t (locate on site plan): Depth below gr dt': — feet - M[Lltel'101 Uf corisiruction. concrete i--I IrleiU! ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: `�cun7 tilic hr7•�s.: Distance florin tuu of s !i ) t0p of outlet tee or baffle — Distance frorn Lottorn ci to bottorn of orltlet tee or baffle Dc,t& of lay;[ urJ',_;i;tC: Date Comments (on pr mpn ng r ecomn,,endations, inlet and cutlet tee or baffle condition, structural integrity, IigUid IeVc:1S J` :"tJl ltc d 1:) cutlet invert, evident,:; of leaka,,?ae, etc.): 8. TuaPlf ct fiya;itT a (.;.;,,�,; r nt.i >t be pumped at tune of inspection) (locate on site plan): Depth belo',r Material ,,f cor,.aructiorl: [� cunc.l• tr fiberglass ❑ polyethylene ❑ other(explain): Dinnc:nsio,ns: — — Capslcity: Gallons A vl�rn ; iJW: y-,i!onS pet,clay ----- l5insp.doc•rev.712612018 11116 5 Official Insp:-.-ion Furm:Subsuiiace Sewage Disposal System•Page 11 of 18 Commonwealth of MassachUSetts P Title 5 Official Inspection Form Io Subsurface Sevvage Disposal System Form Not for Voluntary Assessments 60 POWERS DR � Address_roperiy *_ - ---- -- DAMIAN DUPUY__ Owner Owner's Name information is required for every CENT- *ERV-I,LLE _MA 02032 9/2/2020 page. City/Town SLI'ta Zip Code Date of Inspection D. Systeti,-,. L 8. "Fight or Holding Tank (cont.) Alarm present: El Yes F1 No Alai-in level: Pjarni in working order: ❑ Yes ❑ No Date of last puinping: -- — Date CC!1_!Ment (:_,oi idit';,on of�Lif:n and float switches, etc.): Attach COPY Of Current PL1111ping contract (required). Is copy attached? El Yes El No 9. DistribUt',on Box (if present must be opened) (locate on side p!an): Depth of liquid level above outlet invert -EVEN-- 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.): DISTRIBUTION BOX LEVEL—AND WATERTIGHT t5insp.doc-rev.7/2612018 Title 5 Official hsfjuLt.i,n Fujin:Subsurface Sewage Disposal System-Page 12of 18 Commonwealth, of Nkvss.achusetts Title aion Form o ificia! s I.npc d-L Subsurface Sevvatje Disposal Systern Forra Not for Voluntary Assessments 60 POWERS DR Property Address DAMIAN DUPUY-- Owner Owner's NLin-ie information is required for every CENTE-RVI-LL E. MA— -.02632-- 9/2/2020 page. City/Town State yap i-:,Ddo Date of Inspection D. System i(cont.) 10. PLIMP Chamber (locate on siLe plan): Pumps in vvcrking El Yes El No* Alarms lit vvorkitio orde!: El Yes El No* pump chamber, condition of pturnps and appurtenances, etc.): If pumps or alarn is are not In working order, system is a conditional pass. 11. Soil Absorption Systzni (S/AS) (locate on site plan, excavation not required):. If SDA.S m.)l I 1a(j C Type: ❑ 1,_�achillg pits nuirriber: chambers number: 12'X46'lea ,(ling CHAMBERS ❑ lea,,--,hing galleries nurnber: i z.Chiilo t,enclles number, length: dimensions: 11 U i i,, e r: system of t chnolon 15insp.doc-rev.7/26/2018 Title 5 Official lr1Sl.)GUb(J11 F 0 Sewage Disposal System-Page 13 of 18 Cominonwealth of ivlac.,-,!�achusetts I Inspect Form Title 5 Ofticia ion l l~ lip Subsurface Sevvage Disposal System Forin - Not for Voluntary Assessments 60 POWERS DR Property Address DAMIAN DUPUY_ Owner Owner's KI ime information is required for every CENTERVILLE MA_ .0?632 9/2/2020 page. State L,r C Date of Inspection D. System L ) 11. Soil Absorption Systcrtk (SAS) (cont.) Cornments (note conditicri of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegt:Aation, etc.!: 12'X46' LEACHING CHAMBER'S FOUND DRY DURING 15,,M�PECTION WITH NO EVIDENT STAINING.- —------ 12. Cosspuols :iust Lie PLU-11p,ed as part of inspectiui) (locate on site plan): Number E,nd cot Depth —tOP of kqLlid M inlet invert Depth of solids layer Depth at.icun-i iay:�r Dimensions of cesspool Materials of coii,3r111C'r_n Indiction of gig �_!mAv-_,ter infk.w El Yes M No conlrllerlis ( 101"_! Cori liticti 0 t.oil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.), t5insp.doc-rev.7126/2018 Subsurface Sewage Disposal System-Page 14of18 Commonwealth Of Title 5 Offic .n ial ' spection Forte Subsurface Sewag-t Disposai System Forin - Not for VOILintary Assessments 60 POWERS DR Property Address DAMIAN DUPLJY Owner Owner's Name information is CENTERVILLE MA 020)3 2 9/2/2020 required for every page. City/Town State2 jp C-je Date of Inspection D. Systern. InLiL)nii lCln (Cont.) 13. Privy (locate on site plan): Materials of construction: Dirnensicjns Depth of solid-, Comments (note condition ots;oil, signs of hydraulic failure, level of ponding, condition of vegetation, .. .. ....... t5insp.doc-rev.7/2612018 Title 5 Official Inspection Foini Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts rp Title 5 Officiad frispection Form tip Subsurface Sewage Disposal Systern Form Not for Voluntary Assessments 60 POWERS DR Property Address .DAMIAN DUPUY Owner Owner's Name information is CENTERVILLE MA 02632 9/2/2020 required for every page. city/Town Stale Zip Code Date of Inspection D. Systetn lnforinJ'kon {cont.) 14. Sketch Of Sewage Disposal Syste,n: Provide �:.i view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locale all vvells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: hand-sketch in the area. below drawing t5insp.doc-rev.7/26/2018 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of MassachUSU'ttls I Title 6 OfficinhinspectHion Form ? Subsurface Sewage Disposal System Form Not for VOILintary Assessments 60 POWERS DR ---------- Property Address DAMIAN DUPUY Owner Owner's Name information is required for every CENTERVILLE _.MA_ 02G32 9/2/2020 page. City;I C".,'ll stat,3 Zip code Date of Inspection D. Systemi 15. Site Exaan: Checi, Slope Surf.;,-.e w-.*;Aar CheuP,, ce-111-jr Shallow wells 1_;tirnated der)U, to high ground water: +11' feet Hease in J'c,:k :;11 methodS used to determine the high ground water elevation: CA-A_-1Ji,ed from system design plans on record If checked, date of design plan reviewed: Date F] OL,served site (abi..itting property/observation hole within 150 feet of SAS) with loc,:.:! L]oai-d of Health - explain: ASBUILT Of% FILE AT BOH F-I Ch,acked with local z-,xcavatofs, installers - (attach documentation) F A-,_.i_Lssed IJSG�S explain: YOU MUSt de: I I(,W N/OU e,,'Labl;rshe'd the high ground water elevation: ASBUILY CARD ON F11-E AT 801-1 SHOWS NO GROUNDWATER AT 149" jAa--;ru <_-e Report Completeness Checklist on next page. t5insp.doe-rev.7/26/2018 _1_ 5l�ffldolklb,,, 1,'11 Fcnn.SUbSUrfoce Sewage Disposal System-Page 17of 18 Commonvvealtlb on Fm Title 5 Cly'flcia; Inspecu or Subsurface Sewage Disposal Syst-ein Forin - Not for Voluntary Assessments 60 POWERS Did Property Address DAMIAN DUPUY owner Owner's Name information is required for every CENTE-RVILLE M,A 02 G 32 9/2/2020 page. City/r,,;vjn stnte —P C."oe Date of Inspection Complete aft applic:Able sectiont-, of thii., forth inclusive of: A. InEpector lnfcrrnatiori: 'C.oinphz.