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0133 IRVING AVENUE - Health
133 IRVING AVENUE, HYANNISPORT A = 287 066 a 0 I { ,l � I ` No. �USETTS Fee -So, Q(/TH O MONWEALTH OF Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliLatlon for Vsposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System Vindividual Components Location Address or Lot No./ 1 ku O` ner's Name, dres ,and T No. 4��cs'��' [Z f Cl[R✓ W .�yw- o o� T'2 �-cS Assessor's Map/Parcel 6 S to -7 h& o Installer's Name,Address,and Tel.No. �Z Y6 —S',2V3 Designer's Name,Address,and Tel.No. "L A ��V Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) t ki 1W� Uwe 11offf4tUl-ae4 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 Envirm onental Code and not to pl e the syst in operation until a Certificate of Compliance has been issued by this Board of Hea Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued » ; ?{. No �a � „ ` Tlrrf � "{Jl .y, ry f Fee ,� t/, ��✓ v l� THEXOMMON,WEALTH OF M 4SSAC U$ETTS Entered m computer: Y es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIppl cation for MiSplosal 6pstrm Construction Permit � th . Application for a Permit to Construct( ) Repair( ) Upgrade( .)"`Abandon( ) ❑Complete System Individual Components IV Location Address or Lot No.l, �u Jl Ojner's Name, dress,and T .No. p �tc7r0,f iP X GSi�'rr J r a G,l a o� T✓2 (. Assessor's Map/Parcel D 6 © lc> Installer's Name,Address,and fel.No. 7 Designer's Name,Address,and Tel.No. 'J'a Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other.-Fixtures- Design _ .:mot .. Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ,• Description of Soil Nature of Repairs or Alterations(Answer when applicable) a ? Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with'the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health: ; f Si d ka.d' Date A A b Pproved Pplication y a 'ltkfbrBt C _ - D,afe Application Disapproved by Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS r ._ .. LA DO BARNSTABLE,MASSACHUSETTS e __ col PUP" Certificate of Compliance ' IN TH1 S IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( ) Upgraded( ) €, Abandoned( )by 1 —T rl 1 6 at 131 T C v,ro AW A e—,.,,, { has been constructed in accordance with the provisions of Ti,le�for Disposal System Construction Permit No. U ^ Y5 dated ( �? Installer Designer r a #bedrooms AJ Approved design flow Aj 144, gpd The issuance of this permit shall not be construed as a guarantee that the system wil 1 cltiof designed. r' �Date ' ( / Inspector IAA. ,✓ . _______ f__ __ ______ _______ ---------------- No. C — G� �!J Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisp sal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 13 7 T r, ;n A,-P J l r61 4 and as described in the above Application for Disposal.System Construction Permit. The applicant recoA-zed his/her duty to comply with Title 5 and the following local provisions or special`conditions. � Provided:Construct' n mu t be completed within three years of the date of this permit. Dated Approved bycc),_J)�1 -,. - W Q `\� 1 ^� {� o W tI !. f _ _ri - -- - - - - _ _ ii � � �� p,,�',�irl � , � I�f��- �, °� ' k ' '"' " Y ��j� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for MispoBal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. l 3 3 XW I Owner's Name,Address,and Tel.No. %AyA4oJ tit S fiZT 'ZIG4AAZ 1-RbW'az)-Z _MvS_t*£ Assessor's Map/Parcel Z$ 00 C ) 6 L_ taller's Name A ess,and Telslo_ Designer's Name,Address,and el.No. L Type of Building: Dwelling No.of Bedrooms �TA Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) RJn1 NSW L1 o/f, Frw M . Q AT14 Rop M To 'h4,Q l< Date,last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. e Date / Application Approved by Date Application Disapproved by Date ,f for the following reasons Permit No. Date Issued ® THE COMMONWEALTH OF MASSACHUSETTS 5C ip•F1C. BARNSTABLE,MASSACHUSETTS / V Certificate of Compliance THIS IS TO CERTIFY,that t - ite-Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) ` Abandon at a has been cons cte �acock with the provisions of Title 5 and the for Disposal System Construction Permit No. Installer` Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector - - ---A-—=-/-— - ---- -� -�- - - - - �Lo W ,. No. '�..- Fee sx.$ - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes appl LAtion for -misposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 1 17 IZV f�j ;A\/C Owner's Name,Address,and Tel.No. 1�y�1 U jv�r P( CRT 4✓l�D 1 R D wdv.� Tf2 v5TEE- z- Assessor's Map/Parcel "L 8 o ,nfj 5T 0o G EhCA 6 0,T L I staller's Name Ad ess and TeLNo. n Designer's Name,Address,and Tel.No. � - .mot. �3 ,lope of Building: Dwelling No.of Bedrooms Lot Size sq.ft: Garbage Grinder( ) Other Type of Building----` No.of Persons Showers( ) Cafeteria( ) Other Fixtures` , a Design Flow(min.required) r.+': gpd Design flow provided gpd Plan Date Number of sheets Revision Date- Title Size of Septic Tank Type of S.A.S. Description of Soil 1 Nature of Repairs or Alterations(Answer when applicable) RyFj N E4v f1J-` F20 M tUATI H RUaM 7-0 -rANI<,. . Date last inspected: Agreement: ,Thtdesgned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with tl e provisions,of Title 5 of the Environmental Code and not to place the-system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed r. Date,/_It Application Approved by / -Date Application Disapproved by ell, v Date for the,following reasons Permit No - w., Date Issued y --------------- ---------- -------------- ----------- - i g l THE COMMONWEALTH- MASSACHUSETTS SP p j C (,-tW BARNSTABLE,MASSACHUSETTS Certificated d Compliance THIS IS TO CERTIFY,that_the_On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( ) V at 132214zm, °Q has been cons cte i accgrr _.with the,provisions of Title 5 and the for.Disposal System Construction Permit No. - Installer _ N Designer #bedrooms Approved design flow gpd The issuance of�this permit shall not be construed as a guarantee that the system will ft ction as designed. Date Inspector 1 ------------------------------ --fir v�`--j -J -------------------------------- r.-.----� j No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( ) pgad- 6 ) Abandon( ) System located at O 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 c pleted w t 'n ee years of the date of this permit. Date / Approved by r TOWN OF BARNSTABLE -LOCATION (,33 ( IUt&J6 k-,9ar SEWAGE# :1O 1 VILLAGE 4 i. tstl tQVjZf1— ASSESSOR'S MAP&PARCEL , -9-7 �(a INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY '1,5C�D LEACHING FACILITY:' size (h'Pa) "�c t�ZE� (size) 11 �3 l NO. OF BEDROOMS OWNER .y `PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility —7'+ Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) .4- -. Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHEDBY V pp LL A-3= ye6„ No. tI �)i ` -. Fee !�D THE,COMMONWEALTH OF MASSACHUS�TTS Entered in comuter:' p �-� PUBLIC HEALTH-DIVISION - TOWN OF BAR"TAB.LE, MASSACHUSETTS Yes RpPlitation for 30isposal *pstrm Construction 3pPrmit Application for a Permit to Construct( ) Repair( ) Upgrade(*'�Abandon( ) Complete System ❑Individual Components Location Address or Lot No.i3-38 Aug Owner's Name,Address,and Tel.No. -XvAssessor's Map/Parcel 87 J�6en'SAO Po. S gyp- Dui` w / Installer's�Name,Address,and Tel.� SO%-77/�-?3¢� Designer's Name,Address,and Tel.No. �U$- voo0► �bTSBf1J�1®y19a-YlC' �LCXL�E�L3GLI�C r� PVa�� Kr 44A 6-%('2 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ` � gpd Design flow provided gpd Plan Date AJPjWv 2n 6_1010 Number of sheets Revision Date Title `G AV.6 a 0 f 33_lry n� 'ALeM�e A 11ni sa5r+ Size of Septic Tank 1 06 70 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envirogment ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board of H tn/ Si Date Application Approved by C ?�, Date Application Disapproved by Date for the following reasons Permit No. Q t Date Issued No. � _ 001 Fee V v Entered in cod puter:� THE,GOMMONWEALTH OF MASS�ACHYS„TTS'"` " es s PUBLIC HEALTHiir'� ION`-TOWN OF BARINTABE, MASSACHUSETTS E ltlYlcatlOTC or isposal 6pstrm (Construction Permit Application for a Permit to Construct(•)"'Repair( ) Upgrade(�Abandon( ) �mplete System ❑Individual Components a Location Address or Lot No. Owner's Name,Address,and Tel.No. l3�Zvi n Ave. S R4&$ M. �(ww: Assessor's Map/Parcel o78 CUS k o d �Cfrcel F�rc l� . ' .4 Installer's Name,Address,and Tel.No. 56.707/_5399 Designer's Name,Address,and Tel.No. S U.ti- 3 :lo��G"�� �'t�rSfrc�c�i0n ►-i—►h� ' d�;Y.>JPs C10.1�z.C�1»eer'�r`j,�c Type of Building:—" _ � - 1 ' Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 2� Design Flow(min.required) _�'=� gpd Design flow provided gpd Plan Date ,;3,,N —Number of she _ Revision Date Title 1 Size of Septic Tank 150 ,. Type of S.A.S. Description of Soil ' `` V Nature of Repairs or Alterations(Answer when applicable) a Date last inspected: t, ( • Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-srte sewage'disposal system in accordance with the provisions of Title 5 of the Environment" alfCode and not to place the system in operation until a Certificate Compliance has been issued by this Board of Health/ Sig4wd, Date ill Application Approved by (. Date T) n. Application Disapproved by " Date for the following reasons Permit No. (I =o cr 7 Date Issued i THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS { Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by ,i ��( �r,��4ri 41 �.r, IV_%0 at " " has been constructed in accordance with the provisions o Title 5 and the for Disposal System Construction Permit No.;)d 1/"U dated L//,/,/A Installer Designer #bedrooms Approved design flow gpd The issuance of this permit sh 11 not be construed as a guarantee that the system wiofianfftidcigned. Date Inspecoor ----------- ------- -------- ---------------- ----------------------------------------- No. — G Fee OU" THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal bpstem Construction 'ermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located at , c , —i n ' 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:Constr ctio must be completed within three years of the date of this permit. n ' Date Approved by /' /G MRY-12-2011 09:48 From:BORTOLOTTI CONST 5oe42=9 To:15067906: 04 P.1/1 FROM :dai,,n cape engineering ima FAX NO. :15083629888 May. 12 2011 88!41PM P1 fu t;rir `+ P. ,�I�,sF()Ti"� 4� a-vices 1 K.Wnw,•nr�.