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HomeMy WebLinkAbout0246 STRAWBERRY HILL ROAD - Health 246 STRAWBERRY HILL RD. CENTERVILLE A = 247 105 rd. NO. 1521/3 ORA 10% w Commonwealth of Massachusetts �7� 81� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. Citylrown State Zip Code Date of Inspection -v 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 6/� on the computer, use only the tab 1. Inspector: key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection Company Name 74 Beldan Ln. Centerville Ma 02632 Cityrrown State Zip Code 774-248-4850 smjonestitle5@gmail.com SI4522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority <FD�S 5/7/2016 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 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 246 Strawberry Hill Rd Centerville is served by a Title V septic system consisting of a 1500 gallon septic tank, distribution box and 2 500 gallon leaching chambers.All system components are h-20 loading and located in or adjacent to stone driveway. The system was found to be in proper working condition at the time of inspection. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M Sey�t 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 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 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. City/Town 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 Commonwealth of Massachusetts 4MENTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 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 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 226 gpd provided t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. CityrFown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 2/2016 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 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. Cityrrown 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: 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: system installed 4/10/2001 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1.5 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.): Joint were ok, no leaks, vented through the roof Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallons Sludge depth: 6" t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 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 3" Y Scum thickness 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 10" How were dimensions determined? opened covers, took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance. water level was even with outlet, tank was not leaking and was structurally sound. Tank is next to stone driveway and is h-20 loading. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box was in good condition, no rot, water level was even with outlet inverts with no high stain lines. D-box is under stone driveway and is h-20. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 I Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ 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.): s.a.s. was located but not excavated. No signs of past hydraulic overloading. Leaching facility is under stone driveway and is h-20 loading. 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. Cityfrown 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 tJ� P" p � 2 A-Z 2 to 6-7- 2�+ A�3 Za f3 3 3`1 A-Y z s -�l 31 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 M 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. Cityrrown 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: 12+ 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: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Groundwater elevation was determined by accessing Town of Barnstable groundwater contour map. 