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0031 HOLIDAY LANE - Health
31' Holiday Lane Hyannis A=267- 185 j i i J TOWN OF BARNSTABLE LOCATION 31 1- SLR W I-AN& SEWAGE# VILLAGE W,�,�{�Nt,A�, ASSESSOR'S MAP&PARCEL26 7 — 18.E INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1970 O C Ma t..l.D cJ LEACHING FACILITY:(type) APA MCO C� kize) 2 m CJ I n -Lk i NO.OF BEDROOMS 3 OWNER � PERMIT DATE: /'Z� O �� COMPLIANCE DATE: S // 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) N A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) iJ I IDa Feet FURNISHED BY .v ID l e. Y Commonwealth of Massachusetts Title 5. Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments Property Address Owner Owner's Name information is required for every page. City/Town State Zip Code Date of Inspection W W 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 A. General Information filling out forms on the computer, / use only the tab 1. Inspector: key to move your cursor-do not ��(j h! Q ���b A✓/ d use the return Name of Inspector key. _IA4-/ L-"o mil' V/C/�d JS/S/7 SgKDI L Company Name Company Address ,Ayr�ss o� `i . ass• ��oy�. Cityrrown State Zip Code 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 16.340 of Title 6(310 CHAR 16.000). The system; Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 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 has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. "This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6/16 itle 5 Official Inspection Foy:Subsurface Sewage Disposal System•Page 1 of 17 �Vjcv( VS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ezA Y, ' M Property Address . Owner Owner's Name information is required for every page. City/Town Satet Zip Code Date of Inspection B. Certification (cons.) 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: S) System Conditionally Passes: A4 ❑ 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 31IJL/d -� Property Address Owner Owner's Name information is 1/14/1 7 required for every page. City/Town State Zip Code Date of Inspection C 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.): A/A ❑ 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 16.303(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 56 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t6ins.doc•rev.6f16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts 01 Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address Owner Owner's Name information is 11X f_N,y1s required for every page. City/Town State Zip Code Date of Inspection -7/ 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 El 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 1/2 day flow t5ins.doc-rev.6116 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 Property Address Owner Owner's Name information is required for every page. CitylTown State Zip Code Date of Inspection B. Certification. Yes No El ® 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. El ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ❑ plA Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ❑ y/ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ❑ N 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 6 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- 1.0,000gpd. ❑ ® 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 16,000 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.doc•rev.6116 Title 5 Official Inspection Fora::Subsurface Sewage Disposal Sysiem•Page 5 of 17 :s' Commonwealth of Massachusetts . Title 5 Official, Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 3/ �o�i•�.�y IN Property Address Owner Owner's Name information is r,,5' required for 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? ❑ Z 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) 3[ ] ❑ 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 ❑ El 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 u approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): J Number of bedrooms(actual): 3 30 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address Owner Owner's Name •/ information is // pZ4 O/ !/id/i7 required for every page. City/Town State Zip Code Date of Inspection. D. System -information Description: AIA Number of current residents: Does residence have a garbage grinder? ❑ Yes © No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes No information in this report.) Laundry system inspected? ❑ Yes ❑ No 4/A Seasonal use? Yes ❑ No 14 Water meter readings, if available last 2 ears usage d &��� 9 ( Y 9 (gP ))� Detail Sump pump? ❑ Yes © No Last date of occupancy: Date Cornmercial/lndustrial 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.doc•rev.6/16 Title 5 Official Inspection Four,:Subsurface Sewage Disposal Sysiem•Page 7 of 17 1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address Owner Owner's Name information is / ,y/S � � Q 2G U/ required for every page. City/Town State Zip Code Date of Inspection D. System information (cost) Nti Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: #/13 No �t Q�1 d✓cfJyi/�� �d auw P"t i 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System^Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w„ 3/ k,UL/bA`y 1a✓ Property Address T Owner Owner's Name information is �/y�Jzv,/11S required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known) and source of information: Were sewage odors detected when arriving at the site? ❑ Yes 4 No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet d Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): /-`2 Depth below grade: feet Material of construction: [.Z concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) i If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins.cloc.rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments Property Address Owner Owner's Name information is ff�/ f/.c11 f�RgS r !U.260/ 1110117 required for every page. City/Town State Zip Code Date of Inspection D. System information (core.