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0853 MAIN STREET (COTUIT) - Health
853 mil street (Gotuaty"` • �,. A = 035 059002 I i 1 �I M ` I �_ N� i 't y 1 I'� � S I��1 S t U � � � �,� I �s � � �� �;i �� __ __ � _ __ _ _ f �� \ ,; -- �.._.�_ ._. ._�.� - - - - - --_ _._ - - _ _ .��_�_ _ .. -- 7 ,� r � / y �" d IfF - -- - _gym--- }�` - *�'�~_ r !• 1 00 cotrtr I i l '71\ 11\J` K 016C Al '40 t S i TOWN OF BARNSTABLE LOCATION ' kl S SEWAGE# D I `J VILLAGE eb�yi'f' ASSESSOR'S MAP&PARCEL f'hry0��6 02. INSTALLER'S NAME&PHONE NO. ���� SEPTIC TANK CAPACITY 2 � (yn U 1 6e-r- 1500 4OJ�d r LEACHING FACILITY:(type) 31 tGLC. i2 (size) !�_00 NO.OF BEDROOMS 4 OWNER G,,Y\ 1eY CY-4 A PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 4 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY (j) y o 100, a `_! } 60 �.. No. 1 Fee 401'/v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPhtation for -Misposal *pstrm Construction i3ermit Application for a Permit to Construct V"'Ptepair( ) Upgrade( ) Abandon( ,) ❑Complete System ❑Individual Components Location Address or Lot No. 0 F✓ M S-C Owner's Name,Address,and Tel.No. C'a-t'�v,'-� '�-,`•�p.t �- Dah,�e/Ler�ero.,,' Z'Q:S Assessor's Map/Parcel_© OI'op0 PO A0 4 C Installer's Name,Address,and el.No. ®d 77 G1 7 Designer's Name Address,and Tel.No. S�1t:Lan C=1 ��,r°ec;^J Po 3®6 ol Type of Building: IF Dwelling No.of Bedrooms 7 Lot Size _ di-J� sq.ft. Garbage Grinder( ) Other Type of Building /Nto-M.' t 4A.7 Pe 5 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) qyC� gpd Design flow provided Y,57- 5 .2 gpd Plan Date fir^2`�-13 Number of sheets 1 Revision Date Title P�WO&C4 X i0e�o v,�,e.,,4 S Size of Septic Tank Z'-C� f�'�® I-,q/, Type of S.A.S. L.p 4,4 �a S Description of Soil 'r';p-•Z, Nature of Repairs or Alterations(Answer when applicable) 1'1 ok-e - 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 a and not to pla system in operation until a Certificate of Compliance has been issued by this Board th. n Date Application Approved by Date f Application Disapproved by Date for the following reasons Permit No. c�o 1 3 — 1,j 7 Date Issued l �� 06 No. 3 / 15 1 , l J ( Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION --TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for MisosaY 6pstem}(Construction Permit Application for a Permit to Construct(V Repair( ) Upgrade( ) Abandon(;;) ❑Complete System ❑Individual Components Location Address or Lot No'.. `� 3 �M S T Owner's Name,Address,and Tel.No. / Cofi f T-,'. iG-E4 + Daa C! �BNGfon.' TRS Assessor's Map/Parcel p S' O�'-OA PO 130 1 . c v �; A Installer's Name,Address,and"Tel.No. jO— y77 4? 7 7 Designer's Name,Address,and Tel.No. �-` I/ I� , UW'k,edn j'",j sh e-er;^S Pa erl �r R d /,(PC 'I ///L� � '� �$-F e i✓,`II-e H.E ��t S� 8 0,i6_ r Type of Building: �/ v Dwelling No.of Bedrooms ( Lot Size _42�2, /,go sq.ft. Garbage Grinder( ) Other Type of Building /"1 vl6,' raM Re S No.of Persons Showers( ) Cafeteria( ) W_ Other Fixtures Design Flow(min.required) �4�� gpd Design flow provided q 5,,? gpd r. .. r "Plan Date d 2- Number of sheets ` ► Revision Date _., Title :.PrG�Q�� �f,;,oro Q� Size of Septic Tank Z-Cc +..j!2 t SpG 6--A 1. Type of S.A.S. 3-C-UU h Description of Soil -r Z %----Nature of Repairs or Alterations(Answer when applicable) /47 ay-e 641-P 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 Ede and not to plac 16 system in operation until a Certificate of Compliance has been issued by this Board -Huth. 4e .- Date _ Application A,,ppprsro'ved%by `(::: Date Applicatio6-Dis�pm e ar�./ ,< J-Z Date for the following reasons Permit No. to/ 3 — /5 7 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 A060 S' 6T(-0(/,*It 4 ,7ti f at3 -%14.'h S-f., Cv- f ,M A has been constructed in accordance I ) with the provisions of Title 5 and the for Disposal System Construction Permit N6Pv,5 " 7 dated yr J// `/ 3 Installer Designer S&,/L✓r,h Ch #bedrooms 4-1 Approved design flow u / „/ �,, gpd The issuance of this permiesha ot be dnstr�► d as a guarantee that the system wir function as designed. /Jn Date Inspector i� --- - -- - -- - --- -- - ---- --- - --- -•--- -•- - -• -- --- No. �)�,,,3 ""- '�� -- -----Fee=-_-� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Mispoal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at -31> /"I U,'..7 --r (moo s, ' /4- 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:Constructionust be completed within three years of the date of this permit. Date // �� / Approved by 05/23/2013 10:13 50e4289617 SULLIVAN ENG INC PAGE 01 Town of Barnstable • Regulatory ulata Senices 96 Thomas F.Geirer,Director Public Health Division Thomas MCKeaut Director 200 Main Street,Hyannis+MA 02601 office:509-96246" Fay 5M79"304 Inatallex. Ilesig gr Certification Form Date: I Sewage Permit# "'I. Assessor's MaP\Taredl A -4 'MZ) Deli der: v u Installer: +►+n`5 �j�y rh P.D.b4g. 0009 Address: L +M+:et4 rf - Address: on — was issued a permit to install a (tee) septic system at � aner based on a design drawn by (addr dates j� I certify that the septic.system referenced renced above was!"stalled substantially according to the desiM which may include minor approved changes such as lateral relocation of the distn'buti►bn box and/or septic tank. l certify that the septic system referenced above was installed with major changes (Le.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 R Plan r " 'on or ` od as-built by designer to follow. A { nstaller a lgnatum) ,.n.'. 46 ���N OF MgS, JOHN OF)EA v CIVIL y 1110,48168 OL o 4 ees *attire) (Affix. ��l ) -- ABBZTB��CHE 'ri ml�Ig► If l�S S7PCA119 OF COMPLIANCE WILL NOT BE YS UED UMM BOTH TMS FORM AND ASWBUILT CARD AIM ' RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU, Q /gam calf cati=)?am 3-26-04,doc 71 Town of Barnstable ' r# ' Depajrlmout of Regulatory Services ,Date ;ems 200 his in Street.Hymuds MA 02601 Z 2' /ao O Date Scheduled.', •!'�- �7_;..:Qr1 ,'fitne: ,`,L .Fee Pd e e 1 - '� 4 p tb.