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0044 EATON COURT - Health
44 Eaton Court Cotuit A= 055-017 ' k j r TOWN OF BARNSTABLE LOCATION 1=A+01-( COUP,-L SEWAGE# 3 ' VILLAGE COS t ASSESSOR'S MAP&PARCEL VJ� ] - INSTALLER'S NAME&PHONE NO. N 0-a4-1 eA S-� eo14 S'f*vc-4-(CN 3'0 ?1(0 SEPTIC TANK CAPACITY /,500 G A-l 1c t4-S' -Z 7 J-3 LEACHING FACILITY:(type) q.- Soo qAJ I c4A size) NO.OF BEDROOMS y OWNER -r. I f ICE t3V a W lG5 �.4p.,a PERMIT DATE: `d/_16�/ COMPLIANCE DATE: / 3 l 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 w tlands exist within Allh 300 feet of leaching faci ) Feet FURNISHED BY -Ti G, y q p a ° ! 7-S N a i 3 o y :Q�•;j '�peS to (7 97 o No. c9 /4 ._._.t3( j Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Disposal *pstem Construrtion Permit Application for a Permit to Construct( ) Repair( ) Upgrade'�Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. qL1/ ea L,.2.i- Owner's Name,Address,and Tel.No. C 0+`>t 4- Tv Le 11 L,q ✓3 v 1 L► 1 ua C Assessor's Map/Parcel ® A P S AnCe 67 l 3- 0P,2KSbiiQ� Ka 4t1 W J9*0St, 0_ -A Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. o 2de 8 t40/Z}kP/�i' C. ;AS411w-C 40a .Scampi-►cC �T- M d 'lee111y ti i9SSGe[c IPs���► C S s4evn " Lxcgva�[-,c Cep SUS'-�y6-7�13 Pc, gc,K CZ�3 GnewACz tnA c,-X 3) Type of Building. P°Occ 2 35t, , 13"L- Sion rnA 0,2091 5T, p,I SG Dwelling No.of Bedrooms JE Lot Size .� � sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date f 0 / Q1/y Number of sheets I Revision Date Title 9 4e i- SC w!!q.s-a- P1.5 p,sa.I 4.S4-s=, , 0E' s L4 N Size of Septic Tank Type of S.A.S. C � Description of Soil y[ 1 I o y T' Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of H / ro l�ljy Sig d Date Application Approved by Date d Application Disapproved by Date for the following reasons Permit No. Date Issued e J No. / I �U - �. :: d• Fee 5�. THE COMMONWEALTH OF Entered in computer: MASSACHUSETTS r PUBLIC HEALTH DIVISION -TOWN OF;,BARNSTABLE, MASSACHUSETTS Yes tx application for Disposal-Opstent Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade6 don( ) El Complete System ❑Individual Components Location Address or Lot No. y(1/ az } Owner's Name,Address,and Tel.No. 505r ca+v1+ "roLe 1 �4 13vi �a uJ C a Assessor's Map/Parcel nc e l` 5 �3 P� K S.(fro e. ✓tat 1 Wi' RAMS!S}A5Q enA Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. o 26G l; ,t�o2�As+ C�NS�nvcy�ICN S��i-i�c T. rr1 S. avn 1 L'xCAV-41. t Cc2 5C9-9 (.-771.? Po Pr, C 7-7 3 13tZrI-VAr,2 MA C N 31 ` Type of Building: Pc tD c,c 2 o,?te91 �S- s 46 - G G C 1 Dwelling No.of Bedrooms g Lot Size .� SG sq.ft. Garbage Grinder( ) - Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) _, s�G gpd Design flow provided gpd Plan Date �p 119//q Number of sheets Revision Date - Title S 14-P i Sty W�s� �I��Ocsc. � .a 4i S�P-r• 06- 5 tj N Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) tk � Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. / *-- Siged Date Application Approved by Date d Jk4Y Application Disapproved by ' Date foc`the following reasons =z •= -- Permit No. Date Issued iob S l THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFYY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( at L�L� � c,� r ( ��. ��;� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �'/Q Y-dated �U)I Installer I.�et.+s t•�a C o.�`�a��.e.� �. Designer S .4�\ U 17E `.1`. , - l-\SS�)l i�LFT� ..t_ . #bedrooms / d � Approved design vv� �,"Si,��. gp The issuance of this permit shall not be co str�ied a guarantee that the system wil nctio as ev e Date / j Inspector b -.� � v1/�I `L i /R �L - v ------------7 - - -- -- - - - - - - - ----------- ' No. i� f -� - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(✓)' Abandon( ) f r System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be c omplete within three years of the date of this permit. Date [�/ �y Approved bye ------�`� Oa�� AssINC. J.M. O REILLY & OCIATE S, � � PROFESSIONAL ENGINEERING LAND SURVEYING &`' ENVIRONMENTAL SERVICES � do Site Development•Property Line• Subdivision• Sanitary• Land.Court• Environmental Permitting December 9,2014 Job# 6974 Thomas McKean Barnstable Board of Health 200 Main Street Hyannis,MA 02601 Re: 44 Eaton Court Assessor's Map 55,Parcel 17 Cotuit,MA Viktar Tuleika-Owner Dear Mr.McKean: As per the requirement of the Massachusetts State Sanitary Code 310 CMR 15.021(3), J.M. O'Reilly & Associates, Inc. has conducted an on-site inspection of the newly installed sewage disposal system at the above referenced property. At the time of our inspection on December.3, 2014, the system installation had been completed with the exception of backfilling and final grading. Our observations were limited to the top of the Soil Absorption System (S.A.S.), the observation manholes for both the septic tank and distribution box and the soil conditions above the S.A.S. Based on our observations, the sewage system was installed within substantial compliance with the approved plan completed by J. M. O'Reilly&Associates,Inc. dated 10/9/2014, as filed in your office. This letter represents J.M. O'Reilly & Associate's inspection prior to backfill. No warranties or guarantees are expressed or implied for the future operation of this system. Please contact my office directly with any questions, comments or for any additional information you may need. Very Truly Yours, J.M. O'Reilly&Associates., Ina Keith E.Fernandes,P.E. Civil Engineer cc: Client John M. O'Reilly,P.E.,P.L.S. KEF/els 1573 MAIN STREET,P.O.BOX 1773,BREWSTER,MA 02631 ' PHONE: (508) 8q6-66oi ' FAX: (508) 896-6602 WWW.JMOREILLYASSOC.COM i Town of Barnstable Fro�o Regulatory Services Richard V. Scali,Interim Director_ % 1WWSTAB14 % 9�A �0g Public Health Division 1639.- Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 , Fax: 508-790-6304 Installer& Designer Certification Form Date: /a / Sewage Permit# 0?0/ Assessor's Map\Parcel � J Designer: J".P1. Q'R e i 1 I t %cc-t SOS Installer: I q©k 4-4&A- C o,N S+n rc4+c 14 2-HC Sep+lc Sys Pnis, V l-vcc,iiq f.aN e.e Ad .-:Address: / 73 Address: 13 a 41%-n! -On., 0° l t t y AJ04A eAS+- 0 t14 4n Akm was issued a permit to install a E (date (installer) septic system at :YY ap,6't4 Couni. Co4-u i f based on a design drawn by (address) —-- -- J.M. © 1 I i '- AS SociA-16Jt dated (designer) .7 PC _ - = 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. Strip out (if required) was inspected and the soils were found satisfactory. ..