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 246 Strawberry Hill Road Property Address Mark Vages Owner Owner's Name information is required for every Centerville Ma 02632 5/7/2016 page. CityrFown 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 l t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION" a g` )ej. SEWAGE # 240M VILLAGE ASSESSOR'S MAP &LOT 7-/05 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l;500 LEACHING FACILITY: (type) �- —'�� �a (size) NO.OF BEDROOMS .�— BUILDER OR OWNER / rDt2 QS PERMTTDATE OMPLIANCE DATE: J Separation Distance etween the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by_ 5� �L" tom. ` �• IL n qq i Ch .6S 89 TOWN OF BARNSTABLE LOCATION•` O VG ,%MW6(rry 14111 ?d SEWAGE # VILLAGE ASSESSOR'S MAP & LOT,? /0-5--- INSTALLER'S NAME&PHONE NO. SC6 -7 7 S� SEPTIC TANK CAPACITY S"(�n _ (��� //``(� COX /Id LEACHING FACILITY: (type) (�f #20(size) 21 kx OY NO. OF BEDROOMS r BUILDER OR OWNERo PERMTTDATE: COMPLIANCE DATE: °°° '° Separation Distance Bet W een the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Q6 00tr Feet Private Water Supply Well and Leaching Facility (If any wells exist- on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility MO�. Feet Furnished by °�4 �°��� '�� i � � I 1 � �I ` d , � ,L` ��'`�S '���' �� No. —6,0s,— Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS TippYication for MgOal *p!tem Congtruction i3ermit Application for a Permit to Construct( ,v)Repair( )Upgrade( ) bandon( ) LJComplete System ElIndividual Components Location��Ac}dress o��L�e����/ R� t�• Owner's Name,Address and Tel.No. Assessor'sl((IVlapf(11/Ptarcel '�/c.rVs G ,_ G fli���i / '�f�+�' v? 4.S- 1-OR�I'T 414 49 Installer's N e,Address d Tel N Designer's Name,Address and Tel.No. 1.q� Wd/ e � � Type of Building: ,� Dwelling No.of Bedrooms_ Lot Size.�/q,�sq.ft. Garbage Grinder( )) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date 3(:Ai- \Y . a4M od Number of sheets Revision Date Title Size of Septic Tank &G,L Type of S.A.S. ,2 L/ cc,_ m,G In cf 6ej-T Description of Soil"I" DrAn W Q Gf c�'fa^- eJ�UV�^�y Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu d by this Board of Health. Signed Date 0 f 6 /0<) Application Approved by Date 1d 6 7�o vfl Application Disapproved for the following reasons Permit No. Date Issued /O —G _ �� Nd. Fee THE COMMONWEALTH OF MASSACHUSETTS F Entered in,computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpricatiotl for bfiOosml 6pofem Congfrucfion Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑O Complete System ❑Individual Components ,.. Location Address or Lot No.1Z '/' C ���` ��'� Owner's Name,Address and Tel.No., Assessor's Map/Parcel C ��f/ "r,//�`f'/ ` '- Ins ler's N }?fie,AddresVn✓d Tel.N9. Designer's Name,Address and Tel.No Type of Building: Dwelling No.of Bedrooms h-• Lot Size sq.ft. Garbage Grinder QVV) Other Type of Building `1 No.of Persons - Showers(Z ) Cafeteria( ) Other Fixtures f Design Flow gallons per day."Calculated daily flow gallons. ' Plan Date !Y Number of sheets .e J Revision Date 'J Title Size of Septic Tank U G c t Type of S.A.S. G"` ce 5 E �1 C Vn C',b�S Description of Soil 0cc/\ 5-f-c)^k crUy,.J jam.. Nature of Repairs or Alterations(Answer when applicable) Date last inspected: ,ft Agreement: 7 The undersigned agrees to ensure the construction and