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HomeMy WebLinkAbout0043 CONSTANT LANE - Health 43 Constant Lane \ cotuit A = 039 065 Commonwealth of Massachusetts L W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 43 CONSTANT LANE G Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE !� Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection �C T1 Inspection results must be submitted on this form. Inspection forms may not be altered in any 'm way. Please see completeness checklist at the end of the form. Important:When A. General Information If qiq filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not JOHN P GRACI SR use the return Name of Inspector key. GRACI SEPTIC INSPECTIONS LLC r� Company Name PO BOX 2119 Company Address TEATICKET MA 02536 City/Town State Zip Code 508-641-6694 S1468 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evalu n by the Local Approving Authority 10/05/2016 Inspector's Signature Date The system inspectors submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, t inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 D O V Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM PASSES TITLE V INSPECTION. NO SIGNS OF FAILURE AT TIME OF INSPECTION B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): NA t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): NA ❑ 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): NA , C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 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: NA **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be Considered a largesystem the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑. ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15:203 (for example: 110 gpd x#of bedrooms): 330 t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection D. System Information Description: 1500 GALLON SEPTIC TANK DISTRIBUTION BOX (4) FOUR INFILTRATORS Number of current residents: (2) TWO i Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? F1 Yes N No Water meter readings, if available last 2 ears usage d TOWN 9 ( Y 9 (gP ))� Detail 2015 296,000 2014 245,000 Sump pump? ❑ Yes ® No Last date of occupancy: OCCUPIED Date Commercial/Industrial Flow Conditions: Type of Establishment: NA A Design flow(based on 310 CMR 15.203): N Nations per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): NA 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: NA t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: NA Date Other(describe below): NA General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: NA gauons How was quantity pumped determined? NA Reason for pumping: NA Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2005 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 216"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): 40 PVC PIPE Distance from private water supply well or suction line: 10+ FEET feet Comments (on condition of joints, venting, evidence of leakage, etc.): SEPTIC TANK APPEARED TO BE STRUCTUARLLY SOUND AND FUNCTIONING PROPERLY AT TIME OF INSPECTION. NO SIGNS OF HYDRAULIC FAILURE AT TIME