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HomeMy WebLinkAbout0081 WILLOW RUN DRIVE - Health 81 Willow Run Drive Centerville P A = 210 056 No. 4210 1/3 ORA rendaflex O F 10% t M F � 7 i S I i I. i F J /sec.) 6ep7,c TA nic I6-oo,,A� i0o0gal ov^,p t4,4,ber- TOWN OF BARNSTABLE LOCATION 91 LIJi I iOW 9U-(, DC, SEWAGE# 2011- 33,5 IL-VILLAGE Qnfe-r Vi Ile- ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. RomT 6� L?u4 Co. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS Ll OWNER �,Tbo_nne_,_'T-&Co PERMIT DATE: COMPLIANCE DATE: '� 6 Separation Distance Between the: V irrl N^ct j f t�i�J Maximum Adjusted Groundwater Table to the Bottom bf 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 yl• A-1 — 20'Jer 1 '1� I ' z ®o '4 A-y=43` $-N: 22 ° 3 0 F 4S° 3 y RE-2 Z 2ir ZZ° g�3� /in°`''� 2 1Sod g�1 1000 gal Sepr�c TA K pv.-Ap c6m&r NN F f Y A / EGsTINT6 FOR9MTNIA HEDGE m BE RENGAE0 AND RERACED EX BRICK PATIO TO % t ��l � INN.ADDITIONAL YnGATON PLANRMGS PROPOSED l BE REMOVED -" SED NIr M.-g-/ 8 '� cz)EMrnNG TREES TO EE REYo1'FD AND / SAP 4 PoN PLAN GS/ �ATC. z,{ Ejr y}z @ LOCUS J• M m l0T a RERAcm MTH 2s•MRIIUYM DUPR vnOTIro aE (So 7 rys s:) ! CANOPY TREES TO BE APPROVED BY dd I CONSERVATION AGENT / UIY REP LED(SAME •} r1 FM NSADiWE T) EXISTING SITED AN. AucwAY TO REMAIN _.: AIL SIDE YMD S ATS _ E%IrnNG I WALNWAY P'F'•`'Ha`).'/ ( �y' % N' 91 rN o ro r£RERA® 2• �, �?�� X w ¢g h / PROPOSED MITIGATION 1-701 9 / IS WDE.96 LONG—si) M.W.-G.. MEAN Na M. MGV029 A PDX. / AVa Ads VWv]®.. - �zc:a-- �W, � { —AT- PROPOSED SEDIMENT LOGS OR APPROVED EROSION /'�' / \ )1 n'P^ pEFiN) I_,_ NAWYWIEO m NNFD3'W'E ) CONIN0.NEAWIRE BVW/�(� '.-.�I` R POR po 1 il'J� c: ZONING DISTRICT: RAS AD X NOd MIRE RWLRRG�ALDNG'1W) AIL.' / / f" 6 gTNG (PER TOYN O BARNSTeaX ZONING BYDWS AS NEWER ON E-COBE) f Bvw m BE RN� evwp 3Ai es n PROPOSED r I 1 TSB NUKI wALl REQUIRED IDLO O PROPOSED TO ALLOW FOR ® }.g[pp 1{1.A I 9. AND STEP m BE y.NUM LOT SIZE 43,560 SF ia9.7]0 W iA9,7W W MmUFE PASSAC£ / EM t,,.(A 1 ' RE.—CE II �i (... �O A11_RERACED MTN NUN FRONTAGE 2 0' aT N' .T]C ,J'A�T?➢'','y WmNE RETNNWG N2097W E I (TYP) rvG •f 911 1� C ,UL(yNE YXMUN LOT MDTI1 IZS 1688 16A0' [� FOBTPRINT) GE) 19&A (WTTAGE) 8.00' V BV,w �FASS CO GE T>p n �) MINIMUM YARDS: A4 _0 G P L ZB.O' ) I'EJF REARFRONT O 199.W(('(GOTTAESOENCE) r(RESIDENCE) I "L7' COTTAGE) C >_ 314 i)4 . CAR �j, . i� I SIDE 10 ( ) u.(RESDEN LI ' Bvw AD 1 'ss f I - Ik^ MAXIMUM BFRDING HEIGNT sd arc ��� cw GNA. I. a _ iAao Aac i eEn-�..� - • Sr A� B�D AJA. B_Re / �. .�e ) P EI, ...." ;�,�' " EIIIaENuo cEo m eullnuw sETDAER ro nEnallo ]s' ]w AG.n' a sw*. BUILDING SETBAGN TO GREAT PONDS••SO ]9.8' a0.o' Op 70H £ OB UTION Y�..' _ : R (.:P) PR_._a 9TR MOB P OF \ RYWTINGs 1m• STAI e/I/O D R N TITION NGS&ONG •SECTION 2 -7(-)(iF ALLON CSTINCTIOL MTH THE E%O Of'ELEVA PTIONS TED RWAYS. / TEl-(iW) BOTTOM OF RETNNWG WALL OEOiSA DBIVEWAYS, lVCES AW WA1FA DEPENDENT STRUCTURES RICH AS RERs AND \ j �� `^_' �•- /OE 1 CAI ��- (z45 SF3 mTN.) POLITIES SNAIL 9E SET BACK A MINIMUM OP]s FEET. L C GS - ^SECTION 240-7(G)(2}AL1 CDNSIRUCnON SIFT BE SET BACK A Y NIMOZ IF 50'FROM CB/ON/FNp� -OC_YOVOVS •_w (N0 9Sail NN TER ON ANY GREAT POND EX THAT IN aE40E1TIK OSTHICTS,ALL TP[E�M.) GS E%CEPT WAn1WSE5 SHALL BE SET BACK A MINMUM OF 50 FEET FROM MEAN --NO LAN. LNG FIernNG BRCK WATER ON ANY GREAT POND. AXIMUM LOT COVERAGE 2. 12.0E BHF VVM1A Yy.6W t 9 u < / YARD m NC DAMAGED -WAY m ENTRANCE TO (BY STRUCTUREs)m BY CONSTRUCTION TO RE=W REST OF EBAR/CM/TNO s a a BE REPLACED(TYP) NNWAY m REMAIN ROOK AREA RATIO••• 0.]0 .12 OI8 1fiE� _ \ .�. 0F�'E Ni / AND/di BE REDUCED \ ,b ':. IN EMSGNG FWTPITIM •••CALLTRATE I BASED UPON U 0 LOT AREA �RN 33 EIOD TREE m BE REMMKO D REPLACED TREES 25'MINIMUM AAA=OER CANOPY 1RE6 TO BE vm BY casERvnnDN GENERAL NOTES: e AmT l� a. lcpa � 1. RECORD OMVEa(S): JN a MY T LOMBARDO TREE TO BE REMOVED. WON AN 0.10w BROOK ROAD �E IEw 2-," MU.CALIPER pEEDS BOO(�28a1 PAGE E WZ9ag 6 cNRow DES.TO BE W UM THE TY IS }PH/FNDAIVE 2 THE PROPER SIEOYM AS LOT Y ON TALE TOWI OF BAPN BUFFER._GN STABE W ASSESSORS MM 216 ��O 2 RtWO5E0.GRAVEL PAAgHG AREA(SUS.4 SPECIES T.BE APPROVED BY 1 THE PROPERTY UNES,SHOWN HEREON,ARE BASED UPON PANS AND DEEDS ON W—AND A REID EXSTNG WVASrvE BRIMS AND VINES TO BE CONSERVATION AGENT, O-SO'WETLAND BUFFER SURVEY BY ATLANTIC DESIGN FNl1.1E1]T5.INC.IN FEBRUARY OF 2017. PEEnaO EXISTING E uiouTm%�wonw o� COVERAGE AREA SUMMARY • INC. IN Enrnac�dRUARv OFF 2001i7H ND rs vl�OPTED BYDWFORIF-CM FROM�MRTHE MASSSAW��T15 �'N• CASTING PROPOSED NET GEOGRAPHIC INFORMATION SYSTEM THE TOWN OF BARNSTABL£GEOGRMHIC INFORMATION SYSTEM AND ORMATO!OBTAINED FROM PUBLIC RECORDS. HARDSCAPE 5.—SF3• S3B5 SF3 +299 SF3 S THE PRORRTY UES MTHW THE RD- 1 UNOSTURBm AREA 2700 6T3 27W SFi 0 9"i OARNSTABE ZONING MM. 1 ZONING DISTRICT BASED UPON A RENEW OF THE TOWN OF C8/DH/FN0 BDON 2925 SI"3 2826 SFi O SF3 a THE P 111 LIES 10-11 THE RESDURCE P ITEITION OV ——CT AND NE AQUIFER PROTECTION MITIGATION PLANTING DISTURBED W__ t0.325 gi t0.0]D SF3 -395 SFi OVERLAY DISTRICT BASED UPON A REVIEW OF THE TOMI O.9ARNSTABE ZONING MAP. 0-SO BUFFER-A:1 MIRGATW REWIRED AREA(CR S/LANDSLMINC) THE PROPERTY UES MOSTLY MTHIN ZONE X AN AREA OETERNINED m BE OUTSIDE OF THE D=ANNUAL RMCAKY w PARA'fR A.z9S S=I,I W SF MInUTION REWIMED 3t,tp SFS 21 tZ0 43 N/A T CHAR R 11.AND PARTIALLY MTHW ZONE X(SHAGED).AN AREA DETERMINED m BE MTHIN TALE O..ANNUAL...ROW BASED UPON A RENEW OF THE FEDERAL.EMERGENCY YANAGEAENT AGENCY YMP 17 Z0T l36 mTAL (FEMA)ROW INSURANCE RATE MAR(FIRM)NUMBER 2s001COs614 EFFECTIVE DATE JULY 18.=A. 5 I W BUTTER-k1 NTIGAnON REWRED •AREA ODES NDT WCLUDE EGrnMO oECK m BE RENOVED 3.515 Si-I,—SF MInUTION RECURED B. THE PRORATY DOES NOT LE MTNIX A ZONE F WELLHEAD PROTECTION AREA BASED UPON A RENEW OF TOTAL REDUNED wITIDnOM.11BO+1.s -2725 s 50-100'WETLAND BUFFER THE YAssAOa5Ei15 GEGGRAPNL.—AD.mTEM. TOTAL.YTTGATON PRONUED-2866 Si COVERAGE AREA SUMMARY 9. THE PROPERTY UES PMTIALLY MTNIM A PBORTY HABITAT OF RARE SPECIES BASED UPON A RENEW OF ME NATURAL HERITAGE AND ENDANGERED S EDES PROGRAM MANS OBSERVED ON THE MASSACHUSETS EASTING PROPOSED NET cEDGRAPNIC INFORMATION SYSTEM,AS SHORN HERECN MITIGATION PLANTING NOTE: HARDscME xOW si zOIS si +ss sFi $0.THE PROPERTY DOES NOT UE MTNN AN ESTIMATED HABITAT OF Ft a MIDUFE BASED UPON A IEVIEW OF TIGAnON RANnNGs SHALL BEWFROM THE TOWN O BARN TABLE E NATURAL HERITAGE AND ENDANGERED SPECIES PROGRAM MAPS OBSERVED ON 111E MASSAONUSETTS ROOF DRAINAGE NOTE: WnsERYATION GXMulssox APP vcD THE TOMW OF FOR UNDISTURBED All o 33 o sFi o si THE .—AT.SYSTEM, ALL ROOF URNNS MUST DI�IARGE m A GRAVEL FRESHWATER BUFFER ZONES.REFER TO uTEST APPROVED BEACH 0,33 0 S3 o SF3 11.THE PROPERTY DOES NOT UE MTNN AN AREA OF GETILAL.EN-CM.ENTAI,CONCERN(AMC)BASED UPON OUP TREMON Or m A PNaPERLY 93D dmnL PANTING PUN BY POMOEnOSA lANOSCMWG VEEETATED A,7Ls si SF. -s1s si RENEW OF O•THE MAS AGNU E GEOGRAPHICSYSTEM.INFORMATION SYST . dsTURem A,zfiD AIEA(--AANOSCAPWG) 12 tG 8)DAIS SIiim NE EOM RREEWBAm UPON IIE/,TGRLA'A MMCAN a ATUNI OF Fll19118(NARY 6 ).795 W1 7,795 SF3 NIA D�.ID„m ey: SCALE APPLICANT: PROPOSED SITE PLAN S11e°t'OfTI R I a �'C® 2 PGB 11-9-17 NEVI9E ZORWG CHART JOHN AND MARY LOMBARDO FG 1 1 DESIGN ENGINEERS, INC. LX ^ey: scALE 1 =zo' 2 FED 7 17 ADDRESS C LOMM c X s 81 WILLOW RUN DRIVE 27 HOLLOW BROOK ROAD qq NUMBER s,.,Ny ERN.by:_ �--�-y 1 PGa 5-�17 ADDRESS car+LDMY WUMmTs BARNSTABLE,PRIL 26, 201 HUSETTS 29 N3.00 1051. Sandwich, MA 02563 508 888-9282 rr--1�-1 DATE WINDSOR, CT 06095-1206 gpRIL 26 2017 N0. BY DATE REv1510N ACCESS COVER MUST BE TO FINISH GRADE r y�v-a WATERTIGHT RISERS MUST BE WITHIN 7 �'� ` P� TEE A. 6" OF FINISH GRAD Iz"CONCRETE f 0"fi;�\A. - SLAB OVER TANK Jf4` CIVIL `=... �1:0.3` . 39.I S 4oe J ,r 4- 2" SCH 40 PVC -7-- EXISTING i O.25 SAS 30.5 EFFcf/ENT 30 EXISTING i I FJLTE — D-BOX ZZ 1500 GAL H-20 1000 GAL H-20 PUMP S YS TEM NO TES: SEPTIC TANK PUMP CHAMBER WATERTIGHT AND WATERTIGHT AND I. PUMP TO BE MYERS RESIDENTIAL SEWAGE PUMP MODEL WHR 5-11C FACTORY WATERPROOFED FACTORY WATERPROOFED OR EQUAL. 6" CRUSHED STONE OR 2. THE PUMP SHALL START AND STOP AT THE ELEVATIONS SHOWN. COMPACTED BASE J. THE PUMP SHALL BE INSTALLED IN STRICT CONFORMANCE WITH PROF I L E: NOT TO SCALE THE MANUFACTURER'S SPECIFICATIONS AND TITLE V REGULATIONS. PUMP DISCHARGE SHALL BE 2 INCHES. PUMP SHOULD BE ABLE TO BE DISCONNECTED AND LIFTED OUT OF THE PUMP CHAMBER WITHOUT HAVING TO ENTER THE PUMP CHAMBER. BOUYANCY CALCULATIONS : �i 4. THE ALARM SHALL START AT THE ELEVATION SHOWN AND BE GROUNDWATER ELEVATION - 32.1 POWERED BY A CIRCUIT SEPARATE FROM THE PUMP POWER. SEPTIC TANK: DISPLACEMENT - (32.1-25.75) x 11.0 x 6.17 - 431 C.F. } 431 C.F. x 62.4 #/C.F. - 26894#, H-20 TANK - 21230# SLAB - 9240#. TOTAL - 30470# OK PUMP CHAMBER: DISPLACEMENT - (32.1-25.4) x 9.0 x 5.25 - 317 C.F. 317 C.F. x 62.4 #/C.F. - 19781#. H-20 TANK - 145000 SLAB 6150#. TOTAL - 20650# OK -2w uw-" SEPTIC S YS TEM REPAIR B/ WILLOW RUN DRIVE. MAP 210. PARCEL 56 4" PVC INLET covPCJNG 2"WEEP PVC OUTLET TER I V L,L.E A/a) 8 ARJVS r A464L E fCEN MERCURY FLOAT HOLE SWITCHES CHECK PREPARED FOR ALARM ON Vi1i.V£ JOANNE JACOBS PUMP ON ....... ... 6" Aw PUMP SCALE: NONE SEP TEMBER 27• 2011 PUMP OFF ... EAGLE SUFRVEl' I NC I NC 923 Routs 6A Yarmouthport MA. 02675 (508) 362-8132 PUMP DE TA I L NOT TO SCALE \t/ (506) 432-3333 USING 1000 GAL. PUMP CHAMBER WATERTIGHT AND WATERPROOF JOB NO.11-1 16 7 y•► Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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, 8� use only the tab 1. Inspector: (7/� key to move your cursor-do not Michael T Bisienere key the return Name of Inspector Y Cape Septic Inspections Q Company Name 624 Old Barnstable Road Company Address Mashpee Ma. 02649 Cityrrown State Zip Code 508-280-3356 S13938 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 05/26/2014 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 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. LDC9 t5ins•3/13 Title 5 Official Inspect V.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 M •'' 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. 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 0 Commonwealth of Massachusetts M . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required uired for every Centerville Ma. 02632 05/21/2014 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-3113 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 ,.•�'v 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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 1/day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,•�� 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): >440 t5ins•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 M 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 page. CitylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available(last 2 years usage (gpd)): Detail 2013 167,000 gallons used 2012 73,000 gallons used Sump pump? ® Yes ❑ No Last date of occupancy: occupied 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 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is Centerville re uiredforevery Ma. 02632 05/21/2014 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 w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments `* ,• 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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: Septic tank and the pump chamber were installed on 02/06/2012 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18"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.): There are two sewer pipes. Septic Tank(locate on site plan): Depth below grade: 12"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: Standard 1500 Gallon Septic Tank " Sludge depth: < 1 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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 39" 1 " Scum thickness < Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? field instruments Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The septic tank has two steel covers bolted down on to the septic tank The covers are at grade. 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 u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '- 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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 tins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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 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.): 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.): The 1000 gallon pump chamber has steel covers to grade that are bolted down * 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments •''� 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: one apx. 60 feet ❑ 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.): The leaching trench is a mounded system. I viewed the p.v.c with a camera. 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 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,•'' 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 page. Cityrrown 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 a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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 8,)41.4 1,11) e- t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Assessing As-Built Cards Page 1 of 2 TOWN OF BBARNSTABLE �^ LOCATION 1 Willow rUA V r, SEWAGE M /+�/t VILLAGE_ CUIJ�� ASSESSOR'S MAP&LOTaIL 0 f6 INSTALLER'S NAME&PHONE NO.SEPTIC TANK CAPACITY Af Vt T 4 //��k - PVM LEACHING FACRM:(type) rieI J (size) NO.OF BEDROOMS—J _ —� BUILDER OR OWNER 444 . ACA-S PERMrrDATE: 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 leactyag faciliS))+ Feet Furnished by Ey w+ •+ A d 13t 30 1�evst. a 3s 311 A 3ya34 t $. a O 3 O C �D y i C D Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 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: 6 2" plus 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: I augured a hole at a lower elevation and shot it with a transit. 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 M 81 Willow Run Drive Property Address Joanne Jacobs Owner Owner's Name information is required for every Centerville Ma. 02632 05/21/2014 page. Citylrown 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 NX P e�:T t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Assessing As-Built Cards Page l of 1 TOWN OF BARNSTABLE LOCATION S] Willow j'U,^ �j. SEWAGE# VILLAGE CL► t., Vj It L ASSESSOR'S MAP&LOT 6 INSTALLER'S NAME&PHONE NO. n SEPTIC TANK CAPACITY Arm 'Tnn� a.- LEACHING FAciLrrY:(type) /OX b0' t' i'ia/ (size) NO.OF BEDROOMS— BUILDER OR OWNER 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 leacling facility) _ Feet Furnished by�u rn 0 A a ! 3 t 30 . a 38 3y 1�avl� A a O 3 O Ctrr4% �D C 4 y C b http://town.bamstable.ma.us/Assessing/HMdisplay.asp?mappar=210056&seq=1 9/16/2011 Town of Barnstable Geographic Information System September 23,2011 /j•' ' g ` Lake Wequaquet All, t �t X 33.75 � 3 S"11b Lily Pond 1 I " 6 X 32.4w t a c�� 0 14 Feet DISCLAIMERS:This ma is for planning Ma 210 Parcel:056 ♦"-+p p g purposes only. It Is not adequate for legal F - boundary determination or regulatory interpretation. Enlargements beyond scale of Selected Parcel Owner:JACOBS IRWIN 8, Total Assessed Value:$898500 1'=100'may not meet established map accuracy standards. The parcel liness ,on this map ." are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner:HADDAD-JACOBS,JOANNE B Acreage:0.90 acres Abutters " } E boundaries and do not represent accurate relationships to physical features on the map Location:81 WILLOW RUN DRIVE such as building locations. Buffer No. to 1 I 335 �r���'�u�! ram^ fk, 1 -�-dtiP z � /1d� o K � Cv-kv c Fee THE COMMONWEALTH OF MAS A HUS s Ptr ,'^. Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Z(pplitaltton for Ziopool bpotem Conotructton Vermtt Application for a Permit to Construct( )Repair(j�)Upgrade( )Abandon( ) ❑Complete System lK Individual Components Location Address or Lot No. I �9� C U+ �//t,� �� Owner's Name,Address and Tel.No. 3-6-cc,b S Assessor's Map/Parcel I O t + �.3t?�. b C `t l'e C&A+er V i 1\4- Installer's Name,Address,and Tel.No. ��-� $,©VP PCo, Designer's Name,Address and Tel.No. 24 &re0-+Va6 -ems. 15afte Z- 132 HcwwlC,kAAOL-. Sag- 432 o 3o ra Type of Building: Dwelling No.of Bedrooms Lot Size 3q. Zoy 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 9-Z 7-11 Number of sheets Z Revision Date Title <c "il C S ` n__ Size of Septic Tank FSW Ct&(- Type of S.A.S. 4='�(.l S'n L>Cv i b X('0 1000 tt,r4. pv-&4 a �- Description of Soil Nature of Repairs or Alterations(Answer when applicable) (2IA& e- 4 Ve-t le 7a 5°P9'%r- -SAnl; cL,-c1 1-eV0gKd DYE"►A C ka•-,,ber+ reel ade pv—P_ /`'lQ;r.-+r4�n al�� .��e. 1 d Ga-�rfl�•.5 ar,d e le�+,b►�5 T1�a� e�ts�. 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 of the nvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss . b s d o Signed Date Application Approved by 4A Date Application Disapproved for the f lowing reasons Permit No. 11 - 3 31- Date Issued /0 i+ -a c/ / No. ..0[> I 3 r VIP ` A^U) V!t^^ -2/b 9 0 (0- t Fee THE COMMONWEALTH OF MASSA HUSETTS pr T,^ Entered in computer: ' Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for 30topool *pgtem Conotruction Permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System [Individual Components Location Address or Lot No. 8 1 wi I W �� r l y e! Owner's Name,Address and Tel.No. ©Qrh -Xmco b s Assessor's Map/Parcel 'O 1�' / 5e C Ile C49 .+erVi%ve I AA4. Installer's Name,Address,and Tel.No. RO ba+r S.0VP(V. Designer's Name,Address and Tel.No. 74 G rec0-u 46+ern �P J E�Q to Serve n Sv 8-3(-Z- F 132 �C-r'W►cb. /�. 5-,OF- 432- OS30 y Type of Building: Dwelling No.of Bedrooms L4 Lot Size 39,Zoy sq.ft. Garbage Grinder(._ ):- Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures " Design Flow *+0 C-P'D gallons per day. Calculated daily flow gallons. Plan Date 1-2'7-I 1 Number of sheets Z- Revision Date Title sey'n c S'r'%-T"&- "2r-R 't n..- Size of.Septic Tank i S00 4 A'L- Type of S.A.S. STY 04 to X 60 Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1.,5,9010_t • 5_pPr�c TAnI~ ck.wA I101po!