maintenance o£kthe afore described on-site sewage disposal system in accordance with the'provisions of Title 5 of�tW nvironmental Code and not`to"place the system in operation until a Certifi- cate of Compliance has been iss ' by this Board of Health. b Signed 4V Date /0 0 Application Approved by Date w T.vYJs7 Application Disapproved for the following reasons.41 ` 4 Permit No. d Date Issued /O —G • i N THE COMMONWEALTH OF MASSACHUSETTS ': Y BARNSTABLE, MASSACHUSETTS Certificate of Comp-lance THIS IS TO C RTIFY,that the On-site Sewage Disposal System Constructed(V)Repaired( )Upgraded( ) Abandoned( )by I`- Vc.A..,e S at 9 Q c-r `-A 1 W Q 4,j2 b( has been constructed in accordance with the provisions of Title 5 and\the for Disposal System Construction Permit No. "6 0 dated O Installer f�s,C c--,\ M T, - �.f✓1._ Designer .,.)�CA- 5 The issuance of this permit shall not be construed as a guarantee that the s to will function as desig ed>. Date ov��� '' 47K3 Inspector4� ` p, No. Fee /Vy ,/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE, MASSACHUSETTS Mi!gpooal OpMem Conotruction Permit Permission is hereby granted to Construct( )Repair( )U grade(, )Abandon( ) System located at a� G, �� t t`U �� CZy (�.�, . (�V P a 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 folloiving'loeal provisions or special conditions. r Provided:Construction must be completed within three years of the date of th' e it. Date. �U G�G Approved by , t -.z gk �. -s CHATHAM J86I EC. 8'-8• . FLOOR ��8`3mi �—13-0 IA" �— FTIOlE yICX 30J6 9 3036-� BATHa: c� . w r FAMILY ROOM ; ... . o e� r. ............ ..................................................................... � �., ............... sr I� UANG ROOM COVERED FARM PORCH :-.---r.,:*.,.,,,• DINING ROOM 39E1 16•—a. J8Q1 I .'3`�`�. 3061 � . 9=4" 3961 &4AI -- RI'I es 4 4 2 g.2 9A2 -------------- } --h7EDEtOotv(�2 _-- I+ . A!PL L o Al I TOWN OF BARNSTABLE �FTHETp�y OFFICE OF i e�sTsffi BOARD OF HEALTH A59. �0�9 367 MAIN STREET �o HYANNIS,MASS.02601 February 2, 2000 Jospeh DaLuz 90 Mitchell's Way Hyannis, MA 02601 RE: 299 Old Craigville Road, Hyannis Dear Mr. DaLuz: You are granted a variance on behalf of your clientT6mas Vegas, from 310 CM 15.214, restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II districts. You are granted permission to construct an onsite sewage disposal system at 299 Old Craigville Road, Hyannis, with the following conditions: (1) No more than two (2) bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) The applicant shall submit revised house plans to the Board of Health showing elimination of the proposed doors to the "family-room". (3) The applicant shall record a properly-worded deed restriction at the Barnstable County Registry of Deeds limiting the dwelling to two (2) bedrooms. The deed restriction shall be signed by the property owner. A copy of the recorded deed restriction shall be submitted to the Board of Health to obtaining a disposal works construction permit. This variance is granted because it is the Board's policy to grant applicants approvals to construct two (2) bedrooms on lots of less than 18,000 square feet in size. Sincerely yours, Susan G. Rask R.S. Chairperson Board of Health Town of Barnstable SGR/bcs 0 1 — 1 9-2t_tt_tt_t Co 03 m 20 DEED RESTRICTION WHEREAS,Thomas L. and Dona-Maria Vages of 3471 SW Bobalink Wa , Palm City, Florida 34990; is the owner of a lot located at 299 Old Craigville Rd. in West Hygpnj�port, a village in the Town of Barnstable, MA(hereinafter referred to as 299 Old.Craigville