�io all fields in this section. B. C,,-:Ftific, Liot i: Si rated & Diteci a;A 1, 2, 3, or 4 the C. 1, 2, 3, c;-'Anpl,,:tzd Ci-itaiisi) mid G coiripleted D. iiC.)crirotlon: Fol- :3 TIgj,l,,t 'Izxil� — Puniping uonitact attached For 1,*I: of D;sp,-,s-'.! System drawn on pg. 16 or attached For 1-'7� of -,:);h 10D high grOUndwater included t5insp.doc-rev.7/26/2018 1.0p 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 ac.er�r..at�s � � 3 � �Cam'A+La�� . ,�. ,-� , ro���.,� :;� i 1'v�, r- __ i�� TOWN OF BARNSTABLE Z o©7 v :,:LOCATION �'�O vUE2S �/ SEWAGE# ��3 VILLAGE C��� t-r—Qq ru ASSESSOR'S MAP&PARCEL % C f INSTALLERS NAME&PHONE NO. l SEPTIC TANK CAPACITY LEACHING FACILITY:(typ 2- tirt.cn�Jst�e)�`v�PFLL .M 6 i� NO.OF BEDROOMS . OWNER. v'�V PERMIT DATE: iII&I 10:7 COMPLIANCE DATE: 41 A 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) 244 Feet Edge of Wetland and Leaching Facility(If any wetlands exist - .� within 300 feet of le ng facility.) �� Feet FURNISHED BY 1 I L E A f-t-, lop ra�c 3. Y- 24 q5 ?Cb act-,, d I No. 0 t -� r Fee THE COMMONWEALT�-VI�ASSACHUSETTS Entered in computer. VY, PUBLIC HEALTH DIVISION - TOWN O,r �sH NSTABLE, MASSACHUSETTS I Zipprication for Mi5po.5al *p5tem Construction permit 'application for a Permit to Construct(-.)-'Repair( ) Upgrade( ) Abandon( ) © Complete System El individual Components cation Address or Lot No. W V-5 �(�I e Owner's Name Address,and Tel.No. He I Assiassor'sMap/Parcel IK 01 ,, 0?D5 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. i 2-7 73e o ��,- p ad` � yz�3-33u Type of Building: Dwelling No.of Bedrooms C71 Lot Size -77t375 sq. ft. Garbage Grinder (A/6) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) i;,Sa gpd Design flow provided '580 gpd Plan Date 0At6u--L t, 7 Number of sheets Revision Date (0�171[ag Title Sim P_raD ��t n�tm.v� Size of Septic Tank ISoK�3 Type of S.A.S. 5-500 C, 4 M2+r5 j_. J&tlI Description of Soil -Rrt 110 j3z. 0-'Z' 0 �.�Rr - -br Alr c mt e lw1Z ` f? tw-r � IR-7" L►�t� 1 atiB 51(v Lo qjn�j S�a�7 ��-�ti`' �� a.1GP� I0`lq G)2 MeD 5&&L� 3G-izd� C 9!y Z.S1+ 6jc -r- 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 Cod ttrd not t e th system in operation until a Certificate of Compliance has been issued by this Boa Health. Sig Date d Gr Application Approved by , Date Application Disapproved by: ty Date for the+following reasons Permit No. ✓ Date Issued �' •` +,�.�M�•o .. � '' . /y.i M� .:.?Rim.,I '' (. .... . r F .I N . r•`�..� i S awl i �� m se; .,ri�y�a Fee THE COMMONWEALT; f ` MASSACHUS'ETST Entered in computer: �_ PUBLIC HEALTH DIVISION - TOWS Or (3ARNSTABLE,,MASSACHUSETTS ZIPPYication for �Digonl �§pgtem Congtruction Permit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) 1'J Complete System ❑Individual Components Location Address or Lot No.tQv VOWS Owner's Name Address,and Tel.No. a. 1 Cex�rl�r��i\� 14d 0Fy*-rd�S'�r i Asse�sor'sMapTarcel '(Q-7_ •� /11 07DS 9m; ' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. `'',�c �i� Type of Building: - +°""� Dwelling No.of Bedrooms _S Lot Size �7 ]$ _ sq:ft. Garbage Grinder (/VO) Other Type,of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1' Design Flow(min.required) &5d gpd Design flow provided ` � �Ot' � gpd Plan Date Oc to`A r- z-o cy- 7 Number of sheets Revision Date WI X Lo Q Title S, e M�co-C�n-c i Size of.Septic Tank Type of S.AsS. $-6-00 ,�+r\u thS 1 I Zx4/� q�`k pescript�n of Soil �(.- I I,`13Z. d"Z, o u.y Dr Z' r �!E LA"q� k"("k yI (0/ 7 Wi -I-7 t�ti(.�k`tCt� loy(� S& L-oR-r^y 1_2-36'' I/L tNILA\ ID`IRI A MCa 2,4� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code-and not to,,-pl'aceh system in operation until a Certificate of Compliance has been issued by this Board-of Health. . Sig c� ��=- '� n Date 6 Application Approved by / Date / xa Application Disapproved by: y v Date r , r for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (_ �Repaired ( ) Upgraded ( ) Abandoned( )by /Z e N at_(ou lv 2 has been constructed accordance 14% with the provisions of Title 5 and the for Disposal System Construction Permit No. �� /� Yin dated , �. - Installer G // Designer #bedrooms Approved design flow p gpd The issuujadce Take this permit shall not be construed a's a uarantee�thh�a�the s ste &illfunctionassdetym V61-9k, Date /!t ke 11 (� C)1��� t' �lnspector1/"/G/� �� No. -D —``�---=------------i—---— ———— Fee$—S � — COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Migpogat 6p5tem Congtruction Permit Permission is hereby granted to Construct (/ )C Repair ) Up grade ( ) Abandon ( ) System located at (a0 T Cs') u�k�'e r �t � �t.f 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. i]?rovided: Construction must be corn leted within three years of the date of this perpit:` t �� c a o Date 10 — Approved by jr1,- Town of Barnstable Regulatory Services Thomas F.Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601, Office:508-862-4644 Fax: 508-790�304 -_-Installer&Designer Certification Form ......... ----- --- Date: 08_ o8 Sewage Fermit# s _3 Assessor's MaplParcel—r-,- o/-b'----- Designer: S[fLt V/iAl-'Elyi iwi F 21 N6 1 Nc IllStaller: 7 y� G C . iu $ Address: O SZEAVILL F , lW 45 s Address: On �(L.G was issued a permit to install a (date): (installer) septic system at- o-P gs r.;.C �vTcry,c.ct;IHA based on a design-drawn by S•c,GLIYA/✓ (address) E N6+NLr--Rf1Ve- %4lG ... dated 1 o '2 9/o,---. (designer) I certify that the septic system referenced above was installed substantially according to the design,which may include minor approved changes such as. lateral relocation of the distribution box and/or septic tank I certify that the:septic system referenced above was installed with major changes (i.e.greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic em)but in accordance with State&Local `ons.Plan r o ed as-built b esigner to follow. or e INTER Na. 29733 21 (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU. Q Heal&SepticJDesiga Certification Form 3-26-04.doc Town of Barnstable P# q3o ot� Department of Regulatory Services j Public Health Division Date —i 27 MAM s639�A�� 00 Main Street,Hyannis MA 02601 Mla Date Scheduled ° Time Fee Pd. .16 Soil Suitability Assessment for Sewage Disposal b Performed By: 6 1SKIC 1-1Ar,il\fz n -r,,A( Witnessed By: ®/V/V/ , �� I(�� / • U ' LOCATION& GENERAL INFORMATION Location Address 60 �� Owner's Name J y� Lodi Address Assessor's Map/Parcel: T Engineer's Name fie" 7Z',Z NEW CONSTRUCTION 1 REPAIR Telephone# j� jQ- . Land Use �CS�c�0Y1� Slopes,(%) _S-ZD% Surface Stones NFL. Distances from: Open Water Body Zsd ft Possible Wet Area Z5- — ft Drinking Water Well !!a -ft Drainage Way 506ft Property Line a ft Other _VA- ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate_wetlands in proximity to holes) r 0 / 3 3 • 1 C) DK u; Parent material(geologic) O .S�-'� ,p• Depth to Bedrock Depth to Oroundwater. Standing Water in Hole: mcivc Weeping from Pit Face If Estimated Seasonal High OroundwaterZ.S 7cr' DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: AbIdE -Se IF hb*-C Depth Observed standing in obs.hole: in. Depth to Soil mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well#. Reading Date: Index Well level Adj.factor— Adj.Groundwater level,Re PERCOLATION TEST bate 2. Thne_l(�_ Observation Hole# LI Time at 9" Depth of Perc �5 � Time at 6" Start Pre-soak Time® _� IGv, Time(9".6") �n End Pre-soak M� Rate MinJlnch C ZIY1tn Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Consel}vation Division at least one(1)week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency, Gravel) 2-8 A-C 6ACA r i oilk y(2- - 17 a 3 rri .S-ke 17-Y. (- 55.E IUyl2 13 DEEP OBSERVATION HOLE LOG Hole# 7-, Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsistency.