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Home My WebLink About0075 CAP'N ISIAH'S ROAD - Health 75 Ca" Wn Isiah's Road Cotuit .P A 031 019 1 1� i , 7� �V °F 1ME °� The Town of Barnstable • snxrrsTABM • 9� MASS. Department of Health, Safety and Environmental Services ArED nna.+" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner MEMORANDUM TO: Board of Health FROM: Ralph M. Crossen Building Commissi/her DATE: August 10, 1998 RE: 75 Cap'n Isiah Road, Cotuit(037 019) I have reviewed the application and supporting documentation for the proposed family room over the garage at 75 Cap'n Isiah Road in Cotuit. It is our belief that the room as designed and attested to will be used as a family room; and while there is always the "what if' as there is on any application, we will grant the benefit of the doubt to the applicant in this case. I understand that Title 5 gives discretion to the Board of Health as to defining a bedroom. I would not ever infringe on that responsibility; it is yours. If you were to allow the project with some other form of assurance (such as possibly a deed restriction), be assured that my office will offer our future support to any effort for a search warrant if it is ever suspected that the room is being misused. cc: A.M. Wilson&Associates g980810a OF THE 1Q� The Town of Barnstable BAMSTABM 9� 1639.. Department of Health, Safety and Environmental Services p'Eo ,A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner MEMORANDUM TO: Board of Health FROM: Ralph M. Crossen Building Commissi ner DATE: August 10, 1998 RE: 75 Cap'n Isiah Road, Cotuit(037 019) I have reviewed the application and supporting documentation for the proposed family room over the garage at 75 Cap'n Isiah Road in Cotuit. It is our belief that the room as designed and attested to will be used as a family room; and while there is always the "what if' as there is on any application, we will grant the benefit of the doubt to the applicant in this case. I understand that Title 5 gives discretion to the Board of Health as to defining a bedroom. I would not ever infringe on that responsibility; it is yours. If you were to allow the project with some other form of assurance (such as possibly a deed restriction), be assured that my office will offer our future support to any effort for a search warrant if it is ever suspected that the room is being misused. cc: A.M. Wilson& Associates g980810a 5`.0 ------------- 1 -_ a6 I �c 1 1 In • p$. ; +yam E 6 . 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Ia I 0 n SNIHSY U 7MW ZD DZ SOd DOOM OXti sronNUN00 itOM _ 1SIOr IUY3 NDpO =M=� �� omcmrm Oo lv 1IIOtN►I 1S:Or -IY1311 J0 3Nn H 3OY3H ONIHMNS )8 2fl131MO .*/C OM! .LWAA ---�- 0 .9l lY SLSZOr X030 BXL�CIS 30YdS W j :Od H3V3 nl ho8 HOnosm MV38 S:CZ - Z -1 I 'D^D �n►I *Y'= 0NIM30 t/s `� °� RDUld rinNtRMY txt umrvN 9XZ ONIHSYI4 '►rnTr ZD CZ t S DNIOS = u NOUYuKnOj O1 SrontluNoo = Cl 0 .r—.S lY lsod OOOM 9xt lYd3H 30YdS evTo 'XYCI ,f S2l=MY8 Z X Z MYN 9XZ — Z OW08 IVIHI CXI dY0 03N3dY1 — l 4 �o�Tee Taw TOWN OF BARNSTABLE 6�vQ4 OFFICE OF 9AHa9TABL i BOARD OF HEALTH NAM ao 039. , 367 MAIN STREET CEO MPY k. HYANNIS, MASS.02601 July 17, 1998 James and Barbara Currei P. O. Box 1127 Forestdale, MA 02644 RE: 75 Cap'n Isiah Road, Cotuit Dear Mr. and Mrs. Currei: Your request for a variance from the State Environmental Code, Title V 310 CMR 15.214 Nitrogen Loading Limitations,to install a septic system for a proposed three bedroom home at 75 Cap'n. Isiah Road, Cotuit is not granted. The submitted floor plan of three bedrooms and a private office located over the garage would generate more than 330 gallons of wastewater per day. However,this parcel is only 0.54 of an acre in size, and is located in a zone of contribution to public water supply wells. The wastewater discharge is therefore limited to 258 gallons per day. In addition,the submitted septic system plan did not show the locations of percolation tests conducted. Therefore, the plan does not meet the requirement of the State Environmental Code, Title V. The applicant did not request a variance from this code. A person requesting a variance must establish that enforcement of a particular provision of Title V from which a variance is sought would be manifestly unjust, and must establish that a level of environmental protection that is equivalent to the State Environmental Code requirements can be achieved without strict application of the provision of the code from which a variance is sought. q V �j ,You did not establish that a level of environmental protection that is equivalent to the State Environmental Code nitrogen loading requirements would be achieved and you did not demonstrate manifest injustice. Therefore, your request for a variance is not granted. It should be noted here that the applicant does,have the option of constructing an enhanced nitrogen removal system at this property in order to receive approval to increase the number of bedrooms. Sincerely yours, Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGR/bcs cc: Rene Toti T. Geiler I _ CAPE-&'FSLAN,DS_EN.fa!,NE-ER:I.NG c „ SHELLBACKrPLACE• BUILDING 2 SUITE E 133 ALMOUTH ROAD(RTE 28)• MASH RICE, MA-02649jmw n f -(508)477-7272-• FAX(508)477-907.2 � � 1uly 28, 1998 Mr. Thomas McKeon Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: Dream Developers, Lot 53, House 75 Cap'n Isiah Road, Cotuit-Barnstable, MA Dear Mr. McKeon: Enclosed are revised plans, dated July 28, 1998, changing the proposed dwelling to a 2 bedroom. Assuming approval of the Board, the owners are aware a recorded deed restriction will also be required. The builder or the owners will represent themselves at the Board meeting scheduled for August 11, 1998. Sincerely, avid Sanicki DS/cma enclosure cc: Dream Developers TOWN OF BARNSTABLE F THE r0� 6wP ♦01 OFFICE OF S Bsaa9TAM i BOARD OF HEALTH NAM p� �p 1639' 367 MAIN STREET CEO ORk' HYANNIS, MASS.02601 August 13, 1998 James and Barbara Currei P. O. Box 1127 Forestdale, MA 02644 RE: 75 Cap'n. Isiah Road, Cotuit Dear Mr. and Mrs. Currei: Your are granted permission to construct a two bedroom home with a den/family room located over the garage at 75 Cap'n Isiah Road, Cotuit, Massachusetts. This permission is granted because this parcel is located outside of a nitrogen sensitive area.. according to the Zone 11 map recently adopted by the Massachusetts Department of Environmental Protection. Therefore,the wastewater discharge at this site is not limited to 440 gallons per acre per day. Sincerely yours, lu Susan G. Rask, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs currei 19 � ,3 .0 r 1 IA J r 0 C TOWN OF BARNSTABLE Q 3 7 —01 Y LOCATION a V�- ' `�I CH 2±nl 1 S ;`g� SEWAGE # �,b —y a(Z�. VILLAGE C rl l , ASSESSOR'SMMAPLOT ns 3 INSTALLER'S NAME&PHONE NO. CAt C O SEPTIC TANK CAPACITY /J LEACHING FACIL=: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by C 1 TOWN OF BARNSTABLE KGB l Y LC_AT•.ON C-1 O S-¢- `1 CAE V 1 S ,41, SEWAGE # b `L'I D C s l -VILLAGE C e_l %'1' ASSESSOR'S MAP LOT _5 3 INSTALLER'S NAME&PHONE NO. Ca O SEPTIC TANK CAPACITY �J LEACHING FACILrTY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: —COMPLIANCE DATE: j(-�L - �e Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching'Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) til Feet e:. Furnished by O ► . 1 w 5 SO IN V a w , w- c- No. THE COMMONWEALTH OF MASSACHUSETTS FEE; _ BOARD OF HEALTH O F �z(pl l5bo_ APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( <pair ( ) Upgrade ( ) Abandon ( ) - [ 'Complete System ❑Individual Components Location Owner's Name --►Mlc.to 0 3-7 ncu cal (D t9 Map/Parcel# Address Lot# Telephone# s aller's Name Designer's Nam Add r ss Address Telephone R Telephone# Type of Building: Lot Size S4 6kCrM Sq€4er Dwelling—No.of Bedrooms Z Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) gpd Calculated design flow Z2-0 gpd Design flow provided 3�Sgpd Plan: Date A-5`57N Number of sheets _I evision Date Title Description of Soil(s)&-j1 ; (e)04Ac r Soil Evaluator Form No. IL Name of Soil Eval ator12, 'buwaA Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certific to of Compliance has been issued by the Board of Health. Signed Date k1131W FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 W. NO. _ THE COMMONWEALTH OF MASSACHUSETTS CEEEa` C 1V BOARD OF HEALTH 1. , APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT �. Application fora Permit to Construct ( lyRepair ( ) Upgrade ( ) Abandon ( ) -.