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HomeMy WebLinkAbout0155 MITCHELL'S WAY - Health 155 MITCHELL'S WAY, HYANNIS A = 290 073 r i P i A=42.29• - CB/DH/FND CB/DH/FND R=9 4 6. 08' S 7g,3 3 E 1o.0,( 132.14' CB/DH/FND N �( 20.0' etboc - Lot 5 '4equirerne f 10.0' 43,964f S.F. CL I 1.0f -Ac. '. ,,rr Y 73.3 m 61.3'F 12.0' �_ 36.6• CL_ Exis t.Gar. #155 . u, o rop' I N or. Exis t. D wg. . I1 .0' oo I O.Pro.O (,4 w `r Dock P N �ErCk I � J M I 12.00 0' 18.0' m I00 rnl � I N pp O O CV . ' - - Ex is t. Z S:A.S. L Proposed per as—built ss.s' I r L Addition 108.0' I �10.0' / 10.0' / CB/DH/FND . � �3 Commonwealth of Massachusetts Title 5 Offici I In a se inF p ct o Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y�. 155 Mitchells Way, Hyannis M -290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin_ Owner Owner's Name information is required for every P.O. Box 1145, Barnstable _ MA 02630 December 13, 2011 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. r a Important:When filling out forms A. General Information �" �,; on the computer, ! - use only the tab 1. Inspector: - key to move your - cursor-do not Troy Williams ` use the return key. Name of Inspector �? Troy Williams Septic Inspections 4:11 Company Name a £ r � 19 Hummel Drive Company Address South Dennis MA 02660 City/Town t State Zip Code (508) 385- 1300 S1682 Telephone Number License Number B. Certifidation 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 performe6based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15*000).The system: y ®: Passes ❑ Conditionally,Passes ❑ Fails } y El Needs Further Evaluation,by the Local Approving Authority ` 'December 13, 2011 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of.Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. q �{ v t5ins-11110 Title 5 Official Inspection Form:Subsurface ge Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 December 13, 2011 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System meets minimum standards set by Massachusetts DEP at the time of inspection only.This inspection is not a guarantee or warranty on the future working conditions of leaching, pipes, components or the future structural integrity of said components and only represents conditions found at the time of inspection only. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ NO (Explain below): N/A t5ins-11/10 Title 5 Official Inspection Form:Subsurface pecU Sewage Disposal System•Page 2 of 17 f Commonwealth of.Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for-Voluntary Assessments i 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 December 13, 2011. page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): I _ ❑ t broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): El distribution box,is.leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): N/A , I d t ❑ 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): N/A j 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. 4 1.. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 1 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is P.O. Box 1145 Barnstable MA 02630 December 13, required for every � 2011 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply.or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: * This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: N/A D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or,ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins-11/10 Title 5 Official Inspection Forth: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 'e 155 Mitchells Way, Hyannis - M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is p O. Box 1145, Barnstable MA 02630 December 13 2011 required for every , page. Citylfown State Zip Code Date of Inspection B. Certification Cont. Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion,of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any'portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of"a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact.the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form NUM Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 December 13 2011 page. Citylrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all systern components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System form-Not for Voluntary Assessments 155 Mitchelis Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 December 13, 2011 page. Cityrrown -State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0( 1 prior) Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes Z No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes 0 No Water meter readings, if available last 2 ears usage d 10=32,000 gals.- g ( Y g (gP ))' 09=38,000 gals. Detail: Sump pump? ❑ Yes ® No Last date of occupancy: July 2011 Date Commercial/industrial Flow Conditions: Type of Establishment: N/A Design flow(based on 310 CMR 15.203): N/A Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A 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: N/A t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 155 Mitchells Way, Hyannis M -290 P-73-5 lug — Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is P.O. Box 1145 Barnstable MA 02630 December 13, required for every � 2011 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: N/A Date Other(describe below): General Information Pumping Records: Source of information: No pumping info was available. 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): 15ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official-Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin - Owner Owner's Name information is required for every P.O. Box 1145; Barnstable.,, MA 02630 December 13, 2011 `page. Citylrown State Zip Code Date of Inspection D. System Information (corit.) Approximate age of all components,date installed (if known)and source of information: Tank, d-box and leaching were installed on 9/12/90 percompliance. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18' • feet Material f a o construction: : El cast iron ®40'PVC ❑ other,(explain): Distance from private water-supply well or suction line: _ N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): Lines were found clear at the time of inspection. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: F ®concrete ❑ metal ❑ fiberglass . ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confrmed•by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 6'X10.5'X6' 1500 gallon Dimensions: Sludge depth: 4" t5ins-11/10 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 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 December 13 2011 page. Cityrrown State Zip Code Date of Inspection D. System Information (coat) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 2'8" Scum thickness none Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? probe/measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Concrete inlet and outlet tees were found present and in working order. No evidence of leakage or damage was found. Tank was not in need of pumping at this time. Grease Trap(locate on site plan): Depth below grade: N/A feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): N/A Dimensions: N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A Date of last pumping: N/A Date t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal Sys_em-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not,for Voluntary Assessments yt 155 Mitchells Way, Hyannis M-290 P-73-5 r Property Address Estate of Dale R. Pelletier.c/o Attorney Thomas Paquin Owner Owner'sinformation is Name required for everyP.O.O. Box 11 45 Ba rnstable MA 02630 December 13, 2011 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): N/A Ti . ht rHli 0 Holding n Tank tank must be pumped at time of inspection)n s act o locate on site Ian 9 9 ( P P P ) ( P ) , Depth below grade: N/A Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): N/A Dimensions: ' N/A . Capacity: N/A P �' gallons `Design Flow: N/A 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.): N/A *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .'� 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is P.O. Box 1145, Barnstable MA 02630 December 13, required for every 2011 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 level 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.): D-box was found level and in working order. Pump Chamber(locate on site plan).- Pumps in working order: ❑ Yes ❑ No Alarms in workingorder: Yes No ❑ ❑ Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): N/A Soil Absorption System SAS locate on site Ian excavation not required): P Y ( ) ( plan, If SAS not located, explain why: t5ins-11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System.Form-Not for Voluntary Assessments '( 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 December 13 2011 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 -6'X6'.pit with 2 of stone ❑ 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.): Leach pit was dry on inspection found with a visible stain line approx. 18" below inlet invert. No evidence of hydraulic failure or problems in the past were found at the time of inspection. Cesspools p (cesspool must be_pumped as part of inspection) (locate on site plan): Number and configuration N/A Depth—top of liquid to inlet invert N/A Depth of solids layer N/A Depth of scum layer . N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal p g System.•Page 13 of 17 v Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is P.O. Box 1145, Barnstable MA 02630 December 13, 2011 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A Privy(locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A t5ins•11/10 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 155'Mitchells Way, Hyannis M -290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name informrequired is P.O. Box 1145, Barnstable MA 02630 December 13, 2011 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. 'Locate. where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately f - 3� Vt f 13( r 5 ' y Mfg 3 3 3wo( 3 51 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 December 13 2011 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar h k II r ❑ Shallow wells Estimated depth to high ground water: 13.0'+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed. 6/5/90 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: MIW 29 Zone C 7.9' 2.9'adjustment You must describe how you established the high ground water elevation: Test hole recorded on plan showed no water found at 12.0'. Hand augered 3.0' below bottom of leaching with no water found at a depth of U.S. Groundwater adjustment at the time of inspection was 2.9'. USGS groundwater maps showed groundwater to be approx. 17.7'. Bottom of leaching at 11.3'was found not to be located in the high groundwater elevation at the time of inspection. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments yy 155 Mitchells Way, Hyannis M-290 P-73-5 Property Address Estate of Dale R. Pelletier c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 December 13 2011 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked Inspection Summary D(System Failure Criteria Applicable to All Systems)completed System information-Estimated depthtohigh groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 e� FF �fp� Commonwealth of Massachusetts � f�Executive of Environmental Affairs DEP Department of .41 ��' Environmental Protection SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: Address of Owner: C� :�,r• -� �,;`:� (if different) Date of Inspection: Name of Inspector: tj, ,, Company Name, Address and Telephone number: CERTIFICATION STATEMENT C%?