�&t j2vA4r)cl,a• bete replace pv--P /�Q�n-hr�.t�n 7HP �a�e idcQ+��ns and eleva�hy" TWL-r e rsr, 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 S of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is, v b is YodOd'of Hal � . E` Signed Date Application Approved by ` GlrR f Date Application Disapproved for the fo lowing reasons Permit No. 2 0 11 - 3 3S- Date Issued 10 -1 t _a o l /' IVouj P C - S'T THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Comphauce .THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired' ( )'Upgraded( ) Abandoned( )by x at l fiv ��`�o w 2�� { c',,. '�1 P has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. e 1 f 3 dated /0- //- // Installer Designer n The issuance of t f's permit shall not be construed as a guarantee that the system wiill function M.11designe Date 6 7- Inspector f�1. b[ No. V 3 3s THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ,i Miopaal *pgtem Conotructiou Permit Permission is hereby granted to Construct( )Repair( ()Upgrade( )Abandon( ) System located at Ri W, 1 1u r i and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of is p t.1 Date: 1 - I/ Approved by j1h �. P a v .{ A=ss coo amr eE - = TO FINf*H GRAM staTEvr)WT RrsM ssrsr BE WI MIN STEPriG; in`... .'- d' 0!F'fIwISII rs-srair[ t +` 1161 AYR . .�� ?�o.3a�L•t � , Jo.IS ...�." - PIK aISTI/AS $A$ r F��f FrIfISTIIO& - ISM GAL M-JO IOOO VAL M-20 PUMP S YS TEAT NO TES- WrIC TAW Par cmfAwFA DITERTI6MT MID M?nri&fT AN r. PW TO BE VMS RESIWNTIAL SENOW PW WOEL NO 3-IIC FACTOR!' NTERPROOFED FACTORY NArEFPROWED OMI EAW. a- Must" sr4w OR 2. TIE PUW S7MLL START AMP STW AT TIE ELEYATI4W SIA7rlM. COIPACrEO BASE 3, TIE PMW SorMLt W INSTALLED IN STRICT 4.1dIFORW= WIFN PROF 1 L E:HOT TO SCALE TTE WIMLFACTMER'S SPE'CIFICATIOW AND rI TLE Y RE8KATIOW. P" O I soM W SWU SE 2 MEMO- PrAYP 810" BE AKE TO BE 01SC1dI WCTED AND LIFTED OUT Of TIE Mr G AABIEB MTMUT AAYIiYl6 ro Emm TIE P&W Mum. BOUYANCY CAL CUL A T 1 ONS: 4. TW ALARM OWL SLANT AT w aimrrow avow AID BE VAOIMDUM EIFYATION - 32.1 PONM ED BY A CIRCwT SEPARATE FRQV TIE PW POM. SE'PTM TAW 9ISPLICEiE]Ilr - (32.I-25.75) r I I.O r O.r7 - 4JI C.F. 431 C.F. r 02.4 •1C.f. - 2SM41P. 0-24 TAw - :r2d0+ SLAB - V~. TOTAL - J0470P OR' PIW OUNA R: DISPLACEIENT - I32.1-25-4) r 9.0 r 5.2S - JI7 C.F. J I7 C.F. x a2.4 •/C.F. - I976 0. M-YO rAW - I/SOO# JJ SLAB • 615Or. TOTAL • 20650f OTC i SE'P T I C S YS TEM REPA f R At WILLOWY RUN DRIVE. "4P ?IO- PARCEL SO S.aR/VS TA�G�. 4- PYiC IArET Q06RI12- PVC OUTLETICEAITERVILLEI A" a� NOK) r FLOAT mmi PREPARED FpR ALAAIII ON .....yiR� JOA NNE .JA CO B S rrAr tea- P8r SCALE= NONE SEPTEMSER 27. 20I I - Y23 Rout• 6A Yormauthport. MA. 02670 PUMP DE Tip!L :mT m vmE aa� ssw—. az (Aro�� +as-�aas r i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 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 A. General Information forms on the I computer, use 1. Inspector: only the tab key - B to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name r� P.O.Box 763 Company Address Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 S14454 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 ❑ .Ne Fu rther Ev uation by the Local Approving Authority 5/25/2010 e Ins or's Signatur Date d TKe 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:aAesign 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•09/08 Title 5 Official Inspection Form:Subsurface Sawa Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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: The septic system is in proper working order at the present time. 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 l i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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•09/08 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 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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 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 Y2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every page. City/Town 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): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins-09/08 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 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a grinder? ❑ Yes ® No garbage Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2009:62,000 g ( y g (gp ))� 2009:62,000 Detail: 2008:241 gpd 2009:167gpd Sump pump? ® Yes ❑ No Last date of occupancy: 5/25/2010 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•09/08 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 ,M 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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: 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•09/08 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 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10'+feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of leakage.System vented through the house vents. Septic Tank (locate on site plan): Depth below grade: 2' 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 Sludge depth: 4" t5ins•09108 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 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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° Scum thickness 1" 7" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. Grease Trap (locate on site plan): Depth below grader 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 L Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM , 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 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 No 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.): Box is Ievel.Box has two outlet laterals.no evidence of solids carryover.No evidence of leakage. 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.): 1000 gallon pump chamber appears structurally sound.No evidence of leakage.Pump,floats and alarm in proper working order. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of W Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 10'x60' ❑ 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.): Sandy dry soil.No signs of hydraulic failure.Stone appeared dry at time of inspection. 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-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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•09/08 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 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's.Name information is required for Centerville Ma. 02632 5/25/2010 every 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 A t3 1 3t 30 �OVI� a 3S 31 A 3 Ya a O 3 O Co�fiaye: C y t5ins-09/08 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 wM 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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: Bottom of leaching 5' 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: As-Built ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 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 �M 81 Willow Run Dr. Property Address Joanne Jacobs Owner Owner's Name information is required for Centerville Ma. 02632 5/25/2010 every 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 it Town of Barnstable Geographic Information System 3�. September 28, 2011 . t , Lake Wequagttet #^ , x" _1 f. • +fig'::+ .�"' a{ . `� X 32.4 :" +; Lily Pond In , ter -Y �q`� A 0 q4' Kl' y. 1 I i�. Y e S tv ky DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:210 Parcel:056 I` boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:JACOBS,IRWIN& Total Assessed Value:$898500 --- are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:HADDAD-JACOBS,JOANNE B Acreage:0.90 acres Abutters �r1 E boundaries and do not represent accurate relationships to physical features on the map Location:81 WILLOW RUN DRIVE such as building locations. Buffer S Aerial Photos Taken April 19,2008 i fD COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION RECE-IVED bCL; 2 2003 Tt:v,„ ,_,F BARNSTABLE TITLE 5 HEALTH DEPT. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 81 Willow Run Drive MAP Centerville, MA 02632 TJ '' Owner's Name: Joanne Jacobs PARCcL, _ R Owner's Address: LOT Date of Inspection: November 6, 2003 Name of Inspector: (Please Print) James M Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs F rther Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: November 10, 2003 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. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 i Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 81 Willow Run Drive Centerville, AM Owner: Joanne Jacobs Date of Inspection: November 6, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15,303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined", please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 81 Willow Run Drive Centerville, MA Owner: Joanne Jacobs Date of Inspection: November 6, 2003 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 81 Willow Run Drive Centerville, MA Owner: Joanne Jacobs Date of Inspection: November 6, 2003 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or,obstructed pipe(s). Number of times pumped ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA)or a mapped Zone II of a public water supply well If you have answered`yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 81 Willow Run Drive Centerville, MA Owner: Joanne Jacobs Date of Inspection: November 6, 2003 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: Yes No ✓ Existing information. For example, a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. i 5 1 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 81 Willow Run Drive Centerville, MA Owner: Joanne Jacobs Date of Inspection: November 6, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system (yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No basement Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:__Pumped in 2002-per owner Was system pumped as part of the inspection (yes or no): No If yes, volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank, distribution box, soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: Approx. 1985-per owner Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 81 Willow Run Drive Centerville, AM Owner: Joanne Jacobs Date of Inspection: November 6, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 2' Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. (H-20) Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: I" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage The inlet cover was 3"below grade. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 4 Page 8 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 81 Willow Run Drive Centerville, MA Owner: Joanne Jacobs Date of Inspection: November 6, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was level. No solids were present. There did not appear to be any signs of backup from the leach field The cover was to grade. PUMP CHAMBER: ✓ (locate on site plan) Pumps in working order(yes or no): Yes Alarms in working order(yes or no) Yes Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 1 cycled the pumps through. The pumps appeared to be working fine 8 • Page 9 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 81 Willow Run Drive Centerville, MA Owner: Joanne Jacobs Date of Inspection: November 6, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: ✓ leaching fields,number,dimensions: 10'x 60'(per design plans) 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.): The leach field was in a mounded system. There did not appear to be any signs of failure. The bottom of the leach field was approximately 4'above a nearby pond(per the design plans). CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth -top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 9 Page 10 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 81 Willow Run Drive Centerville, MA Owner: Joanne Jacobs Date of Inspection: November 6, 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 1 13i 30 ' I �'I OVIL a 39 3y A4 3 e aA ' a- a O 3 C07r4% C �D y C � 10 Page 1 I of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 81 Willow Run Drive Centerville, MA Owner: Joanne Jacobs Date of Inspection: November 6, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate (check) all methods used to determine the high ground water elevation: ✓ Obtained from system design plans on record - If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers (attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: According to the design plans, the bottom of the leach field is approximately 4.5'above a nearby pond. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection andlor this report. 11 TOWN OF BARNSTABLE LOCATION W r 1 t 0W T Ud1 V(. SEWAGE # "'ILLAGE C�a arJ t ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY sot T44k — 91V LEACHING FACILITY: (type) l a X to (size) NO. OF BEDROOMS_ -� _ BUILDER OR OWNER -JAGD�S' PERMIT DATE: 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 facili ) I Feet Furnished by A 3t 30 a 38 a O C • `D y C � 3261 Main Street 1��i �� Route 6A Barnstable Village MA'. 02630 June 12, 1986 Barnstable Conservation Commission Town Hall. 367 Main Street 617 362 8133 , Hyannis, MA 02601 Re: 81 Willow Run Drive Centerville, MA 03-1497.01 Members of The Commission: On behalf of our client, Irwin Jacobs, we hereby request a Certficate of Compliance be issued for the work allowed under your file SE 3999, dated October 24, 1983. For the. Commission's reference, I have attached copies of previous correspondance regarding this project. If you have any questions or comments, please do not hesitate to contact me. Very truly yours, BSC/CAPE COD SURVEY CONSULTANTS —"Stephen A. Wilson, PE engine_: s Project Manager Durye'' 's cc: I . Jacobs / Scientists Board of Health w/attachments a�t cs SAW/MG 2 s aw2 5 BamstahPo Pianne1s ® T 2 l9 Cape Cod Survey Consultants Inv-_-- -_ 4_+3dR • 3261 Main Street • Route 6A Barnstable V::iaae MA 02630 April 19, 1986 : x. Barnstable Board of Health Town Hall 367 Main Street Hyannis, Massachusetts 02601 E 617 362 8133 Re: Septic System Repair 81 Willow Run Drive Wequaket Lake, Centerville - 3 .1497 .01 Members of the Board: This letter is to inform you that the septic- system repair at the above referenced location has been constructed in substantial compliance with the plan. One minor change is that the exact locations of the pump chamber and septic tank shifted slightly. This was because of limited access and operating room for excavation equipment. If there are any questions or comments, please do not hesitate to contact this office. Very truly yours, BSC/CAPE COD SURVEY CONSULTANTS Stephen A. Wilson, P.E . _ Project Manager APR 2 2 1986 Eng.neers cc: Conservation Commission (SE 3-999) Survevors E • Jacobs Scientists 23awl3 Architects owmawlo Landscape Arcnitects Planners _ AAAI/ � ' Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 February 131 Barnstable Conservation Commission 367 Main Street Hyannis, MA 02601 RE: Septic System Repair for Irwin Jacobs 81 Willow Run DEQE File No. SE 3-499 (Job No. 03-1497 . 00) Dear Commissioners: For your records, please find enclosed one set of prints of the proposed septic system repair and a copy of the variances granted by the Board of . Health for the above captioned site. In accordance with your letter of February 1, 1985, to the Board of Health, we understand that, no further filings will be necessary, that the attached revised plans will become the plan of record for the project, and that the provisions of the existing Order of Conditions will have to be adhered to. If you have any further questions or comments, please do not hesitate to contact me. Very truly yours, CAPE COD SURVEY CONSULTANTS Stephen A. Wilson, P .E. encl: The BSC Group of Companies Planning Surveying Design Enaineering TWE Tab BAXISTAJM et 0 2- 367 MAIN STREET HYANNIS, MASSACHUSETTS 02601 February 1, 1985 Mr. John Kelly, Director Board of Health _. 367 Main St. ' Hyannis, MA 02601 Dear Mr. Kelly: The Conservation Commission reviewed the "Proposed Repair, Sewage Disposal System Design, Lots 1 and 2A, Barnstable (Centerville) , Mass. ," for Irwin Jacobs, by BSC Cape Cod Survey Consultants, dated January 8, 1985, at our January 29 meeting. The Commission voted to accept this plan under the existing Order of Conditions for SE 3-999, provided that the Conditions contained in that Order are strictly adhered to. r Sincerely yours, Gi lher _dew°con c �n Co" Survey Consultants .d' s - i i .rn` s.3{!; <. ^ €aK r s{�" '�,r-• ,d✓Y "! J n •,I _ r S r -�a. rY r roc zM r>o`` DEQE File No. SE 3-999 o, (To be provided by DEQE) Commonwealth ._ r• �,}+t:.",-'.a}�{ a�*r±q nYk',*Y>�`��fas t"`R'3 z 3. eis_l�.S°0 1659 �� .�#s�l;,.."�s�r i ,C�rtY.,yh�/Tow a Barnstable 3arnts+t abl eof Massachusetts x#aYl IRWINYApplicant J�A�} M r/.'� p. y x x. '-• rrr;'. r< � • w3�#'i t *# d t. .'2�i„c € ( vi " »�a jLIV fi ♦.,. '�'�3a,1•gS'�' r_ s �y �`;`'r k '�k ' ''r �. ,."fix 1 V rderof C S !� 4 .,a °.D r _ "�s33'` ' Oondltion� n�.r £r.c ^� "•- -` Lwul -4 ''., -? tJ�°° �S MASSACHUSETTS 'WETLANDS PROTECTION f �' rum -.<+r is ♦♦' Ma c.t.. <■/� --..�I 7 S/[.„ 1 ^ � �Nf� �.� ����J 4 �Fy4` �N* '..���� g�F'Y�l-:. !`-s;� � Y T 9� V-"- W�i�I, H 'iV � S�•¢¢��� � Y 'Y.��� e+ • S t _ry ^ .F�xK✓.r•(.- k S:i K� .w-��,� XKt�r�+�i�Yi• �st�t�'�.+ c��firM,,xFf�.•€{w•�A;r .,��'`.'-^c'c,`l.� ' ?� rt '� � mp`�d!Z�'��'a�� ,y.',�tS�k+C r�Gi'i`�i fi' i.`f a :;°:y'd`� ,r��"i.." ,. ,•Y...•..,;'�f, '2_'r`4:��':.t.l w h,.,::. '9hr ti�fii'3.a r"rz �..c._:. t :Si�:f-� .,,;E�.� .-3 t e r.�Ar-.�� i�t�S�:.y��;t.��cS s_� � � g`. -TOWN�OF BARNSTABLE �VETLANDS PROTECTION BY LAW, (tfi?$,r�r�acle'XX'VII A�� • �;;r.'' FROM: BARNSTABLE CONSERVATION COMMISSION To Irwin Jacobs , (Name of Applicant) (Name of property owner) Address 81 Willow Run Drive Address Centerville, Ma. 02632 This Order is issued and delivered as follows: — ❑ by hand delivery to applicant or representative on (date) VbY certified mail, return receipt requested on (date) This proiect is located at 81 Willow Run Drive, Centerville, Ma. Barnstable Assessor's Map T 210 Lot 56 The property is recorded at the Registry of Deeds in Barnstable Book 1375 Page 610 Certificate (if registered) Notice of Intent dated Sept. 12, 1983 Date of. Fin,) L?carr;ng n-t- a 1983 Th s Orde: is issued on October 25, 1983 Findings The Barnstable Conservation Commission has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the Barnstable Conservation Com-mission at this time, the Barnstable Conservation Commission has determined that the area on which the proposed work is to be dome is significant to the fQllow•ing interests-in accordance with the Presumptions of Significance set forth in the regulations for each Area.Subject to Prd&tion under the Act (check as:appropriate): ARTICLE 27 ONLY ❑ Public water supply " , ❑ torm damage prevention P/Erosion Control ❑ Private water supply Prevention of pollution G Wildlife FlJ Ground water supply ❑ Land containing shellfish C Recretional, 0 Flood control R Fisheries 0 Aesthetic 5 'xrar a>q•t, fit" - *"1 ";9x ft�•,a„' sy &• c w r^ r cx fr 'zW�yj4 v S' 4 r. ''+ i �i 1F" }• y ,°F`.