[1�C omplete System ❑Individual Components Laav� Qdt�_ 6&J 12Af awv, _D4L'4_kTRjteQ Location Owners Name Map/Parcel# ,A°'- Address •�`'`�'' y�Lot# Telephone# , I s tiller's Nam �— Designer's Nam Sj it Addr°ss Address Telephone 9 Telephone# Type of Building: , Lot SizeQ 54,ACres Sq-4aeY Dwelling—No.of Bedrooms Garbage Grinder,( ) Other—Type of Building No.of persons 4 Showers ( ), Cafc:tteria ( ) Other fixtures Design Flow(min.required) gpd Calculated'deSign flow Z�?�C? gpd Design flow provided J� gpd Plan: Date - -� Number of sheets evision Date Title Al Qvt Description of Soil(s) ' Soil Evaluator Form No. 'Name of Soil Eval ator Date of Evaluation 7 2-�1� p-�}(� DESCRIPTION OF REPAIRS OR ALTERATIONS" I t V The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. - Signed H Ayfv- Date �Ii�SpeCt10�115 - .. � - t i FORM"1 - APPLICATION FOR DSCP,:...- DEP APPROVED FORM 5/96 J 01 NO. 2 G THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH ` CERTIFICATE OF COMPLIANCE- Description-0/work: ❑'Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed g y y g p y ( ),Repaired( ),Upgraded(,),Abandoned•( ) by, at has been installed in accordance�thhe!provisions of Mop',CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to applicationNo. �dated- � 9 a' Approved Design Flow (gpd) I Installer Designer: Inspector Ilk-r Date The issuance of this certificate shall not be construed as a guaranVe that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 i No. J r r ZG THE COMMONWEALT OF MASSACHUSETTS FEE Mi BOARD OF HEALTH Y DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. -1 C 't Z� dated Sr �9 Provided: Con ructio sh 1 e completed within three years of the date,of this .armit.All local con • ons Date A Board of Health e FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB WARREN TM PUBLISHERS- BOSTON I — sio•__ I �:a , i i I 3 l . ----- - --- ------- E P E , r y Ib' I m5• �O s ^l I I C OAK I cl , � I i I K I ( � ----------- _______ 6 m --- i r J ii---- I b m --- J - I -- - t� In a ^� ¢x P m _ Z. I 6 V 91 I Z -�--�—• I m C � I d Lre. I �a t 1 y 1Q 11 i i r,• °' a II `ILJIL6 r. I b r Am b 11 O3r LLp li sow - � — 21 A _ d 14;.Ojm A� ID d' 4 R•b' I SY-0' v H .05 N MF DAM REVISION DRAWN By > l RESIDENCE COSjCM RANCH- I7-18.91 DEVELOPERS J B LuRa�Icr WO CAR GARAGE >I. ,J --------------- 1 ---------------------------- ---------------- 6 I C , G 8 i e VVV , I d I ; ; OI I i l , �p N Ir L{i\ I^ O F G G� irk DATE G2.—^LM a REAM DEVELOPERS domm RESIDENCE CUSTOM c /tit e/c wn CAR GARAGE Wm. Harvey Licensed Cellars,Septic Systems D ii{eways,Drywalls Irrigation and Electnc�Trenehes)Waterlines Title V Inspections "Done Once,Done Right' 9, (508)265-3483 BILL HARVEY i 01. s a rt a 41, 't" 2 3. -\ COMMONWEALTH OF MASSA -HUSETTS MAP EXECUTIVE OFFICE RE AF per.. I DEPARTMENT OF ENVIRONMENTAL PROTI ®' 'IOII• . R. CEIV D ? A VIAR 0 4. 2003 a TOWN OF BARNSTABLE - • TITLES HEALTH DEPT. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 757'410/ Owner's Name: 7F4 wi e 5 Co/tft ✓t i Owner's Address:—?r a T i✓ S': h c� Date of Inspection AA, 3 Name of Inspector. (please riot Company Name: k) ��'t�e Mailing Address: 3 tL •- d,0 r) oa.f.�L Telephone Number. ON -a2 i J—3 Y& CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to .340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority s Inspector's Signature: ,.1 Date: 01 03 The system inspector shall submit a copy of this' on 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 now of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of.the DER The original should be sent to the system;owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments �^ , w �.� as : « e� oS ?4M T Y-4 ""This report only deWribg editions at the time of.inspection,and under didons it that � ,. time.This inspection does not address how the system will perform in the future the same Brent, conditions of use. i F� � - .Y. • d' L!N.'ej'�A'J�Yi'•�3Y�.Nrf - M Page 2 of l 1 Al OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: c00.13 GY Owner: /2 M il'-c-L. Date of Inspection: o Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Syste asses: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: L^ o o S e..-7 -F n S CJti .2 p S �a .�rKV 0 W a Q� B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is:metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection jf(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system requh-ed pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed } ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Q:Y u �— Owner. e. .t:cn Date of Inspection: .o,.. C. Further Evaluation is Required by the Board of Health: Al/iJ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the Y PP t) system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**.Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other. t Page 4 of 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: �� `1 -5 i 0 Owner:Z3Mc Date of Inspection: , 3 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 —o< Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool v 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 _Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped vAny 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. _jZ Any portion of a cesspool or privy is less.than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility,,and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] f —(2 (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CM R 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no ojo the system is within 400 feet of a surface drinking water supply _ 0 the system is within 200 feet of a tributary to a surface drinking water supply — alp 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 CN R o 15.304. T.heisystem owner0ould contact.the appropriate regional office-of t1V Departrrient y r Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address• Js- Owner• ( =d n e I Date of Inspection: N'l /0 3 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No v-` 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? f Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? _�the t_ Were the septic tank manholes,uncovered,opened,and the interior of the tank inspected for the condition of affies or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no .�_ Existing information.For example,a plan at the Board of Health. ` — Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 C M 15.302(3)(b)] Page 6 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM/ INFORMATION Property Address: —� c r Owner:. V '9"'tS AAit*1 Date of Inspection: jjA FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 9(6 Number of current residents: _ Does residence have a garbage grinder(yes or no): h+ o Is laundry on a separate sewage system(yes or no): yes separate inspection required) Laundry system inspected(yes or no)- Seasonal use: (yes or no): kv V 0'Water meter readings, if available(last 2 years usage(gpd)): �6/ oc Sump Pump(yes or no):_N o Last date of occupancy: /mac S•.r I�y. COMMERCIALANDUSTRIAL Type of establishment: - Design flow(based on 310 CUR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no):— Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no): S If yes,volume pumped- ons—How was quantit pumped determined? Reason for pumping: oTo X Z'Lt,,- /apt . TYPyt,OF SYSTEM eptic tank,distribution box, soil absorption system _Single cesspool Overflow cesspool —_Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _InnovativetAlternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) —Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components date installed(if known)and source of information: 0/P_4H S o Were sewage odors detected when arriving at-the site(yes or no): -1y D Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR_M PART C SYSTEM INFORMATION(continued) Property Address: S Co T �--� s• s Rd 3 cf Owner: \��4 +✓lt'S (a.�nnc�t� Date of Inspection�i/li! •,�, f'3 BUILDING SEWER(locate on site plan) N Q Depth below grade: Materials of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting, evidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) Depth below grade: /0 1 S Material of construction:_concrete_metal_fiberglass__ polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: l So o " Sludge depth: Distance from top of sludge to bottoiA of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: ` Distance from bottom of scum to bottom of outlet tee or baffle: �- How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related o outlet invert,evidence of leakage,etc.): r' GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction: concrete_metal fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,.structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 4 s'�. Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continual) Property Address: S S Owner: .�o�c �'. 0A3C)'� Re i Date of Inspection: j4j..2 c` i 3 TIGHT or HOLDING TANK:_x+tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:-0- (of present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution t outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): A;OWL Aj ou !.V PUMP CHAMBER:-Z(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: �S 4 �� 0 S /4 crri2tr Owner: /?-4eS .i,X-hits Date of Inspection: mac, i 0.3 SOIL AB ORPTION SYSTg (SAS): (locat on site plan,egcav�tion of requ* e� / If SAS of located explain why: Type :jeaching pits,number:_ leaching chambers,number: leaching galleries, number: leaching trenches, number,length: leaching fields,number, dimensions: overflow cesspool, number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS:y (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer. Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: �(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Page 10 of l 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION(continued) Property Address: 75—0,1,4o; �S �-. � • wh r o2 3�� Owner. Date of Inspection: lyLinc.L 2/a3 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. 4A a3 33 AC 301 AD 31 80 3f c A 01 6 d ..�?+ A" A . fl1 Page 11 o _ OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) / c Property Address: � h s -3 Owner: C} nOrA Date of Inspection: !M�t�h i/ 0 3 SITE EXAM Slope p/ Surface waterC— Check cellar Shallow wells Estimated depth to ground water 0 feet Please indicate(check)all methods used to determine the high ground water elevation: `Obtained from system design plans on record-if checked,date of design plan reviewed: ,-'Observed site(abutting property/observation hole within 150 feet of SAS) ciChecked with local Board of Health-explain: .,,-Checked with local excavators,installers-(attach documentation) ---Accessed.USGS database-explain: You must describe how you established the high ground water elevation: �c-S C j - ocV I J o »� u No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH OF (ba-&W�D L.X — APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( "Repair ( ) Upgrade ( ) Abandon ( ) - [/Complete System []Individual Components rue Location ncr's amc SMap/Parcel N A ress Lot# eleph ne# k'D LIP Installer's Name designer's trne Address I Addres � — Z Telephone R /1Telephon N Type of Building: Lot `S Sq.feet Dwelling—No.of Bedrooms I�Garbage, rinder ( ) Other—Type of Building No.of persons Showe s ( ), Cafeteria ( ) Other fixtures Design Flow imin. req red)!6 gpd culated design flow er gpd D6 ow provided gpd Plan: Date -3 Numbe of s ets I Revisio Date Title Descripti of Soil(s) "-�� = MAAM Soil Evaluator Form No. Name of Soi luator Date of Evaluation - DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Di sal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Co once has b n issued by the Board of Health. Signed Date Inspectio '� '� FORM t - APPLICATION FOR DS P DEP APPROVE ORM 5/96 --------------/----------- -- ----- ------- ------------------------ ----- NO. AfJ 10 THE CO MO WEALTH O ASSAC USETTS FEE d 4u"'-'o fr BOAR OF EALTH CERTIF A OF CO PLI NCE Description of Work: ❑ I 41vidual Com onent(s) ❑C plee S stem The undersigned hereby certify th the Sewage Dispos System; str ed K,Re aired( ),Upgraded( ),Abandoned( ) by: •�! _ at 4 / 6 has been installed in accordance ith t provisions of 310 CM (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: I ector Date The issuance of this certificate shall not be nstrued a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANC EP APPROVED FORM 5/96 - ------------------------------- ---- ---------------------------------- No. 91pol' THE COMMONW /T�H F MA SACHUSETTS FEE AV- <-8 OARD O HEALTH DISPOSAL SYSTE ION PERMIT Permission is hereby r m�toCo uct Repair4 rode/� undo ) an individual sewage disposal system at 6_ /� '-"4 �cl-'e- -" as described in the application for Disposal System Construction Permit No. dated l " �� r Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB WARREN TM PUBLISHERS- BOSTON No. / — HE COMMONWEALTH EOFk MASSACHUSETTS FEE r BOARD OF 'H 'E ALTH F s fQ SZ... j APPLICATION FOR DISPOSACSYtSTPM CONSTRUCTION PERMIT. �Apphca"ti'on for a,Permit to Construct (Repair ( ) Upgrade ( ) Abandon ( ) = [ Complete System ❑Individual Component r - { j _T Locatio ncr'sliqame ^ G M.p/Parcel# A ress Lot It T leph ne# 't _ Installer's Name signer's ame q; Address Aryddres ,. Telephone# Telephonj# Type o,Building: A % "".;µme Lot S Sq.feet Dwef �ng—No.of Bedrooms r _ Garbage Tinder ( ) Oth Type of Building No.of persons Sh er— ow s ( ), Cafeteria ( ) Other fixtures Design Flow min. requ red) gpdZC. culated design flow gpd De ow provided3�gpd Plan: Date - Num ets Revisio Date Title. 0 tQ.li� Descript of Soil(s) "-art "- V1 Z n-l Za S Soil Evaluator Form No. Name of Sot Y' for a' Date of Evaluations- } r - ` DESCgIPTION OF REPAIRS OR ALTERATIONS s•. The undersigned agrees to install the above described Individual Sewage Di osal System in a ordance with the provisions of r TITLE 5 and further agrees not to place the systeefi�in operation until a Certificate of Cc once has b n issued by the Board of Health. Signed Date NF.• Inspectio 3 :Y _—��--�`— FORM�``1, APPLICATION FOR DS P — DEP AP'PROVE FORM 5/96 No. 6 �M �G THE CO hMO WEALTH O MASSAC USETTS FEE vMrdVr0 , BOAR OF. EALTH #CERTIF A OF CO PLI NCE Description of Work: t`, I dividual Com onent(s) ❑C plete S stem The undersigned-hereby certify th t the Sewage Dispos System; str ed( R)aired( ),Upgraded( ),Abandoned( ) t , by, at •. `" "has'been installed in accordance with t e provisions of 310 C ® (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) d A •Installer Dei gner:�- I ector Date The issuance of this certificate shall-not be nstrued a a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANC EP APPROVED FORM 5/96 it No. THE COMMONW ELTTH F MA SACHUSETTS L 1 f V,.r��! 1 OARD O„ HEALTH P ` s DISPOSAL YS "O4 ION PERMIT Permission is hereby gr me to-.Co uct (� RepairkL rad e undo (� ) an individual sewage ± disposal system at' � � a.�-- f l} as described"' *.. a.t in the application for Disposal System Construction Permit No. dated .. Provided: Construction shall be completed within three years of the date of this permit.All local conditions'must.b.e,met. y •TM a.. Date Board-of Health FORM 2 - DSCP DEP APPROVED FORM.5/96:- I FORM t•255 tR£V 5/96)-'•.{r H&W HOBBSB WARREN TM PUBLISHERS- BOSTON - 3 _ ... f ;.. �-i•i.. . i ��rT+ql��yl�tgd .�"I�' 'X �4�ir/'.'+W f.1fr i , No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (Repair ( ) Upgrade ( ) Abandon ( ) �mplete System ❑Individual Components Location - Owner's Name ap/Parcel# Address Lot# Telephone# (1st_ W[.cs� 2,4_G Installers Name Designer's Name Address Address Telephone# Telephone# Type of Building: Lot Size O,S e. Sq-feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) GJ `� gpd Calculated design flow Z2.¢Q gpd Design flow provided 3SSpd Plan: Date 1-3- � Number of sheets Revisi n Dated Title I Descripti of SOil(S)C/^� Gt �— �1 S `'- 32" c -�— Soil Evaluator For No. l Name of Soil Evaluator ,Sc�-Ai xt , Date of Evaluation-7r DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE S and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 ------------------------------------------------------------------------ No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ----------------------------------------------------------------------- No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON t No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH �} 0FIRnl�a)t Sl I_ APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a.Permit to apt struct (/'`Repair ( ) Upgrade ( ) Abandon ( ) - complete System ❑Individual Components COL Location Ownerl Name ap/Parcel# Address Lot# Telephone# Installers Name Designer's Name Address Address' Telephone# Telephone# Type of Building: / Lot Size 0,e e. &e—k-et Dwelling—No.of Bedrooms Gi Garbage Grinder Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 5 gpd Calculated design flow 2.ZU gpd Desigr w provided 3SSpd -Plan: Date' Number of sheets Revision Date Title r DescriptiA of Soil(s)b-, n .Soil Evaluator Form No. e n 19 C, Name of Soil Evaluator ^ cLc Date of Evaluation- 7 DESCRIPTION OF REPAIRS OR ALTERATIONS f The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. 