♦ . d A Soil Sa��tltilt, ��ssss�ti�t�tor Sewage Disposcl a Yertbrnied I3y;J yi.t.W 1411E W knessed By: ' , �rid1 a +x INx�oitm[ ' bv 1 Locationnddreaa. ;fl53 N�ttlN tmi►ersNauleI�N:1e.L.t.cc r�o1N1 -Addmii PO CboK%13G�1. C b'tv tT{tt O Zto3 S 3� nS9 db2,As = fing s sessoPsMap/Patcet 1 P m V p eer a Natiie S v t L%V A AS' G�Juc t, fLt wt44G G 6 4 . NEW'Ct7IdsIRUChON ` I 'R1 PAIR _ Telipllone# 5O$;''��:'8 `Q 4 . Land Use 2 CSC l7 ei(U� I Slopes.(%) •�• 3 aJp; 9iirtis6e Stones Distaubes atom (Jpen Water$ody dQ !,ft 1'ossibla Wet Aiea 5 it .Drinking Waler Well A a Diainagb Way I Jt property Line41, ZO It `Other A ft SKETCH:(Street no dlmensioiis of lot,�xabt locations of test holes&poro tests,locate wetlands in vro,ila�)t�s se ^ 353.20" _ � 12230 �. . Parcel A'_ a A rq•i `Uls' S 30,460±SF Q , of Parcel D` e 1 f � Z ! y 13,1471SF; PI fing4 - /908 .. - 1 f I p U.e11Mp 'F m % Z;�2 t-�' A Parcel B i !ao.3. `� - ^ 13,147tSF. Parcel ak t --- - - -- - 37,03315E 421 .. .:� ---- --- r _ --o-•a- 22613 w z. 15,g S83'36'42 � m Q .• 582 53 41 W t-y - 0 rbepth to Dediock U' 1 .. 1'areni tnatenai(geo�ogic) .� Depth to t3roundtvater Standing Water hi Hole a Weepin fora pit Face Estimated Seasa let High E7tatmdwater w r t 4 Y tt� 1% h1A� Di;TEi� t7.a/ .� :;.v p t; $t� In. Ivletltod Use. ft In. De th to soil mottles;' G � Ilepth Observed standing abs live Q undwater Adjustment_, Depth to'weegmg Avm side blobs.hole ' Itidex Welf# Readbig bate : �n ex Well level- AdJ, Uctor Adj.OroundwaterLevel:= jp 'CoT�i�rt TiL EU 4 Dpte Iza; U'Tlnre.�1 q,,"` Observation Thna at 9' Hole# I hne V. j Simi Pit pre soak lime®` -?,t' Edd Pre soak ` ' I r c�I I ion eblhig Needed(Y/M Site Suitability Assessmeht it pass Silts Failed : . Be Carnpleted on Back Observation f1o,J4e Date �� lilt istan 1 :. 0 4 .�L ;' us first uoti the 4 ***tf percuiati>iru testes to b �ctiiadWW w tL��u OU'yof� trndPO n p a Ct�teservdtbn ijlvisiorl zrt lea$t�r(te( )� ` 4. °t , ,x ► F I3arnstabl ;. • `' ,; .Q�SEP"IiCU'ERCFORIvL170C ' • 4 Depth fiom Soil Horizon Soil!texture: Soil Colbr' Soil er Surface(in.) I (USDA) (Mansell) ' Motalog (Swctfue,Swhes;Boulders. j� / C Iy Consisienc�=%tirsYell' ' CAP Z S �,4 c,L-a►� S 1 J. r �pth4�nn Soil Hbtizurl . Cxture Soh Colot' Soil per SutlYce ir►.) : 1=' 9ISA) (lvtuhsell) Mottlmg (Slruotura,Jtones,DouldeEs i ,e Ie , 1 LI1E� Ai110N` M .iC1tol # Depth from.. .'" Soil Iiorrzdu Su�i TextUra. : Snll Co or, Soil'. Mansell Mottling (Stru it,Stones Boulders Surface(in.) i. (USDA) ( ) chug , I 'Coasis(enc� 4'oClrAvel) `i. I i I • T1L+�Ll! 15L1t�V. 'Z'iC �+OL�LOBol�# are Sod Cnlnr Other Depth from Soil Horirbu' S'dtl'f�xt l 8gi1 Structura,stones,Boulders. . Mansell Mottling. (. o e Surface(ui.) tU5)jA) ( ) Consisten . lootl Ius,. auce:Itatte I1Ca . c.% C'� ��Abovei5tl�,yestt�aNct',boln ary; I o t -� `s•� W(tltal50f1yeatlnijlttdat}t ! Xe4 ;, , ji S. I ffiid 100 year flopd bo �ary u I I } nc t 1C. Iat>�ra�l Otctiilrlll �et�io s 1Vlete>�ta feet b1!ttaY all .bb�d hig per io . to tetlal exis in alf areas observed tltrougl�out the Does at lust..t�our. � area coposedlfor the stit�,_db b tldt.s s etn7 l? rvlous utaterlal7 If ndt what isittra d�pth,u`u t fitly bed ing p Gertz I l sed the sot18 al ado oxai.tlnatlolt approved by the l'cettdy Wat�n a Cd1e);; have p i 1' ; uvliolutieit� ft olet iiot acid tti E the.above analy Is was per�vtitted by me conststen!wtlh bepattt elit UfE t ,I .. I '..: j rrx�eft'§e.l�ic��' � tetice';ti sc(•lbetl i>131U C . 1 I Date 5lgttattire Q:\SEP�IC�YERCFoRM.DOC 1. T Town of Barnstable Barnstable Regulatory Services Department ad"aCi IIA LE,MASS. 01 public Health Division `\9 MASS. 0Q \ t 6 J \0 TfD MAC a, 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 *Thomas A. McKean,CHO CERTIFIED MAIL# 7008 3230 0002 5178.2763 November 28, 2012 Timothy & Daniel Leveroni TRS 853 Maui Street Cotuit, MA 02638 The septic system located at'853 Main Street, Cotuit, MA was last inspected on 11/16/2012 by Frank Nunes III, a certified"septic inspector for the State of Massachusetts. The inspection of the,septic system showed that the system"Fails"under the guidelines of 1995 TITLE 5 (310 CMR.15.00) due to the following: • System is in hydraulic failure. You are ordered to repair or replace the septic'system within sixty'(60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\853 Main St..Nov2012.doc Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2257 „s J x : c�`+A, .!�r.� o �� L�L i� /�t�"����•/�:Y- /{...r t�d.�.M1.'/..1., 1 Logged In As: Wednesday, November 28 Parcel Detail �812 Parcel Lookup Parcel Info Parcel ID 035-059-002 I Developeot•LOT 2 I. Location 853 MAIN STREET(COTUIT) I'. Pri Frontage Sec Road Sec - - Frontage Village COTUIT ( Fire District COTUIT Town sewer exists at this address No I Road Index 0951 Interactive Map Owner Info Land Info Acres 1.15 J use Single Fam MDL 01 I zoning RF I Nghbd 0112 Topography Level I Road Paved Utilities Septic,Gas,Public Water I Location Rear Location Construction Info Permit History Issue Date Purpose Permit# Amount Insp Date Comments 3SEASON RM,SCREEN IN 04/20/2010' Addition 201000467 $20,000 05/26/2010. FRONT PORCH & 00:00:00 RECONFIGURE WINDOW; REPL WINDOWS 1ST`F'L 08/20/2009 Remodel 200903877 $100,000 05/26/2010 DORMERS& PORCH. 00:00:00 04/06/2005 Other 83194 $0 WIRING FOR A/C 03/03/2003 Finish Basement 37257 $40,000 10/09/2003 00:00:00 10/01/1988 B32314 $25,000 01/15/1989 CO ALTER. 00:00:00 Visit History Date Who Purpose ,Yri 01/13/2011 00:00:00 Michele Arigo In Office Review 06/11/2010 00:00:00 Nancy Finch Bldg Permit Completed http:Hissgl2/intranet/propdata/ParcelDetail.aspx?ID=2257 I 1/28/2012 I : Parcel Detail http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=2257 05/26/2010 00:00:00 Mike Keating, New Construction: 06/10/2005 00:00:00 Paul Talbot Meas/Esf 10/09/2003 00:00:00 Martin Flynn Meas/Esf 05/11/2000 00:00:00 Donna Dacey 3rd Visit-2nd Notice Left 04/20/2000 00:00:00 Donna Dacey Permit Entered 04/12/2000 00:00:00 Donna Dacey Meas/Est 01/15/1989 00:00:00 ML Sales History Line Sale Bate Owner Book/Page Sale Price 1 09/15/1992 V LE ERONf TIMOTHY O &D A NIELTRS 822 1 5/ 6 $1 2 09/15/1985 LEVERONI, DANIEL W ET ALS 4706/289 $1' Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value . 