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0065 LITTLE RIVER ROAD - Health
IL ROA- COTUIT 053-016 I I i v''.�.y.r. +.Fi.�. . r. �- r - . ..ti�`.p•..--r.. r. .. No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for MisSpogal.*pgtem Cotts;tructiou permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1 1!, / Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 65 Instal le 's Name,Address,and I.No. Designer's Name,Address 4.d Tel.No. Ir Type of> uilding. Dwelling No.of Bedrooms 3 Lot Size �� sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Desi n flow provided gpd Plan Date --Z VY Number of heets Revision Date Title 1 ,I a n" Size of Septic Tank Type of S.A.S. L Description of Soil Npturg of Repairs or Alterations(Answer when applicab e) T v OVi s , r 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. Signed Date ` Application Approved by L` Date Application Disapproved by: Date for the following reasons Permit No. 00 Date Issued , _Cy THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at (- 0 has been constructed in accordance �/ with the provisions of Title 5 and the for Disposal System Construction Permit No. 9-00 �S dated q" 6- `� . Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector --------`No. _ ._ ---------- Fee — --_--- boo �S�( - - 150) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Mi5po5al *p.5tem Cow9tructiott permit Permission is hereby 6a to C nst t ( )� pair ( ) p_rade ( ) Abandon ( ) System located ai Y,A 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 m st be completed within three years of the date of this permit. Date - Approved by �� 4. o ,c. . �.r�..,. ^.-..-}"�'.�,. -(...�t''�*v.,.��w�.�t..W-�h"A'-'i"'b+`r��-a�,:z :. . .':�.�y''x""-, '',��..i3�3ti.t,:way,.":6+.ajde.-59.••t-1.,rr..rr`r•,,r:'.,,,„-�:...r ��::;y::ra<. ;''"tit t p Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yesw 2pplication for° j-g�ogal �&V mem Congtruction Permit 4: Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. K�� Owner's Name,Address,and Tel.No. ITT) ^-, ' Assessor's Map/Parcel P t Installer's Name,Address,and�Tel.No. Designer's Name,Address and Tel.No. U�" wily, Type of Buildii Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ' Other Type of Building No.of Persons Showers( ) :Cafeteria( ) Other Fixtures t, Design Flow(min.required) gpd Des i n flow provided gpd 0�\ ^ Plan .Date Number of sheets ,Revision Date Title I /t. rrCJ�I'�1CitX j Size of Septic Tank F Type of S.A.S:`` -Description of Soil s ature of Repairs or Alterations(Answer when applicable) Tv - Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore,described on-site sewage disposal system in t accordance.with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of r Compliance has,been issued by this Board of Health. Signed Date Application Approved by �~ r Date Application Disapproved by: Date for the following reasons ` Permit No. 016 Date Issued `.16`o THE COMMONWEALTH OF MASSACHUSETTS,. BARNSTABLE, MASSACHUSETTS' Certificate of Compliance, THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) :1 Abandoned( )by at �tP( � has been constructed in accordance C1 with the provisions of Title 5 and the for Disposal System Construction Permit No. o�00 k " 15Lf dated `f (6 '0 . Installer Designer l #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector ———————————————————— ——_—"=--------- No. ;. Fee ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS I=igpoga[ *pgtem Congtruction Permit Permission is hereby r ted to C nsftxuct ( Wepair ( ) Upgrade ( ) Abandon ( ) System located at l r� � and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: ConstructionZst be completed within three years of the date of this permit. Date 16 Approved by No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZpPlication for Mtgpogal 6pgtem Congtruction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 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 sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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. Signed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 'Wigpogal 6p6tem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date Approved by THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A�C(, I DATA .t 4.Y'i• _ �^. � •+a..-,i`. +�'1.+, ,f. -y...w+: .r 1', ,. .. J. .. .r?..a •'c'i xa No. i I Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pprication for =i.5po!9al.*pgtem Congtruction 'Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O ❑ Complete System ❑Individual Components r Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Ma /Parcel p b Installer's Name,Address,and Tel.No. ? , Designer's Name,Address and Tel.No. r.S� 1n ,. '. � tr'". #f!'''