� `.,�y_�+�:�f TR,�e3b�iae 1�c.1►�a�m, �i�cfa4�a 71)11 mikin wrtet'nYauLjq,1.0(1),6101 Uf�irp. •;t1l� iiGi•^.6�111 1A7t,: 5f1�t-7':fU-6"��� "➢➢e:x•fii r<1a�i �selr ���P$t�4~sbl�q 'rav�rtn Dzie.�.5 9 1 ►� � ➢Aco•n,�r Golf^p �aaaw�bY•'y 1VlroyJlYrynred.�_��'� � 'Den iV, Ad dirrsic: c�/ (der�.. Addroms; CCU '}� f WU i.SSU Rd A permit [a,in,'AWI a seylt 4 aystam at_J3•3 t,l v)YAq4 4v2 ' bu:rtr:1 ou Q.dmoi.pra drawn by _ I ceitafy that Lhv acptic ;r"rm .refe,mmocd above was irw!AUCr WlbeWtially aCculd Ug to tlac: design., which ua.y Lur-.oboe minor appm ved cbangen :MLL 83 latcir�J, eslne:itii�ti Of the d :;tla.butiu.bow and/or s pd lttz L I C"O i'y (bat th, srplir. 9yoter]), re-krienceri al,nve wwl iribtaliml with .o'iaml. Chunsus (i.e. petitor thq a 10' liiLOTUl 1°�sl TEdiofa of tht,SAS aany vert w?]. re tomt o.c.01,any cimtpt>�:c�a�t of'`tte sc1jtiu 9yD:=) bill.ial meenrdtance wil.h SUite X orat Rngn..atium,11. Plan 0-vi&73 0" y Cxi7 i1Ct A - Ili I C by dmoNi�1$m to fouaw. �r MAN. �AiEiI.q,� orIVnLA a r✓' ( .Ic�r'�; `tiiµ7aElCrlrc; CV(6 �^ ' �No 44$02b �Imsi' ;7�r�titTa} CqtStri}J I W xr .� tr+2H ztnitra:�3 ,r�.+ �i ,r(: H�►lr�flJ2 !lsrv. �t Q11 1,1AF4rW1C ASSET)) •(]N'aL':l.r, BOTH :i R'U14.0 AiVp .A,y T,r7ti:Lr G r_7L = Via. .7rr;Vrtptit' .. ;t�Ar,.IVSvrr l,a, t��i1'er,ro::ru��ay;i: i uvr tilta,. � �17 cj;•►naltrd9egtinVittiamr Cvitfiiwilm Form 1-1f>Qr.B„c Town of Barnstable 1 RE r>j lDepartrncnt of regulatory Services / y Public Health Divisioll (Date // V MASS. 200 Main Street,Hyannis MA 02601 00 , �-o Date Scheduled_ l Time (fee Pd. age Dispo al _ e Witnessed By; [crfonned By: LOCATION & GENE RAJL INFORIV.i TWC Location Address /�a `� �{�, Owner's Name " �/01 � Address / t,� Assessor's Map/Parcel; 'h(0 � 0 e- 7/6 6 Engineer's Name pp NEW CONSTRUCTION REPAIR Telephone It C`�dUJ 2" Land Use jc�0 q— Slopes M CJ— / Surface Stones L—Lo, Distances froth: Open Water Body noNift Possible Wet Area_/1//0-- IL Drinking Water Well AvArft Drainage Way �Q ` Ft Property Line IQ l ft Other it SK E'7 C H' (Street came,dimensions of lot,.exact locations of lest.holes 8c pert tests,locale wetlands'i d n proxinuly to 11.0les) b A�13 0 LO C) `1 Parent material(geologic) (, Depth tp Btl(U'oelt Depth to Groundwater: Standing Water in Hole: C N-/ Weeping I'Ponl Pit PRor �Gy Estimated Seasonal High Groundwater ti1_4, DE TERAUNATION FOR S1EASO AIL 111011 WATER TABLE Method Uscd: s Depth Observed standing in obs.hole: �t✓a/il� In, Depill to still 41041_M; In, Depth to weeping;from side of obs.hole: F 111, Grouildwuter Adjustment _ ff. Index Well 9 Reading Date: Index Well level AdjI,factor� A4 0rountlwater Level PERCOLATION TEST Dillu Time Observation f Hole#P Tinle tit 9" a Depth of Pere 4 1 .�1 ^y Time at 6" T _ Statt Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Incll Site Suitability Assessment: Site Passed_ Site-Failed: Additional Testing Needed(YIN) Original; Public Health Diviaion Observation Mole Data To Be Completed on Back----------- *.-N*jt percolatiou test is to be conducted vvitl➢lill 100' of wed and, you mush 1fIlrslt Uotify the Barnstable Conservntioll Divisiol] at least one(1) Week prior t® lbeginuing, Q:\S EPTIC\PERCFORM.DOC .DR E][ OBS RVATI®N II®L + LGG --------__ Depth from Soil Horizon �#o il Surface(in.) Textuw! Sdil Color (USDA). Soil• Other (Munsell) Mottling (Structure,Slones;Boulders• Con isteUcy.%,Gravel) LvGS-� DE P ORS1ERVATIC�leT ROLE, LOG Depth from Soil Horizon IIG�.1e Surface(in.) Soil Texture Soil Color (USDA) Soil Other ;Mtnsell) Mottling (Structure,Stones,Boulders, Corsi enc %Gravel ------------ DE, P OBS]ERV TT i—I�®LiE ,Depth from G Soil Horizon L0 II®�� Surface(in.} Soil Texture Sall Color --- (USDA) Soil (Munsq;l Other Mottling (Structure,Stones,Boulders. Consistency,%ar,yell . _ DEMP ORSIER VA TION IIOLE L®G Hole# Depth fi-om Soil Horizon -- Surface(in.) Soil Texture Soil Color Sall (USDA) (Munsell) MOttlln Other g (Structure,Stones;Boulders, Consttencv 96 Oravrn ]flood Insurance][fate Maw Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes.,,,,,_,„•,_, Within 100year flood boundary No Yes __ D8 ti o� �'PJ�fta Ily Occurring]( Viou,s IVlraterial Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system. If not, what is the depth of naturally occurring herviou�n atol'itilj w C'elrtA�'aGt�(r°n�ro • I certify that on ' L (date)I have passed the soil evaluator examination approved by the Department OfEnvironme tal.Protectioi and that the above analyats wsa performed by me consistent with the required training, expertise an4 experience described in CIO CMR 15.017. Signature Date Q:1SL?PTIC\PERCFORM.DOC down cape engineering, inc. SIEVE SOILS ANALYSIS 133 Irving Ave Hyannisport.xlsx ^ 3 DATE OF REPORT: 12-5-10 (sample 11-30-2010) .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 133 Irving Avenue, Hyannisport, MA LOCATION: dce TH SIEVE ANALYSIS Weight Sample(Grams): 149.3 SIZE :WEIGHT RETAINED % RETAINED % PASSED (sum ) --------------•------------------ ----v--------------------=------------------ 1" 0.0: 0.0%: 100.0% ------------ ------------------------- a--------------------- ------------------ 3/4" 0.0; 0.0%: 100.0% --------------- --------------------- --h--------------------- ------------------ 1/2" 0.0: 0.0%: 100.0% --------------=-- ---------------------------------------------------------- 3/8" 0.0: 0.0%; 100.0% #4 0.0: 0.0%: 100.0% -------•------•------------------------------------------------'------------------ #10 6.7: 4.5%: 95.5% -------------- --------------------------h---------------------� ---------- #20 --------------------26.4A-------------17 7%%---------- 82.3% #40---------; 84.6: 56.7%0: 43.3% •-------------f-------------.............Y---------------------f_...-------------- #50 109.8; 73.5%; 26.5% -------------- ------------------------------------------------I------------------ #80 137.4: 92.0%: 8.0% ------------------------------------------- -------- ------------------ #100 142.4: ------------'95.4%: 4.6% -------------------------- -------------- #200 147.9: 99.1%: 0.9% ------------- ................... PAN: 149.3; 100.0%: 0.0% --------------r--------------------------T---------------------------------------- SAMPLE: 149.3; NOTE: TEST ON PASSING#4 ONLY, 1% RETAINED ON#4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3(GRANULAR, COARSE SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK #100 0%-20% OK #200 0%-5% OK SAMPLE.MEETS TITLE 5 FILL SPECIFICATION RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINAN. MATERIAL NONCOMPACTED �-�NOFMAssgc SOIL DESCRIPTION: MED SAND, 0.74 GPD/SF MATERIAL DANIELA. GN o OJALA � x� CIVIL En No.46502 �p e. ar k s NAL E '� t M `�✓ 28 7 COMMONWEALTH OF MASSACHUSETTS r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENT L WD N STREET. BOSTON. 1v1A b2'108'61 29_"�"S ONE WINTER M AUG 9-.2 .1997y W r F.WELD � HEALTH T TRUDY COKE Governor TOWN OF BARNSTABLE Secrets ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTIFICATION tN O Property Address: 133 ��Yv�6E ��t `""VtSP��-T Address of Owner: Date of Inspection: 8/tl/9-7 (If different) PETER N Name of Inspector: ?6TL2 Syt".w SULLIVAN r� I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) c� NO.29733 H CIVIL Company Name: Sut•,L.%vk ) F__,m&r1Ne.F_at%@QG °O 96I Mailing Address: 34 6,jjafL ZlRwE. CCM<EQYtLt.E Telephone Number: caA—{ZA-[Q0!JQ AlE O 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: Date: AL-4 A.\997 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: MI have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303_ Any failure criteria not evaluated are indicated.below. COMMENTS: 61 SYSTEM CONDITIONALLY PASSES: One'oTr system components as described in the "Conditional Pass" section need to be replaced or ' ed. The system, upon completion of the ent or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). De asis of determinati instances. If"not determined", explain why not. The septic tank is metal, unless the owner or ope provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the as installed w thri�enty (20) years prior to the date of the inspection; or the septic tank, whether or not is cracked, structurally unsound, sftows-su tantial infiltration or exfiltration, or tank failure is imminent. ystem will pass inspection if the existing septic tank is replace a conforming septic tank as approv a Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web: http:Nwww.magriet.state.ma.us/dep t,� Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A • CERTIFICATION (conti-iued) Property Address: 133 1mYl w 6 AU Owner: Q GuaiZy Date of Inspection:g f LL(�7 B) 5 TEM'CONDITIONALLY PASSES (continued) Sewage'backup or breakout-or high static water level observed in the'distribu on box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system ill pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system quired pumping more than four times a year due t broken or obstructed pipe(s). The system will pass inspection if( 'th approval of the Board of Health): broken pipe(s) are replaced o truction is removed C) FURTHER EVALUATION IS REQUIRED BY T BOARD OF HEA H: Conditions exist which require further evaluate by the and of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH ERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH D SA AND THE ENVIRONMENT: Cesspool or privy is within 50 feet o a surface water Cesspool or