1 2012 $178,100 $62,900 $36,300 $515,600 $792,300 2 2011 $224,900 $11,700 $50,500 $515,000 $802,100 3 2010 $183,000 ' $8,900 $0 $515,000 $706,900 4 2009 $207,500 $14,800 $0 $739,600 $961,900 5 2008 $207,500 $14,800 $0 $742,000 $064,300 7 2007 $229,900. -,$14,800 $0 $742,000 $986,700 8 2006 $203,000 $14,800 $0 $709,500 $927,300 9 2005 $175,400 $13,900 $0 $518,300 $707,600 10 2004 $141,300 $0 - $0 $612,500 $753,800 11 2003 $120,600 - - $0 $0 $259,400 $380,000 12 2002 $120,600 $0 $0 $259,400 $380,000 13 2001 $120,600 $0 $0 $259,400 $380,000 14 2000 $48,900 $0 $0 $167,400 $216,300 15 1999 $48,900 $0 $0 $167,400 $216,300 16 1998 $48,900 $0 $0 $167,400 $216,300 17 1997 $43,000 $0 $0 $156,300 $199,300 18 1996, $43:000 $0 $0 $156,300 $199,300 19 1995 $43,000 $0 $0 $156,300 $199,300 20 1994 $41'1600 $0 $0 $150,700 $192,300 21 1993 $41,600 $0 $0 $152,400 $194,000 22 1992 $47300 - $0 $0 $167,400 $214,700 23 1991 $78,700 $0 $0. $167,400 $246,100 24 1990 $78,700 $0 $0 $167,400 $246,100 25 1989 $7-2,700 $0 $0 $167,400 $240,100 Photos .ttp://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2257 11/28/2012 I `� D /r ' r . , � l � ; . ' C I � � � i � - d — �_ _ f 4 U s r0 6 O 7— Commonwealth of Massachusetts 9.3 Title 5 Official Inspection Form _y Subsurface Sewage Disposal System Form -Not for Voluntary Assessments' ,.a 853 Main St. ' Property Address t Leveroni I ", Owner's Name + ,. Viable— (A'*U a MA 02635 11/16/12 } Citylrown State Zip Code, Date of Inspection Inspection;resuIts must be submitted on this form. Inspection forms may not be.altered in any way. A. General Information , 1. Inspector: w Frank Nunes III Name of Inspector y s saa 'Company Narne ' Box 841 4 . . k Company Address East Falmouth MA 02536 City/Town State „ Zip Code 508.272.6433 a. Telephone Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the , information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant'to_Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes' ® Fails ❑ Needs Further Evaluation by the Local Approving Authority r ' 11/16/12 Inspe ors Signa re Date ' The system inspector shall submit`a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner ' and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does:not'address how the system will perform in the future under the same or different conditions of use. ; 653 Main St•03/08 ' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 r �. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 853 Main St. r Property Address Leveron i .h Owner's Name Barnstable { MA 02635 11/16/12' • Cityrrown State Zip Code " Date of Inspection B. Certification (cont:) r Inspection Summary: Check A,B,C,D or E/always complete all of Section D 4 A) System Passes: ❑ I have not found any information which.indicates that any-of the failure criteria described in 310 CMR 15.303 or in 310°CMR 15.304 exist. Any failure criteria not evaluatedare indicated below. ; Comments: System "Fails"d'ue'to hydraulic loading at the teach Pit - B) System Conditionally Passes: ' ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. - Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements.-If"not determined," please explain. , ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is _ structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as . approved by the Board of Health. "A metal septic tank will pass inspection if it is structurally sound, not,leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: { ❑ Observation of sewage backup or breakout 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 ❑ obstruction is removedt f y 853 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 f , Commonwealth of Massachusetts ` Title 5 Official Inspection Forme Subsurface Sewage Disposal System Form'-Not for Voluntary Assessments 853 Main St. Property Address Leveroni E Owners Name ,� k Barnstable 1 MA -02635 11/16/12 ` CitylTown 4 't State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ 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 ❑ obstruction is removed f ND Explain: A M1 n/a 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- y the system is failing to protect public health, safety or the environment: ; 1. System'will pass unless Board of Health determines in accordance with 310 CMR, 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: - , ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of'a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has aseptic 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. , El The system ha's a septic tank and SAS and the SAS is,within.a Zone 1 of a public water supply. ❑ The ystem has a septic tank and SAS and the SAS is within 50 feet of a private water ' supply well. 853 Main St•03/08 + ` Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 853 Main St. x Property Address Leveroni M r Owners Name Barnstable MA, 02635 11/16/12' ' City/Town State R Zip Code . Date of Inspection. T . t B. Certification (cont ) t C) Further Evaluation is Required by the Board of Health (cohj:. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**: Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria 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 , ® El Backup of sewage into'facility or system component due'to overloaded or ' clogged SAS or cesspool re. •❑ ® Discharge or ponding of effluent to the surface"of the ground or surface waters 'due to an overloaded or clogged SAS or,cesspool 1-1 ® Static liquid level in the distribution`box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6",below invert or available volume is less `,❑ ti® than%day flow R ❑ M Required pumping more than 4 times`in the last year NOT due to clogged or. ` obstructed pipe(s). Number of times pumped: 1 ` ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.' F , Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 853 Main St•03108 ' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15, ;., I Commonwealth of Massachusetts Title 5 Official,, Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 853 Main St. " Property Address Leveroni - Owner's Name Barnstable MA 02635 11/16/12 ' Cityrrown State '. Zip Code Date of Inspection B. Certification (cont.) k ` D) System Failure Criteria Applicable to All Systems (cont.): Yes No • ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® - Any portion of a cesspool or privy,is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is Tess than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence ' ;of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,k provided that no other failure criteria are triggered.A copy of the analysis- and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow,of 2000gpd ❑ ® . 