.l�'�,,. . Type of Building: t Dwelling No.of Bedrooms ✓' Lot Size t sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) g, gpd Design flow provided gpd Plan Date F �! Number of sheets Revision Date Title # 1 t�r t r 'n '''1 .," . i �• P ,' ;I Size of Septic Tank t TYPe of S.A.S. fi'` Description of Soil h fii j' Nature of Repairs or Alterations(Answer gwhefi applicable) { .pt, ��' �� ;�. f t,F.!-.T a .._.x k 4° (',.;(; .i•l �,., y A) s•. �.r'1 {- •�t V'��� .M.. . r 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. Signed_ Date Application Approved by (�� ' I, - ... Date •� "G� 4 Application Disapproved by: -*� Date for the following reasons r Permit No. ' Date Issued + ———•—*——————————————•——————————————————— F THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance F THIS IS TO CERTIFY,,,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abando ed( )by r 9 at ". :.f �' ' + has been constructed in accordance rf with the provisions of Title 5 and the for Disposal System Construction Permit No. R �{ dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ) Inspector e:. d No. Fee 15 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS =i!9po5al *p!gtem Congtruction Permit Permission is hereby granted to Construct ( ) , #Repair ( ) dUpgrade ( )' Abandon ( ) System located at - I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty b to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. �.•-- �� L Date t ' Approved by �- �orNo. . a Fee THE COMMONWEALTH OF MASSACHUSETTS , Entered./ /0- computer: i Yes . PUBLIC HEALTH DIVISION,-TOWN OF BARNSTABLE.,MASSACHUSETTS 2pplicatin for igpgot *pgtem Congtruction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System Vindividual Components Logation Address or Lot No. Owner's Name,Address and Tel.No. '/��s Xf Assessor's Map/Parcel ' G Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow -gallons. Plan Date 2 U Number of sheets Revisio&Date Title O .-L Size of Septic Tank Type"of _.A.S. �. %✓ /� fG Description of Soil Nature of R pairs or Alterations(Answer when applicable) �' S 4 2x " ll6`b W 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 Titl of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has b en issue is Board o _alt}t. Sig e / Date Application Approved by Date Application Disapproved for the following reasons, Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned�_ by &ZZ4 'd` at I b constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No L dated Installer Designer / Pi The issuance of this permit shall not be construed as a guarantee that the system will function as desiga4d. Date Inspector No. a o - ,�. ee +, Entcomputer: THE COMMONWEALTH OF MASSACHUSETTS .. _ Yes PUB U- C-HtA.LTH DIVISION=TOWN OF BARNSTABLE., MASSACHUSETTS rication foeai' ��al otem Construction Permit Application for a Permit to Construct radb.� Ab hdon pp ( . )Repair( )Upg ( ) ( ) El Complete System Individual Components Location Address or Lot No. ._ Owner's Name,Address and Tel.No. Xf ' As Map arceloq ' j - _S Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ► 23 Gait% Type of Building: v Dwelling No.of Bedrooms Lot Size, " 1 sq.ft. Garbage Grinder( ) Other Type of Building f No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow• gallons. Plan Date e9 Number of sheets / Rev' io _Date Title �Gt ✓t sty .') �f; r � .�., ' Y / �f/ f Size of Septic Tank Z�(�o / '.f, Type of/,,.A . C`> �: '�//�'�a��1 Z. Description of Soil f/� ✓t y w�wj" ,Nature of Repairs or Alterations(Answer when applicable) /,2 r- / A /�� Gs.9«r J Date last inspected: 1x r Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system e-y ( l))J in accordance with.the provisions of Title of the Environmental Code and ne,546 place the system in operation until a Certify- Cate of Compliance has)Teen issued ,this Board o_ ealth-.''" r f Sig. e Date�O 4" y ......... w Application Approved by Date Application Disapproved foi theffollowing reasons Permit No. � r Date Issued �Jkk R _.---.---.�---------- -5----- , -- ------ - TWCOMMONWEALTH OF MASSACHUSETTS k BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance-- k THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( )Upgraded Abandoned by . G GZe I Zf3czzs"G_v;,a at _`�.�✓ y 01k-65 tf-- hasbet n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated Installer Designer v �' / e• The issuance of this permit shall not be construed as a guarantee that the system will function as desig ed. ` Date Inspector --T---— ———————————--- ———--------- ----�� No. ��l�'✓ - Fee t THE COMMONWEALTH OF MASSACHUSETTS Z�_ 1121 PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS Vw2 5� Mtgooal *pgtem ifott!5tructton Permit t' Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at C',5 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:Constructiodmust be completed within three years of the date-of thi's permii! 4 Date:_ —`�fl 7I Approved by tt s (��. i VJ 56ot- �� I �a c s 44b f � Sclak f w-..