(f'i 7' yi3 f ''s a y x, t t L iS ,.YUh �'y i Tr, , } n . Therefore, the Barnstable Conservation Committee hereby finds that the following conditions are necessary, in accordarice-withthe Performance Standards set forth in the regulations, to protect those interests checked above. The Barnstable Conservation Committee orders that all work shall be performed in accordance with said conditions `.and with the Notice of Intent referenced above:To the extent'that-the following conditions modify or'differ from y: <the plans, specifications or other proposals submitted with the NoU4 of Intent, the conditions shall control _Z �'��.5"• .4<::{sY$ M.''. z,'.",.yid• ."c x Sa:� 'il C`- .. .'; O c +' ''4 -.> �q�.�,k• a ���: =F! Kr y+i�-`.. f"'F'ty .,+ts. .`GENERA.L CONDITIONS x�a , P r#`I -aura a"a'gr.�r+.°ra .,r" I N ;3- rwtim_"`'"'S}' yi� .�°.t' °-"•'•,},�.r" 'N�.. ' .:'+s f '.. -yn",. ..:.. =�5.;•J .x. ,. -.t ,` r...: - v 5. - ,-c yeti .23; a `'k,` t� 1..R Failureto comply with eIl conditions stated herein,and with all related statutes and other regulatory measures, ` shall be deemed cause to revoke or'modify this Order ' _"Y, ----- � b' 1`• x . .. ... • ..,µ .-_ _:;a-..^ � :....ice d ;._`l; ,.•. -.st `�,� -5-ti �,..�e F�.r �..:'f 54.....bi�' j:;.� �� ��.��y� ct•r a��h+R�z s� 2. This Order does not ant an property rig hts}or an exc]usve rivi7e es it does not authorize an in ��r,r g` Y P PAY g Y P g Y )�' :. to private property or invasion of private rights 4 � 3 This Order does not relieve the permittee or any other person of m the necessity of cemolyg wrth all other . applicable federal, state or local statutes ordinances, by laws or"regulations` '� '"„ z L 9+ w L; F• ::� } t ,�. •r- r.' ;t. r r °,'?'.. '�''� „- €f v; f ?" �'i '�Sy'. . :. �'�;... .' :r - �:. r: ��:_`�. ...z`. c:�:" :;.,: s:�7 iE`..�.'" g _. �. •�. ,�, me ....:-{ ,y;_ .:w3� ,gin.?.'- 4. The work authorized hereunder shall be completed withinthree years from the date of this Order unless either -L of the following apply: (a) the work is a maintenance dredging project as provided for in the Act; or (b) the time for completion has been extended to a specified date more than three years, but less than five years,from the date of issuance and both that date and the special circumstances warranting the expended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or debris, including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,-pipe,tires,ashes,refrigerators, motor vehicles or parts of any of the foregoing. 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land. the Final Order shall also be noted on the Land Court Certificate of Tide of the owner of the land upon which the proposed work is to be done. The recording information shall be submitted to the Barnstaple Conservation Co=iss_ on the form at the end of this Order prior to commencement of the work- 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bear- -g the words, "IMassachusects Department of Environmental Quality Engineerng. Fa,e Number SE 3-999 10. Where the Department of Environmental Quality Engineering is requested to make a determination and to issue a Superseding Order. the Conservation Commission shall be a party to all agency proceedings and hear- inzs before the Department. 11. Immediately following completion, the project shall be certified to be as_per these conditions and plans, in writing, to the Barnstable Conservation Commission by the project Engineer Engineer- who shall be registered in the state of.Mass. 12. Upon certification by the project Engineer the applicant shall forthwith request. in writing, that a Cekifcate of Compliance be issued stating that the work has been satisfactorily completed. Prior to any work being done at the site, all legal adve-tising bills incurred by the petitioner in relation to the Wetlands Hearing held on this project shall be.2.aid. 14. This Order is issued under Article XXVII of the T&Wn of Barnstable By-Laws as well as under Mass. G.L. Ch. 131, sec 40. The Barnstable Conservation Commission or Conservation Officer shall be notified no more than two weeks nor less than two days prior to the commencement of work, and have the authority to issue an Enforcement Order if the terms or intent of this Order are not complied with 15. It is the applicant's responsibility to pro�;ide all contractors with a copy of this Order and to ensure that all workers are informed of the conditions of this Order before they begin work at the site. � i s 16. The work shall conform to the following plans and special conditions: PLANS Title 8f, z4 q Dated' �* Signed and Stampeo by' r `.On File with Y �5 i"x 'xl``''. `'+°! -�, ;,a�Fgr � .• s i���;��� ��,� � �'. p '�' s.�. ;„`��y".., r h Y.. � k v"' z h �x�`p-,. - �'... ''i Y x:- r'.r� a �.s�'ni � S �� y. .h. •, ``. �- �r+-. rt� s ,.LY x' � �-'a'kr0."`- * {, �N'.+.pn'f' =�.^vR-rre �:.. .�... ;;b,�i s. vq... Mt'� f. ># c '�-• � �,�,{> - F�.�.;?h �':�5�����{.e27!.;,F,.; 1. Site Plan & Topographic 8/17/83 i , Nicholas A 'Lanney,PE ' Barnstable `Conservation Comb Information; Irwin t:;aA{� w v x• f s e gr .+ r 'Vi c� y� itKsy "Jacobs, 81 Willow RunfiDr _ ...a ;� .r xl.t;, �t, �„� �,* rho Center•,.4zl `:'' -'.,- + zt� ._. .•r.• 4.�- ,r ... � ..:,•. � .� x F-,...Y t v -.''+4 fi�cv ��w ��Y[-�� ga:f`.'"x -"d w_. .`~�h.-:"#;�. l. 2• Septic System Design, ! _8/l7/83 F Nicholas A A'Lanney,PE .:Pa�rnstable Conservation Comm. Irwin jaeebs,a! nir w777 z .r p :r'• 3' r' *`i.. '� -t ^s` _ „' ,� ,.. S r-. t r` m,-d 4� ^"3: �� Run Drive, .Centerville ..5 .. ., ,..�, • eiytt ._'+-s �,. •..-xr� �.{ a.., ,s .� ��..t'E� 3 Town of Barnstable Board 10/1 183 ' Bnard of HPalt}, �. �x � Barnctat,lA Conservation Coma. 401- of Health Variance i s t y a H f:s" aq}) f S +; Z 3 S 3r 42, Special Conditions (Use additional paper if necessary) 1. Staked haybales shall be placed around Building #l, as shown on the'labove- referenced plan, and continued all the way to the -southerly property line.' They shall remain in place throughout construction. 2. All disturbed areas shall be revegetated immediately following construction. Areas stripped of vegetation shall not be left -unvegetated or unmulched for more than 60 days. K' K'- ..................................................................................................................................................................................... (Leave Space Blank) D t r Issued By Barnstable Conservation Commission Spy ,t .�'` e a 6.. c kar-F 4. 3 ,�; zy yv;Vt SIg71at1lle(s) y; �" � �.. e x"� v a ':s v�i .t t_ t a 5 t - '"- 'r♦ 7:,;. »ro ,t s.�i'' _' t r Eae ,y- 4 r,—•.ye ,4 i 5:4: .. -�.... ,�.- »s, d�' ••:»a as..a.4: 1'r`" t.Y+:t f t � .i �'�' �4i ��i31+. . r L( �n -� '° _.,..._- �.,.+ •� ••�� yip a+y,f z. ..»s t s..,'� k�. NA aiS '>•4-' � �, r`"` �}r .� � } ,x - t :���t This Order must be signed by a ma�onty of the Conservation CO ion. On this /74 day of J; 19 �P3 before me } personally appeared to me known to be the person described in and who executed the foregoing j strument and acknowledged that he/she*executed the same as his/her free act and deed. _ �y )277 / �rP Notary Public My commission expires The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land upon which the proposed work is to be done or any ten residents of the city or town in which such land is located are hereby notified of their right to request the Department of Environmental Quality Engineering to issue a Superseding Order, providing the request is made by certified mail or hand delivery to the Department within ten days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and the applicant Detach.on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work. To Barnstable Conservation Commission (Issuing Authority) PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT FILE NUMBER , HAS BEEN RECORDED.AT THE REGISTRY OF ON (DATE) If recorded land, the instrument number which identifies this transaction is If registered land, the document number which.identifies this transaction is Signed Applicant- , � s 3261 Main Street Route 6A Barnstable Village MA ¢ 02630 April 19, 1986 S C Barnstable Board of Health _ Town Hall 367 Main Street Hyannis, Massachusetts 02601 617 362 8133 Re: Septic System Repair 81 Willow Run Drive Wequaket Lake, Centerville 3 .1497 .01 Members of the Board: This letter is to inform you that the septic system repair at the above referenced location has been constructed in substantial compliance with the plan. One minor change is that the exact locations of the pump chamber and septic tank shifted slightly. This was because of limited access and operating room for excavation equipment. If there are any questions or comments, please do not hesitate to contact this office. Very truly yours, BSC/CAPE COD SURVEY CONSULTANTS St phan A. Wilson, P.E. Project Manager Engineers cc: Conservation Commission (SE 3-999) Surveyors E • Jacobs Scientists 23aw13 Architects obla D Landscape Architects Planners p,Ak) Cape Cod Survey Consultants CY February 6, 1965 Mr. Stephen A., Wilson, P. E. Crape Cod Survey Consultants 3261 Main Street Barnstable, MA. 02630 Re: 81 Willow Drive, Centerville .lob No, 33-107-00 Dear 14 r. Wilson; You are granted variances from Title 5, of the State Environmental Code, and Town of Barnstable Health regulations on behalf of your client, Erwin Jacobs, for the upgrading of an on-site sewage disposal gysterFi at 91 Willow Drive, Centerville. The variances. granted are: To allow the distance from the leaching facility to the edge of the water to be reduced to 77 feet in lieu of 50 feet required by Title S. To allow-the distance from the leaching facility to the edge of the water to be reduced to 27 feet, in lieu of the 100 feet as required by the Town -of Barnstable health Regu- lations. To Willow the use of an impervious barrier (4 mill PVC) to prevent breakout in lieu of additional fill as required by Title 5. Inverts of proposed septic ta'rik to be less than ont: font above the maximum ground water elevation ao required by Title 5. Inverts of the proposed pump chamber to be less than one foot above ground water as required by 'Title 5, The following conditions apply: (l) The designing engineer must be on site and supervise construction of the sewage disposal system and certify in writing to the Board that his design hob been complied with prior to the isruar►ce of a Certificate of Compliance. (2) The order of Conditions issued by the Conoervation Commission must be strictlp adhered to, SEP-29-2011 09:43 Frofrt:BARHST HEALTH 15087906304 To:91c0r_13G2G506 P.3/ A. .-. Stephen 4. Wilson l� bruaz� �, 1985 Page 2 ThM Variances are retucuantly granted because the proposed system certainly is not Ideal and does not Conform to accepted practices; however, the present cesspools area a source of canMMination to the adjacent pond. Therefore. it would appear that the oposed system will alleviate a sonroo of Contamination. e . Cr ura. pbert. L.`CbR46 CHAIRMAN BOARD OF HEALTH CC: Conservation CcanzmWtoa I , , ,,, r,;,,.. .. 351 White's Path TEL.508-760-1070 So.Yarmouth,MA 02664 L -' FAX 508-760-5716 PRECAST CONCRETE PRODUCTS 1-800-439-0956 To: Barnstable Health Dept. Re: Septic Tanks at 81 Willow Run—Centerville MA. To Whom It May Concern: Shorey Mfg. Co. Inc. has worked with RBO on many jobs putting precast products in the water table. At present, Shorey Mfg.just put a pump station in P-Town with Robert B. Our Co. in 8ft. of water, with no leakage, and can supply other references from jobs we have completed that were complicated by high water tables. To insure the tanks being water tight at Willow Run, Shorey Mfg. Co. and Robert Our Co. will install the tanks , following this strictly enforced procedure. First, water-proofing the exterior of the tanks with the product Camger. A water-proofing we have used with 100% success rate Second, sealing the seams with 1 '/2" E-Z stik butyl. Using this size of butyl insures The seams get filled with ample butyl to avoid any air pockets. Third, Rubber boots installed on all inlets and outlets , so that the boot can be tightened Around the pipe, again to avoid any gaps Fourth,Using Strong Plug Hydraulic cement which is specially formulated to be used in Problem water situations Fifth, Seal-pro 2 part Epoxy coating over the Hydraulic Cement which will give heavy duty water repelling sealant over the cement. Sixth, Shorey can pour the riser into the top of the tank at time of production so that there will be no gaps or voids. Shorey Mfg. Co. has a long history of producing quality product and customer satisfaction. Please call our office with any questions—508-760-1070. Sincerely, ennis LaJoie - GM r c PREMIUM F.Z=SlrlK BUTYL JOINT SEALANT What It Is EZ-STIK is a premium preformed butyl joint a sealant that is supplied in rope form. Containing a a `t } higher proportion of butyl rubber, EZ-STIK It is carefully blended from uncured butyl rubber and other solids and will not shrink, crack, or dry out. Although clean to handle, it provides excellent adhesion and cohesion to a wide variety of sur- faces - concrete, metal, most concrete coatings, glass, wood, and painted surfaces. Why It's Better • Increased proportion of butyl rubber content • Premium packaging How It Performs • Wide variety of sizes and styles • All-weather performance EZ-STIK BUTYL JOINT SEALANT meets • Good adhesion to dry concrete, commonly specified or exceeds all requirements of the follow- ing Standards, Specifications and/or Test concrete coatings, steel, glass, or painted surfaces Methods: • Coated release paper for easy installation ASTM C 990 - Standard Specification for • Long service life Joints for Concrete Pipe, Manholes, and • Cohesive properties allow for joint movement Precast Box Sections Using Preformed Flexible Joint Sealants, Section 6.2 Butyl • Compatible for use with rubber O-Ring designs Rubber Sealants • Low moisture vapor transmission rate (MVTR) • Special primers available for use on damp, AASHTO M 198 - Joints for CircularConcrete Sewer and Culvert Pipe Using contaminated, or difficult surfaces Flexible Watertight Gaskets Typical Applications • Sanitary Manhole Joints • Underground Utility Vaults • Stormwater Manhole Joints • Stormwater Treatment Structures • Irrigation and Drainage Systems • Stormwater Inlet Structures • Box Culverts • On-Site Treatment Tanks • Elliptical/Arch Pipe • Grease Interceptors •Architectural Foundations • Wet Wells Press-Seal believes all information is accurate as of its publication date.Information,specifications,and prices are all subject to change without notice.Press-Seal is not responsible for any inadvertent errors.Copyright 2010. 71 - - PRESS-SEAL GASKET CORPORATION 800-348-7325 Fax(260)436-1908 Protecting Our Ptanel:s Clean Watet Supply email: sales @press-seal.com Press-Seal Gasket is an IF0;90G'n0,,08 and F,:"r Registered Company web: www.press-seal.com Made in USA, SPECIFICATION � and T SELECTION GUIDE Submittal Specification The joints and/or joint surfaces of the shall be sized such that the joint is filled to structures shall be sealed with a butyl-rub- 50% (min.) of its annular volume when ber-based preformed flexible sealant fully assembled, and the sealant shall conforming to ASTM C-990, paragraph have the ends kneaded together at the 6.2. The material shall be PRO-STIK or overlap. Primer and/or adhesive as rec- EZ-STIK as supplied by PRESS-SEAL ommended by the sealant supplier shall GASKET CORPORATION, Fort Wayne, be employed for adverse, critical, or other Indiana, or approved equal. The butyl applications. material shall consists of 50% (min.) butyl rubber and shall contain 2% or less Testing of joints and compliance with con- volatile matter. struction requirements shall be conducted in strict conformance with the require- For preformed joint sealants, the sealant ments of the sealant supplier. 3/8" Round 1/2" x 3/4" 1/2" x 1" x 5/8" 77-1 Custom Sizes Available Upon Request Also Available in Trowelable Bulk and Easy to Pump Bulk All sizes sold 40 cartons per pallet. All pallets are shrink wrapped for outside storage. Quantity discounts available - contact our Customer Service Department. Press-Seal believes all information is accurate as of its publication date.Information,specifications,and prices are all subject to change without notice.Press-Seal is not responsible for any inadvertent errors.Copyright 2010. 72 -,_ww-� PRESS-SEAL GASKET CORPORATION 800-348-7325 Fax(260)436-1908 Protecting Our Planet's Clean water supply email:sales @press-seal.com Press-Seat Gasket is an 1SO 900 1:?003 and n:r::F'r-r ::;:1. Registered Company web:www.press-seal.com .Made.in usa PHYSICAL PROPERTIES EZMSYIKTEST RESULTS Description EZ-STIK is a butyl-rubber-based sealant designed to be permanently flexible, tacky and resistant to moisture and deterioration by exposure to dilute chemical solutions. EZ-STIK meets ASTM C-990, Section 6.2 requirementsfor Butyl Rubber Sealant, and AASHTO M 198.. Typical Properties The following values represent typical test results and are manufacturing specifications. SPEC. REQUIRED EZ-STIK Butyl Rubber(Hydrocarbon Content%) ASTM D4 50% min. 62% Ash Inert Mineral Filler% AASHTO T111 30% min. 45-48% Volatile Matter (AASHTO T47) ASTM D6 2% max. 0.5-1.0% Specific Gravity @ 770F (AASHTO T229) ASTM D71 1.15- 1.50 1.25- 1.35 Ductility @ 770F, cm (AASHTO T51) ASTM D113 5.0 min. meets requirement Flash Point C.O.C. ASTM D92 3501 min. 3750F Fire Point C.O.C. ASTM D92 3751 min. 3850F Compression Test @77°F, Ibf/in' ASTM C972 100 max. 40-55 Ibf/in3 @320F, Ibf.in' 200 max. 130 - 160 Ibf/in' Low Temperature Flexibility @-100F ASTM C765 1801 bend, no Pass- no cracking or cracking, nor adhesion loss. loss of adhesion. Elevated Temperature Flexibility 14 days @ 1570F ASTM C776 No sag, nor change Pass- no sag or in extruded shape. shape change. Adhesion After Impact ASTM C776-84 No greater loss Pass- no loss than 50% of of adhesion. adhesion. Cone Penetration @ 77°F, dmm ASTM D217 50- 100 dmm 55-85 dmm @ 32°F, dmm 40 min. 45-55 dmm Chemical Resistance No deterioration, Pass-no visible change no cracking, no after 30 days immersion swelling. in 5% solutions HCI, H2SO4,NaOH,KOH,H2S Application Properties Service Temperature Range -40F to 250F Application Temperature 20F to 120F Storage Temperature Under 120F Shelf Life 2 Years minimum Press-Seal believes all information is accurate as of its publication date.Information,specifications,and prices are all subject to change without notice.Press-Seal is not responsible for any inadvertent errors.Copyright 2010. 73 .. ---ww.