1 Signed Date Inspections ``... FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 f f No. THE COMMONWEALTH OF MASSACHUSETTS FEE JL BOARD OF HEALTH � CERTIFICATE OF COMPLIANCE "Decri tion of Work: Individual Component(s) El Complete System "The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No: dated Approved Design Flow (gpd) Installer _ Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. �. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS ry FEE BOARD OF HEALTH 1 DISPOSAL SYSTEM CONSTRUCTION PERMIT 7 Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated F Y, Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Board of Health FORM '2 : DSCP DEP APPROVED FORM 5/96 �.;�;rr'.i�•w.;_. - - t is FORM 1255 (REV 5/96) H&W HOBBSS WARREN TM PUBLISHERS- BOSTON m w tD tL CIO( H No. +cif THE COMMOPMEAL T'H OF MASSACHUSETS FEE Ald BOARD OF HEALTH DISPOSAL ,SYSTEM CONSTRUCTION PERMIT Lo Permission is hereby granted to Cbrnsiruct ( ) Repair ( ) U --).-- on ( ) an individual sewage dN-posal systern at - as described �� .date in the application for Du'spnsall System Construction.Perm' . o. OF or Provided; Co tructi s 11 a col pleted within Ihre years of Ilse c�a1e of this A-j local con ons MM Date G ;�-- r+d°f�eaDch FORUM 2- JG P 0EtP APPR/DYt£O FORM tIJ91fi FORM 1255(Rev SAG) 1Hi0V 110M8B8IWARWro PUBLISHERS-BOSTON m 1n n *r m 1n w m )n m co v m m tr) m v 0 0 cc ccmD m �_.-.. cm LLJ L.0 Cie cn z LLJ o o 0 W.. W CM Z J o d O �_ 0 V �� c�7 a Z — CG . . . C V'f tv , -- ----- --------------- W o t Cie o J_ as 0 cm -cmE Q V m pip 1 io 0 of W 'MOD 9— LAJ CC W � =C LA- � t7 �N o cn Z ROE ED W =fie gaC �P r . � Q^ c-dig zoo" - ^� /Qox r"" ❑ p ° � a a co , 0 0 a O ° O O 4MAP { s o4 o fl c a1a 6•o ao a OWIL Via,Z y _ O � ��-�,f� s� k � .ter• b 1 y �h s � •O\ d c ° • e • 1 \ G d f Y oA i` pp,kp t r i S J 1 I� yy i ^ e as x a, Ofk,, e } i Ir' t6 0_it `:Ot a L O1S�0 3JN3C!S3a APMW S63dOl3430 WV36C I -------------------- dl off, ----------------------------------- �i is r i r � r i i i ; O r i i i I 4 . I i r r i i � 4 \\` i i ----------------- i 41 i � I � i rd r 29vzovlD 8l'9 va, M-2t-tl HDkvL 1:01Sf:) 3DN3a,S3D WOMM 9263d013/.3O .md a n ; Inca 1 7,s3a .PAC i m go ------------ uao 4 'I 4 ' O ; m I I l j m CLm I fl t y° 5' 114 �— ! — !1I I: i o u , I r'-j , t -- ; f I .._,.of I •.._,:�. _ _. --------------- rw Sr t I --- 4 t -- ------------ ' i ------ Ii I x I 1 D & ISLANDS ENGINEERING SHELLBACK PLACE• BUILDING 2,SUITE E 133 FALMOUTH ROAD(RTE 28) • MASHPEE, MA 02649 (508)477-7272 9 FAX(508)477-9072 August 4, 1998 Mr. Thomas McKeon Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: Map 37 parcel 19, Lot 53, House 75 Cap'n Isiah Road, Cotuit-Barnstable, MA Dear Mr. McKeon: Enclosed are revised plans dated August 4, 1998 which reduces the soil absorption system to 247 gpd for the proposed 2 bedroom dwelling. Arlene Wilson will be representing the owners at the August 11, 1998 Board meeting. Sincerely, DS/cma David Sanicki enclosure cc: Arlene Wilson No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF H ALTH OFPftkl5L� APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (Repair ( ) Upgrade ( ) Abandon ( ) - Lwomplete System ❑Individual Components T5 On 1 La-k L�^al�yl � Owner's Name I YIP/ MaoParccl# Address Lot# LAnA Tclep one# , Installer's Name Designer's Name Address Address Telephone# Telephone# Type of Building: Lot Size �ts�Gv^,( q--f"E Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Buildin No.of pe ons Showers ( ), Cafeteria ( ) Other fixtures DW C 0- r) :X �3 a l+ooc�, SC- Design Flow(Tin. required) ' gpd Calculated design flow gpd Desi nfllogrr vided gpd Plan: Date Number of sheets Revision Date 1 ° Titl (,+ Description of Soil(s) D'-4" Trx,o�- 4� 'k Soil Evaluator Form No. Name of Soil Eval tor]P, , C(d9 Date of Evaluation-3 lc4.1!q 2: p C/1 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 -------------------------- ----------------------------------------------- No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System l The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by. at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ---------------------------------------------------------------------- No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB WARREN TM PUBLISHERS- BOSTON r� No. THE COMMONWEALTH OF MASSACHUSETTS FEE + y w - BOARD OF H EALTH OF •1 rr APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (✓J Repair ( ) Upgrade ( ) Abandon ( ) [Womplete System ❑Individual Components Localize Owner's Name \j Map Parcc # Address Lot# Telephone#1 i & '\ JA A-V J Installer's Name Designers Name 4 Address Address Telephone# _ Telephone# Type of Building: L6tt Size f Dwelling—No.of Bedrooms .. Garbage Grinder ( ) Other—Type of Building No.of pe ons Showers ( ), Cafeteria ( ) Other fixtures (C-0- Design Flow( in.required) gpd Calculated design flow e> gpd Desi n flo r vided gpd Plan: Date 13G / Number of sheets — Revision Date c� Y`r `I'ttle d Description of Soil(s) �'- " rA .�t¢�•� �a�t vun.`_t- ��c�,��"— 1�iE` i'Vl� �� C Soil Evaluator Form No. Name of Soil Evali Date of Evaluation 1c;; IQ F g I . DESCRIPTION OF REPAIRS OR ALTERATIONS f I The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. j -s Signed Date Inspections I. FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS \\`tf FEE BOARD OF HEALTH ` CERTIFICATE OF COMPLIANCE ;r 'Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) �.: by at has been installed in accordance With the provisians of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. r FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 v I y No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOS NL SYSTEM CONSTRUCTION PERMIT r` Permission is hereby granted to Construct ( ) Repair .(- ) Upgrade ( ) Abandon ( ) an in ividual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. ' Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96). H&W HOBBS&WARRENrM PUBLISHERS- BOSTON i CAPE & ISLANDS ENGINEERING SHELLBACK PLACE• BUILDING 2, SUITE E 133 FALMOUTH ROAD(RTE 28)• MASHPEE, MA 02649 (508)477-7272•FAX(508)477-9072 August 4, 1998 Mr. Thomas McKeon Barnstable Board of Health 367 Main Street, Hyannis, MA 02601 RE: Map 37 parcel 19, Lot 53, House 75 Cap'n Isiah Road, Cotuit-Barnstable, MA Dear Mr. McKeon: Enclosed are revised plans dated August 4, 1998 which reduces the soil absorption system to 247 gpd for the proposed 2 bedroom dwelling. Arlene Wilson will be representing the owners at the August 11, 1998 Board meeting. Sincerely, David Sanicid DS/cma enclosure cc: Arlene Wilson 08-04-1998 11:29AM FROM A.M. WILSON ASSOC. TO 7906304 P.02 A.M.Wilson Associates Inc. July 31, 1998 Barnstable Board of Health P.O. BOX 534 367 Main- Street Hyannis, ,3MA 02601 R€: Curreri Residence 75 1,Cap1n- Isiah: Road (our File No.. 2.0912.01 Dear Board Members-, ; We hereby request that you reconsider work proposed at the above captioned location. It is our understanding that additional review can occur at your meeting. of August 11, 1998 . The reasons for our request are based on plan modifications and additional information described below. As you are aware, the Town's 1993 Groundwater 'Overlay District shows the -subject site to lie within a Zone of Contribution. In such an area, Title 5 would allow a 3 bedroom dwelling on a loot of less than one acre where the lot pre-dated Title 5. The subject lot was created more than 20 years ago and has been held in single ownership since that time. It contains +23,522 s.f. There appear to be two issues of relevance. The €irgt is bedroom count. The second is the accuracy of the Zane of Contribution When Title 5 was rewritten in 1995, the definition of a bedroom was a significant one for the Technical Advisory Committee, of which I was a,member, and for the public. The final definition i sets up a multi-pronged test. The room must: F. 1) have' sufficient privacy; 2) be primarily intended for sleeping; and 3) meet the Klass. Building Code requirements for habitation. : i. P.n.RAY 486 508-376 0327 3261 Main Street 508 42_8 1450 Barnstable,MA 02630 fAX 375 0329 08-04-1998 11:30AM FROM A.M. WILSON ASSOC. TO 7906304 P.03 S # In the case of the Curreri dwelling, the space over the garage does meet Code requirements for habitation. It does not, however, provide requisite privacy in that it is not a closed space; there being no door. Further, it is not primarily intended for sleeping. The drawings label the space as a recreation room/:den. It has not been provided with closets, so its functionality for permanent or extended use as a bedroom is limited. The owners are willing, ' although they would prefer not to be required, to have a