10,000gpd. k ® ❑ 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 water supply , ` ❑ the system is within 200feet of a tributary to a surface drinking,water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection - - ❑ ❑ - Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section.E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. a 853 Main St-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts . Title 5 Official Inspection "Form , Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 853 Main St. Property Address - Leveroni y . Owner's Name Barnstable MA • 02635 11/16/12 Cityfrown State- Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: • . Yes No ..� • �,� _ - . �•, - . - - ® ❑ Pumping information was provided by the owner,►occupant, or Board of Health ❑ ® .-Were any•of the system components pumped out in the previous two weeks? r ® ❑ ' Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to.the system recently or as part of . this inspection?' ❑ ® Were as built plans of the system obtained and examined? (If they were`not available note as N/A) � ' k ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ®- ❑ ' Was the site inspected'for signs of,break out? • ' '> ® ❑ Were all system components, excluding the SAS, located on site? . ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of•liquid, depth'of sludge and depth of scum? ® 9 ❑ Was the facility owner(and occupants if different from owner) provided with' ' information on the proper maintenance of subsurface sewage disposal systems?, The size and location of the Soil Absorption System(SAS)on the site has r been determined based on: y ❑ ® 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 15M2(5)] 853-Main St•,03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15, i .71 Commonwealth of Massachusetts ' Title 5 Official Inspection Form. ;F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 853 Main St. Property Address , Leveroni Owner's Name Barnstable MA 02635 11/16/12' Citylrown State Zip Code Date of Inspection } D. System Information Residential Flow Conditions: Number of bedrooms(design)- n/a Number of bedrooms(actual): 4 + DESIGN flow based on 310 CMR 15.203,(for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 Does residence have a garbage•grinder?. '❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required],, ❑ Yes ® No Laundry system inspected? • r " El Yes ® No Seasonal use? . ,.M ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? t ❑ Yes ® No ` . ;,, . Last date of occupancy: Occupied Date Commercial/Industrial Flow Conditions: . w x n/a 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?; El Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title'5 system? t ❑,Yes ❑ No aWater meter readings, if available: Last date of occupancy/use: Date F Other(describe): n/a f L 853 Main St•03/08 . . + Tide 5 Official Inspection Form:Subsurface Sewage Disposal System+Page 7 of 15 Commonwealth of Massachusetts ' Title 5 Official Inspection Form t. Subsurface Sewage Disposal System Form-'Not for Voluntary Assessments M y 853 Main St. t Property Address , Leveroni Owner's Name Barnstable MA -02635 ' 11/16/12 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Generallnformation - Pumping Records: Source of information: „ Pumped 2 yrs ago per owner Was system pumped as part of the inspection? ❑ Yes ® No' If yes, volume pumped: gallons. How was quantity pumped determined? Reason for pumping: * . Type of System: ® Septic'tank distribution box:soil absorption system r ❑ ' Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)arid a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Othei(describe): w Approximate age of all components, date installed (if known)and source of information: 1984 per owner ' Were sewage odors.detected when arriving at the site? El Yes ® No r t 853 Main St•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts ID r Title 5 Official Inspection Forme Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. M 853 Main St. Property Address Leveroni h Owner's Name Barnstable MA 02635 11/16/12 Cityrrown State Zip Code Date of Inspection , D. System Information (cont.) { Building Sewer(locate on site plan): Depth below grade: 1 feet Material of construction: , ❑ cast iron E 40 PVC ❑ other(explain). . - , Distance from private-water supply well or suction <101 line: feet Comments(on condition of joints;;venting, evidence of leakage, etc.): a • i w Septic Tank(locate on site,plan): Depth below grade: t, 21 feet Material of construction: ® concrete [I Metal ❑'fiberglass ❑ polyethylene Elother(explain), If tank is metal,-list age: r ; . years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑,Yes ❑ No ------------- Dimensions: 1 1000g 311 Sludge'depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness '2 Distance from top of scum to top of outlet tee or baffle >211 ' y Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? measured 853 Main St•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 9 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form . . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 853 Main St. ,4 t Property Address Leveroni # Owner's Name Barnstable MA 02635 *11/16/12 Cityrrown State p Zip Code. .