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HomeMy WebLinkAbout0046 PINE RIDGE ROAD - Health 46 Pine Ridge Road Cutuit @ _ r A = 018 123 Y f T W OF BARNSTABLE 2-CO LOCATION �� SEWAGE# p�� VILLAGE ASSESSOR'S MAP&PARCEL - + 1 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY _ Z7 LEACHING FACILITY:(type) 1 (size) NO.OF BEDROOMS OWNER ff PERMIT DATE: .Z '(O 0 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching f ility) - Feet FURNISHED BY f C 3 LI®, oi ilo SEWAGE INSPECTIONS 11-OCA710N 46 Pine Ridge Road DATE 4/9/03 VILLAGE °Cotuit,Mass. ASSESSOR'S MAP & LOT ''-:INSPECTOR Joseph P.Ma�omber Jr. SEPTIC TANK CAPACITY 1000 qa l lons LEACHING FACILITY; (type) 1 -LP-1 000 (size) 1 500 gallons NO. OF BEDROOMS 3 BUILDER OR OWNER Richard Roden -OWNER MAILING ADDRESS ' Same - z Y a" � o t Z �ecl� No. M l0 v Fee «.. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS a9 application for Migonl *pgtem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. q& BAK Wcn� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel t71� J L4 Ins AarAddf s,and Ted A. Igo. ( Designgr's Name,Alss and Tel.No. C/ ,vto 6�U Q-/1.—'� G � 0 7`► ,t� Type of Building: L Dwelling No.of Bedrooms Lot Size 1 O 1 �"�sq.ft. Garbage Grinder ( ) Other Type of Building e ` r No.of Persons % Showers( Cafeteria( ) Other Fixtures / Design Flow(min.required) 16 t1© /1-n gpd Design flow provided thl 0 gpd Plan Date of— /o` Number of sheets Revision Date Title _ Size of Septic Tank Type of S.A.S. c�0 Description of Soil �e i v 4-4'k_ S A v &Q A-6 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure ruction and maintenanc of the afore described on-site sewage disposal system in accordance with the provisions o the 5 of the En ' n 1.Code an of lac 'n-operation until a Certificate of Compliance has been issued b this Board of Signe Date c> f Application Approved by Date Application Disapproved W Date for the following reasons Permit No. Date Issued 4 Fee THE' OMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIPprication for 1pi5po5ar 4- p5tem Construction Permit c2q�- Asa Application for a Perhiit to Construct(`j Repair O Upgrade( ) Abandon O ❑ Complete System ❑Individual Components Location Address or Lot No. O.NK W C1DA- 15F Owner's Name,Address,and Tel.No. {i Assessor's Map/parcel /Ol 7 U _ Insta i'Ra(r,,Ad anda`d Tea.14. is� Design Name,Address and Tel No. SSG ( o 4,11 L s�ro-sa74 �1 � /� � o -- a Type of Building: Dwelling No.of Bedrooms TA1" [ Lot Size O q.ft. Garbage Grinder ( ) Other Type of Building ''s ` t7 k ! No.of Persons �/ Showers Cafeteria( ) Other Fixtures Design Flow(min.required) � L fit/ gpd Design flow provided ")y 0 gpd Plan Date c�, - to' Number of sheets / Revision Date f-7 Title Size of Septic Tank 2 O 1�0!.04 if Type of S.A.S. C �tl r d P Description of Soil Ae A" . A l' Nature of Repairs or Alterations(Answer when applicable) .s +, Date last inspected: Agreement: The undersigned agrees to ensure t e-con truction and maintenanc of the afore described on-site sewage disposal system in accordance with the provisionsy,Title 5 of the E)n 'r�on e taI Code n not 10ac ]re item-in operation until a Certificate of Compliance has been issued by this Board of Heal Signe � - n Date 50 r /+ — Application Approved by ti. Date Z7 / / Application Disapproved by vV Date for the•following reasons I Permit No. Date Issued I THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the Own'-`site Sewage Disposal System Constructed ( ) Repaired (* ) Upgraded ( k) Abandoned( )by S/ K �/� at 1 (o OP c.,J O O 0 col,,14 has ee, constructed in accordance �' J with the-p-r-ovisisions of Title 5 and the for Disposal System Construction Permit No. � ! dated }o Installer y�' ( l�;J 5 �ca C �rFi �� Designer 5 r o ,� ci �C t S 'T%, f #bedrooms Approved design flow ��® gpd The issuance of this permit shall not b6 construed as a guarantee that the systemnvilll n ao designed. Date 3M Inspector ———- " ——————————————— ———— — ———No.A044-0. Fee { THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS &.5ponl J§p$tem Con$truction Permit Permission is hereby granted/to Construct ( ) Repai ( ) Upgrade (5e ) Aban on Y ( ) S stem located at �t �9 K 0 and as described in the above Application for Disposal System Construction Permit.Thp,applicant recognizes'his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must e co leted within three years of the date of thi�erm't Date r Approved by r Town of Barnstable 3M1E , Regulatory Services Thomas F. Geiler,Director B.1RP4SAXiE�lE. � MA� Public Health Division ' roe► Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date Sewage Permit# 200JP 4'3 Assessor's Map\Parcel Designer: L—*Nf-S Installer: Address: 6Lr Address: On was issued a permit to install a d (date) (installer) septic system at 4 0 PO4l% JZD, 60-rU)T based on a design drawn by (address) DT-j S dated" f j)o �(de gner) y I certifythat the septic stem referenced above was installed substantial) according to P Y Y g the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify t at the septic system referenced above was installed with major changes (i.e. greater an I0' lateral relocation of the SAS or any vertical relocation of any component ,of th septic system)but in accordance with State & Local Regulations. Plan revision or ert ied as- uilt by designer to follow. `��1iI��IIlr�O� KP O f.... � g (Instal is S' ure) LIk' iIJ43. S •�NAlei 10��•' ��,,, (Designer Si ture) (Affix De s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Sepfic%Designer Certification Form 3-26-04.doc I RECEIVED DATE : 4 03_/9/ --------- APR 2 7 2003 PROPERTY ADDRESS:_4_6__P_i_n_e__R_i_d_g_e_Road '---'---- TOWN OF BARNSTABLE Cotuit,Mass. H ALTHDEPT. 