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HomeMy WebLinkAbout0023 POINT ISABELLA ROAD - Health 23 POINT ISABELLA, !( © - A=073-028 1 r TOWN OF BARNSTABLE LOCATION A3, # 4� ytVT 35Ar,,aLA ,SEWAGE# aaO 115 ®' VILLAGE C®-T U 1-r ASSESSOR'S MAP&PARCEL 6"I ® V t®;k INSTALLER'S NAME&PHONE NO.CAPCcwl.�)C- ex3?aa�S L(C, SEPTIC TANK CAPACITY k-7,a 2.5� To 14-A© i 5ao GLALLoa LEACHING FACILITY: (type) �j®_ g�ja) y (size) NO.OF BEDROOMS 1® OWNER-HAS-® -+ I-AukiE T- OQGruA PERMIT DATE: 10 / COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility KJA Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) h//A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) • N Feet FURNISHED BY C—AA.)'f ArS E0Tj5P-9A-( LC:C, k, —�= Me, Q 2- 3t ` MAW C �ali�6� s O ® O C,3 , 49 4 G poi ; �5,41 c-LO 4Z.6' D-4 ��•� a C-5X 31.2 D-Sc 24-1 ••1 G Q NO. �s THE COMMONWEALTH OF MASSACHUSETTSntered in computer: O Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS l tration for Disposal pstem Construction Vrrinit AppfiAppl c`dtion�or a Permit o nstruct(1/�Repair( ) Upgrade( ) Abandon('Complete System ❑Individual Components caio Location Address or Lot No. 0 tI+ Owner's Name,Address,and Tel.No. y3 P�;M� X5,Zze/% 1&4.01 ,Aa,'o„ t- Ve4q l'el Assessor's Map/Parcel Ma o jawel D29f o �/ Installer's ame, r ,a d Tel. VY' Designer's Name,Address,and Tel.No. 411 Type of Building: 50'9-({7 7.ffff?'7 Yn ad LYLQC Dwelling No.of Bedrooms 10 Lot Size 106,602 sq.ft. Garbage Grinder( ) Other Type of Building cen,14 No.of Persons Showers( ) Cafeteria( ) Other Fixtures 64 f. t Rod h`S fc Design Flow(min.required) 1160 60 gpd Design flow provided 1)2- gpd Plan Date / cL 0 ( Number of sheets Revision Date Title E+`4, F6,, PPW&et N/Iol e"4'ff / Size of Septic Tank 2�,[960 aset i 50U Type of S.A.S. V d t_,4 . /S %V rr✓ql Ze*ce,� C4�-lefs, Description of Soil T 14 Q--lo r AA5 Lzyam✓' L d yQ `lz asrk 6- L'cyf's $tv—^_j & S 10-3C Q lorR �! (�' ' i�� ��'s4 �rdwn Lc�t SR 3 -�12 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He i ed a Date Application Approved by Date Application Disapproved by Date for the following reasons t;. Permit No. §41V Date Issued lrJ _, } F,r 4 r f '+� x. .•� y, _- t ; s-.e;. _ // �. 1 __ .._ ._ /,i..,• Al -_ ;, � / / j4 w .No. Fee THE COMMON A. MASSACHUSETTS �! Entered in computer: - , Yes ;, t PUBLIC HEALTH DIVISION TOWIV'OF BARNSTABLE, MASSACHUSETTS R ' " 1(pplication for Mi losar 6pBtem-Construction J)Prmit Appl c`i£tio for a Permitonstruct(�/f Repair•(.r)•Upgrade( _) Abandon( Complete System ❑Individual Components t Location Address or Lot No: o t%l i Owner's Name,Address,.,and Tel.No. Z3 5-ZZe//,z R",q0/ �(j)Gi an t Liu /,'e Ceer as�2 Assessor's Map/Parcel Ma G 1 r ���( oL�a azQ s� ��.. Installer'slName, �,ress,and Tel.�1 � Designers Name,Address,and Tel.No. !�VG'4 ' d. E^k Sv�l`✓a,� FhS,� ee�. �Je \ Type of Building: 5o`G ?'7-c2 '7 7 `fM✓r L-. _ "' �y�3 9�- s� 9L 3 r _Dwelling, No.of Bedrooms /O Lot.Size /O(0,;:c 02 . sq.ft. Garbage Grinder( ) i Other Type of Building g""'Vlp Fqm No.of Persons ;. } Showers( ) Cafeteria( ) Other Fixtures 6,4 rACC t Ro.( f c5 E '^ Design Flow(min.required) 1160 gpd Design flow provided -fts' /)zZ. gpd Plan Date Q `Y 0t Numbergjsheets I Revision Date Title >,,, CH �ranc6P of L�,lJ/ovPd.oa f r ¢ Size of Septic Tank 13-6 4aU Type of S.A.S. Brd w:�4 /5-S�+o Gti/ L��� %, � ,••`r�S' „. `_. #• ,Description of Soil 7 (-I.Z- 0--/V rr AA_ ��/ /v/re `/2 b4,-k rr.1 y/,'S (awK�� / n, .Su ' /0- 36 QGa r (oYR vG {%ll� ;S� /3/ywK La Rn 3 Cr �. Nature'of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: , The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the'system in operation until a Certificate of Compliance has been issued by this Board of HotN i ed Date / `Application Approved by / Date Application Disapproved by f Date for the following reasons ,f Permit No. Date Issued ------------------------- ----------- ---------------------------------- - - -------------------------------------- s THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance " ,, #, r "I.I ;, � - _ f; c THIS IS To Of TI Y that the Own-site Sewage Disposal system Constructed(\/ Repaired( ) Upgraded( ) Abandoned( )by n / at 23 -f K �O,i,>{ 2 A�4 4* of has been cons ucted iWal cewith the provisions of Title 5 and the for Disposal System Construction