-I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component :: of the septic system) but.in.accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I-certify,.that-the system referenced above was constructe ce with the terms r ' of e IAA approva letters(if applicable) �� c$% o KEI a'II E. cAt, FERNANDES tea.. Installers i nature " 87 V' IVIL (Installer's g ) No. 4S725 O 1. v FSS�OML � (Designer's Signature) (Affix Designer's 56inp 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:\Septic\Designer Certification Form Rev 8-14-13.doc 46 d� Town of Barnstable P a GG�' BIKE► u Department of Regulatory Services BABNBPABLL Public Health Division Date 200 Main Street,Hyan 's MA 02601 `rEn ropy A ,> Date Scheduled t��Y AAe Time ' Fee Pd. � Soil Suitability Assessment for Se Di o l Performed By: Witnessed By: b r ti `_LOCATION&GENERAL INFORMAT�ION.' Location Address Owner's Na ( me �y(IlJtv-1 Ba 1t� �+ \ACA_� �jt)l Y 1.fy, Address l.\5 Assessor's Map/Parcel: 5S I Engineer's Name W• � �t�`slct131G J NEW CONSTRUCTION REPAIR /'� pTTeelephone# ,gq —LOVOi �Land Use e-s1Je,A A,CA.\ Slopes(%) V_USurface Stones PJA 1 r � Distances from: Open Water Body ft Possible Wet Area';;P)CIO ft Drinking Water Well>KO ft Drainage Way GC, ft Property Line >f O ft Other ft r SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) r TPZCD ®T ® a CD To3 1PJ 6-4 Parent material(geologic) 0C,C. W-,J ti s�, Depth to Bedrock »' Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face . .: Estimated Seasonal High Groundwater Q�^ ;��I,DETERMINATION FOR SEASONAL''HIGH WATER TABLE �� �f��✓U�( Q 0 Ckm�j ej 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 ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION T EST k;Dare ime`. ZZ 1.vo Observation Hole# Time at 9" Depth of Perc �4Z Time at 6" �q Start Pre-soak Time @ C� V Time(9"-6") End Pre-soak Rate Min./Inch Lz iAl� �zwif fnc . Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE ':Hole#' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) 1 (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) c z L5 loy- !6 3Z-lu f C. loeq — "DEEP OBSERVATION HOLE LOG;, Hole#' Z... Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) - Mottling (Structure,Stones,Boulders. Consistent %Gravel 1 -310" t3 s t UYes'(e — Depth from Soil n DEEP,OBSERVATION HOLE LOG`, + . = Hole# Texture Soil Color Soil Other Surface(in.) (USDA). (Mansell) - Mottling (Structure,Stones;Boulders. Consistent %Gravel _��r<r DEEP OBSERVATION HOLE LOG .Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) _ (USDA) (Mansell) Mottling (Structure,Stones,Boulders. . Consistent %Gravel _q L foy�,3 y f o12SE — Z -1L1 ` �L x Flood Insurance Rate May: Above 500 year flood boundary No_ Yes/( Within 500 year boundary No)�, Yes Within 100 year Flood boundary No�< Yes _ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring per ious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on ��(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. Signatures f Date Q:\S EPTIC\PERCFORM.DOC r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments "7 Roper dress ON ner Own n1e, information is D required for every i Q� ' Page. Crtylrown Rate Zip Code to f Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Importantor When filling out f A. General Information rrLs _ — on the computer, (� use only m the tab Tro v\' I key to move your 1� Inspecto . cursor-do not `/ ' - use the return 7 keyy..`--� Nameof pector Cj /' _ VIA, II Cnpa y C�U. — Co rTpa ny Address L — Gty/Town �p / State — 71 A r '/ /� — / ��� _ ZiP Code Telephone Number License Number S 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. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CM 16.000). The system.- Passes ❑ Conditionally Passes ❑ ails ❑ Needs Further Evaluation by the Local Approving Authority Ins �ctor�'sature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Boapj of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and un !?r 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. t5ns-3113 TiUe5official Inspec lion Form Subsirface Sevage Disposal S)stem-Page 1 of 17 W � Ia II.� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Fro ddress / Ow ner ON information is ner !� rrle required for every wn _,��'- / page. Cltyltown estate Zlp Code N : f Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/ a/wayscomplete all of Sec'*, D A) System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CfAR 15.303 or in 310 CVfR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: G-�/1 k- l l�4.S ifl e7•�! >`n�-r� �� d� �y ��i'�l Sr LZ���-� 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 a ;proved by the Board of Healt h. "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): 15ins•3!13 Title 5Official Ire f peclion Forrrt$upsirlece$ewsgeDiSposat System-page 20'17 Commonwealth of Massachusetts u Title 5 Official Inspection Form A Subsurface Sewage a_ g Disposal System Form Not for Voluntary Assessments Rope ress oW ner r information is �^ner's required for every page. City/Town State ZipCode to ot 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 ❑ 'i (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ r'7) (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a mannerwhich 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 !Sins•y13 I Title 5 Official ins pec Lion F orm Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth ealth of Mass achusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Prop ddress /L Ow ner Owner's me information is required for every page Page• GtylTown tate Zip Code 4f"Inis'pc tion B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, If any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well*". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliforrn 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 ,,uund or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution� bution box above outlet invert or clogged SAS or cesspool due to an overloaded Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow 15rs•3113 Title 50fficiai Ins peclicn F orm Subsuface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Pro ddress Ow r er Owner' me `S information is — required for every 0 page. City/To in L 12?6:7 ) State ip Code Dale of Inspection B. Certification (cont.) — Yes No ❑ U( 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. Ej, Any portion of cesspool or privy is within 100 feet of,.surface water supply or / tributary to a surface water supply. ❑ lSr7 Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ t l) Any portion of a cesspool or privy is within 50 feet c-a private water supply well. ❑ Ed 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 b 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 der jn flow of 2000gpd- 10.00 Og pd. ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 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 wait::r supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ E the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water;; ply 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. t5ns•31 3 i Title 5 Official Impact on Form subsiatace Sevsge Disposal System•page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage_ g Disposal System Form Not for Voluntary Assessments :opery*essOwner information is — page.ed for every Q r page. City n State Zip Code Date f Inspection C. Checklist — Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes ,N...o/ ❑ ua ; Pumping information was provided by the owner, occ.- _pant, or Board of Health El Were any of the system components pumped out in the previous two weeks? ❑ V 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 pail of this inspection? ❑ Were as built plans of the system obtained and examined? If they were not / available note as N/A) ❑ L^�/ 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, loci id 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:.wner) 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): Number of bedrooms (actual): -_ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): -- �-- f5i ns•3113 .. • I f Title5Official Inspec ban Form Subsulw-SeYvegel)isposal System-Page 6ot-17 Commonwealth of Massachusetts • Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Prof d ress ON i ner Owner's me e information is required for every _11s � page. City/Town State Zip Code LAORI of klspection D. system Information Description: Number of current residents: Does residence have a garbage grinder? Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes 93 No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes Q No Water meter readings, if available (last 2 years usage (gpd)): Detail _ Sump pump? - ❑ Yes FNo Last date of occupancy: i/Z \ r"' A'0'0 Orate Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) '— Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ IVo Industrial waste holding tank present? ❑ Yes ❑ IVo Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: f5ns•Y13 _- 7ille50ffidal trupeclionForm:Subsurface Sewageoisposal System•Page 7of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System y stem Form Not for Voluntary Assessments 4er" rne ss Ow ner ONinformation is1 - required for every page / page. Gty/Town tate Zip Code Date o Inspection D. System Information (cont.) — Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? , ❑ Yes LaJ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of.System: Septic tank, distribution box, soil absorption system rp y ern ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspectic 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 (descri be): t5ins•3113 Title 5 Official Ins pec bon F arm'Substrface Sewage Disposal SAtem•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Di Sewage Subsurface uo g sposal System Form Not for Voluntary Assessments ProIner"s ress Ow ner /' n — information isrequ Q^page.edfor every , f Page. Gty/Town � `3 fate Zip Code to�Ihnspp�e��,tiZon D. System Information (cont.) — Approximate age of pli components, date installed (if known) and source o: information: Inn t� 8� s Were sewage odors detected when arriving at the site? ❑ Yes LI No Building Sewer (locate on site plan): . 1 Depth below grade: feet Material of construction:: ❑ cast iron M40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet _ Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: l feet '— Material of construction: concrete ❑ metal ❑ fiberglass ❑ pol eth ler� Y Y ❑ .other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) Yes ❑ No Dimensions: 660 Sludge depth: J t5ins•3�13 � Title 5 Official Ins pec ben F orm:Su bstcf ece Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. Ro r Pe ress Ow ner Own me information is required for every U Page CitylTown State `� Zlp Code 4Datenspection D. System Information (cont.) — Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle - G _ Scum thickness (f 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 to outlet invert, evidence of leakage, etc.): ----------------------- v, c- r Grease Trap (locate on site plan): Dept h bel ow g ra de: feet -- Material of construction: ❑ concrete ❑ metal , ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date —6ns•3113 Title 5 Official iris pecUcnForm:Subsurface Sewage Disposal System-Page 10of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -.Not for Voluntary Assessme,its T teas Cw ner f��t (r� Cw ner•s K information isr — req u ired f or every /) • page. C1tylTown 3 U 3 State Zip��Cod/e Da' 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.): Tight or Holding Tank (tank must be pumped at time of inspection) (locat^on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date --- I Comments (condition of alarm and float switches, etc.): 'Attach copy of current Pumping contract (required).}Is copy attached? ❑ Yes ❑ No *ns•3n3 Title 5 Mom Iris peC bon Form SubsvlaCe: fageDisposal system-Page 11 d17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ope ress AN ner r information is r-W ner's me ` required for page Pa9e, CityRown SJ �.� fate Zip Code to InspectionD. System Information (cont.) — Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 4 _ 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.): � 1 F Pump Chamber(locate on,site plan): Pumps in working order: ❑ Yes ❑ No' Alarms in working order ❑ Yes El No*' ;a Comments (note condition,of pump chamber, condition of pumps and appurtenances, etc.): * 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: 15ins•3/13 Title 5 Official iris pec don F orrrc Subsuface Sewage Disposal system•page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Rope dress Ow ner /7 0(J t y information is required for every U page. Gty/Tow`n 1 L J State ip Code — tt:Or Inspection / D. system Information (cont.) Type: leaching pits ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length E leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altematke system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5 ns-Y13 Title50fficial Inspection Form Subsuface Sewage Disposal System.Page 13 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments J ti� Ro dress / ,� -- — Owner r n d CJ 1 - ON ner' me — inforrrtation is required for every page. City/Town State Zip Code Datetif Inspection c�v D. System Information (cont.) +' Comments (note condition of soil, signs of hydraulic failure, level of ponds: :, 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.): t5rs-Y13 Title 5Official frs peC tion Form Subsuface Sewage Disposal System.Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1 , Pro d ress ON ner Owner me inforrystion is -- required every page �/ page. City n State"1 Zip Code too 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 t5ins-3h 3 Title 5Otficial lnspectictiForm Substaface SewageDisposel system-page 15 of 17 ' Commonwealth of Massachusetts ' Title 5 Official Inspection n _ s pection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments PrcPp ddress. Oar ner l / information is (01w ne s me required for every r lJ / l� page. Cftylfo State 4PA Date Pt Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: Qo + Wet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date — Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins•3M 3 Title 5 Official Impaction Form:Subsuiace aewageDisposal System-Page 16 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �ti � ��t Rope d ress. _ Ow ner n t information is O'^'ner's — required for every d page. Gty/Town tat Zip Date of inspection / E. Report Completeness Checklist ( 1 Inspection Summary: A, B, C, D, or E checked Inspection Summary D (System Failure Criteria Applicable to All Syst%, is)completed System Information—Estimated depth to high groundwater Sketch of Sewage Disposal System either dra wn awn on page 15 or attached in separate file t5ins-Y13 Title 5 Official iris PecOmForm subsurface s"eoisposal system-page 17 ct 17 TOWN OF BARNSTABLE LOCATION ,40 < q Cb SEWAGE # VILLAGE L, ASSESSORS MAP & LOT 4 7 INSTALLER'S NAME & PHONE NO.13X-oc j4 4. L C,myy ZU 0,P'7Z- SEPTIC TANK CAPACITY_ 1,5OO S r LEACHING FACILITY:(tppe) 0v.4/ (size) NO. OF BEDROOMS. _—PRIVATE WELL OR PUBLIC WATER/°ri�/t .. V BUILDER OR OWNER _ (-'i_ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No .i V P a� f. a q . r —4Ce, F -�� I�Io. rj Fits.... Y r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .........OF.....b. � �T............................_........................... Applirtt#iutt for jli,ipu,ittt III orlt C�nttuirur#ivtt lrxuti# Application is hereby made for a Permit to Construct ( v) or Repair ( ) an Individual Sewage Disposal System at: � »....»»...=. ' nAdd'• _.».. r>�ess or Lot No.»...»........»..»» _»»»».... sa1Z5 a.—I. .-----•................» ..................-.............»...».» W S- �� • ... Address ----- �».........-- Installer ........................ S!yCC C e.L, Address Type of Building Size Lot... :......... ....met Dwelling—No. of Bedrooms.........................:............Expansion Attic ( ) Garbage Grinder ( ) pa Other—Type of Building ............ No. of persons...........; ►............ Showers ( ) — Cafeteria ( ) a' Other fixtures Design Flow................ . ..........gallons per person r day. Total daily flow.....................3�� Ions. .... ............. Septic Tank—Liqui capacity .gallons Length `I " '/ w ...:t!a...... Width.:l�...—.1�.. Diameter................ lleptli�_.7.---- x Disposal Trench=—No..................... Width....... Total Length.................... Total leaching area................._Wt. See a e Pit. No...... ... /Diameter.. .- ' ..� P g :Q...... Depth below mlet.r!..'�....... Total leaching area..:�Z.�..... . Z Other Distribution box ( ) Dosing nk.( ) Percolation Test Results Performed by.. Date... -2(� S ..fix. ., ..�` �Y�..................... .. .�................ • .... H Test Pit No, l.. 2.....minutes per inch Depth of Test Pit..Ze! .�r Depth to ground water....... w Test Pit No. 2.»<.Z.......minutes per inch Depth of Test Pit.../ ....... Depth to ground water....... l O Description of oil /..�.". D��.1-Q%41 .. cfuayol:G�C�.��'�T-�. .L ! 7 �. ».... .... _. �.. ..... ..'.. f .�l. sS l 'C?f. y., 4::'.:s.3:lo .� I� .. /.�U �s :.c (..... a�.�.... M� x .......................................................................t........_...............--•---------.....................................•--....---••.......-•-.........---.........-----•••... U Nature 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Oard of I t. Signed.... .......... ... . Application Approved By... ._... g ............. .......... .. ................. ... .... ai�........».s.. ........ ......6...... .._..rd.. ... • Date Application Diiapproved for the folio i g reasons:....................................... ».................. :............»...........................»......................».............—...................................... ..... ......................•D ~- Date .»» Permit No._..» . ':.. '�.. ................ Date THE .COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................./ 1k/1 l.........»OF..... . .:�7[/ ......................................................... Avv irtttio t for Mupoottt loorko To11111rurtiou prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Syst at: _v ra urn lion- No.dd ess or Lot _ w ........««..�S.l/..�'�.�;»....._ �1...«...._....................« ..........�..........»...-����.».«.Additasa�^�S r�� ....`...���........ Installer ••••--•••••• Type of Building naa.e.. CrS ...� ...................Expansion Attic _ e a Dwelling—No. of Bedrooms........ Size Lot.. .. ................. Aic ( ) Garbage Grinder ( ) W Other—Type of Building No. of persons............................ Showers Cafeteria ( ) Other fixtures-... ...................................... ............. — ( ) Design Flow............ ...........gallons per perso pe y S. [ ........... .._.... •a Total daily flow..................................... loos. Septic Tank—Liquid*ca acit gallons Length....:..-.-._ Width. ;�� ` w 9 .P y g .. Diameter................ Depth .............. , x Disposal Trench—Np .- _._._.- Width.., Total Length................ Total leaching area............ ........... - �.3t. 3 Seepage Pit No................... Diameter......:........... Depth below inlet a ................. Total leaching area..Z ... Z Other Distribution box Dosm ank (� Percolation Test Result Performed by.. /2x 1:-.; �,,,-I,°', Y _ Date..................... H Test Pit No. I..............minutes per inch. Depth of Test Pit./ `.,,,.-,. Depth to ground water.............. .......... [�+ Test Pit No. 2................minutes per inch Depth of Test Pit.�:L... Depth to ground water........................ a' -'1"51-1%.,. ..'O 0 %Z? 1E. c �Qe f oil � G - - ..... ..... I G1e .. /L�}.•r...... ...�. 