__,,-y�� --- -- - �� - ac��--�-sl g -fie`�EUQ,r'� ��� f 1 i fifi q � �� � y,�- re��trl�� ,. � � _ LOCUTION �I! 5EWo,C�E PERMIT UO. 3L _J�-:, OS 0 1 VILLAGE IWSTNLLER 5 UWAE ADDRESS BUILDER 5 ►J&V AE &.DDRE S5 Do►TE P E R W T 155UED" D ATE COMPLI lJ MCE ISSUED : J r � a � J ' +� ��r7tiRe oxr�+,�so.� re D No..••--- �. ...... �/✓✓ 'f j�% Fl�$10..: P............ ..�� 13 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �l/la5 3 Of Olv�- ..........OF......Barnstable.................................................. Apphratinn -fear Ui,ipuiial Workii Tontrurtion Vanift ,A placation is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal Little River Road Cotult Lot 1 .. ------------ ........................................................ Location-Address or Lot No. Air.. Ben',06MG--y....Tilt.e----------------------- 175...Retwer...StL....P.rAYidenee,---Rhode...I.s land w Mr. James DdIvIc way Address Installer Address UType of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms-----MR---Three---------------Expansion Attic ( NO Garbage Grinder (Yj!g aOther—Type of Building ............................ No. of persons.4_-_-------_.-_--.----.-- Showers (2 ) — Cafeteria ( ) Q' Other fixtures -1 Wb o3-...Sinks.,3-__-w.e-.-,dish-_washer----------------- - d w Design Flow.........................5p 1 ©© gallons per person per lay. Total daily flow------------------- •- Q--------------galleon s.li P4 .. Septic Tank—Liquid capacity.__--_._--_gallons Length..9.......... Widt15_ otal Diameter achi-----area.-'Depth`.4_sq. f( Quid I Disposal Trench—No. ................ ... Width...._. � � � �t t. Seepage Pit No------2............. Diameter. '_X81_77'4th bel t let_.._... . y g area..._._.._-.---_-_-sq. tt. z Other Distribution box ( 1) Dosing tank ( ) (�� c — /� R Y- �r i aPercolation Test Results Performed by.......................................................................... Date------------- ''-�---------------- a Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground)water:----------------------- 4.4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............___----_---- G ------•..... f_ -- ----- T ��� . x Description of Soil.-_. -- ------ L U ---------------------------------------------------------------- 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 Article XI of the State Sanitary de— The undersigned further agrees not to place the system in :operation until a Certificate of Compliance has b tssued by the bo r nealth. Si ed. GLi � /'D f Date t Application Approved By-----10 --------- ham. ....._............. r. 1 ..'. ,�°r.._17 � Date Application Disapproved for the following reasons:-------•----------------•-------•----------------------•-•-------....----------...............--•------•---•-•-- .......-•---.....-• ---------------------•••.._.......--------••-••-------•------------- ,----•----•--•-----•-------------•--••-----•--------------......._--------- Date PermitNo......................................................... Issued...................................................... Date'. % (. - - - -- - �y������------�_e__�_- --- ---- -- ------- ---- -- - ;I r� No.. `j�1..._.... FInsL.. . ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _. ... . _. ....... ..OF......................................................................................... Application -for ]i,ipooa1 Workii Tonotrurtion Prrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Little River Road, Cotult Lot 12 -----------------------------------•------...----------.....--------...----..........--•---•---•-. -•--•-•-••--•----••••---•••-••••••••-•-•--•--•-•--•-----•••--••--------•...•-••••......---•-•--- Location-Address or Lot No. .............Mr......Henj�m n__V_t-__White-----------___...__----- 1,?_S...Pa-t-ex..St.•._-Providence-:---Rhade..IBland w Mr. James DoTlsway Address ----------------- - Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..._NIP...T r.e.e--_-__;:____-_-Expansion Attic '(NO Garbage Grinder (Yog aOther—Type of Building ____________________________ No. of persons.4........................ Showers (2 ) — Cafeteria ( ) a Other fixtures ----tub 3 3 ,_ Design Flow..................... ...5�___ _gallons per person e ay. Total d i flow.................. 00........--------gallons. WSeptic Tank—Liquid cap ac---4 ��gallons Length.9.....�i._... Width t�_---.-.. Diameter_-------------- Depth-A-16.t'.(liquid) x Disposal Trench—No. .................... Width._...............__ ota n _ otal achi g area....................sq. ft. Seepage Pit No.....2------------- Diameter..6,X-8_1_�_1714, w 7tlet`"_._-- o� ngg area. sq. it. Z Other Distribution box ( 1) Dosing tank ( ) 0`l'— e�— 1 — aPercolation Test Results Performed by--------------------------------------------------------------------------- Date---------.