02635 On the above date, I inspected the septic system at the above address. This system consists of the following: 1 -1000 gallon septic tank. 1 -Distribution box. 1 -1000 gallon precast leaching pit. Based on my inspection, I certify the following conditions: . This is a title five septic system. ( 78 Code) The septic system is in proper working order at the present time. Waste water is 25" below the invert pipe of the leaching pit. SIGNATUR ; '*d /1 Name : _ J__ P__Macomber_Jr . __ Company : �oagph per_ Son, Inc . address : __@Qx _rz�--- - ---- -_QuserYiLLEL,_ :1a ,_Q.2-632-0066 Pnone : 508- 775_ 3338 ________ THIS CERTIFICATION DOES .NOT CONSTITUTE A GUARANTY OR WARRANTY LWC P. MAMBER & SON, INC. anks esspools l.eachllolds Pumped & Installed Town Sewer Connections 66 COCenterville. MA 02632.0066 775.3338 775.6412 6- 9' - � .. ..• 1 �. ._ - l� a —� .. . a . . — .... 1. ..1.. r. an rMr hr' r L a.. '� Date: TOXIC AND HAZ AA S MATERIALS REGISTRATION FORM NAMEOFBUSINESS: . M! � n1 BUSINESS LOCATION: /N/E� -td f MAILING ADDRESS: Q I c. r �""' p7 Mail To: TELEPHONE NUMBER: Board of HealthTown of Barnstable CONTACT,PERSON:,. /G -- P.O. Box 534 EMERGENCY CONTACT T EPHON (NUMBER: -� - Hyannis, MA 02601 TYPEOFBUSINESS: OAA�5 Does your firm store any of the to or hazardous materials listed below, either for sale or for you own use? YES NO ✓ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) 1/ Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS COMMONWEALTH OF MASSACHUSETTS = EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 40 TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 46 Pine Ridge Road Cotuit,Mass. Owner's Name:Richard Roden Owner's Address: Same Date of Inspection: 4 9 0 3 Name of Inspector: (please print) Joseph P.Macomber Jr. Company Name: J.P.Macomber & Son inc. Mailing Address: Box 66 CentprvillP.Mass. 02632 Telephone Number: 508-775-3338 CERTIFICATION STATEMENT I certify that 1 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: ja//— Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signatur?bmit7copy ' Date: The system inspector shal 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. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIO N FORM PART A CERTIFICATION (continued) Property Address: 46 Pine Ridge Road Cotuit Mass. Owner:Richard Roden Date of Inspection: 4 9 0 3 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D Passes: — ,?) I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: working The �Pnt� syStPm is in proper q order at the nracant- f i mP B. System Conditionally Passes: 100 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: �d Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: ND 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 ND explain: 2 Page ; of I I /r OFFICIA-L INSPECTION O.*!C FORM • NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Properr) Address: 46 Pine Ridge Road Co 5 ,Mass. OwocrRichard B d n Date of lospectioo: C. Further Evalustioo is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health In order to determine if the system , is failing to protect public health,.safety or-the environment. I. S)stem will pass unless Board of Health determines In accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a maooer wbich will protect public bealtb, safety and the envirooment: M Cesspool or privy is within SO feet of a surface water 2DCesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh S stem will fail unless the Board of Health (and Public Water Supplier, If any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supple or rributary to a surface water supply. A0 The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply :�b_ The system has a septic tank and SAS and the SAS is within SO feet of a private water supply well. �1,P9 The srstcm has a septic tank and SAS and the SAS is less than 100 feet but SO jget or more from a . Private seater supple well'' Method used to determine distance /�G-G.L/� This s.\stem passes if the well water analysis,performed at a CEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that faciliry and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 I Page 4 of 1 I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:46 Pine Ridge Road Cotuit,Mass. Owner: Richard Boden Date of Inspection: 4/9/0 3 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No I �1 Backup of sewage into facility or system componentdue to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or / clogged SAS or cesspool d� Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool 1-1.P 14V /Liquid depth in-eenpeol is less than 6"below invert or available volume is less than day flow 1// Required pumping mo a than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped j li, Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface / water supply. _ V/ 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. l� Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) (Yes/No)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• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no L'the system is within 400 feet of a surface drinking water supply e system is within 200 feet of a tributary.to a surface drinking water supply l _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 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. 