OF INSPECTION. Septic Tank(locate on site plan): Depth below grade: (2) TWO FEETfeet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) NA If tank is metal, list age: NA years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 GALLON Sludge depth: (6) SIX INCNES t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 i— Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle (28)TWENTY EIGHT INCHES Scum thickness (1) ONE Distance from top of scum to top of outlet tee or baffle (6) SIX INCHES Distance from bottom of scum to bottom of outlet tee or baffle NA How were dimensions determined? MEASURED Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500 GALLON SEPTIC TANK APPEARD TO BE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY AT TIME OF INSPECTION RECOMMEND PUMPING EVERY TWO YEARS. Grease Trap (locate on site plan): Depth below grade: NA feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): NA Dimensions: NA Scum thickness NA Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA Date of last pumping: NA ' Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town 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.): NA Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: NA Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): NA Dimensions: NA Capacity: NA gallons Design Flow: NA gallons per day Alarm present: ❑ Yes ❑ No Alarm level: NA Alarm in working order: ❑ Xes ❑ No Date of last pumping: NA Date Comments (condition of alarm and float switches, etc.): NA *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 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 BOTTOM OF PIPE 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.): DISTRIBUTION BOX APPEARS TO BE STRUCTUARLLY SOUND AND FUNCTIONING PROPERLY AT TIME OF INSPECTION. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: NA t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: -- ® leaching chambers number: (4)FOUR INFILTRATORS ❑ leaching galleries number: NA ❑ leaching trenches number, length: NA ❑ leaching fields number, dimensions: NA ❑ overflow cesspool number: NA ❑ innovative/alternative system Type/name of technology: NA Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): VIDEO INSPECTED (4) FOUR INFILTRATORS NO SIGNS OF HYDRAULIC FAILURE. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth—top of liquid to inlet invert NA Depth of solids layer NA Depth of scum layer NA Dimensions of cesspool NA Materials of construction NA Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): NA Privy (locate on site plan): Materials of construction: NA Dimensions NA Depth of solids NA Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): NA t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town 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 Al- 15 BI- a9 A2- 12" M-, 21'* A3. 11 M- Z A4,32 i4- -D A5. 