------------------------------ Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water....-.--.--.-----.-----. GXq Test Pit No. 2................minutes per -inch. Depth. of Test Pit............ Depth to ground water-..--.----_.-__._---._-. 04 ----------- Description of Soil .... r 12 x t p --------------- ------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 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 Article XI 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 board of health. Sined.---•-- •••-------------------------------------------------------------------------- --- -------Da----------------- �/ Da�e A lication Approved B iJ /�..-_L2c PP PP Y--- �•.. . -• � / Date Application Disapproved for the following reasons:................................................................................................................ •-------------------------------------••-•---•-•-------------•---•---.....-•-----•--••-------•----------.-•-------..........._...-••-•----------•--------•-•----•----•------•--------......------•--•••- Date PermitNo......................................................... Issued.............. ------ .................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............0 F....... �. �..-....................... Vrrtif iratr of Teomphaurr IS TO - TIFY, That the Individual Sewage Disposal System constructed ( r Repaired ( ) by 7 o -------------- has been installed in accordance with the provisions of Ar .c XI of The State�Sanitarv!Code as described in the application for Disposal Works Construction Permit No- ----- � ................ <fated._. �.-..���. _�_........__. .� ?�l THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------..... ........37 ✓ ............... Inspector.._ THE COMMONWEALTH OF MASSACH ETTS BOARD 0?,7 HEALTH ...........+OF........ . 1�. ------.................................... o.• -l-`� ...... FEE--114.............. Dinvo;-n �j otrurtion rrmit Permission is hereby granted. �to Constr .t or Re it ) al Sewag UDizo � tem street _as shown on the application for Disposal Works Construction mit Dated. {.�._J._S. . . .......... DATE....................................................--•- _ Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS AsBuilt Page 1 of 1 LOCbTlotil SEWaC,E PERMIT uo. _Rivri .p� u 3 lb 053 77 IIJSTALLER-SIJnME � AQDRESS 5UILDER5 'KI/AME LiDDR:ES$ UG-TE PERM17 155UEQ f D ATE GOMPLI&KICE ISSUED• ✓5= �' a 1 Z. i �w I i - http://issgl2/intranet/propdata/prebuilt.aspx?mappar=053016&seq=1 8/22/2017 f bid, 4 4 ;: CO�I�fO\�ti'EA1.TH 0= '•L�SGACHL"SETTS ExECL'T11'E OFFICE O? E�-'IROXMEtiTAL A.FFA:T.- DEPARTMENT OF EN-tiMtONrMENTAL PROTECTION ONE Z-TER STREE". 6C':' .', -%L,02',06 (6171 202-5.5iia TAVVY t Seel ARGEO PAUL CELLI;CC1 DA%r1D B STF GOvet'r�ar SUBSURFACE SEWAGE DISPOSAL SYSTEM iNSPECr1ON FORM Commixi PART A CEM11FICAnOld 0 Ut wtidrese fir own.►• 0"of Inspection: Name of Inspects.:tat. f am s ! s so_ 1s.3gW of Title 5 1310 CUR i5.0MI 73 Caaosnp fMarrrs: T�psphona Number- r 7 0 I eonify that I hew personally inspected the..wage disposal system at th�o address and that the information reported below is true. accurar and complete fie of"tams of Inspection. The iaspoction was performed based on my training and experience in the proper function and maintenance of on-site se age disposal systems. The system. �ses _ Conditionally Passes Heeds Fynher Evaluation fly the Local Approving Authority _ Fads M+spaetor'e Slgrtsars: Date: 'ff+t System Inspector shag submit a copy of a Inspection rePoK to the {approving Authority(board of Health or DEPlwittwr ttlirty 130)day completing this inspeetiea. It the sysbm is a shared system or has a design flow of 10,000 gpd or greater,the hupector and the system in `shaa submit the report to the appropriate tt gional office of the Dspsrtment of Envirorono ltsl Protection. The original should be sent to the system owner and copes sent to the buyer.N applicable,and the approving authority. UOTES ANO COMMENTS .w revised 9/2/98 P■y:td11 SUBSURFACE SEWAGE DIS POSAL SYSTEM INSPECTION O FORM PART A CERTIFICATION (continued)Owrav Date of Inspection; B]SYSTEM CONDITIONALLY PASSES(continued) Sewage backup or breakout or high static water level observes) in the distribution box is due to broken or obstructed pipe(s)or due to.a broken;settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipets). The system will pass inspection if twith approval of the Board of Health): broken pipe(s)are replaced obstruction is removed 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 g protect system is failing to thepublic health, safety and the environment.. . Y 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: — The system has a septic tank and soil absorption system(J%S) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the W