4 Page 5 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 46 Pine Ridge Road Cotuit Mass. Owner: Richard Bo en Date of Inspection: 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 ZWere any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period ? Have large volumes of water been introduced to the system recently or as part of this inspection ? Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? _ Was the site inspected for signs of break out? Were all system components,a eluding the SAS, located on site? z— Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum ? _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no / �/ Existing information.For example, a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part_C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)) 5 r Page 6 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 46 Pine Ridqe Road Cotuit Mass. Owner: Richard o en Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): It Number of current residents:1=4 Does residence have a garbage grinder(yes or no): &�a Is laundry on a separate sewage system(yes or no): l► (if yes separate inspection required) Laundry system inspected(yes or no):� Seasonal use: (yes or no):14)0 Water meter readings, if available(last 2 years usage(gpd)):2 0 01 =1 0 0, 0 0 0 gal lons=2 7 3 . 9 8 GPD Sump pump(yes or no): 2002=101 , 000 gallons=276 . 72 GPD Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): AM gpd Basis of design flow(seats/persons/sgR,etc.): .01 Grease trap present(yes or no):AR' Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no):A)* Water meter readings, if available: Last date of occupancy/use: IVA OTHER(describe): 40 GENERAL INFORMATION Pumping Records Source of information: 4 Was system pumped as part of the inspection(yes or no): 1f yes, volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TY E OF SYSTEM Septic tank,distribution box,soil absorption system Ab Single cesspool Overflow cesspool rivy Shared system(yes or no)(if yes,attach previous inspection records, if any) nnovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be �ob med from syste owner) f ight tank Attach a copy of the DEP approval A&- her(describe): ' 4R Approxim J�of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no): /�!) 6 r Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 46 Pine Ridge Road Cotuit,Mass. Owner:Richard Boden Date of Inspection: 4 9 0 3 BUILDING SEWER(locate on site plan) �f Depth below grade:� Materials of construction:4-X cast iron /40 PVC 4bother(explain): -t64 Distance from private water supply well or suction line: /0`t Comments(on condition of joints, venting,evidence of leakage,etc.): Joints appear tight.No evidence of leakage.The system is vented through the house vents SEPTIC TANK:Zlocate on site plan) 14W r;''AV`W s Depth below grade: lag/0 �! Material of construction:_Yconcrete,dd meta L�fiberglassrr/dpolyethylene , 6 other(explain) 't►; If tank is metal list age:,V.0 Is age confirmed by a Certificate of Compliance(yes or no):.Uo (attach a copy of certificate) Dimensions: Sludge depth. �,.u`J Distance from top of sludge to bottom of outlet tee or baffle:�G L Scum thickness: Distance from top of scum to top of outlet tee or baffle: / GL Distance from bottom of scum to bottom of outlet tee or baflle:,y/.,yGL- How were dimensions determined: !� ✓9 St�}^c Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of.leakage, etc.): Pump the septic tank every 2-3 years. Inlet & outlet tees are in place.The tank is structurally sound and ahows no evidence of leakage..Liquid level at the outlet invert is 51 " GREASE TRAW-cElocate on site plan) Depth below grade:iL'4 Material of construction:,W concretes meta6O fiberglasWfJ )olyethylenel�Oother (explain): Dimensions: AO Scum thickness: /109 Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: lW Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): CrQnsP trap is not present. 7 Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 46 Pine Ridge Road Cotuit Mass. Owner: Richard Bo den Date of Inspection: TIGHT or HOLDING TANKt&(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: 104 Material of construction: concrete metal fiberglass gpolyethylene 4 A other(explain): A, 4 Dimensions: ,�JA Capacity: i4 gallons Design Flow: gallons/day Alarm present(yes or no):_dA Alarm level: A)4 Alarm in working order(yes or no):,(lA Date of last pumping: Comments(condition of alarm and float switches, etc.): Tight or holding tanks are not present. DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box has one lateral.No evidence of solids carry ny,Pr Nn PVIaPnCP of leakage into or out of the box. PUMP CHAMBERt4t/f locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Pump chamber is not present. 8 Page 9 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 46 Pine Ridge Road o ui ,Mass. Owner:Richard Boden Date of Inspection: 4 9 0 3 SOIL ABSORPTION SYSTEM (SAS):Zlocate on site plan,excavation not required) 1 —1 000 gallon p P as _ It-aching Qi t_ If SAS not located explain why: Leeated: Seepage 1 Ty�leaching pits,number: ! Ale leaching chambers, number: t3 B2d leaching galleries,number: 4 X0 leaching trenches,number, length:_ T .