restriction drafted and filed in their title limiting the house to two bedrooms so as to put future owners on notice. j There is, clearly, always the potential that all of these ? proceedings and agreements are forgotten. A do-it-yourselfer would go in for a permit to remodel the space to make it a bedroom. A Health Agent reviewing the building permit at the counter would see that the system capacity as originally designed was 355 gpd and inappropriately sign off on the permit. The way to ensure this does not happen is to reduce the capacity of the septic system below that necessary for a 3 bedroom dwelling.. The revised plans being provided to the Board have done ; this. Finally, there is the issue of the adequacy of the Zone of Contribution Mapping. Approximately two years ago, the Zone of Contribution Mapping for the Town was revised using best available data and methodology. A copy of a section of that map for the area relevant to the Curreri site is appended. As you can see, the site is no longer included within a Zone of Contribution. It is true that this mapping has not yet been adopted by the Town Counsel. The reason appears simply to be a lack of prioritization; i.e. , a political rather than a scientific one. The new map represents the best available documentation and could, therefore be relied upon under Title 5. Presumably, the Town will one day soon put the money it spent on this work to use by adopting the map. In light of the plan revisions, the fact that the drawings meet Title 5 requirements to define the structure as a two bedroom dwelling, and. the Town's own information showing that the site is not really in a ZOC, we believe the Board should be comfortable in i 08-04-1998 11:30AM FROM A.M. WILSON ASSOC. TO 7906304 P.04 i i I authorizing staff to approve a Permit for the project as now proposed. i Yours, A. M. WILSON ASSOCIATES, INC. i Arlene M. ilson, PWS Principal Environmental Planner attachments cc: Barbara curreri Atty. James Wilson i i 798AW32/csp i J i , i i I i i t i s i i I i i i k k i i i I ' I i 1 I 1 08-04-1998 11:34AM FROM A.M. WILSON ASSOC. TO 7906304 P.O? i - y� ,2-!ssa mow sbuolv3c knzsC i 571�5'd �/ i6-&_•ti ��r:-a uojsi� t {` I ------------------ E . s f - f - ---------- -- ----------------- t ` 9 ::..'.. •1.. 8 f I I iL 1 f fi ------------ --- i I ^0`8-04-1998 11:31AM FROM A.M. WILSON ASSOC. TO 7906304 P.06 Y'. 1. _"�^ �• .+�-<' a'�-_��--ate "�`r MN j:0j.41 Q Ora� 4 q a O p v �` y •3 • �` � 040 c � 4 o�Q Q^ � � e ��'t �� c e •n b o '~,/ •/, � y'c� $` 'fit (r.>., :•s,. 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Y,• `S". ..".°W""fy::i:vT�.: -"�>,:..�y....�:.. :,shy - i '}' ?'-,.• .�•:si;�,.�r.:_s'•: '; ..:.;e, �. es.r,•.^ d:"-t£;;S;:.y„zv;c ':q.,.ry.:;,.; '!�:r•':,�? f:`.• ..a._;a �� '._�� ..r:•r;a`,�::,.., t:`%;,�:`;,�•:(.,-.t ;]q,... .:F.:s;;,:r.��c.,w..$ikc,�C':. .s„ga.�. ..�l�k�:•,"i /,; -..,,.i..:, ___,..;,, .i.,. �• ..�. �'xkCL+ :,r 'Er:S. e:4s rf:.' 7;:%lwr :�T�„9<:.`c?;r..:" ii"Ya:�?�,R.;;;�.;c .�n., ..„...'2......u�.rr. .vna.._ti A��..r�ri':=�.,,,�:�'i)'�'i`5, ,...,.,,,�`>^._. ..., ."0:"N��'._,.f8"•r"r:,' ,,. ` ..�;, � '+� :�,.�'•S�+a�.�•,>�:; A 08-04-1998 11:30AM FROM A.M. WILSON ASSOC. TO 7906304 P.05 Ln -� LJLJ CD W o -s : . C — � ® _ i to d— oo a LLJ16. --------------- 40 i [ — Bit C3 G� cm 71 72 45 �m a W.-mm �a 7 u u CL- » G t . a dam e JHP OfficeJet Fax Log Report for Personal Printer/Fax/Copier BARNSTABLE HEALTH DEPT 5087906304 Aug-06-98 10:45 Identification Result Pales Tune Date Time Duration Diagnostic Dr Murphy OK 06 Sent Aug-06 10:38 00:07:14 0020c4130020 r.zn z.x HEtpk� Town of Barnstable snruvsTaBm ; Department of Health, Safety, and Environmental Services 9�piL639. A•�� Public Health Division rF0 MA'l 367 Main Street, Hyannis MA 02601 FAXDate: O ZLiNumber of pages to follow: To: 9' From: Phone: Phone: 508-862-4644 Fax phone: Fax phone: 508-790-6304 0 CC: REMARKS: Urgent or your review Reply ASAP ❑ Please comment 08-04-1998 11:29RM 1-RUMR.M. W1`LSUN RSSOC. TO 7906304 P.01 i I r c A.M.Wilson Associates Inc, PAX NUXBER (508) 3/5-5329 inn. ,i 193�.v .000.1;A'*"1d"-A/ d /_C 7�Z r COMPANY/DEPARTMENT: J x { Number of pastes (including title page) : • COrII�i$NTS i FROM: u � C�%lGSd�f XF COMPLETE DOCUMENTATION IS, NOT RECEIVED, PLEASE CONTACT•.U2k_K . " `5o3.j3a5-0321. P.O.8=486 508 3�5 tt327 3261 Main-Street 500 428 1450 i7$f�1 f8Die,MA UGC:7t� L CAPE & ISLANDS ENGINEERING SHELLBACK PLACE• BUILDING 2, SUITE E 133 FALMOUTH ROAD(RTE 28)•MASHPEE, MA 02649 (508)477-7272*FAX(508)477-9072 July 24, 1998 Mr. Thomas McKeon Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: Dream Developers, Lot 53, House 75 Cap'n Isiah Road, Cotuit-Barnstable, MA Dear Mr. McKeon: Enclosed are revised plans, changing the proposed dwelling to a 2 bedroom home with an office (14'x22') 308 square feet. Assuming approval of the Board, the owners are aware a recorded deed restriction will also be required. The builder or the owners will represent themselves at the Board meeting scheduled for August 11, 1998. Sincerely, David Sanicki DS/cma enclosure cc: Dream Developers �I r y. pf DATE t ? FEE: MA�■A MABI _ Town of Barnstable �A i679• �� REC. BY TfD MPr Board of Health 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan 0.Rask,R.S. FAX: 508-790-6304 Sumner Kauflnan,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION CAP Property Address: 7� I� �& Assessor's Map and Parcel Number: 3 / Size of Lot: r 5 4 ,cotf.R.,6- Wetlands Within 300 Ft. Yes Subdivision Name: No Business Name: APPLICANI CONTACT PERSON Name: ME5 fib_ 0Y0- OA MI Name: W ` 0 C1tt ' �IC�,I- 1 � 0�i9'� I Address: 1 • V ° 36 1 )Z-7 t24U�-� Address: L e Phone: d'I 9 Phone 1471 FAX: FAX: 77�7oZcp� VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) cue k-l—)D t c-Llp C11 K-2 : i lC �h ©ri'�. 10 - IC recklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(norm for lifeguard modification renewals,gresse trap variance renewals(same owner/leasee only],outside dining variance renewals(same owner/lessee only],and variances to repair failed sewage disposal systems(only if no expansion to the building proposedn Variance request submitted at least IS days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ _ J. No 7 _ 7 _ r� Fss... F .-..... • THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...................................... .. OF.............I—.................-.----------------••---.............................. Appliration for Uh4pugFal Works Tattitxttrtinn rantit Application is hereby made for a Permit to Construct ( ) or Repair /( ) an Individual Sewage Disposal System at: -� � �6' ► __ /n�So2 �cS/e�fN S l l`!�:-...--.--__. .......:1:!.. --- --l.�v- !J `'`6— y �_ ._. ... .......... Loc ti n- ss ,�s—//' or L`qt y.. ac--- qv c. r ner 0 )'t..... ....................................... ddress a Installer Address Q Type of Building Size Lot_C:9/j.� Otq. feet U Dwelling—No. of Bedrooms......... ._ ........................Expansion Attic ( ) Garbage Grinder' rr a Other—Type of Building gt.K ..... No. of persons......... Showers ( ) — Cafeteria ( ) dOther fixtures --------------- -•--••••-•---•--•----•--------------•-------------------------•......_....•-•---•-•••••••---•-•--------•-•-•------•---•------.------ W Design Flow......... �........................gallons per person per day. Total daily flow........... .................gallons. WSeptic Tank I Liquid capacity/49(,V.gallons Length-------------_ Width---------------- Diameter_............. Depth................ x Disposal Trench—No. .................... Width.................... Total Length................. Total leaching area___...._•...__......sq. ft. Seepage Pit No....___�_..__...__.. Diameter......... ...._ Depth below inlet........ Total leaching area��...._...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results 2 rAPgrfor_ d by (��5... Date Co a Test Pit No. 1................mtnu es eft inch Depth of Test Pit......... _ Depth to ground water.__1 (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .............................. ,�w �� 0 Description of Soil... -g-t �� t -------�1jZ-- «--- -�ot(t c.......�M� .--!/k� 1 x ' U W •-••••----•----- •-------_---••----••--••-•-----•------••-•-•---•------------••.............••••••-•-----•-•--••-------------••-•------•-------•---•-•-•--••-----••--•-------•---•---•••-•.........--•-•- UNature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------------•----._.___- -•-••-•••-••••-•------••--•••••-------•---•-•••--••••••••---•••---••---••--•---•....................•---••-•-•-------------•----...