% l� 0 I 13-- mtck, sr,,4 10A (9,18 3o-IZG` ,rid_ sties 2.�`( (014 DEEP OBSERVATION HOLE LOG Hole# 6) = Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Csistency.%Gravel) to-`to 1 �-► Sir\ Z, Lto-IZa\ C-Z— .5,k o gel DEEP OBSERVATION HOLE LOG Hole.# Depth from Soil Horizon Soil Texture Soil Color Soil Cher Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' \, C 0-4 q- `' AE 7.7-t L Mtk 5-A G�C, Flood Insurance Rate May; Above 500 year flood boundary No_ Yes ..f Within 500 year boundary No ✓; Yes �. ,� d( s 5Li lob Within 100 year flood boundary No t� Yes yt; vo. r nok- -�t�4 h�S Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on jj& (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,ex ertise and experience described in 310 CMR 15.017. Signature Date , Q:\SEpTiMERCFORM.DOC I Town of Barnstable Re ulatory Services g Thomas F.Geiier,Director Public Health Division Thomas McKean,Director, 200 Main Street,Hyannis,MA 02601. Office:508-862-4644 Fax 508-790-6304 Installer&Designer Certification Form Date: 8 8 08 Sewage Permit# s's3 Assessor's MapTarcel + �� d IN Designer: S4,Lt)Lby Elv's-WIDE rz 1 ME I Svc Installer: 7 PARKi&Q Qu. Address: C s-rE/Zvic.t- . „a,gss Address: on was issued a permit to install a (date) (installer) at &o Pe,wg- s C� 2r ;[.ct MA based on a design drawn by septic system �, ._ (address) ENt.Init��RirvG iNe- . dated l0 29 0 (designer) I certify that the septic.system referenced above was installed substantially according to the design,which may include minor approved changes such as. lateral relocation of the distn�ution box and/or septic tank. I certify that the:septic system referenced above was installed with major changes (i.e.greater than 10' lateral relocation of the SAS or any.vertical relocation of any, component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built Pr to follow. �-tu of ��,� (Installer's Signature) TER t �k SULLIVAM No. 29733 O (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU. Q.HealWepticMcsigner Certification Form 3-26-04.doc TOWN OF BARNSTABLE z0 7 LOCATION SEWAOE# VILLAGE Q C-o,, Trou Nu-y ASSESSOR'S MAP&PARCEL 1_ 7 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 12 X 4 Co L ems%Yap G 'CM 5Lz 5 LEACHING.FACILITY:.(typ 2- -� �;ev- v1 Psa.L wt -1 NO.OF BEDROOMS - I OWNER --D�j PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: 3 Maximum Adjusted Groundwater Table to the Bbttom of Leaching Facility Feet . Private Water Supply Well and Leaching Facility(If any wells exist o . on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of le 'ng facili 2 Feet .FURNISHED BY &Uli i � 1,E�r�t �Gt •. i b . Z 1 2 45 aeAe.E o z E f � . ASSESSORS' REF: FLOOD ZONE: Map 167 Parcel 018 Zone C, B & A10(el.=11) Community Panel No. OVERLAY DISTRICT: #2 J ly 2,0992D J AP — Aquifer Protection District ZONE: RD 1 O S&T Area (min.) 87,120 SF (RPOD) Fnd ✓a N Frontage (min) 20' p hn R, F Width (min) 125' /• E// Setbacks: y. li 40C.el' Front 30' l`y S ) k Side 10' 20„ Rear 10' CF/OH Zan,B / Z Lot 2 Area To BVW 77,375t SF L=18.55' O R=20.00 �o F I a� °3 New Concrete IP Qv �-- Foundation Fn � V l 1 Sty Dwelling `p Zan \ With Walkout � Basement10 o ... � .... .. evw9 .... avwe Former. House yoc \ Location .... . \ ,� �\VW7 Yo°^ ' 67.3'RA AN vws I I QB/DH *We Fn d f yO'�.�•BVW5 Pi Bordering Vegetated Wetland' As Flagged By ENSR W. \\ 1 , 6100,, III It & Donold Scholl BVW3 \I 2 g f(\s 5 ran Annual MHW EI=2.3' (NGVD) ,I 4(� also .flagged as river bank) I �5on S Ids f�evw2 "Wood Ro d" (8' wide) as Shown�on Plan. 383 ,Q Page 26 ated Jan 27, 9z I 1983 r dew ckoFn �c I certify that the new ti�pIcHa foundation shown hereon RD ��, SHE R. conforms to the setback 7URi"E requirements of the Zoning PLOT PLAN Bylaws of the town of At 60 Powers Drive 9°Ftas�° Barnstable. BA Bs /5l�yA.e O8 ® �7 L Profess►ona Land Surveyor D to (Centerville) NOTES: MASS. DATE: 13/MAR108 SCALE: 1"=50' 1.) The structures shown were located on the ground 0 25 50 75 100FEEI by conventional survey methods on (or between) 08/AUG/07 and ll/MAR/08. PREPARED FOR: Damian E. Dupuy 2.) The property line information shown hereon was 148 Orchard Street compiled from-- available record information. Millis, MA 02054 3.) This plan is not for recording and is not to be PREPARED BY: CapeSurv used for construction layout or deed description purposes. 7 Parker Road Osterville MA 02655 DWG #: C443_1g1 _ FIELD BY. WHK/MLL/DWB (508) 420-3994 / 420-3995fox I_ i41 't 32-x 22 .3' _9�3 2(einM1� �-- >—------Z 12 L 9 q - UP - CiAiLACE GULJvmn TlS - ,- 23 8; — —_— - i 2l V 1. T F Lyt7�. ?L A-fA N f un 13 I9 13'ta x lib" P;. FRMIL)' 1213 a�+� r, ?,VIJ LL1, 13 . rj 13EDRO')M L/ . c — i I I I t i� �e iI v. -1i n 1 I SCALE: DATE: r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION_ -.0 ;VED lR � ��� LDEC'ARCEL. 14 2004 6 i _0T OF BARNSTABLE TITLESALTH DEPT. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 60 Powers Drive s C" Centerville, MA 02632 Owner's Name: Helena Power Owner's Address: } Date of Inspection: November 29. 2004 Name of Inspector:(Please Print) James M. Ford Q0 Company Name: James M. Ford Mailing Address: P.O.Box 49 c Osterville.MA 02655-0049 Telephone Number: (508)862-9400 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: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: December 8. 