__ _. PRESS-SEAL GASKET CORPORATION . 800-348-7325 Fax(260)436-1908 Protecting Our Planet's Clean Water Supply email: sales @press-seal.com Press-Seal Gasket is an J5NO 9 f,)001;and Registered Company web:www.press-seal.com Wdeiln USA rl f ALL WEATHER • PREFORMED JOINT > A SEALANT MADE OF BUTYL. RUBBER MATERIAL IN. Z STIK h FLEXIBLE ROPE FORM - :� EZ-STIK comes with a white plastic, "`=p protective release paper, that removes -` easily. TYPICAL APPLICATIONS *Excellent Low Pressure, Water Resistant *Box Culverts Joint Seal *Underground (Utility) Vault Seal *Manhole Joints and Vertical Risers *Burial Vaults *Sanitary and Storm Sewer Manholes • *Round and Special Shaped Pipe *Sealing of Irrigation and Drainage Systems Joints *Architectural Foundation Joints •Septic Tanks *Used with O-Rings for Extra Security in Pressure Pipe Joints *Wet Wells PRESS-SEAL GASKET CORPORATION S 6932 GETTYSBURG PIKE P.O. Box 10482 FORT WAYNE, INDIANA 46804 Fort Wayne, Indiana 46852 (800) 348-7325 or(219)436-0521 Web Site:www.press-seal.com Fax: (219)436-1908 E-Mail: presseal@press-seal.com COATINGS SYSTEMS 1 'Product duct Data Sheet 364 Main Street, Norfolk, Massachusetts 02056 Phone: 508-528-5787 Fax: 508-520-1430 www.camger.com e-mail: info@camger.com PPS-922 Superseal Water-proofing Concrete Coating PPS-922 is an environmentally friendly, water and polymer-based concrete coating—a blend of bonding agents, which penetrate concrete surfaces, providing superior adhesion as a watertight barrier. The dried film is capable of withstanding the action of hard or soft water under sustained contact or immersion. The film is a"breather" type, permitting water vapors to escape through the film and at the same time remaining resistant to water penetration. Product Uses: PPS-922 is especially recommended for waterproofing concrete and masonry above and below ground. This material can be applied where prolonged continuous exposure to water is experienced and when an effective waterproofing agent is required. PPS-922 is designed for use with manholes, septic tanks, utility vaults, concrete pipes and similar concrete structures. Surface Preparation: Surfaces to be coated must be clean of all loose concrete, oil and grease. Dusty concrete should be wiped down. PPS-922 can be applied between the temperatures of 40'F to 120'F. The'concrete may be damp but not wet. Product Application: PPS-922 should be mixed well prior to use. It may be+applied with a brush, paint roller or sprayer. Adequate protection for most surfaces is obtained by use of one gallon per 300 square feet. Individual results may differ and will be based on temperature, concrete surface to be treated, type of applicator and application technique. Product dries in 5 — 10 minutes at 72'F. Produces a low 270 gr/lt VOC's. 6 Clean Up: All equipment can be cleaned immediately after use with soap and water. PPS-922 can be easily washed off skin. Other Colors Available: PPS-010 White PPS-047 Gray Storage and Handling: Caution. Do not take internally. Close container after use. KEEP FROM FREEZING. KEEP OUT OF THE REACH OF CHILDREN. 06/30/2009 12:20 FAX 6031111111 FAX 12002/002 SEALPRO INC. Mechanical Seals & Packing - Maintenance Products - Gaskets Boiler Products - Hydraulic Seals - 0-rings CIMT11 Liquid Applied Membranes * Flexkrete Concrete Repair System Seal-Once Waterproofing Polyval Moisture Cure Polyurethanes Nprtft6taok 0lvtclon U� Underwriters 339 f lisp&Ian d � Na(Uiprook,IL 600 60D62-21198 I15A Laboratories Inc.. WWV1.J,l.rA3m ial:1 647 20 OW line 1 841 272 8129 CUSiomer servir:u:1 H17 854 3G77 C I M INDUSTRMS INC DR R H STEFfTENS, Y,E.VP,ENGlNFBRJNG 231~LM ST FETERB0F01JGH NH 03458 Your most recent Certification is shown below. You may also view this indormation, or a portion of this information (depending on the prudtick category), on UL's Online Certifications Directory at www-ul..c:otn/database.Please review the text and contact the Conformity Assessment Services staff member who handled your project if revisions are required. For instructions on placing an order for this information In a, 3 x 5-inch format,you may refer to the enclosed order form for UL Card Service. )FDNP January 19,2001,E Drinking Water Systeo% Components C 1 M INDUSTRIES INC MH17445 23 ELM ST, PETERBOROVGH NH 03458 I (carrier Mattriald Fradc Dag Water Cant-Act Water Contact Suzface Area to Tomp Mtl Volume Ratio CIM 1000'IYuwel Gtnde(a)(d)(e)(s) 23 Folyumalaaae 20 sq rm/L CIM IWO Trowel Grade(b)(d)(e)(n) 82 Alrlyurctharto 9 sq cm/L C1M 1.061(a)(c)(e)(n) 23 Polyurethanc 20 6q cm/L CRu11061(b)(c)(e)(n) 82 Polyurethane 9egcm/L Jt-mirrg and sealing Materials, j Trade Doig Water Contact Water Contact Surface Area io Tlrmp M0 Volume Ratio CIM 1000 Tht wel Crade(Q(d)M(n) 2.4 Folytirethanc 20 sq sort/L cfm 23 Polyurethane 20 sq cln/L (a)-Maximum surface area to vniutne ratio of 20 wq an/L for teipkv greater than 5,OD0 gAL (b) Maximum Rtuface urea to volume mtio of 9 sq em/L for tanks guitar than 50MO gal. (c)-CIM 1061 ImIrulAts of CIM to61 pruirric and C.lM 1n61 activator mitred in a 40 to 6 rattan by weight. (a) CIM lalm'rrnwel Grade consi9tA of CIM l0w'1r,,premix and CIM l0DD%%ar:tivalor uilxedIn a 36 to 5X+mein by weight, M-Also Classified iv CiM BoncWig Agent a on optionAl primer(up to 30o ft 2/gal with a minimum dryLtg time of a0 minule9).The following Ilse re hioions npplT Number of wits;as many as noedod to reAth the May Pield Use Dry Plim rhirxness,Mttzlmum Field Ut a Dry Film •Ilticknr,.�c(mils):6U-MaYimuro Tldnner:NA,Mlnfututrr CUt4 T4rrrrperatute:b0 F,4equence o![ants:NA,ItMcsil/[un+tiomr 3 ltburE/2 weclry (f)-Maximum surlacee Area to volume ratio of 2D sq cm/L for utte up tp 10%or It' ipl.tankA or greater, (h)•Waktring procedittrl:Them uwsti igs court be washed according In OWN'Dttron.tammatlurt or washing proceduwa far potable water tank and Hsh pored aarvicee"bwfuru being put Intu t0tvice. (o)-Also Clarhified Is CIM Ocinding Agent os an ap QW1 primer(up to 3111)ft 2/,gal with a mirtinum drying tirnu n!30 minutes).The lollowtng use Instruttirxv:apply:Miramum Lum tenlFeroture:60 F-Minimum Lure time Z weekx NOTE-MaMUfA[ttrTer'v taitructiolts far application must be folluwed. "'S,trong-seal., Sys te STRONG-PLUG@ SPECIFICATIONS or SEALING ACTIVE WATER INFILTRATION INTENT: To provide a material specifically designed as very fast setting cementitious material for sealing active leaks in preparation for the lining of manholes. 1.0 GENERAL The work consists of applying a quick-setting cementitious material, either as a dry powder or as a thick paste to eliminate water infiltration prior to spraying Strong-Seal@ cementitious liner materials. The applicator shall furnish all labor and materials using application procedures in accordance with the manufacturer's recommendations and per the following specifications. 2.0 MATERIALS 2.1 INFILTRATION CONTROL MATERIAL(Strong-Seale Stron -Plu ®): g g Strong-Plug°, a rapid setting cementitious product specifically formulated for leak control, shall be used to stop minor water infiltration and shall be applied according to manufacturers' recommendations and shall have the following minimum requirements: Strong-Seal®Strong-Plug® Minimum Requirements Compressive Strength ASTM C109 >1000 psi, lhr. >2000 psi, 24 hrs. Sulfate Resistance ASTM C267 No weight loss after 15 cycles @ 2000 p m Freeze/Thaw ASTM C666 "Method A" 100 cycles Pull Out Strength ASTM C234 14,000 lbs. Set Time <1.0 minute 2.2 WATER For wet application water shall be clean and potable. Questionable water shall be tested by a laboratory per ASTM C-94 procedure. Potable water need not be tested. 2.3 OTHER MATERIALS No other material shall be used with Strong-Seal Strong-Plug without prior approval or recommendation from Strong-Seal®Systems. strong-plug-specifications,Rev.4/3/2007 _ 1 _ r 3.0 APPLICATION 3.1 PREPARATION All foreign material shall be removed from the area around the leak to be stopped using a high-pressure water spray (minimum 3000 psi). Unusual conditions such as heavy grease build-up or residues of industrial or processing wastes may require hydro-blasting or chemical cleaning. Loose and protruding brick, mortar, and concrete shall be removed using a masons hammer and chisel and/or scraper. 3.2 PLACEMENT Strong-Plug is applied dry or as a very thick paste by hand or trowel. Material is held in place, allowing the infiltrating liquid to set the mix. Some leaks may require weep holes to localize the infiltration during the application. After application the weep holes shall be plugged with the quick setting material Strong-Seal®QSR prior to the application of the liner. 4.0 CURING Strong-Plug set time.is less than one minute. Patching material such as Strong-Seal QSR or Strong-Seal cementitious liner material can be applied over Strong-Plug immediately after leaks are stopped. 5.0 WEATHER No application shall be made if ambient temperature is below 40 degrees Fahrenheit. No application shall be made to frozen surfaces or if freezing is expected to occur within the substrate within 24 hours after application. 6.0 LIMITED WARRANTY The Strong Company, Inc. warrants that this product was produced in conformity with its standard specification or formulations within recognized tolerances, free of adulteration or contamination, and that the product will perform in accordance with representations in Strong-Seal® Systems literature and Technical Data Sheets when properly applied in strict conformance with the printed instructions on container and prescribed in technical data instructions and when applied to a properly prepared surface. The sole remedy of the purchaser shall be replacement of the product or refund of the purchase price of the product if any defect in material or workmanship or variance in the product beyond recognized tolerances in the specifications are found to exist. No other remedy including, but not limited to, incidental or consequential damages for lost profits, lost sales, injury to strong-plug-specifications,Rev.4/3/2007 -2- person or property, or any other incidental or consequential loss shall be available to the purchaser. DISCLAIMER THE WARRANTY DESCRIBED IN THE ABOVE PARAGRAPHS SHALL BE IN LIEU OF ANY OTHER WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, ANY IMPLIED WARRANTY OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. THERE ARE NO WARRANTIES THAT EXTEND BEYOND THE DESCRIPTION ON THE FACE HEREOF. 4505 Emmett Sanders Road Pine Bluff,AR 71601 (800) 892-8009 Fax(870) 850-6933 www.strongseal.com Email: info@strongseal.com strong-plug-specifications,Rev.4/3/2007 -3- TECHNICAL DATA SHEET Hentg. RU116 - RUBR-NEK EXTERNAL JOINT WRAP 0 CHOICE OF PROKS51ONALSt WkAo Last Rev Date:10/27/2004 UV P ©N J /tip I�x�?.� C 05,77-- Physichl Properties Cone Pen Viscosity Flash Point Specific Gravity @ 77°F 85 >390°F 1.13 Ductility-@ 77°F, 5cm/min Softening Point Thickness (mils, dry) 15.0 320 35 mils ......._ _........ __..__ _ _ _ _ ..... .. ___ ....... . Elongation (Initial) 150% Description RU116 -RUBR-NEK EXTERNAL JOINT WRAP is an easy to apply protective film that self heals against punctures and has excellent mechanical strength, abrasion resistance and dimensional stability. This protective wrap has been carefully configured for ease of application by hand and to provide an effective and long term seal for a wide range of concrete joints. RU116 -RUBR- NEK EXTERNAL JOINT WRAP is an elastomeric based product. It is produced by a unique manufacturing process which blends, extrudes and bonds synthetic elastomers and resins to a high strength plastic film. It is provided with a backing separator sheet for easy handling while keeping the bonding surface fresh and free of debris, and is removed during application. Features: • Easy, cold application by hand. • Permanent, flexible and watertight seal. • Effective application and workability over wide range of temperatures (+30°F to+14009. • Rugged service performance and resistance over wide range of temperatures. (-40°F to+1800F). • Excellent mechanical properties and chemical resistance. • Excellent chemical and mechanical bond adhesion to concrete surfaces. • Excellent aging characteristics-will not shrink, harden or oxidize. • Self healing properties when punctured. • Available in variety of standard sizes. RU116 -RUBR-NEK EXTERNAL JOINT WRAP can be used on new construction, repair or rehabilitation of virtually any external concrete joint including: • Round, elliptical or arch pipe joints. • Manhole joints and grade rings. • Box culvert joints • Utility vault joints • Septic tank joints • Concrete bridge spans Product 61N X 50FT ROLL 91N X 50FT ROLL (43.52 lb) 121N X 50FT ROLL Henry Company-2911 Slauson Avenue,Huntington Park,CA 90255 Technical Services-Phone(800)-486-1278 Fax:(972)-494-4865 Email:techservices@henry.com The Henry Company is the parent company of Bakor,Inc. www.henry.com I MAY-17-2007 THU 02:26 PM MID WEST INDUSTRIAL CHEM 3147817603 P. 01 Mid-West Industrial Chemical ,Co. 1509 Sublette Avenue, St, Louis,MO USA 63110-1978 Phone 314-78I-5831 — fax 314-781-7603 —E-mail MWIC@13i.reh-Net TECIINiCAL DATA SHEET In as much as we have no cPntrul over the conditions of use to which others may put the material.We cannot guarantee that tite same results will be obtained:Even though the information described herein is accurate and reliable to the best of our knowledge.Each user of the material should determine though his own tests the suitability of our product for his own specific use.Statements concerning suggested uses of the material described herein cannot be construed as recommendntions for its use in the infringement of any patent.We assume no obligation or liability for such use of the material or of this information, #211-11-2 PRIMER o . o : #211-11-2 Primer is comprised of synthetic rubber,resins and other select ingredients dispersed in extremely flammable solvent. Uses:#211-11-2 Primer has been specifically formulated far.use as a primer to enhance adhesion when placing tr.tffic road marking tapes on asphalt or concrete roadways. #21.1-11-2 Primer can also be used as a primer for extruded butyl sealants. #211=11-2 Primer possesses very good water and weathering resistance. nlicati qu:Brush,spray or roller coat. For best results,allow 4211-1.1-2 Primer to dry minimum of 30 minutes after applying to asphalt or concrete and prior to applying tape or sealant to the primed roadway. physical ProPropertiai Color: Light Amber Flash Point: -2 0°F, Total Solids: 1.8%t 2% Base: Synthetic Rubber,Resins Wt/Gal: 5.90 Lbs,t .2 Lbs. Thinner: Hexane Viscosity; 60 cps ±30 cps Solvents in Product: Hexane Store at 60OF to 80°F for maximum storage life, DANGERt EXTREMELY FLAMMABLE]Keep away from heat,sparks and open flame.Empty container hazardous. Maybe harmful or fatal if swallowed. Use with adequate ventilation.Avoid prolonged breathing of vapor.Avoid prolonged or repeated skin contact,If skin contact:flush with copious amounts of water for 15 minutes. If eye contact:flush with copious amounts of water for 15 minutes. See physiciaul If swallowed: contact physician immediately. KEEP OUT OF REACH.OF CHILDREN For industrial use only.If resold or repackaged for household use,containers must be relabeled in accordance with the Federal Hazardous-Substances Act, ? The purchaser,hereof,assumes the obligation and will adequately warn others of dangers,if any,resulting from improper use or application of this product. IMPORTANT NOTICE TO PURCHASER.,All statements,technical information and recommendations contained herein are based on tests we believe to be reliable,but the accuracy or completeness thereof is not guaranteed,and the following is.made in lieu of all warranties,express or implied:Seller's and manufacturer's only obligation shall be to replace such quantity of the product proved to be defective. Neither seller nor manufacturer shall be liable for-any' injury,loss,'or damage,direct or consequential, arising omit of the use of or the inability to use the product.Before using,user shall determine the suitability of the prod.u.ct for his intended use,and usei'assumes all risk and liability whatsoever in connection therewith..No statement or recommendation not contained herin shall have any force or affeet,ulliess in an agreement signed by officers of seller and manufacturer.Since the mamrfactare''of the product described in fts,teehnical data sheet has no means of controlling the final use of the product byre consumer or user,it is the,responsibility of the ilxnnediate purchaser and 'y any intermediate seller or sellers to inforrh tile,user of the"purposes for which the product maybe fit and suitable and of the properties of the product,including the precautionary measures which must be taken in order to ensure the safety of the user and of other third persons and propeij. 1 ; } 4 `1`111t•T•I�///� TRELLEBORG ENGINEERED SYSTEMS Kor-N-SealO Product Line PERFORMANCE Performed on all standard sizes of Kor-N-Seal Connectors. Test ASTM Method Test Requirements Kor-N-Seal Products Head Pressure C923-7.1 0°-13 psi(30 ft)for 10 min. +13 psi for 10 min. 7°-10 psi(23 ft)for 10 min. +10 psi for 10 min. Deflection Test C923-7.2.2 7*in any direction Over 7°in any direction Load Test C923-7.2.3 150 Ibs/in.pipe dia. Over 150 Ibs/in.pipe dia. RESILIENT RUBBER MATERIAL Conforms to ASTM C923 Test ASTM Method Test Requirements Kor-N-Seal Products Chemical Resistance D543,at22"Cfor48h 1 N Sulfuric Acid No weight loss No weight loss 1 N Hydrochloric Acid No weight loss No weight loss Tensile Strength D412 1200 psi 1580 psi Elongation at Break 350%min. 500% Hardness D2240(shore A durometer) ±5 from the manufacturer's specified hardness.' 48±5 Accelerated Oven-Aging D573 70±1°C for 7 days Decrease of 15%,max.of original tensile strength, 10.1%tensile decrease decrease of 20%max.of elongation 14%elongation decrease Compression Set D395,method B,at 70°C for 22h% Decrease of 25%,max.of original deflection 13%decrease D471,immerse 0.75 by 2-in. Water Absorption specimen in Increase of 10%,max.of original by weight .8%increase distilled water at 70°C for 48 h Ozone Resistance D1171 Rating 0 Rating 0 Low-temperature Brittle Point D746 No fracture at-40°C No fracture at-40°C Tear Resistance D624,method B 200 Ibf/in. No tear at 210 Ibf/in. r 300 SERIES STAINLESS STEEL Conforms to ASTM C923,ASTM A666,and A240 Test Kor-N-Seal Products Tensile Strength 75,000 psi Yield Strength(min.) 30,000 psi Elongation in 2°(min.%) 40% Hardness Rockwell V 95 ) t a, Trelleborg Pipe Seals Milford,Inc. 250 Elm Street,P.O.Box 301,Milford,New Hampshire 03055 U.S.A. ���,Pic Tel:800-626-2180 603-673-8680 Fax:603-673-7271 www.treEeborg.com/npc ;µ ;, zr' r ,rh q s t a _ ..