-L 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: / �� 1 D ate: , 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 or the Department of Environmental Protection. The original should be sent to the system owner and copy sent to the buyer, if applicable and the approving authority. ..t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owners : Date of Inspection : i A INSPECTION SUMMARY: Check A, B, C, or D A) SYSTEM PASSES: 1-1 have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CM 15.303. Any failure criteria not evaluated are indicated below B) SYSTEM CONDITIONALLY PASSES: ---- One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. I ndicate yes, no, or not determinate (Y,N, or N D). Describe basis of determination in all instances. If "not determinated", explain why not. ---- The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration , or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. ---- Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of H ealth). ----- broken pipe(s) are replaced ----- obstruction is removed ---- distribution box is levelled or replaced ---- The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): ----- broken pipe(s) are replaced ---- obstruction is removed 1 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address : Owner : Date of Inspection : \ \ C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: ---- Conditions exist which require further evaluation by the Board of Health in order to de- termine if the system is failing to protect the public health , safety and the environ- ment. 11 SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: ---- Cesspool or privy is within 50 feet of a surface of water ---- Cesspool or privy is within 50 feet of a bordering vegetated wetland or a small marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNC- TIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. ---- The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. --- The system has a septic tank and soil absorption system and is within a Zoned of a public water supply well. ---- The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. ---- The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analy- sis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nctrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: -- I have determined that the system violates one or more of the following failure criteria as defined in 310 CM 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to cor- rect the failure. ---- Backup of sewage into facility or system component due to an overloaded or or clogged SAS or cesspool. 4 t i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner. Date of Inspection : \ D) SYSTEM FAILS (continued) --- Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. --- Static liquid level in the distribution box above outlet invert due to an over- loaded 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. -- 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. --- Any portion of cesspool or privy is within 100 feet of a surface water supply ortributary to a surface water supply. ---Any portion of a cesspool or privy is within a Zone I of a public well --- Any portion of a cesspool or privy is within 50 feet of a private water supply well --- Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality ana- lysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.. Y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: SS to Owner: 11- Date of Inspection : ; E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above : The design flown of system is 10,000 gpd or greater Large System and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist : --- 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. The owner or operator of any such system shall bring the system and facility into full compli- ance 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. } SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: i S J Owner: Date of Inspection: Check if the following have been done : Pumping information was requested of the owner , occupant and Board of H ealth. ?�- None of the system components have been pumped for at least two weeks and the system has been receiving normal flown rates during the 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 flown. X 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 sep- tic tank was inspected for conditions of baffles or tees, material of construc- tion, dimensions, depth of liquid, depth of sludge, depth of scum. . The size and location of the Soil Absorption System on the site has been deter- mined based on existing information or approximated by non-intrusive methods -� The facility owners and occupants if different from owner were provided with information on the proper maintenance of Subsurface Disposal System. I x M SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: �S%s Owner: k=c--,�,)_t,� Date of Inspection: RESIDENTIAL: Design flow : gallons Number of bedrooms o 2 Number of current residents: C. Garbage grinder (yes or no) : Lz_,(-. Laundry connected to system (yes or no): Seasonal use (yes or no) : t� o Water meter readings, if available: Last date of occupancy : COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow : gallons/day Grease trap present: (yes or no) Industrial waste holding tank present (yes or no) : Non-sanitary waste discharged to the Title 5 system (yes or no) : Water meter readings, if available Last date of occupancy : Other: (Describe) .................................................:.......................................................... Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information : System pumped as part of inspection (yes or no) :....!J %........ if yes, volume pomped : .................... gallons Reasonfor pumping :............................................................................................................ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of inspection: 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) -- Other (explain)........................................................................................... APPROXIMATE AGE of all components, date installed (if known) and source of information J,....`!.^�.� :...G�?.. ,. . ?.T.. :'.