38 ffl• 30 (Oa 2 0 0 EJEE. N VAN t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope - ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 12+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: HAND AUGER Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 43 CONSTANT LANE Property Address TORTORELLA KEITH J &VAN ETTEN MARIANE Owner Owner's Name information is required for every COTUIT MA 02635 10/05/2016 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information — Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF B AR NSTABLE LOCATION "�4�'AQ97"- / 90 4e SEWAGE # VILLAGE Aary&S /`// S ASSESSOR'S MAP &LOT-! 3 INSTALLER'S NAME&PHONE NO. 2adS �XL'c�id !91� SGB �O/77 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �1- 3 o sv -1n14&4&3ize) 2 NO.OF BEDROOMS BUILDER OR OWNER- / !q/e PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feeW leaching facility),] Feet Furnished by 3a o 38 36 y �oNo. Fee l 'THE COMMONWEALTH OF MASSACHUSETTS �­-1,- Entered in computer: Yes PUBLIC HEALTH DIVISION I-TOWN OF BARNSTABLE, MASSACHUSETTS 0(ppYication for Migp0$d1 *pgtem Conelruction i3ermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �3 e0A67-t --r �1 � Owner's Name Address and Tel.No. 00-rvrt NtA� kob�- /KIrffe Assessor's Map/Parcel 3 / Installer's Name,Address',and Tel.No. - Designer's Name,Address and Tel.No. owl r Xc ,4,-41'� Type of Building: _ Dwelling No.of Bedrooms _ Lot Size ZT050 sq.ft. Garbage Grinder( ) Other Type of Building T No. of Persons Showers('Z-) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 33a gallons. Plan Date 9 D(— Number of sheets Revision Date Title Size of Septic Tank /5-6o 6,k&• Type of S.A.S. Description of Soil: A. Nature of Repairs or Alterations(Answer when applicable) ` Date last inspected: I Agreement: III The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been ZisarVj. Signe �' Date o Application Approved by Date Application Disapproved for the following r s ns Permit No. Ik Date Issued /199 In No. Fee ' � Entered in computer: I �N I THE COMMONWEALTH'OF MASSACHUSETTTS `s- .,. Yes 4 PUBLIC HEALTH DIVISION s'TOWN OF BARNSTABLE., MASSACHUSETTS' ZIPpYication for Migoof *p5tem Congtrurtton Verna Application for a Permit t nstruct( )Repair( .)Upgrade(' )Abandon( ) O Complete System ❑Individual Components ,Location Address or Lot No.-LAC 3 �7 0 NS? �— L Ll Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: _ Dwelling No.of Bedrooms _ Lot Size 2 \ M0 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers(-z--.) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3.3 o gallons. Plan Date !�2//ql'o Number of sheets Revision Date Title Size of Septic Tank /560 6-}1_ Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) '`3 t Date last inspected: Agreement: ! = The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system . in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t 's Board ealth. { Signe r Date d v Application Approved byA Date Application Disapproved for the following rc&sons Permit No. Date Issued --------------------------------------- Tn THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (fertif irate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(p,)Repaired ( )Upgraded( ) Abandoned( )by* 4 3 a QM a S has been constructeq in accordance with the provisions o Title 5 and the for Disposal System Construction Permit No. 99,�J'5 