Permit Ned Installer , Designer S�(�,'✓G h Eh i,'n a P/,i.rSi� #bedrooms /O. 9 P)lpolr Approved design flow /�jgpd The issuance of his`permit shall not b co stru as a g rantee that the system w'll ntia s desi d. / (/';;rr d Date Inspector No. Fee �- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal 6pstem Construction 'Permit Permission is hereby granted to Construct('''f— Repair( ) Upgrade( ) Abandon( �- System located at 23 f J/3 ,0 14 y Sc, t-e ll0. RO O � (��' ( �/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:Construction must be com ted wit in thre ars of the date of this permit. Date Approved by LK r I - Town of Barnstable,. Regulatory Services Richard V.Scali,Interim Director BARMABLE, I' Public Health Division, Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 R Fax: 508-790-630 installer&Desi2ner'Certification Form Date: g l Sewage Permit# 2619/W Assessor's Map\Parcel Designer: Installer: IV Address: 7 pPsa k-y Address: cc,41tn-011l6 l. was issued a permit to install a dat ) (installer) septic system at_23 Y3. eaWm 4 —Ts,?-4 based on a design drawn by (address) vGh F �erf:'.� ff hscj 'o dated lq4- , design)' SkC r I certify that the septic system referenced above was installed substantially according to # the design; whi-zh may include rrun.or approved changes such as lateral relocation:of the distribution box and/or septic tank, Strip out (if required) was inspected and the soi.Is were:found satisfactory. I certify that the septic system referenced above was installed with major cha' bges (i.e greater than 10' lateral relocation of the SAS or any'vertic.al relocation of any cbmponent of the septic system)but in accordance with.State&Local Regulations. Plan.revision'or certified as-buil-by designer to follow: Strip out(if required) was inspected and the soils were found satisfactory. I certify that the-system referenced above was constructed with.the:tentis of the IAA approval letters(if applicable), or _ MP staller's Si re. � -, . ,. . . vii. ... . g ) 2 L7 / 12, SSfiNAf E (Designer's Signature)w (Affix Designer's` Iere) PLEASE RE TURN'TO BARNSTA)I3LE PUBI.,IC'HEA.LTA"DIVI QN:I CE11TIFICATE' OF COMPLIANCE «'ILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DWISION: THANK YOU. Q:1SepticlDe9ignerCert ficatioa Corm Rev 8-14-t,3.doc TOWN OF BARNSTA,BLE LOCATION R 3 q 3" Pe t&JT X5A Gt tA ebSE WAGE# c;tlC)1 ; -.( 61- 5 VILLAGE L/1 Cg 1 Y". ASSESSOR'S MAP 8c PARCEL 0 4C ' INSTALLER'S NAME 8c PHONE NO.C�PCcY the Eel•i t SEPTIC TANK CAPACITY to t. LEACHING FACILITY:(type)65) S 0i,aC ifgfi4W (size) L� NO.OF BEDROOMS OWNER s kkT axl 4 z-A uzcE T:jq. eC.rA PERMIT DATE: LU-(a a4)16 COMPLIANCE DATE: Separation Distance Between the: MaximurnAdjtrsted'Groundwater Table to the Bottom of Leaching Facility ", W ; Feet y. F 1 Private Water Supply Well and Leaching Facility(If any wells exist on . site or within 200 feet of leaching facility) 14 Feet ' Edge of Wettand,and Leaching Facility(If any wetlands exist within 300 feet of leaching facility'• Feet , + i FURNISHED BY 50 T MAIM } • e - s i � i • a ,n N. �1— $ GM%ACbLx x H�� wr�,-° - is § �� +�✓,;: 4 x ' " •'a i y C.•S t SITD_S f r b � �Lei l to D — y43 W- -�'• - t 3J" "'^ � �� .��,,���y ��'+r�t�-�,�s�i:,!`1��5� �" rir��vj4¢� � � '� S�s $f e.€...a} - 7 y -...s� �. �' v:�^�3'{y�"��,-:aaK �' - „Y �r a y�' b � �\, *a: �,�'r ,{� �;,,•.., � r x i Y -� .v '�"t: ;� a kz:> k3's '��..••�; c�g'�„�.iY�."'�; a. a1.. {�u'A k .4' M 0.U*' fA, �tg.y, ¢ '}, %4 ✓^i k 60 y own of Barnstable Department of Public Works Technical Support Division 362 Falmouth Road Hyannis, MA 02601 '*40 MAP 074 I s B vC�# 12 73 w e , - 4 MAP 07-3 . MAP 073 �. -03�1 03 • MAP 073 s Pro ' mbMe C 25 EP u o Pro oc i a p: 0;77 1.new ding Parcels ( Z8_& 029 June 3 2015 00 i J ' y basemaps.dgn 6/3/2015 3:00:43 PM Property lines shown on this plan are for assessing purposes only and do not represent actual relationships to physical objecha, � I smarm°TES ,ne.aw vrm a.naa... ASSESSORS REF.- .., bbbb/mnim)vtlbr,ymbamaASJbb . - aPobrKPcae..DarIDalHwmD.55® •r4 D)}Pexe a '. _ rrrm}-.�tf.CvwylsN wlp 11YCaambt�.ira°zr-+ypgfsle--htmTr.v ' 5. ae�f✓OIOUPbm,lbrdLa�bWavhd�e - - S. axeWmiµx°beaW wPsfbvKr5Y0aasrb bee(NNrmr"n)n 8).rte ST(ava0) WpU,Ort1.W�la�OL°Um bf�a SrfexSi•)�I•A' Ali2.a,ff✓awrhfgsSdbAlMyasa (1 m. SAIAamlotdT4�Ms4•erfdye ReP,16 b�l�b b�aMb,6f hhbbpe° �e s� �6 DESIGNDATA a b�ww.e>�.fh..elm�°..eacsrnra---la.