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Ti a Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? /i1flts, StiC/i Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): ACe 7,9I-ek A? 4PG1M06V If If 014r4 ' 7" aQa 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.doc-rev.6/16 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address Owner Owner's Name information is e)i ll%7 required for every page. City/Town State Zip Code Date of Inspection D. System information (cunt.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): A'A 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.doc•rev.6/16 Tine 5 O'icial Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal system Form - Not for Voluntary Assessments Property Address Owner Owner's Name information is / p required for every GG �� j 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 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.): �6�s ls� f�/�- .7I6S.T 7'o ar-��'<�s�� ,.✓b fU. ��'sac�a-� e�O�✓f 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.): I-VA * 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.doc^rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•page 12 of 17 r Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage /Diisposal System Form - Not for Voluntary Assessments Property Address Owner Owner's Name information is required for every 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: ❑ 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.): I 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments .2AI Property Address Owner Owner's Name information isy �,y/S V,,gS required for every page. City/Town State Zip Code Date of Inspection D. System Information (Clone.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of-vegetation, etc.): N�.a 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.doc•rev.6/16 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 Property Address Owner Owner's Name information is required for every page. CitylTown 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 -Za:G L4 �Ilw t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts f Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ILI Property Address / Owner. Owner's Name information is �1,� ��/5 ASS UZG a /. 11/4,//7 required for every page. City/Town State Zip Code Date of Inspection . D. System Information (cunt.) .Site Exam: Check Slope [fit] Surface.water 0 Check cellar Shallow wells Estimated depth to high ground water: 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: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Coriimonwealth of Massachusetts . Title 5. Official 1hsOec#ion Form Subsurface Sewage Disposal Systern Form - Not for Voluntary Assessments' Property Address sf� s ezoxef <5 /,l Iv0 Owner Owner's Name information is required for every Zip Code Date of Inspection page. City/Town State E. Report Completeness CheCklist 0 Inspection Summary: A, B, C, D, or E checked L7 Inspection Summary D (System Failure Criteria Applicable to All Systems) completed 0 System Information.—Estimated depth to high groundwater © Sketch of Sewage Disposal System either drawn-on page 15 or attached in separate file i 7 :51ns.dec ,_..6116 Titre 5 aricial spectra, ,.,. ce: 1 Septicand How it, Works,- It is important to understand how your system works and how this treatment affects-it m'order to protect your investment. The typical system consists of three,(3) main components. ® The Septic Tank The Distribution Box ®. The Drainfield The Septic Tank Waste exits the house and enters the septic tank where solids settle to the bottom, grease and scum from the household detergents float to the top, and liquids stay in between. The solids that settle create their own bacte- ria which decompose the solids naturally. There is no need to add additional enzymes and bacteria to the tank. The tank eventually fills with solids and scum requiring it to be pumped. A septic should be pumped every two (2) years. The Drainfield The liquid (gray water) flows to the distribution box where it is evenly dispersed into the drainfield. Finally, the drainfield begins treating the gray water. Microorganisms in the soil.consume organic pollutants in the gray water and the pure water is absorbed by the ground. .below. How Problems Start From the first day of use, the drainfield of your septic system begins to deteriorate. Some solids, grease, and scum always pass through the septic tank into