4k6y dated I kA f Installer Designer Q The issuance of this permit shall not be construed as a guarantee that thefsy�'tem 1f uNtion as designed. Date Inspector —, .. No. —����-------------------------- Fee -��"'o'_ _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligpont *pgtem Congtrurtton Vertu Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at u ? (u r. ),— i. I r._.e r ' and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of tltis p t %f t. Date:_ 1 ! I Ow, Approved by I / /VA_J"" -* </67�" Town of Barnstable Regulatory Services Thomas F. Geiler,Director • ■ARNSTABL 019. � Public Health Division 'f°N1P�A Thomas Mclean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1/26/06 Designer: BSC Group,Inc. Installer: C/ l �/Jg• Address: . 657 Main Street, . Unit 6 Address: 221 5--Z42 `2 W. Yarmouth, MA 02673 On %—of 6 --66 /�Q j1 < X issued a permit to install a (date) (installer) septic system at 43 Constant Lane based on a design drawn by (address) BSC Group, Inc. dated 9/19/05' - (designer) _ I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e.. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ttk of 414 ° n �o MARI'D. 0 D-OB A V Ciiri (Installer's Signature) No.45937 ssc (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE .ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 4 r \T .c V �J E -} i ^I ! I O i i 'v r i le� F i re g �!!i•I: i'I 3 I,I i i l` +! fu �\ ;L ob o 0 o b A 0 ,s 0 77 • ' - i CL - O G M c \ 1 i = i _. ... ... It O<,O N N 40 0,me ►� j V to Zd v- E I -1 I I •07�� 4 _ i i �C 1 i 1 s ! y r I s r � I P ' I r� ter. r t� b v_ N m: n rn c 6$[I DER o b b , A A C A O � " p N 0 - o n 'h A M O v � N n �y n A I Q ram.ev ? N to p �. W © 2 3 °> V 4 A a 44 -0' _ I D LID I • I Q? -- -- :I I� VC la � 1 0. 0 � REFS a CY if fb I I : i n o 3 n � I Zz•-o" ° M � _ n c W n AA� C m 14 d V r I i I ' _ 1 j i i I L J 141 S,` a Z i ! i L. .J. I ; i 1 1: •� 0 � �• i i C I I is 1 o` r 1 � ' Lax•+. .,tip•.m,.,�..�--:. :y..,. .. — ...wti,r.. � ! 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I are-�M1CijOR �t_Ts ' I \yr� {ZTJl6LF �$It1,GYt"-1.O SCALE DALE -.. ,CC r Aa7.IES---- PL :78 e 508.428.6191 --.. ....8 _ ._..- .Rao Iuscic . __ ' r, evl i n :7x10.KtcP.7fR _ s cniu.RAFTERS ZicL`GTs::dSLS:Ltt=.3QlN3Ut. — u�:.aotsty - ..-:.. t • .- C�3us m / b-W HI{µ DE►ISITY IVSuI ' C�3 ST.aKPPIGS v . , : '- 16 v'.>tiliC1�S•ETKL �+.3 6TR/_�P..PTN :._ : U �o v'IPRA?M-'uS%CT r I�z".SItEEtMC)Cx 'Ci� kEfIB4� -----. �� es�gns rRj I copyright Q 1997 All j 2.4SUDs NytPAI Iuxx, ` Reservs ed WIQ 314-T45 Vl ti6C35 r 3W..'1.t G PL'I*,WOI si lL ' 4+.19.JOUi3:12`".O•Cr. . . .. . - .. ti. .1dK :. • l.. lVSliL _._ ._ .... .... - Q - •p ,, ` WAaER PROOF.1'U'Cl \G�T.ERPRIt1Fh1C� _ AS SEC7(OW n� C'4"-ro'lcC10N (3Ps CI'4-:Ion SECTIOIJ C•G��4' la) 7 (� Preliminary plans and layouts by O.C.O.are for the use of their customers only.Any other use Is strictly prohibits g nay egc o.1CFi�:.:' err;r•►zr�ex A:':::," � I - I I I 1 a I c I. ML b ' b I I m � O C •' N v •c cl O n O b O C A O 1 O C N O 3 n o is > i o II v J � n � _ gL vi N A n M00 j �• m 0 �• N m '0 r i I I - I.. .. . ..... I - i i I 1 I _ 1 I . I b N b . � r O Q �O I n Q b A O n i 1 q I I O n C I I Or 3 ' n O K O 7 A C ; A n i O - 7 c J J n Ayr III I-Al ta cl ic O O N O IS lb Oo � ,� 1 T DATA: P o9s SEPTIC TANK DETAIL: 1 ,500 GALLON DISTRIBUTION BOX DETAIL: NOT TO SCALE LEACHING DETAIL: NOT To SCALE REVISIONS SOIL TEST PI # NO. DATE DESCRIPTION NOT TO SCALE NO. OF OUTLETS cJ 4" PVC PIPE 15' 3'F - TEST PIT #1 TEST PIT _--#� NOTES: 1. SEPTIC TANK SHALL BE STEEL 5. INLET AND OUTLET TEES TO BE CAST IRON, FINISHED GRADE GRD. EL. 99.25 GRD. EL. 97.35 REINFORCED CONCRETE. SCHED. 40 PVC OR CAST-IN-PLACE CONCRETE. TEES TO BE CENTERED UNDER MANHOLE COVER. REMOVABLE 2` WALLS o0 0 0 0 0 0 0 0 000 0 00 0 0 0 0 0 0 0 0 ST. HIGH GW. N/A___ EST. HIGH GW. N/A 2. SEPTIC TANK TO WITHSTAND H-10 LOADING COVER NOTES: 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 00 ----- UNLESS UNDER PAVEMENT, DRIVES OR J_ ° °°° 4 UNITS o TRAVELED WAYS WHEREIN H-20 LOADING ,o:.v,.+, '•,a +, ••,y,,,,;;.�,;.' » 1. DIST. BOX TO WITHSTAND H-10 LOADING o 0 0 TUNLESS UNDER PAVEMENT, DRIVES OR Q ° °° 50" 12' GENERAL NOTES: A A SHALL APPLY, a' " " fir- pw apt ° LOAMY S ND LOAMY S ND 3. ALL PIPE CONNECTIONS AND CONCRETE 2-24" DIA CONCRETE MANHOLES t TRAVELED WAYS WHEREIN H-20 LOADING o° i-IIGH DENSITY o 1. THIS PLAN IS FOR DESIGN AND 10YR 6 3 10» 10YR 6 3 6" CONSTRUCTION SHALL BE WATERTIGHT. W METAL HANDLES BROUGHT . 0° POLYETHYLENE INFI TRATOR 305 o CONSTRUCTION i 4. FILL ALL UNUSED KNOCKOUTS WITH TO 6" OF FINISH GRADE T 1`•� SHALL APPLY. 1 IT THE SEWAGE 0 0 ° 0 0 0 0 0 ° o ° DISPOSAL FACILITY ONLY. o°0000000 0 00 ° MORTAR. TEE TO BE UNDER 6" " �' 8 2• PROVIDE INLET TEE OR BAFFLE WHERE o 0 0 000000000000000 0 0 0 0 0 0 0 0 0 0 12 IN. •• 5,5 OUTLETS ., 2. ALL CONSTRUCTION METHODS AND B B M.H. OPENING SLOPE OF PIPE EXCEEDS 0.08 FT./FT OR f- 38' MATERIALS SHALL CONFORM TO MASS. LOAMY SAND LOAMY SAND '� 3" 'a °' °• °'e 4°'a T IN PUMPED SYSTEM. D.E.P TITLE 5 AND LOCAL BOARD , a PLAN VIEW LEACHING CHAMBERS OF HEALTH REGULATIONS. 10YR 5 2 10YR 5,2 » 4" I- 2` 3. FIRST TWO FEET OF PIPE OUT OF DIST. RAISE M.H W� 4 ffl?,,M ON LEVEL " " LOAM & SEED DISTURBED 3. ALL PIPES LOCATED UNDER PAVEMENT BOX TO BE LAID LEVEL. AREA S - VE . 10 6 .. - �- -'• '-: .::e •.: STABLE.BASE 6 MIN. CRUSHED4 -- ----------------' 28" 24" SEWER BRICK 1 1OR TRAVELED WAY SHALL BE SCHEDULE 10'-0" & MORTAR 12. ;e CROSS-SECTION STONE BASE 4. ALL PIPE CONNECTIONS AND CONCRETE 3' MAX. C MPACTED FILL 36" MAXIMUM 12"MINIM M 40 OR EQUAL EL = 96.92 EL = 95.35 INDICATES NORMAL WATER LEVEL CONSTRUCTION SHALL BE WATERTIGHT. 4. THERE ARE NO KNOWN PRIVATE WELLS PERC. � » 4: o 00 00 0 0000 00 oo . LOCATED WITHIN 150 FT. OF THE TEST ! } 10" 3 14" 5. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. 