privy is within 50 feet f a bordering vegeta d wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOAR OF HEALTH (AND PUBLIC ATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A NNER THAT PROTECTS THE BLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic nk and soil absorption system (SAS: and the SA is within 100 feet to a surface water supply or tributary to a surface ter supply. _ The system has'a se is tank and soil absorption system and the SAS is within one I of a public water supply well. _ The system has a s ptic tank and soil absorption system and the SAS is within 50 et of a private water supply well. _ The system has a eptic tank and soil absorption system and the SAS is less than 10 eet but 50 feet or more from a private water s ply well, unless a well water analysis for co'iform bacteria and volatil rganic compounds indicates that the well is fr from pollution from that facility and the presence of ammonia nitrogen an nitrate nitrogen is equal to or less than 5 pm. Method used to determine distance (approximation not vali 3) OTHER (revived 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 133 Zw G w G Owner: IZ• �.u22`( Date of Inspection: 9 11 97 D] SYS M FAILS: You must ' licate ei;,;er "Yes" or "No" as to each of the following: I h ve-determined that the system violates one or more of the following failure criteria defined in 310 CMR 15.303. The basis for t s determination is identified below. The Board of Health should be contacted t determine what will be necessary to correct the fai re. Yes No Bac p of sewage into facility or system component due to an overlo ed or clogged SAS or cesspool. Dischar orponding of•effluent to the surface of the ground or s .ace waters due to an overloaded or clogged SAS or cesspool. _ Static liquid le el in the distribution box above outlet invert ue to an overloaded or clogged SAS or cesspool. Liquid depth in ce pool is less than 6" below invert or a ailable volume is less than 1/2 day flow. Required pumping mo than 4 times in the last year OT due to clogged or obstructed pipe(s). Number of times pumpe Any portion of the Soil Abso tion System, cessp of or privy is below the high groundwater elevation. Any portion of a cesspool or pri is within 1 0 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is ith' a Zone I of a public well. Any portion of a cesspool or privy is it 'n 50 feet of a private water supply well. Any portion of a cesspool or privy 's less tha 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis If the well h been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile..ocga c compounds;..a onia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as each of the following: The following criteria apply to I ge systems in addition to the criteri above: The system serves a facility ith a design flow of 10,000 gpd or greater ( rge System) and the system is a significant threat to public health and safety a the environment because one or more of the lowing conditions exist: Yes No the syste is within 400 feet of a surface drinking water supply the sys m is within 200 feet of a tributary to a surface drinking water supply the ystem is located in a nitrogen sensitive area (Interim Wellhead Protection Are - IWPA) or a mapped Zone II of a p lic water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: l T tLY N 6 kv E y A N 1V Owner: Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No _ Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of-water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive.non-sanitary or industrial waste flow. l _ The site was inspected for signs of breakout. / All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles.or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: . _ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System: _ Existing information. Ex. Plan at B.O.H. ?1ZEVt00S t t19S0ocR oN Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)] (revised 04/25/97) Pag• .4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 1 44 ,,l1 SYSTEM INFORMATION Property Address: 133 1p-V tN 6 AcV t 1lvp z"tS Poe.:... ' Owner: Date of Inspection: a I t% FLOW CONDITIONS RESIDENTIAL: Design flow:ltt_g.p.d./bedroom for S.A.S. Number of bedrooms: 4_ Number of current residents: Z Garbage grinder (yes or no): No Laundry connected to system (yes or no):J 5 Seasonal use (yes or no):%1_-5 Water meter readings, if.available-(last tw.o,.(2)year usage.(gpd).: Newa AVA%It-ASL-C Sump Pump (yes or.no): 1�c Last date of occu pan cy:7ggfj tK,Ttrj tAc-u Pt C-:-9 oN P%-S GAS 0"A-t- IaAS% $ COMMT* tAUINDUSTRIAL: Type of establis��t: Design flow: gallo0 a Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (y no)_ Non-sanitary waste discharged to the Title 5 syste s or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occ ncy: GENERAL INFORMATION PUMPING RECORDS and source of information: �uw.PEO A� S^trvtc 0 Fe =v tooS ��rospc-c��oYy 1b�9 S' System pumped as part of inspection: (yes or no)-hLn - I-Kc-e,a \&4A s s_vp "6Z,-p If yes, volume pumped: eallons Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system _X Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: VkousE: /wavK %90 5 Sewage odors detected when arriving at the site: (yes or no)AO (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C L. SYSTEM INFORMATION (continued) Property Address: I t33 .L jzv 1 M6 AV 6 kwoz,Nt 6 IPoQ,'1 Owner: Q C o iizZ,( Date of Inspection: 6/%\/97 .BUIL NG SEWER: (Locate n site plan) Depth belo grade: Material of c strudion: _cast iron _40 PVC.—other (ex lain) Distance from p 'vate water supply well or suction line - Diameter Comments: (conditi of joints, venting, evidence of leak e, etcT SEPTIC TANK: (locate.on site plan) Depth below grade: Material of construction:\__concr _metal Fiberglass _Polyethylene. _other(explain) If tank is metal, list age _ Is age nfirme by Certificate of Compliance _(Yes/No) Dimensions: Sludge depth: Distance from top of sludge to bottom o o et tee or baffle: Scum thickness: Distance from top of scum to top of o tlet tee baffle: Distance from bottom of scum to bo om of outle tee or baffle: How dimensions were determined: Comments: (recommendation for pumping, ondition of inlet an\otlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence.of leakage, tc.) 7. GREASE TRAP: (locate on site plan) Depth below grade: Material of constru ion: _concrete _metal Fiberglass _Polyethyl ne _other(explain) Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle: Distance fro bottom of scum to bottom of outlet tee or baffle: Date of las pumping: / Comme S. (recom endation for pumping, condition of inlet and outlet tees or baffles, depth of liqu level in relation to outlet invert, structural integri , evidence of leakage, etc.) (revised 04/25/97) Page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C qq SYSTEM INFORMATION (continued) Property Address: ��3�L.V I N(o /%v G V4-VP*ti1bs poe-T Owner: P.Cu zwe .Date of Inspection: SAll97 TIGH AR HOLDING TANK: (Tank must be pumped prior to,-or t time, of inspection) (locate site plan) Depth belo grade: Material of co struction: _concrete _metal _Fiberglass _Poly hylene -other(explain) Dimensions: Capacity; �allons Design flow: �pallons/day Alarm level: Al, mt in working order_ZYes; NoDate of previous pumping:Comments: (condition of inlet tee, condition of ]arm and float.s DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet inve \ Comments: (note if level and distribution is eq 1, evidence of solids car over,'evidence of leakage into or out of box, etc.) PUMP CHAMBER:_ (locate on site plan) . Pumps in working ord : (Yes or No) Alarms in working or er (Yes or No) Comments: (note condition of -ump chamber, condition of pumps and appurtenances, etc.) (revised 04/2S/97) Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C T SYSTEM INFORMATION (continued) Property Address: 132j -LRVtNGwE ��1�WNtSPOQ.7 Owner: Date of Inspection: g It I( � SOI SORPTION SYSTEM (SAS):_ (locate on i plan, if possible; excavation-not required, but may be approximated by non-intrusive m ods) If not determined to resent, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system:. Name of Techn gy: Comments: (note condition of s ' , signs of hydraulic failure, level of ponding, condition of vegetation, etc.) CESSPOOLS: ✓ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: ALPPQ.eiC �t Dip u Qut,V P LT- Depth of scum layer: J Dimensions of cesspool: Materials of construction: LONCG SLOC-G Indication of groundwater: NeN 6 inflow (cesspool must be pumped as part of inspection) Comments: ` (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Plc Sl6US 0�" IAYyeAULLC FAA L.0 PRI (locate on site p an Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, si of hydraulic failure, level of ponding, condition tation, etc.) (revised 04/25/97) Page..a of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1 33 Iry►tO6 l�V 6 �`40rte N►S?O R..T Owner: f,•C—t v ky Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) o W Ed.,.S W IT-tA t N ` Lcxo o W GT I..p,w1.0 S \A.A L Tk*A(V L O O (zevimed 04/25/97) Page 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C •SYSTEM INFORMATION (continued) Property Address: 3g yr_V t N 6 AV IS Owner: Q• Guee< Date of Inspection: Depth to Groundwater 16 Feet t Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record 061.C 1 as-' w VrAL-k-kr.P , k Observation of Site (Abutting property, observation hole, basement sump etc.) k Determine it from local conditions K Check with local Board of health Check FEMA Maps Check pumping records Check local excavators,.installers K Use USGS Data Describe in your own words how you established the High Groundwater Elevation. (Must be completed) 0 F' Y (revised 04/25/97) PAg• 10 of 13 t_.oT � LoT Isp, t3 3 2 � � FlTF'A-GtC 1 IAo 1 \ G� l 1 Co�.iE e. I.