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Home My WebLink About1115 SHOOTFLYING HILL RD - Health (2) l i 1�) 3hootflying Hill Road Centerville A= 190-224 5 M E D No.2453LOR UPC 12534 smesc oom • Mob In USA m1k i 40' �,w m mmu mmm SFIGFMONAM CMI �su+a Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Y Centerville MA 02632 May 6 2014 required for every , 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. Important:When filling out forms A. General Information / on the computer, I use only the tab 1. Inspector: key to move your cursor-do not David D. Coughanowr, IRS use the return Name of Inspector key. Eco-Tech Environmental Company Name P.O. Box 1265 Company Address I West Chatham MA 02669 City/Town State Zip Code 508 364-0894 1328 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000 . he system: �ytN of"�s ® Passes ❑ Conditionally Passes ❑ Fails o� DAVID y°s ❑ Needs �b�d k4� a Local Approving Authority No.1328 •ns�, May 6, 2014 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 101000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. l5ins•3/13 Title 5 Official Inspection F rm: bsurface Sewage Disposal System-Page 1 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6, 2014 required for every Y page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Inspector's Note The septic stem described herein is deemed to ass this Real Estate Transfer P Y p Inspection if it does not meet any of the failure criteria enumerated in Section D on pages 4-5, or specified by local regulations. The scope of this inspection is limited to health and environmental compliance and the septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank-(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltrati6mor tank}failure,isImminent. System will pass inspection if the existing tank is replaced with a complyingseptigtank:;sxas approved by the Board of Health. s f+ *A metal septic tank will pass inspection if it is structu:rallyt.sound{;not=leaking and if a Certificate of Compliance indicating that the tank is less than 20 ye'ars oltl;is:avpilable. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6 2014 required for every Y , page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(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 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 r I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c,M 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6 2014 required for every y page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6, 2014 required for every y page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 r r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Y Centerville MA 02632 May 6 2014 required for every , page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the 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: ® ❑ 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 CM 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6 2014 required for every y page. Cityfrown State Zip Code Date of Inspection D. System Information Description: System was installed by J.P. Macomber in 1978 and upgraded by same in 1990. Number of current residents: 0 Does residence have a garbage ❑ grinder? Yes No 9 Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 30 gpd Detail: 2012: 22,000 gallons 2013: 0 gallons Sump pump? ❑ Yes ® No Last date of occupancy: undetermined Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,0 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6 2014 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: owner's agent Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6, 2014 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 35+ years. Certificate of Compliance for original system issued 6/13/1978 (Permit#77-682). Certificate of Compliance for system upgrade issued 3/8/1990 (Permit#90-93). Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Sewer line appears structurally sound with no evidence of leakage or backup into dwelling. Septic Tank(locate on site plan): Depth below grade: 3 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8.5 x 5 x 6-1000 gallon Sludge depth: 6 in l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6 2014 required for every Y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 28 in Scum thickness 0 in Distance from top of scum to top of outlet tee or baffle 10 in Distance from bottom of scum to bottom of outlet tee or baffle 14 in How were dimensions determined? Design plan Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping is not required at this time. Maintenance pumping is recommended every 2-4 years with year round occupation. Tank and tees appear structurally sound and functioning as intended. No evidence of leakage in or out was observed. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top 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: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is required for every Centerville MA 02632 May 6, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Y Centerville MA 02632 May 6 2014 required for every , page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert at 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.): Camera inspection showed no adverse conditions. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System SAS locate on site Ian excavation not required): p Y ( ) ( P If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6 2014 required for every Y page. CityTTown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 ❑ 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.): Soils above leaching pits appear unsaturated. No evidence of surface ponding, breakout, lush vegetation, or other evidence of hydraulic failure was observed. Newer leaching pit was uncovered and found to be dry. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions lu ions Inc. Owner Owner's Name information is Centerville MA 02632 May 6, 2014 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts 4 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6 2014 required for every Y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately —OF SEPTIC COMPONENTS —DISTANCES IN DECIMAL FEET A 8 eo+ 1 12.5 21.5 J��°� 2 13.5 26 PE CH T �y�Q\� 3 23.5 48 0 LEACH PIT 2 1000 GALLON A SEPTIC TANK 1 8 EXi'T§N' WELLWI PAVED DRIVEWAY y e m 508 364-0894 SHOOTFL PING H§LL ROAD t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is required for every Centerville MA 02632 May 6, 2014 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 6/13/1978 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: Barnstable GIS Department You must describe how you established the high ground water elevation: Approved design plan on file with the Board of Health shows bottom of system to be 3.32 feet above the bottom of a witnessed test pit in which no groundwater was encountered. Town of Barnstable GIS Department records indicate that the property is over 20 feet above groundwater table. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1115 Shootflying Hill Road - Assessor's Map 190 Parcel 224 Property Address Reverse MTG Solutions Inc. Owner Owner's Name information is Centerville MA 02632 May 6 2014 required for every Y page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file GEOHYDROLOGICAL PROFILE - NOT TO SCALE z Q J a " LEACH Z ' 0 ..: :. Uj PIT ]004 `: O BOTTOM OF a LEACHING PER DESIGN- PLAN LEACHING IS ABOVE HIGH GROUNDWATER 4j ch c+i NO GROUNDWATER ENCOUNTERED GROUNDWATER ELEVATION PER GIS MAPS t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Health Department Drop-Off Hours: 8:00 AM —4:30 P.M � Town of Barnstable Received by Health F`"E'n Regulatory Services Departmett6n . a Richard V.Scali,Director • BARMASABLE,A 1639. Public Health Division ro p,..a on �67q. �0 4.F1 Ar�01A°�� Thomas McKean,Director ' f 200 Main Street,Hyannis;MA 02601 _— 1 a _ .11 Office: 508-862-4644 Fax: 500y90-6304 ACCESSORY AFFORDABLE APARTMENT SEPTIC QUESTIONNAIRE Property Address: :3hoo4--'1,g,A a jj it 28 Assessor's Map/Parcel Number: 190 12Zq Applicant(s) Name: _ laic r_ Lj=k, boi)cp i Phone: 21Jo n i i E-Mail: Aio-ke 4�,-h, (�o .;1.CO Size of Lot: n. 4i2 A-_ne.s 2a. How many bedrooms exist at your property now? 2b. How many bedroom are you planning to add as part of the Accessory Affordable Apartment Program application? I 2c. How many bedrooms total are proposed at this property (including the Accessory unit)? 2e. Is the proposed Accessory Apartment contained within: the main house; OR a detached structure 2f. Submit floor plans for all buildings on the entire property. Show all existing rooms in the dwelling and the proposed accessory apartment. Label each room clearly. Label measured width of all open doorways. Use straight edge for hand drawn plans and be sure all labeling is legible. *k 11 Signed: CG Date: ACCESSORY AFFORDABLE APARTMENT SEPTIC QUESTIONNAIRE FOR STAFF USE ONLY 1. Is the dwelling connected to Town sewer? ❑ Yes U-lqo 2. Dwelling located VNSIDE ❑ OUTSIDE CtheSaltwater Estuary Protection Zone 3. Dwelling located ❑ INSIDE 0-','OUTSIDE public supply well Zone of Contribution 4. Dwelling is connected to ❑ ON-SITE WELL ❑-PI BLIC WATER 5. Disposal works construction permit on file? es ❑ No ctu 6. If yes, how many bedrooms were allowed by this permit: bedrooms 7. Were building permits obtained for additional bedrooms? ❑ Yes 1� No 8. Engineered septic system plan: a. On file at the Health Division? 