3........7_................................. . .. .. .. :!I .t � .' ...........•--.........y ........ .....�. .....` : A. - ( % ..W.....D...T...J...i....i.�.� .........;............. ........................................ ............................................................................................................................... ...................................................................... .V Nature of Repairs or Alterations—Answer when applicable.....................0...............0.... ................................ .................. . ...................................................................................................................... Agreement: ... . The undersigned agrees to install the aforedescribed Individtial Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The utidersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Application Approved By....._.. Application Disa d folio ...... ............... ............ ..« --•.......... .Date.......... .. PProve for the f ojiga reasons: .................................. ..........................._..................._............._...............................................---.........................Did......« Permit No...._.«..............:...... .........i:•---..... Issued_......_............ ... • .................... ...... Date ..THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH row� . ..........0............................OF......;.... .......................... Talif irate of (ffoutpfialtr . .. ....... THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-_". ............. .... jam, / ...............��'��f......................................................_........1 has been installed in accordance with the provisions of TITJE- -5 o3T§hj State Sanitary Coee as hest f e f in the application for Disposal Works Construction Permit No......................................... dated.................... .: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTE. .E THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................:?.. ... `� .............. _........... Inspector.. .. ?.. .................... THE.COMMONWEALTH OF MASSACHUSETTS / BOARD Gj��H .....................................OF............ J ._..... _......._...............No......................... ........................ FEE.. �....._.. .......... �Qi��oott� �(lor�to G�o�to#rur#iou �irrutit - S i Permission is hereby granted........... r(IC/4 .......................... to Consttu ,(....,..or pair ividttal .'��� Po �yst, .:........y................ ..:....................................._... atNo............... .............................f.._J......_....1...�.. . , m, Street _ as shown on the application for Disposal Works Constructioi �eejriynit Nd..,.... Y ........1.�::`:.:.1GtiDated.......................................... - 3 :.......... Lt............................................ DATE.......................... Board of Health ............................................__ FORM 1255 14O088 A WARREN. INC., PUBLISHERS , 1 I SI y GENERAL NOTE5: SOIL TEST LOG5: SYSTTEM �D�E�SIGN CALCULATIONS: ' comma A.)NCfT DRIVEWAYS NOR PARKING AREAS AM ALLOWED OVER SUfIC SYSTEM TpES�T HOLE I1Ai C5I 3A29pIL 901E gp� OTHER SGWPG D'-•"""'^^""^""NG i I FUTURE BEDROOM a 1 10 GPD-550 Gm Q Q MA UNLESS M-20 COMPONENf5 ARE USED. ^aIRfICe pl+aON ipOURE COLOR PORTING LEA01ING@NTY RCOUIRPD• iFP.�I BJ THE DESIGNER WILL NOT BE R15PON58 E FOR THE SYSTEM AS"INED UN- INale9) N9cW UN9HU $ fgTT62.'Pp-550 GPD RCOUIKED +'fir LESS CONSTRUCTED AS SHOWN.ANY CHANGES SMALL BE APPROVED IN WRONG. - j1� •. C.)COHTRKTO0.SMALL BE RE9PON91BLP FOR VEUMNGTHEIOCATION OP ALL B'IIC TANI�CAPALJTY R@UIRED:-1100 GAL REQUIRE) w61.e 4 L�n UND®GRDUND ANO WER)IEAD UnUTR9 PRIOR TO COMMENCEAENT CE WORK. SEPTIC TANI CA MOVIOED: CONSTRUCTION NOTES: TESTMOLES EL-73A2 nc@[e NOTE.17) U'`' / . DEPIM FROM 901E I 901E 9�{I OMCR LNG CAPAL]7Y DED \ . 9URPAIY MOIe COIDRB�INC CHAMBBE CAN IEMM: \ W'• �2 , 1.)ALL CONSTRUCTION SMALL CONFORM TO The STAR CNMRONMEO'AL COfX. _ VInIf42%12.09)+(42 X 2.0E+(12A9 X 2.0121 X 0.74 GPp9P-%I Gm 961 Gre"50 GFD RNIIIRLD NOTE:A GARBAGE DISPOSAL IS NaT r5wMTED WITH THIS DESIGN. •�\ ''\•;__�_ TITLE 9.AND THE RED TRA OF THE LOCAL BOARD OF Fmxm. h +T \ •6u \ pµ 2.)SEPTIC TANKO).6ReA9E tRAF19),D0.91NG CHM BeR0I AND DISTRIBUTIONP. I[[aa44TAL��L��� 6pg BOX(ES)SMALL BE SET ON A LEVEL STABLE BASE WHICH HAS BEEN MLCMANICALLY TEST HIM 3:EL-72.5x D�ETIT.G OUTLET DISTRIBUTION BOI(M.20 RKeN COMPACTED,OR ON A 61NCM CRUSHED 9roN!BASE. FOUR W)-500 GALLON LEACH CHAMBERS WITH 4'Of STONE ALL AROUND . \ \ \. $ f EOM L 9q� 99pp�� omrR SEVEN(7)-CDVERS BUILT UP-SEC POW PRORLE FOR DETA119 •' \ A N 3.)UEPIIC TAW")SMALL MCCT ASTM STANDARD C 1127.93 AND SMALL HAVE � � COLOR /AOrtUNG ONE(1)-4'PVC OUnPf TU WfRl GA9 BAFflE .n!31�•4?. -� .. .••. R75,00' ��U•g AT LEAST THREE 20 DIM(CIEt MANHOLES.THE MINIMUM DEPTH FROM ME BO- ToMOrTMEsePnc TANKTOTKE POW UNC SMALL BC 46•. \ \ \ A47.33 ~.•'� NOT TO SCALE! 4J ABOVE THE LE 40 PVC INLET AND CURET TEES SMALL WISWD A MINIMUM OF C \\�'� \ ABOVE THE FLOW LINE OP THE 9WIC TANK AND SMALL BE INSTALLED ON THE "\ \\ I \ \ "�•` F /w pNi CENRRUNE OP THE TANK DIREG(LY UNDELTHE CIPANOUT MANMOIE. TEST MIXPRPp 4M:E9pr�72.53gq� S9qq�� 99OOL�� �d N DEED BOOK 227999 PAGE 26 17 5J NALSE COVERS OF THE 9FPIIC TANK AND DISTRIBUTION BOX WITH PRECAST 'a1RPIC! MORE TOLNf� C.OL.OR MOTTLING OTHER w SS. \ \\ "F'I•� \ A99E98ORS'MAP 9$ PARCEL CONCRETE WATER TIGMT RISERS OVER INLET AND OUt ET TU9 TO WITHIN N7 OF \_ M we K GRADE,OR AS APPROVED BYTM LOCAL BOARD OF HPUTH AGENT. GJPIPNGSMALLCMI OF4'SCMEDLRE4OFVCOREOUIVALENT.PPESMAIL ( :ERE.•-.'• \ \ \ LEGEND Be LAID ON A MINIMUM CONTINUOUS GRADE OF NOT LESS THAN I%. _ 71 DSTRIBUnON LINES FOR SOIL ABSORPTION SYSTEM(AS REDUIRE)SMALL BE N \\ \s \\ \ \+1419, `- .�^�� �- DDSTING CONTOUR 9122114 4-DWAETER3CHEOUlC 4OrVCLAlOATO.005PM'f.UNC5MA.LUCAPPED OAR Dr TESTING! LESSTH I AT END OR As NOTED. PERCOLATION TEAR,lESB THAN 2 MIWINCH IN'L`LAYERS. x __ -32 P 15TING D CONTOUR WM 55M BY:REAM C.FERNANDES.PE.J.M.aWLLY I ASSOCIATES.INC. - PIP, \ \ `_ ' •IeeR EXISTING SPOT GRADE BJ OUTLET PFES FROM DSTRIBUTION BOX SMALL REMAIN LEVEL FUi AT LUST DONNA MIORANDI.AGENT.BARNSTABLE HEALTH DEPARTMENT •. w`6D3 = \�_ �-• l 26W PROPOSED SPOT GRADE r BEFORE FOCHING TO SOIL ABSORPTION SYSTEM.WATER TB9T D5TRMUrCN No WATM ElCOUMERED ,`I n)JI -W- WATER SERVICE.LINE - BWt ro A9SURe EveN D9TEBUITON. USE A LOADING RATE OF 0.74 GFaW FOR SMING OP SOIL ADSORPTION SYSTEM. � . nyp �.r �.. -D- B.)DISTRIBUTION SW SHALL HAVE A MINIMUM SUMP OF C MEASURED BELOW -U- OVERHEAD UTILITY SERVICE THE OvrU!T INVERT. -"'''_ �°..'