^—....�...................................... ................................ Sewage odors detected when arriving at the site : (yes or no).....tu.c:r.. SEPTIC TANK : .. 4 ... (locate on site plan) Depth below grade: ..k:.`.... Material of construction: ..X.. concrete ......... metal ........ FR P ........ other (explain) ................................................................................................................................................ Dimensions: .�.� Sludge depth :..:-3`....... Distance from top of sludge to bottom of outlet tee or baffle:....... ................. Scum thickness :....t.:.............. Distance from top of scum to top of outlet tee or baffle: .......... .................. Distance from bottom of scum to bottom of outlet tee or baffle :...!. ................. Comments : (recommendation for pumping , condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.)...................... ry.:. . .... ..��s%�4��c.�t;Sl...�:cx:S..�..n.��:��?.-�,�...:,:,�.:¢..,N:�.Zi��.. C1.►?���.�\�'?-�: .,,�:��ts�.�4-�- 1:��i�.,��'�4 I 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: i'S 5 to.�-cSZ r, �►_, :-` Owner: i-)�-- , D ate of inspection: \ \ w GREASE TRAP : (locate on site plan) Depth below grade: Material of construction: ........concrete.........metal........FR P........other(explain).... ............................................................................................................................. Dimensions:............................... Scum thickness:........................ Distance from top of scum to top of outlet tee or baffle:....................................... Distance from bottom scum to bottom of outlet tee or baffle:............................... Comments: (Recommendation for pumping condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.)........................ ................................................................................................................................................ ................................................................................................................................................ TIGHT OR HOLDING TANKS:.... 'C... (locate on site plan) Depth below grade:............... Material of construction:........concrete........metal.........FR P..........other (explain).......... ................................................................................................................................................ D imensions:............................ Capacity:....................gallons Design flow:...............gallons/day Alarm level:............................. Comments: (condition of inlet tee, condition of alarm and float switches, etc.) ................................................................................................................................................ ............................................................................................................................................ R y K SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: %S 5 Owner: Date of inspection: DISTRIBUTION BOX:..V,�..S (locate on site plan) z Depth of liquid level above outlet invert:... Comment: (note if level and distribution equal eM,ence of sal' s carryover, evidence of ( akage. into auk of box, ekc.)..�G:C� x a.... 'R�, G �......................................................................... PUMP CHAMBER:...t-:TC.. (locate on the site) Pumps in working order: (yes or no)............... Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.).................... ................................................................................................................................................ ................................................................................................................................................ SOIL ABSORPTION SYSTEM (SAS):...UC.Z�..... (locate on site plan, if possible, excavation not required, but may be approximated by non- intrusive methods) If not determined to be present, explain: . ................................................................................................................................................ ................................................................................................................................................ Type: leaching pits, number: ...>.... ..i�: leaching chambers, number:........ leaching galleries, number:........... leaching trenches, number , length:..................... leaching fields, number, dimensions:................... overflow cesspool, number:.......... Comments: (note condition Qf soil , signs of Odraulic failure leve of ponding, condition of vegetation, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property address: k_ _ Owner: Date of inspection: CESSPOOLS:...�1 .. (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: ..................... Indicator of ground water: .................... 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.) ................................................................................................................................................ ................................................................................................................................................ PRIVY : ....�?�%... (locate on the site) Material of construction: ................................... Dimensions: ...................... Depth of solids: ................ Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) . ................................................................................................................................................ N y N i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address : Owner: Date of inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate at wells within 100'. III ��;.,,;sr•,p. p rim S, � of 3 �3 3� , DEPTH TO GROUNDWATER: Depth to groundwater: .!5.4.feet Method of determination orapproximative: Jr ,. ....................................................................... cP ANTLANTIC ENVIRONMENTAL P.O.BOX 2384 i MASBPEE,MA 02649 y� G �3 �I Attn: Commonwealth of Massachusetts Date: 02/06/96 Town of Barnstable Board of Health 367 Main Street Hyannis.MA 02601 From : Mr Michael DeDecko Po Box 2384 Mashpee MA 02649 Dear Board of Health Official; I certify that I have personnally inspected the sewage disposal system at the following address : 155 Mitchells Way,Hyannis Ma. The information reported is true, accurate and complete as of the time of the inspection. I have not found any information which indicates that the system fails to adequately protect the public health or the Environment. If you have any questions regarding this inspection,please contact me at this number: (508)477-14-20. Thank you. Sincerely; Michael DeDecko phone 508 477-1420 TOWN OF BARNSTABLE LGCATION it r t aI&Y SEWAGE # t7 VILLAGE gAA//V M ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. -MOB SEPTIC TANK CAPACITY O'D c c4l't,,;6 ' LEACHING FACILITY:(type) (size) Q NO. OF BEDROOMS PRIVATE WELL O . PUBLIC WATE BUILDER-OR OWNER 11 tI L.L-T WILL $40A DATE PERMIT ISSUED: i�— Ay— 9� DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No #0 M ,► .r THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN BARNSTABI;E .. ...................- OF..................� .., =... ....................................................... Appliration for Biiivvii al Workii Towitrurtion rumi# Appl• o is.hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at ~ Mitehells Way ��5 Location-Address or Lot No. ......................--..............Builtw.ell...Homes................. 1Q�_1...RQute...6As.arew.ster.,-MA...... 2F-31----- wner Address 9 Installer Address Type of Building Size Lot-------_4._3,-_-64__..Sq. feet V Dwelling—No. of Bedrooms............... hree-_...-_.__.._..Expansion Attic ( ) Garbage Grinder { ) Other—T e of Building ... No. of persons........................... Showers — Cafeteria P4 Other fixtures ................. Design Flow..................... 5_.._............_.gallons per person per day. Total daily flow.................330 gallons. WSeptic Tank—Liquid capacity---150allons Length_lo.�_6��. Width__5_'8_....-- Diameter------ Depth... '111. x Disposal Trench—'�o..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.........1---------- Diameter..._.__.._.•_..._. Depth below inlet.__......6.'...... Total leaching area_266.40sq. ft. Z Other Distribution box (X ) Dosing tank ( ) `-' Percolation Test Results Performed by..........Doyle En�ineerinc� ......... Date__June...5_,1990...... a ____---minutes per inch Depth of Test Pit----- Depth to ground water -___Test Pit No. 1___.__ 2 .__.__-. (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.......0........ 2°__-Top.&---subsoil .42"------.144't-_-M_a ulll...5.anC1------------------------•-----•---- x w ----------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ -•---------------•---------------------•-----------------------------------------------..........-•-----•----......--------------------------------- ................................................... Agreement: The undersigned agrees to install the aforedescribed Indivi t 1 Sewage Disposal System in accordance with r-i x-� the provisions of �nT-: of the State Sanitary Cod = he u signed fur` r4agrriot to place the system in operation until a Certificate of Compliance has been • e oar t lth.Signed•---.....•-•- -•--•-......._•••-••• .._--•••- -•----••-••• : . ate Application Approved By......... ------•-•------•--•--••-•-•--•--------------- ......Z.. /.5--- �rG Date Application Disapproved for the following reasons--------------------------------------------------------•-------------------------------•---••-•-•-••--•----••--- .........-•---••-•••---•-----•••--•---•---••-•-•••---•-----•-••---•-•-•-•-•-•--••._...-••-•----•--••.......-----•-•-•-----•--------------•---•---•-•••-••-•-----•••-•-----•-----•-••-••••----•--•---••--- �J► Date Permit No. ! �-�--��- Date - Issued....................................................... La.- THE COMMONWEALTH OF MASSACHUSETTS :... BOARD OF ft-1.EALTt-I �. : TOWN BARNSTABLE .. :, - s-•rid.q,. _ ...__. .. .. ................... OF........................................ I� Applirtatiou for Uhgpvii al Workg Tuntitratrtuaat Pumit ;N Y Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: 1 Mitehells way " Loc ion Address 'or Lot No. Bultwell Homes . _-6A.er_ewaterlMA.._._A2fi31---- Owner Address 1 W s ...............................................•-----------...........................••. ....__...-••---...•'•------•------•---'•..._.......-------------••-----•- Installer Address UType of Building Size Lot-------43t 964___;Sq.'feet Dwelling—No. of Bedrooms______________ThY@®...............Expansion Attic ( ) Garbage Grinder; ( ) p; Other—Type of Building -........................... No. of persons.......................... Showers ( ) — Cafeteria,:.( ) ' < Other fixtures l " Design Flow__________________ 56______ allons per person er day. Total daii' `flow____...._.__.___3�0_____._ __._ lons. 1., Septic Tank—Liquid capacity---:�75.7_g'allons Length-1 6fl_ Width_5_I�„.._ Diameter.-__..""____ Depth__., 1.7M . Disposal Trench—No_ ____________________ Width____`_._.._.__.____ Total Length...........}__ Total leaching area_____ '_: sq. ft. z' ? Seepage Pit No,_______i---------- Diameter___._.__._s.i.__. Depth;,below inlet__._.____ _.._._. Total leaching area.296'.40 ft. Other Distribution box Dosing tank Percolation Test Results Performed by-__._____Doltl---- 91ne ring Date_Ilitl4 ,4 9Q ►-� 2 t vet ;a Test Pit No. 1______ ________minutes per inch Depth of Test Pit..... _ .________ Depth to ground water_ in '........... (� Test Pit No. 2________________minutes per inch Depth of Test Pit.................... Depth to ground water.............----------- . ., , 0- i` . Description of Soil----•-0__'__42" TO,p--A.