the laterals. This is because of natural solu- bility or the lack of setting time in the septic tank during periods of heavy use. Problems especially arise when the septic system is not maintained and the septic tank fills with solids and scum that overflow into the drainfield. As the drainfield becomes clogged, the water flow becomes restricted. Since the water cannot drain into the soil, it filters upward causing ponding, foul odors, wet spots in the yard., and an unhealthy e.nvi- What Causes Problems What you don't read about is that bacteria has a waste called biomat, and they also create a gas, bacteria eats human waste. It does not eat, hair, wool, polyester and other particles. The biomat is like grease. The gas cre- ates bubbles and this causes particles to float up the T and into the distribution box and into the leeching fa- cility, plugging up the stone. Septic tanks should be pumped every two (2) years. Cesspool . Cesspools were made by digging a hole in the ground and walls were made of stone then later on they were built with concrete blocks. The waste entered the cesspool, and solids settled to the bottom, the liquids seeped out the sides into the soil. Cesspools should be pumped every year. State Environmental Code Title V Chap. 5 Inspection Procedures Guidance on Completing Inspection Form Part A Certification. The Certification Section has two principal functions. First it provides identification information on the property being inspected and the inspector. Second, it presents the results of the inspection relative to the failure criteria outlined in 310 CMR 15:303. In the certification statement, the inspector is certifying that the conditions existing at the time of inspection are accurately presented in the inspection report. The.inspector is not certifying that the system is adequate for the current use of the system nor for the future use of the system. T ONY CAPONIGRO 7165 North rth 1,4a.':i Stree Mansllel di. A.AA '")C1 Q Title V i11.S�Je�ti�J ,$ No.2 06 06 - f),s� Fie TO � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pplitatiott for Bisposal 6pstrut Construction 3pPrmit Application for a Permit to Construct(Repair(- ) Upgrade( ) Abandon( ) �mplete System ❑Individual Components Location Address or Lot No. 31 j4oti.ApAy LA wr,- Owner's Name Address,and Tel.No. Assessor's Map/Parcel $ q W G�t� �56%66011" Installer's 13gTne,Address,and Tel.No. Des'gner's Name,Address,and Tel.No. Q1LQ A�� RQ.I�I YEL'`�'l,r lAr-A Cb+Alruja�dN M [LR�Y.�N ;&N(rkh)65ft-lt_A�, LL f D,a Qm 6nx (oaw �S MA 07_d \�q VITf V, * ,%1 MA MDO Type of Building: S0$3.14 %$g3 Dwelling No.of Bedrooms 3 Lot Size 2W%A sq.ft. Garbage Grinder N(D Other Type of Building No.of Persons Showers( ) Cafeteria( - ) Other Fixtures Design Flow(min.required) 3 30 gpd Design flow provided 330 gpd Plan Date 1-o-t—O$ Number of sheets % Revision Dated Title RRAPOSCO 1>1596uL SNSIRM \A&6 ),A\1 Lela QA2, 1, AS1 E Size of Septic Tank k500 &4k,La J Type of S.A.S. OkJyys iSL5 Description of Soil S � 1t�g G t7 Soil, SVS"T*6)t.-1"M AS !SSM1 '(JC 1nl�-dLA&4-Ct 0#j Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place a system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 11-a8'—b4' Application Approved by Date (2-0 9-0e;. Application Disapproved by Date for the following reasons Permit No. 2 60b- Sd s Date Issued /2-CUA-O6 -444 1Z N..2005 - 50's, ee ' ,THE COMUONV"fEALTWOF MASSACHUSETTS Entred in computer. �.4 PUBLIC HEALTH DIVISION -�TOWN OF BARNSTABLE, MASSACHUSETTS Yes 1�,_I I 9pplitatioti for 30ispboal *pstrm Construttion 3permit Application for a Permit to Construct( �_l pair Abandon( 'Complete System El Individual Components Location Address or Lot No. 31 _tv-)A1,] Lj\ Owner's Name,Address,and Tel.No. 7YoSV-_P11 -T, -CL_A1Lf-_ L.- C--QAQx� Assessor's Map/Pa rcel '1 -6 S ALDc)�L � Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 5. c Q,-,/,k C() fL�,,C-T� LL,,�1cu) �, L raA ks MA 01-G M\0_1�N\A(YWO Type of Building: S0 Dwelling No.of Bedrooms Lot Size -Z,\ sq.ft. Garbage Grinder(k) Other Type of Building No.of Persons Showers( Cafeteria( Other Fixtures Design Flow(min.required) 3o gpd Design flow provided C) _ .,gpd Plan Date-I- 01 - c)'i3 Number of sheets Revision Datel k Title TfLo?oS� \AQ_\fX,4\,i I �,j 4--A f;A N ,Q J-� - <T rail Size of Septic Tank 15oo cj\ L6w Type of S.A.S. A)t^ T N 6N.3 Description of Soil '55 V AITACIh:-1-2 56 k _ I NJV< '\A A-T1 00i Nature of Repairs or Alterations(Answer when applicable) % Date last inspected: Agreement* The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place e system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date I-L- 0 Z Application Approved by Date I2-05-0� Application Disapproved by Date for the following reasons Permit No. 20,-j5- scis Date Issued 2-0P -05 ------------------------------------------------------- ------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired Upgraded Abandoned( j by -4�;- �0 2 ,,7 at Al k L At�C hr Ak, j A-1 has been constructed in accordance wi th lip - 200,5 - 505, the provisions of Title and the for Disposal System Construction Permit No. dated 2 0 A. lo 6 Installer LA, .