is within'a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. — The system has a septic tank and soil absorption system and the SAS is less than 100 feet but So feet or more from a private water supply well, unless a well water analysis for cotiform bacteria and volatile organic compounds indiptes that . the welt is free from pollution from that facility and the presence of ammonia nitrogen and nitrate ni r6gen is equal to or less than 5 ppm. Method used to determine distance (appro:imWon not valid), 3) OTHER (YevSma@ ea/2S/9i} PEe® J of 10 GT;-E•8 ES:TT E66T-TO-83S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A p CEERTIFICATION fcortdnued) Pro°cqTy AL"res3LI�T a1{. �il+vLic� ell. W w- - Owner: Date of I—pecei f'4/ C. FURTHER EVALUATIOtf IS REOUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evacuation by the Board of Health in order to determine if the system is failin;to protect the public health, safety and the environment. if SYSTEM VnLL PASS UNLESS BOARD OF HEALTH DETEPJAMES IN ACCORDANCE WITH 310 CUR 15.303 411(bi THAT THE SYST IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 60 feet of.svrface water Cesspool or privy is within 50 Feet of a bordering vegetated wedand or a gait marsh. Z1 SYSTEM WILL FAIL RUNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,tF ANY)DETERMINES THAT T14E SYSTF.li+1 FUNCTIONING IN'A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFE I V AND THE ENVIRONMEl1IT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply 4 tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a aaptie tank and soil absorption system and the SAS is wltMn 60 feat of a private water supply well. The system has a septic tank and soil absorption system and the SAS is lose than 1*0 feet but 50 foot or more from a private water supply well,unless a well water analysis for ooliform bacteria and Volatile organic compounds indicates that well is free from potWtion from that facility and the presence of ammonia nitrogen and nitrate nitrogen it equal to or less than 5 ppm. Method used to determine distance tappro dmation not validi. 31 OTHER revised 9/2/98 Page 3orA% 9T 2*0'd S�IlJ�dOdd YJ�f1C IrJ�1—NI-IhJI:;1 TT GGGT-T3-d3S f SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORKS PART A CERTIFICATION)continued) Prope"Y ►e551�5 I plc6r��� � •�'�- ownef: OVUM Date of Iruperrti �—1'7 D. SYSTE FAILS: You must indicate elther "Yes" or "No" to each of the following: 1 have detarmined that one or more of the.following failure conditions exist as described i- 310 CMR 16.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will tie necessary to correct the fart Yes No Backup of sewage Into facility-of system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters cue to an overloaded or clogged SA5 cr cesspool. Siptic liquid level in the distribution.box above outlet invert due to an overicadee or Clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volurne is less men 1/2 day flow. Required pumping more than 4 times in the last veer n1DT due to clogged or obstructed pipets). Number of times pumped�. Any portion of the Soil Absorption System. cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water suppry or tributary to a surface water supply. 1! Any portion of a cesspool.or privy is within a Zone I of a public welt. R v Any portion of a cesspool or privy is within 60 feet of a private water supply well. Any portion of a cesspool or privy is less-than 100 fact but greater then 60 feet from it private water supply well with nc acceptable water quality analysis, if the well has been analysed to be acceptable.attach copy of well water analysis for coliform bacteria. volatile organic Compounds,ammonia nitrogen and nitrate nivogen. E. IAR43E SYSTEM FAILS: You must indicate either".Yes- or -No- to each of the following: The following criteria apply to large systems in addition to the criteria above: The systarn serves a facility with a design flow Of 10.000 gpd or greater(large SYstom)and the system is a significant threat to> health and safety and the en.vironrnont because one or more of the following conditions exist: 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 fintarim Wellhead Protection Area-IWPAi or a mapped Zone It of a put water supply wolf) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR i 6.50412). Phrase consult the local regic Office of the Depanment for further information. revised 9/2/96 Page AorII 9Tr`t-T'd SS:T T GGST—TO—d3S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART 6 CHECKLIST nopem A eas: Owner: Gl.tJ[�ei pate of Inspection: Check If the following have been done: You must indicate either"Yes" or 'No" as to each of the following! Yes No _ Pumping information was provided by the owner,occupant. or Board of Health. _ None of the system components have been pumped for at least two weeks and`the system has been-receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with'NIA. The facility or dwetung was inspected for signs of sewage back-up. V _ The system does not receive non-sanitary at industrial waste flow. The site was inspected for signs of breakout. All system components,excluding the Soil Absorption System,have been located on the site _ The septic tank manholes were uncovered,opened,and the Interior of the septic tank was inspected for condition of baffle or toes,motorist of eonsuvetion,dimensions,depth of liquid. depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: Existing information. For example,Plan at B.O.H. . 