0-Yes ❑ No b. If proposed accessory unit is detached from principal dwelling, is that plan on file? ❑ Yes ® No 9. Existing septic system capacity is �3 bedrooms For the accessory unit to receive approval from the Health Department the following action must occur: sting system accommodates proposed additional bedroom(s) ❑ Upgrade existing system to accommodate additional bedrooms) C�J Must remove a bedroom from the main house CC-00�j A.0 ❑ Must connect detached structure to the existing septic system ❑ Must install septic system for the detached structure ❑ Other Signe Date 21 �� 2 Health Department Drop-Off Hours: 8:00 A.M — 4:30 P.M Town of Barnstable Received by Health 9 aoF � Regulatory Services Departme;;;6n s Richard V.Scali,Director • a►wvsrnBM + ,,$ Public Health Division , rfD"" Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508--/90-6304 ACCESSORY AFFORDABLE APARTMENT SEPTIC QUESTIONNAIRE Property Address:- INS S i4j i 2j, . /�Pvl jr_ ,,,ico. Assessor's Map/Parcel Number: 190 /ULJ Applicant(s) Name: _1�icc L►= � >C� Phone: E-Mail: �,lo L- � L► Size of Lot: n. ZIq A_mg 2a. How many bedrooms exist at your property now? Z 2b. How many bedroom are you planning to add as part of the Accessory Affordable Apartment Program application? I 2c. How many bedrooms total are proposed at this property (including the Accessory unit)? _ 2e. Is the proposed Accessory Apartment contained within: _ the main house; OR a detached structure 2f. Submit floor plans for all buildings on the entire property. Show all existing rooms in the dwelling and the proposed accessory apartment. Label each room clearly. Label measured width of all open doorways. Use straight edge for hand drawn plans and be sure all labeling is legible. Signed: Date: 1 ACCESSORY AFFORDABLE. APARTMENT SEPTIC QUESTIONNAIRE FOR STAFF USE ONLY 1. Is the dwelling connected to Town sewer? ❑ Yes ❑ No_�_____ 2. Dwelling located �PINSIDE ❑ OUTSIDE the Saltwater Estuary Protection Zon 3. Dwelling located ❑ INSIDE 13'.'OUTSIDE public supply well Zone of Contribution 4. Dwelling is connected to ❑ ON-SITE WELL ❑-�JBLIC WATER 5. Disposal works construction permit on file? es ❑ No 6. If yes, how many bedrooms were allowed by this permit: bedrooms 7. Were building permits obtained for additional bedrooms? ❑ Yes 11 No 8. Engineered septic system plan: a. On file at the Health Division? 0-Yes ❑ No b. If proposed accessory unit is detached from principal dwelling, is that plan on file? ❑ Yes m No 9. Existing septic system capacity is bedrooms For the accessory unit to receive approval from the Health Department the following action must occur: sting system accommodates proposed additional bedroom(s) ❑ Upgrade existing system to accommodate additional bedroom(s) b Must remove a bedroom from the main house cco'�s 'k, �\ o'g"� ❑ Must connect detached structure to the existing septic system ❑ Must install septic system for the detached structure ❑ Other Signe Date { 2 Shed Office Wood Deck 69.5 70 32 Garage Kitchen Dining RM [BathMS Bed 29.5� . 32" 29.5" 29.5"]L29 Living RM Bed 2 ii 32- 36 1115 Shootflying Hill Road First Floor- 12/12/2014 Shed y, 29 32" 36„ ' 27.5" Main House Storage Living Area Not Accessible to Apartment Bath (Existing) 61 56" 36" Kitchen MS Bed Utility Room 1, Closet F . 1115 Shootflying Hill Road Proposed Basement.Apartment- 12/12/2014 1 /] 0 No...........Viz..... �Mi. Fl��........M l � .................... - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................TOWN............OF..........BARNSTABLE ... ................................................... Appliration -for Bispwial Workii Tatuitrnrtiun Vrrniit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: --------------•• .._ Lot 2 ocation- ress o Lot J. .Albert basset ._.Lyman Lane in South Yarmouth Owner Address South Yarmouth Installer Address 20 ,722 ` UType of Building Size Lot...........................Sq. feet Dwelling—No. of Bedrooms----------------3_-___-______-___.-_._-_-.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons..________________-________- Showers ( ) — Cafeteria ( ) a Other fixtures -----------------------------------------------------------------------------------------------•--.................-----.......---------------------- W Design Flow............................................gallons per person per day. Total daily flow---------------- ____ gallons. WSeptic Tank—Liquid capacitvM0..gallons Length Widt11.4_'.719."Diameter................ Depth--- 74.