&ij,4.. Designer r_fL� bt i 1-�1 kQ G4 #bedrooms Approved des ign-flovw Lynd The issuance of this permit shall not be construed as a guarantee that the system ill'fimcdon 'as designed!. Date Inspector D D fit i ------------ ------------------------ -----------------------------------1-1----------I---------------------------- No. 2 0 0 P1 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Noposal 6potem Construction permit Permission is hereby granted to Construct Repair Upgrade Abandon A System located at 1 �A A.:j L and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 this permit. Date Approved by f Town of Barnstable row Regulatory Services ti Thomas F. Geiler,Director BAMSTAB Public Health Division �a'Ar 16 A`0� Thomas McKean Director fo�r 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 1 1,09 Sewage Permit# -So S Assessor's Map/Parcel Installer&Designer Certification Form Designer: MERgl nitJ IC_A4//,A,Ee2L,6 Installer: ?lev(L4-GtLA Ar C,."S- Address: H,LL(S� Address: IS-7— 1L k A, 4 S w :l S,p_0.,,n C", MA On 17-M/09 PEV a.40(-%4 was issued a permit to install a (date) (installer) septic system at 92LiDA), 4A,,.JE- LoT SA based on a design drawn by (address) 1 f<l AV ENG. dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or /&evl fied as-built by designer to follow. Stripout (if require ted and the soils • found satisfactory. �pySN of r��s\ p 9C SHAWN C 0 MACINNES nstaller s Signature) CIVIL No 41328 �o��s�c/S T ER���,�`` S�DAIA NG (Designer's Signature) (Affix Desig Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doe Merrikin Engineering, LLP �oa�atc%��r�=rasev�ea� 2 MILLISTON ROAD MILLIS,MA 02054 TELEPHONE(508)376-8883 SUITE 1C FAX(508)376-8823 November2l, 2008 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Ref: Holiday Lane, Septic Dear Members of the Board: Please find enclosed a revised plan reflecting comments we received from Jamie Cabot. The `revisions include: 1. We added a locus V/2. We revised the septic tank to a single compartment. k14� We added notes requiring gas baffle or effluent tee. . We added a riser to the distribution box. We eliminated the third riser on the septic tank. 1/ We revised the finish grade elevations shown on the system profile. 7. We relocated the northerly chamber to be outside the WP District and moved the northerly expansion to be as much as possible outside the WP District. 8. We adjusted the profile distances (dist. box to chambers) and adjusted the invert grades to reflect the system modification in (7) above. 9. The RLS has stamped to the plan as well as the PE. Please do not hesitate to contact me if you have any questions or comments. Sincerely, MERRWIN ENGINEERING, LLP C Richard F. Merrikin P.E. cc: File 113-03-5 & 6 FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 No. Date: 1/31/08 Commonwealth of Massachusetts Barnstable Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: Mark M. Flaherty,P.E. Date: 1/17/08 Witnessed By: Donald Desmarais, R.S. Location Address or 31 Holiday Lane Owners Name Joseph J. & Claire L. Guarino Lot # 185& 186 Plat # 267 Address, and 8 Jesse Way, Walpole, MA Telephone New Construction ® Repair ❑ Office Review Published Soil Survey Available: No Yes X Year Published 1983 Publication Scale 1"=25,000 Soil Map Unit Ca-Carver Drainage Class Soil Limitations Surficial Geologic Report Available: No X Yes Year Published Publication Scale Geologic Material (Map Unit) Landform Outwash plain Flood Insurance Rate Map: Above 500 year flood boundary No❑ Yes Within 500 year flood boundary No® Yes ❑ Within 100 year flood boundary Nod Yes ❑ Wetland Area: N/A National Wetland Inventory Map (map unit) N/A Wetlands Conservancy Program Map (map unit) N/A Current Water Resource Conditions (USGS): Month December 2007 Range: Above Normal ❑ Normal ® Below Normal ❑ Other References Reviewed: USGS Groundwater Contour Map FORM I I - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. Map 267 185 & 186 31 Holiday Lane On-site Review Deep Hole Number 1 &2 Date 1/17/08 Time: 10:00 am Weather Sunny 30's Location (identify on site plan) Land Use Vacant Slope (%) 2%-5% Surface Stones None Vegetation Grass/Woods Landform Outwash plain Position on landscape (sketch on back) Distances from: Open Water Body >200' Drainage way >100' Possible Wet Area >200' Property Line >10' Drinking Water Well >100, Other DEEP HOLE OBSERVATION LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,Consistency,% 0-18" Fill Gravel) 18"-24" A Sandy Loam 10YR 3/2 Friable 24"48" Bw Sandy Loam 10 YR 5/6 Friable 48"-132" C Medium to 2.5 Y 6/3 Loose <5%gravel Coarse sand 04" A Sandy Loam 10YR 3/2 Friable 4-36" Bw Sandy Loam 1OYR 5/6 Friable 36"-132" C Medium to 2.5Y 6/3 Loose <5%gravel Coarse Sand " MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) Proglacial Depth to Bedrock >50' Depth to Groundwater:Standing Water in the Hole:None Weeping from Pit Face: None Estimated Seasonal High Ground Water: >1 V i FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. Map 267 185 & 186 31 Holiday Lane On-site Review Deep Hole Number 3 &4 Date 1/17/08 Time: 10:00 am Weather Sunny 30's Location (identify on site plan) Land Use Vacant Slope (%) 2%-5% Surface Stones None Vegetation Grass/Woods Landform Outwash plain Position on landscape (sketch on