41 _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is uneccepsablel 116.302(3)(bil The facHlty owner land occupants,if difiarent from owner) were provided with information on the proper.rnnintcna-c—of Subsurface Disposal Systems. revised 9/2/98 peat Sorll 9T/t70°d _-]11 dEhjoad Z 33nocirl-N I1N I?i ZS:T T E,GST-TO-dES• SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORA. PART C /ySYSTEM 1N ORAllA71ON 4opcf"Ad Owner: ONTO of InspEetlon: 'y/ 1 r 77 FLOW CONDITIONS RESIDENTIAL Design flow: c.o.d./bedroom. Number,of bedrooms (designl: 2p, Number of bedrooms (actual :'-'3. Total DESIGN flow—''s3Q't' Number of current residents: Garbage grinder(yes or no); - Laundry(separate system$ (yes or no)%CL: If yes, separate inspection required Laundry system inspected (yes or not Seesenal use(yes or not:_ Water meter readings,if av labie(last two year's usage(gpdj: SUrMA Pump(yes or no): Lest date of occupancy: e9wet-�(! COM MER CIALANDU S TRIA L: Type of establishment: Design flow: and I Based on 15.203) Basis of design flow Grease trap present:{yes or nol_ Industrial Waste Molding Tank present:(yes or noi_ Non-ssnitary waste discharged to the Title 5 system:(yes or no)_ Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of informs" n: System pumped as part of ini c� .on:{yes or o)_ If vas,volume pumped:� C-/ gallons t Reason for pumping: TYPE OF 1''E1M Septic tanklcrostribution boxlsoil absorption system Single cesspool Overflow***spool Privy Shared system (yes or no) (if yes,attach previous inspection records,If any} I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other ^7 APPROXIMATE AGE of all components,date installed of known)and source of information: ... •�! LY� 'f d:! Sewage odors detected when arriving at the site:(yes or no),LV revised 9/2/98 Page 4of11 9T/2T°d SEI1�-iEdOad �JEnOaE:1 41_1NI`1 SS:TT GGST-TO—dES I SLISSURFACE SEWAGE DISPOSAL SVSTEM INSPECTION FORM PART C SY,SSTEM INFOR A'I'ION(continued) Owner: �/r-tU✓G Dale of inspection' SUILUOIG (Locate on site pleas) Depth below grade:_ mlitarial of construction:_cost iron 40 PVC_other lexptainl tustance from private water supply well or suction line Diameter Comments:!Condition of Joints, venting, evidence of leakage.-etc.) SPPTiC TANK: (locate on sits plan) r Depth below arade:� pr Material of construction: concrete_metal_ Fiberglass Polyethylene_ otherlexplain) If tank is motel,list ape Is ego confirmed by Certificate or Compliance^ (Yes/No) Dimensions: 7 ?C � _�! Sludge depth: l3� Distance from lop of si d a to bottom+of outlet tee or beffia: ` Scum thleknesG: Distance from top of scum to top of outlet tee or baffle:_ /( Distance from battorrt of scum to bottom of out! tee or boffle: [ ' NOW dimensions were determined: rr[� ;,omrnents: (recommendation for pumping, condition of Inlet and outlet tees or baffles, depth of 'd.ieve!i relation to outlet invert, structural integrity, evidence of leakage.etc.) GREASE TRAP:- IV (locate an site plan) Depth below greds:�_ Material of construction=__concrete_metal_Fiberglass _Polyethylene_othertexploin) Dimensions:_ Scum thickness: Distance from top of scum to top of outlet toe or baffie: Distance from bottom of scum.to bottom of outlet tee or bsffle:_ Pate of lest pumping: Comments: (recommendation for pumping. condition of Not and outlet was or baffles,depth of liquid level in relation to outlet invert,structural integrity. evidence of leakage,ate.) I revised 9/2/98 P®ge1of11 9T/S0 8 ZS:TT GGGT—T0—J3S 9 T •d -)dlol SUBSURPACe SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION loottinued) rronertY� ot�rnrr: 274aVV le!4— Date of Inspecgqtion: TIGHT OR HOLDING TA14K-.W— (Tank must be pumped prior to, or at time of. inspection) (locate on site plan) Depth below grade:_ Material of construction:—concrete_metal ,fiberglass_Pcfyethylone—other(explain) Dimensions: Capacity: gallons Design flow: gallon51day Alarm present _ Alarm level: Alarm in working order: Yes No, Date of praVlOUa Pumping: Comments: fcondition of inlet tea, condition of alarm and float switches,etc.) . DISTRIBUTION SOX-& (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER (locate on site pla ) pumps in working order:(Yes or No) Alarms in working order(Yes Or NO— Corttments: (note condition of pump chamber.