�°r A i�'r A 5+ y Y s:��2 �'• A ✓•,'i.,r -s> ''•` •:.-! {r � + v+ �.,.h r }r K A s•* �,` �$s+..., �k ; }T.'=x Y. jlt P lt.t y -x Z"* f ky, '+i v,, i i ♦ a r 4i '.t „ pp••G.u.' i`+*�'°� * r'�rx `}. yr: "4C. ., "s l ,a,rM'i'�e 33'"Ia '•,y � ` 1 ,: a, *�� s �� ;:r sJ X L a�u + .da i? +"•'1 x£t q`,., y1` ,`f,._z. rK, a`z" i .;a. �„ k.0 xs. �. 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'�"'ih ksr r,'!?"r; ',.qw?y »s»�•, X ." '" r !x•J` -i "V ti;� < ; •.S.r �f ° � u y •,: r :x.� '"`7'`y �3�- t`x,t y 4P �r- .r •:( ya .•�'Y, •+ rx�. 44,..v, A �� Y +,i n"� .. ? `.� ! `r. �'r4�' x.�.°,. •:.�.. *.:.G.,r .#"�`h'" �' .•. Y' [ ;5.- ',} �d ;-jF,'`, '� ti.•.. h_ .. .,r '; .r+:; i;'+f ,r �• '�,jr �,e r I _ .. _ '.. ,a..r. ._ .... . .A3-,...�,[v f"_r;._� slu L ..wv r.. .1; ri3' ,r +.a,r,�. .Y .� x•�r '•. �.', • J '• February`�i, fl9�3;5.: • „ - ' N . Stephen. N.. W isb� IP.a E. Cape Cod Survey Coaisuflets - s 32�%Ma"in Street l$ariisgable, X¢L:026301l ;- y Rd:- 81 Wff11ow Driee; Ceni�c�rville Job rNO. 03-1497-00 Dear K . Wilson: You are. grinted .eiarldnces grorri Title 'S, a,the State RnvironmOninl 'Codo,l'.and 'Town ; of Ba r'nsteble Health-Regulations.on'-behalf.off.your clieiaz, 13gv�ln,;jecobs;16r the iapgrad(ng. oP a�n on-site ..4�W*ire:' spo�a l :syateir1'at.0rwilfl6w_.Dsiv& Centerville' The variances ao te. i h stance ffrom Qhl. .a �,. 4 e l achi ' Pac:ili� t0 the ed c. ¢� •vr'•'og a aster t .be reduced •. , , g y , 8 , o to a7 fleet.in lion:oP 50 Peed requieeii by Tfftle 5e`' to ail6w the:distance from tbe,leich(ng.facility to.the edge oP the water'to be reduced to 27 feet, In' lieu bi the 160 fleet a- re gored -by the Town.,.of BagnstO16 Health.Rego- . . To•-allow. the 'use oVan flgngervious .baraiee`{4 anilfl SIC) toy prevent'breai ut in lieu of additional fill As required by.-Title 5> .'Inverts,.off,geopmse.d sept(c eaph to .be less`¢Pion one•ffoot ab©ve l e�,ma n,mum.ground Water'.elee►ation as reQuired by Title 5; Inverts of the`:pg6posed: chainber'for-be lees than••one .ffobt ei6vae .ground-'waiter, as required �°iele 5. . The;Polflowing condition®a.pflys 4fl), The designini engineer Must bar. on site,aiad su�rvriae 'coneeguctiion off the se�rrage di$posa�l, eystein`a nd ceetify in er�ieing go t he,.Boa�rd'.that.Ais design hes bee¢ connpflffed with prlor to the/issuance-oP•m.Cereflffica�te.og:Compliance. (2) Tha-Order o8 Conditions.issued by' 'the 'Conserva,�tion Commission: muse:'be strictly adhared to. :. T �� 4 W-- Stephen Aa Wilson ' Page.2 ' These,variances are reluctantly gganted b &�z a tiro"proposed'dys,tem certainly is not idesY.And.sloes :not conform.to -accepted,'pSactictsa h'oweeer,. the Present cesspools are a murce of..contaMin&tion to the adjacent" w rI� �pa mee tit 't e WPOIs ma onanaion°'fie : 'Y ouge, ohert �Citi�fl'+s coa: Conservation Commissioaa . 4.- )AEISTAHL ,639 �OIZdP/� 367 MAIN STREET HYANNIS, MASSACHUSETTS 02601 February 1, 1985 Mr. John. Kelly, Director Board of Health 367 Main- St. Hyannis, MA 02601 Dear Mr. Kelly: The Conservation Commission reviewed the "Proposed Repair, Sewage Disposal System Design, Lots 1 and 2A, Barnstable (Centerville) , Mass. ," for Irwin Jacobs, by BSC Cape Cod Survey Consultants, dated January 8, 1985, at our January 29 meeting. The Commission voted to accept this plan under -the existing Order of Conditions for SE 3-999, provided that the Conditions contained in that Order are strictly adhered to. Sincerely yours, Gilbert Newton Chairman GN/jm CC: Cape Cod Survey Consultants ® SEND`ES: Complete Items 1, 2, 3,and 4. 3 I°`�r Add your address In the"RETURN TO" e on reverse. (CONSULT POSTMASTER FOR FEES) c 1. The following service Is requested,(check one). X)04tww to whom and date delivered............... t 0 Show to whom.date.and address of delivery.. C 2. 0 RESTRICTED DELIVERY.... t (Tee restdatod d*.Wy too Is charged!n 8otl/don ID the retem recoot tee.) TOTAL S 3. ARTICLE ADDRESSED TO: . y Mr. Irwin Jacobs .a 81 Willow Drive Centerville 4. TYPE OF SERVICE: ARTICLE NUMBER ❑REGISTERED ❑INSURED P517 442 137 CERTIFIED ❑COD ❑EXPRESS MAIL (Always obtain signature of addresses or;agent) I have received the article described above. SIGNATURE ❑Addressee DAuthorized agent 5' DATE OF DELIVERY POSTMARK (vW be on revarse aide) Q S. ADDRESSEE' A{)E SS s► 7. UNABLE TO DE ER C4 r�� Ta. i IAALS S m ' t1 GPO:tga2379.593 hmmeh- --------- ---� i c i UNITED STATES POSTAL SERVICE i OFFICIAL 1111MINESS SENDER INSTRUCTIONS Punt year name.address,end YIP Code In the apace below. ALLS&MMIL]Comploteitems 1,2,9,and 4 on the reverse. •Attach to front of article ti$Paco paradls, otherwlce stf0x to back of article. •Endorse aPflide"Return Receipt Requ " PENALTY PRIVATE •adjacent to coda. RETURN BOARD OF HEALTH - TOWN OF BARNSTABLE (Name of Sender) P. 0. Box 534 (Street or P.O. Box HYANNIS MA 0261711 QSIA __— (City,State,and ZIP Code) j i i J U%S C Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 January 23, 1985 Barnstable Board of Health Town Hall Hyannis, MA 02601 RE: Request for Variances to repair septic system 81 Willow Run Drive Centerville, MA (Our Job # 03-1497-00) Members of the Board: On behalf of our client, Mr. Erwin Jacobs, we are requesting the following variances to allow the repair of an existing septic system at the above referenced address: Variances from Title V; State Environmental Code 15. 03 : (7) - to allow the distance from the leaching facility to the edge of the water to be reducedto 27 feet from 50 feet. - to allow the use of an impervious barrier (4 mill PVC) to prevent breakout in lieu of additional fill . 15. 06: (17) - to allow the inverts of proposed septic tank to be less than one foot above the maximum ground water elevation. 15. 07 : (t7) - to allow the inverts of the proposed pump chamber to be less than one foot above ground water. Variance from Town of Barnstable regulations to allow the distance from the leaching facility to the edge of the water to be reduced to 27 feet from 100 feet. k The BSC Group of Companies Planning Surveying Design Engineering Barnstable Board of Health January 23 , 1985 Page 2 The leaching facility proposed meets the Town of Barnstable requirements of a minimum 600 square feet for 4 bedrooms (1 in cottage and 3 _in house) above groundwater. If you have any questions or comments please do not hesitate to contact me. Very truly yours, CAPE COD SURVEY CONSULTANTS St phen A. Wilson, P.E. E nc. cc: E. Jacobs Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 The BSC Group of Companies Planning Surveying • Design • Engineering DATE --- FEE a THE T�6 TOWN OF BARNSTABLE P � _ OFFICE OF a An It 3TJ1BL 90 N"L BOARD OF HEALTH , i639 YAY 367 MAIN STREET �' HYANNIS, MASS. o26oi VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT Mr. Erwin Jacobs TELEPHONE NO. 778-6686 ADDRESS OF APPLICANT 81 Willow Run Drive, Centerville NAME OF OWNER OF PROPERTY Mr. Erwin Jacobs LOCATION OF REQUEST 81 Willow Run Drive, Centerville VARIANCE FROM REGULATION (List regu:'ation) please refer to attached letter VARIANCE REQUESTED (Specific request) REASON FOR VARIANCE (May attach letter if more space needed) To allow repair of existing failing septic system PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairman Ann Jane Eshbaugh H. F. Inge , M. D. BOARD OF HEALTH C TOWN OF BARNSTABLE P 517 4 fil v, RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Mr. Irwin Jacobs Street and No. P.O.,State and ZIP Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date,and Address of Delivery 00 _ TOTAL Postage and Fees $ 1.55 .c ty Postmark or Date 0 M jailed 10/31/84" o ` w a. STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, ITEETIFIED!TAIL FEE,AND CWGE3 FOR ARy SELECTED OPnORA1.SERVICES.(zoo froaQ 1 of you want this receipt postmarked,stickthe gummed stub on the left portion of the address side of the article laavirtgi the receipt attached and presemthe article at a post office servicewindowor• hand It to your rural carrier.(no extra charge) 2.If you do not want this receipt postmarked,stick the gummed stub on the left portion of the addrea�ss skb of the,article,date,detach and retain the receipt,and mail the article. 3,If you want a return receipt,write the certified-mail number and your name and address cn c Murn ree elpt card,Form 3811,and attach lttothe fromofthearticfe by means of thegummedends fi�. 4f space permits,Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT` REQUE I;.e(nacent to the number. ' If You ant delivery restricted to the addressee,or to an authoriaedagettt of the addressee,. endorse RESTRICTED ORNERY on the front of the article. B.iEnter fees for the services requested in the appropriate spaces on the front of this receipt.If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 6.Sava this receipt and present it if you make inquiry. • C October' -3l, i984- For. Train Jacobo. M., Kipford,Wa Nashua:- Nev7-.Haripih: r6, 03063- Doer Mr e Jacobs s On July 23, ,19$49'' Karen Jacobs; gecei�ted•for a-,Boar .of Health ` order dfrecting',you to;upgxacle your;;ons.i�e sewage disposal; syse:em logated mt• gl•Wi116cw.' Drive;. Centery ile.""Blass'a ,;within 44ve days. l Yourion-site sewage diaposal ,cystem is a- point..-source of. Pollution 'to the`pond ad j'cent --to youg property. , Ow-October 11; 1983, ,you recclrved a variance from the Poard of iie41th to upgrade' phis' *ystem< 'his upgrading has".not :been ac:9 complishede . ` You are hereby,notafied that the hou®e cannot be occupied un the.,.on.-sfee 6y®tem ie'upgraded. I4on compliance could`result-. ic.,a fine- of up to $560 Each d'ay°s .-.£:a Burr to 'CotdviV with' an-dider-shall-- constitute a-pepara'te vio= latione ' PER ORDER OF THE $OARD OF HEALTH John M, Kel y } birector of 'Public Health 8. 1 _ ` ♦ t „ ` 1. . .., • 4 , � f - , y . SENDER: Complete items 1,2,3 and 4. T - _o Put your address-in the"RETURN'TO"space on the 3 reverse side. Failure to do this will prevent thiscard from W being returned to you.The return receipt.fee will provide you the name of the person delivered to and the date of delivery. For additional.fees the following services are f available. Consult postmaster for fees and check box(es) C for service(s) requested. - 1 Xk{Show to whom,date and address of delivery. 00 2. El Restricted Delivery. 3. Article Addressed to: _ . Mr. Irwin Jacobs 10 Kipford Way _ NAS.HUA NEW HAMPSHIRE'Q306 4. Type-of Service: Article,Number 0- -Registered ❑ Insured P5A" �5 � Certified ❑ COD ❑ Express Mail Always obtain signature of addre ee r e1Ln nd DATE DELIVERED. c�tT 5. Si gnat re Agddpre ee X y 6. Si tu•e— Agent X 37 7. Date of Delivery m C Z S. Addressee's Address(ONLY if requested and fee paid) m n. m swoon OZIhe UNITED STATES POSOFFlCIAL BU �n3o®SENDERINSTRPrint your name,address,a �G> S.MAILp space below. e Comlete items 1,2,3,and 4 on the reverse. NOV qr r • Attac ph tO front Of article if space permits, PEN Lwl FOR PRIVATE otherwise affix to back of article. .3 U ,$300 • Endorse article"Return Receipt Requested i ` ad acent to number; 1984 RETURN TO BOARD OF HEALTH — TOWN Spy I BARNSTABLE (Name of Sender) (No' d Street,Apt.,Suite,P.O.Box or R.D.No.) P. 0. Box 4 (City,State and ZIP Code) HYANNIS. MA 02601 0534 saw TOWN OF BARNSTABLE BOARD OF HEALTH D p 807 MAIN STREET 'T!j,,yF ,>E P �V _ - HYANNIH, Mass. oasot `�-� n Cry i r Aot eqV�a I ' I �.�S�E 0 RAZ P 15 -- --- ��� a pM 1984 !� Z`` t DATE _ 0, - O-(_---------------- 2-URGENT TOWN OF BARNSTABLE ❑ SOON AS POSSIBLE BOARD Of HEALTH FILE NO. -____.--__.._.___:_-_ -_- .__,__.___ ❑ NO REPLY NEEDED 367 Main Street P. O. Box 534 HYANNIS, MASSACHUSETTS 02601 ATTENTION TO SUBJECT �.-----.-.---.- - V1 Al TQ ,P Ak . MESSAGE ._ - �. _ - - . -..._-._..-_ .... ......... _.............._.........._. . _._.....-..........._... ..........---... ------_._...- --------------------- ell LAI ------------ -------/-- _-_-_-------_ __ _._._._----------........---------..----._-..._.....--..-_-------.....---_...--._-----...»_. S/G REPLY DATE EPL Y ------------- __-_------. __....--._ -- ..... _ _._-------- T WN OF BARNSTABLE BOARD OF HEALTH Ca 111 93 v -1 367 MAIN STREET R C) \ - "''` ,� •:sst- HYANNIS, MASS. 02601 ;'� TO O •'� S64DI �i�.._._� M E'E P CLAIM HECK p �.�.�,,.. y bn RUSON MASS P.U.639517 t �l ai Cy ktem)fie�--` fC/{fD eG, Refos Iosufficfe R k"owp ed HOLD so socb stet Address et 0Hoch office iR"' bet DATE Hof email iq thus el) Mr. n Jaco s C15T NOTICE ( n 0. oX 141 1 t P. 1 BUZZ DS BAY MA 02532 F 517 442 14 Detached from c Oc Form3849—p` Oct. 1980 y 1 I J t {{)I c 0 SENDER:Complete items 1,2,3,and 4.--- Add your address In the"RETURN TO" space on reverse. (CONSULT FOSTiMMISTER FOR FEES) _ 9. f ring servlce Is requested(duk one). �t®Show to OM and date a .:............. 6 Show to Wh m,date.and address of delivery.. 2. ❑RESTRICTED DELIVERY.............. (►� d d yr An is eterpmd b eddingn.... — � b dae nAurn ropt/gr Aae.) TOTAL 3. ARTICLE ADDRESSED TO: Mr. Irwin Jacobs P.O. Box 1412 u, 4. TYPE OF SERVICE: ❑REGISTERED OINSURED PNu4 2 OCERTIFlED 0000 n EXPRESS MAIL Ilways Ols1a s%natttre of addream ev 89md) I frs4s relmlved the ar8cle deurlbo abm. SIGNATURE ❑Addressee ❑A,dt,�d 5' DATE OF DELIVERY s . r�. I S. ADDRESSEE'S ADDRESS/Omy it a m 7. UlWLEE TO DELIVER BECAUSE: 7 pl .S { � .. IT i eOPQ IM479M-- �� `~^.,,•wear•-C--�-�-�--_ _ _ _ 1 1 r . '. S Try Y .. . '.f.. -'h•. ♦ �, .. . Nr Irwin, Jacob Willdw Raaga 1)k1-4; � r CientervTle'D Hita 02!532 :S h' ? PTO gCR, TO' CORRECT'VIOLATIONS OF :310 CMR 'l5>00 n HIMM REQUIREMENTS FOR THE _ �$3OS�ite'OF. ST1SdJRFACE 0ISPOS OF'SAAIIT�Y `SRG1�eG %property,oYaaied b•y"yore r ya inopectecl on :Yuma ab.a fl9d�a, 'by, Janet Cr'Ibko and..John .Tkcmbi n a1tP� Inepcctoga•_..for•,_t a o i af•;�arcaaa.t'able, because *.of,,Bev'ere I CoPpleinta •:'" of 'polluEion--of thy, pond aad jhcent'to your. propeicty< ` r �Puber,'aampl§o.'wera..obt.ained aha tc�ato.d at„�v�gi®u�, flo:c�tiona .og the pond,.* 'The racu,'ta in4iVdtel that 'steerage from your pgope rty .is',&:point liource of, pd1lut-ion to- `thy Mond hued by you gtate8 thht your present 6yatce� c©nSiete of..an,, traade�4®iced - = a, a®� 'tha1E�, axed a h a®onnlly flooded le cka"i'ng fi�eld; You„are. .in v .t6lation og� lati (ll)P (b9)e.:and (26) ofr;:3fl0 .C1K rl5`bo ` . Mi.ziimutR-Requftea�Bnts for the-Didpoa�6l,o$'Sub.®urfhce "Pies o®afl of- 'Sanita'r y,'SewaSq. dour, re directed tm:•upgrada your crarrren- on- di c9i®po�nl sy teaa eiithi'ri five ayh:®f g�ceipt•of.'th o'orddro- 'r It should �be noted~�h�t .`on.Octobar lla :1983a y®an' obtainQd o'-va'tiance, ¢ro�a the"Bonrd'•of' Res1th f®r thia uogiad'ingo ou .could. also v cht� thee-premi®e6.until ouch ii, 6 the system`,is .upgradeal< �oea 'may gec�uee.r �..h�ar�n� be fore :the Board*-'of Health ifwr.ir:ten` petition xegraestiaag eat. icr_ rece'ivcd :e�ithiaa'.`oev;ai .':(7) �aya<.aft¢i ' the date ehe"order -i'a,-rlerveaia Wong complianc�;.could,,redik,flt iaa. .� fare o�"iao: to. $500> ' Eash dsy°a gail'aas"�a to.' c¢ieaply. Frith an order -'ahr�flg c aaatit.uge g'. seoars�e"Violatiopo= PAR f okbn-,0F -THE,BOARD OF HEATH, J oh'n e '-telly' Director-- ' f ��tblic.Heilth' r i i r r .4 • - , cc a. , �.e ®o ® ..l4fla D Buxaarda :,tay a ,MA o 'Oa53a . ' J,uly 23 a; I984 A1r o Irwin Jacobs �l"WiIlow Run, Drive r Centcd �rigge'" F1a< 02632 . r 147 'NOMZ'JO. CORRECT VIOLATIONS OF •3I0 CMR'..150004 F1IWIIytiJl�'d �QBJIREA3d�Ri�S FOR THE dDISPOSAL OU SUBSURFACE' DISPOSAL 'OF SANITARY-_SEWAGE,-, ' Prop�ert, own by.'you e�aa :inspece�d on June 2�o. 1984,. by,Janet,Gribk.o- and .John Jacobi, H�salth. bay®��ctor� gog' tM� �otin:of Ums�stab:c cause,.' a� .�evr gal compgaiaeta.: of polgutiorn "of 2h 'poxid ad cent:' a 'your. prropsarrtyo Vater sample a- Vere._obta,ined'-and tested at vairious. iocatien8 of the-pond. The ' . rdbuita ,indicate ,t.hat rae�ra��:'.fTpm -yoca�''�g®���cz� is •�i'.,pmint source mff pollution .. .go tha goad o; � .. :,+ '• . . r. .. An:. engineer hired by you sta�q .bha� .youro-present .cyat m-,consists* `of'an •undeisipdd s.t eel l::tank 'aqd 4':®easona Ill f looda:d ieachi�S; gimld o You dre in viol�'tion of Regulat.i6n, 15e02 (,ll)s (19),-, iancl (20) of•31O . 15o,00:0 E1ini =:6qu rements -fog the 'Dispooal of -Subaugface .Diopoe8l--of "Sanitary Sewage. You are `directed;, to upgrade 'your..-curr�ent-on"si,te disboaal sy®taffi �rithiri"five . (0, days of-'receipt, of, thiv order.'. It should.`be noted'that on October, it n 1983,. you obtained ss Variance groom:ttho'Aanasd.:og ffieeleh' .for this .upga'aa$iansa -pu +could alao vacate the `'premiaea. until cuc�n tiii., aa :the oy€atcam id.,upgradede jfqu-may: .ruquest ffi fliearciog befdre:; he Board of Health if written--petition 'requesting r 8am� p' (7).=days alfter-the date, the order. ie-_'Gerveda. Hoai=co pb a�nce. could. geaulc 'ini ai frLaare 'of..up'to�.$500'. Each day"''`.. g ilure to comply.with".an order ehrali con®titutu a separate vio ationo , 41 x. PER ORDER.-'OF -THE BOARD,. HEALTH. .' John Ado VaIly. j Director 'of Public Health:- Cc a ,,0. Sok Btizaarcds Ziay.o Fa."02532 July 16, . 1984 Mr. Irvin Jacobs. :$1 ,Dillow. Drive Centerville, .&.' 02632 NOTICE TO CORRECT VIOLATIONS OF. 310 CMR.:15.002 MINIMUM,REQUIREMENTS FOR THE ' DISPOSAL OF- SUBSURFACE DISPOSAL.OF. SANITARY SEWAGE Property o. wned,'by you was inspected on Juxic. 26,1984, .by Janet Gribko -and John Jacobi, 1Health. 'Inspectors for the Town of Barnstable- because of several ' .complaints of pollution of .the pond adjacdnt to your property. Water samples mere' obtained and tested .at various Io cations.'of;the,,pond. The, ` results indicate':that seepage from your property is •a `point source of .po_llution ' to the .pond. An engineer hired by you states that your presen.t 'system, cons sts-lof, an'under. sized steel tank and a seasonally flooded- leaching:::fie.ld0, ' You are in. violation' of Reg uflat'ion 1S.02 (11), ,(19), and. (20.) og hO%CMR 15-.00, .Minimum Requirements for .the Diapos,al -of Subsurface Disoosal,of- 'Sanitary Sewage... . You are directed-;to'-upgrade your' current :on-site4isoo6al, system *within.,ten . (10) days, of receipt of this order. :It should be noted that. on .October, 11, 1953, you obtained.a .variance. from the. Board of Health for,-this',upgrading: You could -al®o vacate, the premises until such time as' ;the system is upgraded'. You may request a hearing before the Board of Health if, written,petition requesting same is recei'ved,"within sevefi (7)..days' after the date the order is -served. Noncompliance could result. 'in a fine of up "to $500e Each .day1a. failure .to comply with an order shall const-itute a separate violationt PER ORDER OF THE BOARD OF :HEALTH' John M . kelly Director 'of Public Health JMR/gym . . . .. ' . . • :�� Ivry October~'11, 1983 Mr'e Ronald P," Bukoska , P..