�O \U L p,aVT �`o !CATION Lot ! NO. (� '.LLAGE DATE //-(9_g7 'PLICANT FEE ?,j DRESS ' TELEPHONE NO. (Non-refundable) 'GINEER .h N'�-C TELEPHONE NO. .TE SCHEDULED_ (Applicant's signature) ........... ......................................... biA )- : S aPi g& LLUT NO:O: ...... SOIL LOG B-DIVISION NAME DATE � TIME 10 PANSION AREA: YES—%§O - 7C W WN .WATER ,PRIVATE ELL_ rqC2V BOARD OF HEALTH _A ^P jr�r.Q EXCAVATOR ETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NQTES: 2.6 90,59 41 ✓ ���� 34' -rP — F3LD6 0� N - -- -- Tlk' 1�,`, - - - - - --- - - RCOLATION RATE: ST.RuLE F0, EL ATION:)$.G TEST HOLE N0: ELEVATION: 2 . TO�soi� ? S1/1glo�l 3 R0) ,u S►hll�l7 s 3 it - B 9 GL Pt�`S M' .G_ ._- 9 10 So� �j b ir-6r2A VELi0 11 11 12 13 12 , A 14 15 kJO (1sflTf_le_� - 15 16 16 [TABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES SUITABLE FOR SUB-SURFACE SEWAGE. REASONS: CE: ENGINEE!RING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION [GINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH ?Y: RETAINED BY APPLICANT HOMEOWNER RECORDS - Septic • - • A Reference. • t Septic systems are individual wastewater treatment systems that use the soil to treat small waste- water flows,usually from individual homes. They are typically used in rural or large lot settings where YOUR ' centralized wastewater treatment is impractical. There are many types of septic systems in use today. While all septic systems are individually designed for each site,most septic systems are based on the same principles. SEPTIC A Conventional SYSTEM Septic System • • - • ers Sketch boose. septic tank.kading bd t7 and show distances from tank Corer to aeacti�t j// Noose comers. TANS SERVICE RECORD 0 o DM ce"Wos s..b.rafa�rd A septic system consists of a septic Alter the partially treated wastewater tank.a•distrib&tion box and a drainfield.all leaves the tank. it flows into a distribution ` ,,e�rr;s..• connected by pipes.called conveyance lines. box.which separates this flow evenly into a ¢r : network of drainfield trenches. Drainage Your septic system treats your household holes at the bottom of each line allow the was- wastewaterby temporarily holding it in the septic fewaterto drain into graveltrenchesfortempo- tank where heavy solids and lighter scum are rary storage. This effluent then slowly seeps allowed to separate from the wastewater. Thisinto the subsurface soil where it is further separatior process is known as primary treat- treated and purified(secondary treatment) ment. The solids stored in the tank are decom• q properly functioningseptic stem does not 'If You have problems.contact your local board of posed bacteria and later along with P P y P y halth or health agcm. P !' 9 pollute the groundwater. the tighte•scum. by a professional septic tank pumper. 6 Caring for Your Septic System Tips to Avoid Trouble The accumulated solids in the bottom of be very expensive to repair, the septic tank should be pumped out every and,put thousands of water supply uses DO have your tank pumped out and DON'T allow anyone to drive a park three tofive ears to prolong the our system inspected every 3 to 5 years by over any part of the'system. The area Y P 9 Y at risk if you live in a public water supply a licensed septic contractor(listed in the over the drainfield should be left undis- system. Septic systems must be main- watershed and fail to maintain your sys turbed with only mowed grass cover. tained regularly to stay working. tem. yellow pages). Y a Roots from nearby trees or shrubs may Neglect or abuse of your septic system Be alert to these warning signs of a failing clog and damage your drain lines. • DO keep a record of pumping,inspec- can cause it to fail. Failing septic systems system: tions,and other maintenance. Use the can sewage surfacing over the drainfield back page of this brochure to record DON'T make or allow repairs to your • cause a serious health threat to your (especially after storms), maintenance_dates. septic system without obtaining the re- a back-ups in the house, v quired_health department permit. Use family and neighbors, sewage P professional licensed septic contractors • degrade the environment, especially - lush,green growth over the drainfield, • DO practice'water conservation. Re- when needed ' pair dripping faucets and leaking toilets, h ._ • slow draining toilets or drains, ..1unwashing machines and dishwashers lakes,streams and groundwalet, • reduce the value of your property, sewage odors. only when full,avoid long showers,and DONT`use commercial-septic tank use water-saving features in faucets,. additives.These products usuallydonot shower heads and -toilet help and some mayhurtyour system in the long run. • DO learn tile location-of your septic system and.drainfield..Keep a sketch of DON'T use your toilet as a trash can u` i �`�,i� ithandy.for service visas.•Ifyoursystem bydumpingno.'Als esdownyour adabl • - ���^ has a flow diversion valve,learn its loca- toilet or.drains 'Also,don't poison your lion;>and turn.it once a year. Flow septic.system and theoundwater by diverters can add many years to the life pouring harmful chemicals.°down the T» of your system, drain.They can kill the beneficial baste- ...� ria that treat your wastewater. Keep the Outlet:T...uaw..t...« W. following..,materials out of your septic ,'•"'�,,,,,,,,,aa B°' DO divertroofdrainsandsurfacewater aid Drain FWW system: from driveways and hillsides away from w.a.waar the septic system. Keep sump pumps and house footing drains away from the septic system as well. ,..� se,daposab di lasfics,etc. • DO take leftover hazardous household chemicals to your approved hazardous P waste collection center for disposal.Use gasoline,ot, bleach,disinfectants,and drain and toi- thinner,pes let bowl cleaners sparingly and in accor- dance with product labels. J Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection William F.Weld Govemor Trudy Coxe Secretary,EOEA David B. Struhs l^,ommluioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A MAP z a-7 QA4cCL-(o l 11' CERTIFICATION Property Address: l33 �/t�S C� ��E 1 VNK'Iklk'>eZ ddress of Owner: Date of Inspection: De-IT19, 1995 (If different) Name of Inspector: Pig i-F-2 Sur L.ur:k" PE Company Name, Address and Telephone Number: SuLLAU b&-A ErIaC=0 lac�1Z1x1Cx�N C 34 otic-t ee- Ve-kv E Ci---"Tr"Tr--r Z41�e t-q A 02-�32 C S6$,428- pO4 CERTIFICATION STATEMENT ���1'r-, I certify that I have personally inspected the sewage disposal system at this addre'ss'and t44 har5 ction was performed based on stratnA irmatron reported below is true, accurate ing,laFnfdaexperience and complete as of the time of inspection. The inspe in the proper function and maintenance of on-site sewage disposal systems. The system: S(t Eta � 0 Passes �i] < Conditionally Passes ' �, 1, �Srr, Needs Further Evaluation By the Local Approving Authority ® 9 95 Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A,B,C, or D: A] SYSTEM PASSES: ' I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: ne o eI'l stem components need to be replaced or repaired. The system, upon c in of the replacement or repair, O passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Descr' etermination in all instances. If"not determined", explain why not) _ The septic tank is metal, , structurally unsound, s ntial infiltration or exfiltration, or tank failure is imminent. T m will pass inspection if the existing septic tank is re face ith a conforming septic tank as by the Board of Health. (revised 8/15/95) One Winter Street a Boston,Massachusetts 02108 FAX(617)SW1049 a Telephone(617)292-55W �1 Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: IS-4- Owner: 12_oe efL Date of Inspection: Dc-- !Q't kA9S B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is a to broken or o � ofe he pipe(s) or due to a broken, settled or uneven dist ribution box. The system will pass in ion if(with approval Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The syste required pumping more than four times a year due to broken r obstructed pipe(s). The system will pass inspection (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED THE BOARD OF HEALTH: Conditions exist which require further a luation by the Board Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS PUBLIC C HEALTH A D FMINES THAT THE SYSTEM IS AND THE ENVIRONMENT: FUNCTIONING IN A MANNER WHICH WILL _ Cesspool or privy is within 50 feet of a s rfac water _ Cesspool or privy is within 50 feet of orderin vegetated wetland or a salt=marsh. 2) SYSTEM WILL FAIL UNLESS THE A BOARD NNEREALTH (AND THAT ROTE THE BLIC WATER SUPPLIER, IF APPROPRIATE)THE PUBLIC HEALTH AND SAFETY AND THEEERMINES THAT I THE SYSTEM S FUNCTIONING I ENVIRONMENT: _ 1ne system has a septic t is and soii absorption system enu 12'. iillll 100 feci to a surface watei supN!}' surface water supply. The system has a se c tank and soil absorption system and is withi Zone I of a public water supply well. _ _ The system has a ptic tank and soil absorption system and is within feet of a private water supply well. _ The system has septic tank and soil absorption system and is less than 1 feet but 50 feet or more from a private water supply well, ess a well water analysis for coliform bacteria and volatile o anic compounds indicates that the well is free from p ution from that facility and the presence of ammonia nitrogen a nitrate nitrogen is equal to or less than 5 ppm. D] SYSTEM FAILS: I have det mined that the system violates one or more of the following failure criteria as defined in 0 CMR 15.303. The basis for this etermination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the f 'ure. Backup of sewage into facility or system Component due to an overloaded or clogged SAS or spool. _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. 