-9Ltb80 1- 42"-•--`-'-.144°---MQd�.IXAt___i3�dlft9---------------------- ? U ------------------------------------.................................................................. ' U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------- - - _____________________________________________________________________________________________________________________________________________________________________ ________ 4 ^ t 4 r Agreement. "f N The undersigned agrees to install the aforedego 1 Sewage Disposal System in accordance with + the provisions of i T`:,s� 5 of the State Sanitary Cigned furt, r agr not to place the system in ' R a 4f operation until a Certificate of Compliance has been` of lth.Signed_ �_ •�3 - ___________ _______ ___________________ ____._.___.. _..___._. ate �I Application Approved By......... �' �----- �J� - •[r----�--Date-_- - ,.. �. r w Application Disapproved for the following reasons______________________________________________________............................................................ _ � 'r ---•----........Permit No.----1_- .-=•-•-. '-7 L.----._.....-•---------------- -----------------..-_..issued-----....-------------------------------•---------- ' M Date { 4 x• 5- t, :y 'i. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' ..............TOWN.....:..-......OF............BARNATABL.E................................ ,. ` (11rdifirate of TaautpliFaatrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired r by.................. 5 .....h .. Installer > at........... ......• F-2�• f----- -------................................ r has been installed in accordance with the provision of i I i irk. Aof The State Sanitary Code as described in the ei�A application for Disposal Works Construction Permit No.____,,� ____ . : ......... dated_ ..___-_-______________ ________ ________ tN , THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. , : ..... ..--DATE......... ---•---- Ins d....S. THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH z TOWN BARNSTABLE .........OF........................'-•......_ •-•••---•.. . .._._._......_...._._............ FEE..fQ492 ....... :Yk Elias osatl Varkii TDO notr ion "Van fit , Permission is hereby granted.........C1tn 9tr - - ---------------------------„-_------------•-•-••--------_---,_-___-------_--•-•--- to Construct ) or Repair ( ) an Indiviidu+a'l Sewage Disposal System atNo................... --•------• ---•- Lc � ' is*-'=-----------------------------------•----__---___-_______ Street as shown on the application for Disposal Works Construction ermit No. 'J � ___ Dated.......................................... nn'' ...... . .4- ................................................... DATE.................... _ �4--------------------------- Board of Health .-=--�--7�---� -- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - A_42'29' CB/DH/FND CB/DH/FND R=g46 08, S � 79 35.30„ E 10.0'� 132 14' CB/DH/FND N k 20.0• N I Lot 5 setbac �'9uir men is o.o 43,964f S.F. (.5 1.0t Ac. 3' I rn 73 �. I � Im J 61.3' 12.0 36.6' b rop Exis t. #155 U' N or. Gar. Exis t. D wg. 0 o' 0 O prop: N W JI `} Deck EX%Sr. I Deck M I ^ 12.o' 18.o'00 m IN 00 0 I NI Exis t. I Z I S.A.S. I Proposed per as—built 99'5 IAddition 108.0' I 10.o / fo.o' / CB/DH/FND I / 5r STREET ADDRESS: ,#155 M/TCHELL'S WAY ASSESSORS MAP 290 PARCEL 73 CB/DH/FND OWNER: SANDRA MALLORY DEED REF.: BK. 26064 PG. 247 TOWN OF BARNSTABLE ZONING PLAN REF.: PL. BK. 449 PG. 71 LOT 5 BY—LAW ZONE ; RB I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACKS : KNOWLEDGE, INFORMATION AND BELIEF THE DWELLING FRONT = 20' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE = 10' OF THE ZONING BY—LAW FOR THE TOWN OF BARNSTABLE. REAR = 10' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND VERIFIED ON THE GROUND. PL 0 T PLAN THE DWELLING DEPICTED ON THIS SHOWING PROPOSED ADDITION PLAN WAS LOCATED ON THE GROUND IN BY SURVEY ON OCT. 20, 2017 AND EXISTS AS SHOWN AS OF THE DATE BARNSTABLE, MASS. OF LOCATION. SCALE: 1"=40' OCT. 24, 201.7 THIS PLAN IS FOR PLOT PLAN TERRY A. WARNER, P.L.S. PURPOSES ONLY. 22 LONG ROAD HARW/CH, MA. 02645 (508) 432-8309 THIS PLAN /S VOID /F NOT STAMPED AND SIGNED /N RED. 0 20 40 80 PROJECT N0. 16-142PP 6'3" 74)" 2'-9" 6'3" ' ANDERSEN NDERSEN NDERSEM1' TW2aa6 PN2446 TW2446 TYP.ABPHAIT ROOF SHINGLES 12 �8 TYP.PVC 1 x 6 FASCIA,FRIEZE. A q a " 8 SOFFIT BOARDS 3L.YPA. NEW NEW A3 TOP OF PLATE BEDROOM DECK - 4 ® ® ® ® ® ANDERSEN FWG60611 U FRE SLIDING DOOR SLIDING DOOR14�Q r 4Tu LL-DOWN CSTAIR A3 SUBFLOOR FIRST R L---J �VE B I ALL DETAILS WI OWNERS MFR.B `NA3 o A3 FRONT ELEVATION 4 BAT 4 12 T I NEW NDERSEN TYP,PVC 1 z 6 RAKE BOARD LIVING �Q TW244s I WI 1 x 3 DRIP BOARD Exlsr. (VAULTED) Ly J 4 FORMER GARAGE TOP OF PLATE EXIST. NEWIII Jill MUDROOM O REIF GARAGE ; ® wz5 L1x4 TRIM TYP.W.C.SHINGLE KITCHEN O flu � SIDING 5"TO WEATHER O R*NGE (VERIFY KITCHEN f Q LAYOUT WI OWNER) a TYP.PVC t z6 CORNERBOARDS FIRST FLOOR RI 2'6"x fi'6' SUBFLOOR SINK EXIST. 1y CONC. APRON �O2ERSEN NNDWE6R0 StEN ANDERSEN 6 FDEN[WZ"l AC3 RIGHT E L E VAT I O N ER. OVE p 14'4T 16'-0- 12-0' 12 44'-TY 6 FIRST FLOOR PLAN TOP DFPLATE LEGEND: - NOTES: ® H O EXISTING WALLS 1.)CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS IS &DIMENSIONS IN THE FIELD ti 11 H=I c 7 CONSTRUCTION TO BE REMOVED 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, g ® NEW CONSTRUCTION DETAILS,&FINISHES IN THE FIELD WITH OWNER FIRST FLOOR .-FLOOR O SMOKE DETECTOR 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT O FIRST FLOOR TO BE 6-10"ABOVE SUBFLOOR (K)CARBON MONOXIDE DETECTOR 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS (fD HEAT DETECTOR STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 5.) 