-0 ;`Box�•14 2 Buzzards, Bay, Ma. 02532 Rea Variance,at 81 6di11o�;:Bun Dri ve, Centerville: z i � G Dean Mr'.. Bukoski a ' You are,gran`ted a•var.iance on bebal'fr of yqu' dIiint', i�r I ;Q' in .Jacobs, ',. to install septic',system at 81 Wi'11ow Rune:Drove, `'Centervi•lle: ..The ' variances .granted: are. ;`(1). Three apd one 1a1f feet of natural material' beneath :the ''bottom of .the leaching di'£fusors •in, lieu.:of the, "required four feet (2)'. The proposed leaching: facility is 50`feet �from•a pond in. lieu of the.require .100-feet ('3) Elevations foie the septic .tank'," '.outlet and',:pump chamber can be`vari'ed if necessary, 'for proper operation:.: • The- folloving ,condition9.miest be• met r3 • (1) "All other' requ remeats of Title 5, _of the St ate 'En,Vironmental' . Code ;,.'and `the Town. of Barnatable,Health:-Regulations, must. be mete: (2) :The designing engineer must be pr¢sent on ;site and1dupea ise . . ttie ftc. construction-'of the sep .,system and, must' certify`in writing >. to the.Boar¢ ;that the system,,mas c'oiistruc.ted ;in .s't•rict accoraance,- I�ith, his .design. (3) .'The existing cesspools must be"discnnected' o_ and sealed with clean fill. " (4)• .You .must. receiee an Orden of. Conditions from'•the Conservation ' Co�misa ion e This variance expires November 1, 1.984. ti '.'Mr.- Ronald F. Bukoski bctober ll, 1983 Page 2 This varian ce was granted b rated ecause ou stated th ,e addition mould not create':g y • an increased sewage flow. In addition, the current cesspools. in use- are in all probability polluting the ground water. The granting of these variances considerably improves a difficult. situation and- offers- much . more environmental protection. 8 ry tr q pours, Bert L. Childs, Chairman Ann Jane Eshbaugh H. F. Inge, F1. D. BOARD OF HEALTH TOTM OF•BARNSTABLE JMK/mm . . cc: Conservation Commission P �17 �42 14 . RECEIPT#90.9 CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Mr. Irwin Jacobs Street end No. 81 Willow Run Drive P.O.,see ate and 21P C,o 81 le MA 026 3 2 Postage $ Certif led Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date,and Address of Delivery 00 0% TOTAL Postage and Fees $1 5 5 p Postmark or Date W Mailed: 7/23/84 00 .w . a STICK POSTAGE SFAISPS TO ARitCLE TO COVER RRST CLASS POSTAGE, t TiM MM F€E,Alta CMUES FOR MY SELECTED OPTIONAL S&VICES.(tor+froaq 1.If you warts this receipt postmarked,stickthe gummed stub on the left portion of the address side voflhn article leaving the receipt attached and present the article at a post office service window or hand It to your rural carrier.(no extra charge) 2alf you do not warn this receipt postmarked,stick the gummed stub on the left portion of they amass sido of the artiste,date,datach and retain the receipt,and mail the article. 3.If you want a return receipt,write the certlfied-mall number and your name and address on a return rece tcard,Form3811,andattachittothefrontofthearticle fp by means of the gurtimed ends- it space permits.Otherwise;affix to back of article.Endorse front of article RETURN RECEIPT REt1t9Et MT7 adjacent to the number. ? 4.if you went delivery rostricted to the addressee,or to an authorized agelit of the addressee, endorse RESTRICTED DEUVERY�on the from of the article. 6.Enter foes for the services r®ruested in the appropriate spaces on the front of this receipt,V return receipt is requested,check the applicable blocks in Item 1 of Form 3611. 6.Save W3 receipt and p;mecnt A i'f you make inquiry.- _ P 5:17 _ ,d42 142 RECEIPT R;OR,CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— ` NOt FOR INTERNATIONAL MAIL (See Reverse) Sent to Mr. Irwin Jacobs Strj 8d N%ox 1412 P.O.,State and ZIP Code Buzzards Bay MA 02512 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date,and Address of Delivery 00 o� TOTAL Postage and Fees $1 5 5 p Postmark or Date o ' M Mailed: 7/23/84, 0 STICK POSTAGE samps To ARTICLE TO COVER FIRST CLASS POSTAGE, CEfW.MD RAIE FE$AND CHARGES FOR AS11 SELECTED OPTtoft'AL SERVICES.(sea froaQ 1.If you warts this receipt postmarked,stick the gummed stub on the left portion of the address side ofthe articta toavtn0flea receiptattached and presentthe article at a post office servicewindowor hand it to your rural carrier.(no extra charge) 2.if you do not want this receipt postmarked,stick the gummed stub on the left portion of thin al a side of the arflsie,date,detach and retain the receipt,and mail the article. 3;�if you want a return receipt,write the certified-mall number and your name and address on a •r ;return receipt card,Form 3811,and attach Ittothefrontofthe article by means ofthe gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT RMUESTED ad,acent to tho number, 4.If you went delivery resirictcd to the addressee,or to an authorized agerit of the addressee„ endorse RESTRICTED DELIVERY on the front of the article. S.Enter foes for the.services requested In the appropriate spaces on the front of this receipt.If return receipt Is requested,check the applicable blocks in Item 1 of Form 3611. 8,Sava this receipt and present it if you make inquiry. ' ' ' 51'1 Ap A 4 2 137 RECEIPZ" FOR CERTIFIED,MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Mr. Irwin Jacobs Street and No. P.O.,State and ZIP Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date,and Address of Delivery 00 o� TOTAL Postage and Fees $ 1.55 .o ty Postmark or Date 0 Mailed 7/16/84 M 0 w a STICK POSTAGE SMM TO ARTICLE TO COYER FIRST CLASS POSTAGE, CF.JiMM ISAIL,FEE,AND CHARGES FOR My SELECTED OPTIOUL SERVICES.(as irssQ 1.If you wnnt this receipt postmarked,stick the gummed stub on the left portion of the address sido ofttio Micle leaving the recelpt attached and present thg article at a post office servicewindowor hand It to your rural carrier.(no extra charge) e 2.If you do not want this receipt postmarked,stick the gummed stub on the left portion of tho addWW skis of the.tick,date,detach and retain the receipt.-and mail the article. 3.If you want a return receipt,write the cartified-mail number.and your name and address on a return receipt card,Form 3811,and attach it tothefront ofthe article by means ofthe gummed ends if spacg'permits.Otherwise,aff®c to back of article.Endorse front of article RETURN RECEIPT RECik-�b ED ad);--cant to the nurribor. 4.If you want delivery restricted to the addressee,or to an`authorized agent_of the addressee,, endorse RESTRICTED DELIVERY on the front of the article. , F.Enter less for th€servlws requested in the appropriate spaces on the front of this receipt,If return receipt is requestori,check the applicable blacks in Item 1 of Form 3811. 8.Sage this receipt and present it if you make inquiry. Permit Number: Date: ' Completed by . HIGH GROUND-WATER LEVEL COMPUTATION Site Location: 6 Lot No. Owner: Address: Contractor: Address:—: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. . . . . . . .. . . . . . . :. . . . . . . . .. . . . . .T /1 date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: - A) Appropr i a.te index well . kkvb _ Y,7 B) Water-level. range zone . C_ . . . . . . . . 3 L/ STEP 3 Using monthly report"Current Water Resources Conditions" r determine current depth to 4 water level for. index well . . . . . .. mo-yr STEP 4 Using Table of Water-level Adjustments for index.well STEP 2-AT—, current depth to water level for index well (STEP 3) , and water-level zone (STEP 2B) determine water-level adjustment i - r STEP 5 Estinate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water i (STEP 1)level at site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �` S • f� S _ a f � �r 116, 3 •yd it P.O. Box 1412 Buzzards Bay, MA 02532 September 26 , • 1983 Town of Barnstable Board of Health Hyannis, Massachusetts Attention: Mr. Jacobi RE: Request for Septic System Variance L. Gentlemen: Attached is a revised septic system design for the property of Mr. Irwin -Jacobs, located at 81 Willow Run Drive, Centerville, Massachusetts. The new system is designed to upgrade the septic system with the "best possible" design, and to meet current septic system standards. It is my understanding that the existing septic system consists of an undersized steel tank with a seasonally flooded leaching field which is approximately 90 ft from Wequaquet Lake and 30 ft from Lily Pond. The reason for upgrading the septic system is to obtain a building permit to increase the floor area of the existing residence. There will be no increase in the design volume of sewage flow as a result of this construction. The main design problem is high groundwater. Elevations of existing structures/sewer pipe inverts, ground surface elevations, site layout, and the proximity of watercourses reduce the flexibility in designing a septic system. As shown on the septic system plan, some of these design constraints are: 1.. Elevations of existing structures above the existing ground surf ace/fixed sewer pipe inverts. Building number 1 has a sill height of 100.16 ft*, with the existing ground surface elevation of approximately 100.00 ft. This limits a proposed minimum sewer pipe invert elevation to approximately 98.5 ft. Building number 2 has a slab-on-grade first floor with a fixed sewer pipe invert of 98.31 ft, approximately 16 inches below the existing grade. These sewer pipe invert elevations control the elevation of the septic tank and pump chambers. *B.M. set top of concrete bound. Assumed elevation 100.0 ft. J ' IN 2, Site layout of existing structures, utilities, trees and paved areas limit the areas for installation of the septic tank, pump chamber and leaching field. 3 . Ground surface elevations and limited site dimensions preclude the raising of the distribution box and flow diffusors. As designed, approximately 2.5 to 3 .8 feet of fill is required above the existing surface grades to cover the flow diffusors and distribution box. Any additional increase in elevation would make site grading most difficult and also introduce the potential for wastewater breakout from the side slopes of the flow diffusors. This revised septic system design. attempts to maximize elevations -above the maximum U. S.G.S. calculated 97.5 feet groundwater elevation and setback distances from structures and watercourses as set forth in Title _Y and the Wetlands .Protection Act. However, previously noted design constraints preclude one hundred percent compliance and variances are requested Eor the following: 1. Septic tank outlet and pump chambe r pipe invert elevations of 0 .03 and -0.07 ft. respectively, relative to the maximum calculated groundwater elevation of 97.5 ft. The required minimum elevation above the maximum groundwater elevation is 1,0 ft. 2. Flow diffusor crushed stone bed, 1.0 ft thick, 1.0 ft .above the maximum calculated groundwater level of 97.5 ft. The required minimum is 4.0 ft. 3. Flow diffusor setback distance of approximately 50 ft from Lily Pond. Title y requires a minimum of 50 ft. while the Wetlands Protection Act requires a minimum of 100 ft. Every effort has been made to upgrade this system to meet current septic system standards within the limits of the design constraints. Thank you for your cooperation with this request. Very truly yours, Ronald F. Bukoski Civil Engineer cc: Conservation Commission T04 DEQE File No. SE 3-999 , f (To be provided by DEQE) Commonwealth 16 of Massachusetts - ({ :o MUSTAJM t City/Town:Barnstable q y ry9' Applicant IRWIN JACOBS a ,� �� 'E0 NIL"(k Order of Conditions MASSACHUSETTS WETLANDS PROTECTION ACT G.L. c. 131, § 40 TOWN OF BARNSTABLE WETLANDS PROTECTION BY-LAW, Ch. 3, Article XXVII FROM: BARNSTABLE CONSERVATION COMMISSION To Irwin Jacobs (Name of Applicant) (Name of property owner) Address 81 Willow Run Drive Address Centerville, Ma. 02632 This Order is issued and delivered as follows: by hand delivery to applicant or representative on (date) -y certified mail, return receipt requested on (date) This project is located at 81 Willow Run Drive, Centerville, Ma. Barnstable Assessor's Map # 210 Lot 56 The property is recorded at the Registry of Deeds in Barnstable Book �3 75 Page 810 Certificate (if registered) Notice of Intent dated Sept. 12, 1983 Date ofXYAW Final Hearing nest-_ 4, 1983 This Order is issued on October 25, 1983 Findings The Barnstable Conservation Commission has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the Barnstable Conservation Com- mission at this time,the Barnstable Conservation Commission has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the.Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act (check as:appropriate): ARTICLE 27 ONLY ❑ Public water supply ;,/Prevention torm damage prevention V Erosion Control 0 Private water supply of pollution C, Wildlife t1C Ground water supply ❑ Land containing shellfish Recretional, 0 Flood control 0 Fisheries E. Aesthetic Therefore, the Barnstable Conservation Committee hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the regulations, to protect those interests checked above. The Barnstable Conservation Committee orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. GENERAL CONDITIONS 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. This Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: (a) the work is a maintenance dredging project as provided for in the Act; or (b) the time for completion has been extended to a specified date more than three years, but less than five years,from the date ofissuance and both that date and the special circumstances warranting the extended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date'of the Order. 6. Any fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or debris, including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,.pipe,tires,ashes,refrigerators, motor vehicles or parts of any of the foregoing. 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land. the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done..The recording information shall be submitted to the Barnstable Conservation Commissio on the form at the end of this Order prior to commencement of the work. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bear- ing the words, "Massachusetts Department of Environmental Quality Engineering. File Number SE 3-999 10. Where the Department of Environmental Quality Engineering is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hear- ings before the Department. 11. Immediately following completion, the project shall be certified to be as per these conditions and plans, in writing, to the Barnstable Conservation Commission by the project Engineer who shall be registered in the state of Mass. 12. Upon certification by the project Engineer the applicant shall forthwith request, in writing, that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. Prior to any work being done at the site, all legal advertising bills incurred by the petitioner in relation to the Wetlands Hearing held on this project shall be paid. 14. This Order is issued under Article XXVII of the Town of Barnstable By-Laws as well as under Mass. G.L. Ch. 131, sec. 40. The Barnstable Conservation Commission or Conservation Officer shall be notified no more than two weeks nor less than two days prior to the commencement of work, and have the authority to issue an Enforcement Order if the terms or intent of this Order are not complied with. 15. It is the applicant's responsibility to provide all contractors with a copy of this Order and to ensure that all workers are informed of the conditions of this Order before they begin work at the site. 16. The work shall conform to the following plans and special conditions: PLANS: Title Dated Signed and Stamped by: On File with: 1. Site Plan & Topographic 8/17/83 Nicholas A. Lanney,PE Barnstable Conservation Comm. Information; rw 1 nn Jacobs, 81 Willow Run Dr. , Genterv411e 2. Septic System Design; 8/17/83 Nicholas A. Lanney,PE Barnstable Conservation Comm. Irwin , Run Drive, Centerville 3. Town of Barnstable Board 10/11/83 Board of Health Barnctahla rm„--Pruation Comm. of Health Variance Special Conditions (Use additional paper if necessary) 1. Staked haybales shall be placed around Building #1, as shown on the above- referenced plan, and continued all the way to the southerly property line. They shall remain in place throughout construction. 2. All disturbed areas shall be revegetated immediately following construction. Areas stripped of vegetation shall not be left unvegetated or unmulched for more than 60 days. ...................................................................................................................................................................................... (Leave Space Blank) Lx Issued By Barnstable Conservation Commission Signature(s) - � 7 J This Order must be signed by a majority of the Conservation Commission. On this C;�2 4� � day of. /, '� � =2� 19 f'_j , before me personally appeared /�7��—it%<<�!L Cf�%%'c --cry i.0 to me known to be the person described in and who executed the foregoing instrument and acknowledged that helshe executed the same as his/her free act and deed. Cc Notary Public My commission expires The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land upon which the proposed work is to be done or any ten residents of the city or town in which such land is located are hereby notified of their right to request the Department of Environmental Quality Engineering to issue a Superseding Order, providing the request is made by certified mail or hand delivery to the Department within ten days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and the applicant. Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work. To Barnstable Conservation Commission (Issuing Authority) PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT FILE NUMBER , HAS BEEN RECORDED AT THE REGISTRY OF ON (DATE) If recorded land, the instrument number which identifies this transaction is If registered land, the document number which identifies this transaction is Signed Applicant v , r; FOOTING AND COLUMN SCHEDULE kE YFY 3 V]'DN LALLY C.—N STD BEARNL PLATES C O ux 3'%3'X R FOOTING O/Al N0.S REBARS—.AT A L N 3'COVER IRON BO OM MB ' L1 Ill 3 1/Y DM.LALLT COLUMN W/STD.BCARINL PLATESr ' YTH 3xCO'R FROOIITBOTT01151 N0.)REOARS EACHWAT `1 r-E 33'-B• n-o r-o f,C F..I I T E111. C_j �FOOTIUpNM SRE�SSXWM.NEAA1 N0'LATE BARS EACHRAT YppIBLE COLUMNSR016T AS SH00N 'Architeemml Design i luc®rparaced I 82 Paula BA v,beaaeenvaalls 0265] 506 255-W606 FAX 600 255-0607 Tree .a-eRneaom 1'-L 3/1' T-0 1? f-0 31" FIN. FIN. r-to yr T-3 yr r-]yr GRADE T-L�' GRADE EL.3G' EL.35'-G'EXIST. FIN. 