back) Distances from: Open Water Body >200' Drainage way 1100, Possible Wet Area >200' Property Line >10' Drinking Water Well >100' Other DEEP HOLE OBSERVATION LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders,Consistency,% Gravel) 04" A Sandy Loam 10 YR 3/2 4"-36" Bw Sandy Loam 10 YR 5/6 Friable 36"-132" C Medium Sand 2.5 Y 6/4 Loose<5 Gravel 0-4" A Sandy Loam 10YR 3/2 Friable 4-36" Bw Sandy Loam IOYR 5/6 Friable 36"-132" C Medium to 2.5Y 6/3 Coarse Sand Loose <5%gravel MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) Proglaeial Depth to Bedrock >50' Depth to Groundwater:Standing Water in the Hole:None Weeping from Pit Face:None Estimated Seasonal High Ground Water: >11' FORM I I - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No.Map 267 185 & 186 31 Holiday Lane Determination for Seasonal High Water Table Method Used: Depth observed standing in observation hole none inches Depth weeping from side of observation hole none inches Depth to soil mottles none inches Ground water adjustment none feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level U.S. G.S. Groundwater Contour Map Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas Yes observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? N.A. Certification I certify that on 5/95 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date 1-31-08 0 o MARK M. FLAHERTY v+ c CIVIL NO.33853 �a 9FC/STERN �� L I FORM 12 - PERCOLATION TEST Location Address or Lot No. 267 185 & 186 31 Holiday Lane COMMONWEALTH OF MASSACHUSETTS Barnstable , Massachusetts Percolation Test* Date: 1/17/08 Time: 10:00 am Observation Hole # 1 4 Depth of Perc 58" 48" Start Pre-soak 10:03 am 10:12 am End Pre-soak 10:07 am 10:21 am Time at 12" CNPS CNPS Time at 9" Time at 6" Time (9"-6") Rate Min./Inch <2 Min/Inch <2 Min/Inch * Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed X Site Failed Performed By: Mark M. Flaherty, P.E. Witnessed By: Donald Desmarais, R.S. Comments: Town of Barnstable P# Department of Regulatory Services / ,,;� Public Health Division Date A i63y ��u 200 Main Street Hyannis MA 02601 Date Scheduled /�� U Time /y 0 Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By:r.. LOCATION&GENERAL INFORMATION Location Address 3 1 0l_I—1—"-AY ti. A--,lt Owner's Name jo%fV l\).A'CLLAVU� L.G I\6004 Address q JES S 1;W A`4 Assessor's Map/Parcel: G 1�7/1`8 C. Engineer's Name NEW CONSTRUCTION —Z REPAIR /Telephone# 50$ `]1, 2-g1S Land Use V lilwo Slopes(%) �a<® Surface Stones Alomq Distances from: Open Water Body 2,00 ft Possible Wet Area )/,ro t ft prinking Water Well left T ZX Drainage Way 1-20 r fitProperty Line fJ r ft OtherM. ft y� C PO SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in mity to holes) gm tti , t. k 9 Parent material(geologic) P/a i!q Depth to Bedrock i Depth to Groundwater. Standing Water in Hole: Mo/ve I-A)AWeeping from Pit Face Nd t, 47M Estimated Seasonal High Groundwater DETEM ATION FOR SEASONAL HIGH WATER TABLE Method Used: /' %y -IF AAV� t Depth Observed standing in obs.hole: _ ——in. Depth to soil mottles: in. tr Depth to weeping from side of obs.hole: in, Groundwater Adjustmenk ;n ft. ;> Index Well# Reading Date: Index Well level,�,.,�, Adj.factor— Adj.dro ttviater Level,,,, PERCOLATION TEST Date ` 3/ Q ems ' Observation P Pr*-a p Hole# / 4' 4 Time at 9" CD M Depth of Perc 48 Time at 6" Start Pre-soak Time @ / = 3 'lime(9"-6") End Pre-soak cc: � Rate Min JInch �2 hf id e Z nbVIt j Site Suitability Assessment: Site Passed X Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division' Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland;you must-first otify>the. � Barnstable Conservation Division at least one(1)week prior to beginn1ing ' - Q:\SEPTIC\PERCFORM.DOC �r DEEP.OBSERVATION HOLE LOG Hole#�_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i toGravel) 0._ t pt:L �Aav lvlar l 2-Y" �ir' o Low I YQ 3/2 r� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. - - nsi % oYx 3 1. 4rs`� a tn! 5 1,04M /©YP-3'6 g-'el/ou"Oe, P+U 0 !�'/zAvErr DEEP OBSERVATION HOLE LOG, Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nitec Gravel) DEEP OBSERVATION HOLE LOG Hole# ZA Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. �t{er 4`^'66`r �✓ l tell"r /0 36=13Z" rle 60 G 3 Lose W Jam/ Ste® Flood Insurance Rate Man: Above 500 year flood boundary No— Yes � Within 500 year boundary No A Yes Within 100 year flood boundary No X Yes Death of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ��S -- If not,what is the depth of naturally occurring pervious material? Certification I certify n D (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and ex erience described in 310 CMR 15.017. 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PEM..• :l! . ...... .. ..e NO; !: 1 . OF iE VENrAs REDD. 1 X3 SHINGLE STOP OVER •I X 8 RAID BOARD(rYPJ 12 esvrrw. d LEFT ELEVATION 11 If It I 1 1, [a]. I I 1 1. h'[' Illfilli Ill fit Ill ill Ill Ill ill ill Ill Ill Ill fit ill illillyhyllifil I 11 H I It it it I it lilt Ill lilt It RIGHT ELEVATION "Expect the Best" SIDE ELEVATIONS ' DATE NOVEMBER 4,20D8 PROJECT: BRANZE TI RESIDENCE CHAMPION 81 HOLIDAY LANE,HYANNIS � SCALE 1/4"=1'-0" � B U I LDE R S , I N C . 