0 0 0 0 000 0 0 0 00 0 0 - 3 LAYER PROPOSED LEACHING FACILITY NOR PRECAST SEPTIC TANK o T. 0 CO HIGH O 00 O PEASTONE ANY KNOWN WELLS PROPOSED WITHIN 54" 48" o INLET TEE :2 5'-1" 30 1/2" 30" 24" 0 DENSITY 0 p 0 150' OF ANY KNOWN LEACHING FACILITY. i INDICATES - - - 5'-2» 4'-6" � � " � 5-8 EFFEC. Q7 � INFILTRATORPOLYETHYLENE 30 Op 00 5. WITHIN LIMIT OF EXCAVATION REMOVE C C UNSUITABLE _ _ 4-o MIN. 15 1/2" DEPTH p p O p p p ALL TOPSOIL, SUBSOIL AND OTHER MEDIUM SAND MEDIUM SAND MATERIAL - ,. ? = LIQUID DEPTH ?i,s oJww e 11 O CHAMBER p IMPERVIOUS MATERIAL 1 OYR 8/4 1 OYR 8/4 5_8 PRECAST DIST. 1 O 6. REPLACE,ALL EXCAVATED MATERIAL WITH a ;} a BOX ���� CLEAN GRANULAR SAND, FREE FROM ORGANIC 0 GW OBSERVED NO GW OBSERVE - _ 47" - 50" 47" 3/4" - 1 1/2" MATERIAL AND DELETERIOUS SUBSTANCES. � ' WASHED STONE 126" 126" d `� �`` tr" ' MIXTURES AND LAYERS OF DIFFERENT CLASSES EL = 88.75 EL = 86.85 °e BOTTOM ON LEVEL STABLE BASE ° 17 -- " 12' OF SOIL SHALL NOT BE USED. THE FILL SHALL PLAN VIEW " " \3. '/ 1/2' NOT CONTAIN ANY MATERIAL LARGER THAN DATE: DATE: 6 MIN. 3/4 TO 0*'-W TWO INCHES. A SIEVE ANALYSIS USING A 4 8/26/05 8/26/05 1 1/2" STONE CROSS-SECTION VIEW PLAN VIEW CROSS-SECTION OF CHAMBER SIEVE. SHALL BE PERFORMED ON A REPRESENTATIVE SAMPLE OF FILL. UP TO 45X BY WEIGHT OF THE FILL SAMPLE MAY BE TEST BY: TEST BY: RETAINED ON THE #4 SIEVE. SIEVE ANALYSES THE BSC GROUP, INC. THE BSC GROUP, INC. ! TOWN OF BARNSTABLE NEW REGULATIONS ALSO SHALL BE PERFORMED ON THE FRACTION WITNESSED BY: WITNESSED BY: OF FILL SAMPLE PASSING THE #4 SIEVE, SUCH DONALD DESMARAIS R.S. DONALD DESMARAIS R.S. REQUIRE SOIL EVALUATOR TO INSPECT DESIGN CRITERIA: ANALYSES MUST DEMONSTRATE THAT THE MATERIAL MEETS EACH OF THE FOLLOWING BOTTOM OF EXCAVATION PRIOR TO ANY SPECIFICATIONS: PERC. RATE: PERC. RATE: DESIGN FLOW: loox MUST PASS #4 SIEVE -2-MIN./INCH -MIN./INCH INSTALLATION AND ALSO PRIOR TO FINAL (4.75 mm EFFECTIVE PARTICLE SIZE) 4 BEDROOMS AT 110 G.P.B./D 440 G.P.D. 1OX-10OX MUST PASS #50 SIEVE SOIL EVALUATOR SOIL EVALUATOR BACKFILLING. (0.30 mm EFFECTIVE PARTICLE SIZE) MARK DIBB P.E. MARK DIBB, P.E. � OX-2000 MUST PASS #100 SIEVE (0.15 mm EFFECTIVE SOIL CLASS: SOIL CLASS: 1 1 (0.075 m FFECTIVEPPARTICLE ARTICLE SISI E) REQUIRED SEPTIC TANK: OX-5z MUST PASS #200 SIEVE 440 X 200% = 880 GAL. 7. EXISTING UTILITIES WHERE SHOWN L.T.A.R. L.T.A.R. IN THE DRAWINGS ARE APPROXIMATE. 0.74 G.P.D./SQ.FT. 0.74 G.P.D./SQ.FT. 3 �, SEPTIC TANK PROVIDED: - 1500 GAL• THE CONTRACTOR SHALL BE RESPON- SIBLE FOR PROPERLY LOCATING AND COORDINATING THE PROPOSED CON- DATUM: SIZE OF LEACHING FACILITY REQUIRED: STRUCTION ACTIVITY WITH DIG-SAFE i AND THE APPLICABLE UTILITY VERTICAL DATUM: ASSUMED DESIGN PERC. RATE: <2 MIN./ INCH EXISTING COMPANY AND MAINTAINING NTAI INN SERVICE. , LONG TERM APPL. RATE .74 G.P.D/S.F. DIG-SAFE SHALL BE NOTIFIED PER THE STATE OF MASSACHUSETTS EXISTING HOUSE STATUTE CHAPTER 82. SECTION 409 BENCH MARK SET: HYDRANT TAG BOLT ELEV.=102.91 _ / / 29 440 GPD + 0.74 GPD/SF - 596 S.F. AT TEL 1-888-344-7233. THE ENGINEER DOES NOT GUARANTEE BENCHMARK / / THEIR ACCURACY OR THAT ALL PROFILE: NOT TO SCALE SIZE OF LEACHING FACILITY PROVIDED: UTILITIES AND SUBSURFACE STRUCTURES HYDRANT TAG BOLT TRANSFORMER ARE SHOWN. LOCATIONS AND EL.=A - ELEVATION=102.91 (ASSUMED) �� / i ELEVATIONS OF UNDERGROUND UTILITIES FIRST PIPE LENGTH --�� . USE HIGH DENSITY POLYETHYLENE TOP FOUNDATION , - �� • .