-V6 leaching fields,number,dimensions: ZJX overflow cesspool,number: O �t>innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation; etc.): Loam-and to mPdium in -,and-No signs of hydraulic failure or p^ndin_- Soils Are rT Vegetatinn i G nr)rmAl_ CESSPOOL5't4_,r Z,(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum laver: Dimensions of cesspool: /f Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Cesspools are not present. PRIV14�fX (locate on site plan) Materials of construction: l�1, Dimensions: Depth of solids: APX Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Privy i s net pr cis ant. 4 9 Page 10 of I I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 46 Pine Ridge Road o ui , . ass. Owner: Richard Roden Date of Inspection: 4/9/03 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, 34 b O - I Z �ca1c 10 Page 1 1 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 16 Piperidge Road o ui ,Mass. Owner:Richard Bo en Date of Inspection: 4 9 FT SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water O feet Please indicate(check)all methods used to determine the high ground water elevation: _Na Obtained from system design plans on record-If checked,date of design plan reviewed: NA yE.&Observed site(abutting property/observation hole within 150 feet of SAS) N Checked with local Board of Health-explain: 41-110 Y-Eq-Checked with local excavators, installers-(attach documentation) XES Accessed USGS database-explain: http: //town,barns table.ma.us . You must describe how you established the high ground water elevation: Used: Gahrety R Mi11Pr Model _ 12/16/94 Ground water PlPya ion- ahoy a level . Used: USGS • well data June 1 992 USED: USGS• Teehr}}e__ 1a1111etin 92-000-1 Plate #2 Annual ranges of around water • el0va"rF0roJnFuary19�2 r Leaching i Pit :eet Groundwater: Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per FrimP ter Method Therefore, the vertical separation distance between the bottom of the leaching pit and the adjusted groundwater table is feet. 11 . � '.T.RT•-.\1'1'Ir•.•."r�\t1�:JR.'I.ff•\TT.ii1R.IT1I••1rI1'RrfTT'RRn\.RT1�iTfAITIIIrr1 .T1.•TTT���..�. r-. . TOWN OF Barnstable BOARD OF IIEALTII 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM —PART D •- CERTIFICATION IJ •••rr• �T••••..\-5:111.�.�TT T1:'�I'R.T'1T1rJRTI7RTT1'rt'1\••1V*R't frRw'r1�f��7Rt t'+n �.+r�•r•r•�. —..A -TYPL OR PRINT CI.CARLY- PIIOPERTY INSPECTED STREET ADDRESS 46 Pineridae Road Cotuit,Mass. ' ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAMERichard Bodtn PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J P Macomber & Soa Inc'.` COMPANY ADDRESSBox 66 Centerville Mass. 02632 Street To►n or City Stat• rip COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508 ) 790 -1 578 R CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and omplete as of the time of .inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function, and maintenance of on- site sewage disposal systems . Check one : y/System; PASSED , The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 , 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection whic1i I have con toted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 3.1'0 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . rGL Inspector Signature 11A Date ne copy of t11is certification must be provided to the OWNER, the BUYER ( Where applicable ) and the 130ARD OF HEAL-1-II. If the inspection FAILED, the owner or•"operator shall upgrade he ayste within one year of the date of the inspection, unless allowed ort:requiredm otherwise as provided in 3.10 CFJR 15 . 305 . partd .doc LOiCATION �-e SEWAGE PERMIT NO. !VILLAGE INSTALLER'S NAME i ADDRESS B U I L D E R OR OWN ER 150 a Al DATE PERMIT ISSUED DATE COMPLIANCE ISSUED t x .............. �1 l THE COMMONWEALTH OF MAS-:4CHAJ.,yETTS BOAR® OF HEALTH .............OF.........Q1.Aaf ... .. Appliratinn for Disposal Works Cnnnstrur#'inn Frrutit Application is hereby made for a Permit to Construct ( ") or Repair ( ) an Individual Sewage Disposal System at* cy 00A -` -------...._E►•�.'�.......V ---------------------------• :��/..0 r...l_._.................. r.....-�-..................................... Location-Address or Lot No. _....... r .c am-------('ter �------------- .................................................................................................. Owner Address W ----------------------------------•---._...........----•------.- �........_..-••-------..._..... nstaller Address -el Type of Building Size Lot------------} .Sq. feet U Dwelling—No. of Bedrooms..............J�._...._.._...........__----Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures . -------------- W Design Flow......................: _....j......... per person per day. Total daily flow_...._.............._._ ......gallons. WSeptic Tank—Liquid capacity d gallons Length................ Width................ Diameter__.__-__.__..__- Depth................. x Disposal Trench—No..................... Width.................... Total Length........ _____._._ Total leaching area....................sq. ft. Seepage Pit No............I...... Diameter............e... Depth below inlet...... Total leaching area.._ ..sq. ft. Z Other Distribution i box (l� Dosingtank ( ) 4 Test Results Performed by.._ X �__y�..�y�l�_._p:��_�ate.......-�._.:10-•:8�.... ,-a Test Pit No. I...... _-•_-minutes per inch Depth of Test Pit._._....� -_ Depth to ground water________________________ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -----------------------------------•----....-------•---•-----------........----....--------------•--........................................................ 