> , N fsnebch.omw..dmel�Sme:M r�Tre.D LOCATION MAP: . zey ro-,=.bbmolbl..a.,.©noowuma -sse.n®moo -sme r•.SDaD: ^C�J-- :awlee.TPZYdb.mdbr..e.leY,hSY >s�uea.a�fe �f , ere..Pa�feab:� T De�•rrmma ur;PeYa.one hm�sePD:d• lba.b -ler�dlalc. Mslam OVERLAY DISTRICT: �ort CP 1CflINGARMAREI ,a-P�„ru v.eleole,a-eleel Q Syaxzp+�xD}asMerabf{11Wzd IM1DA/°MnLYy�1UU91E.�c1 6 Y�dreMbrbl�'��ivflJFml fA+xnbu�eitR .w 0.'b Ib.DSnlm}Yaflrerl,• a4Slfln-UIIIY �� ' ca.am.IcdPmbfrw.rwv}.clre,m° r..ID.wu•w5.n,a.mD) FLOOD ZONES: LEACM11CRAAIBERDESIGN rtui u''lnarorWiiv fad.YZSJ,K Ur .Ml lf.MII Qzli'f 6ehrbr �` \ Kl)aWIW+r F,BmhzFJuNm LEGEND: —^ �.o ;' ;��` ,�j I ,_� Bella ;A°ad-� �•�y l�l� _s �'(� � '•,��V x:r�l'l'1 �'Z� �°{� � ��7,,Y _ ''`{l:�a`�.k ., 11 U0 x�� I V • � l+ 11•'\r ,' �` i _ 6 bN w. `—vim^11 �• 'v � ••1 (3-"__ ' } � GPw°m earl �..�awwrl'�Da�- off;"\ f '.;,i1,: ". \ • �\ $�, .e 1 1� ara»>mnn�immxm<n.lmnmau�irlm ';ra s AIMED f m 1 TESTROLB 2 w.�farmKe+lr: wfaKbmamSi� \ `• •.. \ 1 "}(. .. P/: Il ra,or® laW °aijK 444"�.`• �( '• '!S't 1�1 I �a,eaq 3 r v,\•\����al I �i i ,@G� �t �f � � ' TSSI' ) TESTROfB I 114rpmemaul `,9^� 1 ,\\\\I PI 1 I I//�i,•/��' � �.� . 1 6T. -u91y lil{11 •'a/ `Cl✓/�;I/;�,' 1 I ,1 - �li'ly • 'r li{ills � /. amly'- 1 nl{ �n�wwtY. • llr,11 ICI I�t�'��.' r A. �n n CROSS SECTION OF CHAMBER :YOTMSCALE GO ` r u f OP•1 '�+y T1Vc) Q M1 e,oY x.n Aa.Y1 D Ni� H If b.wrl 1b An°a�rL r1 °"° x_ze \'Tld.iiF�'ur i.Z°E-r� •r __ ra,.r � L. O DEVELOPED PROFILE OF SYSTEM Nor TO SCALE mM Site Plan Proposed Improvements ¢J At LL vanO tl 1p CapeSury Mason k Laurie Tenaglia j.mm ee PIee Pe,aV�e+n+,b,.nnr„eex x„eIl,fY,,ez ealr„em.mxeW„.°n.w � e� u aif Iss 8 Carmel circle h.l.e..aeN.la/I eea ae/oc%re (� 23&43 Point Isabella Road ""•`e"®lYn��1�+°/.��1,�. Lezington,Alo 02421 BARNSTABLE(cotuit)MASS May 13,21)15 a I�V••W.A ae.bP/av�el en. 1 1 r _ TempParcelEdit Page 1 of 1 • �;�11hPP:tiTnlill ,�� I :16• :�i� �� - � ` � Logged In As:. 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'� . 1. I :� � : 1�� 44e : I a Oy G'lL' C �'o► uctal� rtyssesstraerzt ot� ►S'elt� f g� � s�os Z Performed Ey ;: 4 Witnessed By I '.,I-.:.I 1.-....I,.. LOC. ' . N i4 GEM'. xAL.aNT URIVIATION.'" .:�:�r-)...�-:�...9 .-r ,.�-­ �­,�.1:-:,�.1.I.:1,,:;—.v, Location Address // 'Z3 f-/� Po,v► 5 a�e!(Gl /con ..„ Owner's llama .5 �'C 4C Lei{, ✓>{ ,Ka. tCi 7q Address / / Assessor's MaplParcel '`O '�a" [7 (t//h e( ' ' /C62` [F ',�C�, 1 �-� - 0: ". Enghteer s Name -r A ._OZ`yZ i" 3 NBtiy..., II RUCTION ��'��''✓Gq [`hL'?.� REPAIR It Teleplinne a 8 �{ 3 3`/Gl 1 and Use .lopes(96) �O Surface Stones /4 ��yygg Drslarice9 fiatn:' Open 1Yater Eody p0 ft- Possrblc Wel Area W k ✓' R ..Drlru itg Water 1Vell CL Oaf- � Diulnage 1Vay __{}. Property Llne _ft Other - .it rI 9. MI .. - JJ -. C!'I CII:(Sbee[ueme dhertsl6ru of lot exact locatluns of lest holes&pere.lests locate wet lairds iu prnxin. . to liolcs) s ' �5 4 d �� ;#. , \ Q°,(�� i t tv sl �i :I ), ' ,. y ( i,. �r .. ,. t .. Sf f S a -.i } 5 r . . 'a I �i:' ,ill , M_ .L' } I . __ L Fae' �. 'r Patent riratedal eolo is S. . tB g ) DepllI tU Willa( . Ueptli to O,:I I yaler 5tandhrg Water ul Holc N19�-:, Weelihig 8om pit knee Estill ed 5eisiinai Nigli O�oundwalcr ,r: Imo. ' ii .': ; ,_:.: `< -,. - DE�I'L1Z11�II�dA'P10N POIZ SLAANAL III( TI VC!A7' xt"' 'A�X, Ivlethod used :: Depth Observed standing m abs hale lu beptll lU still ltlOttlON! Uclitlr,to weepliig fimn side oCobs:.holc ht Ur"tidwater Adjukaient CLf hider.V.ell it Reading pale hider Welt levol A r ihLluY _�_ . f3tnu iilwuter l i:ul �_ PERCOL,A��'►d !-'1CIrS''- —,aujj ObsetvatIon , `itltle !,(c [[ ['htlo at tpr Ueplli,of Pero ( ..l 'Phne nt G Start Pre soakThric Q Tinto(nrr Grr) . i?nd PCe-suet[ '; rOU k t Rate mlit two I ., . k �Ztiv` �' . . Site 5uitabilily Assessment: Site I?assea ale Failed Additional TesUrig Needed(YlIJ) . :.:- Origiiial Public Health Division Obset vat(on Hole Data To)3t,.Conipl6ted op Bttok . --= . ,- .- .. , ,4 l If paxw atiou teat is to be coutluct6 AvltIiiu 100i bt,fUtlai1d;you lnaust first aaotify ilia Baail It­ uble'Co><Iee vatiou Division tit least oaie (1) }veep prigs to uegllliii>lig q,scrrlc�PLlicortNl.Doc = a:. t: ' t : ]DLL:I' O] u]LItVATION lE1QL LOG ][Iulm`# v9 Depth from Sull Hatizorr Soil Texlur� Sdil Colnr Soll Qlher -.,.