110 MPH EXPOSURE B WIND ZONE REAR ELEVATION 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, 3 OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING v 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY ELDREDGE SURVEYING FOR ALL PROPOSED&EXISTING DETAILS ' 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF f - IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS ALL SIMPSON COMPONENTS CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION 10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS ' I TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) TO BE 3000 PSI �. K FENESTRATION I SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R"VALUE VALUE DURING FRAMING CONSTRUCTION 0.](1 MASS. 0.56 49 M 0113�6 30 15H9 10(4 FT.DEEP) 1W19 AMMEND. 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE - NOTES:1.R-VALUES ARE MINIMUMS 8 U-FACTORS ARE MAXIMUMS. 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR 14.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY ii OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION y- 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS INSTALLER/CONTRACTOR. h 4.13+5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR 15.)ALL HEADERS LESS THAN 4'0"TO BE 3-2 X 65 UNLESS OTHERWISE NOTED &R13 CAVITY INSULATION THE DESIGNER SHALL BE NOTIFIED IF NY ®C� NEW ADDITION REMODELING FOR• ERRORS C OMISSIONS ARE FOUND ON R COTUIT BAY DESIGN. LLC TH ESE DRAWINGS PRIOR TO START OF SCALE : DRAWING NO. CONSTRUCTION.THE BUILDING CONTRACTOR 43 BREWSTER ROAD WILL BE RESPousIBLE FOR THE CONTENT MASHPEE,MA. 02649 IN THESE DRAWINGS IF CONSTRUCTION 1/41 1 = 11-OII MAL L O RY RESIDENCE COMMENCES W THOUT NOTIFYING THE Al DESIGNER OF NY ERRORS OR OMISSIONS. H OF THE OWNESE R NONGS TED ANY OTHER USE OF OLELY FOR THE E DATE : : FAX(50 )539-9402 TH ESE DRAWINGS REQUIRES THE WRITTEN 1O/25I2O17 155 M I TC H E LL'S WAY, HYAN N I S, MA ARCHITECTURAL DESIGNERU PRO FICHE ARCHITECTURAL COPYRIGHT PROTECTION 1 e'n• 1r-v' te'a' tr4r I P.T.2 x 10 LEDGER BOARD SCREWED TO 3K1J 2J ZJ 3K1J SOLID BLOCKING WI(21LEDGERLOK SCRIMS NEW UM DIA.CONCRETE SONOTUBE 16'o.F'W/JOISTE HANGERS.INSTALL W/24-OIA.BIGFOOT FOOTING UNDER- tNEWCONCRETEOR SIMPSON OTTJ Z TENSION TIES AT NEATHT04'(FBELOWGRAOE-USE _ P.T.TIMBER AREAWAY LOCATIONS FROM HOUSE TO DECK JOIS SIMPSON ASU66 POST BASE FOR CRAWLSPACE 4 3'd ACCESS FASTEN JOISTS TO SEA M n WI SIMPSON H2.5A TIES 3 A )76 I I � I I I 4 m 4 A I i q b 3 A3 NEW o j CRAWLSPAC I ° 14 F 2"CO NC.SLAB WI6 M C v POLY UNDERNEATH W A3 N Ym -------— I NE.PT 2.i 16-­. w WI MID-SPAN BLOCKING q I C 4 x 6 POST FROM RIDGE ri \/ DOWN TO FOUND. B B I A3 3. A3 —— 4 o I I A3 NSTALL 6 MIL POLY OVER A3 I XIST.CONCRETE SLAB x I \\ 12 RIDGE BOARD 8 1 _ _ 4 I w F NEW 3-PT.2.10 GIRT_ \ (FLUSH FRAMED) I I EXISTING RIDGE SAWCUT 3'0'OPENING IN EXIST.FOUNDATION FOR NEW ACCESS UNDER NEW BATHk--NEW3 11T Olk GARAGE B KITCHEN STEEL LALLYCOLUMN O (P CONIC.SLAB "1 NEW 30"x 30'x 17 PITCH 2'TO O.H.DOOR 4 CONCRETE FOOTING W/6 x 6 WWFEMBEDDED i EO / 3 NEW ROOF TO BE z BUILT OVER EXIST. \ 4 I ROOFSTRUCTURE NEW P.T.2x BLOCKING 16'o.c. EXIST. WI MID-SPAN BLOCKING DROP TOP OF WALL AT ENTRY 8 O H.DOORS BASEMENT I I 31<.11 3K,1J J W EW 4 x 6 POST FROM RIDGE C —— TO 2-1 3/4•x 11 718-LVL OR, A3 4 CONC. APRON 14'4F 18'-0' 1Y0 NOTES INFILL O.H.DOOR OPENING TVP.e'CONCRETE 1.)ALL ROOF RAFTERS TO BE 2 X 10's W1 CONCRETE BLOCK,FILL C FOUNDATION WALLS ROOF FRAMING PLAN UNLESS OTHERWISE NOTED CORES E INSTALL 15'LONG A3 WI8-z 18-CONCRETE ANCHOR BOLTS FOOTING TO 4'D'BELOW 2.)USE LRAFTSIMPSON H2.SA HURRICANE CLIPS GRADE W/KEY AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS tr-0' NAILING SCHEDULE 110 MPH EXPOSURE B WINDZONE FOUNDATION/FRAMING PLAN JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING ROOF FRAMING: BLOCKING TO RAFTER(TOE NAILED) 2-8d 2-10d EACH END RIM BOARD TO RAFTER(END NAILED) 2-16 d 3 16d EACH END 6-12'. INSTALL 5/8'ANCHOR BOLTS AT 56-a c.MAX. WALL FRAMING: FROM END WI SIMPSON BPS 5/8-3 BEARING PLATES TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS OF PLATE CEBOLTSWITHINfF HINMINIMOF EACH CORNER AND TO A6'MINIMUM DEPTH HST EADER STUD(FER NAILED) l6d 16d 24"o.c. HEADER TO HEADER(FACE NAILED) 16d t6d 16'o.c.ALONG EDGES ' FLOOR FRAMING: F___ -__-_ I JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4-Btl 4-t Od PER JOIST ________ 1 INSTALL FLASHING UNDER BLOCKING TO JOISTS(TOE NAILED) 2-8d 2-10d EACH END �: HousewRAP a DECKING BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 316d 4-16d EACH BLOCK w DECKING LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-16d 4-16d EACH JOIST E u i JOIST ON LEDGER TO BEAM(TOE NAILED) 3-ed 3-t Od PER JOIST BAND JOIST TO JOIST(END NAILED) 316d 4-i 6d PER JOIST 'D a C BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16 d 3 16d PER FOOT FLOOR JOISTS P.T.2.1 Y' @ 16"o.F. —TYPICAL ASPHALT ROOF SHEATHING: EFj ROOF SHINGLES WOOD STRUCTURAL PANELS(PLYWOOD) 518-CDX PLYWOOD SHEATHING RAFTERS OR TRUSSES SPACED UP TO 16'o.c. Bd 10d 6'EDGE/B"FIELD 2 i 10 RAFTERS 154 FELT PAPER RAFTERS OR TRUSSES SPACED OVER 16'o.c. 8d 1 Gd 4"EDGE/4"FIELD INSTALL PEEL a STICK I USE SIMPSON H25A HURRICANE CLIPS RUBBER MEMBRANE GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG Btl 10d 6"EDGEl6"FIELD BETWEEN LEDGER S WIND WASH AT ALL RAFTERS ENDS GABLE END WALL RAKE OR RAKE TRUSS 8d 1Od 6"EDGE/6"FIELD SHEATHING BARRIER TO'WIDE ICEAVATER SHIELD W/STRUCTURAL OUTLOOKERS ALUMINUM DRIP EDGE GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 81 1 Od 4"EDGE/4'FIELD w P.T.2,6 SILL WI SEALER PT.2 z 10 LEDGER BOARD SCREWED TO I SOLID BLOCKING W/(2)LEDGERLOK SCREWS NEW PVC FASCIA,FRIEZE.a SOFFIT CEILING SHEATHING' 16'o.t,WI JOISTS HANGERS.INSTALL BOARDS TO MATCH EXISTING DECK DETAIL SIMPSON DTTIZ TENSION TIES AT GYPSUM WALLBOARD 5d COOLERS --- 7'EDGE/10'FIELD LOCATIONS FROM HOUSE TO DECK JOIST 1 x 3 STRAPPING WI 1l2"GYPSUM BOARD WALL SHEATHING: TYP.214WALLS WOOD STRUCTURAL PANELS(PLYWOOD) STUDS SPACED UP TO 24'o.c. Bd 10d 3'EDGE/12"FIELD 'y 112"825/32"FIBERBOARD PANELS 8d --- 3'EDGE/6"FIELD 12'GYPSUM WALLBOARD Ed COOLERS ---- 7"EDGE/10"FIELD ANCHOR BOLT DETAIL DETAIL AT WALL FLOOR SHEATHING WOOD STRUCTURAL PANELS(PLYWOOD) SCALE:1/2"=1'-O" l'OR LESS THICKNESS 8tl 10d 6"EDGE/12"FIELD ,{ I SCALE:112"=1'-O" GREATER THAN 1"THICKNESS 1Od t6d 6'EDG E/6"FIELD THE DESIGNER SHALL BE NOTIFIED IF ANY ERRORS- ®C� UND ON NEW ADDITION/REMODELING FOR: CONSTRUCTION. CTION. HE BUILDINGS ARE CONTR COTUIT BAY DESIGN. LLC TH ESE DRAWINGS PRIOR TO START OF SCALE : DRAWING NO.: CONSTRRES ONSIBLEF FOR CONTRACTOR _ 43 BREWSTER ROAD WILL BE RESPONSIBLE FOR THE CONTENT MASHPEE ,MA. 02649 IN THESE DRAWINGS IF CONSTRUCTION 1%411 MA L L O RY RESIDENCE COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMI UHEJs.PH.