2004 The system inspector shall 4suba 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 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 ****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: 60 Powers Drive Centerville. MA Owner: Helena Power Date of Inspection: November 29, 2004 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: 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 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 60 Powers Drive Centerville, MA Owner: Helena Power Date of Inspection: November 29, 2004 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 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 60 Powers Drive Centerville, MA Owner: Helena Power Date of Inspection: November 29, 2004 D. System Failure Criteria applicable to all systems: You must indicate either"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 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. ✓ 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 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. E. Large System: 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 60 Powers Drive Centerville.MA Owner: Helena Power Date of Inspection: November 29, 2004 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? n/a 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 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 ✓ _ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 60 Powers Drive Centerville, MA Owner: Helena Power Date of Inspection: November 29, 2004 FLOW CONDITIONS RESIDENTIAL 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 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [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)): 2004-51.000 gals.:2003-49 000 Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL 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: Unavailable 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 ✓ 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: Overflow cesspools installed on 6/15/78:septic tank unknown Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Powers Drive Centerville, MA Owner: Helena Power Date of Inspection: November 29, 2004 BUILDING SEWER(locate on site plan) 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: ✓ (locate on site plan) Depth below grade: 30" 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: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 0" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 12" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Cement tees were present. The liquid level was even with the outlet invert There did not appear to be any signs of leakage 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.): 7 Page 8 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Powers Drive Centerville.MA Owner: Helena Power Date of Inspection: November 29, 2004 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: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 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.): 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.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Powers Drive Centerville, MA Owner: Helena Power Date of Inspection: November 29, 2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ Teaching pits,number: 1 -6'x 6'(1000 gal.) for System #1: 1 -4'x 6'(600 gal) for System #2 leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: ✓ overflow cesspool,number: I 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.): The leach nit for System # I was dry. The scum line was approx 6"up from the bottom There did not appear to be any signs offailure. The bottom to grade was 8. The leach nit for System #2 was dry. The scum line was approx. 2'up from the bottom There did not appear to be any signs of failure. The bottom to grade was 8' CESSPOOLS: ✓ (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 1 w/overflow Depth-top of liquid to inlet invert: Dry Depth of solids layer: -- Depth of scum layer: -- Dimensions of cesspool: 5'W x 5'T x 8'bottom to grade Materials of construction: Cesspool block Indication of groundwater inflow(yes or no): None Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): The cesspool was dry. No outlet tee was present. The cover was 20"below grade Recommend installiniz outlet tee 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.): 9 Page 10 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Powers Drive Centerville, MA Owner: Helena Power Date of Inspection: November 29. 2004 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. j bh b1f - A Q � a 3 i vk y p� 1000 P,r 10 r. F Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Powers Drive Centerville, MA Owner: Helena Power Date of Inspection: November 29, 2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 30+/- 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: topogaphic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps the mans were showing pproximately 30'+/ to ground water at this site. The site is within 300'of a tidal river and no high ground water adjustment needs to be taken This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed,written or implied,relating to the system, the inspection and/or this report. 11 TOWN OF BARNSTABLE i.,OCATION ( n0 i owc/S . SEWAGE # AGE- C-�n�Z�V��� ASSESSOR'S MAP & LOT �6 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I UI/O T Ak cuspd0 LEACHING FACILITY: (type) P,Ts (size) P 0.OF BEDROOMS /l BUILDER OR OWNER l"1 . pdwe -, PERMITDATE: 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 leachi g facility) Feet Furnished by ry r bh 1 9Li le I A Q �J 1 ;n I I 3 y O0 1000 P�r L0CAT N SEWAGE PERMIT NO. D :21 1J J A V i'L LA G E 1 N.ST A l jRR''S NAME & ADDIqSs B Ull. DE R R OWNER DATE PERMIT ISSUED "— DAT E C:OMPLIANCE ISSUED � � � � , ; i �� � v b� � .. 7 - Lr/�< lr✓ - O/5r,-- I CRAIG MEDEiR®S ��� _<�,v.�-, ono o 995Z �� I Trucking V, T;ulldoKing 12 Corporation Street Mass. 775-0828 ��t (__.;D w+.5D Z/�a N!J B-L S s`�eaG� .S ///7 i i X � " THE COMMONWEALTH OF MASSACHUSETTS V BOARD OF HEALTH Appliratilan -for Utspvii ai Works Tomitrnrtion Prrmit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at 51, --------------------------•--------- ------------------ ,L� (//sEiation-Address j� IotNo. j ................................ ...... .... .....-' � 1!!:g \ Owner Address .._.4j.. -_.��`�..� .._� . .._........... ...._ Installer "� ti9.' vAddress� /.�. D3/Q Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms___ ______---__---_---.--__----____--__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- Q W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter---------------- Depth---------------- x Disposal Trench—No- -------------------• Width.................... Total Length.................... Total leaching area..--._..___-..------sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet-------------------- Total leaching area.__-------.-.-.__.sq. ft, Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by---------- -------------------------- ••••----•••-----••------------------ Date--------------------------------------- Test Pit No. I................minutes per inch Depth of "Pest Pit----------•......... Depth to ground water...