-condition of pumps.and appurtenances,etc.) revised 9J2I9$ Pyge8of11 9Tr9T•d SE11 38068 i=Drjoa I-hdI-1h,JI`d 9S:TT GGGT-TO-d�3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) YopwW Address: 1`Li �! i ad, 6'� Owner: Date of Inspects �j G SOIL ABSORPTION SYSTEM(5'AS):, )locate on site plan. if possible;axeavation not required.location may be approximated by non-intrusive methodsl Of not located. explain: Type: leaching pits, number:_ leaching chambers, number. leaching galleries,number:_ leaching trenches,number.length: leaching fields, number,dim nsions: overflow cesspool. number: Alternative system: Name of Technology: Comments: India condition of soil. signs of hydraulic falure, level of 0 ding, amp s con"ien of vegetation, etc-1 _0 o`t cu C CESSPOOLS: (locate on site plan) Number and configuration: G kj Depth-tap of liquid to inlet invert: r,lepth of solids layer: )epth of SCUM layer: Dimensions of cesspool: /e) Materiels of construction: � r � Indication of groundwater: b,Ic{y-iie� Inflow(cesspool must be pumped as pan of inspection) Comments; (note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation.etc.) PRIVY: (locate on site plan) Materials of cbnstmetiom, Dimensions: Depth of solids: Comments: (note Condition of soil,signs of hydraulic failure,level of pending,condition of vegetation, eta.) revised 9/2/98 F%re9ofII �+tiiSE�'d S3Iia3JOJd tGnO89—NI-1NIA 2S:iT 666ti-T�—d�S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SY T INF RMATIDN (continued) iV ,caner: .17a6 �- Gate of Inspectran: n SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to of least two permanent reference landma,Ks orbenehmarks locate all wells within 100' (Locate where public water,,supply Comes into house) Ib {r 13,1, ~ 4 O revised 9/2J98 pagt10of11 STi T T 'd S3I l83dO cl J13nOJO-N I-IN I A t'S:T T GGGT-T0-d3S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION 17ORM PART C /. / . l SYSTEM INFORM TION (conronuedl roperty A ssr:L. Zw'Ill e e vekg, 0614L,4 r Owner: Q U V Date of Inspecdon! NRCS Report name Soil Type_ Typical depth to groundwater���___ USGS Oate webslte visited . Observation Wells checked Groundwater depth: Shallow Moderate Peep SITE EXAM. Slope Surface water • Check Cella, Shallow wells /l` Estimated Depth to Groundwater!✓ Feet P1e830 indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property.observation hole, basement sump etc.) Determined from local conditions Checked with focal Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers used USGS Data . Describe how you established the High Groundwater Elevation. (Must be completed) revised 9/2/98 flat,s;I of at 9T,`i@-d S3I,1;rGdDcJd J:GA0 0—NI-INIA 'S:TT GGGT-TO* —ddS Maximum Wastewater Discharge Allowed Based Upon.Lot Size *if one parcel is within inulfiple zones,-use the more strict limitation for parcel (bolded below). State 1-F 1/3 1+2/3 Defined 'True . Acres Acres .2 Acre: Acre Acre 10,000 13,333 20,000 30,600 =33,334 =40,000 43,560 50,000 58,080 60,000 72;599 80;000. =87',12( S.F.. S.F. .S.F, S.F. S.F. S.F. • , S.F S.F. SAF.. S.F. S.F. _.' U. S:F.,.. STATE Red Title V:.310 . CMR 15.714 110 110 22:0 330 330 j 440 440 550 , 550 660 770 880 880 Lines *applicant cal} apply for a - variance. STATE Red With I/A Dines Technology 110 220 330 440 550 660 660 770 880 990 1100 1320 143( [I/:A.with - 660/acre Credit] + (+not in town ordinance TOWN ORDNANCE Green Regulation of 330 330 330 330 330 330 330 330 440 440 550 550 660 +Red Wastewater Zones Discharge *can not apply for variance and doesn't allow ' UA. BOH-Interim - Blue Saltwater Estuary.. 330 33.0 330 330. 330 440 440 550, 550 660 770 880 8.80 Protection - Regulation *ci1i apply for variance, jvut- Q:\OFFICE FORM S\Charffable List!ngINWDISCIIAROE MAXIMUM53.doc i ........ .............. ............... . ... . . 1 0 �, ............................. .... .. .............................................. I ... 9 Exiitin Low / 0 / . i Proj . ........ l I Rair, :• :::::::•: Dryv root Proposed .:.................................. f / ....'? ' ............. °�' •� I . : ( '1500 Gal. �'• : j / �. Tank tic Sep,�' ::�• :.... .............................. 4 Prop ;:a•.+:�::....:. • I. . , .. I(in)-- 13. 05 Distr W • 80 .. ... ... .......... ... •. a ) I (in .y. ��" IL .... I. �.. . . Sr 4 � ........ . ............................... ........ .... .. ... Existing W N•raer 1:. t. .......... .. / ii� Leaching Pit • . 9 �� 0 C min , • f la•,• �S� l Pr. I(fin)- 19 . 52 •••• 1 •Pro Proposed P ; De -` 5 Existing Septic Tank :•.Mitigation Area ::•:::::•• •••• `' On �5��' to Be Replaced .... 9.9� s:f. 34.0' 352 s. f.... ....... 13� ----- .... Exis tin g I FFE. 17. 0 . '• �I �13.90 -Retaining Wall 14. ... ' .'