0 Description of Soil-----------------............................................. ----- ----- x U zo 1� /J W x ••--------------------------••-----•---••---------------------...----........._..-•-•--•••--.....-••-----••••-•------------------•-------•--•--•---•-•---•-•--•----••-•------•-••----•-•-•------•---•••- 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 TL IT�U 5 of the State Sanitary Code— undersigned further agr not to place the system in operation until a Certificate C mpIiance ha iss 'd the board of heal Sig ---•---•.. ... -- ------. at............... --- -- - Application ApprovrB =_ / �/ Date Application Disapprollowing easons: . ............._ -•-------------------------------------------=--------------•-------------.._.._......-----•--•--•----------...._........•••----••••------•.----••-••--•---.......................................... Date PermitNo.,........................................................ Issued_....................................................... Date J. Nd��r r .:�_... ...... Fmc.z�............ THE COMMONWEALTH OF MASSACHUSETTS -- BOARD OF HEALTH r 1'{ ...............oF......... ..:. . ........................ Appliratiun for DiupuuFal Works Ton.strur#iun ramit Application is hereby made for a Permit to Construct ( V,-*or Repair ( ) an Individual Sewage Disposal System at: } l ................___ l�.�. :- I [?7 - I lc!J� ---------- -.....------------------------------ _Zar. •-1--------------------....----- --- - ..... Location-Address or Lot No. ----•--•...................p!_s_ ,!!'�:?:s ... ............................................ Owner W Address ------ I p , Installer Address QType of Building Size Lot....... 3.�'.Sq. feet U �Dwelling—No. of Bedrooms_______________ __________.__--_-•---•--•_Ex Expansion Attic Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .-...................................................................................................................... W Design Flow.....................�� .............. per person per day. Total daily flow........................ ......gallons. WSeptic Tank—Liquid capacity,—gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ___________________ Width....................:Total Length......... ____.-_._ Total leaching area....................sq. ft. Seepage Pit No-----------J------- Diameter............�... Depth below inlet.......if, .... Total leaching area...�� __sq ft. Z Other Distribution box (Vf� Dosin tank ( ) '-' Percolation Test Results Performed by....L3°MOAL.._�.._ _ �.__._ I 1l> ' a { --------_ Date--------1 ,.-I Test Pit o.N I._____.4-_ ....-'�l minutes per inch Depth of Test Pit......... _�--, Depth to ground water........................ fs, Test Pit No. 2..._____________minutes per inch Depth of Test Pit.................... Depth to ground water........................ � --------------------------------------------------- •-•-•---•---•-••------------- •--••------------••--•------------- •---------------- -------------------- -.... 0 Description of Soil----•-----•---•..................•---•-•-----...__..._......--- --------------'-------------------------------------------------------••-•-----•---•--•--- x - � _ ,�/j v .____---•-•---•-••-------------•----.-...________•x t: °F!�' ==-��J.ate•-------•----•--•- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... -•----•-•--------------------•--.._...-•------------•----•-------•___---•-----••---•------••-_-_....--•_...---•---...--------•--------------•----•----•-............................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— undersigned further agr not to place the system in operation until a Certificate mpliance ha q iss d xe board of heal r ...............Sig d .... Dom"` --, ApplicationApprove By... r.-.,i - ---•••-•__________________________________•-•---•--____........_•-•-----•- -• tea • Date Application Disapproved or a following reasons:-•-----•------•--•-----•-••-•----••-•-------------•---••----------------•----••----•-------------________-•---- ••-••-•---•---••-•--•----.....--•-------------------•------•---•...---.....-•------------•---------••--------•---•-------•---•--•----•------------•--------........................................... Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF......... i) �J.- .�,�.�- ............................ Wrtifirate of\Tompffitnrr T TO R Y,•That the Individual Sewage D+i�'s�o"sal S-s em constructed (') or Repaired ( ) by............ ........... . inscaiie�"r '� -•-----••----•----...-•--••--•-•-•........................•-----••-- /,� ' at.._...m:: ------------•-•..............•--•---- ----' --._...•---•--•----•-------.-.---------•---=---------------•----•••--•--••---....-----•--•--------------•-----•-------•- has been installed in accordance wit provis is of TITLE 5 Tlie State Sanitary Code as described in the application for Disposal Works Co "ruction Permit No•__ .......................' _ _________ dated----------...................................... THE ISSUANCE OF„THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. n / DATE.................................................& •(a••-- �----....._. Inspector---/-`�- -...--•........................ THE COMMONWEALTH OF MASSACHUSETTS r--,. BOARD �F HEALTH C�. .% ...........OF................................5 >j. =ter••---••---•-.......--- FEE��� ... ...�... ........................ ' !11 u ul Val • u �onutrnr�Ua r it Permission is e y gran (. , '-�'�... -----------_-------...................................... to Constructe'% 1 f Repair �)�amIn i�ld Ftf'1 5ewa: posal System 11 Street as shown on the application for Disposal Work Construction Permit _____________________ Dated........................_................. ---•------------------------------------•-•-------------___...---._... Board of Health `g•- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 51WGLL FAM►L-`! :6 BE02D0M u AQBAG6 �jWhJDE2 # p�►LY FL0VV' ; I►v X 3 = 3oG pv, SEPTIC TA►�K = 33oxi5�% -- .49i6.P USE. l000 .�. a ot,5Po5AL- PIT v4E t000 GAL_• # lea o,� '�auG l� oT? r/ALL A9-Cla - I 50 5.F; n , �5 BoTTo/k PD At2•EAr ' I (ZIDlau row 5p S.F x 1• 0 5o apco �T 70TAI,- DE-5IGNs ,c�25 -TOTAL DA I L`{ F�-ov! = 330 G•PD- r PE2GOL.ATIo4 rZATE I -I"IN 2MIN r � OF M (: 6F,:��'i' DAVID.- �y i �_. .�. y.�.� C. ✓� RICA. ►, THULIN tj BAXTCR ui r ,�[.p ^Nr♦ 2'018 .off Q `?I5TG�y:�j FSS/ONAI \ , 4hD , �9 To P FNo z IV,:) H o L- Io-a-4- FL`7 -P- �`�'`v'`` 'J4 - �•. 4s,� I,.rv. 47 I iM P►6T. INS. Gay. 4L•!� ,:l/Koul 6C.,K Qb.{- •fp�NK I z t000 INV. PIT INV. INV. WITW i ��• Towi4 V ATuL r�yAlt.Ar WA S►•{G D �u� 6Tv H16 I! sQ+1� 1=Cs90 Jj -'II �'" G� ►�� rr GERTIFIGD PL.oT PI..A►J F I L 2oC-U rT" M A � • �L 'DATE -IL•L��l g3 s IZ N o 5 b,L. 4 E S_�'_ III= 0 N GE 1 G E R'f I F Y -f N AT •bw r L-1-10 40 S No WN HEREON GoMPL`( Hr- 5 �ITR.EMENT� I; A SE-ce�GK R.6Qv I! TowN or- t4oT t4 FGrs. L.0Cp.TED WIT 11J TNT G�..00D PLAIN it DATE 3-I�'� G c;►1�', BA�cZ'EQ t WY INC. R.EG I s-c 'LAN D S u 7.Y j' 'fu15 PLo.N ► 5 N� 4�5c D o►d AN 05T�c2VILLE- � :(I IuSTR�MENT Sv2Vt Y � -TVAGE oI:F,SETS 5uoULD _ Noz DE v5E Td ►7ETEFZ!^I►-►� l-oT I_II-lE�j APPLICANT I �Ial1 Afzc:: 03 7,1 j -pwara.fer►tiJC,�� /� � _� /cam 17 •L � � � J 9!i '102— � � ri.� I '� � j , y � -� o Lam. �,.�;,,�.:• . IF I Ems, i OF TTL A V eut= W A Y Q I�It�E I t�-►DG TZog:- RICHARD A p'� area•cseo y; QI CIA A� E►� — � I'nc�. L as 'o P2 m ti v� OR c 0a �a 2 E -- Al G WM WBH SOREI . � - 11Ly 40 m . WEOF . POST FLAT CE9 BEHM U�y X Ltj TtAlE S _ a T-T'1•/-I WDW M. 'W. I UN SIOPED CDWG LS. R"AGE oPI ONAL QD —-- � — RFLOCAI®WBlD FNJ0.1-0i- SEE Al fJBSE_NDR M.. SEE OVO4 � � _ WHBBPOOLTUs - FWSt iLOCVt m MASTER BATH ELEVATION I zG 3VW+/_ 13'-5 12' 3 12' I oyCi (D - S2 j. � �p ,z)STRIICLURN.ne BFMu iD SCREEN L v a-v = `PORCH m - " DECK - © 3'-I•.IT.1 I• RE WRD 53. E%6 WG ' Id-1 i'+f — zn•. G N O BUU: O ' � AIA..M CIOi FnCE W/EUS/.IVnLL M- � � IOCAIgN �J .2.-�• R�MOVEE%WNGBAYWWV — P.I.FLOOR ( 1 REPLACEwRH NEW SIIDER M F WEM.!pw i �.I . - ,.�9?e _ 3 S� nuGF:wrtN ooaMal -6• _</- cn 6 Z VAUDFDI� DF>Z HEFCAM �� G�RWO OL CENIER SL WaRG' NEW V L fv a ' C L O S.- 001� > —J 2 Exw.WDw �j ' LU l t cy N .. �' ®_ E)BSTNG i(O y-•1•I O -R r 1 DINING ? >< F M U D/ LNew:.1.'_(LT sEAI t � FMOVE r'• I ENTRY TWBDLWw FIAI KITCHEN NEw m-re�-- aou, UN"ui "WSy+il:n' qIH DR. EXal. . § DECK BATH 3 PM.N- Erf1T LIVING nJVFM�,,.M r �. LJ CET➢aG .. ' O � E.P...G F�LO VER6Y EIRSSWG f E•w M)W BEAMS nIrovE ExI9 .. OFFICE C� CEBWGJ�SoR m rm BEDROOM W u F'IAIES"USE E)BSUNG MEMBERS msl.G E%61 w To AC.1 As nauauRAEoay.R i; SITTING FAMILY In le i LJ "1 NE O W6i-W CUT BgCF E%61.WAII ISEE OW NERI • '.''1 LN.OF fOJNC.BELOW c,� I LT!; (.i f i t•- t co ! It- 1 <, KEY w o • FIRST FLOOR PLAN E10.51U+GwAL15 a ,,,//// WALL'10 BE REMOVED DATE: 6.Z l/OS" / SCALD •� DRAVIAMG o N INTERIOR DOOR SCHEDULE WINDOW AND EXTERIOR DOOR SCHEDULE o KEY MANUFACTURER 512E CITY STYLE ROUGH OPENING MATERIAL KEY MANUFACTURER ITEM NUMBER CITY STYLE ROUC 11 OPENING MATERIAL 1�Eu3 0 a`I O 1 BROGCO 3'-G'x G'-8' 6PANEL DBL DR 44'x'83' S.C.MASONRE AI 'ANDERSEN FWH3168 FRENCMNOOD DR 3'-i' x 6'-8' WHITE AWMINUM CLAD t 2 BROSCO 2-Cx C-8' POCKET DR GI-W.84-IX S.C.MASONITE A2 ANDERSEN FWSL1368 51DeUGITT 1'-3 1/2'x 9-8' WH17E AWMINUM CLAD —1 U 3 BROSOD 5'-O'x c-8' BIFOLD DOOR G2'x 83 S.C.MA50NITE ly m A3 ANDERSEN FLDO-FRAME TRANSOM 4'-7 1/2'x 1'-6 1/2' WHITE ALUMINUM CLAD O ID 4' BROSCO i•_B'x 6'-6 U/3 PANEL 22'x 83' S.C.MASONITE p N ' B ANDERSEN FWG6068 FRENCFNJD. PATIO DR 6'-E"x 6'-8' WHITE ALUMINUM CLAD ITi m C BROSCO G•9' STORM/SCREEN WRITE ALUMINUM CLAD oil moO D: D ANDERSEN A21 AWNING 2'-O 5/8'x 2-O 5/8' WHITE ALUMINUM CLAD V E 1 ANDERSEN AW31 AWNING 3'-O 1/2'x P'-4 7/8' WHITE ALUMINUM CLAD E2 ANDERSEN FLED AWNING g-n 1/T x P-ET IJ M7 WHITE AWMINUM CLAD e F ANDERSEN C 145 CASEMENT 2'-O 5/&x 4'-5 3/8' WttITE ALUMINUM CLAD ' G ANDER5EN C23 CA5EMENT 4'-O 1/2•x 3-O I12' WHITE ALUMINUM CLAD H ANDERSEN FLDO-FRAME FDCED CASEMENT 2'-I V x 5'-O' WHITE ALUMINUM CLAD/WD I ANDER5EN - GG5 GLIDING WDW 9-0'x 5'-I WHITE ALUMINUM CLAD m . � Q p I I iu tlE. - To — NEw WRABER OICO.0 EMENDED I 1 RooF W4 ib'O.C. - - IZOVERHANG - - I 1 NEW Gp91E ROOF . I 1 12 OVERHANG - _ S7 r 1 I I I z m h ----- A ---=-----=----I ONMV I - I P 2I yr LV i v \ WE FJLL4. I v ClD3. I I ON UY ROOF i . I wY ROOF I I Ir LRIE OF i ♦ i EXISTING DN , BEDROOM 3 uf2 ————_—— +' 'CASED OPENING NEW C105ET 1: ' U) ------ m LIN. EXISTING FT LLJ NIW BEDROOM I O L) . L O s-c. m-r I o (n REMovE � I r-r s' I I•-r � I � � EXISTING - - - CLOS. r-- DUCT RASE I Q Z © 9 I ALIGN NEW DORMER D(ISnNG DORMERS J C nnn Ie O . EQUAL EQUAL I u p O L---------- O I � M u c I� KEY I w SECOND FLOOR .PLAN Exmwc WAus ¢ lic.ra - � WA16108E REMOVED DATE: 6'7..0/05 1, NEW WAL" SCALE: 1/4`r-1'-0" DRAVIANG s! m o 2B ROOP RAMRS®I C Qc IW IW I=PLWID.3tIFATIRlG t ¢ CafERI.ROOF RIDGE VFIO ` 71M FOG.NOW FO ROOF SLDNGILS 1_ oSC[4 •> 0 2.10 RID6e BOARD - ,.. q 11.4 comm.ROOP WDQ VOIf �Q( R30 FBQ.m91P_ Q U. Z CQInII.ROOP RIDGE VOif OBSTWG 2.1O MD=BOARD B Z 2.S ROW RNPrFR9®ICQ4 2.G CCUAR TIES®1c`QC 2.9R FAFF05Q IC Qc Den w/I/C CDX Wo SNPATNINGF I2 2.1010 G BOARD 'wig—FLYWD.SHPAn - 2.6 oCilART®®ICQc n mftnRFB6LROOFSBINGm it IPrP t PNT'a Mn11C�SWNGITS e a . I Io a3u1A:Mr. RSO PLSUNTIaI WIM '� SOFFIT DETAIL470 r2 _ a _ t l0-C anUNG IFf. Z� IpO . 