__..._-__.__-------. rZq Test Pit No. 2________________minutes per inch Depth of Test Pit-------------------- Depth to ground water._._.____-_.-__---..--. fX ---------------------------------------------------------------------------•----•-•--•--•----------..................... ....................------------ -- 0 Description of Soil---------------------------------------------------------------------------------------------------------- ---------------------------------------------- --------------- x U ------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --- U Nature of Repairs or Alterations—A swer whe applicable..--_ _. _.��.'��'-o°^__- /_a.-v-.�:'. -_._..... ----- -- ---- -"'---�'----`-�----�D-°-------- -------1� 2'GGttif� 1----- --S�a--°''-`--C..... ..... ��` Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signe .. '`..........'--------------------------- 1. _ ......... Date Application Approved By--- r 17 --•- ---------_ �..7 --------- J1 Application Disapproved for the following reasons:---..._..--•--•-------. Date ----------------•----------------•----•---------•--••-•------------•---•-----------•---------------••-•---------•------------•-------------•- --•-----------•---------------------- Date ermitNo......................................................... Issued........................................................ Date k ,x. .. No...........02 , ._.. Fug.-. ..:...... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD . OF HEALTH '" � vfir' of ...73..a"".` �....... ............. . - _ , pphratinn -for Minpo,5ttl Works Tonstrnrtion Viermit Application is'hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage.-Disposal s System at --------- ation-Address - or Lot.No - •------•--••�!-_C-___-f_-__•_----Y..___ .�'!�.� -• ........... "'-�---9_�_�__.Z-----1_�-�-------�,wr+�• ! ......----•--- Owner Address Installer Address UType of Building Size Lot---------------------_......Sq. feet .—I Dwelling—No, of Bedrooms____------------------------------------_---Expansion Attic ( ) Garbage Grinder ( ) pa-., Other—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow---------------------------------------------gallons per person per day. Total daily flow---------------------------------------------gallons. WSeptic Tank—Liqu,id capacity------------gallons Length________________ Width---------------- Diameter---_------------ Depth---____--_-_--. x Disposal Trench—No-________.______..___ Width-------------------- Total Length-------------------- Total leaching area_-__-___-_-.--_____-Sq. ft. - "D;e. th below inlet_________.__.__.___ Total leaching area---------------_sq. ft.Seepage Pit No--------------------- Diameter---------------- Z Other Distribution box ( ) Dosing tank'(- ..) aPercolation Test Results Performed by--------------------------------------------------------------------------- Date--------- Test Pit No. 1----------------minutes per inch Depth of Test Pit---_..___________.-- Depth to ground water--_____--__.-..:....... w Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water____-_____-_`�_,_`---- a' -----------------------------------------------------------------------------------------------------------------------------------------••................ 0 Description of Soil-------------------------------------------------------------:=== U ---------------••.------------------------...........-•----.........•-•---. .............................................-------------- ------------------------- --- W -- ------------------------------ -------------------------------------- -- 9 � s � V Nature of Rep irs or Alterations—A swer when;applicable:-_ � +�"� 1 .� �.y------------- V-------- �.� ' - °°° j •� Agreement: The undersigned agrees to install the afore described Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in o n-issued by the board of health. operation until a Certificate of Compliance has been, �� �� P P Si rie -+ - •••----------------- ""' Date Application Approved By....... - ---------------- .--^` ...... Date Application Disapproved for the following reasons: `-----•-----------------•---------____-------------•--•-------•-•------- �A _________________________________________________________ --------------- t Date PermitNo................. ....................................... i. t Issued. Al Date ., l THE COMMONWEALTH OF MASSACHUSETTS �rirk" - BOARD OF HEALTH ✓� ...C?. ...!................OF......- ...a. ...................................................... Tertif irate of f9.,11m ' ianrr TH S IS O CERTIFY, That' the Individual Sewage Disposal System constructed ( ) or Repaired by ---- -- f -= ------------- ,,r'� stiller s - --- --------------------------------------•-•-------------------- has been installed in accordance with the provisions of . XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. .-�: .. dated ~ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector.._ '� . --------- THE COMMONWEALTH OF MASSAC US S BOARD OF HEALH / [+ . ".C7� .............OF....`.--+-.. .�'"�,."..................................................... . No.- --•®. FEE Cr :., �i��n,�tt1 .� k,� ��n�trncfintt �rrutit Permission is hereby granted....... :__ _'....................... _.._. _�:_'d___e___--_` ' 'b ------------------------- to Construe R(-I ) or F pad ( an Indi k l Sewage Dial Stem • •�++�. at No / --Q----- . t.,,r. -------------- ------- ----- ----` w Street as shown on the application for Disposal Works Construction P rt�Iit N -... Dated:___F-_r:!777.......... �,/ 4.ardf Health » DATE.-- ....5.-J-- 7 ............................................... \ L't FORM 1255 HO ES & WARREN. INC.. 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IBM Et-22.81(NGM ] h°onaad s�wal •a -:�a v3R \\ v ` \,\� . \ ,,- ,�\�` _-_.- '//`/� - rap d ce/bN Pit- Five a ®. 1 \ gt5 r•;7Path �`\♦, \\\\\._' \ \\ /i _ • iS6TIW18.1 TFsrxmsa Tssrswsa ,TFsr xvls-< 141 Wood Reduced Annud lx+r Elaza'(NCtO) 1(a ed do Rapp a,mer Dardl) COPY - 1,�' — ,Ibad Rana- OW.) I� -- as 9wwn an Plan JBJ - - �-J BV*2 S 26 Dated.bn 27. - . lG a.tln Ic rook a lz ................................................ .tppmvk]sote Edge � a sdf Wee N07ES PREPARED Far PREPARED er. Him Site.Plan i A` yr R` 1.) The pFq/wty tins inkwmatwn shown was - Damkn E. Dupuy Sdivan E%*xwhg hx_ CapeSury Proposedimprovements Bvin_� / carrwiea/.am ova°oDle.eoad ks/ormoliors. 148 Orchard $tI@6t PO Bo,r 659 7 Parks lJ�/ OstwMlla MA OZB55 WerviVe Ya 02655 At o zJ nK tapo9rcphk in/wmoton wve o6roised MIIIIA MA 02054 F tTom an on.the gratald super Pwrwmea an (sueNn-aT.. era F� tom,. ,� 60 Power's Drive ar between 06/.wclb7 and 1B/SEa/07, Lllnts+Oe) _ J.) Rse eievaa ffx show]nSettn are Dated an to fi w 80 Daft JOD Fre1d: tMiK/bYB Barnstable Mass Ncw' d a fired/Aeon Sea Leset Datum Review. PS camp.: RUi/DNB Da'E October 2M 2007 WALE: BM used 71 28 t�T' - -- - Project/a 2M24ID-wing/ c44j_ 1 D�o � �I ,t cr c --- lyt Mil_ _ -- 10 _ -- = TOP or 4t_Rre SEEOMD FL—Q. ill 1. - - r 1 I 1 I -_4- 8i . 