26xWCAPE 38ED,28ATH 300 OAK STREET,SUITE 155A Drafting&® 2W8 Greywing Design 508 888-0886 n PEMBROKE MA 781 8263800 arcp.A��.romo�s�rm�a.e vn..Bmmm.m.a.ae.m�*. PROJECT NO:CH081016 SHEET:AG OF 7 ae-0' 14!-W 4' r4Y /9'-0' 13!4r 1i4'r r-o- T-v IW4• PROVIDE UP BILCO SL � BULKHEAD ABOVE I 820 82 — — — -- — — — — 28Fj 2 20 2- a 10'. DROP TOP OF FOUNDATION I I PIC FI ST OR ING X 'S 16 O.0 FOR DOOR 8'P.C.FOUNDATION WALL WITH I 4 P.C.SLAB W/FlBERMEJi PRCHED A BRUMINOUS ASPHALT FINISH ON ON TOWARDS ENTRY 71G 4 E S W, I I OVER NON-0RGANIC EARTH A 6'X 16'P.C.FOOTING 4-0" O NO IC MIN.BELOW GRADE(TYP.GARAGEI CM CAL U%SEM T )¢� I N I. I II II B kS M I II `ON WALLS SAND�6 ABUUTMG LIVING SPACE 1a it a 61-01 1 W-W S. w 4 2X1 BE M 1109CONC FILLE 3 STL COLUI IN I O D" 17 EIE F r TIN i MT R)D I _I, Z 4•MI SM NG 4"R&SLAI W,FE SW ESH C MP ) nDNAIL DROP TOP OF T N - - - r-1 w wa . r I - - FC:)TING FIN9 HON I rXIS P.Q —_ —_ —_ — — 11 4 DROP TOP OF WING WALLS 27" BELOW T.O.F. lv-w 38-0' 14'-0' I I. ) 1 1 "Expect the Best" FOUNDATION & FIRST-FLOOR FRAME • DATE: NOVEMBER 4,2DOS PROJECT: BRANZETTI RESIDENCE CHAMPION SCALE: 1!4" 1'-0" HOLIDAY 31 HODAY LANE,HYANNIS � = iiiiiiiiiiiiiiiiiiiiiiiii� B U I LDE R S , I N C . 26 X W CAPE 3 BED,2 BATH 300 OAK STREET,SUITE 155A Drafting&B 2m Greywing Design 508 888-0886 PEMBROKEMA 781826.3800 PROJECTNO:CH081016 sHEET:A3 OF 7 f Y w4r W-0• 25-1• ' 10'-11• r-D' 13'-0° S-1• S-T, I. 1P S I I N 4 O O O V m to D.W. SMOKE�j ' q7 $A SM =SMO DETECTOR BREAKFAST AREA • w HEAT -HEAT DETECTOR FAWiI�w O- In i OO CARBON KITCHEN O � ts•4Y• z-1r z-11. z-0• sa• r-�• Til 4-1314WI)ZWL 2HEADER T-r w4r24rXO 2-2X1� g S CASED OPENING Tfi 1 CAR GARAGE Q N PANTRY 3 0 PRWDE SW RRECODE GYPSUM LIVING ROOM Y CLOSET WHERE GARAGE ABUTS DWELLING N O O N OPM RAIL DINING ROOM 13•-8' CAW FOYER UP w 2 9'J[T-O_H-GARAGE DOOR O O se §g O O 5 4'4r .1 r-10' S-0• r-10• S' a'-0• z-0• sT-0' 3•-0• 4'X 4'CONCRETE STOOP WnH STEPS TO GRAM 23--0. 174• w4r 96-0' " 11 R P Expect rare Best FIRST FLOOR LAN ' DATE: NOYEMBER 4,2008 PROJECT: 3BRANZErn R CHAMPION � SCALE 1/4°=1'-0" 11 HOLIDAY LANE,HYANNIS B UILDE R S , I N C . 26 X 36-CAPE 3 BED.2 BATH 300 OAK STREET,SUITE 155A Drafting&© zma Greywing Design 508 888-0886 PEMBROKE MA 781 826-3800 PROJECT NO:CH081016 SHEET:/• 4 OF 7 ' h I A ' 60'-0 3V4r ua 1s-" r-w 1S-0• . 10'-11• 1'-1T Yl 3-1 W Sa 4'-T A < 6 5'-T Y,2• BEDROOM#2 ' 0 MASER BEDROOM lo WUJ1-IN CLOSET y I O A ,t t? 4 Ox N 6 BEDROOM#3 If O O b Al ij to s-2' 4'-B" 3'S'P S@• -Y �' 4-1 S-7 O 2W 2-C - - - - - - - _- - - Ti• YS S-V S-0' SO' 36-V WINDOW SCHEDULE ' LTR. OTY. ROUGH OPENING REMARKS GLAZING A 11 WX5W 242 U G 11x6.4=70.4S.F. B 1 59 VW x 58" 2- CASEMENT2424 DOUBLE HUNG 12.8 S.F. C 2 55 V4-X 52• W2N4 2X13.4=26.8 SF D 30"X41- 2416 DOUBLE HUNG 6.6SF. 55 F TOTAL 116.6 S.F. r� r y DOOR SCHEDULE All, # CITY. DOOR SIZE REMARKS GLAZING ' 1 1 3'-0•x INI` 3'4r ENTRY R-5 MIN. 12 S.F. 2 9 YFx64• 6 PANEL INTERIOR DOOR �1 3 1 2• Yaxsa• 9-LITE STEEL FIREDOOR R-5 MIN. 5A S.F. 4 1 1'-1U•X S4• 6 PANEL INTERIOR DOOR 5 28•X SS 15 LIGHT DOOR 10.8 S.F. 6 1 94r Xr-• OVERHEAD GARAGE DOOR 7 2 94rxe4` S64TERIORBIFOLD B 1 z-CXV4r 66PANEG GLASS LINTERIODRDDOOR 300SF "Expect the Best" SECOND FLOOR PLAN 9 4 10 - S-0'XBF V INTERIOR BIFOLD • CHAMPION DATE: NOVEMBER 4,2008 PROJECT: BRANZEM RESIDENCE 11 - 1'�•X W-W 3 PANEL INTERIOR DOOR 31 HOLIDAY LANE,HYANNIS SCALE: 1/4"=1'-0" -DOOR 3:OTY 1=GARAGE TOTAL 58.2 S.F. BUILDE R S , I N C . 26 X 36'CAPE 3 BED,2 BATH f 300 OAK STREET,SUITE 155A Drafting&© 2ooe Greymng Design 608 888-0886 t PEMBROKE MA 781 826-3800 PROJECTNO:CH081016 SHEET:A5 OF 7 F CONT.RIDGE VENT 2 X 12 RIDGE(7YP.) 2391EASHP1 ROOF SHINGLES 1SR FELT PAPER 1/2'EXTERIOR PLYWOOD 1 X6 X S COLLARMES IT O.C. 2X10'S®1S•O.C. 2XIn@ll'O.O. ,2 12 2 X S RIDGE BOARD 12 2Xn@IWO.C. 6 WR-WFIBEROLA331NSUL �I X 6 STRUTS C IO-O.Q DRIP EDGE OR SOFFIT VENT(rYPJ. TO T-11- 2 X VS 16-O.C. TOP OF PLATE SMMCOAT PUS'TER 1PY 1X3STRAPPING BLUEBOARD OR 12 3 rlSUM 112`GYPSUM OVER I X 3 STRAPPI @ 16.O.C. W R- .G. MASTER BEDROOM F 2XOTOP PLATE BATH F 2X4-V4r KNE WALL R19 3W PLYWOOD SUBFLOOR SECOND FIN.FLOOR 2X 12 RIDGE BOARD 2X10'8@16.O.C. 2XIWS@16.0.C. CONTINUOUS RIDGE VENT SgMCOAT PI.A.4TER OVER UT SLUEBOARD OR 12 GYPSUM 312 R 13 OVER 1 X 3 STRAPPING @ 18.O.C. TYPICAL WALL CONSTRUCTION H - WHITE CEDAR SHINGLES 0 511r T.W. R-19 FIBERGLASS INSUL 2X 4891PoNG WALL OVER'IYVECK•OVER 11Z EXTERIOR m q, PLYWOOD OVER r x4•XT4•STUDS LNING ROOM KITCHEN 49 18.O.C.WITH 2 TOP AND,BOTTOM PLATE=T-811r STUD WALL/�,p 2X65@16'O.O W R79 FIBERGLASS INSUL(tYP.) , 314'PLYWOOD 6UBFLOOR 12 1tl N.FL. 2X1(rS@I6'O.C. 2x1O'3@16.O.C. 12 2X IVS®ITD.C. 2 X 6 P.T.SILL WITH SILL SEAL WALK-IN CLOSET 4-2X IZS WOOD BEAM i R-19 kw WITH 3 X V C. PLATEWASHER@MI 3120 CONC.FILLED STL COL(TYP.) M Ilr4r T4Y � C.EMBED IN CONC.T MIN. _ CONT.DRIP EDGE OR 2X VS @ 16'O.O CONT.DRIP EDGE OR y SOFFIT VENTSOFFIT VENT BASEMENT 2-2X,2!S HEADER r 4•POURED CONC.SLAB WITH WHITE CEDAR SHINGLES@512 T.W VAPOR IOW WM OVERDMP.E POLY �a ll/ VAPOR BAR OVER COMP.EMTFI 2-2 X457Y1P PLATE b I-TOPOrm. _ - �12 EXTERIOR PLYWOOD OR O58 2 X4 STUDS®18.0.0 8'X 18'CONi.P.O FTT3 2W X24rX IT POURED LONG . 2 X4 BOTTOM PLATE . FOOTINGS FOR COLUMNS f P.T.-2 X6 SILLWISILL SEAL 26' BUILDING SECTION 4'1%ON BWILPOLYVAPOPITCHEDBARRIER OVER ENTRY OWOR Gy,� !