(508)274-1166 THE SE DRAWINGS ARE SOLELY FORTHEUSE FAX(50 )539-9402 OF THE OWNER NOTED.ANY OTHERUSEOF DATEA2 155 MITCHELL'S WAY, HYANNIS, MA COSENTOFTHED DRAWINGS EIGNER UNDERTHEHE C ARCHTECTURALECOPYRGHT PROTECTION, 10/25/2017 r I TYP.ROOF CONST. -2 x 10 ROOF RAFTERS @ lT 0.c. -SIB"COX PLYWOOD ROOF SHEATHING -ASPHALT ROOF SHINGLES -1518.FELT PAPER 2 x 6's @ 16'0.c. 2x6's@16"oc. -BATT INSULATION(R49) NEW 3-13/4'x 18'LVL RIDGEBEAM -2.12 RIDGE BOARD -SIMPSON H 2,5A HURRICANE CLIPS 12 AT ALL RAFTER ENDS 2 x E' @ 16' c. �e -ICEI WATER SHIELD AT BOTTOM 2 -PROP-ATE OF R VENT BETWEEN RAFTERS i -WIND WASH BARRIERS -ALUMINUM DRIP EDGE 12 EXIST, TOP OF PLATE 2 x 10's @ 16'0.c. TOP OF PLATE 2 x 1,3 @ 16"a.c. TOP OF PLATE TYP.WALL CONST. TYP.111 GYP.BOARD ON t x 3 STRAPPING 2-1 314'x 11 1M' SIB'FIRECODE GYP.BD. 1.2 14 STUDS @ ifi'0.c. z_ @ ifi"0.c, z MULT LVL HEADER ON 1 x 3 STRAPPING @ 16' 2.tIT PLYWOOD SHEATHING 0.c.IN GARAGE ^ 3.SPRAY FOAM INSULATION(R20) - GARAGE 4.117 GYPSUM BOARD BEDROOM _ BATH LIVING - 5.W.C.SHINGLE SIDING 71 6.TYPAR EXTERIOR VAPOR BARRIER VERIFY DECKING E ~ - 3I4'T6GPLYWOOD '7 N"CONIC.SLAB _. FIRST FLOOR SUBFLOOR-GLUED 8 NAILED FIRST FLOOR FIRST FLOOR v PITCH 2'TO O.H.DOOR Y W/6 x 6 W W F EMBEDDED OPTION:2x6 WALLSWI SUBFLOOR SUBFLOOR SUBFLOOR BATT INSULATION rPT.2.10s@I(E­. NEWPT.2x10's 16'0.c. 2�P.T.2x651L1 NEW2z ttls 16'0.c.WI SEALER -P.T.2x 10 BEAM 9'BATT INSULATION(R=30) TYP.8'CONCRETE CRAWLSPACE SPRAY FOAM INSULATION(R=30) EXISTING FOUNDATION FOUNOATIONWALLS WALLS TO REMAIN q W I S'z 18'CONCRETE ' FOOTING TO 4D'BELOW GRADE W/KEY .SLABWI6 MIL POLY U SECTION @ GARAGE POLY UNDER 10"DIA,CONCRETE SONOTUBES SECTION @ BEDROOM W/24'DIABIGFOOTFOOTINGS SECTION @ LIVING A3 A UNDERNEATH TO 4'(T BELOW A3 GRADE. 6 POST BASEESON ZMAX ARI A3 P.T.2,10 LEDGER BOARD SCREWED TO SOLID BLOCKING W/(2)LEDGERLOK SCREWS 16'o.C.WI JOISTS HANGERS,INSTALL SIMPSON OTT1Z TENSION TIES AT(3) LOCATIONS FROM HOUSE TO DECK JOIST I INSTALL FLASHING UNDER I HOUSEWRAPB DECKING ' I DECKING FLOOR JOISTS PT.2.10's@16'o.c. INSTALL PEEL&STICK RUBBER MEMBRANE BETWEEN LEDGER 8 SHEATHING P T.2,10 LEDGER BOARD SCREWED TO SOLID BLOCKING WI(2)LEDGERLOK SCREWS 16'0.c.W/ZMAX LU210 JOISTS HANGERS III DTT12 TENSION TIES AT(3)LOCATIONS FROM HOUSE TO DECK JOIST Ill ACH END DECK DETAIL I nl ®C� NEW ADDITION REMODELING FOR• THE DESIGNER SHALL PRIOR TO IOF - COTUIT BAY DESIGN. LLC ERRORS OR OMISSIONS ARE FOUND ON SCALE : DRAWING NO. THESE DRAWINGS PRIOR TO START OF CONSTRUCTION.THE BUILDING CONTRACTOR _ 43 BREWSTER ROAD WILL BE RESPONSIBLE FOR THE CONTENT 1/4" MASHPEE ,MA. 02649 C N DRAWINGS IF NOTIFYING THE M AL L O RY RESIDENCE COMMENCES WITHOUT NOTIFYING THE A PH.(508 274-1166 DESIGNER OF ANV ERRORS OR OMISSIONS. HE FAX(50d)C39-(A O THERE DRAWINGS ARE SOLELY FOR THE USE J/ J J J`f L OF THE OWNER NOTED.fW V OTHER USE OF DATE THESE DRAWINGS REOUIRES THE WRITTEN 155 M I TC H E LL'S WAY, HYAN N 1 S,--MA ARCH,ECTUR1"COPYR�EHTPROTE�TON 10/25/2017 ._....._._..: - - SOII i DIi 1 Nd 1 N0. G I T E PLAIM Ik, sv�soi� 3 ��.-zG•f 4 . 5 TOP OF FOUNDATION EL. : .:� SAND 7 i 6 MIN. 2 a F I NISHEO IIAIIE `A � I v`� IN El 2904 r MIN. COVER WASHED8 STONE COVER El'_. yq , I 2$.80 ; � , � 'i i Id l i ZA.5d N E�.. 27 o e � `•� �' ,0 y . d 0 '/1/0 lt/A7�iP f/VCO NT�"fZE' � 1 i a liQ010 LEVEI O� 8 1N� �" SUMP • �. 314 1 1/9 WASHED STONE 1 �► V ♦ s 1 0 � J • • , .y 6 EFF l _, ti fi PEAC t EST RESULTS , • ...e e DEPTHlb° ° PRECAST SEPTIC TANK WITH PRECAST' LEACHING ' � '� NEFIC aAYE . t T - , '" - ,L/./ r • ♦ • r io r• °�Y r ` ...�....+ SIZE• G_+PI .1irrrr_ - Vc DG/ W I T N E S S E Y /�y�. - CAS IN PLA E INSET AIVa �� ' By1 /v� , s OUTLET T 5 PER TITLE ii ovvp ROARb OF HFALTH V M. r wlr Z " Of STONE ,9�L .9.P G A L L U IV S ---HIA OF STONE x OATS: 9 i SIZE : is0o , P=7Go , � P��VI0�15 /0 27'� 12993 C G L0N 6 x . : W 1 D E x sz g E E P I HIA ALL aR0UN0 I j /o Material I E L. 17. NO W,4MT E IC061*72 Pi �► I PROFILE CAI , PROPOSED SEW -AGE SYSTEM SYSTEM 01!S10NF0 B . TNr TOWN OF ON , L STATE TITLE V FOR SURSUPFACE 0 1 S P 0 S A L OE SEWAGE . SC � ►. T. . 1,4 1 N . 0 , Ids i V iPIPE H OE SCHEME E � P.V.C .PSEWER PIP : r 1 . ALL S SHALL SCNE UL qd V.C . S 1N E x I 2, ALL PIPES SHALL HE SLOPED 144 PER F 0 0 T EXCEPT FOR -¢3 - r9 . �7a ;,• 1 i X y3 1 THE EI R S T 2 F EET C ! T 0F '.. T`HE d /B WHICH SHALL BE LEVEL .. z�. ,. , ��ti• � 1� 3. 0 E S I G N FLOW .. _BEDROOMS AT 110 GALDAY PER RR . 70 GAL/ RAY Z •2 SEPTIC TANK - SItE _ ?30 u X Is 42'• GA L { USE /5oo GAL. W/ &17-- GARBAGE DISPOSAL ( 1 LEACHING SYSTEM : USE (/� ���/A. h G'E�F�Grr►� �Ep -CAST LEACH/uG R/T �33 x x z, , p� 6 Z' OF .57?)AM- Al-L AROU/Vb � 21� pq.Z 2'F � c, � o 50 Sep Io EFFECTIVE A R E A : S I 0 _ z>rRy x zs= Zr/-(s�(c)x?s= ¢�� s.,c/oAy �,.� o �' B 0 T T.0 M �rrR*";1 rt•<5): X Ia s /o•�y :s> 3o•I 298 t TOTAL FL O W s¢9 01-/44 y TOTAL AEQ 'D FLOW .�?32 X WI ovr OARRAGE DISPOSAL ¢ 72 R E S E V E FLOW S;0 - 330 t: 2/7 - GAL/ DAY IN RESERVE %3oso x o•L 3 REFERENCE PLANS fe-R-0. AZAA/ h"4dK 4 9 246!S ZZ y80 3S w � �gl• N07_r•• ,f1,WVE h1M_fR11/DIIS 1fAT,t'R/AL AM /O FEET.4LL 3.s- AX-tr Dewiv �1 » ELEI/AVOAN 26.E /?EPLACE W� 610A 54F APPROVED BY oG. BOARD OF HEALTH DATE : PROPERTY DINNER , T#1e1_L SITE AND SEWAG412 _PLAN B(//L OF Mgss p�114 OF,N F 0 f1 : BU/GTWEL L J�OA '�j BR� ,N/S72✓�?, AA 0243/ �ONN 3 GEOROOM SINGLE FAMILY 011VFli. iNG P. R08EIt1 h M. LOT •boY�E.l s" y'!/7% '[L s WAY F c No.33O9 cn w DAVID50N .p . 245 DATE tE JvNE 1z, /990 No00 H . 9 O d o . • ��, ��► OOYLE ENGINLi� RING ASSOCIATES INCORPORATE a NAL E� 1 1 /� Oox 595-- 530 Thaws A. Lenders Road W. Eo'Imblith, MA 0251'4 ----