2 (revised 8/15/95) F SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 133 T—IZ21/1 ►-1Cx Owner: OC6 . Cue-a�-< Date of Inspection: o-) tLpj� DJ SYSTEM FAILS (continued): _ atic liquid level in the distribution box above outlet invert due to an overloaded or clogg or cesspool. Liquid de in cesspool is less than 6" below invert or available volume is less 1/2 day flow. Required pumping m han 4 times in the last year NOT due to cl ed or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption Syste cesspool privy is below the high groundwater elevation. Any portion of a cesspool or privy is wit 1 00 fee a surface water supply or tributary to a surface water supply. Any portion of a cesspool or i is within a Zone I of a publi IL Any portion of a pool or privy is within 50 feet of a private water supp ell. _ Any p n of a cesspool or privy is less than 100 feet but greater than 50 feet from a ' to water supply well with no ptable water quality analysis. If the well has been analyzed to be acceptable, attach cop well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. EJ LARGE SYSTEM FAILS: The ing criteria apply to large systems in addition to the criteria above: The design flow of syste 0,000 gpd or greater (Large System) and the system is a significant threat top ealth and safety and the environment because one ore of the following conditions exist: _ the system is within 400 feet of a surface n ' water supply the system is within 200 feet of a tributary to a surf inking r supply the system is located in a nitro a sitive area (Interim Wellhead Protection Area A) or a mapped Zone II of a public water supply we The owner or operator y such system shall bring the system and facility into full compliance with the groundwater treatment p m requirements CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: �33 I�Q C t._ �YP`ti-t x l I SPO Owner: {Z[XCe�e e to Q Date of Inspection: ©cv I S) Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. �A As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. ` The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. VThe facility o ,^ (and occupants, if different from owner) were provided with information on the proper maintenance of Sub Surface Disposal System. 4 (revised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C y� SYSTEM INFORMATION Property Address: ta C Owner: Q>GC-2 G-UeF✓� Date of Inspection: Q(�\- 19, 19 9S FLOW CONDITIONS RESIDENTIAL: Design flow: l( gallon5 Number of bedrooms: 4 Number of current residents: 2 Garbage grinder(yes or no): — Laundry connected to system (yes or no):YES Seasonal use (yes or no): E: Water meter readings, if available: ►a & Eat u [.- t - Rf�e LV \J,j A • +� Last date of occupancy: 1�2ESG—+UT 1`( OC-C.U p I E C) 0" 0, eEA60UAL ?, " \S -COMMERCIAUINDUSTRIAL: Type of esta nt: Design flow: ga o Grease trap present: (yes,or no)_ Industrial Waste Holding Tank present: (yes or n Non-sanitary waste discharged to the Title 5 system: (yes or Water meter readings, if available: :Lastate of occupancy: R: i e) ate of occupancy: GENERAL INFORMATION PUMPING RECORppS an source of information: System pumped as part of inspection: (yes or no) C) Qrr\clAS If,yes, volume pumped. ./' Qallons 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) t. Other(explain) p, APPROXIMATE AGE of all components, date installed (if known) and source of information: OOSG Sewage odors detected when arriving at the site: (yes or no) Q�O (revised 8/15/95) $ 1 J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Addr ss: 133 ���/ ttiDmoo. Qv �i�Ad�t►.�� PO(LT' Owner: Ucl Gtr Q C u e-Q—'( Date of Inspection: cy--T- voaf SEP C TANK:_ (locate site plan) Depth below ade: Material of cons ction: _concrete _metal _FRP other(explain) Dimensions: Sludge depth: bottom of outlet tee or baffle: Distance from top of sludge Scum thickness: Distance from top of scum to top outlet tee or baffle: Distance from bottom of scum to bolt of outlet tee or baffle: Comments: ndition of in t and outlet tees or baffles, th of liquid level in relation to outlet invert, structural (recommendation for pumping, co integrity, evidence of leakage, etc.) GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction: _concrete _me _FRP other(explain) Dimensions: Scum thickness Distance from top of scum to p of out tee or baffle: Distance from bottom �1 <� m t� t)ottom of outiet tee or banie Comments: ondition of inlet and outlet tees or baffles, depth of liquid level in re lion to outlet invert, structural (recommendatio or pumping, c integrity, evi nce of leakage, etc.) 6 (revised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 133 T-2v t ►..rt Owner: 1 2ocsez C-v'Q-e--( Date of Inspection: DC-7, \9 t 19gS- HT OR HOLDING TANK:_ (low on site plan) Depth bel grade: Material of c struction: _concrete _metal _FRP —other(explain) Dimensions: Capacity: gall s Design flow: gallon day Alarm level: Comments: (condition of inlet tee, condition of alarm d float switches, etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if levei and distrihutiur a equal, e� dencr,of olids carryover, evidence of le age into or out of box, etc.) PUMP CHAMBER:_ (locate on site plan) Pumps in working order: es or no) Comments: (note condition pump chamber, condition of pumps and appurtenances, etc.) 7 (revised 8/15/95) } SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 133 `�I�`-d� �� �Y' Ill S t�0e Owner: CzOC--�GZ Date of Inspection: QC'C' t 9 t to�)S ABSORPTION SYSTEM (SAS):_ y roximated by non-intrusive methods) (locate o e plan, if possible; excavation not required, but ma be app If not determined to be sent, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fielffs, number, dimensions: overflow cesspool, number: Comments: (note conditi soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) CESSPOOLS: A (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: T L-r \-'a p�Y Depth of solids layer: Depth of scum layer: 'DEP"71 Dimensions of cesspool 5� Materials of construction: �� 7t P�L►�" Indication of groundwa!e �t—r inflow (cesspool must be pumped as part of inspection) Comments: (note condition ofsoil signs of hyd�raulic failure, level of ponding, condition of vegetation, etc.) D 6 N ( t w(LG PRIVY: _ o Ian) Dimensions: Materials of construction: Depth of solids: v elation, etc.) Comments: (note condition of soil, signs of hyd e, evel of ponding, 8 (revised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C aSYSTEM INFORMATION (continued) Property Address: Owner: Q6�_ <f-u Date of Inspection: QGT i9) lg�S SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' o ',,u E Q-5 W ITS+ 1 LA lip r 1�D V�RT LA t,.\OS \�,j t TtA i 0,3 l OU� DEPTH TO GROUNDWATER 4T; Lh�7 Depth to groundwater: I feet method of determination or approximation: � t=sT "P A�D 1Z- 3 7 �` Sd �'" n P�Ot� Ova 6Y5i�N\ 5"QViS r t0 TLC /� 0 F 'R -Loye./ l�tZ DT= �.�!►}tct-t �(( E�-DS x�-r LcagST a,' - MArI-Ptat 8 Ec ax a 00 (revised 8/15/95) 9 ON ° .. o = o r� (Ti �' o � D r c d e r 3 rno A lR1 7 _ \ 1 I � P r G i C D 1 APPLICATION FOR PERCOLATION TEST AND ObSERVATlUN rlrb (CATION rlo-� off- / NO. P 4 J 0 r LLAGE DATE 1/-19-97 -PLICANT ,f FEE .� 'DRESS 0 TELEPHONE NO. (Non-refundable) GINEER / /y' -t TELEPHONE NO. TE SCHEDULED S p7Yg � d � (Applicant's signature) ucil � A. ......... � BSSOR'S MA & LOT NO: ••••• •SOIL•LOG•••••••••••.•••.•••••••••••• ...• . B-DIVISION NAME DATE - Qi TIME 10 PANSION AREA: YES -,bTO 1�1` f�2- M1f.N )y M7INEER —G77C � WN WATER�RIVATE WELL NJ BOARD OF HEALTH x EXCAVATOR ETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) n NOTES: 2 90,59 a 34, P_ 0� N . �N� g r� F,3y RCOLATION RATE• ST HuLE F0: EL ATION:18.G TEST HOLE NO: ELEVATION: - 1 l 2 To Ps o 111 3-Sll7glolL 3 �Rox,� S+�}71�I� s �p 5L—. ` 6 GL. 'Y ►.0 17'H t .. 6 s. 9 C 9 10 ►,s b s 6 J2A VEL10 11 11 12 12 1g d3 E 5.6 14 . 15 15 16 16 [TABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS_ LEACHING TRENCHES SUITABLE FOR SUB-SURFACE SEWAGE. REASONS: CE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION [GINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH )y: RETAINED BY APPLICANT HOMEOWNER RECORDS ExplainedSeptic Systems ' A Reference-Guide Septic systems are individual wastewater treatment systems that use the soil to treat small waste-water flows,usually from individual homes. They are typically used in rural or large lot settings where YOUR centralized wastewater treatment is impractical. There are many types of septic systems in use today. While all septic systems are individually designed for each site,most septic systems are based on the same principles. SEPTIC A Conventional C Septic System SYSTEM for - . Sketch house wp&tank. leafing fie t7 and show distaaces fiom septic teak owes to nearest �� house cowers. — — — TANS SMUCE MORD 0 0 ns t A septic system consists of a septic After the partially treated wastewater yy t tank.a distribution box and a draintield.all leaves the tank. it flows into a distribution this flow evenly into aarates connected by pipes.called conveyance lines. box. which separates network of draintield trenches. Drainage Your septic system treats your household holes at the bottom of each line allow the was- wastewater by temporarily holding it in the septic lewater to drain intogravel trenches for tempo- tank where heavy solids and lighter scum are nary storage. This effluent then slowly seeps allowed to separate from the wastewater. This into the subsurface soil where it is further separatior process is known as primary treat- treated and purified(seconds treatment) ment. Tne solids stored in the tank are decom A properly functioning ctionin septic system does not U you have problems,contact 7�local board of P Pe Y 9 Phealth or health agent, .. posed ny bacteria and later removed.along with pollute the groundwater. the lights,scum, by a professional septic tank m r. pu pe Tips to Avoid Trouble USM ME The accumulated solids in the bottom of be very expensive to repair, DO have your