�".'Q-:�,�,,1�1,---�,:`!.i,,,:j-Q-..d--.-t*6-,'.;,,(:.—.!.,- ,.�I�I�-"­��,,-Q,,I�,�1.�:".,�-�!-�,,.I.-J_-,K..!--'.�-sI q.,�-'�o,-1����,-:-V."�..---.:-.�,1.:---�',-,1,.1,:4—.�,',�'.--,::I,— .,:���I��I��-,-.-,.,,,.l�-.2��I I�.�,.,�-�-T-��.�--,-:-:1�::I:I10".,,�''�,2,,.-.i�."1.,..":�,--�."',1.1.. �L,.-,"*'r,,L(,Y�.(l,,j!I�-I:,:J..%1�, .;:..'.",-�,*j,.7',""f."�--�z�,:",---..,-:�—�I-,;-�,':,I-I,�,-....,,I.T-.�..-',..�i..�,-��.,,',----.,,-",-`-.����"_�',,Q"...l,-.l�E�'7,..,..`-,f.-%.,--.'--,,'-,'�:-w;�1:-�.I-.-_.,f�-�,,,�;1,--,,--.��.7,',�.-.:�--.��i�-�,-.,�,,;��,,-.-,"�.—!,�',;.::�,;",YI-,--,!'�,!.2�.t-,:-..,,.A',.,!�.,'.,-.�,,7���--,"--,,�.�,��.,-.M::,,7?:M—���-�;,1,;,',�'�",..,"i.-,s-.�.�"`.,.--.,�----I-,..�,!�,-`'��:-,Ai't-�.:���,.--.,--_-7�� --,'"�;-,"-�..�.,.-.,,-���-!�-..':,.�',I�,..,6, Surfaci (ht) E (: A) ? (Muiisell) Molillug (Slnuelure;Slones,'Boulders SD 4 utt isig cy 46l3rava ,. .: y,' 5 A .n. . aj.: •:'A .." :.�. : . .. { t '..l. , f'e lb i'll,F OLIIVA'I'ION I-IOLI';LOG I1oie,i Depth"hoot Soil Hotixoti SoI` I'exlure 5011 Calor Still Othor Surface(in) f (USDA) (Muiisell) Mottling (Suucluri,Sloucs,i}puJdets. C , . onsls cti av D 2 I` y, AM"Id C�; rr �� (Z' 's� foc/2 i p JUI';LI' o +'��VA�rroN noLL LOG r ill✓�� 3 Depth fiom Soil Hurizoii Solt I'ex0— 5oii Color Soll o.ltmr Surfaco(lu) (USDA) (lvtuuseh Iylottllu g (-" biro;Sion es,Doulda.,o. of i io`iu i3 c — y n �-.�-?,,,,--,-*�..,,I,,d-"i,,."�1:�1., x .r r ,r . t... ", .. .,� .. .... ] Lt'k;�' OiI{.I�VA'I'ION MOLL LOG IIole DepUi from u"oii ttatizoii `Sull'L'ea[ura Sui.I Color roll ' Other Surftice(in) (USDA) (Mansell) Mottling (SlrQctute,Stapes;Bouidmsc . Ca s to tcV.9b l]rn.y�(l �� �, 2 a 0 .41t C � �o �� � - � . 0 2. 0 o cK ld �'R q . . : .. x ; ," t - v ` Fwud I lsl iuuce:ltule]Y;<a� Abive 5UU year[load buwtdtuyy NoIf Yes` 4Vitldn 5UU yt ar hotuttlary IJt�/- i es", ,.. • ' Wtlbm 100 year Cloud boundary No 1�t35. _ • lleplll urrTululilil'Otlui ]'e>viutis.Mulailul Dogs al lei►sl four fe©l oC li._our try;o�cutri.ng parvl us gi[ilel lal e�ilst in all rU eas sheet veal thi pligltout tht� areaplopbsadCol:ltesoil`nbsotylousystntr 2S It►iol, wl►nC is tlio tleplh of naturally ocpurpngg poi-vious,niutdJ w i z : x Celitiluliull s„E � 5 . . T cal NCy that oi► f/ ��- (dale)I Have pesned file sbll avulUalor uxltmiuutlou approved lJ Iho Depat tiudiit 6t LI'vltonlneutal I rotel,tloil and that the aliove analysts was pei loritted by nin coiislslel}t with , tGe:regilired lrahii g,e t ertise alci expert Ilea dear rlbed hl10 CMR 15 U17 , �ii`�nrlliue' Dnl ` � iIl t \bat lI IG�FA[L(E�ORM DOC . s-' .. ; , , Commonwealth of Massachusetts 4 Title 5 Official Inspection Form NP v -3 - Subsurface Sewage Disposal System Form -,Not for Voluntary Assessments 0Z I 43 Point Isabella Road Property Address Dean Perron ' Owner Owner's Name information is Cotult required for MA 02635 July 12, 2012 every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out A. General Information forms on the 'I computer,use 1. Inspector: only the tab key to move your Patrick M. O'Connell cursor-do not Name of Inspector. use the return key. Septic Inspection Services Co. Company Name r� 189 Cammett Read Company Address Marstons Mills MA- 02648 City/Town State Zip Code 508-428-1779 S1 12855 Telephone Number License Number R + B. Certification 1 certify that l 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 inspec'�tion was performed based on my training and experience in the proper function and rnairntenancd-of on site sewage disposal sys-ems. I am a DEP approved system inspector pursuant to Section 1r 340 of Title 5(310 CMR 15.000).,The system: F ' M "r NO CIO ® Passes ❑ Conditionally Passes ❑ Fails =i - ❑ Needs Further Fivaluation by the Local Approving Authority W 11:n July 12, 2012 Job# 12-106 I ector's Signature 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. V� I� r v t5ins•11/10 jT,,1e1Vspec,,.norm:Subsurface Sewage Disposal System•Page t.of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Isabella Rcad Property Address Dean Perron Owner Owner's Name information is Cotuit MA 02635 Jul 12, 2012 required for Y every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E%always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: ` Tank was not in need of pumping at time of inspection, leaching pit showed no signs of surcharge or saturation. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspecticn if the existing tank is replaced with a complying septic tank as approved,by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y . ❑ N ❑ ND (Explain below): 15ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 C Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Isabella Road Property Address Dean Perron _ Owner Owner's Name information is Cotuit MA 02635 July 12, 2012 required for every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ,❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken.pipe(s) are replaced, ❑ Y ❑ N ❑ ND (Explain below): obstruction is removed ❑ Y ❑ N ❑ ND(Explain,below):, C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1., System will pass unless Board of Health determines in accordance with 310 CMR + 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts ° Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Isabella Road Property Address Dean Perron' Owner Owner's Name - information is Cotuit MA 02635 Jul 12, 2012 required for Y every page. Cityrrown State Zip Code Date of Inspection B. Certification,(cont.) ' 2. System will fail unless the Board of Health (and Public Water Supplier, if any). determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the`SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a.public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50.feet or- more from a{private water supply well*'.'- Method uses to determine distance: - y **This system passes if the well water analysis, performed at a�DEP certified laboratory, for fecal coliform bacteria'indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.., - 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections, Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ' Discharge or ponding of effluent to the surface of the ground or surface waters ® due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an_overloaded ® or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than_day flow 15ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 i Commonweallh of Massachusetts Title 5 Official Inspection Form "s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Point Isabella Road Property Address Dean Perron Owner Owner's Name information is Cotuit MA 02635 Jul 12 2012 required for Y every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) , Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or `= obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy'is within a Zone 1 of a public well. A ❑ _ ® Any portion of a cesspool or,privy is within 50 feet of a private,water supply well. x ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd; 10,000gpd. ❑ ® 'The system fails. I have determined that one or more of the above failure ` criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,060 gpd to 15,000 gpd. a ' For large systems, you must indicate either"yes"or"no"to each of the foilowing,.in addition to the questions in Section D. Yes No ` ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200,feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—.IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 . `a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w r 43.Point Isabella Road Property Address Dean Perron Owner Owner's Name information is required for Cotuit MA 02635 July 12, 2012 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health i ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? . ® El available as built plans of the system obtained and examined? (If they were not available note as N/A) , ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS,Ylocated 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? El 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 t been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): `3 Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 p t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments µw 43 Point Isabella.Road Property Address Dean Perron ` Owner Owner's Name information is required for Cotuit MA -' 02635 July 12, 2012 every page. Citylrown State Zip Code, Date of Inspection D. System Information Description: • i 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? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears,usa a N/A pool& g ( Y 9 (gpd)) irrigation Detail: w. Sump pump? ❑ Yes ® No + Currently Last date of occupancy: Occupied. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? El Yes ❑ No rt Industrial waste holding tank present? ❑ Yes ❑ No 4 Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: !Sins•11/10 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 7 of 17 Commonweahh of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Point Isabella Road Property Address • F . Dean Perron Owner Owner's Name information is required for Cotuit MA 02635 July 12, 2012 every page. Cityrrown State Zip.Code Date of Inspection D. System Information(cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping.Records: Source of information: Tank pumped 5/13/02 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 ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract , ❑ Tight tank. Attach a copy of the DEP approval. ❑ Cther(describe): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 117 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Isabella Road Property Address Dean Perron t Owner Owner's Name information is Cotuit MA 02635 Jul 12, 2012 required for y every page. Cityrrown State Zip Code Date of Inspection D. System .Information (cont.) Approximate age of all components, date installed (if known) and source of information:. Compliance date 7/12/77 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): f 3' Depth below grade: feet Material of construction: ❑ cast iron' m ®40 PVC ❑ other(explain): Distance from,private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): 31 Depth below grade-. feet' , Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: t years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10.5' long x 5.8'wide- 1500 gal. Sludge depth: 0" 15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection 'Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Point Isabella Road Property Address Dean Perron Owner Owner's Name information is required for Cotuit MA 02635 July 12, 2012 every page. Citylrown State , Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 0.1 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlettee or baffle Measured How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank had liquid only, no silids. Liquid level was found at bottom ofoutlet invert and baffles were intact. Grease Trap(locate on site plan): i Depth below grade: , feet Material of construction: ❑concrete ❑ metal £ ❑ fiberglass ❑ polyethylene 0 other(explain): r Dimensions: Scum thickness ; t f Distance from top of scum to top of outlet tee or baffle i Distance from bottom, of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins 11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 s I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 43 Point Isabella Road Property Address Dean Perron Owner Owner's Name information is required for Cotuit MA 02635 July 12, 2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection)•(locate on site plan): Depth below grade: Material of construction: . ❑concrete ❑ metal ❑ fiberglass '❑ polyethylene ❑ other(explain): i Dimensions: Capacity: . gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No `Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping:` - Date ` Comments (condition of alarm and float switches, etc.): 4 . *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No i • t5ins•11/10 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Isabella Road - Property Address Dean Perron Owner Owner's Name information is Cotuit MA 02635 Jul 12, 2012 required for y every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert. 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.): ro Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of.pumps and appurtenances, etc.): 3 Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 4 t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Isabella Road Property Address Dean Perron Owner Owner's Name information is Cotuit MA 02635 Jul 12, 2012 required for - Y every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) . Type: ® leaching pits number: One 6x6 pit. ❑ leaching chambers number: ❑ leaching galleries, number: ❑ leaching trenches 'number, length: ❑ leaching`fields number, dimensions: ❑ overflow cesspool, number: ❑ 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.): Area of leaching pit was probed with no signs of saturation found. 