�116 ON A 6 MIL POLY VAPOR BARRIER OVER NONOROANX:EARTH Iw=I.,O. Z T` B•P.O FND.WALL 0 S•X IW P.C.FOORNG 24' GARAGE SECTION 1/4'•1•-0' "Expect the Best" BUILDING SECTIONS CHAMPION DATE NOVENBER 4,2008 PROJECT: BRANZETTT RESIDENCE 31 HOLIDAY LANE,HYANNIS SCALE 1/4"=1'-0" BUILDE R S . I N C . 26 X 3G CAPE 3 BED,2 BATH 300 OAK STREET,SUITE 155A Drafting&© coos Greywing Design 608 888-0886 PEMBROKEMA 7818263800 PROJECTNO:CH081O16 ,EET:A6 0F7 ^ 2 -1 X 2 I 8 IA LE f RI I o RAFTER TAILS - ROOF FRAMING PLAN 118"=V-0" TYPICAL LUMBER NOTES GRADING MODULUS i GRADE RULES AGENCY OF DESIGNATION (SEE NOTES CLAS77CT- 1.2.3,4) 90OF-1AE MACHINE lAwaw 12DOF-1?E RATED 1 1350F1.3E Z4 LUMBER, 1950E-1.4E 2X4 1500F1.SE &WIDER 4 1 NOTE1.NWwWLmbrt GFW=AWWtr.kt.&*"R Lmbw2a4&VAda NOTE2 SGWb PYm Yvpetllm Be"e";Mod"Red Imber,2z4&WWr N &WeetCm Lu bwkmPedbnBeau;MedAm R.WLmber.2:4&NMer, -Maa"Red JoW 2ta&WWw NDTE4.Wp6n WmdP,"dW Amodd'vr,MelBw Red4etba,2s4&WWr 2 1 E 1 4 1 _ 1 EASTERN VA70D3(eureoeaMatWTec^a01"an) SPECIES OR GRADE WE MOD.OF ElASIICiTY°P S[3ECTSTRUCRJPAL 11 N0.1&Af+PFM. 2X5 1•tOQ000 'N0.2 &WIDER 1t 000 N0.] MGM 57UD 600.000 E 2,2X12'S&12 PLYWOOD SECOND FLOOR FRAMING PLAN HEADER SCHEC1lJLE SUPFORI7NGROOF ONLY SUPPWMNG 1.STORY ABOVE SUPPIYifING2STDRY.ABOVE SREOF HEADER e4AK 7ETJGTII MNCLFNGll1 MAIL LETIGIR 2-2x45 itp NlA N/A 2-2XAS W-0. WA 2-2x8'8 Qd /A 2-2X10'S 10*4r B•ar a•4 t "Expect the Best" FRAMING LAYOUTS CHAMPIONDATE: NOVEMBER4,2008 PROJECT: BRANZE TI RESIDENCE SCALE 1/8"=1'-0" 31 HOLIDAY LANE,HYANNIS � LDE IRS , I N C . 2S X 36 CAPE 3 BED,2 BATH 300 OAK STREET,SUITE 155A Drafting&® 200E Glepong Design 508 688-0886 /�J PEMBROKE MA 781 826.3800 u 4"°®m wa.""�b•eyd n^•M•m�"im•�a<+m^cam. IPROJECTNO:CH081016 SHEET:/1/ OF 7 NOTES 11. THERE ARE NO WETLANDS BORDERING SURFACE WATER SUPPLIES OR 23. FINISH GRADE TO BE DONE IN ACCORDANCE WITH THE PLAN. LEGEND SYSTEM DESIGN TRIBUTARIES WITHIN 100' OF SEPTIC SYSTEM. 24. ALL ELEVATIONS REFER TO NVGD. 1. NO SYSTEM TO BE BACKFILLED OR CONCEALED WITHOUT THE REQUIRED 12. THERE ARE NO OPEN, SURFACE, OR SUBSURFACE DRAINS WHICH 25. FOR PROPER PERFORMANCE, THE SEPTIC TANK SHOULD BE EXISTING ED INSPECTION BY THE BOARD OF HEALTH. INTERCEPT HIGH GROUND WATER WITHIN 50' OF SOIL ABS. SYSTEM. PUMPED ANNUALLY. CONTOUR 100 100 BEDROOMS: 3 DESIGN FLOW: 330 GPD SEPTIC TANK: 1,500 GAL PERK RATE: 2 MIN/IN GAR. GRINDER: NO 2. AS BUILT AND CONSTRUCTION CERTIFICATION TO BE PREPARED BY 13. THERE ARE NO OTHER OPEN, SURFACE, OR SUBSURFACE DRAINS. 26. ALL TOPSOIL, FILL, OR OTHER UNSUITABLE MATERIAL WITHIN 5' DRAIN D D PROPOSED SYSTEM: 4` AMERATION CHAMBERS, 4' WIDE, 8' LONG WITH 2.5' OF STONE ALL AROUND j DESIGN ENGINEER. 14. THERE ARE NO FOUNDATION DRAINS. OF THE PROPOSED LEACHING AREA, WHICH LIES BELOW THE CATCH BASIN CB CI CB ■ DESIGN CAPACITY: (4 + 2.5 + 2.5 + 2) X (16 + 2.5 + 2.5 + 1) X 0.75 X 2 = 330 GALS 3. CERTIFICATION OF CONSTRUCTION REQUIRED BY THE INSTALLER. 15. THERE ARE NO VERNAL POOLS WITHIN 100 OF SOIL ABS. SYSTEM. INVERT ELEVATION, MUST BE REMOVED AND REPLACED WITH DRAIN MANHOLE DMH O DMH 4. SYSTEM SHALL BE STAKED AND FLAGGED FROM DATE OF INSTALLATION 16. THERE ARE NO LEACHING CATCHBASINS OR DRY WELLS WITHIN GRAVEL IN COMPLIANCE WITH 310 CMR, TITLE 5, 15.255(3). SEWER S S UNTIL CERTIFICATE OF COMPLIANCE IS ISSUED. 25' OF SOIL ABSORPTION SYSTEM. NOT REQUIRED SEWER MANHOLE SMH 0 SMH 0 5. SITE IS NOT IN A NITROGEN SENSITIVE AREA. 17. THERE ARE NO REGULATORY FLOODWAYS. 27. SOIL EVALUATOR - N/A ELECTRIC E E DIST BOX 6. THERE ARE NO PUBLIC WELLS WITHIN 400' OF SEPTIC SYSTEM. 18. THERE IS NO 100 YEAR FLOOD LIMIT. 28. LIMITING SOIL LAYER - C WATER W W SEPTIC TANK PLAN VIEW 7.' THERE ARE NO PRIVATE WELLS WITHIN 100' OF SEPTIC SYSTEM. 19. THERE ARE -NO INDUSTRIAL CATEGORY OR OTHER PROHIBITED 29. MAGNETIC TAPE IS REQUIRED TO BE INSTALLED OVER TANK GATE VALVE GV N GV H PLAN VIEW 8. THERE ARE NO BORDERING VEGETATED WETLANDS WITHIN 50' OF WASTEWATERS. COVERS, D-BOX AND ALL PROPOSED SEPTIC LINES. HYDRANT HYD HYD -♦- L SOIL ABSORPTION SYSTEM. 20. COMMERCIAL SYSTEMS ARE NOT SIZED FOR A GARBAGE GRINDER. 30. TWO PVC OBSERVATION PIPES WITH A SCREW CAP TO BE INSTALLED GAS G G TANK TO HAVE OUTLET GAS BAFFLE �- 9. THERE ARE NO INLAND BANKS WITHIN 50' OF SOIL ABS. SYSTEM. 21. RESIDENTIAL SYSTEMS ARE NOT SIZED FOR GARBAGE GRINDERS. WITHIN THE SAS AND SHALL BE SET AT A MINIMUM OF 3" FROM FINISH GRADE. TEST HOLE OTH 151 PRECAST CONC. TANK SHALL MEET THE 10. THERE ARE NO SURFACE WATERS WITHIN 50' OF SOIL ABS. SYSTEM. 22. GROUNDWATER ADJUSTMENT USED - OBSERVED PERK TEST PT 1 FOLLOWING REQUIREMENTS PER TITLE V: TO MANHOLE CONC. STRENGTH f'c=4,000psi 028 DAYS TO WITHIN CONC. DENSITY = 140 pcf 6' OF FINISH 2" MIN. I PORTLAND TYPE i OR III CEMENT PER GRADE ASTM C150-81 12" MIN. ADMIXTURES PER ASTM A615 W ' ' FOR WIRE FABRIC: GRADE 40/60 R'D 12" MIN. OR EQUIVALENT 4" MIN. (3" WITH H-10 DESIGN LOADING REINFORCING TANK SHALL BE EMBOSSED WITH A ) qL SEAL STATING THAT ASTM C1227-93 1-4 HAS BEEN MET T DISTANCE BETWEEN INLET/OUTLET TEES f SHALL BE GREATER THAN LIQUID D-BOX TO HAVE 4 OUTLETS DEPTH 2 OUTLETS TO BE PLUGGED SEPTIC TANK DIMENSION TABLE ALL DISTRIBUTION BOX OUTLET PIPES SHALL BE LEVEL FOR TWO FEET. ALL OUTLET PIPES SHALL HAVE THE SAME INVERT ELEV. AT THE DIST. BOX. TANK VOL A B D H(H-10)H(H-20) L T W IF INLET PIPE SLOPE EXCEEDS 0.08, PROVIDE 11�0 19500 GAL 1.000 GAL 500 GAL. 4-4" 5'-8" 5'-10" 10'-6" 19" 5'-8" CONC. BAFFLE TO 1" ABOVE OUTLET INV. ELEV. 2 NNN N N N MIN. SUMP BELOW OUTLET INV. ELEV. = 6-INCHES 2,000 GAL 1,330 GAL.670 GAL 4-5 5'-8 5'-10 12'-0 19 6-6 OUTLET INV. ELEV. SHALL BE AT LEAST 2-INCHES 2,600 GAL 2,000 GAL 600 GAL. 5'-10" 7'-2" 7'-4" 12'-0" 24" 6'-6" BELOW THE INLET INV. ELEV. SHOREY ROAD WAYLOCUS , � DEO JOVET DWELLING PROFILE OF SYSTEM 10 0 210.00' ° ,, FOUNDATION NO SCALE f YAAWl4IPM NATURAL VEGETATION TO REM OL CLUB 37.5 37.2 NATURAL VEGETATION TO REMAIN ` 72.5 .934 S.F.t - 32.77E 36.9 6.934 S.F.