'L\ ROOD FRAMED STA.INSIDE 1 ERADE G. 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Drown AI5 ` S 3 WEST EXTERIOR ELEVATION SCALE: I/q' I'-O- .A.RLATIONreyed opcn ccll laaq R-99 1Agn6alencJ _lent r B.Well:ConlNna4Rn of sprayyed ciwed cell loan /3Hbelglass bolt•R-21.tol•(Agr6 e)C.Bexoent Cahng; -30 Fberdass Ball Insda°on. G- D.Sccond Levcl F'IRm:L'Swnd etta �, I A.l E.Inlena Watls:3'Sowd Balls at sticd Betl 1 F.R.Bmd:5 1/2-Sprayed open ce0 foaq R-29(Aq,.6A.L0 .d MAX nun /a,? 4{j J'F; T BLDG.HT. _ _ _ _ - EL 45'-3' 6)1 3/1'X B VB'LVL RIDGE BEAB DI 1 3/1'X R Ve'IV'RIDGE BEAM 13 dA��\�,N (I��9�(O �I }ICI ry GG. ��OC TOP of WDGE t3 ° $�' ° IS a+ 8 LVllJ-�IS LVV!!l55S��lYWWrtrtrttttlrrrStttllYKK-.11ll� ]Xa PopGF BOARD ---- -- I]I 13/1'X B 1/F LVL RIDGE B AM Design a R O AREAFAREA Incorporate IT Ts p 15 •I+°� 0/.1 FRANMGT Eg1RUM` � ..... as ReRL.BA ollevna.Mvasee OE650 PPUI OF 33'%V1'X 3'L D BOB ES5-OBOB STLESNGP Lw1EEH 0 OHIEACM�' aB FA%SOB E55-OBDT M lEG ON OPPO`JTE FACES TI® vd-ertNLa-cam LE. TOP OF DBL R. TOP OF DEL.PL _DIXl FIAT C14.BETOXp 3XI0/N O TOP OF DEL PL 31]%R) WN.R.O. 31 13/1'%5 V]' R.O. 311 3/1'%3 V]'- - HEADER LVL HEADER lVL HFA.EN HE DUO HEADER PIDl RA. T -� EXERCISE [111E 3/r PT.PLruD. - OFFICE PIASTER BEDROOM OVER TAPPER M JOISTS 1 V O 3 0• - 3-O A LT EPDM ROOFING OVER I O ERNANG �L'ERNANG OVERHANG SLEEPERS Y/PEPDM SHNIS UNDER ixe TERS/LL'O.C. t5 ]X{RAFTERS/IL'O.C. IN RAFTERS/R'O.C. 3/1'ADVANTECN PLTUD. 9LEFRPERS RE OKKING DYER Q 1 ixt SOAFIFR JOISTS if - 1?GEAR PLO' SOiFlT JOISTS 7N0 FLOOR ATLI[GG JOISTS 15 FNGBILEEREO J STS 1 AT N o.c. o JOBTs Ar LL'oc SUBFLOOR _ - yr A51lo/K•oc R-B DI 13/r%1 va•LFL _ _ _ _ EL 4T'-V =I r 1 v L R•o v asl /N• t r I v ]DF /B• c R-]s fLUSX BFM I�/1'%+ON LVL JOISTS BTm OF BR UIN.R.O. HEADER DR R0. 131]XUI HEADER AI]l00 HEADER H TOP FDLE LUT D00N O F3l OAR BTH R.O. 0 L'AT L E IESI EDGE J COMPENSATE TAPER OF BE.II Pl DROPPED JOISTS ON 1f•ANGLE TO BEAM U/PCTWO. GH wTN LONG EDGE SPACERS.TTP. ])00 PT LEDGER SECURED TO (�`\ RUI JOIST /V]'N LAGGERED G BOLTS 11111`�JIIIII II TmuL KITCHEN - e BETUEEN ixAAxD s EATWXG GREATROOM PRonpf III PVC SPACERS GAS FBLEPIACF r^^}�� T 3/1'AOVANTFCH PLTOD ROOM SON IIJLJi 3/1'AOVAXTECH PLTBD. LST FLOOR SUGI ooRIMG ON EUi-EN D ON IL_.1U MGINEERfD JOISTS SIIBF�OOR & GI J°BTS - - I VLL'X I VC LIE LAMCO ANST/LL'OL R-3o - _ _ - EL 3W-L' - _ I v1t•X E T/e uE uMCO JOIST/LL'O.G R-30 I lM%U V B'LLE LAMCO J06T/LL'O.C. )o a DII VrX+VY In 's mlvr%+vJ•tnBOLMKBL 3 I( ll 3 CRAWL SPACE AVERAGE EXISTING DO 0 CRAWL SPACE 'u GRADE AVERAGE EX15TIHG ae TOP OF GRADE _ _ _ _ _ _ _ _ _ _ _ __ SLAB -_ _ _ EL 35'-3' EL 35'-3'-- - - - - EL 31'-9' 31 GONG FILED MI a CONC fB1ED `J f� STEEL COWMM STEEL COLMX RI STD. B0.5E AND BEARBUi 3 BASE ANT BEAINIL I SEE OI.TTP. Ae O PLATES.TTP. ae O OR CONCRETE F FOR FULL CONCRETE FOOTING NLL°p°ESCRIPTION SEE �fSLRI°PTION 2 SECTION THRU EXERCISE/ KITCHEN/ GREATROOM I SECTION THRU MASTER SUITE/ DECK/ GREATROOM/ SCREEN PORCH A.0 SCALE: V1'=1'-0 AL SCALE V1'=I'-O' LADDERED RAKE FRAIING ]%t LADDERED RAKE FRAMING MEMBERS CANTILEVERED 3'-0' S 0, MEMBERS CANTLEVERED 3'-0' MAXIM NM OVER FGME LINE AND S_p• OVER FRAME LINE AND BLDG.HT_ SPACED LL'O.C, pR OIL SPACED LL'O.C. _ _ _ _ _ _ _ _ _ EL L5'-3' DI]xl0 RIDGE BOARD 13 11 --- --- ]Xa ON THE FIAT.TTP. a+ D.L. ReHsioaO At CS awl RAFTER -__ - _- !-0 In' 1]1]%q RAFTER 3XB RIDGE BOARD ---- ----- ixB RIDGE BOARD U NT.STEEL C0.MX PART of NOREMi FRAME AT COLLAR TIES ROOF AREfAO ROD,—A° 1B'O.C. D ROOF AREA C ]%1 RAFTER TIES IF D' AT N'O.G -- ATTIC ATTIC °C - S 3/T ADVANTECH PLTW. Ell 3/1'AOVANTECH PLT1a0. SIIBFLOORING ON JOISTS - SUBFLOOPoXG ON JOISTS _ 131]Xw xI0 G.J J II' .C. TOP OF TBL.PL IXIO CEILING JOIST/- O.C. HEADER OR RO. tlBN RO. 13) 3/1'%S VS' 31 13/1'J(5 I/T OR R.O. DR R0. LVL HEADER LYl HEADER C mlvrxsl/r LVl HEADER B SECURE 3/1'PT.PLT90. i OVER TAPPER CUT JOErTS 3'-D• a1 3'-0' APPLY EPOM ROOFlNG OVER E-0 _CAXIBEVER CANTILEVER ADD 3x PT.REVERSE TAPER SECRE 3/1'PT PLTWD. q SECURE PT.PLTUD. 5LEEPER5 B/EPOM SWFS UNDER BEDROOM 2 BEDROOM I CANTBEYER EVER TAPPER DUI JOISTS 'I w%11 STFEI C0.1wM : MASTER O R CUTI JOIITS R EAC SECURE DECKING OVER BEDROOM 2 APT EPDN ROOFING OVER KART OF HOMELY FRAME BEDROOM PP 3° ADD IX P REVERSE TAPER Ull b OVERHANG SOD]%PT.REVERSE TAPER 13//'x 1 EDGE LVL JOISTS 5LEEPER5 d/EPDM SHIMS UNDER G�IF PLAN VIEW OF EEPERS N/EPpM SWMS UNDER, .1.I TOP EDGE TO BE TAPfR D EACH SE LIFE DECKING OVER PLYWOOD EAR PANEL EACH SECURE DUCKING OVER O Q NT pOUN TO['AT FAVE END 3/T ADVAMTFCN PLTUD, lX[SOfFRRJ015T5C 1S /1'AOVANTECH PLYUD. - SLEEPERS 5LEEPER5 SPACED 1L•O.C,1TP. . SUBFLOORIXG ON IND FLOOR _ SIIBROOPING ON - °' ENGINRERED A"s SUBFLO�R _ AT LL°'C' R B S I3/1'%1 Vs'20F In%AST R'OZ. G1XRfYER - _ - - - --,�R-IS R-]f a /B' 10 It'0.. EL 17'-L' I VK AS1 I0/B•O.0 R-]S 13/1'%1 VT 20F Ln JOST/B'O.G=i� CANTBEYER 4A••W ev' '_ _ 13/!%L VT].OE lVl NEST/B'OZ. jr U—+ ICI -I Oi tMUIII F ME INN R.O. I.R.O. 131 3Xro HEADER XAR R0. 1 IXIO ®R R.O. �, ]%10 f?LEDGER SENREO To 131]%10 HEADER fLl l}B Va'LVl HEPOER Po JOIST U/V3'1 LAG BOLTS 51fET5 OF VI' ( TOP CHORD OF LVL JIXST5 1]I ADE STAGGERED 31'O.C. TOP CHORD OF lVL 1/2'J015T5 °BE CUT TONN 5 VT AT BE�UEEM 3ix1AXO SHEATNBIL 10 BE CUT AND S..AT RAMS Of AND BALANCE O NT TAPERED DONN VI' L� 0 F B1PMED0.%mw00 { FAME LINE AND BALANCE OF TOP OF J06T 10 BE �JJ m00w1 OF TOP OF JOIST TO BE FAMILY ROOM GAME ROOM L�•-s FND WIIS�� m wxn sTFB camul ( CUT TAPERED OOeM V]' O END OF JOIST _ I—XAM1 BACL SOLE I:y' PART OF IwNE10 FR ( TO END OF JOIST DF PANEL TO ME I i e SHOP FAMILY ROOM IxE OE 5)UD5 AT FwRA°r G'io e°%1 Uto GREATROOM AA.ypINOJtlS IiVDS I ( 3/1'ADVANTECN PLTW. 3/1'ADVAHTECH PLTNO. 3/1'ADVAXTECH PlTUO. SUBROOAING ON L _ SUBFLOORIN4 ON SUBPl00RIXL ON IST FLOOR ENLIXFEREO JOISTS _ ^ r ENGINEERED JOISTS ENGINEERED JOSTS SUBF�OOR _ _ _ - - - SECTION VIEW OF I III I v ICE MLo ST U- 5 R-Bo EL 30'-C' n JasT/D'OC. R-30 - Dale: onmbcr zs,zmT I t/B•x I ve LIE LAnc PLYWOOD EAR PANEL ______ ______________ _ I= D1I3/r x+ur Lvl NI/rxevr In =g PioleeL: J6-30.00 AVERAGE EXISTING CRAWL SPACE A,e CRAWL SPACE i AB '�•' _ _ GRADE GRADE + -P - _ 3 - - _ _ CRAWL SPACE BEan =1 AVERAGE EXISTING 5eela: AS NOTED vl,Z DreTm: MS _ TOP OF EL.35'-3' 'C/L -�T- - --SLAB EL 35'-3' _ _ _ _ 0'DIA CONCRETE _ _ _ _ _ - _ - FILLED SONOTUBE EL 31''B' 3 VI.1 CONC FILED PIER FORK TTP. .___. STEEL COLUMN FV 5TD. BASE AND BEARING PLATES.TTP. A.0 CONCRETE FOOTING /n� ///��/ SEE OS GRIFFON �/�A\� O II`11/-`/-.1) rS G V SECTION THRU DECK AT GABLE END SECTION THRU SHOP 3 SECTION THRU BEDROOM'S I AND 2/ FAMILY ROOM/ GAME ROOM f3, SCALE: 1/1'- A.G SCALE: I/1'=I'-O' Al SCALE: I/1'^Y-O' A.G ' • . _ .. _ .._ ...__...-_...__ -__ -_.. - .. ... _.... . ........ _ __._._.._..._...._ _... ..--._ ..... __._ _.._ ___ -...._._._.... __..__ -____ __..._..._..__ .__.._. _._.. ____.__ INSULATION:_ -- -- - A.Rod: preged open ccll foam,R-19 IAggnbde ) t B.UeO:Cm6lnaUon of.spreyyed cloxd cell fo m/3 I/T flbcrglass bats.R-21,lo:al,(Aynbat-0 C.Baxaenl Cehnq:R-30 Fberdea Batl InsdaUm - D.Sccond lfl c Floor:L'Sa Ls Bags �,�,��gg]] XS E.RI.B Waxz 3'Sald Betts at sUrm1 moos 70� _ F.Rlm Board:5 I/?'$preyed open cell foam,R-01 lAyrlbalencd t^ MAXIMUM AIR C i 11-1_E Cl BLDG.HT_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ EL.LS'-3' Architectmi 10 L 1I➢e A., �r,(C)rp l�� a OVERHANG iF OH. uOf" A T BOB+O . FA%61:255- OT3/1'AOVANT icH PLYWO. A5 T ,TDB and-ercDL .1SUBFLOORING ON JOISTSTOP OF DEL PL STJ R.O.C. TOP OF OBI PL HORZ RAFTER TNl f31 13aA LYL HEADER RZ.RAFTER TAR FOR LADDER FRMUrG R RACE AT U'O.C. N13/1'XI V]' -- RNGE BEAD HANGER LO 3/1'%1 VY LVl RIDGE BEAR BEDROOM 3 OFFICE vl RIDGE BEAD of 13/1 1 V1'LVL FLUSN l p5� 3•-0• _ S'-0' RARER BEADB TO TRADE II II I I II DOWN ON TOP OF MEAOER BEAD OVERHANG OVERHANG II II 11 I II ]'-O' II II II II II OHLP� Eye ] AFTERS/II'O.C. D 3/1'ADYAHTECH PLYCO. XB RAFTERS/It'O.L. IZ II II II I - 3/T AOVANTECH PlYOp. 'iT k'OC %t SOFFIT JOISTS 1.5 - SUBPLOORIHG ON ]%I SOFFIT JOI514 TF p — 7XD FLOOR E BFLOORING ON TOP OF DBL PL. R.O.C. ENGINEERED JOISTS AT X'O.C. SUBFLOOR I I I II I XGdEERED JOISTS Z Va'BU 10/II'O.C. I O I VC OF L JaST/N'OL EL 11'-L' SOFNT FRAIULl R_E AV6 BO 10/Il'O.C. CANTREVER pl ' SOFFIT FRANN4 13/ LVL ' BBL R.O. 131]%10 NEAPER pR RO. EA ER OUT TO O U-S F¢BEM UUL RO. FLUSH HEADER BD. PM OF IWDENI fRAR ]I 13/1'X Y 1/C I HEADER BEAN OLD BOTTOD I 10 ilUSH.TH eIND011 HEADERS Ae Q Q bfOl SIE6 COIIaN 5 I PART OF MOEMI iRAIE FAMILY ROOM - GREATROOM T ENTRY I - ENTRY I S � Aa SUE FLOORING PLYmD. S/1'AO RING ON PI= I - E.G.E RwHG N — ExBRODRmG px IST FLOOR 1 .. EXLUIEE EO Jg5T3 '� GIHEEREO JOISTS SUBFLOOR 1/It'z N 1/1'LIE LADCO JOIST/IC O.C. �I l/LL'%A V F LtE LANCO JOIST/II'O.C. EL.38'-L' 11/H'X I III LIE LMCO JOIST/II'O.GZR-___ X R /C L LAD 0 JO T/IIRN 3 rJ11J%'%1l?LVl UIINf%1VS LR _______ SPACE CRAWL SPACE I CRAWL SPACE CRAWL SPACE TOP OF _ - - _ AVERAGE E%15TIHG CIC•) I _ GRADE 1L�sI A,�CRAWL SLAB—^ r__J _ _ _ EL 35'-3' Ii—II O 9 SECTION THRU ROOF EAVES B SECTION THRU ROOF EAVES , LONGITUDINAL SECTION THRU ENTRY `L TRANSVERSE SECTION THRU ENTRY A.l SCALE: V1'=r-0' Al SCALE 1/4'=1'-0' q.l SCALE 1/1-=r-O' A,� SCALE: 1/4'=1-0' D.L. Revision: ©x� L=9 B'-1 3/1' NODFNE FRME � XOIIENi PAR STEEL $TE¢ '^ ___- 5TEEL -- B1F¢ CQ' SECOND FLOOR __j SECOND FLOOR SUBFLOOR J_ SUBFLOOR ----- —_ EL.1T'-L' ............................ - EL IT-L' )J�vFFpx115rRt EFM TOP OF STEEL ;.I )B�NDa SrSE¢Bun TOP OF STEEL C®� SIIOP�LOBOIPMEF I-V SHOP OCID BO1N 90E5 II �ipRpORDfB¢OTi0G11 For ML pENEINATIpN OF FLOOR fAAt014 z� FROVNE ML PFAT:TRAINNI TO 0LL i0R RATE O OELOS AT KWIS 10 ALI Fqt PUIE SOS AT JONTS yy I1 0/S�il INIV%HOLES O/N Oh'1 XOPLES Bq'no-sNExE NO-sxr xe FIRST FLOOR n LFYELaw FIRST FLOOR s URaR u IiN— iNI OR NTAR BED 50 FLOOR DORTAR BD EL 311- EL.3B'-l' - EL �7 �y D,la, OclNDer 25,2011 „• TOP OF FOX. m TOP OF FOE ya P-jacL 1E-10.00 BASE PLATE SEAT I BA5E SEAT NJd A.O TYP. EL 38'-2 V1' A.O TYP. EL-35*-2'-3 Vl V1' Scale: AS NOTED Drexa MS Gd A, ELEVATION OF MOMENT FRAME AT GREAT ROOM BAY WINDOWS o ELEVATION OF MOMENT FRAME AT ENTRY SCALE: 1/1 V-O' R - ,.__ _SPRAY-OPEN-CELL_.._ _ _.._ __..._____._ _-.. -._-__ ____ __._ ____... _- __.... __-_.._.____.__ _._ _ 'S/8'DIAM:'IL'GALY:'AN -... _ __..-_ _ _..._..._ ._....____-_.__ _._ __5/8-DIAM:It'_GALV�ANCHOR_ qua .. ANCHOR ... _ • 3-1 VB INSUL.R-49 f-0' BOLT PT q'-O'O.C.TYP. BOLT AT q'-O'O.C.TTP. CONSTRUCTION IX SKIRT TRIM 5 EN CELLIPII INSUL. y, t OPEN CELL INSUL.R-21 E $ RIP TO FIT 3/9'T/G.ADVANTEK I �.. 'SIMPSON'H2.5A •' CUPS AT EACH RAFTER RUN'VYCOR TAPE OVER FLASHING SUBFLR.GLUE AND 49 RUN NAILED TO JOISTS (L.�� _-f WORKING POINTOr"T UNDEROROUGHF SILL HAS REO'D OVER SHEATHING AND ROUGH SILL FIN.FLOOR A R L„iA I T k L.: 4 $ WHITE ALUMINUM 2 = 1/2'GAP AT BOTTOM = DRIP EDGE T5� IXL DECKING Iff IXC DECKING L IXB FASCIA TRIM FRA 10 MNG.T.DECK 7 X 10 P.T.DECK = 11 r = 91c`. Arc�lIl� l FRAMING t�. rr{T{}'�Y IX3 PVC TRIM ' D�jyIl TOP OF OBI.Pl. ..II". m ..ri''.:' g ON IF PVC TRIM = SET FRA '-IT" • LI IXL'V'-GROOVE = G SET FRAMING IN CLEAN MIND IN CLEAN - ' - I!.. _ � IX4 SOFFIT TRIM XU GRAVEL DRAINAGE GRAVEL DRAINAGE __q q..,� _ tl YRZITTo FIN15HE GRADE MATERIAL UNDER DECK MATERIAL UNDER DECK ,i T1 FINISH GRADE 1N EA IX3/IXIO RAKE o= �1I'' !T - sz Reule EAR BOARDS BEYOND �� III'—IIII'—IIII'—II _ s�a� = 1 —IIII—IIII rl orlce:u,NaasecnsacW o265J SO V 11 1 Il, _„ = T.O.G. B 255-0606 J� III—IIII—IIII—IIII "° T.O.C. —IIII—IIII—IIII .. _ _ y. :'II ENGINEERED FAx aoenRnnv co°m _ _ '•.`�y�"'91.i ENGINEERED IIII—IIII—IIII FLOOR JOIST _ i L FLOOR J015T SEE FRAMING PLANS �I—IIII—IIII=IIII. ..'.,11'`: SEE FRAMING PLANS (2I 2X4 P.T. — IIII—IIII—IIII .1': (2)2X9 P.T. _ 11 GALV.JOIST GALV.J015T I�—IIII II - =IIII=I II I=IIII=II SILL PLATE. HANGER,TYP HANGER,TYP SILL PLATES ' I IX RIPPED TO FIT , _LI'-...: 5/8'DIAM.12'GALV.ANCHOR IIII—IIII—III�II 5/8'DIAN.12-GALV.ANCHOR FRIEZE TRIM ON IX CONT. II=IIII=IIII �r - 51MPSON ABU POST 1/2'PVC SPACERS =IIII III III !" .Y• BOLT AT 9 OTP BOLT AT 1-0 D.C.TYP. BLK'G.LET EDGE OF BLK'G. 9!,` SEAT BASE W/1/2'DIA. BEHIND LEDGER BD. —I I III ,• :. D.C.00 11-IIII..-IIII—III....IIII :'�,•.,`. TO ALLOW FOR VYCOR -I1 EPDXY SET THREADED s . i-. RODS - SPACED IV O.C. . TAPED NAILING FLANGE 10'DIA.CONCRETE PIER EPDXY 0 THREADED ROD SET IN ,.C'':. "..q',': A s5 REBARS.OPENINGS AND "C'';.-•.1'- CONT.ALUM.WINDOW HOLD TOP OF PIER DOWN EPDXY FILLED HOLES,IG' AROUND ALL OPENINGS - CAP FLASHING.TYP. to I'MIN.FROM BOTTOM OF FRAMING O.C.•(2)ROWS,STAGGERED HEADER.SEE STRUCT.DWGS. (2)B5 REBARS.CONT.AND xoTE_ WINDOW SYSTEM AROUND ALL OPENINGS _ ET EOLE OF BLK'L.AT ALL OAII OPE. TYPICAL �• - ' ' TO ALLOW iOR VTCORTYPICAL E EAVE AT SHORT OVERHANG DECK EDGE DETAIL TYPICAL MUD SILL AT DECK - TYPICAL MUD SILL AT GRADE O SCALE 1-V2- r-O' O SCALE 1-1/2'•1-O- O SCALE 1-1/2- F-O' O SCALE 1-t/ •r-O- 3'-0. SPRAY OPEN CELL RUN COPPER FLASHING 10' 19, LEI TYPICAL ROOF CONSTRUCTION INSUL.R-49 BEHIND SHINGLE AND DAYLIGHT OUT AT STRUCTURAL PIPE COLUMN ARCHITECTURAL ASPHALT SHINGLE BOTTOM SET IN MASTIC 3 I/2'STANDARD STL.COI.. ROOFING AT 5'EXPOSURE d PROVIDE ICE AND WATER SHIELD FULL COVERAGE OVER STONE TREAD 9'CONCRETE SLAB flo ENTIRE ROOF SHEATHED AREAS 12 P� 5/8'PLYWD.ROOF SHEATHING SECTIONS C MIL.POLY VAPOR BARRIER I 2XI2 RAFTERS/IL'O.C. 1.5 _ CONCRETE FOOTING -J SEE PLAN FOR SIZE BASE PLATE _ L WORKING POINT - - L'XC'1.9/1.9 UIWF,TOP 1/3 2X9'S STAGGERED STONE R15ER f OF SLAB UNDER SLAB CATION 'SIMPSON'H2.5A SECTIONS �y CLIPS AT EACH RAFTER AT 16°O.C.STUDWALL O 3 1/2'FIBERGLASS 1= II=I' _ '..'. . -•.,...... O - INSULATION I I=II II=I I ..REFER To DETAILS IOC, T O DBL PL. ,11=IIII I AHD S TWS 5NEET FOR _- - - ________ = 5/B°GWB TO THAI FOUNDATION AHD WHITE ALUMINUM A r - — T ST FLOOR FRAHBIL - "�'. DRIP EDGE oiioRrwnox sNaWx L'CMU RUNNING I DwcoxAlL7 NATc1R0 _ _ D<e FASdA UM _Do BOND WALL s QO H:'WAYS(TYPICAL,II'",CONT. .':`;': 2 LAYERS DAMPPROOFING 0 < P o= t P `Q 1 G 5/B° O F - r I nLL IIIIIII Ild�� II!. - -___ - �—IIII I' � "� A ...�. .�'.' :,.. .'"•.:.:.: •'•.' - �� IXL'V'-GROOVE �.� �, ;. � � ' ��• =IIII=IIII—I II Liu—Lin—nu—nn—Lin—Liu—nil—nil nn IIII=1 T/Ce SOFFIT TRIM 3',' `,: '• 3', (=IIII=IIII III=III I=IIII—III I—IIII—I III—III I—III I—III—I(I I—IIII= _ _ IX RIPPED TO FIT IIII-IIII-IIII,-IIII,-IIIII=IIII-Il 11=I11111 111�1111, FRIEZE TRIM ON IX CDNT. '• MIN. DAte: ReNsIRn BLK'G.LET EDGE OF BLK'G. '-, SEE PLAN MIN. TO ALLOW FOR VYCOR 5 I/2° TAPED NAILING FLANGE xOTE: LFT EOLE OF..LK'G.AT All BALL DP—tS TO ALLOW VTCOR TAPED HU I.A.iE 2'-3' NO.S REBARS,CONT. TYPICAL EAVE AT LONG OVERHANG TYPICAL DBL. STUD ACCOUSTIC WALL ENTRY STONE SILL DETAIL eCOLUMNn°FOOTING DETAIL SCALE 1-2- r-O- O SCALE:1'4-O- O SCALE I-- r_O. O SCALE 1-1/2'.r_O- ]-0 SPRAY OPEN CELL UNTIL CONCRETE HASLL INSUL.R-49 ATTAINED l DAY STRENGTH to, I TYPICAL ROOF AND BOTH TOP AND BOTTOM CONSTRUCTION OF WALL ARE PROPERLY SECURED. 'SIMPSON'H2.SA CLIPS AT EACH RAFTER PLACE 2 BS REBARS AT T O TOP WALL AND AROUND ALL DOOR,WINDOW,AND OTHER WORKING POINT FINISH FLOOR WALL OPENINGS. I '�' •.�'��'� `' _ ENGINEERED ISEE RM.FIN.SHHED.) 12 FLOOR JOIST WOOD SHINGLE \J • - SEE FRAMING PLANS 3/1'SUBFLOOR 1' 304 BUILDING PAPER 1CONCRETE SLAB W/VXV W.9 W 1.4 W.W.F.ON L MIL POLY v� ON SHEATHIN _ _ VAPOR BARRIER ON C MIN. G_�y TOP OF DBL.PL. NO.S REBARS.CONT. �� I :. COMPACTED FILL•TYP. I/2'PLYWD. SHEATHING TAPEI'—III 2-RIGID INSULATIO U� ' .-• = JOINTS W/TYVEK CARRY OAMPPROOFING "_ L� _Vo TAPE,TYP. FOOT TOP OF NGNE OVER - — I I I ,,: :y,;, UNDER SLAB DRITEEALUMINUM = �= IXC STUDS/IC'O.C. �I—IIII IIII-I I .: -_ --`,r:-. U� ts•c �= T SPRAY CLOSED _=IIII= IlJ"_y• ,'D _ -%: IX8 FASCIA TRIM CELL FOAM IN50LATION 2X4 KEYWAY .. 3 I/2'R-13 HIGH PERFORMANCE _ WHITE ALUMINUM �`�` =.....: .:' .'::.-. .:. ... FIBERGLASS BATT INSULATION .IIIIIIIIIIIIII� MU1 : GUTTER _ : IXL'Y'-GROOVE 1/2*GYP.BD. A - I- o T/G SOFFIT TRIM R-19 FIBERGLASS —IIII—IIII= p.. � " INSUL �'', -:', Y.� D.t.; 0.tOb.,25.201T 2XC LOOKOUTS I/2'GWB �IIIIIIIIIIIIIIIIIII I .. ". '„- .. .' ProieeU 16-IO.OD I I'11=IIII-t SCAIe: AS NOTED AT It*O.C. 2 LAYERS —1 1 1 I=1 ITI n I I =1 I=11' Drn,m us IX RIPPED TO FIT RESILIENT CHANNEL 5' 10' S' NOS REBARS.CONT FRIEZE TRIM ON IX CONT. 21'O.C. r-e' BLK'G.LET EDGE OF BLK'G. TO ALLOW FOR VTCOR TAPED NAILING FLANGE HEADER,SEE STRUCT.DWGS. LET EDLE OF BLK'L.AT ALL WALL OPEHWLS WINDOW SYSTEM ,ue n.s°<.�'Le'a�ir:nunn and O O TL ALII WFDR YTDDRPICAL EAVEL AT ENTRY GABLE -� ACOUSTICAL CEILING DETAIL HIGH PERFORMANCE EXTERIOR WALL oeO 6ilp;;n'.L pX1 LOTYPICAL°SLAB AND FOOTING SCALE I-V='-r-O' O SCALE 1-1/2'•r_O. O SCALE 1-I/2'•1'-O' O SCALE I-✓='•r-O' DECK'5KIRT"TRIM-HOLD'1/2'_ 5TP.UCTION C`r. CLEARANCE AT BOTTOM Tl'PIf:AI ROOF CON 5 , k� ARCHITECTURAL ASPHALT SHINGLE •F r€- CONT.FLAT PROFILE L.C.C.DRIP ROOFING AT 5'EXPOSURE ! FF EDGE SET IN FULL PROVIDE ICE AND WATER SHIELD Q, 1 AOHESIVE AND MECHANICALLY FULL COVERAGE OVER TYPICAL ROOF TYPICAL ROOF FASTENED TO INNER FASCIA W/ ENTIRE ROOF SHEATHED AREAS CONSTRUCTION SPRAY OPEN CELL CONSTRUCTION -, CONT.DRIP EDGE CLEAT 5/6'PLYWD.ROOF SHEATHING INSULATION R-19 r ___ -2X12 RAFTERS/IL'O.C. !� !a I.�i 7 4 ____ ________________________________________ ________ WHITE ALUMINUM WHITE ALUMINUM WATERPROOF DECKING CONSTRUCTION z DRIP EDGE DRIP EDGE I 3/1'CHORD X II TBE PLUMB JOISTS.TOP - IX/I TRIM PVC �Il'��1ll���llD.11�dl� CHORD TO L PLUMB CUT 5 PE AT CLOSED CELL IX K IXIR PVC RAKE TRIM �m LINE AND BALANCE TO BE TAPER CUT SPRAY FOAM INSULATION RAKE TRIM DOWN I/2'TO END LY JOIST 2X6 LOOKOUTS �MR SECDRE 3/1'PT.PLYWD. I _ e7�11Il OVER.APPLY EPOM ROOFING OVER. _ 2X8 CANTILEVERED LOOKOUTS ]2 L SPACED IV O.C. SPACED IG'O.C. ADO 2X PT.REVERSE TAPER I RAILING SLEEPERS W/EPDM SHIMS UNDER SYSTEM.SEE IXG'S GROOVE PVC Inc j EACH.SECURE OCG DECKING I SPECIFICATIONS DOUBLE 2XIO RAFTERS T/G SOFFIT IXL'V'-GROOVE PVC D D T/G SOFFIT OVER SLEEPERS. I 62 A=ule 6A IX4 PVC SUB-RAKE Drlearts.x°„=°n°sell,626ss 12-GWE ON TRIM ON DC CONT.BLOCKING saa zss-Dsos X WO.FURRING I TRIM PVC SUB-RAKE vAx s6a zss-oeo� TRIM ON IX CONT.BLOCKING 12'GOB ON DDe =a-°r<n�.rom gn AT IL'O.C. DC WD.FURRING TYPICAL EXTERIOR AT IL'O.C, WALL TYICAL EXTERIOR T WALL CONSTRUCTION +F I UCTION 9' I I CANTILEVERED RAKE FRAMING DETAIL 0�77 TYPICAL RAKE DETAIL O CON7.SEALANT I S I-v]•- -o• I" SCALE I-vr-r-o• SCALE r Q I I WHITE ALUMINUM DC RIPPED TO FIT GUTTER FRIEZE TRIM ON IX CONT. DC6 FASCIA TRIM d BLK'G.LET EDGE OF BLK'G. TO ALLOW FOR VYCOR -IXL'V'-GROOVE TAPED NAILING FLANGE T/G SOFFIT TRIM EADER.SEE INSIDE FACE OF STUD f I INSIDE FACE OF 2X0 I STRUCT.DWGS. 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OVER FRAME LINE AXO I _ ` 1. ..; ' U I]I]JOl n)]XR SPACED X'O.C. _ ;s :..N.OVERFRARED "!:olf.<! 