tank pumped out and DON'T allow anyone to drive or park • over an art of the system. The area the septic tank should be pumped out every and,put thousands of water supply users system inspected every 3 to 5 years by y P three to five years to prolong the life of your at risk if you live in a public water supply a licensed septic contractor(listed in the over the drainfield should be left undis- system. Septic systems must be main- watershed and fail to maintain your sys- yellow pages). turbed with only a mowed grass cover. tained regularly to stay working. tem. Roots from nearby trees or shrubs may y clog and damage your drain lines. Neglect or abuse of our septic system Be alert to these warning signs of a failing DO keep a record of pumping,inspec can cause it to fail. Failing septic systems system: tions,and other maintenance. Use the DON'T make or allow repairs to your can • sewage surfacing over the drainfield back page of this brochure to record septic system without obtaining the re- cause after storms), maintenance dates. • cause a serious health threat to your quired health department permit. Use family and neighbors, sewage back-ups in the house, professional licensed septic contractors • DO practice water conservation. Re- when needed. • environment, especially lush;green growth over the drainfield, faucets and leaking toilets, degrade the a sP� it drippingauoe 9 deg a Pa lakes,streams and groundwater, slow draining toilets or drains, run washing machines and dishwashers only when full avoid brig showers,and DON'T use commercial septic tank • reduce the value of your property, sewage odors. , additives.These products usually do not use water-saving features in faucets, help and some may hurl your system in shower heads and toilets. the long run. • DO team the location of your septic DON'T use your toiet as a trash can system and drainfield. Keep a sketch of • ' b dum i nond radables down your it handy for service visits. If your system toilet or ains. Also,don't poison your - has a flow diversion valve learn its oca tic s tern and the groundwater by tion, and turn it once a year. Flow p ys diverters can add many years to the life pouring harmful cherticals down the r« of your system. drain.They can Will the beneficial bacte- ria that treat your wastewater. Keep the �.� following materials out of your septic • , dNe:True w•ew.t« =T=% vneo. • DO divertroofdrainsandsurfacewater system: . .-a or.r,Rea from driveways and hillsides away from the septic system. Keep sump pumps w�•�•••w and house tooting drains away from the septic system as well. se,ifsposab lastics,etc. • DO take leftover hazardous household chemicals to your approved hazardous P waste collection center for disposal.Use gasoline,ot, bleach,disinfectants,and drain and toi- thinner,pes let bowl cleaners sparingly and in accor- dance with product labels. TOWN OF BARNSTABLE LOCATION 13 �� �` � SEWAGE # VILLAGE �Y KiKIt.S POD ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMUDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by - a' e- VIKJa Arc LoT Lo c3 'L J 7- l \ t , _ i` G6TT'A-C-tC { 1 �31 1 1 Co..iE rz 1 i i � _ 7 WOOD SHINGLES ELEV 'V.7 �I c BRICK CHIMNEY —�7Z WOOD TRIM PAINTED WHITE r WHITE DOUBLE HUNG WINDOW 9/9 4 BLACK _ -• SHUTTERS WEATHERED W.C. SHINGLES WHITE DOUBLE HUNG KITCHEN 4 BED ROOM WINDOW 9/9 4 BLACK WING BEYOND ® SHUTTERS WOOD TRELLIS PAINTED WHITE WOOD TRELLIS FAINTED WHITE EXISTING NORTH ELEVATION STORM DOOR PAINTED BLACK V .Q Z SCALE 1/4"=1'-0" z �. O _Q LU } f— t!t O W u.l z A� _ d Z p WOOD SHINGLES m 3 Q `4 WHITE DOUBLE HUNG ® WOOD TRIM PAINTED WHITE WINDOW io/Io IX4 WOOD TRIM PAINTED WHITE WHITE CEDAR SHINGLES WITH GREY BLEACHING OIL - EXPOSURE TO MATCH EXISTING EXPOSURE F1 WHITE DOUBLE HUNG 1 I WINDOW 6/6 IX4 WOOD BUILDER: MARK GRENIER TRIM PAINTED WHITE MG Design Build, Inc EXISTING STORM DOOR PAINTED 61 Homestead Lane Yarmouth Port, MA. 02615 PROPOSED NORTH ELEVATION BLACK - FRONT DOOR RELOCATED �1� 508 - 364 - 6494 SCALE 1/4".1'-0" 1 mgdeaTgnbuildaoutlook.com O S � cy O G WILLI M Pc�, EXISTING ELEVATIONS 4 0 BIS � PROPOSED ELEVATIONS STRUCTURAL NO.29488 Ir (v Date: PO,c-RF GIST ERE���4� SEPT. 5, 2014 FSS/ONAIL A—, some: I/4° I'-0° ' -46) E Z E -4Z -4G E E E E E_ E E E m E 3m -4 E 03E 3m � O O Z �—� O C X O (ml E U � r�r � -� m U U r pm p U (P ( O n � r -4 � U1 n -� m E (7 Z Z r8 nm � m p m � � 3 -4 mb D 3 Z � � 3 cn Cl z X 0 XE lI X tl itl n t- A c Z E z N b N m U � r _ N D z r O m z0z Zr -Zi m D N � Or N � m oor _ m 3 r E _ m E _ r O _ { N � = m N � = m N m m mN mN - 7U 7I) a m m 13'-7Ye i I I ® I I i I " i I I i X ip- Ar ME ED ,- I � s r rn o I i i z I i ii I i E I 7" 'f -4EE E m m 3m -+ 3U � 0 U _4 _q Um O Um O -4 � m _ BEd d o xI xl N $ _ Eo (� � rmp m 2 � � z: O � � 3 � w _ m 3 gad �� QiQ Z sXm r D � m m m �a uno N � z O = Ec (P Cl N cn Z Z M6 Z Z icon o rm v ? o 0,n �o cn m m z_ G r c m E N N � m m N �� rt ABRA IS RESIDENCE om g � 1Q 133 IRVdNC� AVE.ID N —YANNIS PORT, "A 4 o ADDITIONS 4 ,4LTER4TIONS x IV N l s BRICK CHIMNEY WOOD SHINGLES E1_EYATIONS T-------------- WHITE DOUBLE HUNG —_— _— _ EXISTING CUPOLA 3 ^ WINDOW 6/6 4 BLACK SHUTTERS ® - — — — — — — WOOD TRIM PAINTED WHITE EXISTING SKYLITES WOOD TRIM PAINTED WHITE m p — -- -- — — — — - WOOD TRIM PAINTED WHITE ® ® ® WHITE DOUBLE HUNG WHITE DOUBLE HUNG ® ® ® ® ® ® ® WINDOW 6/6 4 BLACK WINDOWS ro/6 4 BLACK SHUTTERS SHUTTERS _-_-_- -_-- W.G. SHINGLES - — — — — — — — — —----------------- WEATHERED — WEATHERED W.G. SHINGLES WEATHERED W.G. SHINGLES EXISTING WEST ELEVATION U 1 z . SCALE 1/4"=V-0" _ Z •. O LU Q } 4 HIP ROOF AT ADDITION nO LULU WOOD SHINGLES } to 4k* WOOD SHINGLES WHITE DOUBLE HUNG m }_ WINDOW 6/6 1X4 WOOD TRIM PAINTED WHITE WOOD TRIM PAINTED WHITE '� Q WHITE CEDAR SHINGLES WITH GREY BLEACHING OIL - EXPOSURE NEW WHITE WINDOWS TO MATCH EXISTING EXPOSURE 6/6Ld �i L __-- ------___- —_---- NEW ENTRY BUILDER: MARK GRENIER — — — — — — — — - TRIM PAINTED WHITE MG Design Build, Inc. WOOD TRIM PAINTED WHITE 61 Homestead Lane WHITE CEDAR SHINGLES WITH Yarmouth Port, MA. 02615 Ti GREY BLEACHING OIL - EXPOSURE PROPOSED WEST ELEVATION.' ` 509 364 - 64S4 � TO MATCH EXISTING EXPOSURE SCALE 1/4"=r-0" NEW WHITE WINDOWS mgdesignbuildeoutlook.com MASS `0 9� o wiLLfgiy O, yN EXISTING ELEVATIONS 4 S rp psi-o PROPOSED ELEVATIONS UCTRpC 6 29488 CIS 7ERE0 ce mete: ®� )VA SEPT.NG�� SEPT. 5, 2014 A_3. stele: 1/411 - 11-011 �DG WOOD SHINGLES ELEVATIONS EXISTING: CUPOLA _ BRICK CHIMNEY WOOD TRIM PAINTED WHITE WHITE DOUBLE HUNG WINDOW ro/6 EXISTING SKYLITESLi ` WOOD SHINGLES z9 WOOD TRIM PAINTED WHITE WOOD TRIM PAINTED WHITE ®�® ® WHITE DOUBLE HUNG ® WINDOW 9/9 4 BLACK SHUTTERS WOOD TRELLIS WITH PAINTED WHITE WEATHERED W.C. SHINGLES STORM DOOR PAINTED BLACK EXISTING SOUTH ELEVATION SCALE 1/4"=f-O" z O LU 11i11>.1 Q LU LU HIP ROOF AT ADDITION d) to 40 WOOD SHINGLES Z Z Z PICTURE UNIT W/ FLANKER WINDOWS 6/6 -IX4 WOOD TRIM PAINTED WHITE WOOD TRIM PAINTED WHITE Q IFF ;=I FM I WHITE DOUBLE HUNG Q A4 WINDOW 6/6 IX4 WOOD WOOD SHINGLES TRIM PAINTED WHITE WHITE CEDAR SHINGLES WITH GREY BLEACHING OIL - EXPOSURE TO MATCH EXISTING: EXPOSURE 1 NEW FRENCH DOOR I WHITE DOUBLE HUNG WINDOW 8/8 1X4 WOOD NEW ENTRY iro° 6'-0° TRIM PAINTED WHITE BUILDER: MARK GREIVIER TRIM PAINTED WHITE MCA Design Build, Inc. 61 Homestead Lane aAl NEW FRENCH DOOR Yarmouth Port, MA, 02615 �� PROPOSED SOUTH ELEVATION 508 - 364 - 6494 SCALE 1/4"-f-0" m9deslgnbufldsoutlook.com 1F T F MG �O SS9 Wi C� �y EXISTING ELEVATIONS 4 (" g�SNpp0 m ` PROPOSED ELEVATIONS \� NO.2 4g,9 U F 0,� STEREO Q Date: G S `NG�N��+v,c� SEPT, 5, 2014 soele: 1/4" �-f-0� 4 52'-0° - uHoae stair BED PM•3 '41 lllmq N LIVING ROOM R I N 4 10'-Wig° - N � Q m EAT IN cmi 4 DINING ROOM KITCHEN - N O N m - N r 6'-81fz" 4'-814' 17'-5" f�c L O O � 0\ /a BD RM•I BD RM•2L4Y N fV R ,w^LU V-07 91-11h, 6'$" U z0 34'-3 h" 17 8/ 52'-0" lu 1�1f EXISTING FIRST FLOOR FLAN Q Q[ LU ut SCALE I/4"s I'-0" 52'-0" Uj 16-0" -1 181-U. Z FIRST FLOOR ADDITION 3'-0" 4'-10" T-2" 3'-0". �,^ ._ Z z 10'-1" 3'-10° 5'-1" 8'-8" 8'-8" o E O i iq ❑ 6.L M Cn oLil D ■iii■ Q Im � a BATH I SITTING N HOOKS `9 R (PANTRY � _ O E m • m❑ 5'11h" 4'-10" O ~ v O /\ � A b 4 BED RM•3 �`/✓/ O 00 Pow�ER 4X POST UPI 4 O �Oco N it DINING ROOM ® ------------- ■. - - ------ KITCHEN ! � O I o BUILDER MARK CsRENIER m `� ❑ LIVING R OM ❑ N MCA Design Build, Inc,r - aIN ao 'C T-01h" 2�_4" 2'-4- 8'-0" - . a � N 61 Homestead Lane o Yarmouth Port,MA. 02615 " *' PAno m a•1 ` cFy, 505 - 364 - 6494 �' Y a 18-81/2" " 1s-0° e q mgdeelgnbulldeoutlook.eom / AM C 4'-0" _ V-10%" I 2'-81 L 2'-8" s'-o" � ST BrSNO O, 34'-31/V' 17'-8'h' `vOU2 TURgC I sz-o" 94a8 EXISTING E PROPOSED FIRST FLOOR PLANS sr ,_ \C F N GIN PROPOSED FIRST FLOOR FLAN Date: SCALE 114"-1'-0" OCT. 23, 2014 04-5 s�ele: 1/4" - 1'-O" 52'-0" 0 10'2'A° 8 9>/e" I R 777� - -- _ o �I 7- I } 0 M �= cN+J O N � m TlLi 14'-7° MASTER BD R o BATH 0 8'-5" 5'-10'fz" m -n VZ 52'-W - >s T EXI TING SECOND FLOOR PLAN T) 0 w SCALE IL"=V-O" 52'-0" Z Ir 19'-0° I U) °9'-5 5'-10" T-6" 4 a cl) El io `] fV LIN. 0 Z ^u � m o� MASTER BATH - 4 BD RM ?1 -14 ® Q o 4 c ROOF N N o co � N BATH HALL _ CV q " POET I TOR M 4X P ST DN Eo \/ POSTS&HEA ER KI' FOR ROOF VA 2Si l POST 0 m MASTER BED ROC BUILDER: MARK GRENIER N O El I�I I� ❑ I ' MCA Design Build, Inc. � m 61 Homestead Lane r" Yarmouth Port, MA. 02618 � - s a^ I ejS/qM 0 508 - 364 - 6494 h" �; SrRVCNOp m mgdesignbuticleoutlook.com I o NO T(rp, 29488gC X"POS DN. ® F\Fn 1 T-3^ 8'-10" 8'-5" 2-9° 6-9" \3',/�/`STERED EXISTING E PROPOSED 52'-0 I ( SECOND I=LOOR PLANS PROPOSED SECOND FLOOR PLAN Date: SCALE 1/4"=V-O" OCT. 23, 2014 :A: ro sw1e: 114" - f-0" µ_ • 19'-0" 15'-0" FIRST FLOOR ADDITION 18'4" T 6" T-6" i VH X S"THK.CONC. N. WALL ON CONT.I'-4"X 12" THK.KEYED CONC.FT' W/DAMPROORNG TO QRADE �- -TOP OF CONIC.TO ALIGN % _______________ R 9 coons EXIST.t FINISH FLOOR o SOUTH , a ]4'c.