�� x Disposal Trench—No-____________________ Width........--__--__-_- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No........1---------- DiameterQ_'_'Q--_._._ Depth below nlet5 1 ............. Total leaching area.-__252___-..sq. ft. Z Other Distribution box ( X) Dosing tank ( ) d Percolation Test Results Performed byCape Cod Survey ConsultantSnate....June___29 , 1977 aTest Pit No. 1-------;-......minutes per inch Depth of Test Pit.......12.,..... Depth to ground water e....... (� Test Pit No. ;...........::...minutes per inch Depth of Test Pit..____.___.._______. Depth to ground w �� ..O...41 .......... •-----------------------------------------------------•--•-------- .....................------ ---------- - Description of soil------------O_---0.5_- wood_.loamy. 0.5 1 subs011 s RENWICK x 1 0 ' 10 0 ' coarse sand & g............................................ o B V .....-------•.......................... ......... ........ • -----.. ....----•-.... -- •------- . V ....CNAf'MAN ------------------------ ----------------- 10.-0 '---12-.-0-'-•--clean---coarse...sand...................................... - �s-No:-2-7fr54-o- --- V Nature of Repairs or Alterations—Answer when applicable................................................. ..... ..... 0- FG TES`" F Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b e ' d by the rd of health. Signed-- ------- -----•------------ -- ------------------------------------------------ -------------------------------- 'ate Application Approved By-- ---- / ---- ------ - . . ��7".�7------------- Date Application Disapproved for the following reasons:--•-••---------•---•---•---•-•...--•-------•---------------------------------------------------------•---------. •.................•-------•-----•••-•-•--•--...---....------------------••-•-•-•-------•--•--••----•-----•-------•------------------------------------------------------------------------------------ Date PermitNo......................................................... Issued......f2._--- -- -- ...................... Date -------------------------- 7 0 ... N . ............. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN...........OF............BARN.STABLE.............................................. Appliration -for Bbpoiial Works Towitrurtion Vrruiit Applicatioti is hereby made,for'a Permit to Construct, ( X) or Repair an Individual Sewage Disposal System at, Lot 2 ..................................... ...a............... . ............................................................................................... n or Lot No. 8 J. Albert ass-At's 1,yr,,pA Lane in Soutrl Yannouth .................................................................... ------- ............. . ............................................................................... YIddress Utl_, o'rl South armo ..............................................z.............?------ ....................................................................................... Installer :1 Address Type of Building Size Lot.20.1.722..........Sq. feet Dwelling—No. of Bedrooms.;-._-......._.3 :.:..........._--_--Expansion Attic Garbage Grinder Other—Type of Building --------------------i----- No. of persons..-_-_-_.._.-_-.---..-.----- Showers Cafeteria Otherfixtures ---------------------------(------------------------------------------------------------------------------------------------------------------------- Design Flow----------------------......................gallons per person p 330 .......... er day. Total daily flow................. ......... ......gallons. Septic 'FLiik—Liquid capacitJqqqzallons� Length.A.".-6-1-r Width---4-.'_—.1-Obiameter...... --------- Depth..... Disposal Trench—No- -------------------- Ndtl...................... Total Length.................... Total leaching area--------------------sq. f t. 1-011 . r252 ) 1-711 Seepage Pit No......... --------- DiameteAp.............. Depth below 4ilet_:= . .......... Total leaching area-----_----------scl. ft. Other Distribution box Dosing tank Percolation Test Results Performe"i-,by.P.AP�---&� Survey Consultant June.....qppe 29 d � ---------------------------------------------------------- ............ ...�_977 Test Pit No. I........2......minutesper.i4h Depth of Test Pit-..:--_ 2 ' none --------- Depth to ground water...... ... ------------ Test Pit No. 2----------------minutes per 'in611,, Depth of Test Pit-.._.---..---__--_-- Depth to ground water--. ------ . I I-, ----------------------------------------- ------------------------------------------------------------------------------------- 0 Description of Soil-------------0-1-0.5 ' wood loctn, 0.5.'