33 � 1 I WEST EL-EV V}Tio/-1 t DPMIAN CATr7 DUPUY \ SCAIE %8=1 \EDDY APPROVED lh DIIAWH Er . DAiE \Ot 2,0� REVISED - ptAWING NUMRFR W FST ELry vtTl 0 g I of r It j74,4 ---© y - - I 1 1 11 zti' iizf_� •zz�t- ,� lity �E It'2Y>^_�-viz-� NoRTN ELEVATtDN •y Y8 r sc.. Ap"OVEDM D.A—U WE: pENSED 12 It _ t H— E JDOF m - � J 1 � I � 1 1 1 1 i �R-rnIaT1 �C✓�rr+y ����vy SUU.Yb,.' I Foul" ♦PPROM er: 04WH Rf DACE. 10 Z�O RFNSfD DPI W MG HUNKER C-345T CZ�/�1T1 oN 3 0 F L L N` lN` W Ejf 0 . n M S( --- - R - [M Fug P 1111 Ila 41 � I I saErl-r, �Ev,q-r�oN i sc E- IMPROVED M DRAWN Rr DATE REMED D11WINGN BER aF • �-- it�(i� � 2413� � 49r f2� i • - rEe fo• .3DRM 'C /K YES. AN `� C•lIZQ4T `t�,cbM l j 3i x 1-ZIN I 4 ZEE kJ i }E R EA' !;rTGHEN � f n S� . 56 I � F--Ii6 t4 y� t4 9r OAV AGS 28�8° 2.1x28 I I I i 2E IE d FIRST FLOOiL -PL4-M ZE r r 24' - A�Mtvtnt � CATH�f DJPE1y ' sutE y _ r�� •PwovED nr. w•wH er D/,fF 1p/r �o} PENSED PowErzs Lgrtf , C.�TITERVILLE r n1>4. ' DPANING NUMlEP FrRST rLoo(- PLwr/J SDF i 'BED Roo„a j �3V x 13LI� ` c FOE I ;ti � � F/}mity I}REl4 7 7 t 13 ED ROOM III' K.- d - - - - N q r QA`r J 12ooM 20 x 28' .1 SCAM' ARRRDVED Bi ORAYM R1 DAU REVISED SEcaN� FLpO� DRAW/PIGHVMBEP O� — I J I i !- -- I --I --- — - -aED��M p�_i. !I SCAIE APPROVED RY DRAWN RI DALE REviSED ERAW WO NUMBER C ROS} SECSIDI�$_�WE'�r_EL.e/yr1To N_ Po RCH hN TR\M �SID IN4 - LR653 SECTION 4WEST ELEVATION MRStE9� D�PouM - Mq-vf SELTDM nUusE v 74 Ik\O R.4KC5 W/ Iwq SECOND PC• W N p--E C V DA-R S 1 D 1 NCB �Zx(. CJLL✓Hi RCS n.r Ix 10 9ox/ 'SINE \hT1TFD R\066 G•47 IZ° OYtM M4146 / Z u \Z R\bE,E $�B" CDX 7Ly WOOb / � �1 Ik t° CO R\y'L'R 3J?fW5 _ ✓ �B 2D>. pL)IweoO 9N��'I+IN6 2x12 NIP R1bCaE e i So Yw 30 vc'-pn' G'R23•il-S�W�T 9' 57upS FJtZ F -rWALL5 Pol 7.-. I(>'O/f�Ti:'R� - - - _- - - - - - - - - - /-- •a£UKOOM WING. f b ZX10 RhFlt'7y3�i!R"O•C. $71}N 171 IZ° R-40 FIQERGf 55 +.�SULPMW f / - 2x 10 Cmwt4C7 JDISZ,s'pk-i 19 i I yky n.r. 'paws ' �. —" au1Lr IN soprfzm vtms Sj4XCo M"o30.Ny 2x9 CEIUNG JD\STS 14"O.C. T11(O° SoNo l'va6 2x\o P•T \6"o.C. r' 1 1 1 1 I i SpitN �2' i%rrr 2X`0(.6,0 14" O-C. s p 4N XYI PINE TRIM 1 I i 1 _L-1 Zxa CCI LING 7'o ISTS Il.'•U•G. FOR 1 �1 4k4 I.T. Q09TS ` G.a La NLti. �I �I� I lo' SoNo 'TvTiEs 1`iy 13CS F R 3 l000\STS �'E(s pL.rv� j --- -- - - - G 1 I 4' -,CUP 1 � I LI/13/y x 14v l..V t_ 9EW-."1. (SCE pLkN) I I 1 (M\41),1 HOJsE� 1 2xID FLJOR aT>\STS 1(."O-C Ek\ST C.9"4W L- •S74GE I E C\ST 1 .'--- -�- - - - - -- NEWFaJH -bA-nal l J+.\D ER $I --- - - -- - -. - � �\ST 8'F"2 0 9T W•'Yt-lam ------------ I� Fx— $ea +.Tv Ran OF HaJs6 -1 �V4c tcvTc l+L'N i}KC�Y: zxlu l6'o.0 ro caeaT'E HI6.eq, CM446 t42Et}- SGIE AwRovfD Rr DnwwN er DAIE REVISED DRAWING NUMBER 8 �� n' - f v � IfI 14&SOO I 6CI 14R c SCI 650v rz° o.c-� 1,''o.c y�rY+ LS 517?N 22' ?(R�6" 2113/y 1114 LVL tx lu lls°oC 1�e�dei Mn II B MM IV 2�1 1 c: ix 10 2xlo 16�O.0 =6� SpA-nl r2' . 1 h C( 5 G" 1 14 - �' Z ua o N tm SE[v�1D FEZ WAME VLAm kn lFvor Bo-m a S M A"-D BY DRAWN BY • DATF RFv%D • (� i�OLAI CSC$ LANE ��I.l i ERVi�L.t MYF DRAWING'""R SAND Fl�ua� Ft<q mE tZh� `fit of '61) �a w'V 2)a\1 �i,06E 2 ,o Ib'�0• 2k,o S Hea Deev�ER lb"O.0 2r,1 R,DyE ' V o� SHED 4pCF ZX io ,V"UC Y y� P2arh Ena" v V O Q J I8g � O c 9N k� I ET BL.C.cs H �r aE.o�Ks 24' 7M'�1lArJ € Gh-rty DaQ�Y S LE Yw, ♦REROVFD w. DRAWN RT DA,F 1! .�EJ D-y REviSED DRAwtt+G NVMRFR I2ooF c �,�• OF F r E%�s'r. FwNDRAow f. xErNoYE W RU- ti 24' ..J:.. .y. ?CM"L- w4u ql I I - 1 113r6'1- 5Lh0 5 C.T I s Fum- R—D. I T' -- I I -----------1 9rb° I5s.�. �,� ,-- ----- ---- T 2i1 9 I , 3/xx�a �It F 8SLA6 -J I is I I I !T I i I i I 1 I 191 - I I I F 2r I I I I i I II I I I i 19r s I I I 24`-� SGIE ARR om er: ORANN Bs DAiE� NFN$[D ORAWINO NUAVFR FDvNDhTloT�l 'PC.Rt� (!;of l'( �I Mara—B Mv1Bple. eams - 5IW.s�a.�am bn FOR REVIEW ��REVISIONS: BYE N 1Pamm DESIGN CRITERIA T«.,_n.•.,: `1 r.„<... VERI tt ITE - DEFLECTION LIMITS FIRST FLOOR LOADS SECOND FLOOR LOADSommonnags. a � I I �_� FY ALL CHEC ED MS BELOW PRIORTO ORDERING n..n..seecnaa Please call wltb an batlorts fiat ennearns ALL ROOF LOADS TOLIVE LOAD U240 WE LOAD 40 PSF LIVE LOAD 40 PSF' 'ice T� TOTALLOAD L/240 DEAD LOAD 10 PSF DEAD LOAD 10 PSF BOO 832�068 - , !I\� "\" lout depth changed )0 Bearn,i] changed Gom speci0catinn DESIGN ASSUMES 4%LOAD SHARING AND ' iJ \ 1 .•....� -� UJaiatdirecti0—banged 0 Note e�ectorMcbbeamsby other required EXTERIOR OR BEARING WALLS SHEATHING ISGLUEDANDNAILED I i i I`I I II I rrw. I it .I `li - J�Joisl series changed U Flush beams deeper than BoorjoW --- r. { 1_� -_if ..•„n..,,. U Joist spacingchanged 0Verirypostatdo,c.I.-locations FRAMING AS NOTED rro _ i (a)rise panern for J-piece member mase Decor on barn as som . . ❑Beams added for s wctuml reLsort O posts added(see rcs on plan) _-- ---- i Naa raNesmrya.ln<reasee DY is for snr+a (Rae 0 Mid span budging recommended 0 ve,iryjoist and beam lengths roots and by 2e%IRr nun anea too s whe•a ❑Verify design mterm U Critical dimelL<rPns have been scaled fl Add i 1 w,am9 coda ono«,. B Nate high denearon o verily framing al fireplace Extra Joist Less WebStifeners XSee act.foreeiiilrgmtdroofloads overflyr IirBatslair»dl Than 3"FromWatlAbave I li•F49` Multiple Member Connection Nail �F,6-E�-- N.T.S. N.T.S. 1111 - `�....% -! 0 Additional information required to rnmplete joist layout. - -" - "' a �9 I 1 3/4"plywood/OSB BC 1 joist U Shop drawing is an estimate only,not for construction. 1 Tx w rmmra ro Pae.«m,zrr tea,noxs a ❑BASED ON TRUSS ROOF SYSTEM or rimboard closure . blocking B".<.««mar,-nsa)as n zPc 2ndA2 g 2ndA3 I 0 I required for 14"BCI 60s-2.0 SP - 14"BCI 90s-2.0 SP i cantilever '�'� r.:• Ill 12"OCS I j 16"OCS III ' i Z W_J W 11 J \ Signature Date I L3 4 i tii Y W Web stiffener required eah side with 18 and ��: \ ` I H J W W IL Ideeperjoists. l % f / Company I I i Z Q Z)W 2 Plywood. \ J ill W O_ �I r :\I'��� n:. FLOOR SYSTEM UPGRADED TO'BCI90 i Z j reinforcement \: ` L1 Ili. LONG SPAN MTH CEILING JOISTS SUPPORTED BY FLOOR 2 ? l t ~ Backer `jl I T.:IBmntrn III block ea<nam mrwe _ --- ------ - ---------- Rim Board . . ---- --' --- - - - - - I 11-11- - - - - - ,. Plywood Reinforced Cant 14-A-- — "---- — --- -'-----' - 1- - 66"DE 3 - l �I -1 ' -' �' �- -` - VERIFY MATERIAL LENGTHS FORTH r 1� F21)-------------- -- N.T.S. �•..__:' N.T.S. 3 JOISTS.COULD BE OVER 22'BUT LENGTH WAS BASED ON SCTLED PLAN. , Do not ca. _ tlR rot cur BanPea antlreD. end FLOOR Framing Schedule-Nominalized ul Tag l Oty I Description ;Lengthar t i34 �14'B000os.2.O SF .24'0" I _ - --- fir gC? 2 111 I14-BCI®60s-205P 270- _ I I .. - - - - -- _..........._..