1 _ >,"II:ROW AREA 'I:::i:�il�'��L::_}_:� 'I o '1 'i x::�1 R HI I I:f:CIF—IH--i-'� �~~_ - I I p�+� O I #A "�1 � I''aW - I I jyR ♦ ::::7[ ::-1 I I O x O .: �JL.3) 1 I I I l 5L, I VT 1 I I ALL T NA GIN ^ 1 Vylr O A ♦ w '^ �j�w I y k P IR OF L'x3'%VI'X 3'L I I __ -----�D'' ' ' F, S L.M ES T.1 ACH I 'I 1j_-- ---------zD < J 1 I I O'¢ R __' -_- II J N LES LH OH ACH S REFER TO DRAWNG _al ' L DX PPO ITE P Cf5 �S' �—5n FOR LOW R II II 4 1� r♦ I O""' IN EIIIN FOR ` / 6'O.C. - I ROOF FRAMNG AT IL ST IRS LI] 'W.GI BOAR­II - - — T3 --- %01 0'LV RI BEA I 13)I (f II V\LVL OGE BEAM♦ •I yd�b A.L 11 II i io 1�I I •r. , �i n� 11�1 _ III I 3xn I ♦ � '1 2FOR IOMN�G p I I N < (1 FaAnew I�. /.'1::� ] 11 1 II �i I:�1'�"'�Il� ♦` d �1 Del.: RevieiR¢ �A�OVERiRMEO':IL:>:'�::V.:.::�. t :/1�111�OVFRFRAn D `�''I:J�7�a'I:;'��:�i:'::=::..♦O .%.d " 1 MISS _ !it". : 1 11 IX$LADDER RAKE r l' 1 ]X FT S.140G rc rc i I Ad ER/U.OG 1 1 1 RARING/W'O.C. . f0 D XBaj 31 31 Xil _ ,I __,� �IF-�L�✓FADER_, � - '�: tY.'T'� d_ _ __ __ _ 1V1 a" ' '.��J_ �SCJ "� �vLaEAOE6l� •.�:'� L _ _ 1 _ _ _ � r I ... -< ,.. Nil i IV'---- /L // / �-.... / -_I_. .. ♦ �... .. 1 STEEL TE RA 1 I `-'--- --' ---------� i l / I `♦ RAH ER RAKE ` RAKE SEES LADDER RAM ♦ FRAnW4/N.O.G I ♦ FRAn--U' - 2- � 1 ♦ ♦ WSJ REFER FR IOWER�G 1 1 I ROOF FRAMING '- T REFER TO DRAWNG 1 L CS 1 HOOP iRAOi11x4—a I A.1 1 L=J 1 1 - - - - - - � I I I I b 04 ® l—J �y Data: O,LREer 25.201T v/d Project 16-1 D.00 N/d Scale: AS NOTED pli Drel,n: MS A.1 A.L A.l Al A.L A.1 • as.' t I1 fi. ff y EXISTING FORSYNTHIA HEDGE TO BE REMOVED AND REPLACED f EX. BRICK PATIO TO OSEDv w WITH LAWN. ADDITIONAL MITIGATION PLANTINGS PROPOSED ( 7 BE REMOVED �a PROPOSED F LOCUS - Q' / TNOMAS✓& TERESA - Y.. / EX. PATIO, RINSE ` MITIGATION/ MITIGATION C MCNAMARA (2)EXISTING TREES TO BE REMOVED AND 1 PLANTINGS t�§7 STATION AND AC REPLACED WITH 2.5" MINIMUM CALIPER PLANTINGS MAP 27 LOT 43 CANOPY TREES TO BE APPROVED BY // PAD TO BE (150 SF (335 SF*) a ,B PROP CONSERVATION AGENT ° REPLACED(SAME / �- / FOOTPRINT) N53'51'00"E IP'FND N54'04'00"E .70, 32.42 VW(/1 "%" EXISTING SHED AND • WALKWAY TO REMAIN 10'SIDE YARD SETBACK : B d2 _ x / I I w EXISTING WALKWAY.09 +1 ,li �w �� TO BE REPLACED 3s / PROPOSED MITIGATION PLANTINGS x .7t 0Jmmg BEACH% I"In' I=� (SAME FOOTPRINT) kp- 0y (3'WIDE x 95'LONG-295 SF*) A /HEDGE o GRA S o < 4.. '* �7 1 •' 1 0ti / �• 'I,/ a \ '3'. 35.38 mo~ o~ l �= MEAN HIGH WATER. NGVD29 BWQ3 ea '( f32.39 ELEVATION 34.0AX LOCUS MAP POND PROPOSED SEDIMENT LOGS / / WA 0 Wj I I (CONVERTED TO OR APPROVED EROSION LI / s� CREEN REM IN I `11L NAVD88) SCALE: 1 2,000'* `v. o N20'02'00"E CONTROL MEASURE o PORCH N ZONING DISTRICT: RD-1 <a s b ncH I �. evwplap/ / 2.6 I (PER TOWN OF BARNSTABLE ZONING BYLAWS AS VIEWED ON E-CODE) BOTTOM OF EXISTING , / a.90 = I I WIRE FENCING ALONG/ 11fL 3 EXISTING RAILROAD ' 1 8VW TO BE RAISED' BVW ^' a I REQUIRED TIN PROPOSED ) PROPOSED m 1 3 TIE RETAINING WALL \ ,z TO ALLOW FOR is o AND STEP TO BE 1 I WILDLIFE PASSAGE 1.7 3-BEDROOM I ,� MINIMUM LOT SIZE 43,560 SF *49,730 SF *49,730 SF N20'02'00'E- FEER - RESIDENCE E ISTIN 1 xs L7s�l 3P al -REPLACED WITH MINIMUM FRONTAGE 20' 4'/.34' 47.34' T` STONE RETAINING MINIMUM LOT WID1H 125' 169.8' 169.8' O GRASS EXISTING'yp g �, K 0' Iza (� WALL(SAME - \ BVWy COTTAGE S 4-j` o MINIMUM YARDS: {I m ''3 FOOTPRINT) - O ��-- I�'O FRONT 30' 195.40'(COTTAGE) 195.40'(COTTAGE) � / ✓ ( I '`!w: �' ¢3 N 1 _ I I`" r' REAR 10 45.7-(RESIDENCE) 47. - (RESIDENCE) A v9\,,I,, F- 1 EXISTING.' I - 1 I"' 13~ �y`r `7>L 10' 26.7' COTTAGE `II, CAR. a SIDE ail' (COTTAGE) (COTTAGE) 5c O u 1 I w� 33.1' RESIDENCE N/F PORT�� 2 m o to t13 (RESIDENCE) 25.0'(RESIDENCE) � ` BVW 7 PEE ` x35.,o '.) MARY M DONALOSON N cam\ r :,, `"yRASS x' GRASS ter; BUILDING HE 30' 30' <30. MAP 21 LOT 44 Z - - DRI� zsa,aR/ a -- ' 1 I MAXIMUM BUI < , to �m y W1 / o-- BEA I (PER SECTION 240-7 )- SETBACKS FROM WETLANDS/ EAT PONDS ! D� � BVW10 +> BVW9 all, BVW({B / - .� % _ /' -- 10' IDE fARD SE ACK 32.a :.. EXISTING DECK TO - Cb 53Bpw y. GRAVE-, 5 BE REMOVED BUILDING SETBACK TO WETLANDS' 35 39 8' 40.0' PROPOSED -------- i� roI N52'0210" 4 MITIGATION X7 t'�. / DRIVE / 34,a5 E%. SHRUB o BUILDING SETBACK TO GREAT PONDS"' 50' 39.8' 40.0' j ery\ PLANTINGS _ - - d._3a- °" 1 I4P ' '4 34.18BAR/ 9 A D .FENCE (TYP)STOCKADE (TYP) o a PROPOSED 4' WIDE STRIP OF 34 /FN 1 1 i EX a \ \ (1,305 T, " o MITIGATION PLANTINGS ALONG • SECTION 240-7(G)(i) ALL CONSTRUCTION, WITH THE EXCEPTIONS OF ELEVATED STAIRWAYS, f-"m BOTTOM OF RETAINING WALL DECKS,DRIVEWAYS, FENCES AND WATER DEPENDENT STRUCTURES SUCH AS PIERS AND A O E RE AR/ PROPOSED a m (Y85 SF* TOTAL) MARINA FACILITIES, SHALL BE SET BACK A MINIMUM OF 35 FEET. CA /FND EX, MITIGATION F I / I -CONIFEROUS PLANTINGS o w, -SECTION 240-7(G)(2): ALL CONSTRUCTION SHALL BE SET BACK A MINIMUM OF 50'FROM i'REE(TYP) (410 SF*) r- tr DECIDUOUS MEAN MEAN HIGH WATER ON ANY GREAT POND, EXCEPT THAT IN RESIDENTIAL DISTRICTS, ALL y CB/DH/FND TREE(TYP)] / Ewa BUILDINGS EXCEPT BOATHOUSES SHALL BE SET BACK A MINMUM OF 50 FEET FROM MEAN •G. i yP /- -J! z HIGH WATER ON ANY GREAT POND. EXISTING LANDSCAPING PER SE.TION 40-91(HX1)-DEVEI OP D I OT PRO CTION ,. NamozN. / R/CHARD SHAODAO YARDA"uu REMSAINAND EXISTING WALKWAYBTOCMODIFlED t- MAP 27 LOT 57 MAXIMUM LOT COVERAGE 20% 12.0% 13.7% / ao� LANDSCAPING DAMAGED AT NEW ENTRANCE TO_ REBAR/CAP/FND Qk"m BY CONSTRUCTION TO RESIDENCE. REST OF (BY STRUCTURES)... BE REPLACED(TYP) WALKWAY TO REMAIN\ FLOOR AREA RATIO- 0.30 0.12 0.19AND/°R BE REPLACED IN EXISTING FOOTPRINT_ ••CALCULATED BASED UPON UPLAND LOT AREA _ o; EXISTING TREE TO BE REMOVED m m AND REPLACED'NTH 2.5`MINIMUM rn 4 z oo I... CALIPER CANOPY TREES TO BE 1 z APPROVED Y CONSERVATION I- - AP ROVE 8. CONSERVA 0 , '.sue - d e� AGENT GENERAL NOTES. \ - \o to eoj 70p'gU J _ - 1. RECORD OWNER(S): JOHN & MARY T LOMBARDO F- / EXISTING TREE TO C REMOVED. 27 HOLLOW O LO BROOK ROO RO 06095 11 �BI'k R Sf 00 NEW 2.5" MINIMUM CALIPER DEED BOOK 28301 PAGE 296 / CANOPY TREES TO BE INSTALLED U� 9f, C8��PH%FND O-50'BUFFER. LOCATION AND SEWHERE ON SITE WITHIN E 2. THE PROPERTY IS SHOWN AS LOT 56 ON THE TOWN OF BARNSTABLE!ASSESSOR'S MAP 210. j g, Z PROPOSED GRAVEL PARKING AREA(375 SF*). - SPECIES TO BE APPROVED BY 3. THE PROPERTY LINES, SHOWN HEREON, ARE BASED UPON PLANS AND DEEDS ON RECORD AND A FIELD O EXISTING INVASIVE BRIARS AND VINES TO BE CONSERVATION AGENT. SURVEY BY ATLANTIC DESIGN ENGINEERS,INC. IN FEBRUARY OF 2017. REMOVED. EXISTING TREE TO BE REMOVED. _ 0-50' WETLAND BUFFER '0 FENCE TO BE RELOCATED/REMOVED COVERAGE AREA SUMMARY 4. EXISTING CONDITIONS DEPICTED HEREON ARE BASED UPON A FIELD SURVEY BY ATLANTIC DESIGN ENGINEERS,1 _�Js INC. IN FEBRUARY OF 2017 AND IS SUPPLEMENTED BY INFORMATION FROM .THE MASSACHUSETTS; EXISTING PROPOSED NET GEOGRAPHIC INFORMATION SYSTEM THE TOWN OF BARNSTABLE GEOGRAPHIC INFORMATION SYSTEM AND1 INFORMATION OBTAINED FROM PUBUC RECORDS. j \ - HARDSCAPE 51090 SF*- 5,3a5 SF* +295 SF* 5. THE PROPERTY LIES WITHIN THE RD-1 ZONING DISTRICT BASED ;UPON A REVIEW OF THE TOWN OF; UNDISTURBED AREA 2,780 SF* 2.780 SF* 0 SF* BARNSTABLE ZONING MAP. C6/DH/FND BEACH 2,925 SF* 2,925 SF* 0 SF* 6. THE PROPERTY LIES WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT AND THE AQUIFER PROTECTIDN t MI-TIGATION PLANTING CALCULATION: DISTURBED VEGETATED 10,325 SF* 10,030 SF* -295 SF* OVERLAY DISTRICT BASED UPON A REVIEW OF THE TOWN OF BARNSTABLE ZONING MAP. I N/E AREA(GRASS/LANDSCAPING) I BRADLEY R& F 0-50' BUFFER- 4:1 M111GAIION REQUIRED 7. THE PROPERTY LIES MOSTLY WITHIN ZONE X, AN AREA DETERMINED To BE OUTSIDE OF THE 0.2% ANNUAL! WI FLORENCE M PARKER 4 x 295 SF= 1.180 SF MITIGATION REQUIRED TOTAL 21,120 SF* 21120 SF* N/A CHANCE FLOODPLAIN, AND PARTIALLY THIN ZONE X (SHADED), AN AREA DETERMINED TO BE WITHIN TEI M , AP 21 LOT 756 0.2% ANNUAL CHANCE FLOOD BASED UPON A REVIEW OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY; . 50-100' BUFFER- 3:1 MITIGATION REQUIRED •AREA DOES NOT INCLUDE EXISTING DECK TO BE REMOVED (FEMA)FLOOD INSURANCE RATE MAP (FIRM)NUMBER 25001CO561J, EFFECTIVE DATE JULY 16, 2014. 3 x 515 SF=1,545 SF MITIGATION REQUIRED 8. THE PROPERTY DOES NOT LIE WITHIN A ZONE II WELLHEAD PROTECTION AREA BASED UPON A REVIEW OF':. TOTAL REQUIRED MITIGATION 1,180 + 1,545= 2.725 SF 50-100' WETLAND BUFFER THE MASSACHUSETTS GEOGRAPHIC INFORMATION SYSTEM. TOTAL MITIGATION PROVIDED = 2,865 SF COVERAGE AREA SUMMARY 9. THE PROPERTY LIES PARTIALLY WITHIN A PRIORITY HABITAT OF RARE SPECIES BASED UPON A REVIEW OFI THE NATURAL HERITAGE AND ENDANGERED SPECIES PROGRAM MAPS OBSERVED ON THE MASSACHUSETTS EXISTING PROPOSED NET GEOGRAPHIC INFORMATION SYSTEM,AS SHOWN HEREON. I MITIGATION PLANTING NOTE: HARDSCAPE 3,000 SF* 3.515 SF* +515 SF* 10.THE PROPERTY DOES NOT LIE WITHIN AN ESTIMATED HABITAT OF RARE WILDLIFE BASED UPON A REVIEW OF' J MITIGATION PLANTINGS SHALL BE FROM THE TOWN OF BARNSTABLE THE NATURAL HERITAGE AND ENDANGERED SPECIES PROGRAM MAPS OBSERVED ON THE MASSACHUSETTSj ROOF DRAINAGE NOTE: CONSERVATION COMMISSION APPROVED PLANTINGS UST FOR UNDISTURBED AREA 0 SF* 0 SF* 0 SF* GEOGRAPHIC INFORMATION SYSTEM. ALL ROOF DRAINS MUST DISCHARGE TO A GRAVEL FRESHWATER BUFFER ZONES. REFER TO LATEST APPROVED BEACH 0 SF* 0 SF* 0 SF* 3�ED1M1 ) DRIP TRENCH OR TO A PROPERLY SIZED DRYWELL. ^CANTING PLAN BY PONDEROSA LANDSCAPING. 11. THE PROPERTY DOES NOT LIE WITHIN AN AREA OF CRITICAL ENVIRONMENTAL CONCERN (ACEC) BASED UPON] J' H. M' DISTURBED VEGETATED 4,795 SF* 4,280 SF* -515 SF* A REVIEW OF THE MASSACHUSETTS GEOGRAPHIC INFORMATION SYSTEM. _.� GUESS "`• AREA(GRASS/LANDSCAPING) 12.ELEVATIONS SHOWN HEREON ARE BASED UPON THE NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD( TOTAL 7,795.SF* 7,795 SF* N/A 1988) AS ESTABLISHED BY A FIELD GPS SURVEY BY ATLANTIC DESIGN ENGINEERS, INC. IN. FEBRUARY OF J 4w0 e,ro�E 2016. FILE:2903.00-St`!e-R Designed by: SCALE - APPLICANT: PROPOSED SITE PLAN Sheet of Drawn by: 2. PGB 11-9-17 REVISE ZONING CHART JOHN AND MARY LOMBARDO FOR 1 1; Atlantic ® DESIGN ENGINEERS INC. Creaked by: _ SCALE 1" _ 20' z PGB 7-28-77 ADDRESS CON COMM COMMENTS 81 WILLOW RUN DRIVE 0 5 20 a0 27 HOLLOW BROOK ROAD JOB NUMBER survey chk. by: 1 PGB 5-9-n ADDRESS CON COMM COMMENTS BARNSTABLE, MASSACHUSETTS I P.O. Box 1051, Sandwich, MA 02563 (508) 888 - 9282 Approved by: DATE No. BY DATE REVISION WINDSOR; CT 06095-1206 APRIL 26, 2017 2903.00 - I lid REVISIONS.- NO. DATE 41, Vb � dv.esfvyQ,riL'T to Z r �.. v O v ?ac r,E 7,9 7_ RVI =mtB D 0Or P UTILlT Y NOTE= _ u ..t ALL UNQERGROUND UTILITIES St 'Y MERE COMPILED ACCORDING TO AVAL-ABLE o_ --- RECORD PLANS FROM VARIOUS UTILITY COMPANIES AND PUBLIC AGENCIES (MATE ONLY. ACTUAL LOCATIONS MUST BE DETERMINED IN THE E » AND ARE APPRCW FIELD. BEFORE EXCAVATING, BLAST/NG, INSTALLING, BACKF/L L ING, GRADING, PAVEMENT y N A T/LITY COMPANIES RESTORATION OR REPAIRING ALL U , PUBLIC AND PR/V4T MUST BE CONTACTED, INCLUDING THOSE !N CONTROL O!F' UTILIT/ES NOT SHOWN 1°°��/,r�► ON THIS R-AN. SEE CHAPTER 370, ACTS OF /963, MASS WE ASSUME h'0 A INCURRED AS A RESULT OF UTILITIES r�QO '`' ► ►+'''f /r /f ^~' ' RESPONSAB/L/TY FOR DAM GES � v ► �j7 OMITTED OR INACCURATELY SHOWN. s 80STON, MASS. WORCESTER, MASS. BEFORE PLANNING FUTURE CONNECTIONS, THE APPROPRIATE UT/L/TY COMPANY ' 31 7Jc'1 HALIFAX, MASS. NORWELL, MASS. BEDFOENGINEERING DEPT. MUST BE CONSULTED. :r, HYANNI , MASS. MANSE ELDLEXINGTON, MASS. THE CONTRACTOR MUST NOTIFY UTILITY COMPANIES 72 HOURS /N ADVANCE CRANNIS, MASS. DERRYIELD, MASS. / h CRANSTON, R.I. DERRY, N.H. -- OF CONSTRUCT/DN. THIS MAYBE DONE BY CONTACT/NG THE DIG SAFE CENTER (/- 800-322-4844) \2 O f /Mrs (L 6� C G zi S l "` sue 9c. iYl�i< 1COGND © v 'P7 2',e E � SE✓. 9 .v'� .war ,r�►a�+> �, / � .. 1� � f / ✓ per`' C) Cb 11y) �, , w/ fir , <, E31S! , CAPE CUD SURVEY � ��` ,� / / �$a� CONSULTANTS r / 3261 Main Street;Route 6A Barnstable Village, Massachusetts � 9 s 02630 to 40 k, � (617) 362-8133 d c Y G ; . � 0, �� ,...r -- l f �� AE/`E,eD' wcE'S : DIVISION OF G� BOSTON SURVEY CONSULTANTS INC. f � .._.-----A'`- lJ/ j� ✓ � f> t�.e".�o Bo©,t, i3� 5 .ay. 8/0 0 O ® ,�„�, C 7) pt,w,y Gr�,vt iyo Pcf►. ENGINEERING • SURVEYING • PLANNING (V € l + -1) 01F)1V ADco.E /q/ j'�i• -fl7 �/ � I � �'' �, 'O�7 '/ •0 ,/, �,� ,�L,qv Boo..e` 293 . 'cr. G� TITLE: I SEWAGE DISPOSAL SYSTEM ° ' r. f DESIGN (IV I _ I't y ; i,' o / �iPOPE.eTY L/,vE /�fo2/9.gT/o.si Sy4/►i?' C'�a�:�. r'�7.v� �c�w s « erg 4r .4 :.. , /V f (� ' �. •, .�r u ' aF ,e2ECd.QU /�iSiio OOE_S iS/O�- ,P�iOi�E1.dSS/l'" 6/ 0°+ f ,;�.sr ACT llpL SLIe✓Lrr O.s T,s%E �r.POI/pY0 FOR: -Zmca,/N /�1 i �. P urC: F '*� ,9�� f� 2� 9 F,e"riiy T/,/.� G�.S/f 84!/i✓OS /�S 5- ✓3c.) L T r'G i?zJ � ?`� "T` 1 E3•M.SCT ?'dP O. 3.J 4LL ELE�/.7T/d s�S �yow.si l'� le 1� �,i �.. J / � ,` � i •4i��,y' 1pNC. dGt✓,v0 F4vvL� /,�,? �'SS(/MGr.0.4�'v/yl. 1J./y. 1ET pS SCALE: � ,s e O �, {:' (� 0 f'O/JSO ,� /OOQ4 �,qurirE'O, S/5''G'}I'`Y/S�• METERS a S iv Tv FEET 0 g °c' a ---—--------- - 3g Off',, CI o� DATE: 8 7-'HuuARY 1�Y89 �,�. ��'\ COMP./DESIGN- CHECK: DRAWN: ¢' FIELD: e e w �< \� �� -� FILE NO: C?�C., — DWG. NO, 8 07 — - JOB NO: o2 - I qq7, 00 �.. ` SHEET: / OF: ; PERC TEST APPLICATION NO. REVISIONS: NO. DATE DATE CFTESTING: SEPTIC C TANK DETAIL :IL : s1zF- o 644. DIST BOX DETAIL : LEACHING FACILITY DETAIL: TEST PIT DA TA TEST By PERC. TEST DATA : v'F TO CONFORM To 7-17�.L 5 Rj_0U1REMf_1VrS DATE OF TESTING: TANK To qq� qRm To TITLE 5 ReouIREMEN'rS T'p W1 TNESSED BY 'rs e_In TEST By.. NO. OF OU rL E r5 REMOVE.4 77 O'Aw M NHOLE TO ?v% W/TNESSED BY: -,6F7 P �4 . b ,, , 81 F COVE 7-;l#VA' 77COW /t4307W 0: FINISH GRADE. CLEAR 3'CLEAR?7 40 OUTLET PIPES • 6"MIN, 111f N. 6"M/At. A5 REOUIRED D EP TH OF TES 7": 4-7-PAOe 70 INLET RA rE Pd)?,-7 Psl<f 56H 44� INLET AND OUTLET 4'_ 0" MINIMUM OUTLET TEE PEPTH. 10"MIN. INLET TEE _ourLEr TEE T 2 6 ;"It:S "0 BE CAST /OU/D DEPTH 14"AT LIOU10 DEPTH OF 4' 'qw A* 11 11 0 1 !0 CONCRETE /'4v4" 19 CONS rRUCr1()A' (Sot 1")w+,,t i t DEP rH OF TEST 24 4 pp..3 29 jz­ RATE, CON TE 34" sorroM ON LEVEL SrA8LE8ASE CONSTRUCT/ON TER r/GH T) r T _ HFRE St PE V vq 05,i54m, OF Nt i r P/T f*i-D15' 0 08 /1O OR 7 o PE BOTTOM OF TANK ON LEVEL STABLE BASE jd='jeA i OQ-d A04, A jAu F,i-& SYSTEM-A PUMPED SYSTEM 46Afr%'X RQ 01 "W16. H 20 LOAD/N6 UNDER P4VEMFN7'O.R 1?R1 VE. NO TES IN VER T EL E VA TIONS I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION OF THE SEWAGE 'A DISPOSAL FACILITYONLY. t INV Ar BUILDING 2- ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO INV. AT SEPTIC 7ANA-ONi MASS. D.E.0.E. TI TL E 5 A ND THE -- BOARD OF - INV A SEPTIC TANK(C110 HEALTH REGULATIONS. 4 e ,.�Arx z> v il r .47c&�v,­ clm.,#v cR elAj 96 �?ff A' t C;0"' nVVj��z-.t 7Z5 a—c- _Z>4F.:5 h3oV,—_A�> -M 'q INV.AT DIS'7 INV Arolsrsovour) 4914CHIA!e; 7 AT LEACHING FACILITY., BOSTON, MASS. WORCESTER, MASS. HALIFAX, MASS. NORWELL, MASS, 4. A>1404F 5,�V09At OV'- I i- i BEDFORD, MASS. LEXINGTON, MASS. HYANNIS, MASS, MANSFIELD, MASS. CRANSTON, R.I. DERRY,• N.H. GENERAL NOTES FOR PUMP SYSTEM (A107- 7V j�7/,q B A) PROPOSED SYSTEM/HEAD CURVERAS THE FOLLOWING CHARACTERISTICS: 4 VENT ; 0 (G-P-M) Fr 5t3�'T' zc'j 19 vr.�� S 0 SAIlu 10 12 m1k 20 '-Z 46 Fl 30 NISH GRADE 40 DESIGN DA ,7. .,A-. : B) THE SEWAGE PUMP INSTALLED SHALL MEET THE FOLLOWING REQUIREMENTS. DESIGN FLOW.* 1. HAVE A CHARACTERISTIC CURVE WHICH PASSES THROUGH THE SYSTEM/HEAD CURVE AT MY POINT BETWEEN IC) GPM TO 4C, GPM- TYPICAL VENT DETAIL 2. BE NON-OVERLOADING ALONG THE ENTIRE PUMP CURVE. NOT TO SC.A1_E 3. BE SINGLE, PHASE, 115 VAC. 4. START AND STOP AT THE ELEVATIONS SHOWN ON THE DRAWING. E211EIIC: 5. THE PUMP AND MOTOR ARE TO BE BUILT BY THE PUMP MANUFACTURER. THE REOUIRED SEPTIC TANK: COMMON SHAFT WILL BE STAINLESS STEEL DESIGNED FOR EXTREMELY DIFFICULT SEWAGE PUMPING SERVICE. NO SUCTION SCREEN OR GUARD IS 6 "') 11,�AZ -o- 7t GAL, REQUIRED. SEPTIC TANK PROVIDED GAL. CAPE COD SURVEY 6. THE MOTOR SHALL BE CCAMPLETELY OIL FILLED AND OVER LOAD PROTECTED. CONSULTANTS SINGLE PHASE MOIR SHALL BE OF THE PERMANEN'r SPLIT CAPACITOR REWIRED SIZE LEACHING FACILITY, DESIGN THRUST BEARING SHALL BE OF THE BALL TYPE AND RADIAL 3261 Main Street;Route 6A BEARING SHALL BE SLEEVE TYPE WITH PERMANENT LUBRICATION. l�s Barnstable Village, Massachusetts 02630 7. PUMP SHALL HAVE A MECHANICAL SF-41 RUNNING IN OIL-FILLED CHAMBER -4 Aid PLUS AN EXCLUSION LIP SEAL IN FRONT OF MECHANICAL SEAL IMPELLER 4 Number. (617)362-8133 SHALL BE TWO VANED CAST IRON WITH PRESSURE VANES ON RACK SIDE. IMPELLERS SHALL PASS 1 1/2 INCH SPHERICAL SOLIDS. DIVISION OF 8. PUMP DISCHAJ GE SHALL BE 2 INCHES- PUMP SHALL HAVE A SUITABLE 0"v BOSTON SURVEY CONSULTANTS INC. HANDLE OR RING FOR EASE OF INSTAIIATION OR REMOVAL. PUMP SHALL SIZE OF LEACHING FAC&IrYPROVIDED: tENGINEERING • SURVEYING • PLANNING HAVE THREE EOUALLY SPACED LEGS, INTERNALLY THREADED TO RECEIVED 3/441 DIAMETER PIPE, GIVIW., FLEXIBILITY IN LOCATING PUMP ABOVE TYPE OF SYSTEM.* co ?*m'- TITLE &=)M OF BASIN. PUMP SUPPLIED WITH 5" LEGS AS STANDARD. 7 I 4�0_?'7 4 -9,- 6 4:1— 1 a , . I i _V� 414 SEWAGE DISPOSAL SYSTEM DESIGN ------ 'f-0 rz .1 g::"14 (xmr 'fr' FOR: SCALE: AS SHOWN METERS FEET 0 DATE: COMP./DESIGN: -L'.44 v-1 CHECK. DRAWN: n.0 TUM, FIELD: FILE NO: DWG. NO: � 0 7 JOB NO: z� A 97 o o SHEET: r OF: 1:Z f � v o oil "m G 9`XiST1NG , rq SYSTEM /-\RCzA 0ov to STAKED' HAY BAL15 � Al /0�' AD-1 ACE N-r -r p � ; wE rL-ANl D S IZ50 GAL SEPTIC TANG`- PU rr7P CHAMBER �2�� ��4(4-roc o n o EX15'rhNG PUMP CHAr48CP �-- (�(o Z rah. C) 47, , 5 S. .F l a f Z TOWN \kA76� y� / '1 /, J q ( w 571Z��? EE E✓. = 96.0 /y Ea3,J r QD tV fi• � '' �� . '. NEW 2.0 !. i> PvG P/pE tr TO FOLLOW Ex15T1nlC, 4.U'l r..p, P \, PIPE. AT ALL 5HARF' �EWNP5 ~� d7 INSTALL. COMCRE'TE -r F4kU5T BLOCKS -rO PREvENIT MOVEMENT. / t7 q) SITE PLAN) AND TOPOGRAPHIC INF-OWMATIOQ PP.OV►DEO P3Y: CAPE COD Su i;zWCY GON54-ILTAN TS � ` �fl. f G o Y r- t9 C, oOA /, -7 5 PFs e/o © LEACHin.G E?ErJ CG?NS!ST!Nr i 1 / \ "`v / C Z_) �9� t3ooc 190 APO. /o/ Z ''yam OF 4 FLOW DIFFUSOA'S ,� � q�r � / ,tl v J \` '/ �J ®1t.9.✓ �o©� /9/ pC�. 4t7 4,1 ,v.v BbaC Z`J'3 A6. 6V s� s, / �' / qq ► b� 1�� _. 0 J _ oNToL4 R 5 VEIUTj APFRo X/tAKTt LOCATION OF E-Y)STING LEACHING F'!ELD � No7.,!5'" : 3FRU1c. N G BeDG No. g On/F $FpRooM /f/ _ �t' u \ /� ' C'd�E�T� L/�/G` �/VFaP/`9/9T/o•V 57AVw/V �90 �Oa I � - � 0 yE'.QEo� yY�s �0/q,e/�F© �-,�o� �1-y/v5 1 01 , p c0� PE"Co�L? �, v� pOE3 fior .�EP,2EScir . 6� OQ ,, � __ �_ _ , ;� , ._�` " � - -----__ ______ ,g•✓ iq C7�1,r7L .s�.P��"r ov rtiE �,��✓.�v• `i'I o)U LOC'ATE'U �.Qpiy rye Gorv�: O�✓N�� 71 W I000 GAL ?`,AN K TO GE REMOVED Feac/.vp 7,v -22/4 '' rov v,4 ,/ 9Gc E"LEG'�rio�✓S S,4ow.v PEFE,C� rca ES E R.VE A R -- f 1 �$n>~ raNc. 8��•-� c 0 O �'oun�p i � �z a /oo.oo I �5. p / ! ti 1 L CINTEA sm"Xte co 199 BARNSTALE ROAD HYANNIS,< 2t MASS 0-60 i rg Aell M