Rd) and being shown on a Plan entitled `Subdivision of Land in Barnstable, MA, Property of Thomas L &Dona-Maria Vages duly recorded in Barnstable County Registry of Deeds in Plan Book 76, Page 1 WHEREAS, Thomas L. &Dona-Maria Vages, as owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms (two), which can be included in any home built on said lot as a pre-condition to obtaining a variance from the 310 CMR 15.214, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and to obtaining a building permit for this lot: WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting the variance from 310 CMR 15.214, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this lot is requiring that the agreement for the restriction is on the number of bedrooms(two) in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW THEREFORE, Thomas L. &Dona-Maria Vages does hereby place the following restriction on their above-referenced land in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 299 Old Craigville Rd.,Hyannis, MA may have constructed upon the lot a house containing no more than two (2) bedrooms. Thomas L. and Dona-Maria Vages agree that this shall be permanent deed restriction affecting Lot#105 of Craigville Beach Estates located on 299 Old Craigville Rd. Hyannis, MA, and being shown on the plan recorded in Plan Book 76, Page 1. For title of Thomas L..and Dona-Maria Vages see the following deed: Book 1219, Page 83. Execut as a sealed instrument this 19'`day of January in the year 2000. and T omas L. Vages Dona-Maria Vages r BARNSTABLE REGISTRY OF DEEDS TOWN OF BARNSTABLE LOCATION' VILLAGE SEWAGE #t ASSESSOR'S MAP& LOT'-Y 7-/p_S INSTALLER'S NAME&PHONE NO. k zn SEPTIC TANK CAPACITY Q LEACHING FACILITY: (type) 2 Sty I NO.OF BEDROOMS ' — (size) BUILDER OR OWNER ---r PERMITDATE: COMPLIANCE DATE: Separation Distance etween the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facili Feet on site or within 200 feet of leaching facilityty any wells exist Edge of Wedand and Leaching Facility(If any wetlands exist Feet Within 300 feet of leaching fac•lity) Furnished by �� ��, Feet J 1 i + lo { i .Z� O - "♦ .. i '+ 001 • h'--- � .. .r�-gyp•, Od6599 TOWN OF BARNSTABLE LOCAnT ON W, Jrt;.L,)l-trry 14(1I ?L) SEWAGE # '- VILLAGE��o ASSESSOR'S MAP & LOT,`�IL>--I' INSTALLER'S NAME&PHONE NO. SC6 rn E,.rt, ket— -7 7 S- SEPTIC TANK CAPACITY n Cox 14.2 0 LEACHING FACILITY: (type) 1 &C, /7-1�(size) 0?/ NO. OF BEDROOMS BUILDER OR OWNER -V'h 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 leaching facility ^ _ NO r-k— Feet Furnished by 4 1 i r p1HE Tp� ��' D EE� V IARPtsrABLE 1 2 19No v MASS 9 ;— �p 0:59• Town of Barnstable �j� ^ / S CHED. DATE ;I � h Board of Health- 'T 367 Main Street, Hyannis MA 02601 i-S <e r-0" I sr } Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-�04� �/ �); � /�/iz� Sumner Kaufman,M.S.P.H. s (/rur i l Ralph A.Murphy,M.D. Vj- VARIANCE REQUEST FORM LOCATION-A rii e \\ Property Address: �418 Assessor's Map and Parcel Number:���7 ��S Size of Lot: 12 2� �f SUC', Cj�3 9 j t C�t/e 4, Wetlands Within 300 Ft. Yes Subdivision Name: No Business Name: APPLICANT - CON_ TACIT,PERS Name: f to rv. VQ q?S Name: ,Y— Z�t Address: Address: Phone: �3 -�-l Phone: !31 b(7 j FAX: FAX: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space/needed) IU C-/oil 1r7.21-1 �]�1�'1 I r-0� pp nSTNG�- O �.eYee�rp odd ^ c l cnrP.0���t 0A �n J/1 et—SI2 Checklist(to be completed by office staff-person receiving variance request application) —Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) 