-.._._...... ... • T .21 j1-B[1. .x.2USp '- Womp�Wz sue' Ij o g I 4 2 1314 x91/2'VERSAIAh1�v203100SP I I ( `-�. --- -- ------ o%Q°rcZgy I TYP. CALC FOR j <gs din 134 117/B'VER ALl RiA2031005F 100 I I aLL} 1 6 :2 11114 14 VERSA IJt._.2U310USP IBo' !'I ( �I 1SPAN ��srLL vs. ow] --..,' - --- - - y jUppw w ._� 7 j3 II-3l4-sl6-VERSA�tphYJ 2.O 31005P 160' I I II RA ING BY OTHER I Y I R FILING HEIGHTS 'l I rw 3`.6!°y°fi g DO NOT ---_..-_-.Lf-r!ca;.t:,,- -------------_-_— ;I - i o�u�imEa��uo I 1DN01----------. ._----------- �� ,rt1(j ..nS' 2Ra Ir I 'e ° o=.I F M HERE.VERIF DIFFE ENT C r RE w°w=D . 'a !rL '1'n 14•'BC Rn:I BOARD"' :ln2 U- !l I.I r - - --_ - ---- ----- - eC Single l4-BC1090s-2.0 SP Jds02ndD4 Oxa4¢v,00N�u I; I ] fiberc 164 - I i 1I 1] I.Ernllav il•w„IbIt J,P, nn•dn.W.,mbr 11,3JW I.:aI I i`bd i�'bw�m�a�5 I i -OCSIPwc,.v,rl m.Man•M:T,e„c�anUUPUY Got b ...,i I I I I i I I 5'b N.m« 0.RESIpE1cE SP•<r"r R:n vrn Bu.n I i°� Dwtmr _ _ I' e•nr:"x BOIF LO LIA/6ER C fir. haw -ml-� ' -. r ._. .. .-. .. .. ..._ .._ �I Cea•rro«n' EBR'�t ¢fir - j ..-. ._ _. .. .__I iTd u°� I' I I _ � .ga Gov �Faa� I• F owvi ¢o 1i Ii 1 ww F aa•n car.w li �I Oo rw�mz - i «„�T arm ,af, ,rf ae, ra]-]ie nr tz u> }tmr IM qw tam ass aP t,• ' 1 5o��$w Om y"0 i BCI Blockin Bearin 1(2 c aaasml ro , R. iO a al�<bsPro I ~ LL � o°C wet I O & 5 N.T.S. - i .. _ Double Joists Here .. I t F.f •_ M ns.. t:an J u<a1•.nr..en.na.,R. I Z „a�r.ww�_a - nd At real L.aca. pm - 14"BCI 605-2.0 SP ii u. o•a wos_P.a� re t ° Be«rf C•M1+ pl]t Rr�V a 1 prat'e.emie•�v"'"re1O«i°a II I � Single 14"BCIR 605-2.0 SP JoIst,2rldDi ., 12"OCS=_ Rt"e• ------- I`' See P�O•at"Rro,n.V3 I.ewrlxe<urM«,.lo'ta dfP• TwNn.O«.vearr 11.2-ce I.:a r I BwdnO OVaPMa Pn.Rawr non vanru ur� a rmRe,Oau 1� R�y.ecsrr.fa.ry anal n•ocsl Pry Ita-am-r.e«m«..-�r, 9i bj L2 I f.n es wssbe. rya.ln• 11n b, umm•+4 i r1+J-CETW PE6DUSF W_ I�] «R K 'i JW I:•uw. a REErpE1FE Cwair"•:aN.01 , a. ig ~ Gr[�PCiv3Y.uf�. ' SMeem: P•:«vrn P,w t 1 Bt W trey b Ta lt? 111d • 'Yn C.ySe�,.2b:e C�rimn Pr.«Wv,@vw W ran af•. tm ." Ir aG+A.00R. I as CSWI)7t � •YaRw.RN I I - 1>»p vr,•la I�.f,<rH N•anl L4�r,nf!M1rxm<�. vvRR e,i�'a««.v,Dbwll'NMrrumbaf AM ,fmwft.RraaBa+JRCo.• I 11 1 I :� alp •flaanl.r.aen D'IZ IM1"A.+,•a.Ta WsiM nOL4np'rt ire I I� LU I• U O a3 I' r E i fin 5(g) 1 ra w Q I, , O N iJ O I Z ,.. ' J Ix W N Lade sammerY O p—Double Joists Here O O Y II ro T. z is J m •I I Cenaa. mOh bsar,ern'w a W 0 I!"s O a iI jP,..ra.er. 'a;rR. •soy i a.7.` �.;:.,..f.ea,rfm ,i Er.e w.-�r, ss'nse. l.o. I'�•y.:J^ e:r..n.r.<reo.am hxr - O VJ - - r. � 1 ir`r°'w'roi-v'eef. 1 N.•LwfO,n NT 21;M Bl.P: 1 �rnY irre r.�w.maxr°. - m 11 1 Sc C.:n II.Oa• ,ln'R f .m a-'•�'e«�me O r0 P, I al l U 2a LL m Bnana savorns e a R n ran, nw:n yn aPi a I�m:��: o<uL�P<�.," _- 9 JOIST SERIES UPGRADED FROM BC16500 AS THEY ARE NOT STOCK — = 5(s' ITEM IN THIS MARKET FOR BOISE DISTRIBUTION. JOISTS HAVE ALSO n•A m»n.c-nrn)vomr«uaf n,.,w�-«. - ,a,;«tromp Double Joists Here .s BEEN UPGRADED IN ORDER TO IMPROVE PERFORMANCE. ENCLOSED zcfa.r�.+Raw rT.s lacaro c«rx.,.flrun l.. „4,rm..r,PPn.f..l n,r.fri1 C:�-" Here— 'BC FRAMER®6 , _. 1(2 —--CA —- (SCALE 1/4"=1'0" TYP. GARAGE CALC LC PAGES SHOW TYP PERFORMANCE OF JOISTS PROVIDED. i —.. ;DATE` 12/11l2007 Ii BY: Peter Van Buren Second Floor Plan (FILE: 1132-DUPUYI f I DWG: I, 1/4" = 1 I-0II SHEET 1/1 — --- -ast Saved Date: 12/11/2007 3:24 PM -. — —- - -- ---- ------ ---... --- - - ----.. - --- ----' -- -- _,:_�._ 'Tint Date: P'a'"12/11/2007 3:24 PM n LEGEND: DIRECTIONS: OVERLAY DISTRICT: 0 Drain Manhole QS Sewer Manhole From Hyannis - Take Route 28 towards Centerville; AP - Aquifer Protection District a / 1 Take a left onto Lumbert Mill Road; At second stop �o Hydrant Holly Tree I sign take a right onto Bumps River Road; Takeo ( \ '•. t I left onto Powers Drive, and site is at the end to FLOOD ZONE: el.=11) " Catch Basin ► ( to the left, #60. Zone C, B & A10( Guy I f Community Panel No. O Utility Pole Deciduous Tree #250001 0016 D 4, 1 0 Stake & Tack I S&T July 2, 1992 y " , f ® Iron Fn d Pipe Coniferous Tree \\ // / j ZONE: D> Wetland Fla g Overhead Wires-OHW- \ / j f RD-1 s~ © Water Gate (round) / \ / O J J j Area min. 87,120 SF RPOD © Gas Gate (round) -' -'25---- Elevation Contour \ � #/ � � � (min.) ( f `L , / I Fron to a (min) 20' 1 \ © Gas Gate Width ?min) 125' MsctK of • ••••• •S" Underground Utility Line / { / / -� Sign Setbacks: Fron t 30' 4 i Light PostSide 10' Inp s , �a Rear 10' a SEPTIC NOTES . ,,• ` ' Ex. Well 1.Location of Utilities Shown an This Plan Are Approx.At Least 72 Hours \ f f j j J f / / >< / r Prior to Any Excavation For This Project the Contractor Shall Make LOCATION MAP. / • �� / n7 q g (- ). Scale: 1"=2000'f f the Required Notification to Ili Safe 1 888-344-7233 O '/ / / / / f J f / / / �Q 8 2.The Contractor is Required t(Secure Appropriate Permits From Town oK / �1 / �� ! /r/ / / f✓ ` ( / t / / Agencies For Construction D lmed by This Plan. / / f / / 1 3.The Water Line Shall be Constructed in Coordination With Zone C ��GO / / r\�• y° % / / / / / / / ! COMM Water,and Shall be in Accordance With 248 CMR 1.00-7.00 ASSESSORS" REF. / &310 CMR 15.00.The Water Line Shall be Sleeved Where Required. Mo O' � l P 167 Parcel 018 4.Install Risers to Finished Grade(Min.3 Required)for all Structures / /'• / / f f _.. f �� / / - J'°rd within Pavement. Install Risers to within 6"of Finished Grade for all other Structures(Min.2 Required). / I 5.All Structures Buried Three feet or More or Subject / to Vehicular Traffic to be H-:,0 Loading.It is the Engineer's CB/DH Recommendation that H-20 Always be Used. \\ �ry / / r/ / O`a�I Fn d 6.Septic System t- be Installed in e Accordance With n o CMR table& .,,,~ 248 CMR 1.00-7.00 Latest l;evision and the Town of Barnstable (7/I / / / / TH-1 Board in Health Regulations. \ / / ( � � / `'-� / 7.All Piping to be Sch.40 PVC;.and Shall be Marked with Magnetic �(<<I / �R / Lot J Marking Tape or a Comparable Means in Order to Locate them `\Area To B.-VW 77� 8. Sept75± SF Gptnce Buried n \ � ( / t 1, / l�/ ' / / •G� l r✓ � • / ic Tank Shall be a 2,000.rallon,with 2 Compartments. The First Compartment Shall Have a Volume of Not Less Than 1,100 Gallons and the Secon(',of Not Less than 550 Gallons. /00 f The Compartments Shall be InteJcormected by a Minimum 4"0 -2 Vented Inverted U-Shaped Pipe with a Gas Baffle on the Outlet O �c� f f/ 9.Inlet Tees Shall Extend a Mini um of 10" L= 8. 