-' Date of Inspection'- , D. System Information(cont.) t. Comments(on pumping recommendations, inlet and outlet tee or baffle`condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in average condition for its age Grease Trap (locate on site.plan): Depth below grade: ' ,', feet . . Material of construction: "rt ❑concrete ❑ metal ❑fiberglass ❑ polyethylene, ❑ other(explain):• ' n/a - s . Dimensions: , f r Scum thickness s Distance from top of scum to top of outlet tee or baffle, Distance from bottom of scum to bottom.of,outlet tee or baffle V , , Date of last pumping: Datej r 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)(locate on site plan)' Depth below grade: - r. • r : as b Material of construction: ❑,concrete ❑ metal ❑fiberglass ❑ polyethylene' • ❑,other(explain): n/a 853 Main St-03/08 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 i Commonwealth of Massachusetts Title 5 Official- inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments' 853 Main St. . Property Address Leveroni _ Owner's Name A Barnstable MA 02635 11/16/12 CityrTown State Zip Code• Date of Inspection D. System Information(cont.) 4 Tight or Holding Tank(cont.)` Dimensions: Capacity: gallons Design Flow: . _ gallons per day ' - Alarm present: t ❑ Yes ❑ No Alarm level: w° a .7 Alarm in working order: ❑'Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.):, A *Attach copy of current pumping contract(required). Is copy attached?, `❑ Yes '❑ No i .Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert x level w/the bottom of the pipe Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box,'etc.)' , D-Box 2'6" below grade. Average condition for its•age Pump Chamber(locate on site plan):; Pumps in working order: ❑ Yes ❑ No Alarms in working order: " L ❑ Yes ❑ ,No_ 853 Main St-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts ` Title 5 Official Inspection Form ..,., ,, v i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ` '< 853 Main St. _ Property Address Leveroni Owner's Name Barnstable MA 02635 t 11/16/12 ' City/Town State Zip Code Date of Inspection D. System Information (cont.) y Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a y r Soil Absorption System (SAS) (locate on site plan,excavation not required): If SAS not located, explain why: Type: r ® leaching pits number: a s ❑ leaching chambers `' number: ❑' leaching galleries number:'' ❑ leaching trenches - number, length: , ,. ❑ leaching fields number, dimensions: , -' ❑• overflow cesspool' number: r ❑ innovative/alternative system '' J 1 _ Type/name of technology: Comments(note condition of soil,'signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.): - . Effluent level at this time is 1" below the inlet irivert - r 853 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form , k' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ; M 853 Main St. , Property Address Leveroni Owner's Name Barnstable MA 02635 i 11/16/12 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 4t Depth top of liquid to inlet invert ; Depth of solids layer I M Depth of scum layer t' Dimensions of cesspool Materials of construction Indication of groundwater inflow TJ,Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding; condition,of vegetation, etc.): a r Privy(locate on site plan): T Materials of construction: Dimensions Depth of solids M _^ Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition.of vegetation; etc.): r n/a d s r 853 Main St•03/OB Title 5 Official Inspection Form:Subsurtace Sewage Disposal System•Page 13 of 15 { usetts Commonwealth of Massach Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 853 Main St. ,. . Property Address Leveroni Owner's Name . Barnstable WA 02635 11/16/12 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch'of the sewage disposal system including ties' to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.. .. Locate where public water supply-enters the building. r • 1k • .. t � �� _ _ � �♦ .gyp,`�-.� � l F Y } I gSc� f , vc)F . .1 853 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 853 Main St. Property Address Leveroni Owner's Name - Barnstable ' MA 02635 11/16/12 Citylrown State ZipCode Date of Inspection P G D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >12 • feet - Please indicate all methods used to determine the high ground water•elevation: ❑ Obtained from system design-plans on record.-, If checked, date of design plan reviewed: : Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: Checked with local excavators, installers-(attach documentation) r. �. ,. w Accessed USGS database-explain: - You must describe how you established the,high ground water elevation: per elevation of home 853 Main St•03/08 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 No.ff ;90 Lb"!.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ..... .......................OF...............1.11......................................... Appliratiou for Rspaoal Works Tomitrurtiou 11amit Application is hereby made for a Permit to _Uct ( Vj"'or Repair an Individual Sewage Disposal System at: .......... ... ..... .........5.... ........................................................................................"-------- • Location-Address, 9) A '66ZE.A.O.A.1•................................ ............. &N_.W.4.'.k'A_a......Mimi... . ... owner 9/ dress 'a.......... ............. ......1 Awn JDA4VXA, Installer Address i............Sq. feet IKAO Type of Building Size Lot...Q....0..--- Dwelling—No. of Bedrooms...........--.._...- _.__.._...Expansion Attic Garbage Grinder Other—Type of Building-___ -0act......w....... No. of persons........(0................ Showers (0) — Cafeteria Otherfixtures ......................................................I.............................................................................................. Design Flow...........................................gallons per person per day. Total daily flow............................................gallons. 043 Septic Tank—Liquid capacity 4e.....0 .gallons Length................ Width.___._...._...._ Diameter.........._..._. Depth.....__.