�.V T. WING ' , ._ ______________________________________ _____________ - EXIST INC.CONC. ENTRYG BLOCK FOUNDATION ADDITION .------ --------------------- ---------; -------- -- --------- ------ - i / Fp GDN,wALL Dowd :a'c.c.vali. 5 Dowetsd ' - 12'D.CONC.SONG TUBES ON As,z[4wzo-vsRrt-i- x"c.c. BxT. / IX N ISTING CONIC. a WTI, v Z BIG FOOT FOOTINGS W/(2) BLOCK FOUNDATION ^ _ I O "4 DO..VERTICAL � Ado U � z IXISiMG CONC.BLOCK 1' _uAu ___ ___ EXISTING CRAWL SPACE q✓r Q _-_-'I__ _____ ___ ;; Nw N ■■/L LU / EXISTING CRAWL SPACE - __ POST UP G / N LU _{} cmN 17'-6" —�- IL V� S'H X S"THK.CONC. FDN. 4e v, i WALL ON CONT.I'-a"X 12" � - EXISTING CONIC. % o THK.KEYED CONC.FT'G, i BLOCK FOUNDATION - W/DAMPROORNG TO GRADE ' , "� - -TOP OF CONC.TO CARRY N Z z EXIST.FLOOR JOISTS AT /. , ' MAIN HOUSE-THIS WALL ONLY ' m Cq ' EXISTING CONC, m Q BLOCK FOUNDATION , r , , / � 5 Deb , , eTB�FDN.WALL DOWN _ e , / 5-- , S'H X S"THK.CONC.FDN. WALL ON GO .I'-"X 12" THK.KEYED MONC.FT'G. W/DAMPRO ING TO GRADE -TOP OF CO C.TO ALIGN EXIST.t FNIS FLOORS c SOUTH WING 7'-63/." 15'-51h'FIRST FLOOR ADDITION 17'-61h" FOUNDATION PLAN BUILDER: MARK GRENIER SCALE 1/4""V-O" MG Design Build, Inc, 61 Homestead Lame Yarmouth Port, MA. 02615 q � t 508 - 364 - 6494 o��; T T, mgdesignbutldaoutlook.com 4� N'0CT�p� m FOUNDATION PLAN o ,p 2sQ88q< �~ T F !�,STEREO F j� � CNGI�IGE Date: r OCT, 23,2014 - r 28'-0" X � m � o b b � n � '(I \ m D y1 ------ °$ _a /V , m A N Ai N ly A r (rox -4 O N -A 6 6 ^ - y.� J �IYI m N (3)t x IOs z • r. - ,lJ - --------- - m --------------------------------------------- GN z V _________ __ ______________ H nQ bz� O ' D 8'-0" y 6 O' 12'-0" ENTRY ADDITION 8'-03/4" 23'-111/a" c cl O G) ,qh y ^ D a �l.3Sf1H� m A a c 3 0 N ABRA IS RESIDENCE � 0 � W S o ,d n F QLQ b 133 IRVING AVE, D HYANNIS FORT, MA 2 El I MF 1 ; t� ADDITIONS 4 ALTERATIONS IRST FLOOR ADDITION L L � e • o 12'-4+Fz° �y 14'-10'A" FLUSH LVL BEAM (z)MN -X X r In 6 X - nm _.1212 tOs n (n 8 s A O b z V I Oo � I I r I O 700 . -rr ` Xl �} N O z D -ry 6:_0" 12'-0' � 6--0° _ z n �y .o�Y `y n �ti nC\0 5�-,3S 115 S_ o 3 ABRAMS RESIDENCE W.� a � 0 6� � � ��• D R b o ° Lo D 133 IRV INCH AVE. HYANNIS MA FORT, W . ,, ADDITIONS 4ALTERATIONS Y 52'-0" - 5'-0° 19'-0° o i � Hzsn L 4X4 POET O 0 9 1/2 LVL6 (2)5 1/2 VL6 p N 8° Q = 2 < it e6 16"C. b - y 0_' ER Z ♦ O Q Uj � - Tm Mu U o ll N Jq I.ssu O o O 0 0 ° � N N I o '- --� 12 z X mI LA ss •ry ; ay r a a N I a `< I ----------------- ° _ _ = P.T. 3 X LL CMq o iv 9 I/2 LV C2J 9 I/ LV p Y T.P MH H 34'-0° 4X4 P06T 10'-0° 52'-0" TTP: TW: M25A ROOF FRAMING PLAN BUILDER: rIAR�c CxREN1ER SCALE I/4"=1'-0" MIS Design Build, Inc. 61 Homestead Lane Yarmouth Port, MA. 026'15 -f 508 - 364 6494 i mgdesignbul ldeoutlook.com ROOF FRAMING PLAN o c G T Date, RED OCT. 23, 2014 ENGINEER ° - a TYP.- TYR- LSSU - LSSU @ ALL RAFTERS TYR II II I� /RIDGE BOARDS H2.5A @ ALL RAFTERS p II II p u TYP.- lilt H2.5A @ ALL RAFTERS BED Roots MASTER BED ROOM 12'-71/2" 5'-4" It It 18'-3" _ 15'-0" - -1 II EXISTING: WALL FRAMING: /z 51 o LU _= NEW FLOOR FRAMING 2 - - - - - - k - - - - - - - -- v z Z O EXISTING WALL FRAMING I I rn Z--*—EXISTING WALL FRAMING FLOOR ONLY FIRST LIVING DINING KITCHEN .� n Olu n II T LU 18'3 9/32" I 15'-0" = 17'-27/s" 4'-81/2" = 31h" 31h" 31/2' Z EXISTING FLOOR FRAMING. �, NEW FLOOR FRAMING o = - t EXISTING FLOOR FRAMING W Z z 15'-0" 8" 16'-8" 8" 4'-0" �/ Cl) _O EXISTING MAIN HOUSE ADDITION EXISTING KITCHEN j 1 :y. !1 FRAMING SECTION - A BUILDER.- MARK GRENIER MG Design Build, Inc. 61 Homestead Lane Yarmouth Fort,MA. 02615 508 - 364 - 64S4 mgdesfgnbu1Id6outlook.com NE rNGT �9 UN ST e/s 92/ T I`RAMING SECTION /vbUR m Dale: � G;N'E� �� `{k OCT, 23, 2014 t "ff seas: 114" = 1'-0" o z .. - l' COA9ST4i£CT...as-s POA T£R8:GP6 OA"ROW WA6t 9RM.IG MTTHOD• _ ' l Jam. 66S /.PsOW.t1' _..'a4CNX alG2 vae:gn= . OWwe Ermken� .. SedP G`4.nim ~ . 5 •3 Y t it MSa,c �I I ? 5". e+P 3 I Y P. £ ric" iced !d L G - � wV0y. - rz7ss a'` E NOTES: TYPICAL-ALL FRAMING AREAS--- FLOORS/WALLS/ROOFS Nam: - BLOCKING @ 4'C.C. @ ALL ROOF CEILING mka . IVWC.AL LST SwPSM STRAPS SAS M ' - \ INCONCRETE""°"""E°Mg"""°°P FLOOR PARALLEL TO EXTERIOR WALLS SLATS - AT HOUSE WALL TOP PLATE LAP 4'W/10-16d � reouea, urs c"ca nzcxcm.A} - rx7 c d�a+w /� i h l .. +oaw, 6 'gym-nP.�r asY + k' a RAFTER TO EAVE H2.5A / ^ - RIDGE STRAP LSTA 12 °� ' ` � �g � � a Q ,I ak#6eyk+3a7i raw �' -£$r 0 ALL NAILING PER TABLE 2 GENERAL NAILING �' R °I�°« f£ , � -} .}a3AM L6dCA?�R91fCn SToe�tiaMd 34d.: g d=tk�'� f' Ya"WM. P O 110 MPH WFCMm - ALL SILL BOLTS 5/8"D.W/80 EMBEDMENT Ylocd S.veN+a ww. PORTAL FRAME DETAIL + HOOK W/3"X 3"X 1/4"PLATE WASHERS _... _ : 6ab#eratwxi 2Y>< Ok ince SRT2 fi"^lattg a",,'f IDd $4pSa @Ntl @ 56"C.C. &W/IN 12"ALL CORNERS EA WAY � m � „ ' - PROVIDE ECCQ,CCQ,CONNECTORS @ALL z p BEAM/COLUMN CONNECTIONS/WOOD/WOOD � ��� '� Z m Tax U - PROVIDE HANGERS @ ALL FLUSH CONNECTIONS (M I— s gyp ■M� 411tlC 5t+ 3Pb2d �' Fg � 'd lF� ^- > Q ttl APrt"75f3a•Fipgp)yny Pa b '." } db :.• b Z `£l 3£9{pja fS''i NAILING- 8d @ 6"C.C. EDGES/6"C.C. FIELD-TYPICAL ` "°°°"° � �° } ^�r�" � ROOF SHEATHING [d @ 4"CC EDGES/4"CC FIELD-4'EDGES , WALL SHEATHING 8d @ 4"CC EDGES/ 12"CC FIELD- 1st FLOOR CONNECTORS REQUIRED: WALL SHEATHING NAILING-8d @ 6"C.C. EDGES/12"-ABOVE 1st FLOOR V•° ^ ^-°° ra ^^> - � r �r PROVIDE METAL SIMPSON CONNECTORS 0 ALL POST TO BEAM LOCATIONS,POST BASES&ALL 11 11 v+Yn,dtt.nd apw P n,Wlnn Wer1MC M 4 J\VM whnagswM.pYtttl... FIELD, G.G. FLUSH FRAME LOCATIONS.CONNECTORS TO BE u c i nn nn ct ci n n one is SIZED ACCORDING TO POST,BEAM AND RAFTER i st F Ir��6 ee EBGEv, 2 G-r�= - SIZE REQUIREMENT'S-INSTALLED PER MFRS. BLOCK/NAIL ALL BUTT JOINTS INSTRUCTIONS. ALL WALL SHEATHING VERTICAL-TO OVERLAP TOP PLATE&SILL-7/16" MIN. THK. GENERAL CONTRACTOR/OWNER SHALL INSURE BUILDER: MAR< GRENIER THAT ALL WORK CONFORMS TO THE LATEST MASS. STATE BUILDING CODE &THE MCs Design Build, Inc. WFCM 110 M.P.H.-B WIND CODE CONSTRUCTION& 6I Homestead Lane ALL OF THE LATEST LOCAL CODE AND ZONING Yarmouth Port, r1A, 02615 . 8 REGULATIONS. GENERAL CONTRACTOR&OWNER sos - 364 - 6494 �= lyl. `A-- SHALL VERIFY ALL SITE CONDITIONS AND ALL N EACT mgdesrgnbulldeoutlook.eom yO INFORMATION ON ALL DRAWINGS IN THIS SET T &MAKE CORRECTIONS AS REQUIRED AND/OR ?�: NOTIFY DESIGNER OR ENGINEERPRIOR TO START OF sr e 's31 ANY WORK THIS NOTE APPLIES TO ALL DRAWINGS o "v Gc G0o ilo WIND CODE FasrEAIINCs IN THIS SET `� �9cl 4 C; REp - — ! OCT. 23, 2014 S� .. —, tale. e s - IN •y mom t~ I FFIFI I ll I 1 EXISTING NORTH ELEVATION EXISTING SOUTH ELEVATION SCALE 1/4" = 1'-0" SCALE 1/4" = 1'-0" Z LU Uj z w m � p m � O QL 70 a a FBI BUILDER: - — — - - — — — - MG Design SUIId, Inc. 61 Homestead Lane PROPOSED NORTH ELEVATION PROPOSED SOUTH ELEVATION Yarmouth Port, MA. 02615 `r mgdesignbulldeoutlook.com CALE 1/4" 1'-0" SCALE 1/4" = -O" 4 P 50s- 36 -6494 S 1' EXISTING d PROPOSED ELEVATIONS Dale: i DEC. 3, 2016 ` t seas: 1/4" a 1-0 EXISTING EAST ELEVATION EXISTING WEST ELEVATION SCALE 1/4" = 1'-0" SCALE 1/4" = 1'-0" to LU z O LU CL d z Cq 00 0 BUILDER: PROPOSED EAST ELEVATION PROPOSED WEST ELEVATION MG Design Build, Inc. 61 Homestead Lane SCALE 1/4" = I'-O" SCALE 1/4" = 1'-0" Yarmouth Port, MA. 02615 mgdesignbuildgoutlook.com— ®�- P 508- 364-6494 EXISTING a PROPOSED ELEVATIONS Date: DEC. 3, 2019, Style: 1/4e 1,-0u L 2'-0° 4 F c ' o� N � � Z EXISTING FLOOR PLAN z .Q SCALE 1/4" = V-O" > O w Z do Z w m 0 m 3 O 4 GAME ROOM n i/- 11'-2�h" 5+h° Neu ooRe�ax LAP LADD61 b STORAGE LAv. 0 bi e, BUILDER: 1"r-S Design Build, Inc. y 9'-0° 12'-E° 61 Homestead Lane Yarmouth Port, MA. 02615 mgdesignbuildeoutlook,com �_ 6 PROPOSED STORAGE FLOOR PLAN PROPOSED FIRST FLOOR PLAN P 508- 364-6494 i lQ SCALE 1/4" = V-O" SCALE 1/4" V-O" EXISTING t PROPOSED FLOOR PLANS Mft: DEC. 3, 2016 SM10: 1/4" - V-0° i i 2X8 ROOF RAFTERS s 12" C.C. W/ 1/2 CDX NEW DORMER 2X4 STUD DORMER WALL _ STORAGE a\o EXIST ROOF RAFTERS FLUSH 2XIO LEDGER _ — 2XIO LEDGER BOARD BOARD ® 2X6 FLOOR JOISTS 16" G.C. W/ 3/4" ! CID GAME ROOM T'IG PLYWOOD K 1 � N � � 0 - - - - - z0 PROPOSED NORTH ELEVATION FRAMING SECTION Z SCALE 1/4" = 1'-OII SCALE 3/8" = V-O" } CL (K � Q � SCALE 1/4 = 1-O" N } Z Q 5'-0 lu IF cal Q Q-- IXIBT.ROOF DtlO LEDGHi BOARD BFlOIU FOR IXlst.BNORTENED ROOF RAFiERs NEW DORMER WALL BELOW SOLID 4xb WD. POET-DOWN — TO RJN. ry MD Rli8V1 80LID I)es WD. POET-DOWN N 3% L�-- - — TOM. L. IXIBT.ROOF -T&T RO {O fs O "is s 6' L. iO O Q R BTs � •I G Dfe IXIST,ROOF BUILDER: _ MG Design Suild, Inc. s'-o^ s o^ 12'1 61 i-lomestead Lane Yarmouth Port, MA. 02615 mgdeslgribuild,woutlook.com ROOF FRAMING PLAN STORAGE FLOOR FRAMING PLAN P 508- 364-6494 SCALE 1/4" = 1'-O" SCALE 114" = 1'-OI' FRAMING PLANS Dat.: DEC. 3, 2016 swe: AS NOTED iV^ SYSTEM PROFILE PROVIDE OF INSPECTION PORT TO ° NOTES PROVIDE WATERTIGHT MIN. 20" DIAM. (OR TO GRADE IF UNDER DRIVEWAY) t ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO Saw1. DATUM IS NGVD (BARN, '31S1 7 Sc�dde (OR C.I. WATERTIGHT COVERS TO GRADE IF UNDER DRIVEWAY) WATERTIGHT AND SECURE COVER TO FINISH GRADE �o Pie TOP FOUND. EL. 19.4't WHERE UNDER DRIVEWAY (OR IN 6- OF GRADE IF NOT IN DRIVE.) 2.. MUNICIPAL WATER IS EXISTING o \ 19.2' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.19.0' 4. DESIGN LOADING FOR ALL PROPOSED PRECAST AASHTO M288 CLASS 2 NON-WOVEN GEO „ UNITS TO BE AASHO H-ZQ 4"0SCH40 PVC OVER 3/4" TO 1 1/2" DOUBLE WASHED ST E MIN. 18 COVER 5. PIPE JOINTS TO BE MADE WATERTIGHT. PIPES LEVEL 1ST 2' MUST EXTEND 5' BEYOND FOOTPRINT OF C BERS f. 10- 1500 GAL H-20 14" / 16.5' „ WITH6. °310 CMR 1°N5.000 TITLE 5 DETAILS TO BE IN ACCORDANCE '' Q 16.1jr ..� TEE SEPTIC TANK TEE 6 MIN ( ) • C o - - S 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND GAS BAFFLE °40,°,0�°,0°00�,°0° lap NOT TO BE USED FOR LOT LINE STAKING OR ANY . 15.84' 15.67' 8� 15.59' OTHER PURPOSE. 4' LW. LEVEL (ACME OR EQUAL) ' 00000000000000000;0000aoa0000,000;000;00000;, 6 MIN. SUMP 0.92' ` $. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. � Ir n NlllihlCkBt °oo�o°°o' o�°0��90�°0�°00ROO.-li3°•'eQ,°.?°o4��ua0 12" MIN. INT. DIM. 14.67 t Sound ^ 9. COMPONENTS NOT TO BE BACKFILLED OR ° 2 6" CRUSHED STONE OR MECHANICAL s HIGH CAPACITY INFILTRATOR (H-20) TRAFFIC APP CATI OF HEALTH. CONCEALED WITHOUT INSPECTION BY BOARD OF ocus (..��X SLOPE) � COMPACTION. (15.221 [2]) ( 1 X .SLOPE) r7 HEALTH AND PERMISSION OBTAINED FROM BOARD 3/4" TO 1 1/2- DOUBLE WASHED STONE 1 X SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR 6.97' CALLING DIGSAFE (1-888-344-7233) AND LEACHING VERIFYING THE LOCATION OF ALL UNDERGROUND & FOUNDATION 20' SEPTIC -TANK 8' D' BOX 10' LOWS MAP FACILITY OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL 7.7' BOTTOM TH-1 11. ANY UNSUITABLE MATERIAL ENCOUNTERED UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS No GROUNDWATER FOUND SHALL BE REMOVED 5' BENEATH AND AROUND THE ASSESSORS MAP .287 PARCEL 66 PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM PROPOSED LEACHING FACILITY. AP ZONE (NOT IN ZONE II) 12. EXISTING LEACHING FACILITY SHALL BE PUMPED UPGRADE. ONLY - NOT "NEW CONSTRUCTION" ` VARIANCES. FOR SEPTIC SYSTEM AND REMOVED REPAIRS WHICH MAY BE IM ARV//y(;A VENUE LEG D HEAATELY LTH INSPD ANT BY THE BOARD OF HEALTH AGENT OR PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED 1.5. 21.48 99- EXISTING CONTOUR 2186 BY THE BOARD OF HEALTH REVISED DURING A PUBLIC 99.f EXIST. SPOT ELEV. HEARING HELD ON AUG. 4, 2009 21.62 PROPOSED CONTOUR 21.61 60.00, SYSTEM DESIGN: -s�3}-- 2) FAILED SYSTEMS ONLY : SEPTIC TANK TO FOUNDATION 21.21 20.08 99 PROPOSED SPOT EL. SETBACK (10' TO 5.7') GARBAGE DISPOSER IS NOT ALLOWED - { TH31. DESIGN -'FLOW: 5 BEDROOMS 0 110 °GPD 550 GPD 20 9 TEST HOLE a / LOT 2 _ YYY 75M $F USE A 550 GPD DESIGN FLOW 2� SLOPE OF GROUND 20.4 3 0 5' REMOVAL OF UNSUITABLE SOIL REQUIRED ls.ss SEPTIC TANK 550. GPD 2 1100 UTILITY POLE 17•0, SQ o/ 3• S AROUND PERIMETER OF LEACHING FACILITYr I ry DOwN TO SUITABLE SOIL LAYER. REPLACE USE A 1500 GAL. H-20 SEPTIC TANK WITH CLEAN MED. SAND. TO MEET FIRE HYDRANT " �-- SPFCIFICATIONS OF 310 CMR 15.?55(3) t+ortE Mm Kt snweo�s wYNe otrlwc co _ _ 3 LEACHING: --�--, 2 .16 o 20.oG� EXIST. DWELL L 4.7 F F 6.2 ' LENGTH = 20. 2 S /L x 529.5 SF ,PER ff H-20 HIGH CAPACITY INFILTRATOR UNIT TEST HOLE LOGS 5•� "' 1s. �z 550 GPD/0.74 GPD/SF 743.2 SF LEACHING I REQ'D ARNE H. OJALA, PE, SE 1 s. 1 82 1 s � ENGINEER: PVC CLEAN°UTs 743.2 SF/29.5 SF/UNIT = 25.2 UNITS 19.2t WITNESS: DAVID W. STANTON, IRS 1.3' " is , 9.39 _ EXIST. DWELL zo THEREFORE, USE GRAVELLESS SYSTEM OF (26) DATE: 11/30/10 SAS DETAIL zo.a� 0 1as1 No CELLAR H-20 HIGH CAPACITY UNITS IN FIELD < 2 MIN/INCH 1 20 19: 3 1 /7 CONFIGURATION SHOWN PERC. RATE _ ,9.5 26 UNITS x 29.5 SF = 767 SF > 743.2 SF CLASS I SOILS p# 13133 - (767 SF x 0.74 GPD/SF = 567.5 GPD - OK) / u 19.5 T9. 9 i 1 J59 � x 1 .73 ELEV. ELEV. 19.710.N , 18.7' 18.7' 0 19.4 NEB I 9 5 d.9 NOTE: PROVIDE 1' OFM A 0 Q / I i 8 1 1/2" TO 2" DOUBLE ' A A }T9.47 LZwi' i APPROVED DATE BOARD OF HEALTH WASHED -STONE AROUND 9.a8 y THI 1 PERIMETER OF SAS /SL uNsulr. /SL uRwlr s Ps + t I 1 5 12„ 1 oYR 4/2 12„ 1 OYR 4/2 EXIST. DWELL. I g�d I TITLE 5 SITE PLAN 19.26 _I -' - ' OF 1 B B �LS UNwrr /LS UNSW. _ 19. I ; �� I �ENCH MARK - CORN. .133 IRVING AVENUE „ 7.5YR 5/8 „ 7.5YR 5/8 ' ds• RICK STEP EL. = 19s 36 36 19.21 1 HYANNISPORT C1 5 , �7 PREPARED FOR C1 19.23 s�LOAM umwff. SiLOAM UNSUIT` 1g o BORTOLOTTI CONSTRUCTION/ / 2.5Y 6/3 2.5Y 6/3 18.79 cASLLAAB� HORWOOD 84" 1 1.7' 84" 11.7' - N PROP. VENT WITH CHARCOAL FILTER AND BUGSCREEN (FINAL PLACEMENT BY NOVEMBER 3O, 2010 CONTRACTOR WITH HOMEOWNER - 28.00' CONSULTATION) ����NOFaagss9cpAjN�rti •. off 508-362-4541 SAVE C2 C2 0� DANIELA. yes °/Q�%JAti'l1 L cy�4 fax 508-362-9880 OJALA h. .. downcape.com MCS MCS 0 CIVIL 'i� O.lALA � + -. 02 e: r�o.409$0 �0WA Cape ee r/ngs 111C. 132" 2.5Y 7/4- 7.7 132" 2.5Y 7/4 7.7' �0�Fs S E��\� - ` ICI OP civil engineers SohScale:1 20 land surveyors NO GROUNDWATER ENCOUNTERED 99 Main Street ( R#e 6A) 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P. P.L.S. YARMOUTHPORT MA 02675 10=-267 • - .J.M a+ l P d. . 5., rl 1: .. ,. . , t. . ii., AL. .. s;l .. ': • 1 . „t „ r r • i,rb / x , , 3 ' . 1 i ; ' .3.- - - .. .... .. 1 1 ,. c � SYSTEM A PROFILE PROVIDE INSPECTION PORT TO NOTES i �V� I�l WITHIN 3 OF FINISH GRADE �7 PROVIDE WATERTIGHT MIN. 20" DIAM. (OR TO GRADE IF UNDER DRIVEWAY) deg ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) 1. DATUM IS NGVD BARN. GIS) (OR C.I. WATERTIGHT COVERS TO GRADE IF UNDER DRIVEWAY) WATERTIGHT AND SECURE COVER TO FINISH GRADE TOP FOUND. EL. 19.40f (WHERE UNDER DRIVEWAY (OR W HIN 6 OF GRADE IF NOT IN DRIVE.) 2. MUNICIPAL WATER IS EXISTING o \ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 19.2' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER M 19'0� 4. DESIGN LOADING FOR ALL PROPOSED PRECAST „ AASHTO M288 CLASS 2 NON-WOVEN GEO E UNITS TO BE AASHO H-2Q 4 OSCH40 PVC OVER 3/4" TO 1 1/2" DOUBLE WASHED ST E MIN. 18 COVER PIPES LEVEL 1ST 2' MUST EXTEND 5' BEYOND FOOTPRINT OF C BERS5. PIPE JOINTS TO BE MADE WATERTIGHT. » - 16.5' 6. CONSTRUCTION DETAILS TO BE 1N ACCORDANCE 10 1500 GAL H 20 14 r WITH 310 CMR 15.000 (TITLE 5.)16.71i TEE SEPTIC TANK TEE � 6 MIN N 15.92 , 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 00000a0000co 0 GAS BAFFLE::' °°0�0�0°0°0° $$� g� NOT TO BE USED FOR LOT LINE STAKING OR ANY 4' LIQ. LEVEL (ACME OR EQUAL) '` 15.84' 15.67' ` 15.59' ` OTHER PURPOSE. ,.• :::.......: -..: 6" MIN. SUMP 0.92 0000000000000000000000000000,o,00bo� ` 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ` �r Nantucket ° °Oo°°o°o°n°n°n°O1°O1°0°o°0°0°0°0°4�°���40'090°00. 12" MIN. INT. DIM. go 1 4.67 o 0 0 9. COMPONENTS NOT TO BE BACKFILLED OR ° Sound 6" CRUSHED STONE OR MECHANICAL HIGH CAPACITY INFILTRATOR (H-20) TRAFFIC APP CATION CONCEALED WITHOUT INSPECTION BY BOARD OF • ° ocus 2 HEALTH AND PERMISSION OBTAINED FROM BOARD 1 (_ % SLOPE) COMPACTION. (15.221 [21) ( 1 % SLOPE) M OF HEALTH. j 3/4" TO 1 1/2", DOUBI-E WASHED STONE ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR 6.97' CALLING DIGSAFE (1-888-344-7233) AND FOUNDATION 20' SEPTIC TANK 8' D' BOX 1 Q' LEACHING VERIFYING THE LOCATION OF ALL UNDERGROUND & LOCUS MAP FACILITY OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF j WORK. NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL 7.7' BOTTOM TH-t 11. ANY UNSUITABLE MATERIAL ENCOUNTERED UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS NO GROUNDWATER FOUND PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM SHALL BE REMOVED 5' BENEATH AND AROUND THE ASSESSORS MAP 287 PARCEL 66 j # PROPOSED LEACHING FACILITY. AP ZONE (NOT IN ZONE II) 12. EXISTING LEACHING FACILITY SHALL BE PUMPED UPGRADE ONLY - NOT "NEW CONSTRUCTION" AND REMOVED VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE ,RV,NG A LEGEND IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR VENUE` j BY HEALTH INSPECTOR 21.57 99- EXISTING CONTOUR PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED 21 48 BY THE BOARD OF HEALTH REVISED DURING A PUBLIC 21.86 99 EXIST. SPOT ELEV. HEARING HELD ON AUG. 4, 2009 21.62 21.61 60.00, SYSTEM DESIGN: 99 PROPOSED CONTOUR 21.21 2) FAILED SYSTEMS ONLY : SEPTIC TANK TO FOUNDATION 10.08 GARBAGE DISPOSER IS NOT ALLOWED 99 PROPOSED SPOT EL. SETBACK (10' TO 5.7') TH1 DESIGN FLOW: 5 BEDROOMS ® 110 GPD = 550 GPD TEST HOLE / LOT 2 - YYY 20. 9 7588 SF USE A 550 GPD DESIGN FLOW 2� SLOPE OF GROUND 20A /19.89 5' REMOVAL OF UNSUITABLE SOIL REQUIREDSEPTIC TANK: 550 GPD 2 = 1100 �Q� UTILITY POLE 170, ,� AROUND PERIMETER OF LEACHING FACILITY, ( ) DOWN LE SUITABLE SOIL LAYER. REPLACE USE A 1500 GAL. H-20 SEPTIC TANK FIRE HYDRANT WITH CLEAN MED. SAND, TO MEET -- - _-'s'9------ -___ - -- _ - � I -_ _ SPECIFICATIONS OF_310-CMR 15.�55 3 NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 3 ( ) � I � LEACHING: ro b M I2 20 �0 20.03 EXIST. DWELL. 4.72 SF/LF x 6.25' LENGTH = 29.5 SF PER �� 7 / H-20 HIGH CAPACITY INFILTRATOR UNIT TEST HOLE LOGS 5.7' M 19.91 'v 19.02 550 GPD/0.74 GPD/SF = 743.2 SF LEACHING REQ'D ENGINEER: ARNE H. OJALA, PE, SE 19. 1 82 19 �° PVC CLEANOUTS 743.2 SF/29.5 SF/UNIT = 25.2 UNITS WITNESS: DAVID W. STANTON, IRS11.3� 19:39 11 3Q 10 20.4 19.61 181 EXIST. DWELL. DATE: / / SAS DETAIL NO CELLAR THEREFORE, USE GRAVELLESS SYSTEM OF (26) " H-20 HIGH CAPACITY UNITS IN FIELD PERC. RATE _ < 2 MIN/INCH 1 - 20' 0 19. 3 1 ,47 CONFIGURATION SHOWN 19.5 r 26 UNITS x 29.5 SF = 767 SF > 743.2 SF (767 SF x 0.74 GPD/SF = 567.5 GPD - OK) CLASS i SOILS P# 13133 I X 19.5 19. 9 1 ..59 cA x 1 .73 Q) J rp ELEV. ELEV. 19.71 N 2 " " I - NOTE: PROVIDE 1' OF 0 18.7 0 18.7 19.4 1 9 5 1 �.g MA 1 t/2" TO 2" DOUBLE �9.47 WASHED STONE AROUND APPROVE DATE BOARD F HEALTH D O A A THI1 PERIMETER OF SAS 19.48 19.�8 5 /SL UNSUIT. /SL UNSUIT. x ' 1 I 1 " 1OYR 4/2 " 1OYR 4/2 Exlsr. DWELL. , ; , 8 lot TITLE 5 SITE PLAN 12 12 • 19.26 i _� OF i Ls UNSUIT. �LS UNSUIT. 19 0 � �6 BENCH MARK- CORN. 133 IRVING AVENUE „ 7.5YR 5/8 7.5YR 5/8 � _____ 1 td 8, [SRICK STEP EL = 19.6 36 36 19.21 AND HYANNISPORT 'p xtT-- DRIVE 5 1 .1�7 PREPARED FOR /C1 /C1 19.23 si LOAM uNsurr• Si LOAM UNSUIT• 1g BORTOLOTTI CONSTRUCTION/ / / � GARAGE a, 2.5Y 6/3 2.5Y 6/3 18.79 a; SLAB I-IORWOOD 84" 11.7' 84" 11.7' _ N PROP. VENT WITH CHARCOAL FILTER AND BUGSCREEN (FINAL PLACEMENT BY NOVEMBER 30, 2010 CONTRACTOR WITH HOMEOWNER 28.00' CONSULTATION) 0 A4,1' i- SIEVE C2 C2 SSq '- �(tA OF y Sq+ qs A, fax 508-362-4541 o� DANIELA. yGs �o`'/ DANIFL c�G fax 508-362-9880 Cn N z downca e.com O MCS o OIVIILL A. I P MCS CIVIL " OJALA w • • • 02 down cape engiaeering INC. " 2.5Y 7/4 " 2.5Y 7/4 Q � � � No.409EiU 132 7.7 132 7.7 o��s�, ��.�`` fi , '¢ civil engineers Scale: 1"= 20' S/ON �'° �° - landsurveyors NO GROUNDWATER ENCOUNTERED L% 1® .m t0 939 Main Street ( Rte 5A) NON III > 0-267 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 i