* - 32.7X j - FNNISHED GRADE 36.9 37.5 I { 3• 14 J PROP. 3 OR. 86.2t 36" 4" 9" 20" DIA. MANHOLE BSMT. -31.1�6 FF=36 COVER TO WITHIN TW=39 (6" H-20) MIN. 6" OF FIN. GRADE 36" N MORTON & VIVIAN 1 CAR LO 5A, 30 OR 31 4" S (TYP. OF 3) 36 PERMAN JO H & CLAIR� L GUARINO cH. 40 : ,.• .._..,,., MAX. 70. 0 37.5 N ..- 21,'194 S.F. O Imcu: Z40 SCALE 5=0.02 � " 4N SCH. 40 PVC N "L" CHAMBER 2 ID 26718 & #267186 INSPECTION PORT TH4 H- 1 o" N f 6 T S=Q• 1 H. PVC 2 11" MIN. MIN _ 5-0.01 LEACHING CHAMBER N N "S" 15. = 0 T4" PVC 4" PVC H 'o° a000 a c TYPE L OR1.08' 35 IC TANK 9EPTIC TANK NOTE• 24' OR C.I. OR C.I. 35' - ate.+» n. WITH 2.5 STONE 3 SANITARY SANITARY 33' 21' OUTLET TEES TO HAVE INLET TEE 4" (TYP) OUTLET TEE - I.P. FND. GAS BAFFLES OR DEP �•- - : . ,, :.... : - . . ..:. NOTE: //�j " APPROVED EFFLUENT cn _°o°oe°,a�o°on°°o °,°paoo�a8°o p��oa� 6" CRUSHED STONE BOTTOM OF LEACHING CHAMBERS SHALL COPPERPiNATER O BE LEVEL FOR ENTIRE LENGTH "S" CHAMBER EXP. NATURAL . TO REMAIN TEE FILTER DIST. 0 •3�• r 6.9 S.F. - 32.77E �� UP _ ® C. HLSTRIBUTION BOX LEACHING CHAMBER 36 74.9' _ 50.94' 125.13'$ CHAMBER DETAIL CO , t w , DETAIL CO � � GRADE F . 1476/2 , 0 65.24' 6'- s� 11PK. IN POLE j rt INSPECTION Poor ;f �= 8� 37.87 I z HENRY A. & DIANNE C. "L" CHAMBER - N \\ r 4" INLET NOTES: TO HAVE �° A MIN. COVER OF 9" AND ��. EXPANSION A MAX. COVER OF 36". GILBERT -- is I SIDES AND BOTTOM OF EXCAVATION �0 30" OF g' g' 1'-1" AREA 70 BE SCARIFlED. LOT k 19 �c 3/4" TO WASHED may, oe DOUBLE WSTONE JEREMI H J. COLLINS ���c L=19.5 4' 2T 4' 2.5' 2.5' 2.5' 2.5' ,021 S.F. S.8315'23" E s ID#267183 / non-tangent o SOIL, TEST RESULTS 8.30 I_=19.63' dam-' HAWTHORNE TERRACE LOT/4, #18 Q, TH TH 1 TH 2 TH 3 TH4 I.P. FND. � � � ` BORIS MARIA KARPOVSKY ' DATE:3 10 83 1 17 08 1 17 08 1 17 OS 1 17 08 10,533 S.F. BY:JRE TESTS PERFORMED BY MARK M. FLAHER P.E. ID 267184 INSP:JACOBI TESTS WITNESSED BY DO ALD DESMARAI R.S. J i GROUND ELEV. GROUND ELEV. GROUND ELEV. GROUND ELEV. GROUND ELEV. 38.5 37.4 37.4 37.5 37.7 V- L TOP/SUB SOIL(A) FILL SANDY LOAM(A) SANDY LOAM(A) SANDY LOAM(A) XX" 18" 4" 4" 4" tL SUB-SOIL(B) SANDY LOAM(A) ' SANDY LOAM(Bw) SANDY LOAM(Bw) SANDY LOAM(Bw) 24" 24" i 36" 36" 36" ' SAND SANDY�LOAM(Bw) M'ED. TO COARSE MED.SAND (C) MED. TO COARSE f SAND(C) 2.5Y6/4 SAND(C) o CLASS I MED. TO COARSE CLASS I CLASS I 2.5Y6/3 GERALDINE BENNETT SAND(C) CLASS I _ 0 �0 LOA�� SAND 2.5Y6/31 " N N 00 CLASS I CLAYS$ .I 132 132 132 ,-. WATER 1REF" NONE WATER/REF»NON WATER/REF NONE WATER/REF NONE WATER/REF NON MOTTLES N MOTTLES N/A MOTTLES N/A MOTTLES N/A MOTTLES N/A N/A / J ELEV. 26.5 ELEV. 264 ELEV. 26.4 ELEV. 26.5 ELEV. 26J LOT 1, J5 ,� B MARY A. ROTOI 4 �, NOTE: SCHEDULE OF ELEVATIONS PERCOLATION RESULTS 10,303 S.F. ��, LOT #6 IT SHALL BE THE RESPONSIBILITY OF THE To of Found. T.C. 39.0 NO. DEPTH RATE DATE BY INSP. ID#26708 Basement Floor 31.50 f 10NOHAYWOOD CONTRACTORS TO VERIFY LOCATIONS AND 1 2 MIN/IN 3/10/83 JRE JACOBI t ELEVATIONS OF EXISTING UTILITIES PRIOR TO Invert of Pipe at Found. 35.66 ID' 67085 Invert at S. Tank Inlet 35.18 1 58" <2 MIN/IN 1/17/08 M.F. D.D. -r COMMENCEMENT OF ANY CONSTRUCTION. Invert at S. Tank Outlet 34.93 G ^� DIGSAFE IS TO BE NOTIFIED 72 WORKING HOURS Invert at D. Box Inlet 34.58 2 48" <2 MIN IN 1 17 08 Invert at D. Box Outlet 34.41 / / / M.F. D.D. f IN ADVANCE OF CONSTRUCTION. J� t OIGSAFE 1 -888-'DIG-SAFE Invert at Chamber 34.08 L=42.16' } Elevation of Chamber Bottom 33.0 ° Finish Grade Over Leach Area F.G. 37.5 L=38.61' i NOTES PROPOSED EXIS EWALK SEWAGE DISPOSAL SYSTEM 0.63 ANY ALTERATIONS MUST BE APPROVED IN WRITING BY THE GIST SIDI_wAtK DESIGN ENGINEER. ANY CONDITIONS ENCOUNTERED DURING H 0 LI D AY Ll'V ctlRs �� RAN. a ;� CONSTRUCTION DIFFERING'FROM THOSE SHOWN OR BEAC CURB EX. cs � IIOI � ���� a� ► �� REPORTED HEREON SHALT. BE REPORTED TO THE DESIGN AR 1 V TA$ i MA (PUBLIC) R = 30.54 X. mom , ENGINEER BEFORE CONSTRUCTION CONTINUES. " - k � a R� , . 4 i r DATE: JAN. 7, 2008 SCALE: 1 - 30 ROAD � ,t No a703�� � � � �Im>�� � �� TEST HOLE INFORMATION SHOWN HERE ON IS LIMITED TO 2'37N® LOCATION AND SSOIL ©NOTI�OSBE CONSIDERED FOUND AT TANARMPLI IMPLIED EXPRESS MERRIKIN ENGINEERING LLP BM WARRANTY OF SOIL CONDITIONS BEYOND THE LIMITS of CONSULTING ENGINEERS SUCH TEST HOLES. MILLI S T O N ROAD., SUITE 1 C SPK 24N POLE REVISION DATE BY MILLI S, MA 02054 ELE. = 33.49 NEW TEST HOLE LOCS. & DATA 2 01 68 M PH. 508-376-8883 REV. HOUSE AND SEPTIC LOCATION 2 01 08 M BOARD OF HEALTH COMMENTS 11 RFM FAX 508-3'76-8883 13 - 03 - 5 8c 6 /2 p ---------- ------