___..... Disposal Trench—No..................... Width-.._......__._._._.. Total Length_........._......... Total leaching area....................sq. ftl Seepage Pit No_____________________ Diameter...........____._._. Depth below inlet.__............._... Total leaching area..................sq. ft�' Z Other Distribution box ( ) Dosing tank ( ) I I; Percolation 'test Results Performed by.......................................................................... Date..................... -----------------F Test Pit No. 1................minutes per inch Depth of Test Pit...__.___........... Depth to ground water-___----.__------____-_. IX4 Test Pit No. 2................minutes per inch Depth of Test Pit.._.....-...__.._... Depth to ground water......................... P4 ............................*------ ------------- ---------------------------------------------------------------------------------------- O Description of Soil........SA.KPr............................................................................................................................................... U ......................................................................................................................................................................................................... W Z ..................................................................................................................... -----------------------I-------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable--------- -... ............ ............ t...... ................................................................. .. ............ .................. Agreement:The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accor -with the provisions of'i I TI U 5 of the State Sanitary Code—The under i ned further agrees not to place t e system in operation until a Certificate of Compliance has been issui5d-by the Sign ........... ................... ----- ........... ............................... Dt Application Approved By....................... ....................... .......... t�e Application Disapproved for the following reasons: .......................................................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date ------------.................... -------- --------------------------J a No.. ..... 00 f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF"'HEALTH .................................:........OF........----.....; Appliratiou for Disposat-Works Toustrurtion rumit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: qq6- ?nOAL� C0+3& .......................................5f................................................. .................................................................................................. Location-Address or.Lot NX........................... ...............I.. _9._ . - — ....4.V.�......................... ------------ Rakbol.p • Owner . (�Adyje r O t�.............. 6 ....UIA.. .. . ....... .............. ...................D...... .... . . ..... ........... Installer Address Type of Building C, Size Lot_______-4..d_A........Sq. feet Dwelling—No. of Bedrooms................. Expansion Attic Garbage Grinder (VO) ------------------------- 04 Other—Type of Building ...W Q_-___ .cc�'.... .— No. of persons.........(p--_-------_ Showers CafeteriaQI Other fixtures ............. ..... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity.1,9Pgallons Length.____ _._____ Width................. Diameter_-._-____-______ Depth_______.___.._.. Disposal Trench—No_ .................... Width___..____._._-__._._ Total Length.................... Total leaching area--------------------sq. f t. Seepage Pit No_____________________ Diameter_.____.__._..___.___ Depth below inlet___..___..._.._____. Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by............................................................................ Date........................................ Test Pit No. I................minutespprinch Depth ofTest.,Pit.................... Depth to ground water........................ fZq Test Pit No. 2................minutestef.i'nch Depth.of,Test Pit..______._______._._ Depth to ground water........................ ........................... . -------------------------------------*--------- ----------------------------------*------------------ 0 Description of Soil...........'5.� P.3...... —....................................................................... ..................................................... ...................................................................................................................................................................................................... ........................................................................................................................................................................................................x U Nature of Repairs or Alterations—Answer when applicable_______________I I j 0, 00 . Ai—,5= 4-A....................................... ................ ...................................................................................t...... ...(OX8.....I.. ............................--------- -------- Agreement: The undersigned agrees to install the aforedesoribed Individual Sewage Disposal System in accord -With the provisions of T 1 TAIE 5 of the State Sanitary Code— The undersi ed further agrees not to place th system in operation until a Certificate of Compliance has been issuqA,4 the b f • Signe .. .... .. ..... ...I-. ......... Application Approved B ..........j : ------Ae Application Disapproved for the following reasons:........ ................................................................................................ ........................................................................................................................z.............................................. ................................ Date PermitNo......................................................... Issued...................................................... . .. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF........................................_...._......_. ...........Trrtifiratr of Tomplialtrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by............at...W..... ........................................................................................................... Installer at..............91.6...V .......................................................................................................... has been installed in accordance with thd$rovisions of TIT 5 f—The State Sanitary Code as described in the application for Disposal Works Construdtion Permit No.______ly-YM.......... dated................................................ THE ISSUANCE OF TH IVCERI I F1 CATE SHALL NOT BE CONSTRUED AS-A GUARANTEE THAT THE SYSTEM WILL. FUNCTION SATs�FJT Y. ............................................. . . ........... Inspector..... ........... . ....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................................OF...................................................... ............................... FEE........................ Disposal lubr4hs mAx inn"punfit Permission is hereby granted .......... .................................................................... ---------- to Construct or,Re it an Indi id• u Sewage is o ystem at No. ............ ............... - - ---------------................. ------------ Street as shown on the application for Disposal Works Construction Permit Dated.......y.................................. 4--------- ........................................................I.................................. BoVd of Health, DATE..................................k... -V I .......................................... FORM 1255 A. M. SULKIN, INC., BOSTON T All if N/F N/F Diane E Looney TR Harvey & Elenora G Harvey 19168/175 8225116 353.20' — — — _ _ 20. ' Stockade Fenc Shape Factor = 21.2 See Note 2 219.27' N86043'14"E a 4 Parc z L t I A o Plantings atio -� �� Brick Walk \ ` O F-Or�r L o L in 36 w ' Bric Patio ric 4.6� a .2 Stone Drive 'Parcel B 13, 14 7f • . •_ ,.� 10' Wide Utility Y a E — ���r�� _ EaSem en t d `--- rive ____------- _ _ _ Stone _ _ 3�_ —❑—❑_❑_°_°� F i moo_❑—❑ ,$W z; Peter D Field !❑ S83036 42 N/F 12758/266 Susan D F1eld r 05 10 15 20 30 40 FEET 6453/240 s ; ri e e - I T MI I i l_ ° 6 - A I I t^lP I'1°. 21, [Mju LL ak O x j t F.� 5 114 FX— i I b '�' •2 �� 4 III VD /p1_3'-31/ f ' Nal t; -- ' t t � � I t, e I 1 •.� j O. , 1141 I N aI 3 I t , - This zet OF&0,, Is I teMOd u u. .i z a aeslgn z l otara,anegs . t oll Skor NrOl embers w to LE�/ERONI RESIDENCE T arlFleQO�troclurOlenglnee he ge. r ebntrpctor OCGdpts -t i'' 1 E . • ' °11�m soG°an+ zha TECTIJRAso' e��` °'' iLi�ES'IGN SOLUTLONSS55.MAINSTREET; GOT01T MA re° p Ib g ARClI ' ' l Ih tt COn OF the ci-1 er " t � -� eelchlt tome beglnnn OF wOrk cc l- 508-477-5930 p acturOl Design SOIVtIOns a. I ` i•.II: T ' U - hereby xprerslyreservesthe -hIIL ��1r.iwtn�s@va tzc,nl nit,: �11- 774-487-0093 i t FIRST FLOOR FLAN i nie i s wo war"q i d . .. 'V' i l _ f r: •'... - " protection Act"OF 1990 n 2/12/2009 10:23 AM r , " 7Q � 0 f� O � - DO 03 —-------- rn � D C77rn EO ' OO rl , ri ii Z QN I • Is set of drawlrr��gqs Is Intended' n mas a rvesugn set of draumgs only. ADS Q PROP05ED PORCH ADDITION AT THE all st at ra me�ere are to�e e m verffled aJ a structural engiroer. LEVERONI RESIDENCE the general contractor accepts all responsibility Far the content °f�"""°""� "° ' ARCI I.I.TECTULZAL DESLGN SOLUTIONS m 0 MAIN STREET,GOTUIT,MA55AGHU5ETT5 uese dawings`shalpl belbrooght • yo n to the attention of the deelgner rc l- 508-477-8930 m prior to the txglming of work. 1��? lox 179 0-649:1 m.�nh1.�.c, mn A O Architectural Design Solutions p he expressly reserves the h<�uvcclr:�winy{vwa=cize>n.. c,11- 774-487-0093 — m FLOOR PLAN a°p�en°nie� auw �a�ry�� Protection Act'of 1990. . i H . 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I - Th15 et-f U wingq5 15 Mended I " • - d k et of CVa�ih3s o ly a t ;A II t 1 t enb;rs to be t p, 1 - - LEVERONI RE5IDENGE ` d" o`��'a°'e�hc ,` Th 9 t t <I az� I i l I _.> } - u p a�'ietyr the t t .. 1e"i }� Y r. - q 853,MAIN STREET, GOTUIT, _MA '' ' ° oF'h alscpyha Aye as' f ARCH`ITECTLJR:AL,DCSIGN SOLUTIONS (' tf d ,;j n ll tr dr t I - — — —r— Y - L t6 tt ntlp r 1h d Ign I I -f 1. ..��. r pe-t the tlegiming or work _ n— hp �, n>> `I. Cc l- SOS-477 59-30 . -k" - - - Archltedural Deslge SOIW ons - # . u - - hareby a>pre'ssty ser_os ue` .Ihext cal rawn�g.Cw-i 1— gyp[ } cll- 774-487009.3 _. BASEMENT AND DEGK'FOOTING PLAN ooyyiotm a sang o°° "y 1 ,r p j'' - .. .. ^ - to trk:•"I'll uval wars 6o" - - t - I - P olectwn Acl•ur 1990. 7. - I t F-1 - .. , I':.l ' ` . I . I . . (. . I - .. -r I r . . . . r � � I . ��l .r I � . I ,I - I ,- , � ,��. : I .. �I . I I . r � I - I ..% 11 . . . ".r,, I � I I .: � . I I - I I . I. 1 r I . '. I I - . . ,r - - r . I I � � � I. - .. I . ... . I I-, . " . � r I I I .1 Ir � I .. I, -1 .I . I r i . . � . r - . �. . . �. I . . 1. . . I� .. I I . I . . � : I I I ri . . I . I .I I I r I r. I I . . . I � r r , � . �: .." .I I I. . . I . I - I . I . I . I . . . I � . � . . 1, � . .-,� , . �I - . . I I -� . r . � . � . : I .. I . . � . . . ... . . � I I � � . ,- - . . .., . I . . . . I. �. _ - r' .r . .r - r . I � � . . .. .. . PERC TEST: 13,922 " PERFORMED BY:JOHN O'DEA,PE- SULLIVAN ENGINEERING $ s r See Note 6 (typ.) - • roar '•: -. SOIL EVALUATOR NO.2911 F.G. EL. 37.00 p F.G. EL. 370 WITNESSED BY:DONALD DESMARAIS,R.S.-TOWN OF BARNSTABLE •. ;< ,tk, APRIL 26 2011 qx Invert f Flow Required s ' EL. 36.1' EL. 1500 SITE PASSED Comportment .r p Installer To L. 34.75 � -.1 'err+• � s � a/ � Confirm All Prior Septic Tank Top EL 35.19 H-20 EL. D-Box L 39 FLOOD ZONE -. To Any Work SEE NOTE 10 - H-20 ' 1'3;'" - • TEST HOLE - I TEST HOLE - 2 EL. �homee Zone C To Be Installed On r N-20 EL.37.0 e ° p Ce e Community Panel No.EL.3 .. .. ... ... ............. ... .. Bedding."T"s. . ... Inspection Port, It. :„c�,nr�;......e,a, ::�. ::�r;:p, e`' 250001 0021 D ? ... . .. F.ILL.... .. .. .. & FILL # y � Boffefs kN UnsurYotsle SoNs lt<rthin.5 °f °' STONE DRIVE ... as Per Title 5 fiho£liftmr'.Ptnlafax:;sri:::iJi ::5' .torsi July 2 1992 * 1r STONE DRIVE y , fz s 6" .. .... .... 