-11 subsoil, - --------- -- -------- -- -- 0'.......-_I---0......0...."".6"o,aise...sand....&---gravel------------*--------------------- - ---------------- U ......................................................................................................................------------------------------------------------- P WyMiq�. W 10.0 'x.-12.0' clean coarse sand Z B. 5.1 ------------- -------------------------------- ----------- ----------------------------------------------------------------------------------------------------------- a -.4 Z 1 3- -----CHAPMAN---- cn UNature of Repairs or Alteratiotjs,1—Answer when applicable.---:.......................I------------------------ ----------- ---- -;$y'- o-.-271654--U- -------------------------------------------------------------------------------------------------------------------------------------------------- ---- ---------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disp Sal System in ac 11 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 b u by the d of health. Sige .... ..... ....... . .................................................. ................................ Date --------------------- Application Approved By.. .... . ....?7........... Date Application Disapproved for the following reasons:.................................................................................................................. ........... ................................... ----------------_-----•---------------------------------------------------------------------------------------------------------------------------------- Date Permit No................................ A•---•-•--••...... .... Issued....... - ------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS :BOARD OF HEALTH ..........T.OWN...................OF......'.. PAPITSTABLE ... ........ ................................................. ........... aT %Ikrrtif iratr of 10.1,11mlihaurr THIS IS TO CERTIFY, That be Individual age Dispo S--istem constructed (X ) or Repaired by----------------- _07&e.......... ------- ........................................ at..........................91110;---- ....... in C6nte-- ......... lot 2 ............................ ............................................................................�......----•••--- has been installed in accordance with the provisions of A XI of The State Sanitary Code as descred in the application for Disposal Works Construction Permit No.0 ......C104-.2-------------- dated -_ -----02............ 7............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A/GUARANTEE THAT THE SYSTEM WILL FUNCTION S _TISFACTORY. ................................ DATE. ..... ----—-- ------------------ Inspector.......... �74 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOVIN BARNSTABLE ............................ OF............... ............................................................... No........W/ FEE.... ...... Bi_sVviial Work-o 011onstrurt "I 'Irm Permission is hereby granted.....I......j;M;dP ----------------SZE,.................. .......... ......... to Const r Re Ste at No--luft _0 _2air_L_j an Individual Sewage Dis,osal Sy Centerville .................�P-S404'�IWWAV_A�Fwwln 4iVL... -------------------*-----------*------------------------------------------------------------------- Street as shown on the application fo sp al orks Constru 0.P, N ------------- ------------------- ct on Dated------ . .............. ..... ... .... . ---- -------------------_-_ Board of H'ea DATE .71......................................... ............ FORM 1255 HOE38S & WARREN. INC.. PUBLISHERS '- No.......�...-...`.. , �....3 C.C C •- �lLl.t THE COMMONWEALTH OF MASSACHUSETTS O' \ BOAR®- OF HEALTH Qt0 TOWN OF BARNSTABLE Appliration for Dispnsttl Warks Tanstrnrtiaan Vamit Application is hereby made for a Permit to Construct ( ) or Repair �X) an Individual Sewage Disposal System at: 1115 Shootflying Hill Road Centerville .... - -__--__ - •- • - ----------------------•--- •....--•----•--•---•--•-•--•-----•-•----••--•-----•------•----------------•------...............-- T p M g(� �'p}'�p y�Location-Address or Lot No. ......Y..Ah_A.iilLltS._QNX1.MT _.JXJ ............................................... .........................................................................„....................... W J.P.Macomber Jro,ner Address Installer Address QType of Building Size Lot............................Sq. feet V DwellingX$No. of Bedrooms.-----..---3---------------------.........Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) P' Other fixtures - -- - d 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 ( ) PercolationTest Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit---------.--_--.._ Depth to ground water..---..---.............. G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.---------.--.-..-----. a •---------------------------------------------------------------•--••••••--•--...._......._.............----•---•••----•-••-----......_._......._..--•....... 0 Description of Soil...............................................................................•-•-----------------•--•---•--------------------------.-------------------------------- v ----------------------------------------------- -Sand •--....--••••......-•-•.....--- W --------------------------------------------------------------------------------------------------------------------------------------------------------------•----•----------------------•-••-•--••---- U Nature of Repairs or Alterations—Answer when applicable �licable----------------------------------------------------------------------------------------------- 1-1..� gallon leaching pit. --•-------------------------------------------------------------------------- _ .. .................................. - .................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ssued b�the oard f health.Signed . . ------r .---------- 3/ /9nn --------------------------'-- ......................................6e Application.Approved BY ..... ---- ----- -- ..............--------------------------------------- r 9. ... Dace Application Disapproved for the following reasons: --------_------------ ------ ................------------------------..............------------------------............ -- -------------------------------------------------------------------------------------- ------------------------------ ---- -- -------------------------------------------------- -------- --------------------------------------- Dace Permit No- ---- -------- - Issued .. - ------------------------------------------------------ Date S .....30 00.. THE COMMONWEALTH OFMASSACHUSETTS BOARD OF 'HEALTH - �a� u - TOWN OF BARNSTABLE App iration for Disposal Works Cfnnstrur#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 1115 Shootflying Hill Road Centerville ... - __ - .........- - --------------•-•---•---. -•._.............--•-•----•-•....•-••----•-•---•-------•-•••----•-----•--•---•._......----•------- Location-Address or Lot No. ................................................ --------------------------------------------- ... ........ ._........... Owner Address w J.P.Macomber Jr. ,.a --------. -------- Installer Address Type of Building Size Lot----------------------------Sq. feet Dwelling;y;YNo. of Bedrooms............ .............................Expansion Attic ( ) Garbage Grinder ( ) �`4 Other—Type e of Building No. of persons............................ Showers — yP g --------•------•-----------• P (---->-------Cafeteria ( ) QOther fixtures ------------------------------------•--•--------------.-------•----••--•--------•••----•---------------------. ---------- W Design.Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter..................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water----.................... ' rJ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.---.................... w •---•-•-----------------------------------------•--------...---•-----................._...---•-•••-•......................................................... 0 Description of Soil......................................................................................................................................................................... m•---.............................REtc)d------....-----•-•-------•-•--------------.....------•------------•--------------------------------•------•----••---------- U .. W VNature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------•-•--•------------------•------•-•---.........-----. -•P- =1-------•-•-----•---•---------••----••-•--------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been jssued by the board of health. Signed /.- ' �R.. e .��...s nRr! �6/�9Q....... /.� .. Dare Application Approved BY ... ----- .........------------------------------------------------------ 1 �..../- ------ ., Date Application Disapproved for the following reasons- ............................................................................................................... .................. ................................ -----------------------...------------.............----.............. .----------------------------------------------------------------------------------------- -------------------------------........ � Date Permit No. y...�� ..�� -------------------------------- Issued .------..a .�'" ". Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,'�' J TOWN OF BARNSTABLE C ertifirate of CZnmytiance r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (KXX) by.........J.•P.Macombe.r. Jr .........---------------------------------------------------------------------------------------------------------------------------------------------------_------------- 1115 Shootflying Hill Road CE@Y`�iu at rville, ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..�� ....d�r.,.r ........... dated ... ..::. ,�......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIILLL FUNCTION SATISFACTORY. DATE..... `.......1...,d /.._ % ................ Inspector ..�!!�1 .,.�.� �_ J: �...... v ......... .� rf�-' CJ. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.... ��- 9� TOWN OF BARNSTABLE - .................... It Disposal Works Tunu#rttr#uan Uvrruti# Permission is hereby granted...._ to Construct ( ) or Repair (;X) an Individual Sewage Disposal System atNo..111_c a ........:.................................. Street �j] t� as shown on the application for Disposal Works Construction Permit No.R4-- '�r�� Dated,_. ''` ..-`-- tom'..-.. DATE......... -r--- �....�? J............................... Board of Health FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS G TOWN OF BAR STABLE LOCATION /ISS��T �luj�� «,`�� R2 SEWAGE # �' � ✓ VILLAGE Cer1Tj-wi;/l a ASSESSOR'S MAP Ca LOT INSTALLER'S NAME Si PHONE NO. `1 l� r i�(GI�J�► �c�v^ raSc�►-► -h r. .SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) UCJG NO. OF BEDROOMS J PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ��✓� /�1� 1�✓t� 7r. °J DATE PERMIT ISSUED: r-' .. � DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 4 P l 1 % 1 �„ 9hh It s � is V V -a- ?7— SEWAGE PERMIT NO. VILLAGE NSE , �a, S }cooT fEy,�c, INSTA LLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �--/Za ��, . . 31 'f"CY� -JP! OF BARNSTABLE K 0 y w t - w z sn 4'-4" 8'-2 1/2" —15' 2'-3 9/16" N w 28'-1 15/16" �,K LU q'-8 5/16" 2'-8 2'-1 11/16" 10--1 11/16" 2'-8" 8'-10 5/8" 3' 3'-5 5/8" w -- --------MF a 1 r----- ---_-- --� 1 f W I I I z I I I I uP I . I I I :o j I I I - I N -- ------- ------------- `^ r"— xa j ----------- -------- ---- - .:. .- :.. - --------- ---- -- ----- - -- - ----- I I I UP I I I I I I I I I I LIVING I I 1 q'-q"x 10,-11,, I I" I I I I BATH — I I T-0"x 511 C GARAGE I TI I m -c KITCHEN I I I • I r 1 S 8'-9"x q'-2" -- I MASTER BDRM,� I I a I /g101 l l'-11"x 13'-0" I I I ' I Li _J CLOSET I , II' ry L— � 1------------------ 13, 11' 2' 20' 12' 56,cr c 11 r6 PcRE 1356 sq R n Foundation 12i14izo15 SCALE: va^=r SHEET: � 1 0 IL d w U w 0 mm CZ 55' w ko 4'-4" i 8'-21/2" 15' b'-81/8" 8'-111/2" 3'-4" 11'-51/8" O> LU 6 1/2" > w R — -----]—————————— uj — Q �o" vaoH rc uj m DECK i I I ! I ! I a- - -- ------- J—c— F ————— —p- —————— a------ a� \ / � 1 MA TER — \ / 0 x 4'-1]Oa vv // BATH n KITCHEN MASTER BDRM ry 14'-0"x1(,'-0" DINING x 15 T' a I _ 5113 oa n j GARAGE 56: P 12_0"x 21'_0„ i ••� � � �'� m�' �"� (O 0 0 V) Ln / \ N % SLAB ^ \\ BEDROOM ,—i 10'-10"xb'-b" j' ° LIVING \ tt'8"x9'-1" P ,� s 18'S"xt3'1"' \ m / I I mL— ------- —————— — 41/16" — 41/16" 4'-111/8" 2'-8" 4'-41lb" 16-11 5/16" 3'-0 11116" I 12' � 58' LIVING AREA " L 1361 sq ft r� rl2/914/2015 SCALE: 1 st Floor SHEET: 2 r f • SOIL Los \x+ltdu4AW�rvti uA[a:r�,.a.�,'11 iyiI�oy/�y�ux A /!+/ � 2".VEASTONE 9 FILL— 12",M�_ GJOOU to,,IIA //O:�o• I I( A '• DIST (4Ii0' . oT4!'CA Box °OAti 24°MIN. • aYC- k 1000 1000—. GAL. + GAL. I�. a°• PRECAST OR o I ' c SEPTIC 6 o BLOCK TANK - I".�. . SEEPAGE- PIT' ° o o I 6 R+4u L 'Deno 0 0 0 x / i 20, MINIMUM o;°'• �o b G o� c+ta St. ` 9 9'FOUNDATION 1 I Ve" WASHED ,STONE ` I /✓o 4;� a-TcrL F` ELEVATION SKETCH r' 10, PIRG. RATEt SCALE I = 4 - + TEST BY - CrF&014:�:M� '!f Fl,P�rlluk20A'S&a :: TOWN INSPECTOR; ,. • L O BACKHOE OPERATOR : "Y'A P,M! rIfr or. TEST MADE ON : !�T 7 )t7 X . j 41 70 FYI srPYiC3ro t u to i.,ry R� 3ma-77 j /�/ ,.�'*- ,,�i of � ��•° � .� 1 RO !� + . 3 tiY 4 OF AA)e REN ICKB. c� i CRAPMAR n . No,2IW6' n f 'ti ELEVATION -SCHEDULE - ` PROPOSED SITE PLAN ' { 1. INV. AT FOUNDATION SEWAGE SYSTEM DESISH 2. 1-NV. INTO SEPTIC TANK = ��'�5 IN 3. 1 NV. OUT OF SEPTIC TANK 4. INV. INTO DLSTRIBUTION BOX , !O$+42 SCALE: 1.1= 201 �u ty 19 77 r 5. 1 NV. OUT OF DISTRIBUTION BOX = IOa'Zy C— S ZC 6. INV INTO SEEPAGE PIT 106•04 CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF PIT = 10 2.4-Z H YANNIS,MASS. 1 • ' A DIVISION BOSTON SURVEY CONSULTANTS, INC. B. BOTTOM OF STONE LAYER = 1011 -2 ' ' r