1�pplicant understands that the abutters must be not fed.b_y certified mail at least ten days prior to meeting date at applicant's expense(for Title V a iyor`local sewa e regulation variances only) g ease tra vaftan^ i Variance request application fee colt CnA(no fee for lif aand 'ication re� grease trap variance renewals[same owner/leasee onlvl,outside dining variance renewals(same owner/leasee only],and ariances to r pair faile84� a� sal systemi°ro�'if no expansion to the building proposed]) Variance request submitted at least5 days to me%date ., VARIANCE APPROVED r: rqo 3 19 9 FA���� 9 tq `usan G. Rask, R.S., Chairman NOT APPROVED Agp�"'3T,q umner Kaufman, M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. Q:/WP/VARIREQ 4 CHATHAM 3076 I O w aiSE FLOOR DRO i0 BSYNT. 4iiwii. � I •GHEN: 1:.. ROOM FAMILY R :�N►`•i: �1::z�•. I A 1. 1: 30" y'. O 3f1 ..,...::rr..rrrrrr rr.rrrrrr.r....rr.....r...... .............. • rrrrrrrrrr.rr.rr..r.rr..r.-.-�•:�. ..... KI-W-31i Qua OIAY ` 2r 1 COVERED 64 FARM PORCH LIVING ROOM DINING ROOM/ ... 1 t:: 3981 *61 Sul � lm, 1�----I6'-0" �I� g'-4" r►N N-8' 40'-0" \ 4Q4,41V u 442 �PaaZ i{: 2 © fit I • �a,Y�-:�C56 ��S _ ICI �G�3S I r- U-1 r ylallq �y Zj- c�4r� - e2 57 14'9 -91 18'4 9110 10'4 d'S 4'5 45 49 910 78 4'2 5'9 30410 2832 3032 4040 3032 6W--- .. O z666 .... .....: Q >.:..... ....'....:. do co 04 FAMILY 14'x 11'1 I w ao � 2668 o' KITCHEN 2711 x 11'1 Fill N1 3068 01 1'2M 1 3168 N 3068 � i 0 a io 0 o LIVING o 0 15'9 x 11'2 r� N I DINING 111 x 11'2 30410 30410 3068 30410 30410 6 6' 4.7 3.6 8' 6 6 4' 4'2 166 I 23'6 I 8'3 3`9 57 _I THE CRAFTSBURY COMPANY INC. TWO BEDROOM / TWO AND ONE HALF BATH CAPE 24*40/50 DRAWN: 12/29/99 939 MAIN STREET RTE 6A YARMOUTHPORTNA.02675 CHIEF40/NEH/CAPE/CpePlan 2448E BUS:508-362-9013 FAX:508-362-4139 40' 14'8 9'2 162 3' T 4'9 4'7 9,10 4'7 61 T 3.1 r ---304a0.---------30410------- ------ 2832------- ---------304}0--------- --- i • I I O 1 I I to I o BEDROOM 13'11 x 14'11 B 2DROOM a 266E 2sss i u' I to I co N I I I ————————————— -. ----- --uP— —————————————————— N I I 'v N co to to N N I i N I I I to I 1 I I I I I F� I I F- STORAGE '' I 3810 x 7 I I I I -------------------------------------------------------------------- 40' 52' 149 9'1 19'- n�.{II -174- 4'5 4'5 49 49 W10 {'S 3.5 59 --- -- _ _-2632____ F I I I FAMILY o zse6 14'x 12'10 O C I n ry CMase2668 KITCHEN I I m 2668 24'2 x 1710 I O I I i I � I 3068 2668 3068 3068 I ry I ry . _---3668----_ ——— - ry 0 O LIVINGCD 0 15'9 x 1711 m 91 h ua DINING ry 14'9 x 12'11 30410 LT 6' 47 I 3.6 30 8'16' 6' 4' 23'6- J 8'6 To �5z THE CRAFTSBURY COMPANY INC. 939 MAIN STREET RTE 6A TWO BEDROOM /TWO AND ONE HALF BATH CAPE 28*40/52 YARMOUTH PORT,MA.02675 DRAWN:12/29/99 CHIEF40/NEH/CAPE/VEGAS/2840/52 BUS:508-362-9013 FAX:508-362-4139 Scale 1/8"=1' �� A i 40' 14'9— 99 —15'8 . 3' T 4'10 4'6 59 5'5— T 3'1 ---104a0------_30d10.---- ---�877------ 3p4ap-- -t 10 I I I I I IOO BATH I I � I 94x8'11,........_ r I BEDROOM BEDROOM I I 14'x 18'8 14'8 x 18'8 � I I n I ........:..... 2688 .:.. 2888 I m I I � I NI :....... 2668 I N I ——————————————— — — ' i e I It 5068 5068 L_ I 5068 5088 I - - - - - - - - - - - - - - - - - - - - - - ---------------------------------------•---- --------------------------------------------- ' I I STORAGE I 5'9xT3. I I I I -------------------------- �— 40' Second Floor �1 y r� c TOWN OF BARNSTABLE LOCATION RJ. SEWAGE # ' VII.LAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME& PHONE NO. SEPTIC TANK CAPACITY IJoD LEACHING FACILITY: (type) (size) NO. OF BEDROOMS lT BUILDER OR OWNER 1 � �5 PERMITDATE: COMPLIANCE DATE: ZPJ I Separation Distance etween the: �t Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet s � Private Water Supply Well and Leaching Facility (If any wells exist 7#' on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist 4 within 300 feet o��aching facjlity) Feet {, .