36.5 8" .. .. .. :: ..: ... 36.3 B LAYER IOYR 4/6 No Groundwotera u 4 B LAYER 1 OYR 4/6 �� DARK YELLOWISH BROWN DARK YELLOWISH BROWN DEVELOPED PROFILE OF SYSTEM Per Test "ale 2 �a •:. . J C 14 LOAMY SAND N ` n 35.8 14" LOAMY SAND 35.8 OVERLAY DISTRI CT C LAYER 2.SYR 4/6 NOT TO SCALE C LAYER 2.SYR 4/6 OLIVE YELLOW OLIVE YELLOW AP - Aquifer Protection District » M.SAND 138" M.SAND 25.5 Estuarine Watershed 38" PERC TEST 33.8 NO GROUNDWATER ENCOUNTERED .ice '".L•, 3„� ...,£.;. 1 .. -' yr1�V^ 25 GALLONS GONE IN 10 MIN. 132" PERC RATE<2 MINAN(LTAR=0.74) 26.0 LOCATION MAP. NO GROUNDWATER ENCOUNTERED N/F NSF Diane E Looney TR f Scale: 1" = 2000'f 19168/175 N/F Harvey & Elenora G Harvey J 8225116 353.20' _ ASSESSORS REF.: N/F Madeline M Danniels TR --_ - _.T ---_-- CNSB 25851/254 N - - / Christine S Cotter TR Fnd 86°43'14 E - _ _ - ___'_ Map 35, Parcel 059002 r- CNSB 24825/47 r-- - 1 teekede Ferree - -- -r---- - 123• ----- / --- ZONE. Fnd _ - T- 't' \ Proposed Ori \ -- -ghed ----------- -\-� ____ -_ 7-:: J ' 1------- --- RF - > \ re to Area (min.) 87,120 SF (RPOD) \ �8 °tea Chon ink once t `t 1� s a Lawn ~ ~\ I \1 \\ be Rt*locatp f� i `j i f Lawn t 1 WldtllFroaC]CeTll(mi12520' °, ...� , �� �-�.., i/ � 1 I � l �_ / \ !a � `�. ! � �- Setbacks: Front 30' 1 1 1 i I Iy.. 3 Side 15 ` P 1 Rear 15 1 1 Parcels �? Multi Y . z Cb ° 1 ,� 1 i II ! / DESIGN DATA LEGEND 1 , t I / I \ / \ 1 / 4 Bedroom @ 110 GPD o I \. .l� Acre ���333 1 No Garbage Grinder 1 cn -� r > Light Post m O o ` W \ { ,1 Total Daily Flow=440 GPD 1� /� _ y �`' -°hw- Over Head Wires o \ I Z g Use a Two Compartment O t / 1 1 t''v+ a� °' I 1,-I Lawn ~\ �;c .� o O 1st00 Gal Septic Tank �"J Hydrant 0 1 h 4 Compartment at least'880 Gal. El 2nd Compartment at least 440 Gal. Concrete Bound / ; /� 1 IN ` , / m �`a �� O Water Gate (round) > LOwn - `" LEACHING AREA -0 Guy Pole o i Q 440 GPD/0.74 TAR =594.6 SF Required)- . Utility Pole -� f 1 I r�y J _ f / I � � ' ~ Sidewall=2(12.83'+33.5V=185.3 SF P '\ o Ca �} 7-----i--- -- d W `' Bottom Area=(12.83,x33.51=429.8SF ® Catch Basin G r o # Total Provided=615.1 SF' , I j' 1 � 7�27' I--I l Plantings- P do ,��...-- .. � 2 sty f Brick wo1 � , ti ° { i I° t - e 40. Use tennis 1 ; i ! � � � !r � Dwelling ,� -� � LEACHING CHAMBER DESIGN Coniferous Tree , b court { I Z /�/79. Ir / 4Sy 3-500 Gal.Leaching All Pipes to be gCChambers in a z \ d \ I 20 36"W / 12.83'x 33.5'Washed Stone Field as Shown. ' o N \ , °��- o peck r 1-------- 1 Brick' �? Deciduous Tree g� Patio w �� 1 , °-� \ /1� �- rick walk s� SEPTIC NOTES C) `� to-�O_ __ ..-.. - - 1 , I \ \ Parcel 2/ \` {24, 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours I _• O Prior to Any Excavation For This Project the Contractor Shall Make { ' t sun 40.66 10.0 { 1 O oom , ..1:�5 A cr�s \ I I � Qsw the Required Notification to Dig Safe(1-888-344-7233). I 1 porch ✓' / i 1 Stone i ^ p 2.The Contractor is Required w Secure Appropriate Permits From Town c� }} 853 i A roximat location` �. ` # / PP � cs:. I Drive � Agencies For Construction Defined by This Plan. 2 112 s ty ✓ p 1,` of Existing $ep tic j 1 I a/ i { 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Q fi w/f Dwelling �'\ I to be abandoned j ' 7 / •1 Be Constructed of Class150PressurePipeandShallbeWaterTestedto t 1 Wood or Remove¢ !� vi ' - Assure Watertightness. In General,Water Lines Shall be Constructed in CD { peck q g+ 1 r / / i Coordination With Cotuit Water,and Shall be in Accordance tvCt. ! { f r O I \I 1 / ,�� With 248 CMR 1.00-7.00&310 CMR 15.00. 33.50 ' r+ t 1 { { t n+-z J ' \ f 4.A Minimum of 9"of Cover is Required for All Components. 1 4b3 O 5.All Structures Buried Three Feet or More or Subject M I O ? \ j __--_ - , to Vehicular Traffic to be H-20 Loading.It is the Engineer's �' - ]"- Removed --- - -- -- - Recommendation that H-20 Always be Used r, Stone Drive to be _ ----- -- �_ 6.Install Watertight Risers and Covers to Within 6"of Finished Grade \ , 1 1 W c> ;v 10.13 __- --f'----_ ,,, -1 1 / x t I { G-p- -O - Over Septic Tank Inlet and Outlet,D Box,and One beaching Chamber. (� \ `fi t ` Qz m __ _ _O-0-o'13-�0 , 7.Septic System to be Installed in Accordance With 310 CMR 15.00& -� ° 226.13 N/F 248 CMR 1.00-7.00 Latest Revision and the Town ofBamstable ul ate` \ { ` t �` ' ; ` P� �M4 fO-0_ -0 '42"W peter D Field Board of Health Regulations. 12,83 36 8.All Piping to be Sch.40 PVC. ' 12758/ 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum `� t` �� � � ; ` C. ��U, N�F Field >� Z O� • \ ` 1�5.87_ Susan D s of6a. 10.The Separation Distance Between the Septic Tank Inlets and »W N/F cl 11 Cn 6453/240 Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend SAS DETAIL `s: rn \o= - S87°53 41 C Mcgeoch sg 10"Below the Flow Line.Outlet Tees Shall Extend 14" NOT TO SCALE 2423/66 "a Joan Below the Flow Line,and Shall be Equiped With a Gas Baffle. TEQ ��`� I I.Septic Tank Shall be a 1,500 Gallon,with 2 Compartments. G The First Compartment Shall Have a Volume of Not Less Than /0@jpL 880 Gallons and the Second of Not Less than 440 Gallons. The Compartments Shall be Interconnected by a Minimum 4"0 Vented Inverted U-Shaped Pipe with a Gas Baffle on the Outlet. Title: PREPARED BY. PREPARED FOR: Notes/Revision: Site [D- lan Sceptic System .Sullivan Engineering, Ca eSUrV . Timothy & Daniel Leveronl Trs. Inc. . p JTD 1. LOT LINES SHOWN ARE PER PLAN BOOK 473 PAGE 1. (D At 853 Main Street In PO Box659 Harborv�ew Realty Trs. ) Osterville, MA 02655 7 Parker Road �+A Osterville MA 02655 PO BOX 136-4 2) PENDING LOT LINE BY CAPESURV. / (508)428-3344 (508)428-9617 fax (508) 420-3994 420-3995fox Bamstable �COtu t) Mass. www.capesurv.com Cotuit, MA 02635 0 30 0 15 30 60 120 V Date: Scale: „ , Field: RLH/WHK/MLL Review: RLH April 29, 2013 1 =30 Comp/Draft: WHK RLH Drawing/ g # 3300010_Leveroni -12