.'• "Na \ / UNDERGROUND UTILITY 9HtVlN 10.)BA9C p6GRE(>✓.R POET 7ME LEACHING FACILITY SMALL CONBET OF SW TO I LMm IIVGNf I(Ba1W8PwaPdo)pRwRe Oe 1 "7 7LT / Wggj���� �wma 6 TEST HOLE I 40 GAS SERVICE LINE -12•DOUSE WASHED 9roNE ORES or IRON.PINES AND DUST AND SMALL BE '/ mm9 Llall 7v\ /J/ INSTALLED BELOW THG OROWN of THE DISTRIBUTION UNC TO THE BOTTOM OF THE �KaRRRal by Poo DeRn�dPavbmm:W + £ ''�': - ` __ 9T SEPTIC TANKBORING LOCATION SOIL ABBORMON SYSTEM.BABE AGGREGATE SMALL BE COVERED WITH A r PmwORrosedlhdlX.a_wh.s p'.0..6by Aw /� TPA �5'g wTa) \ / OfsTwBtJrroN Box K r'' Mu wa UYEt OP I/Crol2'DOI/BP WA9MED9TONE PieC CY IRON,PINES AND DIET. �•���'� - - O '"'•ll RSOIL ESERVED POET FUTURE aa"XroealR,tal]IR19An. w]SAL r ,RR Ila4 9A9 RESERABSORPTIONDFORUTURE EM IIEVENT LOCATED ABSORPTIONOLE SYSTEM IN PAR' UNDER. PIVLLINES OCCED BOFLIT: ' PeVed Dnveway "7 ] •d UTILITY POLE WHEN LOCATED EMIR IN WHOLE no IN PACT UNDER R wHeNAY9.PARKING AWES. �. l¢6 / / i / y11 �\ - ® CATCH BASIN TURNING AREAS OR OTHER IMPERMOLE MAIEUAU OR 1VHEN PRESSURE DOB®. NAME: OATG 12.)901E MEDIUM SAND SYSTEM SMALL Be COVERED 1Y1111 A MINIMUM OF 9'O( �-�"- RR / \ / �+ ® FIRE CLEAN MEDIUM 9AN0ICxGWGNG TOP90R). _ ¢ T Gary,E kIM94tyy_ /i / b FIRE HYDWWT 13.)MN15M GRADE SMALL BE A MAxIMUM OF 30 OVER THE TOP OF ALL SY9TEA - Slab ' .TOP OfP D:,,-u._ OOMFONEN19,1NCWGNG 7HE SEPTIC TANK OI9TWBUf1ONBOL(DD5(NG C1MMBC0. - / 73.41 �m��aEbM-."O^9 / / "n^ O DRAINAGE MANHOLE AND SOIL ABSORPTION 9Y91LM.SEPTIC TANKS SHILL HAVE A MINIMUM COVER "TL / �' ��- 74.42. OP 9'. 7/ nI 14.)FROM THE DATE OP INSTALLATION Or THE SOIL AMIORP ITON SYSTEM UNTIL _ 7 .753 .. "� • CONCRETE BOUND.POUND , 8y w�, Tu -1- TOP OP BANK FECER Or A=FICATE Or COMPLIANCE.THE PEWICRA OF THE SOIL AB90RF- - "Lae wM % - UMROPWORK T10N SYSTEM SMALL BE STAKED AND FAGGED TO PREVENT THE USE Or SUCH ARFAFORALLACnvrtI6mAT MIGHT DAMAGE THE SYBRM. 1 _ „ -� PLAN PENCE 15.)THC BOARD OF HMTK SMALL I MIRE IN9PECRON OP ALL CONWU 9TCTION EDGE CLEARING OF CLEAG _ eYAN AGER OF THE BOARD Or MCALTH(OR TMC DESIGNER IF THE SY9TB.L Re. \ - : SCALE I•-20 OUIRC5 A VARIANCE AND MAY RCOUIRE SUCH FML90N TO CEMPY IN WRITING '� �� A \ THI5 AREA 15 SERVED THAT ALL WORK HAS BUN COMPETED IN ACCORDANCE WITH THE TERMS OF THE I yp , \ PY PERMIT AND APPROVED PIAN9.40 MO ADVANCE NOIRGC IsItCOUE9IED. ---- \ w,�� �-- I{ "fig,/ . BY TOWN WATER. I G.)METING LEALN PR TO BE REMOVED.ANY CONTAMINATED SOIL WITHIN 9 OF ^ 1 9f - GILANe W�fA 7ASSCIRFIVON p BEACiS®ro MN MIS 9CfTIM�G AND RewvsDwnr SAES DETAIL: x x"'t -mn� >;, •�' 1 I � T�s 17.)ER97INO B00 GALLON SEPTIC TANK WAS VAIANED BY JM.OREILLY♦ SCALE:I' I O' ASSOCIATES.INC ON 6'29/14 AND FOUND TO Be IN GOOD CONDITION WITH , "ant " � rrriii f 0 0SS-Pt. NO 94 Or LEAKAGE.a(L9nNG CONCRETE OUnEF TEE SMALL CC REPLAN® WITH ASCM.40 PVC TEE AND GAS 59M(Bar now PROPW. \ x f JFILE .ci 16.)INSTALLER SMALL VERIFY INVERT ELEVATIONS PRIOR TO INSTALLATION Of ANY SEPTIC SYSTEM COMPONENTS. 736 COL . `.�. �'• triN,.�: .tS _. \\ '1.10 wTAR J 14'a sroNe. �e.,. .�-..s ,� Ae•. \\ res"d�wd�n"IarA ]4Ii / / w / v. x ,y +u;'. .;'., - c�„marePr><4wdrn'.......... N .L • _- 21. r. ,8.9' ,a r \ LOT 54 4r �54.450 SPt \ \ h \\;C / P / / RLGR4Dl CW77GLL IN ORDERTO ,. a TB6 " \\ \\\'`• ` \ // / PEL9 O QAR 15.211141 E.IE/19 - -�_ 2s11�w / w,LH /•j tiH /�`7` e•-j- /__.u9 SKETCH FLOOR PLAN5: BENCHMARK: / x6LRq NOT TO SCALP - CL---79.4�(A(A..d . I5T FLOOR . BATH / LIVING FLOW PROFILE: PRIOR N3rCCTDNNOE: / r, ` NOT TO SCALE NODS TO COMFLEC fNCLUDING BNLO MR COVERS. •C RITC11eN OWING BED '.'. 11 DIAMETER CONCRETE CWBS 7 COVERS TOTAL RAGED iD WITHIN V OP PINEM TOP OF FOUNDATION GRADE MR AS NOTED) �Nfx>Y SUN ROOM N IL - (9U NOR IW �.. >.« 2ND FLOOR Or M.-3S MA4 eEDw TULEIKA BUILDING COMPANY rtAYMOr IE'-IWSTONE /� 125 BERKSHIRF TRAIL.WEST BARNSTABIE.MA 02"0 14 / sAa-`ire stoke v �✓/-/p�-'� 51TE 4 SEWAGE DI5P05AL 5Y5TEM DE51GN N BED /. 4P SON.w^� roR� am (M 44 EATON COURT,COTUIT.MA TEC wl GA9 BAFFLE '9U NOR AIe 1 ,1 �`m Be0 9 � .� �`• ` - WITH*um or R9MOREYPRCGA9T I �� E09nNG UmemLRw 5'0AMI LONUTANeA CHAMBERS, hex 1 I `I�_ .J.M. UAREILLY BC ASSOCIATESR INC. PPoh.a.asl Y IsnQ em.e7eTs em.Eca. I9ORMING M �sz: 25'z (Em vR1» ` 0 20 40 60 !N�r�tB+RRt- ` SEPTIC TANK D-BOX LEACHING CHAMBER a-6o.s:IIOITQA OF TEST Art w SCALP I•-20 az.a w N z.a9'<z.o / n-zo G, /��U( 7 �� ` (Nwe�.O-BBBL DEED. erw.P.r.n o=Bi (Bwmae-aeoe s.. . P.O.Bor<lTF7 GMAQo Wdlu)a flw:"Ca:gwyYI4 CaIt Cw 6974169]49D9.dwg 1O/9/I4 A9 Noted KEPI/JO JMO JMO.6974 NOT,ST FROM TOP Or CHAMBER TO BOTTOM M.10 . ti Erg,etas x IIU❑ ❑❑❑ _ J SCALE, a DRAWN-BY: x X '. wkdeeign I I I I Wedneedey,July 20, - - - - - - - - - - - - - - - - - - - - - - - r�- - — — — — — — — — — — — — — — — — — — — — — — — - - - - — — — — — — — — — — — — — — — — — J L — — — — — — _ _ _ — — — — — — — — — — — — — — — — J FRONT ELEVATION SCALM V4.rc RIGHT ELEVATION eC:l V4.14 1. — — -- - p` NO lArm .;L OQ L n T — O aP T �1 rm �® v 4 ®®®® 4 -- .ToP or rourJxlon ®®® TM . I Q APPROVED, I I v I I '- - - - — — — — — — — — — — — — — — — — — —�, Tepawalre. - - - - - - — — — - L — - - - - — — — — — — — — — — — — — — — - - — J ' L - - _ _ — _ _ _ - - _ — - - - J Wedrleedny..kJIy20.20 LEFT ELEVATION 24--0-- - I GQY V4. O 41 REAR ELEVATION eCAL6 V4. � t ', x 24'-0" CURB OUT TO GRADE - ----- qy -----------' -------------' ---------' - B. -- ° Am SHEAR WALL KEY wrcw FLOOR TO FOR SWEAR WALLS Sd 16 FOR GALVANIZED BOX NAIL OR COMMON NAI ;y vs• L I = "'pmmQQQI '. . sex rooT • R, 11 O AT ALL EXTERIOR WALLS AND WHERE NOTED Eng,etenp Q V2°OR 8/8'COX WITH Bel AT 6'O.C.AT PANEL 6'$° . • ; P AND C'O.C.FIELD. SUM AT 16'O.G.MAX. CURB OUT TO GRADE 4•POURED CONCRETE FLOOR MOT TO , Q THROUGHOUT Q Fl.UBH STEEL BEAM BY OTHERS------------ �oulmn^oN 44 Q ° DOWN KEY A i ° 1 o I---------------+ -----------------7 TND8 OR LSTHD8�RJ(FOR RIM JOIST APPLICATION)WITH 24-16d --- - -- - - -- .