�41 Furnished by 5�"� R 8, 0" 38 0 BALCONY 8'X6' OL�7 13' 6" 2' 4" 3' 4" - DECKING 2"X4" 18' 10" - JOISTS 2"X8" @ 24"o/c CD 7' 3 16" . .Y � � BELLEVUE RAILING STYLE 17 5 16 7' 10" 5' 8�122" POST 4"X4" L 465/8" X 384 SH 54/2" X 383/8" SH � 4 STEPS w RISER AND RAILING 70 I� - KNOCK DOWN w F X o Q CD \ BEDROOM #1 0 - W—C N U) a OD N v HEN ;I DINETTE KI 4 5' 10" 3' 4„ 4' 4„ 2 - 2 0 2, 4 - / z ��\V co O `n ' RAILING n il I 1" \ j'/ W Lij `N 8a 6.' 3 1 ' v o0X5 N 4> Doo8, w \ Q SIRE PLACE 00 / \ I 0 BY CUSTOMER c1r) iN =0 2' 10" _ 1' 11 /16" LIVING-ROOM \ w wi w LINEN BA THLIJ ool BEDROOM #2 ( \ i / / \ \ w 9 2 S" ' 0 - �- w 16' 0H � _, ,r 3 5'% X 383/8 c 465/8 X384a„ SH / # 931/4 X 62" SH \ =D � 2 10 _ GALERY -'' BEAM 6"X8" SPRUCE o DECKING 2"X4" jEJ] JOISTS 2"X8" @ 24"o/'c BEAM 3PCS 2"X8" I 10' g" 10' 6 r, - 5 6 11, 3" i x I r, , „ FLOOR PLAN. , W 4 g 9 8 gr 7r, r „ 7 9 6' 3" SCALE: 1/4"=1' -- T 38' 0" , - a fin✓ � �' jr♦ ` `. e.+C ''�'• ' .r., � - - ........ - _..-.. ....""^'�-w+r•;'t i-.�. .,... y..wWryw,,,...........y... ...». -..�....'....rr.+ ....wrr. ,.....,. .. ...,�. r , •...... .. y- •(. Ao f 7. . , °,. •. - , ', _ jai'` ` ., [` am ' GENERAL NOTES : ACCESS COVERS rUU57`BE w!THIN I I N V ER T E! c VA: l 0NS-, . DE S 1 ON CR J. -T t- R l A . y . 6' OF F,INJSH GRAD 9" M!N M'1M. 3' MAXlMGM COVER INVERT AT dUILDIm.',: 96 95 _ DES16N,, filow: " I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION I Li 0 FIRST ?' TO INVERT.-IN Si PT/C TANK" 26-,ZZ 2 '8Ei)ROOMS AT 110 G.P•D. PER OF THE SEWAGE DISPOSAL SYSTEM ONLY. "-"- -"""' -�--'' BE LEVEL MIN 2' OF PEASTONEBEDROOM EQUALS 220 G.P.D. INVERT OUT•SEPTIC TANK: _.$6_S 2. VERTICAL DATUM /S ASSUMED. FOR BENCH MARKS INVERT /N,D/ST, BOX: g6•-4� SET. SEE SITE PLAN. �.9d.95 ° 1 I + y. DOUBLE WA$HED STONE INVERT OUT DIST. BOX: ' 9�6.2s .� NO RBAGE GRINDER :. 1 NVER T IN LEACH CNAMRER: 26.0,,,• " BOTTOM OF LEACH CHAMBER: ' ,94.0 SEP T i C TANK REQUIRED: J. ALL CONSTRUCTION METHODS ANb MATERIALS AND i 3 OUTLET 2-500 C4L LEACHING CHAMBERS 220 G.P.O. X 200x - 440 ti:AIL, MAINTENANCE OF THE SEPTIC SYSTEM SHALL ! D-BOX W/2 ' STON,: AROUND, 8.8'X 21 'X 2' ADJUSTED GROUND WATER. N/A SEPTIC TANK PROVIDED: 1500 GAL. MIN`. i CONFORM TO MASS. D.E,P. TITLE 5 AND LOCAL I I 1500 GAL n, SEPTIC TANK OBSERVED GROUND WATER: N/A BOARD OF HEALTH REGULATIONS. d CRUSHED STONE OR . BOTTOM OF TEST HOLE 02: 65.6 SOIL ABSORPTION SYSTEM REQUIRED: _ COMPACTED BASF DES I(N Pk RC RATE ( S M 1 N1!NCH •4. ALL SEPT/C'SYSTEM COMPONENTS LOCATED UNDER PROF / L E NOl TO SCALE SOIL TEXTURAL CLASS - I AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER EFFL( E: LOADING RATE - 0, 74 GPD/5F b THAN J ' IN DEPTH SHALL BE CAPABLE OF WITH- 220 CPD / 0.74 GPD/Sc' - 208 S.F. REQUIRED STANDING H-20 WHEEL LOADS. PROVIDED: 2-500 4AL '.EACHINO CHAMBERS 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR W/2' STONE AROUND, A-JOS S.F. Y. APPROVED EQUAL . 305 S.F. x 0. 