---•---•-----••-•----•-•-----•--••••-•-------•----•--•••-•........... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of A.p of the State Sanitar ode— The undersigned further es not to place the system in operation until a Certificate of CompliWasen by th b of health.. ... ------ --------- ------------••---•--•--•• ................................ Date Application Approved BY ..........2. Date Application Disapproved for the following reasons:............................ .... ........_... ........................................................... ....-•---•----------------------------•---•--•-----•-------...--•------......-----------------------...--•-•--•-•....-•------•---------•---•----•-•-•--•••••-•--••••••-•--••----••-•••••--•--.......... z Date PermitNo......................................................... Issued...-----------------•-•------....-•---•---------•---- Date No.. :7 7d. - Fps. ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ - - -------------...._OF..................................... Appliraatiou for Disposal Works Tonstrurtiou rnmit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal /y System at: tt �+ Lo ti n-A /es's`� C /� (� I fPV J---F=� t1... = ...�....r�.l�1 bi �J"�.o I'� 1 C_s�'r 4`aL YV IVi ---- ........._ , 4��' ' i �✓ � Installer Address � �� U Type of Building Size Lot..___.....�(................Sq. fee Dwelling—No. of Bedroo `��.......................Expansion Attic ( ) Garbage Grinder a Other—Type of Buildin two 'u � yp g _______'�E_�__.'�..... No. of persons............. Showers ( ) — Cafeteria ( ) Otherur s -----------------------------------------------------------------------------------------------------................ Design Flow ....... . ......................gallons per person per day. Total daily flow..........__' ....................gallons. WSeptic Tank Liquid capacity/lgallons Length................ Width................ Diameter_------------- Depth................ x Disposal Trench—No..................... Width....___...�........ Total Length............ y.. Total leaching area.......-_. sq. ft. Seepage Pit No.------I------------ Diameter.._...... ----- Depth below inlet......... ...... Total leaching area"!............sq. ft. Z Other Distribution box ( ) Dosin tank ( ) ~' Percolation Test Resul Perfo d by.. _t.___ .a +, ? ..................................... Date_. ' G a ,ram. u'� ,�• 71 G,eJt��-�t^- Test Pit No. 1................minutes er inch Depth of Test Pit___...._. l +. Depth to ground water.._._---________-----._. (� Test Pit No. 2................minutes per inch Depth of Test Pit----................ Depth to ground water........................ ---.-- -•------•---------... -- �� Xr�D Z � � {� � ��escrptonool--- 7"---Lfipw ................................. . - � U --•------•-------------------•------------...----•------•-----------------------...•---•=------•-••-•......•---------------•-------......-----------•---•------•--•---•---------------••--------------- W UNature of Repairs or Alterations—Answer when applicable._.-__------------------------------------------------------------------------------------------ •-----------------------------------------------•----------•---------------------------------•......----•-•-----......---------•----•••-•••------•----------------------- --•-•-•---••-•----•-------•--• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with. the provisions of f•1T T L^ 5 of the State Sani tam.Cede— The undersigned further es not to place the system in operation until a Certificate of Compha e has been i e by th of health.//j 2 G Slgn •--•.... . . ApplicationApproved BY--------;- - -- ---- -- -•- -- •-- --- -- ---- ...._'.............. '-- --------------------------- Date Application Disapproved for the following reasons-.............................. -------------•-----•-•------------•---•-•------....--•-=----•-----••.. ..-•-•---•----.......-•--.....•----•----...-----•--•-•------•---•-•---•-••••-----------------------••-•...---•-•---•----••--.......................... ................................................ Date PermitNo......................................................... Issued_....................................................... Date THE .COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALT ................71 .:.c......OF........... ................ Trr#ifiratr of (911*ntliliFattrr THISA TO C RTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) y.... :.,. �, .................•---. 07---------------- ..............Inst ler � �J f has been installed in accordance with the provisions of �� 2..�f h�r.State Sanitary Code as ylrssc jbe i the application for Disposal Works Construction Permit N ......... ....j-- __.______..__. da.ted-._.�__ �'..___----------_.._ ..... THE ISSUANCE OF THIS CERTIFICATE SHALL OT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM- WILL FUNCTION SATISFACTORY. DATE.........., J Ji=t......-..-•---.....---•---•--•--••---------------- Inspects �`% " THE COMMONWEALTH OF MASSACHUSETTS BQARD HEALTH No.. 7 d1• ""/`" ........OF.. G ' 1=............................................... � FEE... ................ Disposal kF kk onotriuliott amit Permission is by granted.. ----•-. •--- r...... .......... :L to Constk4 t ( 1pair'( ) 'rI Ivldual evvae Di osal Sys m + as shown on the application for Disposal Works.Construction it N '_., Dated-----�:__.___'z..... ...............: Board of Health fr DATE-------�.-----..�--•�.--�---------- -------•--•-------------------- � FORM -1255 HOBBS & WARREN. INC.. PUBLISHERS- - { I L-10 GA2>aAGC— �tzl��z. � �ZS C✓f�� ___ t>&t L.4 PLow _ 110 -4 G.P.V. eE -Tl G TAs-.t tC = 330" lc�O % • 4-9 5 6.P v. A u Ste- t o 00 6,4L_. J� SUGWALL AeG•A = LSO S.P. i�X� gF ,c 2.S • 3 7S G.'F?D. 8�T'Tt7Wl L1.eeA= Sa 51=. TOT,&L ESIG►J = 425 G•RD- Toro t_ t�,cs►L_�{ F LO w = 33p 6.1?D. - P1r�2GDLATIOtJ tZArE IKI 2-M10 otz Lam`. Q mom 6 o CAL C. i f � Sq?Ttvl� g 14 Y E L ,¢40. 19334 �Q�L17 f! 4 L61*U b� I GiAa s £c° ` G 1C� t Hhu � q ToT Fwo •�oo.a, �� r �iiin• PIPE INK` ' C,Gr�ir1 �,Ppe Ioad Iu� � 4 4 1w• -Box 9G Sc�nc to �: --Z/2 I,JY TANK loan Ci&.o wv.9G•� .., L PN IT • WiT13 ,� WASMI&D p C-E.ZTlF1ED PLbT' PL.l�1�1 L b GAT l o" --- ��`t-L, -I? b LJo 40 YiAT� " • u.�� ►fib,U A.Tew- G G tZ T t F= T$4 A-r T P 1pV-Ei` - 5�-1oticJ►J t-1F.�t�nla Gcwi�'L�IS W tTN T►-E� SI DE uN� LC�T �Z ' AtiJb �cTe•ncK �c4�t�E�cuTS oP TNI�. gLr C U ._ B A,ATE l?- REGtS tt1ZED LJ►.IJG U2v`Y��S TNtS C7�t_AN IS LJOT eASC-.V vat pd.l 05TE�VtLI G v i1,CASS. 1tJ9reL),* U: -j TIaL: 0 p I=,r--T•." �IIGWI� ANtatl <_A.ti.IT �� 1 1�r ec u�,�►� ru 1��>`�c:titl►Jl_ LoT - ,►Ita6•t},tu,1 -7- 1.0t Al ION SEWAGE PERMIT NO. ` � �/11u 7�-�-- n VILLAGE 0o I � c INSTALLER'S NAME B ADDRESS AYC. �d "Yt S' T BUILDER OR OWNER r OA.TE PERMIT ISSUED �- 7 — 72 DATE COMPLIANCE ISSUED i __ _ __ � a � � �� ,� ,/ � f I� .. , ';. Town of Barnstable P# 5 Department of Health,Safety,and Environmental Services Irma , Public Health Division Date 367 Main Street,Hyannis MA 02601 BAMSTABM Date Scheduled Time 0,00 Fee Pd. ArEa�d� g Soil Suitability Assessment for Sewage Disposal Performed By:cc a", ) jo A Witnessed By:��'�y �v K"`,g U LOCATION & GENERAL INFORMATJON Location Address Owner's Name �^v GAI L�`g0.0 76e JC6"'`-� Address Assessor's Map/Parcel: 3� ' `(� Engineer's Name ep,-�4 NEW CONSTRUCTION 1 REPAIR Telephone# Land Use Slopes(%) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well R Drainage Way ft Property Line ft Other R SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes) Ca- `� Zo' 30 —o �Y a 7s� i Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater I)ETERMINATION FOR:SEASONAL HIGII:WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment R. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date 40 8 Titre Observation Hole# Time at 9"- Depth of Pere Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch 4 2"""�'� Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back—� L, Copy: Applicant DEEP OBSERVATION HOLE LOG Hole# Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,noulderes. Consistency,° o —y `t � L04..� lo `G2 tr 2. So i c b� -Let...� DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) I (USDA) (Munsell). Mottling ((Structure,Stones,Boulderes. Consistency,%Gravel) 6 — �w boa ..•� W y 1Z 2-/L Y- Z/ /Z 316 tc/-/3 z- C 17.� .5�. to G4. o.o!w 74 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. Consistencv.° ravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouldcres. Consistency.