415� 1' (T N VENTING BPPFtE9 GTNeoRI1L 1 X STRAM'1 I2 1)PM IQ`Ew ayp+ I?GYP.W. •'r TOP PTATe I X 9TRAPPIIIG m It [-----, - E*T.2.10 BD 4 W.Gw. . +t�N-;—a—G(II-EY—CMD eov5ER nAPG re PEwln FetcoDE I - NI O • eLIXAIsLLm IG WRt?ILL ♦♦\ / ANew D AWNm + am aa Or NE MA ER VIWO/S IIENTRYI + ANDERSEN GLIDING WDW 3wSEASON ROOM /MUD I B4TM ¢.Oa 2.G DOER STIR WALLS V41N t COX FLY". 1 II INSUTATON-2 2.6IX SHIP WALLS W I i 3Ai•Tw PLYw9.5uerto0R w �. I.' �il House LAV•PR W.0 BIImGP9 FB6L IIUULATNTI..IM CDX PLYWD, I 11 1 2.10 PUL biS Q ICQc us _ < I 5•Du'(SURC TO WGTItDL NoewRAF•W.C.SMHGIXS g 2 x 4 FRAMED WALLS 13'-5 I/2' MATot ewsnuG 1 uATaI On51QTOO MA� e FIBERGIA9a RISM t z o F R sV®I oCM 1 FIRST PLOOR 2.10 PLOOR YYaTS I C O.0 FlRA BOOR I PIRST PIO.'R P.T.(2)2 x 1 D$ 1 PYL4T.2 x 10S ( 6'PIBtRG1A44INSUl FlwsLPin -L ` ''•I 1i - ew I zx_msuoRnBAaTe s®-eo.cCRAWLSPACE AT. CRAWL SPACE m - I- TYPIW. ;II :' I:r Y✓' y.r'. ,yl; � ' I - CTNIORDUST COVCR r P�®' STNIQ..S9•IPGM rouRm 10'saJofUBEs y * al a6W.COMPACTED,6•mN�..39•n1611 wulwnal a;W w - caaatEle rouNGnal WAu oN DMPOOIIIIf3 TVP. GRaluwe BAse I cONcnere Au a ON 5116•CdfiRl.FOOIle1G - 4'Mm.BEIAN GRADC 1 ON DS I C OTTOMOr 110=POOWIG 05TUfi T O I TO BROW PRCST UNe M5.* FULL FOUND. SECTION AT SCREENED PORCH A 5 114=I'Ar ^ S1 SECTION AT ENTRY/MUD I A 5 114.=rP S3 SECTION AT MASTER BATH 13'-5 Ire / ———L——— / per- --------- �10•DIN.IEO5,% CREiE SQNJIUDES — - E-� _ — $2 BORGM TO BCLON FROST Nb: // // Y • IP:`N Q o o 3-SEASON 33 DECK `a' ROOM T 1 ABove - Auove r----� — A'THICR POURED miG.rOUNDAnCH I ALIGN QOSEf FACE Y4 U(19T.WALL ABOlE 2 x 10 P.T.DECK JSTS. 1 l WALL dl B116'CCUTmUIX15 Ca1C 1 EWNG o 000R 2'-0• I -a JL a"I.LIo B�vlc In WIC- `S lca+c F001rUG BOROM TG BaO FROST Uile 1 �r Q�16"O.G PIIIxNEAD I L r�UH 1 OODIIG BOTTOM To BROW FROST UIn: P.T.(2)2 x 1DS S I I _ 5 vEur - _I 1 I 111 S1 N ey gP (h I I II I N; 0 Imo sPAil �(gfl A�tS+•s� J CIQA .I I I T I 1 I II �' BortwA TO ORQN �I SFIA 1 II c z,flosgldocl I I'. PROST Ime --- I I I z1 Ic .c. tL --- -------�\ '� Z NEW ACCESS PER COOC --- NCW 9FER —————————— \\ O t uLoilewsecTla+S: --- z•Tmcx Dusr co+ER a,ER QEa+, w PmrsEcral DWLLAIiD GROVIHB.4R.5 2•THICx DUST COJHC OVeR CLTAII, --- CONPACf®GRAINILM� DWLL NP)GRdFE04BARS \\\ \♦\ ® r @12'O.CVER y CCMPACTID W,MVUIR DASE Mm.3 FIECe5 W'.3"M V6LnCALLY \ Mn1,3 CB \ vi ( z C05MG 1 I ® z DECK ABOVE . PTSTNN: • /� 1 � �. O FULL BASEMENT // // z .Z Q - ---------J 0. .. ------------/ . 0 v w L—EIaAwG OVERHANG—— ; DATE 6/20105 I SCALE: 1/4•=1'40" (FOUNDATION PLAN j'vr•wv DRAWING t: . A5 m . . i1 1500 GALLON TANK H-20 DISTRIBUTION BOX HIGH CAPACITY INFILTRATORS H-20 CROSS SECTION LOCUS PLAN NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE BM: 100.0 CAST IRON COV"BB AT NOT TO SCALE COVER TO BB WrnflN 6"OF GRADE FINISHED GRADE o 98 G � \ �� Z / \/� ZZ �11/1 SCHOOL . ' -- MIN.12"COVER INSPECTION PORT TO BE WITHIN 6" OF GRADE W 4"SCH.40 P.V.C. JM,••••� 4•SCEL 4 P.V.0 ". n_ n � W \ 3 1/8 1/2 WASHED STONE ix 98.5 13" 31 -t- 0 95.75 " 96.0 95.07 A I T N 4.0' 94.9 94.3 / 0' .92' \ R! f LOCUS 10.0192.3 :'ii 1 tIBL•*W / 1 0�k 9 /� tlo. . � ASHEA•STON���••:•'•�:��':�•�•:•�•:'�'�':��••:•�'�."•� .08 S / CKER MIN I / N 31.0'. 13. 4' 8 4' 38.0' BOTTOM OBS 87.2' 10.83' SITE SPECIFIC NOTES COORDINATE INSTALLATION WITH DECK REMOVAL 237.14 DESIGN CALCULATIONS. GENERAL NOTES � TANK TO HAVE CAST IRON COVER(S) TO GRADE EXISTING BEDROOMS 3 0 110 G.P.D.= ALL PIPING TO BE SCHEDULE 40 P.V.C. INSTALLER TO NOTIFY DESIGNER 24 HOURS ALL LOCATIONS OF UTILITIES SHOWN ARE AS PRIOR TO BEGINNING OF JOB TO COORDINATE 440 G.P.D. MARKED BY DIG-SAFE AND ARE TO BE VERIFIED BY INSTALLER PRIOR TO INSPECTIONS NO. OF UNITS 5 CONSTRUCTION M1V �� � DEPTH BELOW INV. 2' THERE ARE NO KNOWN WETLANDS WITHIN o WIDTH 10.83' 150' OF THE PROPOSED LEACHING FACILITY P ,, WETLANDS LENGTH 38' UNLESS SHOWN. # 11 2Ug SIDEWALL AREA 195.32 SF THERE ARE NO KNOWN POTABLE WELLS WITHI BOTTOM AREA 411.54 SF 150' OF THE PROPOSED LEACHING FACILITY. 1.U.L ACRES Notice Of Determination TOTAL SQUARE FEET 606.86 SF THERE ARE NO KNOWN IRRIGATION WELLS WITHIN 50 OF THE PROPOSED LEACHING filed with Conservation CAPACITY SIDEWALL 00.74 144.5 G.P.D. FACILITY CAPACITY BOTTOM 0 0.74 304.5 C.P.D. THIS PROPERTY DOES NOT FALL tiATHIN A . CAPACITY TOTAL 449.0 G.P.D. FLOOD ZONE AS SHOWN ON FIRM MAP I DESIGN TO TITLE5(310 C.M.R.15001 VARIANCES) ORBARNSTAB THIS SYSTEH NOT DESIGNED TO SUPPLEMENTAL REGULATIONS. ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE PROPOSED SAS NIX. DISPOSAL WITH TITLE 5 AND BARNSTABLE SUPPLEMENTAL REG5 HIGH CAPACITY INFILTRATORS MUiNEELEVAnogs PROPOSED AS-HUMT SURVEY WORMATION IN A 2' X 10.83' X 38' TRENCH INV. 0 HOUSE 98.5 PROPERTY LINE DATA FROM VENTING MAY BE NECESSARY INV INTO TANK 96.0 BAXTER & NYE PLOT PLAN 6/1/84 AT END OF SAS INV OUT OF TANK 95.75 INV INTO D-BOX 95.07 PLAN TO BE USED FOR INSTALLATICAN INV OUT OF D-BOX 94.9 . OF SEPTIC SYSTEM ONLY INV INTO INFILTRATOR 94.3 BOTTOM OF INFILTRATOR 93.38 NOT FOR DETERMINING PROPERTY LINES _ .. BOTTOM OF STONc OB g2 3 - BENCH MARK WATER TABLE NONE ENCOUNTERED CORNER OF BULKHEAD 100.0 (ASSUMED) j Existing tank to be removed DATE: I OBSERVED BY: WITNESSED BY: f New H-20 1500 gal tank to be in SOII,LOGS JAN 27 2006 usA C. LYONS DON DESMARAIS t , driveway with coverts) to grade SOIL SOIL EVALUATOR BOARD OF HEALTH 2.5,`:_ •"/ OBS. HOLE #1 OBS. HOLE #2 + 12.5 ± GARAGE (b�` ELEV. DEPTH } Benchmark set 98.1 FILL D,1 ELEV. DEPTH off Left cor bulkhead 95.7 �„ F,L El.