74 - 226 6.P.D, 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED � SOIL TEST P i T DA TA PRECAST CONCRETE AND WATERTIGHT. D-BOX SHALL BE WATER TESTED FOR LEVEL WHEN THERE I S MORE Poo se THAN ONE OUTLET. ? PERCOLATION OBSERVEDINDICATES TEST _ GROUNDWATER 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE•. � P�DSSB rP l TP *? I-888-DIG-SAFE AND THE LOCAL WATER DEPT. FOR LOCATION OF UNDERGROUND UTILITIES. _ HORIZON TEXTURE COLOR NOR I ZON TEXTURE COLOR _ '--- 0* 100.3 0' -- -P 97.6 8. ALL UNSUITABLE MATERIAL JFiLL. A 4 B HORIZONSI ---_-_ \� FILL - F l L L �- ENCOUNTERED BELOW THE INVERT OF THE LEACHING FACILITY TO BE REMOVED FOR A DISTANCE OF 5' IDo.s LOAMY IOYR Q LOAMY lOYR C AROUND AND REPLACED WITH SAND IN ACCORDANCE Q �� SAND 2/1 !� SAND 2/1 ; \ \ WITH TITLE 5. �� � � i 20- ,. ..... .... .... ..... _.• ._ 48.6 43'j......... .... ... .. ...... .......... p p _ 9. NO DETERMINATION HAS BEEN MADc AS TO �, �� �� i C7 LOAMY 7.51'R SAND 4/6 LOAMY 7.SYR L7 SAND 416 COMPLIANCE WITH DEED RESTRICTIONS OR ZONING e\395 f S. F. *. `�., + ', 32'� .. .. ............ ... .. ... _ 07.5 64.... . ............. ..... ....... ......... . 92.1 REGULATIONS, IT SHALL REMAIN THE CLIENTS , �t 4•/ ---� ! / MED-COARSE 10YR C / MED-COARSE IOYR RESPONSIBILITY TO OBTAIN ALL PERMITS, SPECIAL ' �� �a.at ! I E .+.. SAND AND 5/6 SAND AND 5/6 PERMITS. VARIANCES ETC, FOR THIS PROJECT. �' ti j R i// IOC 52' GRAVEL - 64-- GRAVE_ w«.t+rir IQ I SHALL REMA/h' TN CIF IENT£' o rr I Icn " ... / - 0 ►� fi ^ i n - ., +'fJU . A P. ,. ,•,: e+'.c:•. ,y,,,y;'y, =gip,,... qA ! .dol�M„'+•, �: .. °.•a'. 1 ., w•N., ,/ .«.. a-. /op •,. e+. P:'3 rr rr 7M� PI?OPG�Cu dUkLUf,�d�r Afu IGN r�+!!° ,.'' , , .� �': •• �'�+' .�` ", ` ..y .. ,o' usiy r?,;.;ii.,ta: N,dr+.n. .s,... •_ M,^ �;, ,� � F DESIGNED TO ACCOUNT FOR THE EXISTING GR.40E 4N0 L CONDITIONS AT ihE <'_LCAT/UN OF THE I 1J2� h10 WATER _ � , '� ,7 !•�4--�---_ No WA 'ER -- � 85.6 PROPOSED BUILDING. _ DaTE: OCTOSER B. 199.4 4 TEST 8Y STEPHEN -4AAS ' • Aw ce/ON rye. r �; �' ,/� I + �� 5 Wl TNESSE'D BY: DONNA MIJRANDI EL-Ioo.s! Io I ( { dEPTIC 1ANK r\Q� \; i / / \ ,, PERC RATE: ( 2 MIN/INCH 1 I K D /OX i / / T0 02 Q . I �/ 14 PAD.;/ f• . /"`/' I � /,' D9.6 %r•. I BY CRIDN n/.5 / EL•A8,2 OUY W!R J� • � SFr a'�I/ ° _� i�� +j+1 IOO. I+ 4 ° ur 27S/Ie /A? ' l• '✓ J l � �� R I N•OS.eV SEP T / C' S Y' S 7-4 M 0 IV t DPI.27 1 2,99 OL LU CPA / GV / L'L E- ROAD . MAR 24 � . PARCLEL / 0-45 ,fir �J� \ter Ns ;' ;a+. P per • `' � R T":�' 3L . WE-S T 14Y.4N/V / SPQR T./ / PI f at T ' 9.ee PRE'P,•4 RE•'D FOR C)NYD TAG 437 T O M VA OE S CUS `-✓.� �ao `� ,� # ,,,,.�►., , P . 0 '. SOX / 3 9 . CE/V 7-ER V / L "AO 2 d 32 SCA L E'`. / 20 NO VEMSER REVISED., JANUARY /8. 2000 �. VARIANCES REQ U l j?ED : { �: A :. EA ' LE SURVE "-r ( NG 1 NC J fP rl TLC' 5. SETION 15.21 J: 11) M/N/MiAf SETBACK DISTANCES. M - , ., f. 1 P 923 Routs 8A l0' IS REQUIRED BETWEEN A SAS ANii PROPERTY LINE. 6 ' l5 ,,�'� c '�. +s�„� ��,�• :,, �., ,. � r / , _ PROVIDED TO THE RESERVE AREA, A 4 ' VARIANCE /S REQUESTED. .., Ya r°mou It hpo r t• . MA,. . 0287" SECTION /5,2I4: NITROGEN LOADING LIMITATIONS. A VARIANCE � ,.j I 4 � 508 )' 382--8 '131 �? �1 /11 gO8 432--5333 IS REQUESTED TO CONSTRUCT A M I ! Lti 1 �/ )2 BELR00 DWELLING ON A d395 S F. � .. LOT. / ` , a " LOCUS MAP to*. r _,ao, , 40 0• IF b °` Jpt3 N 99 w 099 F . . D;CFW/F K CAL C: SAM/CFW CHECK: :'CFW . DRN: SAN -,.x , ,.' f ., .. •, ,, •. .. ,y: .. , ,+To- t ; �,� ,w.a...w.m.,.»�...r•o,.. ;.,,r.wxew+wneewernew:.,.vn:r.nr.+.+wwmm...,..rie�' ,.na"a✓.,�.nwma+e:w.+.mroa+rv..m,a..nnrta...rn•nnnm.. E MFr11�W+Ra�ym».,nry Mr..,..•.yc:yr*pevanaM+f',w ACCESS COVERS MUST BE W/ THIN' V NJ • p 6• OF FINISH GRAD yMINIMUM• DESIGN �.^ nIrLGENERAL NOTES �3 ' MAXIM;M COVER VVY ry I. INVERT AT Pull,I)fNO l0 O FIRST ?' TO ' -.