% ravel i Flood Insurance Rate Mao: Above 500 year flood boundary No Yes v Within 500 year boundary No v Yes Within 100 year flood boundary No Yes e , Depth of Naturals Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? y.e f If not, what is the depth of naturally occurring pervious material? Certification I certify that on ��'1 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis,was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017./ Signature Date S YS TEM PROFILE NOT TO SCALE ,f• ''�Bb d�0 � TOP FNON. FINISH GRADE OVER FINISH GRADE R „ ls��bbe�Qy `- EL . �'L.,� FINISH GRADE 749, 2 OVER TRENCHES FINISH GRADE OVER DIST. BOX 77, n �'0! SEPTIC TANK >7 z.•q.0� oy�/�o� 00a'o0 ` f :oeQa� 12" MAX. c o;4•b a • . • a.•n �yy 0.'::Q.e'a•''p•.I.•P.y bp' a. • ti.•. �" �"' .a•a•o'•• °' TOTAL LENGTH OF TRENCH zs ' 3 OUTLET PIPE LEVEL FOR 2 FT. MIN. 0 -0 O. . O' A• .�..,,��111 �P •ti• * 0 0�0�'a• . ?.y2� p•. ° V' %"' v CAP END • C. I. OR PVC TEES 7? 90 * °EL:° _. 73G T 7.�So : • a`� .$ .00 0.0: D�• I � �� BSMT FL . p. 1500 GALLON D DI S TRIBU TION BOX -EL .- �z.o :,o o c 9� INSTALL ON LEVEL BASE "500 GALLON 'DR YWELLS o •': PRECAST CONCRETE H 0_• REINFORCED b• D t ??�o v'.b�o o'Go a b::O a•:�'uR SEP TIC TANK TRENCH SECTION INSTALL ON LEVEL BASE NOTE.• EXCA VA TE TO ELEV. OR L OMER TO REMO VE AL L IMPERVIOUS MA TERIA L BENEA TH THE L EA CHING A REA 4 DIAM. 12" MIN. " REPL A CE EXCA VA TED MA TERIAL WI TH Z \. o:` a ,.a..:o•• .o o:o�0i•p' b'•: :o•;:o;. 3" OF ?/B"—?/2" u v' CLEAN, CLAY FREE SAND :b•.;A. .t. WASHED PEA STONE .e ••a r.. ..v o• o p r 3/4 ?-?/2 WASHED .o , P h . o e$ o;CRUSHED S TONE s ti _ r GENERAL NOTES '— TRENCH WID TH .i \ � 1. ALL EL EVA TIONS SHOWN ARE BASED ON ASSUMED NUMBER OF TRENCHES 1 z -y 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON NUMBER OF ORYWELLS 2 OR SCHEDULE 40 PVC. ®B.� VA TION l�.L , C�� ;y s✓ 4_ Q �� 7s-, �, 3. THE BOARD OF HEA L TH MUS T BE NO TIFIED MHEN CONSTRUCTION IS COMPLETE PRIOR p_ 97 <s 6- TO BA CKFl L L ING PER COL N RATE: 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED M IN./IN. — y — - BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS WITNESSED BY* SURVEYING CO., INC. GERRY DUNNING 5. MA TERIALS AND INS TALLA TION SHALL BE IN BARNS. BAD. OF HEALTH DESIGN T• •\ e COMPLIANCE MI TH THE STA TE SANITARY DA A CODE — TITLE V — AND LOCAL APPLICABLE DA TE.' ✓UL Y 2, 1999\ ,5�,/ z 3 308�"•-x /000 y 9 Z �\ RULES AND REGUL,A TIONS --- NUMBER OF BEDROOMS \ I 6. NORTH ARROW IS 'FROM RECORD PLANS AND (-7 7,o) 0 o NO �7_ Q L r s"z IS NOT TO BE USED FOR SOLAR PURPOSES '7''' -4"' °°'" f°1' - GARBAGE DISPOSA L 7. .FLOOD 'HAZARD ZONE C INON-HAZARD) t O4-�r S�^�� °YR ski DAIL Y FLOh� z �`� GAL . 77 B. WA TER SUPPL Y TOWN WA TER Zy ' z 1500 GAL . 10 z Z SEP TIC TANK REO D. c SEPTIC TANK PROVIDED 1500 GAL LEA CHING REGUIRED z 3 GPD. SIDEWALL AREA 152 S.F. I V.? �� as... �� ° ?52S.F.X 0. 74G/S.F. _ 112 GPD. �., �; 1 a v a `14 BOTTOM AREA = 329 S.F. o. ,i LEGEND 329 S.F.X 0. 74G/S. F. = 243 GPD \ ` J "� ✓o H ,w L EA CHING PRO VIDED = 355 GPD PROPOSED EL EVA TION EXISTING CONTOUR . ,. . SINGLE FA MIL Y RESIDENCE & OBSERVA TION PI T N. I _ ® DISTRIBUTION BOX o PROPOSED SENA GE DISPOSAL S YS TEM 'Savinelle Q, ` PREPARED FOR \ A 0 0 SEPTIC TANK _�-.-- —� " ��Z, .�y'� -- _-- `�; ,, `:,° •` � 3�r �` � `�� ,� DREAM DE VEL OPERS ' — '` " ' LOT 53 CAP 'N ISIAH ROAD Eaylle I— _1 RESERVE AREA z.� S Pond so -- CO TUT T — BA RNS TA BL E — MASS. ` I .� field • L o r i} iM�� N�. �% ?yc+s' PIPE INVERT EL EVA TION ti DA TE. V a� SANICKi Y CAPE 6 ISLANDS ENGINEERING 2, PLOT PLAN �,�"y� ' s� 0" SCALE AS NOTED 133 FALMOUTH ROAD — SUITE RE SCALE.• s ° � MASHPEE. MASS. s9 PLAN. NO. -��703 � t? MAP SEC IPCL ILOT HSE _--- , SYSTEM PTI691--lLE NOT.TO SCALE `~ 76' o F N R V FINIS�l GRADE OVER FINISH GRADE J 0 VER TRENCHES �• FINISH GRADE I ISH GRADE OVER DIST. BOX �� a '''�•a o' SEPTIC TANK 7 7.S'" •e is •. 7�X AWMY7'Z\ aO 12" MAX. e:Q a �' fy: :oa•;�•A,� '::Q•gy°'e' .''e°�i'°4:'.�' a tic• ib :a a.o'•. d o.o:P• 3„ OUTLET PIPE LEVEL TOTAL LENGTH OF TRENCH 2 ° d FOR 2 FT. MIN. '- " •'p p :'.Y o o Of• • w. ,o.. D, a :d• :b' • e • d'� •Py:O,..G •4' le. 6" $ s. ,Y ••o. ;;o. .� .p, °o°op o• 7/.?. 0 0 �• '•°i Tf/4.� 0 O. c.:v • o:. •:a:•:!:o.•: ••v . .. CAP END 0 e°do 1�A C. I. OR PVC TEES b 73 80 7 7 7�So 73,zo .° o ��' �' o. i • A e �� ' 1500 GALLON �a: BSMT FL . -0 .o,. DISTRIBUTION BOX F_L 07Z,Q 0A ;o c oa INSTALL ON LEVEL BASE "500 GALLON OR YWEL L S " ° •'' PRECAST CONCRETE :o•ya.p:e ai:p;•a.• '• :R ob H _--/0_ REINFORCED - a• ao • b:a o.t' •.o' �:•n•'b::o a•o'd'Q►••' v ro:o' a•''° � ' �i: •••o.v;b-o•o�, •09 'a�-�.•e:.•. •a.Q•� oo�o .4•y.'0•X+4: I SEPTIC , TANK TRENCH SECTION INSTALL ON LEVEL BASE PO TE' EXCA VA TE TO ELEV. OR -OWER TO REMOVE ALL IMPERVIOUS fA TERIA L BENEA TH THE L EA CHING AREA a" DIAM. 12" MIN. REPL A CE EXCA VA TED MA TERIAL NI TH 3' OF 1/8"-1/2" � a! :LEAN, CLAY FREE SAND 04 .'b .:A' WASHED PEA STONE U 3/4' - 1-1/2" WASHED M ��•. CRUSHED STONE GENERAL NO TES WID TH \ _ 1. ALL EL EVA TIONS SHCVN ARE BASED ON ASSUMED NUMBER OF TRENCHES 1 - z 2. ALL PIPES IN THE x5 YS TEM MUST BE CAST IRON NUMBER OF DRYNEL L S 2 ' ""�` OR SCHEDULE 40 PVC. OBSER VA TION PIT /< rr / 3. THE BOARD OF HEAL 3, ' MUS T BE NO TIFIED r' WHEN CONSTRUCTION IS COMPLETE PRIOR � �' �'/ � � Rio � �,,,�r. G G,o TO BA CKFIL L ING _ X A TION RA TE.• 3 ��y•�. e�' �' ,� � PERCr� 4. ANY CHANGES IN TH< .�.` PLAN MUST BE APPROVED <2 MIN.%IN. —=7y -- -- - BY THE BOARD OF ', L TH AND CAPE 6 ISLANDS I✓I TNESSED BY.• f - s SURVEYING CO., I.vr. I GERRY DUNNING 5. MA TERIAL S ANO ING;�'AL LA TION SHAL L BE IN DESIGN DA TA BARNS. BRD. OF HEAL TH \ M ! COMPL IANCE )/I TH .T PIE 5TA TE SANI TARY ✓UL Y 2, 1998 LOCAL APPLICABLE CODE - TITLE V - ND L DA TE.' _ _ ONS , Z — Z\ . RULES AND REGULtA r,r 10/ 2 I_ 6. NORTH ARROW IS FFgJM PECORD PLANS AND 7 7,o j o o NUMBER OF BEDROOMS NO a r sZ e4w 1,a 4 m �0Y . GARBAGE DISPOSAL I IS NOT TO BE USE,(. FOR SOLAR PURPOSES `'� Sq��I s DAILY FL Olt/ 2 20 GAL . j 7. .FL 000 HAZARD ZON_: C (NON-HAZARD, oa y y 2 �� U " ' ' 8. WA TER SUPPL Y TOWN WA TER 2y , z y SEPTIC TANK REG 'D. 1500 GAL . zz a �A SEPTIC TANK PROVIDED 1500 . 00 GAL . LEA CHING REQUIRED GPO. ,� z aa, frf a � SIOENALL AREA = 152 S.F. 1 .c ,rss... /.� S.F.X 0. 74GIS.F. = 112 GPD. I on yR `/c BOTTOM AREA = 329 S.F. LEGEND 329 S.F.X 0. 74 GIS. F. = 243 GPO I \ LEACHING PROVIDED = 355 GPD j Z PROn`'OSED EL EVA TION EXl,4-TING CONTOUR h i SINGLE FAMIL Y RESIDENCE G OBS :RVA TION PIT I � J r { N. � C� DIS RIBUTION BOX t�-''� �' �,�¢,4,,�� 4ry PROPOSED SEWAGE DISPOSAL SYSTEM I — ° °� a• —-- >� PREPARED FOR � O o SEA TIC TANK -> ", , ` `•114 i , 2 _ a N DREAM DEVELOPERS J� /�2� 3��.i- o .r/.-/ �a J' o�oo,`c v�3 �. n o Q` oti 7ftW �� t `W LOT 53 CAP N ISIAH ROAD Q Eagle 1_ _i . RE4 E'RVE AREA N -- — — �' -y Q S Pond so CO TUI T BA RNS TA BL E MASS. =��,� of can ga -----•,,a� a �/� 7-i'o/COD Pl,IE INVERT EL EVA TIO ARL S DA TE.- ✓v/y CAPE 6 ISLANDS ENGINEERING 1 I PLOT PLAN y°°sNr��c�i 3 `y y ' S ��`'1 Rio SCALE AS NOTED 133 FA L MOUTH ROAD — SUI TE 2E SCALE• 1 ~ s9 � • H — / MASHPEE, MASS. �Q�' `` i:ntui —.SEC PCL LOT HSE �`' _' PLAN NO. -S��d.3 �,' _<< TOP FNDN. _. � EL . 79.s' FINISH GRADE �"�, o �- l�"�'N,�"�'f�' �`RADE OVER FINISH GRADE FINISH GRA Dz: O VER AVER TRENCHES DIST. BOX ao- SEPTIC TAN< j 0°•4 v 0� T1�t['P71JCR�'��'R'PYi " •p• ,00. . e:Q0 = 12" MAX. ' !o'.o '.a.•p.;' o-a �-.::'' ' 'O'.op`41r i0''::Q. �e'�'"'v•/•oo.Y 4p..i.. •r. y•. .o . Gt O.O'.. 0 o.o:P, °• OUTLET PIPE LEVEL TOTAL LENGTH OF TRENCH 2s' ' .! 3 N �' FOR 2 FT. MIN. G " '!:0�'D• q .� rf 11,'__._� + •l+ •.. ,q; •D: •• :e. .b. .. •. w• rr,br. �b � I. OR CAP END 0 !eQ o b PVC TEES bar; 73�� d..:n. v. o aAl v. 4.:j.• �. ,A I I oo SSMT FL . °: : _ 1500 C7A L L ON o r. °.T�7 TPI U TION BOX y EL . 7Jo .eo': q s D.t a� "INSTALL ON LEVEL BASE "500 GALLON DR YWEL L S " , PRECAST CONCRETE .4 q H-10 ' REINFORCE e- * D- �/ ,y� �i,s .•o.v . •a• .p 4 �.':D .s.:i .0.q•J�r.obPa•.q.�..4p7��: _ - TRENCH SECTION -- s5 P TI C TANK Pig, ��/- INSTALL ON LEVEL BASE .: D TE: EXCA VA TE TO EL EV V. OR OYEP TO REMOVE ALL IMPERVIOUS 12 MIN. a MATERIAL BENEATH THE LEACHING AREA N 4 A . ` REPLACE EXCA VA TED MA TERIA L WITH F 1 ^. I U o. b. .'S.'.O'• v o Q b'D b r :b, :p: Ar`g1 CLEAN,. CLAY FREE SAND :d '..o e�.o 1✓ASHED PEA STONE '3/4" - 1-1/2" W ``HED M o^ o �•� ' CRUSHED STONE • ( - _ . _ NOTES r- TRENCH WID TH - 1. ALL LIE VA Via,; SHOW APE BA SED ON ASSUMED NUMBER OF TRENCHES 1 2. ALL P� .; THE S YS TE M MUS T BE CAS T IRON NUMBER OF DRYWEL L S 2 w DBSER VA TON tom ' \ l 3. T T r .,.,.,...s. .. •. ">..,,... e..,,x`,,..wx,:,»:mv..+...r..w.+..nww......:.......�:,. lI s,. ." ,y ,:,F.,,,n ..p. l`. _ ' TE PRIOR • "A�..P" +,.,,. ...'i",a.,,.,s 1"" Jnnis,n..jC� ,l$Ik f; veh.W `^.v;VtF.