. + .30 16..0 + • 1 .30 ..; . ... 50' Barnstable Zoning Districi . .. I so;;© . s 1 (Min. 15 ft side setbdck ::. �``�;': ;• moo + N. ) ... .. . f . r 12.10 CL10SFj LL DRIVE + 07 f, t7 77�,tth ,.a• " �' ," �` .tit ,: ;y' r( j t , `'\�✓ p, - b q tea• ;4� f, - `}•.h .. fo'. h (, Proposed 1500 Gal. CL1 Ed DRIVE m Septic Tank . . . . . . P4 .. p . XI - T ►t a'v_ tat3s„ ijaax. I 3.31 . . . . . . . . . . ; ! I (in)=13.05 TS .. . . . . . . . . . . . . ,� jt 1(out)=12.80 PROJECT LOCUS . w 104.2IBf�ITiG! iht'tL'. f° CL10SHELL DRIVE \ z4 Isabella o - Proposed 3—hole , r 4• �t . . . . . . 00 O nj f Distribution Box d O Deck �,i, Y, �,5to t.« , 1 !1 f , f f 1(ou f) 12 6 ��, � > f sr i a i h s� iy \{. ,Put�tit. , t 8L N 0 1 u CL10SHELL DRIVE ., SGr / 15.37 4 �' � r� ` i:��ig.j:.. a,F _ ` . . . . . �T �fQf' „'... _ 14.86�F a . e.3 wW * Y r, J . i FF=18#3/r1h I CL10SH�1 L DRIVE ,f,. : *,f. a •i ,. / j c #g 4 Sch. 40 PVC ' it f . , r 7 t j( ' 156 Ti Bv o , BL D Q --- • L=9.5 S=1,09 •.? w _ . NL / ms r 1 � ; pt r r. €_ Handy s #and+tt I TS O j > f / y'r. i • Existing Leaching Pit i Pt to ach terJ w�f l=136 Pr. (i )=12.52B , �• ' hot Noisy < � ':.;. 4' } ' r , Q , l In. 7 ; 14 _w._, _ Ae d r . . . . . . f fl L I ding . �E'AT4D lSk,+�11�#C"!` , NIF 1 t BLDNSI Proposed •_ James H. Barton " „ :,t . , • s . r • k r Existing Septic Tank to I agr ;c t f# 131903 ,f -- g�.�••----,,,,.xl�//;f; t, - G a a e be Removed Pro osed Mitigation Area / { p g #9 o / 995 f. ti (352 s.f.) 3.g1 eck t 5 BVW09 b j ! i.'i • Se a-P . . . . . . . . no 1 reose " - rfmP f bedrooms USGS LOCUS N .T.S. F �O ' 1, y��� , � � IExisting Retaining Wall ' , 13.90 ZONING & RESOURCE PROTECTION NOTES r J 14.10 "r 1. THE PROPOSED PROJECT /S LOCATED WITHIN: + , ASSESSORS MAP#: 053 PARCEL: 016 ' . . . . . . . . . _ .. OWNER OF RECORD: SCOTT HORSLEY 1 1 . . . . . . . . . � � 13 0 \ '; ' � ADDRESS: 65 LITTLE RIVER ROAD COTUIT MA 02635 + y; . . . . . . 9 75 11 8 \ , 2• THERE ARE NO SURFACE WATER SUPPLY OR GRAVEL PACKED WELLS WITHIN _�__ 10. ` Bvw10 , / , 50 400 , NO TUBULAR PUBLIC WELLS WITHIN 250 AND NO PRIVATE POTABLE +� +i � + -�� WELLS WITHIN 150 OF THE PROPOSED SANITARY SEWAGE DISPOSAL SYSTEM. l 1 30 O 10 20 3. SITE IS NOT LOCATED 1N A GROUNDWATER OR WELLHEAD PROTECTION I t OVERLAY DISTRICT. .° I 50' N } I 0 R^UL5 5 .0 . . . . . o ( ( INSPECTION NOTES S o --AQ Scale in Feet { o (v W o Proposed Rainbarrel and Dry well fo oof 5 O Q runoff . FINAL CONSTRUCTION INSPECTION OF ALL SYSTEM COMPONENTS AND INVERT --- --- ELEVATIONS ARE TO BE CONDUCTED BY THE DESIGN ENGINEER AND THE TOWN OF BARNSTABLE BOH OR THEIR REPRESENTATIVE PRIOR TO 30 _ _ _ _ 30 BACKFILLING SYSTEM. 25 _ . - 25 TOPOGRAPHIC SUR VEY: 20 _ - PROPOSED 3- OUTLET 20 Existing conditions survey performed on DISTRIBUTION BOX F.F.E=18.30 4" scn 40 PVC June 25, 20023 by CapeSurv, 7 Parker Proposed Gas Baffle L=9.5', S=1.07 (TUF—TITE or Equivalent) 1=12.52 Road, Osterville, MA Existing Grade Q 15 _ 4 ' Sch 40 PVC 15 Phone. 508-420-3994 I=13.63 L=57.8', S=1.0% O 1=13.05 1=12.62 3 I=12.79 10 6,. Crushed Stone T 1=12.80 1 D REVISIONS: ( yP for all new structures) r, j REV DATE BY APPR DESCRIPTION PROPOSED 1,500 CAL. SEPTIC TANK m _. 1 JH FPL Add os baffle and D—Box EXISTING 6 'X8° 5 LEACHING PIT i O 0 0 _ _ 0 n HYDRAULIC PROFILE >G SCALE: 1" = 5' s Horsle Witten Grou Le end y p phone: 508-833-660011-77-7777- � FOOTPRINT OF PROPOSED STRUCTURES - ?6.o EXISTING TOPOGRAPHIC CONTOUR TOP OF COASTAL BANK www.17orsleywifen.com SN OF AIA -r am �7� EXISTING RESIDENCE LIMIT OF WORK/ HAYBALES - - - - - 50-FT COASTAL BANK BUFFER System FATPIU Se tic Site Plan � FEMA 100-YR FLOOD ZONE - ,AS GaS- EXISTING GAS SERVICE —• — • — 100-FT COASTAL BANK BUFFER 2824 65 Little River Road o ssro 50-FOOT BUFFER ZONE LIMIT rd EXISTING CRUSHED SHELL DRIVEWAY Cotuit, MA 100-FT BUFFER ZONE LIMIT I BORDERING VEGETATED WETLAND RI VERFRONT AREA SALT WATER MARSH 10/18/04 JH septicplans-rev.dwg f RED AR��y�� AN O N NO 24 1e, L 4t TH OF MPS GENERAL NOTES _ 90s �1 DIVISION I: GENERAL REQUIREMENTS / 78 79 80.. gi (N 8359.$5 W) 82 83 g4 85 ..as 89 90 91 92 $.` 9 7 9 8 rNso. 30 40 ~Q f i o cL 90.3 t R/ ! f gyp' Err 91.1 AZ 1 7 7.9 �r 799 e0.6 D9'�'ISION � 5� E �����ic t. 98.0 i / rr cut FC I J '' 98 It 4- �N r r- 4, y ` f � r 90.8 93 b {� � _ � •.;: � , eels r _ __._._..__� Y`I' /90 91 9 Ol �4 l 9 y 1 91t REVISIONS 43 �� 9t.' 92. `ti`ti A RESIDENCE FOR: 901 i -- , $6.7 1�a tt. l�3 1 iL i�1 COTUI i , MASSACHUSETTS 1 90.2 B7.e ✓/ jANE ANDERSON 90.2 � ^ L AR:011ITECT INC . �.00 �i 7 _._. 04. PROVIDENCE, R. 4. I 82 a B4 3 86 7 SH(N 84' 32' I6"w) „9 9C 401--521-2600 66.4!1214 I DRAWN ZANE DATE 11.11.75 �004�`3/���� CHECKED Z.A. PROJECT NO. 0575 LOT 12 SUBDIVISION OF LO EGISTRY DISTRICT OF BARNSTABLE COUNTY SCALE '"=20' (shown on plan 8516E sheet I ) �,�. �r�- Ell l PLAN )C.`;Lt a c-4 • ...... . .. .. .