�-- � TAKEN FROM RECORD PLANS. THE CONCRETE COVERS TO WITHIN TO BE SET LEVEL 3 /� ,c, c 4 LEACHING CHAMBERS(4 UNITS) 12'XL2X38" CONTRACTOR SHALL. VERIFY SIZE EL.=100.0 6" OF FINISHED GRADE. FOR MIN. 2' LOCATION AND INVERTS OF UTILITIES FINISH GRADE Q - .8 /� AND STRUCTURES AS REQUIRED PRIOR 4" PVC SCH 40 ' O '� c Si:DEWALL = 2(12'+38') X 2' = 200 TO THE START OF CONSTRUCTION. ��, Q� hl� BlITTOM = 12' X 38' = 456 rt 656S F, S. THIS SYSTEM IS NOT DESIGNED FOR e SCH V " LEACHING CHAMBER HYD �p0 Olt /��` 19.1 N / _ LC5 !�� Q / G STO V r - A GARBAGE GRINDER IS NOT v�• G, �• o C' N 656 S.F x 0.74 GPD/SF - 485GPD =G / �O/ ,\ry QO, / A, . / / �- RECOMMENDED DUE TO RECOGNIZED -E O ^j / v F :} H / ' N/F ADVERSE IMPACTS TO THE LEACHING I=C e 5 OUTLET I_F `� Q / / / c��Q? S � JOHN _M, MAHER FACILITY. :�•�= DIST. BOXY' 7.1 SEPARATION / � �`' '�/ / O r+� Sg. CF ASSESSORS MAP 39 THE ENGINEER IS TO .9E NOTIFIED OF SEPTIC TANK k� / / / 4jOQ• ??• PARCEL 66 ANY FIELD CHANGES THAT MAY BE EST. HIGH GROUNDWATER o Y / CB/DISK REQUIRED. J 10' �4�' / 15.4 27.5 ?� FND oA 10' LOCUS INFORMATION INVERT ELEVATIONS. , �, 43.5 44' 21.7, PROPOSdD / S BEDROOM HOUSE rn CURRENT OWNER: ROBERT A. MATTEY BSC GROUP TOF=10 .0 B�� o TOP OF FOUNDATION 101.00 A / %� TN- INV=97.0 �p "� ,p TITLE REFERENCE: CERT. 81930 657 Main Street, (RT. 28) Unit 6 97.00 B O o / 1 qS W:Yarmouth Massachusetts 4 INVERT AT BUILDING "� F PLAN - / / - - I REFERENCE: L.C. 22824 D 02673 4 INVERT AT SEPTIC TANK (IN) 96.60 C 44 I TH 2 0,av� C� �, „ /O .+ / O� <7N I ASSESSORS MAP: 39 508 778 8919 4, INVERT AT SEPTIC TANK (OUT) 96.35 D /��, ti/ / oQ� F� PARCEL: 65 4 INVERT AT DIST. BOX (IN) 96.27 E Q° Q�ti I I PROJECT TITLE: O GAR SLA p� \ �. ZONING DISTRICT. RF 4 INVERT AT DIST. BOX (OUT) 96.10 F / ,� 10, Q� / 19=100.3 a SETBACKS: FRONT 30' 107.4I I i SIDE 15 DESIGNFOR / I , INVERTS AT LEACHING FACILITY: / 10 REAR 15 SEWAGE DISPOSAL �,, ` v MINIMUM LOT SIZE: 87,120 S.F. EXISTING LOT AREA: 25,OOOtS.F. 4" INVERT AT BEGINNING � I / � O , \ �� SYSTEM REPAIR OF LEACHING CHAMBER 96.00 G BREAKOUT ELEV. 96.5 PROPOSED � 3,9'S o � \ � N/F OVERLAY DISTRICT: AP �Q �<v TOWN OF BARNSTABLE CONSERVATION NITROGEN SENSITIVE ELEVATION AT BOTTOM 20'x2O' Q- ASSESSORS MAP 39 N/F oo PARCEL 71 ZONE: NOT A ZONE II #43 OF LEACHING CHAMBER 94.00 H PARKING AREA � I � \ FEM A FLOOD T r tiS ROBERT A. MATTEY �h' ZONE DISTRICT. ZONE "C" , 7/2/1992 CONSTANT LANE ASSESORS MAP 39 O� \ PANEL #250001 0018 D moklvb PARCEL 65 �J �N ofNO OBSERVED GROUNDWATER \ 25,000±S.F. MARK �� BARNSTABLE BOTTOM OF HOLE 86.9 J FTeq olee LOCUS PLAN. N❑ SCALE 1 \° tom'CIVIL : MASSACHUSETTS N CB N/F F 3 ® JEFFERY C. SMITH \ ``��iONAL VARIANCES REQUESTED: ASSESSORSPARCEL 64P 39 ` ?° \ 53.2 q0 \ „o PREPARED FOR: NONE \ / BRIAN MITCHELL P.O. BOX 755 �+ MARSTONS MILLS MASSACHUSETTS 02648 N/F LOCUS EXISTING HOUSE TOWN OF BARNSTABLE CONSERVATION DATE: SEPTEMBER 19, 2005 ASSESSORS MAP 39 COMP. DESIGN: K. HEALY FLOOR PLANS: #55 PARCEL 70 CHECK: M. DIBB VIEW - ,. SEE ATTACHED ARCHITECTURAL PLANS PLAN VIEW '"' DRAWN: P. HAGIST FIELD: D. GAZZOLO / J. McCARTIN SCALE: 1 - 20 FEET �. _ FILE NO. 8876SEP2.DWG DWG NO. 5654-01 SHEET 1 OF 1 0 10 20 40 FT, JOB N0. 4-8876.00