¢zW`.Ea±w .. .__-.._.. 4 J •, ,- - Phu PEPLOZ11;14 77-vaI ,rL?A y. Cl' _.', <2 MIN./IN.'4. A Ira ' r��e'�`�`��.:, INTH.�''S r�a.��! MUST BE APPROVED -� ;�—, s _ By TNt3O, f:r 7F HEAL THAND CAPE 6 ISLANDS 1�s' q _ i _.;._ SL� VE n'I IVC WITNESSED BY' .� K 1 GERRY DUNNINt TEPIAL �f. ATM.INSTALLATION SHALL BE IN •V°�,\ , \ L ,; G° MRL.I/NC7 Vl"TH THE S TA TE SA NI TARY BARNS. BRO. OF HEAL TH DESIGN DA TA AND LOCAL' APPLICABLE DA TE.• JUL Y 2, f9B -- �� PUL fs Aga' x =UL a TIaNs 6 NORTH ;�r� -� � - NUMBER OF BEDROOMS � � }_ a APi , FROM RECORD PLANS AND (-> 7,o) o __�_..,. o ` NO > ! IS NO T TO � . 4/SED FOR ,SOL A R PURPOSES y'' I y GA RBA GE DI SPOSA L H_ c- .FL O 0L .._, s� �� / , GAL . i Y 7. O HAF> ZONE �oa-�r 1�Ya DAILY FLOW 330 . '� 1 " 8. WA TER SUPPL Y TOXIN WA TER Zy � _ 7-,q ' SEPTIC TANK PEG 'D T. 1500 GAL . Z - c SEPTIC TANK PROVIDED 1500 GAL T ..; "j i �' - .ry LEACHING REOUIRED 330 GPD. � - � SIDEI✓AL L AREA 152 S.F. .52S. F.X O. 74G/S.F. = 112 GPO. VIC -r•-1 BOTTOM AREA = 329 S. F. L EGEND 329 S. F. X 0. 74 G/S.F. = 243 GPD L EA CHING PRO VIDED = 355 GPD 1 HROPOSED EL EVA' TION �o r •,�,•• - _ /3 KISTING CONTOUR I t o-r o �INGL E FA MIL Y RESIDENCE �►' I I 3 C 3SERVA TION PIT + 1 1 O 1 IS TRIBUTION BOX ;!� q�<�c F!r ,^w PROPI7'SED SEWAGE DISPOSAL SYSTEM I )S'?4 h. Savmoie � ,,ag PREPARED FOR >., r .'rPTIC TANK jr ➢ ,t4,� C:,. f�,r DREAM DEVEL OPERS ; a o — �, a , _ _ LOT 53 CAP 'N ISIAH ROAD ; � a o°° \ ` F,': SERVE AREA (/ ' Q, n Pond 5„ CO'TUI T — BA RNS TA BL E — MASS. OF M q PPE' INVERT ELEVA TION �� owIc� SprJI 'KI DA TE.' \v/ 3, c aA PLOT PLAN `� '•� s� 2ac�bs Y _� CAPE 6 ISLANDS ENGINEERING 2 z 1 SCA L E.• SCALE AS NOTED 133 FA L MOU TH ROAD - SUITE 2E ____.___ ___ ____ ____._- Y �f o I s�>^ nr r LOT HSE ` - �9, PLAN NO. MASHPEE. MASS. s '" r S YS TEM F. 'L E NOT T: ° 1 TOP FNDN. FINISH GRADE EL . 7 9 OVER TRENCHES FINISH GRADE �'. FINISH GRADE OVER �! GRADE OVER S T. Bch •''•a:a SEPTIC TANK > .� •o is •. o:.oa•••' ' " MAX. lTi��\il;4 j2 MAX CtII� � !o'..o b• d a o:4�. -0'..�:;�+j,; ;pO•;4�,Ay�;:O.'::Q.e��'�. ;v'•oP:yabp�.a• ! e.1�j .. w0 .a o,o••. 4 TOTAL LENGTH OF TRENCH �''o''P• 3„ OUTLET PIPE LEVEL °' ,•s- d FOR 2 FT. MIN. Q°:C�Q '.D ,.. { y ( D Oa' • • . o. " -D.. .o •;,d 6' .. •v A• d 0�06 04• o:: wP ..,: :. CAP END eda v o C. I. OR PVC TEES 7�S00 00 0 bC 7 ,EZ4 O Vp :o•:a o• • '- r'—"t r 't ro 1500 GALLON D ,DJ, 5 irRIBUTION BOAC y EL . �e', TALL ON LEVEL BASE "5 0 GALLON DRYWELL S " ° •'' PPECA S T CONCRETE =-/_0- REINFORCED �y a,. �•�to:ab.,,•„ .vd•�'. 4::c A. 4r•'' cpp•o;o• a °. _ °' i cam. .t7. 'i::C.e '- .0.�'P,.•.oO�Q .,Q �..ObAQ. SEP TIC TANK TRENCH SEC TION INSTALL ON LEVEL BASE NOTE: EXCA VA TE TO EL EV V. OR LOVER TO REMOVE ALL IMPERVIOUS MOMW" MA TERIA L , BENEA TH THE L EA CHING AREA 12" MIN. I � 4" DIAM. REPLACE EXCA VA TED MA TERIAL WI TH ,o• 3" OF 1/8"-1/2" CLEAN, CLAY FREE SAND 0 •:�:a6'o. .v o;o4p b �1,q ;A �►j.}� o,'.; .• .t. WASHED PEA STONE 3/4" - 1-1/2" WASHED CRUSHED S TONE GENE NOTES TRENCH WIDTH • \ 1. ALL EL EVA TIONS , 'HOHN ARE FAA SED ON ASSUMED NUMBER OF TRENCHES 1 - Z 2. ALL PIPES IN T,-E 5 YS TEM MUS T BE CAS T IRON NUMBER OF DRYWEL L S 2 _ OBSER VA TION Pr r T -Z—T-/ 4 h' Q / ems", o 3. THE BOA PI) Off-• A L TH MUS T BE NO TIf-IED THEN CONSTRUCT. ON IS COMPLETE PRIOR G 4.0 TO BA CKFIL L IA43"- PERCOL A TION RATE.' r <2 MIN./IN. 4. ANY CHANGES I�� THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS WI TNESSED BY.' SURVEYING CO., j NC. GERRY DUNNING �� ° 7� I -� 5. MA TERIALS AAD ,'NSTALLA TION SHALL BE IN BARNS. BRD. OF HEAL TH DESIGN DA TA `° cn ,, ► COMPL IANCE °I Tf', THE: v TA TE SANI TAR P CODE - TITLE V - AND LOCAL APPLICABLE DA TE.• JUL Y 2, 1995' RUL ES ANO REGU!,A TION.S I 1 6. NORTH ARRO)V ISFROM RECORD PLANS AND �»,o/ o —_ __ e L NUMBER OF BEDROOMS L s z Is NOT TO BE U.-'E!� Ft7r"� "OL A R PURPOSES y , W Oct kl, v GA RBA GE DISPOSAL NO 7. ,FL 000 HAZARD Z":)NE iC ' +'ON- IAZARDJ 8 t os—y s.1-el ,U y2 DAILY FLOW 330 GAL . I I 7 7 e. WA TER SUPPLY a�ON ��A TER 2y" .� ?500 ""-'lam I o x - —• SEP TIC TA NK PEO D. GAL . I SEPTIC TANK PROVIDED .1500 GAL . i ' �� 330 GPD. LEA CHING REQUIRED NI trt i v ,S'q ti.c� i ff (b �o l SIDEWALL AREA = 152 S. F. S.F.X ® G/S.F. 112 GPD. � 152 . 74 = Y 1 BO T TOM AREA = 329 S. F. do ;e LEGEND 329 S.F.X 0. 74G/S.F. = 243 GPD 4 LEACHING PROVIDED = 355 GPD .0 aL_ i3 Z PR`)POSEO ELEVA TION EX.''STING CONTOUR ,. ,, S.� N0L E FA MIL Y RESIDENCE C RVA TION PIT s c ® D.I5 rRIBUTION BOX , OF 14,�, r PR0PO4�ED SENA GE DISPOSA L S YS TEM -- Savinelle l ' PREPA RED FOR Q�od a q� o� �. �S QDIn. .. a o o SEPTIC TANK >r, �•,` .;;' _ x DREAM DE VEL OPERS _yrPk, /. _ ace` ° — — LOT 53 CAP 'N ISIAH ROAD �I^ <Gr o�s \ 3 a Ed 7qle 1—,_! RESERVE AREA i y S Pond s� ;;,, OF_M J - CO 7"UI T — BA RNS TA BL E — MA SS. I can Sa d. �iP �- P.o E INVERT ELEVATION i � DAVID ,j ho Qa • I^l, np C1-IA�-iL�S � DA T�:� ✓�l 3 ��5�' a� Y CAPE 6 ISLANDS ENGINEERING 291 I SAtJICKI H i PLOT PLAN ,. sue° a r r-1 `l b� SCALE AS NOTED 133 FALMOUTH ROAD — SUI TE 2E • SCALE: 1 = .�o .p° ` , �• , / �� •-. ,...r �.s` '� �cl�� a 9 PLAN NO. -��7a.�.�' MASHPEE, MASS. _ �,AP SEC PCL LOT HSE S YS TEM PROFILE NOT TO SCALE TOP FNON. FINISH GRADE OVER FINISH GRADE OVER TRENCHES EL. FINISH GRADE �. FINISH GRADE OVER DIST. BOX SEPTIC TANK 7 5' •4.0,' O'•4 12" MAX. v e.Q AG a o:Q' • i'd. .0�•AA:.�Jj Q'..Q.o�p'0°''q o�pDydgp�l.�,• ! ti'yti. .r ,i 0 b•R' 0 a.o o. � o• TOTAL LENGTH OF TRENCH o .o.p• p OUTLET PIPE LEVEL 0 3 :a: d FOR 2 FT. MIN. .0'.�oQ .p 'p 'o � p p'p '.fie � •p �p °° qo " CAP END :.:'• 0 9h;o.y' o °� 73 8a 7 ?'G T. S© $ °FL °d ( C. I. OR PVC TEES b� ?3,20 0 •cP;$ a ''' d•r`o.• •p. D� tom' 1 .0 q.•o. • b: ,� r y,, ro 1500 GALLON DISTRIBUTION BOX BSMT FL 0.. moo'.. . EL. . '7z,Q :!o o, a INSTALL ON LEVEL BASE �1500 GALLON DRYNELLS R PRECAST CONCRETE to b,n.p:p��,'�:•;p, '• '.0, $ f I=-- '0 REINFORCED o 0: 0• �I��O vtiO�.bp'C'op•,o4.:?-y.•.�'a�Q�'p•�D�•�;a'�•ip•Pq y.4pAp: TRENCH SECTION SEPTIC TANK INSTALL ON LEVEL BASE NO TE: EXCA VA TE TO EL EV V. OR LONER TO REMOVE ALL IMPERVIOUS - '� MATERIAL BENEATH THE LEACHING AFEA 4' DIAM. 12" MIN. i REPLACE EXCA VA TED MATERIAL WITH 3" OF 1/8"-1/2" t CLEAN CLAY FREE SAND ' o •a j:}} , . � � � WASHED PEA STONE 3,14" - 1-1/2" WASHED • h i CRUSHED S TONE y/ 12 H I GENERAL NOTES TRENCH MID TH 1. AL L EL EVA TIDNS SHOWN ARE BASED ON ASSUMED NUMBER OF TRENCHES _s 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON NUMBER OF DRYWELLS 1 OR SCHEDULE 40 PVC. OB 17ERVA TION PIT \ 3. THE BOARD OF HEA L TH MUS T BE NO TIFIED WHEN CONSTRUCTION. IS COMPLETE PRIOR �'- / TO BA CKFIL L ING PER<2 MIN /IN.T E. _ 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED \'. y9• y' - - ----?y - - BY THE BOARD OF HEALTH AND CAPE 9. ISLANDS WITNESSED BY.• �` ' ih•c, yam- �_ s SURVEYING CO., INC. GERRY DUNNING 5. MATERIALS AND INSTALLATION SHALL BE IN BARNS. BRD. OF HEAL TH DESIGN DA TA COMPLIANCE J✓I TH THE S TA TE SANITARY JUL Y 2, 1998 CODE - TITLE V - AND LOCAL APPLICABLE DA TE.' - _ _ - _ Z RULES AND REGUL,A TIONS �`Z 2 6. NORTH ARROW IS FROM RECORD PLANS AND �7�, ) 0 4 NUMBER OF BEDROOMS NO I i — �4. �QQ . IQY Zi GARBAGE DISPOSAL j L o T s'z IS NOT TO BE USED FOR SOL AR PURPOSES S'' � 1 � II s- 2zo GAL . I h t 3 s y DA IL Y FL ON _L i Nse l 7. .FLOOD HAZARD ZONE C (NON--HAZARD)--- 2> 2y�� , oti�Y �a�� R /G Z'y •D. 1500 GAL . I I o 8. #A TER SUPPL Y TONN SEPTIC TANK REO l I Z SEPTIC TANK PROVIDED 1500 GAL . GPO. �, _ -► �� LEA CHING REQUIRED 3 /e SIDEMALL AREA s y l8 S.F-. l ic4 S. F.X °. 7'''G/S.F. = &7 GPD. a I v c�i/ a.�..► %� �°. r o yA 6/t BOTTOM AREA - 2 /7 S.F. /G a t/�tea., �' v I I LEGENDz17 SoF.Xo. 7yG/S.F. z� GPD L EACHING PRO VIDED - GPD 1 .. /Yo Ci r ,r✓ . r�., o Jv z 3 PROPOSED EL EVA TION � EXISTING CONTOUR 4 ./ .,:.. SINGLE FA MIL Y RESIDENCE M T OBSERVA TION PIT , , I a v 0 DISTRIBUTION BOXY GF Ram PROPOSED SERA GE DISPOSAL SYSTEM 1 { ZJ r. '� N ' F PREPARED FOR °Savmelle I qG t o o SEP TIC TANK a, ..c 4 DREAM DEVELOPERS '� ��'"_ �22% ��. W ......-- ..--�—" "'..,+-..._ � � �0``c ! a c3 �x n p � � �7 �`1f,�.'� .flx.gJ� / _ o �2 _r-- T o r+c-/ o°e, o'W� , LOT 53 CAP N ISIAH ROAD E gle I ._i RESERVE AREA N _ - _ y GO Pond Sa \ ` ; of M CO TUI T BA RNS TA BL E MASS. I a ban tie\d t• L o< r � /�. �4�, ` a u �fo� PIPE INVERT EL EVATIO � DAVID ' ' "� '�s 5 DA TE.' 3 SANICKl ✓�/y 3, CAPE 6 ISLANDS ENGINEERING z z26 i a� ' H - I ` PLOT PLAN 3y�°yam ' s I . 085 SCALE AS NOTED . 133 FALMOUTH ROAD - SUITE RE SCALE.•_s "� a ' �� 37 MASHPEE, MASS. -9 (� g <4e �. Cntui MAP SEC PCL LOTHSE PLAN NO. -sa�a39c '