-W?jLs.L.... DESIGN FLOW: 1. THIS PLAN 15 FOR THE DESIGN AND C'UNSTRUCTION BE LEVEL MIN ?' OF PF.ASTONF INVrR' tN F- Pr' C rANK: 2A-zl5 2 8F^BOONS AT IIO G. P.D. PER OF THE THE SEWAGE DISPOSAL SYSTEM ONLY. INVT:RT OUT ,5'nr/c TANK: 1 _ PEDROOM EQUALS 220 G.P.D. 3/4' - I 1/2' DIA. INVERT IN 0!S'T. R,OX: .. .F►_45 __ 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS -- , » NO GARBAGE GRINDER SET. SEE S I Tt PLAN. T2 ��•�-' DOUBLE WASHED STONE I INVERT OUT Dr .s]'. BOX: �)�a-28 f �•�� : OAS r 4'91,,c I NVF_R T IN I.EACH CHAMBER:: 96.O i jS 1 BAFFLE -g�� SEPTIC TANK REQUIRED: � 3. ALL CONSTRUCTION METHODS AND MATERIALS AND 3 OUTLET 2-500 Gfr CH'ING CHAMBERS BOTTOM OF L A6,N CHAMBER; _94.0 220 G.P.D. X 200x - 440 GAL . MAINTENANCE OF THE SEPTIC SYSTEM SHALL 0-BOX W/2 ' $TONI. ) 3.8 'X 21 'X 2' ADJJS TEO Gfi'OVAID WATER.- _NIA SEPTIC TANK PROVIDED: 1500 GAL. MIN, � CONFORM TO .4/ASS. D. E. P. TITLE 5 AND LOCAL 1500 GAL OBSF.R VED GRl;I„�/t� MBA rER: _N/A SEPTIC TANK 6- CRUSHED S TONE OR BOTTOM OF T",S r IlOI.E r2: ti.`.+ 6 BOARD OF HEALTH REGULATIONS. COMPACTED BASF' .�.__ SOIL ABSORPTION SYSTEM REOUI,gEO: DES 1 GN PERC RATE ( 5 MIN/1 NCH PROFILE .' � a 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER /" RI/n F I L E NO TO SCALE_ SOIL TEXTURAL CLASS - l AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER E:FFLUFNT LOADING RATE - 0. 74 GPD/8P' THAN 3' IN DEPTH SHALL BE CAPABLE_ OF WI TH- <20 GPD / 0. 74 GPD/SF - 29B S.F. REOUIRE) STANDING H-20 WHEEL LOADS. PIPE SHALL BE SCHEDULE 40 OR PROVIDED: 2-500 GAL LEACHING CHAMOfftS 5. ALL SEWERW/2. ' STONE AROUND. A-J05 S.F, APPROVED EQUAL . :305 S.F. x 0. 74 - 226 G. P.D. 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED PRECAST L / CONCRETE AND WATERTIGHT. O-BOX SHALL S0 I I_ T(' c l( l-(� l TA BE WATER TESTED FOR LEVEL WHEN THERE IS MORE d INDICATES INDICATES THAN ONE OUTLET. PER COLA` ' N - _ 085ERVED T1:S T GROONOWA TER 7. BEFORE CONSTRUCTION CALL O1G SAFE'. 1-888-DI6-54FE AND THE LOCAL WATER DEPT. TP rI P+�455h TP *? FOR L OC4 T f,01r1 OF UNDERGROUND UTILITIES. N(?r!;"OPT TEXTURE COLOR W) '17ON TEXTURE COLOR 47 6 B. ALL UNSUI TAN! t/ATER/AL (FILL . A A B HORIZONS) - _ -- ENCOUNTERr r y THE INVERT OF THE LEACHING ` FACILITY isr 4OVED FOR A DISTANCE 0'-' 5' ` u,r I01 5r 1ei• .. 99.0 J6 _ .. . .. .. II 94.6 LOAN.Y IOYR LOAMY /OYR AROUND Am, -i •ii.ED W! TH SAND IN ACCORDANCE. �' / �• WITH TITLE ', � � _.. r'AJri. x�.L.,. � —. i- SAPID 2/I �'' /;. 47- .. 94.0 1 GAMY 7..9YR ; � f_OAMY 7. S YRHAS BEEN ' ,. NOMPLlANCENw1 IHNDEED RESTRICTIONS U AS � ZONING � � E+.,�. � s `�l`, »'" � r", �;,I ND 4:,c; REGULATIONS If SHALL REMAIN THE CLIENTS If/ n /s ;a'.'.a. 'r"' l""� ; - �^ !•lED-COARSE l,'y' RESPONSIBILITY TO OBTAIN ALL PERMITS. 5PEC14L ~� o I F `•;:,. " t i:;:; AND `.PERMITS. VARIANCES ETC. FOR THIS PROJECT. ~ IN a a' •S a ra L 1 --SHALL REVA,N THE CL t ENr PESPONS I B I'L -*Y wk,-02rtr� an,,:, � �9��;:�. : ., . M ..• #. t ���".}. � '..y M TO MATE ;nE r'NUr'UStU BU/LUING fOtiNDA!lON DESIGNED t0 ACCOUNT FOR THE F_X 15 T I NG CiR 40F_ �, '`-"` h r j J AND SOIL COND/ T I ONS AT THE LOCATION OF THE 85.6 PROPOSED BUILDING, 6. J Q` r - /500 wL I DATE. Cr T rl-' 8. 1949 St•PTIC TANK I : r '� TEST BY: 5r' Hr=N BM /°H (� / I / I ` ? �,/� WITNF_S;.,FC Py: OGINN,A MIORANP� < r o r� .. � 1 f EL• O.SL' y / r' M} G - ram., n•BOr, U ' ... '� � , �, .. SV`J PF..ITC Rl t;:. t 2 Nr iN/I,vC11 pB J ,'BM CBlOH J F_L-A8.20 dllY MIR v'G'dUP 275118 /12 ,•nti�c� 2 9 1_ �' G'R�1 C. _ R OA 0 . MA R �''' 4 - . 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