=100.0 (Assumed) AM SAND 0� 0j 1 IOYR 5/1 93.9 0" 95.1 LOAMY SAND 36 LOAMY SAND q I I e ..........::':'::::' :'::::':'.:':: :':: 94.3 10YR 5/6 6�� B 1 OYR 416 I , C MEDIUM SAND 63" C MEDIUM SAND 1 2.5Y 614 75" 2.5Y 6/6 74" TH 1 ❑ l ...... .......... Jb as' 98.12 LP O RO N WA1 R NC UNT R o �"" � 87.2 131 $7.47 0 GROUNDWATER ENCOUNTERS 128n 7 PERC RATE.<2 M MS./INCH PERC RATE<2 MINS./INCH LEACH PIT TO BE TH 2� i� • 98.14 PUMPED AND FILLED o Proposed changes roudrooMl new deck) o screened porch and bump out for bath N /Q cu ' GRAVEL / DRIVE W O.``P y. +��,��♦ PLAN SHOWING:' ,y! 4*%n,** ;�c PROPOSED SEPTIC SYSTEM REPAIRB E (' /� I O + ` p N W� �= FOR DRAWN BY: LISA C. LYONS i V/�t_ +. y y�1R �'. SPENCE CIO PETER FIELDS DESIGNED & CHECKE zezD VC. LY&NS i DATE: •� sl a�,.• o��� 14'n6COTUIT ,REG�����, r Pi23 DATE 6,2006 150.00 #fill I S A C. L ONS. VS. PINE RIDGE ROAD I CERTIFY THAT THIS PLAN CONFORMS TO L{ A LYONS, R . S, (5b8)Igo-927o TITLE`5 AND BARNSTABLE B.O.H. REGULATIONS 1HY NNIS, MASSACHUSETTS (774)487-i638 1500 GALLON TANK - H-20 DISTRIBUTION BOX HIGH CAPACITY INFILTRATORS H-20 CROSS SECTION LOCUS PLAN NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE BM: 100.0 CAST IRON COVER_AT COVER TO BE WITHIN 6"OF GRADE MI1�1 o L 98 FINISHED GRADE SCHOOL \ T INSPECTION PORT TO BE WITHIN 6" OF GRADE / u MIN. 12"COVER 4"SCH.40 P.V.0 " "_ " Z 4"SCH.40P.V.C. 3" � - 3 1/8 1/2 WASHED STONE "2 MIN. ,� _ �g.� =0.01 MIN. y „ 3" V 98.5 t 14': 95.75 0 / RID f 96 LOCUS.0 95.07 \ 4.0E 94.9 94,3 0 .92 / 10.0E 92.3 �\ 3/4" I 1/2"DOUBM WASHED STONE 1.08EKx NICKERSON MIN . . . . . 14 q q 4 6":OF STOZIE LL1N1?ER TANK I V 11' 3•5' 31.0' S 4' 2.8 4' 38.0' BOTTOM OBS 87.2' 10.83' SITE SPECIFIC NOTES DESIGN CALCULATIONS GENERAL NOTES COORDINATE INSTALLATION WITH DECK REMOVAL 237.14 ALL PIPING TO BE SCHEDULE 40 P.V.C. TANK TO HAVE CAST IRON COVER(S) TO GRADE EXISTING BEDROOMS 3 0110 G. •D.= ALL LOCATIONS OF UTILITIES SHOWN ARE AS 440 G.P.D. MARKED BY DIG-SAFE AND ARE TO BE INSTALLER TO NOTIFY DESIGNER 24 HOURS VERIFIED BY INSTALLER PRIOR T PRIOR TO BEGINNING OF JOB TO COORDINATE N0. OF UNITS 5 CONSTRUCTION INSPECTIONS DEPTH BELOW INV. 2' THERE ARE NO KNOWN WETLANDS WITHIN M18 PI-23 LWIDTH ENGTH883E 150E OF THE PROPOSED LEACHING FACILITY UNLESS SHOWN, SIDEWALL AREA 195.32 SF WETLANDS P � 11�2OVQQ THERE ARE NO KNOWN POTABLE WELLS WITHIN BOTTOM AREA 411.54 SF 150E OF THE PROPOSED LEACHING FACILITY. Notice of Determination TOTAL SQUARE: FEET 606.86 SF THERE AFjE NO KNOWN IRRIGATION WELLS 1.oi ACRES filed with Conservation WITHIN 50 OF THE PROPOSED LEACHING CAPACITY SIDEWALL. ®0.74 144.5 G.P.D. FACILITY CAPACITY BOTTOM a 0.74 304.5 G.P.D. THIS PROPERTY DOES NOT FALL WITHIN A CAPACITY TOTAL 449.0 G.P.D. FLOOD ZONE AS SHOWN ON FIRM MAP THIS DESIGN DOES NOT REQUIRE VARIANCES TO TITLE 5310 C.M.R. THIS SYSTEM NOT DESIGNED TO SUPPLEMENTAL REGU ATIONS.) OR BARNSTABLE ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE DISPOSAL WITH TITLE 5 AND BARNSTABLE SUPPLEMENTAL REGULATIONS. PROPOSED SAS "3 IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION 5 HIGH CAPACITY INFILTRATORS �V IN A 2' X 10.83' X 38' TRENCH INV. ® HOUSE 98.5 PROPERTY LINE DATA FROM VENTING. MAY BE NECESSARY INV INTO TANK 96.0 BAXTER & NYE PLOT PLAN 6/1/84 _ INV OUT OF TANK 95.75 AT END OF SAS INV INTO D-BOX 95.07 PLAN TO BE USED FOR INSTALLATION INV OUT OF D-BOX 94.9 OF SEPTIC SYSTEM ONLY INV INTO INFILTRATOR 94.3 BOTTOM OF INFILTRATOR 93.38 NOT FOR DETERMINING PROPERTY LINES BOTTOM OF STONE 92.3 BENCH MARK - WATER TABLE NONE ENCOUNTERED T yr VCy H,: CORNER OF BULKHEAD 100.0 (ASSUMED) WR O Existing tank to be removed DATE; OBSERVED BY: WITNESSED BY; New H-20 1500 gal tar) to be in SOIL LOGS JAN 27, 2006 LISA C. LYONS DON DESMARAIS SOIL EVALUATOR BOARD OF HEALTH driveway with co verls) to gra de �+ I / ELEV.OBS. HOLE # DEPTIL FLEV,OBS. HOLE #DEPTH 12.5 - 12.5 - GARAGE Q 98.12 0" 98.1 0" --� Benchmarks-et set Fn.L Left cor bulkhead 95.7 FILL E(.=100.0 (Assurned) A/E LOAMY SAND IOYR 5/1 93.97 0" o : 95.1 36" LOAMY SAND � �� 1 LOAMY SAND B e 94.3210YR 5/6 6 1 OYR 4/6 �� ' 1 ........: :..............'.'..... 98"24 9,� O O Off..'..p...'...... ..........:.... C MEDIUM SAND 63" C MEDIUM SAND ... ... ....... 2.5Y 6/4 75" 2.5Y 6/6 74" `` II O 86E' TH 1 � J l !L 8772 O GROUNDW� ER ENCOUNTER - 131" 87.47 _GROUNDWHIeR ENCOUNTERE 128" 98.12 '� 7' PERC RATE<2 MINS./INCH PERC RATE<2 MINS./INCH LEACH PIT TO BE TH 2 PUMPED AND FILLED 98,14 Proposed changes mudroom; new deck; CD /' screened porch and bump out for bath �,O /Q (U (U � GRAVEL / DRIVE i W i �SpCNUSE l��II'+`**��''••u••,� y'I�i PLAN SHOWING: i • b . si C �; ., '►':y� t � PROPOSED,,OPTIC SYSTEM REPAIR IN BARNSTABLE C : �� a% /J J FOR: DRAWN BY: LISA C. LYONS SCALE 1 : 20 - �� w SPENCE CIO PETER FIELDS DESIGNED & CHECKED BY: �- Q: - LISA C. LYONS .r V' I;- 'Z RE I DATE: N. Eo:••Co Loc 46 PINE RIDGE;RI),COWIT I ;O �4� ..i��•��;,� '; r ,.i r r LOT#: DATE: t#11,R E �,% M�8 P12g _ FEB 6,2006 150,00 ISA C. LYONS, R.S. I CERTIFY THAT THIS PLAN CONFORMS TO LISA C , LYONS R S , (508) '790-92']O PINE RIDGE ROAD TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS ' ('7'74) 48'7-16g8 HYANNh., NIASSACHUSETTS 0