- - _ - - - --- - -- -- a• - O S"CONN L6 SINKERS INTO A PM STUD,EDGE NAIL SHEAR TO BOTH STUD6. AT FOUNDATION USE � - 8°CONCRETE EMBEDMENT WITH°4 REAR ABOVE THE EMBEDMENT PORTION. ,Q SCALE, -- - - - - -- - - -- e1MP6oN PHDB WITH 140DS v4"al WOOD BaReub INTO DBL OR 4.STUD, 114" = I� a3 O EDGE NAIL SHEAR TO BOTH STUDS. AT FOUNDATION USE OR P60N BOT520 ANCHOR F'IfCll Roan TO aaax SI BOLT WITH W CONCRETE EMBEDMENT WITH SINGLE POUR FOUNDATION. IF REMIRED, DRAWN B Y: •V4 F143 Fom 118E CONNECTOR NUT AND CONTINUOUS ALLTHREAO TO CONNECT ANCHOR BOLT TO 1 D� 1 ' wkde,,,OLp etgn 1 l N ■ POST y ' --------------------------------------------------------------- r 16"LVL HE 0ER TO FOUNDATION T1 Avdaq.JUI 2t 20 6 ABOVE ---- 12' 'CURB CUT TO ------------------------------- Q r-0" —� O IST FLOOR PLAN 1Y-0" 12'-0" 24'-0° etas v4•.1'v 24'-0' 24'-0" 8"X 4'-0"POURED CONCRETE FOUNDATION TO ACHIEVE WOO PSI IN 28 DAYS FOUNDATION PLAN 12'-0" SET UPON A 10"X 20"KEYED FOOTING erxe va.IO W/(2)8/8"REBAR THROUGHOUT. - - 5/8"X12""J°BOLT ANCHORS EVERY6'OC. VX9"XI/4"PL WASHERS nt NO - 0 Q :t =- v 4 4 4 lu Za OFFICE m ON I M S"FO y \" APPROVED. REVISED, IMO. Thumdag,July 21,2016 a�rcw,e(o2"0 aaDw®ro —�Ii SECOND FLOOR PLAN A2 eC,q�F• V4.1 Z 13 �I" 1 2 2XIO16RAFTERS °T 8 XI2 RIDGE i 12 H2 SA I - — — — — — — — — — — — — - I \ ROOF TO CONSIST OF: ~I1 30 YEAR ARCH ASPHALT SHINGLES f- icr, S/S COX SHEATHING — — _ — — — — — — — — — - ICE AND WATER AT ALL HIPS •o - - - - - - - RAKES AND EAVES 2X12 RCdvE/2X4 COLLAR TIES •e top 2X10 RAFTERS*16°OC W/R30 FG,INSUL. 'DOUBLE 2XIO RAFTERS• _ — — — — — — — — — — — — _ �-'r :� ,l '`•.-.. 2XB CEILING JOISTS*16"OC W/R30 FG.INSUL. DORMER WALLS - - — - - - m. 2X6 WALL TO CONSIST OF: WHITE CEDAR SHINGLES - 1 S TO WEATHER TYPAR HOUSEWRAP SU '.i1 ;0i A? 61'Si.SAS W 'a' 6 oe t. 151 'yt'. Y(17 r1 4 1/2"PLYWOOD SHEATHING 2X6 o I&"OC.W/R20 FG,INSUL 2XIO DORMER RAFTERS •IS"OG. - — — - — — — FINISHED FLOOR 3/4 ADVANTEK SUBFLOOR — — I I 1 I 2XI0-16°OG.W/R3R3D FG.INSUL _ IX3 STRAPPING o 16"or..W/S/S"FIRE CODE GWB. TAPED AND FINISHED I I p�� 2X4 WALL TO CONSIST OF: WHITE CEDAR SHINGLES I r S"TO WEATHER TYPAR HOUSEWRAP SCALE, 1/2"PLYWOOD SHEATHING II 1 2X8 COLLAR TIES —— — — — — — — — - I .. 2X4*I6°OC. 1/4 * 1 0 16" DRAWN BY: _ ,� r' a "x ^� r,•i^`" 7 L� S"X4'POURED CONCRETE FOUNDATION SET UPON 10"X20"KEYED FOOTING L — — I' - — —— — — — 4"POURED CONCRETE FLOOR July 21,20 Thurodey, 16 m �, I, uvtiatr f 9 PITCHED TOWARD DOORS TO GRADE �h.p nIYk6� �' . ' 0)e8 REBAR THROUGHOUT L 24,-0" SECTION THROUGH ROOF FRAMING PLAN `l �I "4210 vm� GTm MOLE • ICI IN FE LD 2XIO HEADERS SOLID BLOCKING Ik llO BENEATH DORMER.WALLS i 1/�xz aA•..;. FLUSH STEEL BEAM O BY OTHER �v} 2XIO*16" OC—APPROVED, iMitzs.xus2s.' REVISED, } TYwxedeg,JU S 21,2016 1 r ti 03 2ND FLOOR FRAME A s ecaLE. V4•1 O a I GENERAL NOTES: SOIL TEST LOG5 : cotul( At�, SYSTEM DESIGN CALCULATIONS : A.) NEITHER DRIVEWAYS NOR PARKING AREAS ARE ALLOWED OVER SEPTIC SYSTEM TEST HOLE 1 : EL=73.4± SEWAGE DESIGN FLOW, UNLESS H-20 COMPONENTS ARE USED, DEPTH FROM 501L SOIL SOIL SOIL OTHER EXISTING 4 BEDROOM DWELLING + I FUTURE BEDROOM @ 110 GPD = 550 GPD SURFACE HORIZON TEXTURE COLOR MOTTLING LEACHING CAPACITY REQUIRED GO Q : B.)THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UN- (INCHES) (USDA) (MUN5ffLL) x 58,6 10 a 5 BEDROOMS (MAX,) @ 110 GPD = 550 GPD REQUIRED �� LE55 CONSTRUCTED AS SHOWN, ANY CHANGES SMALL BE APPROVED IN WRITING. 0-18" FILL --------------------- ---- NONE I -32" B LOAMY SAND I OYR 5 8 NONE SEPTIC TANK CAPACITY REQUIRED: x 6L3 "` 7.4 '�� O C,) CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALLO c� 32-I 2" C I MEDIUM COARSE SAND I OYR 8 G NONE DAILY FLOW= 550 GPD @ 200% = 00 GAL. REQUIRED G ct UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. ,� 59.0 p SEPTIC TANK CAPACITY PROVIDED cUr' : 2 O Cp C O N ST I\U CT I O N N OTE.JC, : TEST HOLE 2: EL=73,4± XISTING 1500 GALLON TANK(S Q t RE-USE E DEPTH FROM 501L 501L SOIL SOIL OTHER E NOTE #t 7) x 61,1 SURFACE HORIZON TEXTURE COLOR MOTTLING LEACHING CAPACITY PROVIDED: 60,5 02 G> 6.7 Fd Q (INCHES) (USDA) (MUNSELL) ONE X21 2.83)8+ (42 X02 0)2H+N(GI 2.83 XBER 2 0�2] X OA74 GPDJSF=56 I GPD e of F o� I ,) ALL CONSTRUCTION SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, 0 1 4 FILL --------------------- ----- NONE 5G 1 ) +( 250 GPD REQUIRED G4 61,3 ,k a�e�ehf TITLE 5, AND THE REQUIREMENTS OF THE LOCAL BOARD OF HEALTH, 1 4-30" B LOAMY SAND I OYR 5 8 NONE NOTE: A GARBAGE DISPOSAL IS NOT PERMITTED WITH TH15 DESIGN, x 64.3 x 61,4 g 30-1 22" C I EDIUM COARSE r5AND I OYR 8 G NONE PERC c� GO' S' 1 5414 2.)SEPTIC TANK(S), GREASE TRAP(5), DOSING CHAMBERS)AND DISTRIBUTION 61,E - _ 6' ' BOX(ES) SHALL BE SET ON A LEVEL STABLE BASE WHICH HAS BEEN MECHANICALLY INSTALL; X 6Q2 5,8 TEST HOLE 3: EL=72.5± ONE (I)- G OUTLET DISTRIBUTION BOX(H-20 Rated) 9 COMPACTED, OR ON A G INCH CRUSHED STONE BASE. DEPTH FROM 501L 501L SOIL 501L OTHER FOUR(4) - 500 GALLON LEACH CHAMBERS WITH 4'OF STONE ALL AROUND 51 3.)SEPTIC TANK(S) SHALL MEET A5TM STANDARD C 1 1 27-93 AND SHALL HAVE SURFACE HORIZON TEXTURE COLOR MOTTLING SEVEN (7) - COVERS BUILT UP -SEE FLOW PROFILE FOR DETAILS �C AT LEAST THREE 20" DIAMETER MANHOLES, THE MINIMUM DEPTH FROM THE BOT- (INCHES) (USDA) (MUN5ELL) ONE (1) - 4 PVC OUTLET TEE WITH GAS BAFFLE 64.5 63,E R75, 00' LOCL/5 TOM OF THE SEPTIC TANK TO THE FLOW LINE SHALL BE 48", 0-8" A LOAMY SAND I OYR 3/4 NONE x 65,4 I A 4 7 3 5' ' ' • ' ' • �' NOT TO SCALE 4,) SCHEDULE 40 PVC INLET AND OUTLET TEES SHALL EXTEND A MINIMUM OF G" 8-24" LOAMY SAND I 0 R 5 8 NONE p- x 57. 24-144" C I I MEDIU COARSE ;;;SAND I OYR8 6 NONE PERC 5G" x 58,E 5*1 58 N ABOVE THE FLOW LINE OF THE SEPTIC TANK AND SHALL BE INSTALLED ON THE 68 x 65,9 66,3 57,6 PLAN BOOK 292 PAGE 2G CENTERLINE OF THE TANK DIRECTLY UNDER THE CLEANOUT MANHOLE. TEST HOLE 4: EL=72,5± DEED BOOK 27959 PAGE 2G7 5,) RAISE COVERS OF THE SEPTIC TANK AND DISTRIBUTION BOX WITH PRECAST DEPTH FROM SOIL SOIL SOIL 501L OTHER O ASSESSORS' MAP 55 PARCEL 17 CONCRETE WATER TIGHT RISERS OVER INLET AND OUTLET TEES TO WITHIN G x 64J OF SURFACE HORIZON TEXTURE COLOR MOTTLING x 68, � (INCHES) (USDA) (MUN5ELL) µ GO m FINISH GRADE, OR AS APPROVED BY THE LOCAL BOARD OF HEALTH AGENT. x 6,m 0-9" A LOAMY SAND I OYR 3/4 NONE I "`..: G:)PIPING SHALL CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL 9-27" B LOAMY SAND I OYR 5 8 NONE _ k LEGEND 66,8 BE LAID ON A MINIMUM CONTINUOUS GRADE OF NOT LESS THAN I%, 27-l 43" Cl MEDIUM COA E`SAND I OYR 8 G NONE 7,) DISTRIBUTION LINES FOR SOIL ABSORPTION SYSTEM (AS REQUIRED)SHALL BE -.. x 61.9 62 --"®` EXISTING CONTOUR 4" DIAMETER SCHEDULE 40 PVC LAID AT 0,005 FT/FT, LINE SHALL BE CAPPED DATE OF TESTING: 9/22/14 TO - "' ""' ' , AT END OR AS NOTED: PERCOLATION RATE: LESS THAN 2 MIN/INCH IN "C" LAYERS, � 62,p x 6218 -32 PROPOSED CONTOUR WITNESSED BY: KEITM E. FERNANDES, PE, J.M. OREILLY ASSOCIATES, INC, c� x i2,a4 X 70, � � EXISTING SPOT GRADE 8,)OUTLET PIPES FROM DISTRIBUTION BOX SHALL REMAIN LEVEL_FOR AT LEAST DONNA MIORANDI, AGENT, 5ARN5TA5LE HEALTH DEPARTMENT 70,3 ' x 68,2 24x5 2' BEFORE PITCHING TO 501L ABSORPTION SYSTEM, WATER TE5T DI5TRIBUTION NO WATER ENCOUNTERED x 0.8 X 7u'3 _"" PROPOSED