5 � � / � � � � � � � � __ - .f_ �O 0 Below the Flow Line. coI / / IR=�0° 0 f t l \ y-3 / 0 10.An Outlet Tee Shall Extend 14"Below the Flow Line, j I ` ! I < f and Shall be Equiped With a Cas Baffle. A) f d f 11.Existing Septic Systems to beRemoved,or Abandoned Y40--r- by Pumping,Crushing,and Filling. M L=30.65' / N I `n i �' `' �` Q a�' DESIGN DATA o R=30.00 . o / ) 1 �F� 3 / / Single Family-5 Bedrooms t tlttttttt tttttttttt�ttl tt \ _ _ Finish Grade t t t t t t t t t t t t ✓ / O With NO Garbage Grinder F t t �O J Dail Flow-110 x 5-550 GPD / tttt � � S ' ' d Septic Tank: x Gallons ax ~ _ � � IE���I��II��II� I �,r- 11 =-,.I=-,,«.�i,�,El)� IE• Use 2000 Gallon 2 Compartment Septic Tank 9"Min Compacted Fill Filler \ y t t t t \ \ \ \ \ I \ \ V_�` J Y (For Possible Future Accessory Structure) Fabric ov O0 o / �- LEACHING AREA 2" pea Stow is- Y 1 ~ S f '"y'! 3/4"-11/2" \ tttttt / ; \1 \ \ ti \ l \ O(Q,FO 't / �''� 550GPD/0.74 743 SF Required 3• LEACHING •�``" Double Washed 1 \ Sidewall=,!(12'+46)2'=232 SF r CHAMBER *^ Slone hP e B I \ \ \ tttl O Bottom Area=(12'x 46)=552 SF H-20 ~ / \ttt \ ` l �` C AT O\\ l IP 874 SF Total Provided O�e/\7,J 1 i \� \ ` \ \ \ / tttlttt �i O . /C Tq�O �• o la net LEACHING CHAMBER DESIGN 4'-10" e O �°y, �/ti ✓ f � All Pipes to be Schedule 40.Uy �-- '- bers in a 1250 46'Washed Sto0 Gal.Leaching ne Fields as Shown. -CROSS SECTION OF•CHANIBER NOT TO SCALE n \\ \� \ Y \ ttttt i 1 ` �'• \ \ O O �OpO \O� / f O '\\ 1< \ t C� •. `'`"`"'"' G� , C,[ Vent-Final Lncatation to be Determined // \ �.,\ \ \ \ !, ` ttt "^,.,h �'-'®\' .`� �' \ '7 "\ ^a` ✓ _ 'st Tim eoflnatallsoastobe �` \� ` �N4ip Sys em1 (opprOxJ Q.QQ / aslnconspicuousasPossfble / \ �ryh, �� \\ �� \/\ \\ \\� �l 1 'tt$y H Card cb ,(y \0� / \ \ / \ \ \. \ \ (SEES tTIC' NOTE`-11) Amp (1 \ k / \� \y{`/ \ \\ \ \ ttt `•,,,� ,- L� �/ O o� / �f ((��l F.F.EL.35.70 O O <<�^S,FO „�LJ4® j F.G.EL.35.00 See Note 4(NP) F.G.EL.34.80 SEE NOTE 7(TYP.) /0 + �, Septic Systerzr'(ci rox) f °Q o I I / S By VOH Card f r / x j' EL.33.00 \ _ BOO 'gyp/''7g „(SEE s"EPTI'C N/O 11)sf � z000 Callon ,. _,.- „ -" ' _'• I I X \ ,. \ \ \" V• ,w .. s�"O 4��\ "�� `/s� /_. �..r ! / ( \ .32.25 2 Compartment E .32. Ton EL.32.40 Septic \ !3 Q \ '"\ V• Q\ O FO f .. Tank EL.3 D-Box __._ .... I.ss ' 1 '-/ / '"""'•. \ � CJ � � '� � v Flow Equilizas 20 H-20 ' -- BVW1 C0 \ \ (^3- / - C SEE NOTE 8 Leaching `-�!,,. �•"`'� .. -"" O. \ \, \ �j j ti",.,_ �..._ ,O • As Required EL.31.40 \ \ �� \ \ �\ Cherubs „ ` \\`\ o \ \ \\ \ \ �7 O ( s / / r'•3C1f �� H-20 BVW�""� \ s�o/ \\\ X \\ \ + + ` �0�� r Beading,"T"s,&Baffels LAIL ~ " . \ \ ` ��^"' 10' as Per Title 5 If Encountered Remove&Replace / / � p \\ O \ \� ff s�t \ ^.,, ,CJ ,\ °7 X \ ,�\ \ �'', \ + C\r * �"\ ��M- , . --.-�- ,✓ / ems J • �� Min. (See Notes 8&9) All Unsuitable Soils WiO,m S of b, \ .,\�'''•�'vO� CJ + j�_J \ . {J \ ` \`q ✓ ,r ^'� ✓�"""� 10'Mi!•i.-Slab The Outer Perimeter of The System a Wood ° ° I ,'� '^- �`,\ \�„ \\ !1 � "J`" 'ti \ S \, /r fr f� 20'Min.-Foundation Posts /I \� .\�` \ \ \\� \\ \ \� CP�, �\ �\ \ �oo �f'o� t} \ ✓' ✓ ��� DEVELOPED;PROFILE OF PROPOSED SEPTIC SYSTEM EL.2s J 1t 1I. '�„ \• \ \ \\ \ ^,,., \ • Approx.Grou rimier III \ \\ \ \ �\\ \ \\\ \ �� + \•• �F ✓' // q3 NOT TO SCALE ; '\ ,,,r /r Per T.O.B.GronnfivaterMap +~ f + \\ � ST� " / ✓ /r •Engineerto Verify Y of co •,,"� ` .��\ !J \ \ + + \• -•,\.. +S/j�j��ip� ,f' r/ �,,., __ p Suitable Material at Time 9 \ \ T \ +\ + \ y „r / J k Q of Installer on. Borderingr°+ \. \` \ \ Q \\ \\ + Vegetated 9etated Wetland \ \\i \ �\ + ti \, 9 , ✓� f-'� As Flagged By ENSR F`° , \ \ +\+ + \ m •.• G' lF �w ,,11 J1— 9 ll, \S -/ '' % 1- "r r f TBM E1.=22.8'(NGVD '29) & Donald Scholl + + ~: _ �' VIiV6, \\ �\\\\ \+ + + \ ` ~- 45 `\ \\ \ '' r Top of CB/DH \ - /�` \ \\ \ `\ \ t •. \ \2 ®�'"",.,. _ ..! CB/DH PERC TEST: 11,932 Pi „- pr�J�f� o . Fnd PERFORMED BY:JO11N0DEA ETf•SULLIVANEN(31NFERINO WITNESSED BY:DONNA MTORANDI,R.S.-TOWN OF BARNSTABLE \ \,\ '.".. .✓ f r^ --a.__. %A,©"' ""' SEPTEMBER 26,2007 6 vl�'5 ' ` ,a t \ \\ \ "' TEST HOLE-1 TEST HOLE-2 TEST HOLE-3 TEST HOLE-4 V PK \`\ \ \, \\ �y ^""/ s'"' •^•,... __ EL.412 EL.412 EL.402 EL.40.0 /�Oa �v[L �� •1 \\` \fit ` \\\ \\ �,� \ - r-.\ `"..� ., , `'`s ORGANICS ORGANICS ORGANICS ORGANICS 2 41.0 2" 41.0 2" 40.0 4" 39.7 AE LAYER I H R O AE LAYER l OYR 42 AE LAYER I OYR 4/2 AE LAYER]OYR 4/2 • DARK GRAYISH BROWN DARK GRAYISH BROWN DARK GRAYISH BROWN DARK GRAYISH BROWN LOAMY SAND LOAMY SAND L`Iljr 1,•'\.' `+� \ \ .,,` '� ,. \ •",, / ' ,,\' � 0�"✓ ""^• LOAMY SAND 40S 6" 40.7 9" 395 9" LOAMY SAND 393 _. \\ \\ \ O l ry B LAYER I OYR 516 B LAYER I OYR 5/6 B LAYER I OYR 5/6 B LAYER I OYR 516 YELLOWISABROWN YELLOWISH BROWN YELLOWISH BROWN YELLOWISH BROWN "� ..✓t-Y 1 17" LOAMY SAND 39.8 13" LOAMY SAND 40.1 20" LOAMY SAND 385 14" LOAMY SAND 38.8 S/ B/C LAYER I OYR 6/8 B/C LAYER I OYR&8 Cl LAYER 2.5Y&6 B/C LAYER I OYRY 618 BROWNISH YELLOW BROWNISH YELLOW OLIVE MED.SAND BROWNISH YELLOW MED.SAND 382 30" MED.SATED 38.7 40 MED.SATE 36.9 27" MED.SAND 37.8 Wood ° \ VW ( \\\� \4 •�• CLAYEY YELLOW CLAYEY 25Y N6 C2 LAYLR TOYR WN C LAYER YELL W \\ � 6/6 OLIVE YELLOW �' ;, •OL`I,V,.E,�}��T.LOW PALE BROWN OLIVE YELLOW MED.SAND 120" f IY 4'� ^�GY SAND 312 120" MED.SAND 302 MED.SAND Posts 35" PERC TEST 38 M A • NO GROUNDWATERENCOiRd1ERED 33" PERC TEST 37 °• t \.,\ \ I 25 GALLONS IN MIN. 25 GALLONS IN 9.5 MIN. I 1 _ s r _ <2 MININ. ; t }tk 120" <2 MININ. 30.0120" NOGROUNDWATERENCOUN MED NO GROUNDWATER ENCOUNTERED un Annual MHW EI=2.3' (NG`✓D) N'F g3rn ¢ vFytE ^i� ' (also flagged as river bark) t A i 1) f "Wood Road" (8' wide) ' €� as Shown on Plan 383 Add PORCH (2) and DECK (2) IDATE: 06112108 I BVW2 Page 26 Dated Jan 27, j 1983 REVISION: Add 2 Compartment Septic Tank DATE: 12 05 0 Approximate Edge NOTES: of Salt Marsh � PREPARED FOR: PREPARED BY. TITLE. iteS Plan All, ) property Damian E. Du u Sullivan Engineering, Inc. CapeSurav Proposed ImproVementS,,h, 1. Theline information shown was p �/ g g, BVWI . compiled from available record information. 7 Parker Road 148 Orchard Street Osterville, MA 02655 Osterville MA 02655 At o I All , PO Box 659 2.) The topographic information was obtained Millis MA 02054 from on on the ground survey performed on (508)428-3344 (508)4 @cols 5 fax (508) 420-399c (5sur 420-3od faxT� or between 061AUG107 and 181SEPIOZ PSuIIPEC�Yiol.com copesurvC�capecod.net 60 Power's Drive.. 3.) The elevations shown hereon are based on Draft: JOD Field, WH KID WB Bamstable (Centerville) Mass 20 10 20 40 80 NGVD 29, a fixed Mean Sea Level Datum I t BM used "M 28 PF". Review: PS Comp.: RLH/DWB DATE: SCALE: October 29, 2007 1 3121=20, C/) Project ,° 27024 Drawing # C443_91 k ` tip' ftplGo� �,DRM 'i;. 3 x zta�lp" r 7- e 1 iL R � � K rrcri�N �24 1 .� �A'M1Ift4 pay SULE: �/� APPROVED SY. DRAWN by DATE: REVISED toJti 10� Powrwb L*NE DRAWR4G NUMBER r- f 2sr V LOO R 'PLA-N 5 OF 'BED 1Z00 Nt :M 13,to x 13�G1� FEt-rv1�LY ' <z Ran lS j 8m- . lo'x 281 SCALE: APPROVED BY: DRAWN BY DATE: REVISED DRAWING NUMIIER � o'F'