SPOT GRADE USE A LOADING RATE OF 0.74 GPD/5F FOR •RING OF 501L ABSORPTION SYSTEM. WATER SERVICE LINE BOX TO ASSURE EVEN.DISTRIBUTION, `'"""�-- x 67,3 66 W--- 9.) DISTRIBUTION BOX SMALL HAVE A MINIMUM SUMP OF G" MEASURED BELOW 7Li x 77 9„?. --0-- OVERHEAD UTILITY SERVICE X 71;9 x 7��6 x 71,6 �.... -u- UNDERGROUND UTILITY SERVICE THE OUTLET INVERT, Certification; " x 69,5 10.) BASE AGGREGATE FOR THE LEACHING FACILITY SHALL CONSIST OF 3/4"TO 2 71,7 x 67,0 68 - G-- GAS SERVICE LINE 1-I/2" DOUBLE WASHED STONE FREE OF IRON, FINES AND DUST AND SHALL BE I certify that on 10/24/05 IKeith E.Fernandes)passed the denexamination approved by the Department of Environmental 73,0 Retalnl.n 72,3 TEST HOLE/ BORING LOCATION INSTALLED BELOW THE CROWN OF THE DISTRIBUTION LINE TO THE BOTTOM OF THE 1 Protection and that the above analysis was performed b me 4z w 7 1 k 73,4 I x 73,6 ., X 7 5T SEPTIC TANK SOIL ABSORPTION SYSTEM, BASE AGGREGATE SMALL BE COVERED WITH A 2" Y p Y 72,4 I 5' x 72,7 °-. ?0 LAYER OF 1/8"TO 1/2" DOUBLE WASHED STONE FREE OF IRON; FINES AND DUST, consistent with the required training,expertise and experience Qv p 74,3 _?32' Br'Ick Walk °' DB DISTRIBUTION BOX described in 310 CMR 15,017. 9 " 1 1 .) VENT SOIL ABSORPTION SYSTEM WHEN DISTRIBUTION LINES EXCEED 50 FEET; �10 x 73,1 ? 712 WaY` 69,4 5A5 SOIL ABSORPTION SYSTEM WHEN LOCATED EITHER IN WHOLE OR IN PART UNDER DRIVEWAYS, PARKING AREAS, N 4 TURNING AREAS OR OTHER IMPERVIOUS MATERIAL; OR WHEN PRESSURE DOSED. NAM .,-�J DATE: L l x 73,9 �" x 7 ,3 7',7 70,0 Reserve RESERVED POR FUTURE 74 Paved Driveway UTILITY POLE 12.)SOIL ABSORPTION SYSTEM SHALL BE COVERED WITH A MINIMUM OF 9"OF 72.6 7311 72,8 EB CATCH BASIN EXl9"r7 Exle FIRE HYDRANT CLEAN MEDIUM SAND (EXCLUDING TOPSOIL). q x 72,9 72 73,4 9 Gara tin � 13.) FINISH GRADE SHALL BE A MAXIMUM OF 3G"OVER THE TOP OF ALL SYSTEM v x 5.0 ' Tot' of SlabIj To 4 gedroOmCOMPO C� � WELL AND SOIILENTS, INCLUDING THE ABSOR ABSORPTION SYSTEM.SEPTIC SEIPTIC TANKS SHALL HAVE A MINSING IMUM COVER ELe 73 4� r p Of oUndaf,OWelling x 73,0 _, ,. EL_ n ® DRAINAGE MANHOLE OF 9"; x 75,1 `74 �± ■ CONCRETE BOUND, FOUND 14.) FROM THE DATE OF INSTALLATION OF THE 501L ABSORPTION SYSTEM UNTIL BH 72.2 W - TOP OF BANK RECEIPT OF A CERTIFICATE OF COMPLIANCE, THE PERIMETER OF THE SOIL A55ORP- x 75,5 731 x 72.7 TION SYSTEM SHALL BE STAKED AND FLAGGED TO PREVENT THE USE OF SUCH x 73.3 x 733 Q -x-x- LIMIT OF WORK AREA FOR ALL ACTIVITIES THAT MIGHT DAMAGE THE SYSTEM. +1 CJ L/� (X �--- FENCE 15.)THE BOARD OF HEALTH SHALL REQUIRE INSPECTION OF ALL CONSTRUCTION X ,2 04 Deck 73,3 ! 111 V �•� �_ �� EDGE OF CLEARING BY AN AGENT OF THE BOARD OF HEALTH (OR THE DESIGNER IF TH15 SYSTEM RE- 73, 73,3 X 7 _i SCALE I "=20' QUIRES A VARIANCE)AND MAY REQUIRE SUCH PERSON TO CERTIFY IN WRITING x 73,2 THAT ALL WORK HAS BEEN COMPLETED IN ACCORDANCE WITH THE TERMS OF THE ' t w TH15 AREA 15 5ERVED PERMIT AND APPROVED PLANS, 48 HOURS ADVANCE NOTICE 15 REQUESTED; E__ 73,6 x 74,3 73,9 3Y TOWN WATER. I G.) EXISTING LEACH PIT TO BE REMOVED, ANY CONTAMINATED 501L WITHIN 5'OF i � x 73,5 I+ 7 ,5 � l THE PROPOSED 501L ABSORPTION SYSTEM SHALL BE REMOVED AND REPLACED WITH 5A5 DETAIL: 73,4 x 73,5 5T I g,0 73,4 I I x 112 I CLEAN SAND, AREA TO BE COMPACTED TO MINIMIZE SETTLING. r�� 74.6 17.) EXISTING 1 500 GALLON SEPTIC TANK WAS EXAMINED BY J,M, O'REILLY SCALE: I ° -- 1 0' x 3 I 73, I I k ASSOCIATES, MC ON 8/20/1 4 AND FOUND TO BE IN GOOD CONDITION WITH TPf2 rn Existing Septic Tank ,9 NO SIGNS OF LEAKAGE, EXISTING CONCRETE OUTLET TEE SHALL BE REPLACED I T (See Note#17) WITH A 5CH: 40 PVC TEE AND GAS BAFFLE (SEE FLOW PROFILE), DB x 76,7 I x 73,7 I 75.2 18,) INSTALLER SHALL VERIFY INVERT ELEVATIONS PRIOR TO INSTALLATION OF { x 75,2 73,6 ul� ANY SEPTIC SYSTEM COMPONENTS. I 78,6 x 75,1 73X5 x 73,5 I x 73.7 I CD nN �--�-° x 75.0 x 73,9 O t 0 72,6 1 v 5 c?NE x 79,0 0'N1de F25e�en �_ _� , x 71,0 � a> �a�"tf.,Ns'�£' m ( r5 ,"r aVel Path DB ;. ,r x ' ,N .v , e r In t � 3,6Q t5�s,' .,,..re X , . ,� .fir,, ,wit 78,9 x ,..•-' 78,5 G en � ,✓ prUx' . •�• 3�0 •1' 2 12 s - i 1, Exist ng Leach Pit , ;a `� r. ".,�� r.. _-.._. �� See Note#I G) - � 7 ,4 _ --~ -ro de Easement Ed e o{ 20 Wi �. ;s3�� x 71.3 8,5' 6.5' 8,5' -8.5' 4' 9 � ;� x LOT 54 72,3\ x 71h4 42' Area= 54,450 SF± `� 727• X 66,e \x 74,7 % TPA S 7 o x 74• X RE-GRADING CRITICAL IN ORDER X 76,4 ^ \ '10 6S TO MEET BREAK-OUT REQUIREMENTS x 78,6 \ PER 3 10 CMR 1 5.2 1 1 [43 \ x.74, x 677 71,E x 71.4 76.2 \ ✓ x 68,3 x 71 \ L 62,5 72,0 5,5 7 8 x 66.0 \ 69.7 N =ro 6 2 x 75,0 , �' 0 x 71.8 ✓� ' �. -X 61.9 SKETCH FLOOR PL.AN5 : X 75, .. BENCHMARK: ^ x 62,8 NOT TO SCALE. Top of Survey Spike ,t` ; EL=73,4± (A55umed datum) o , "� t M� 1z�,1 � o LV„ 1 ST FLOOR sy a , O x 57,6 cn y <, LIVING BATH 62,8 �t0 A ga y CT3 9 t. BATH co .9 o .. I'LOW V I�O 1=I LE, INSPECTION NOTE: BED �1H C'FA,� NOT TO SCALE PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM GARAGE KITCHEN DINING V KEITH E. NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS, r 7 COVERS TOTAL x 56.2 CIVI �; 24"DIAMETER CONCRETE COVERS - c> C48 uy RAISED TO WITHIN G"OF FINISH - � Pita.4i3725 LAUNDRY fey' TOP OF FOUNDATION GRADE (OR A5 NOTED) _•..'-SUN ROOM x 56,4 Gr • E'P ' ` EL= (SEE NOTE#5) NAL ` Pro o5ed EL= Pro o5ed EL=74,0± 'ro osed EL=73.0 (MAX) 2ND FLOOR o r 3G" Propo5ed " 9 Min - 3G Max)�' 700± TULEIKA BUILDING COMPANY OPEN TO BELOW 2" LAYER OF 1/8"- 1/2"STONE r. 125 BERKSHIRE TRAIL, WEST BARNSTABLE , MA 02GG6 i4 ,1V ".,." r; 3/4"- I-1/2"STONE G9 2 r � N BED 51TE 5EWAGE D15PO5AL 5Y5TEM DE51GN G9.8 G9.G8 BED 4,01, NEW SCH. 40 PVC OUTLET 2"DROP ��_• _�-- �. * > 44 EATON COURT, COTUIT, MA TEE W!GAS BAFFLE SEE NOTE #18 G7.25 BATM BED',-} USE FOUR SHOREY PRECAST �...: . ", "" � a "* m? " 500 GALLON LEACH CHAMBERS G.8_ J,M. 0 I�EILLY 8C ASSOCIATES, INC. Longest Run WITH 4'OF STONE AROUND Professional Engineering & Lend Surveying Services -,� EXISTING 0 1500 GALLON 52'_ 25'± (END VIEW) 0 20 40 60 DB-G EL=GO.5± BOTTOM OF TEST Pll"#3 � 5EPTIC TANK p_B(�X LEACHING CHAMBER SCALE. I "=20' 1573 Main Street � Route 8A 42,C'x 1 2,83'x 2,0' H-20 508 898-8801 Office Brewster, P.O. Hog 1773 ( ) MA 02831 (508)898-8802 Fax DATE: SCALE: BY: CHECK: JOB NUMBER: G:\AAJob5\TuIei6 Building Compan�44 Easton Court G974\G974SD5,dwg 1 0/9/1 4 A5 Noted KEF/JO JMO JMO-G574 NOTE: 33" FROM TOP OF CHAMBER TO BOTTOM M-1 0 -4„ r INLET KNOCKOU 6 x 4 DIA. • � I '.�,,.p. ode•,/+:1 •L% �®f � le 6v 10 ci IV aa1�f � IV if �` ,may r e " iG�4s11�1d V X 4 01A, ", ' Gp `'i,.f .sa"Iw•1wtl?�. '. = LJ•w.. .G.."'' 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