3 , Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration . Depth—top of liquid to inlet invert Depth of solids layer I Depth of scum layer v } e Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No l5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 •� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Isabella Road Property Address Dean Perron Owner Owner's Name information is Cotuit MA 02635 Jul 12, 2012 required for Y every page. Cityrrown State Zip Code Date of Inspection r. D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): r Privy (locate on site plan): Materials of construction: Dimensions Depth of solids a Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Y 15ins•11110 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts - . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Isabella Road - Property Address Dean Perron Owner Owner's Name — ---—-- "--"------- require tifo is Cotuit MA 02635 Jul 12, 2012 required for --------_-------......_.-'---• -- -- y every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately . 1 , 16 14 26 / f / 1' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 43 Point Isabella Road Property Address Dean Perron 3 Owner Owner's Name information is required for Cotuit T -MA 02635 July 12, 2012 every page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface dater a ® Check cellar ® Shallow wells Estimated depth to high ground water: 2 feeett Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record ` If-,hecked,'date of design plan reviewed: Date r ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with'local Board of Health -explain: ❑ Checked with local excavators, installers.- (attach documentation) ❑ Accessed USGS database-explain: a You must describe how you established the high ground water,elevation: Surface water a' rear of,property is considerably lower than SAS. { Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 a .� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w„ 43 Point Isabella Road Property Address Dean Perron Owner Owner's Name information is Cotuit MA 02635 Jul 12, 2012- required for - Y every page. City/Town =State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file i 15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Cotuit Fire Department OT Ul Fire, Rescue & Emergency Services G �' caruA 64 High St. - P.O. Box 1632 1926 '�� Cotuit, MA 02635 Paul A. Frazier Phone (508) 428-2210 Chief of Department FAX (508) 428 0202 TO: Tom McKean, Director of Public Health T......., s rf..,..._-a..V1- n__..r s � ��i_ 1 wv11 v1 odl 1 1Jldu1C, DUdI U UI 1-ICdIU I P.O. Box 534 Hyannis, MA. 02601 FROM: Chief Frazier, Cotuit Fire Department SUBJECT: Tank Removals, et al DATE: December 6, 2000 I The following tanks have been removed/abandoned since my letter dated June 5, 2000. If you should have any questions or require additional information, please feel free to call. Thank you. NAME ADDRESS DATE NOTES � T McEnroe 70 Vineyard Rd. 07/17/00 500 gal. tank removed, Cotuit, MA 02635 No contamination or odor present . Connolly 23 Point Isabella 08/05/00 2000 gal. tank removed, �,73 od Cotuit, MA 02635 no contamination or odor present. Oyster Real Estate 904 Main St. 10/23/00 275 gal. tank removed; Cotuit, MA 02635 no contamination or odor i l ��� Oq present. LOCATION SEWAGE PERMIT NO. VILLAGE 023 _ 0 i Al • INSTALLER'S NA E i 'ADDRESS OR OWNER &7- DATE PERMIT ISSUED DATE COMPLIANCE ISSUED .a I Nc(a_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Applicatio is hereby made for a Permit to Construct (L�-) or Repair an Individual Sewage Disposal Location-Address or Lot No. Owner Address Installer Address Dwelling—No. of Bedrooms--- Other Distribution box ( ) Dosing tank ( ) Test Pit No. AI.A......minutes per inch Depth of Test Pit----]A........... Depth to ground water_.M__P!AV_JF...... The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TJITI LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Date _________ — oat" Permit No.'- _---- Date � \ ---- -------- ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y�- <. :b ✓. ....... OF..... ........................................ Appliration for Disposal Works Tonstrnrt on Prrmit Application is hereby made for a Permit to Construct (w) or Repair ( ) an Individual Sewage Disposal System at: k.` . !.............................. .•----•----•---•--.........---------------. --••------•-------................. Location-Address or Lot No. .. ............................................ Owner Address U Installer .._..... :...................... Address '•`'•': — CIO a Type Dwelling mg Si Lot- No. of Bedrooms................Y_........................Expansion Attic ( ) ze Garbage Grinder p, Other—Type of Building C_0t/0 ................. No. of persons............................. Showers ( ) — Cafeteria ( ) Q' Other fixtures .-------•---•-•----------------• . W Design Flow............................................gallons per person per day. Total daily flow------------it!`d. .....................gallons. WSeptic Tank—Liquid capacityl,£`,v-s�_..gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No.......4.......... Width..... ......_...... Total Length....................Total leaching area...................sq. ft. Seepage Pit No.......sae�,.......... Diameter../4......... Depth below inlet.....C.......... Total leaching area,Y,.i.:/.....sq. ft. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by___;f'P_4cry,-3-x._.. y___ ______________________ Date.. t) i, ......... a Test Pit No. l+ '. .......minutes per inch Depth of Test Pit_._. .__.__.___ Depth to ground water..A� _ ------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... �+ -------- ................................ - . ......------ ............., •............................................................. Description of Soil_......6..______.. 3...... W U •------•-•••--------------------•--•--.......__......----------------•---:....--------------.._..............--------------------------------•-----•-------------------------------•----•--•-----•-----. W ----------------------------------------------------------------------------------•------------------------------...._......--------------------------------------------------..................................... Ur Nature of Repairs or Alterations—Answer when applicable..................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sig . ----•-----------------------------------• -------- ------•. ................................ Application Approved By------. p F _ .. .. Date -- Application Disapproved for he`f ollowing reasons:....................................................._._..______:. ...............••----------........-------••-•---....----..............--------------------•--•----------------------------......:-•----•----------•-------------------------------------------••--. - Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (Enrtif irate of Toutplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (P ) or Repaired ( ) by...., l. : .1� 1r..�j_...__..1%^�,�,,.y.� 1 ............................-t-,------..------....------........------------... .................------------- at-------G,-'- -'- -_.... -sf`•-•--•--......t'1..._.._..-.-.-': ,e '+[d�. :CS.stauer - ,-------- '!-,�1--""de,Y-"-----------------------------------•---•-•------------- has been installed in accordance with the provisions of E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit 1 o.a�r `'._._ 4�._ dated_--.- •.__ �`� __. PP P THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. '. DATE............................. .......---------.._...•--•-... Inspector...... J o r7 / -----------------•--•----•----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,p p ...............OF..... �L}'t/rf31S.� ,r!3�'��+E~�........................... N( V �G✓ FEE `•?.40 .: 1 Disposal 19orks Tonotrnrtion permit Permissionis hereby granted............................................................................................................................................. to Construct or Repair ) an Individual Sewage Disposal`System "• Street as shown on the application for Disposal Works Constructio - errnit'hN`"" _ _ ____ Dated... .....��"7.7_.. ­4­4 440 0. -- ----------------------------------- _ Board offflealth FORM 125:5. HOBBS & WARREN, INC.. PUBLISHERS r In o EL. .5A . TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 0 4"CAST IRON ` • �� �ntns�r ° PIPE (OR 12��MAX. 4"ORANGEBURG(OR EQUIV) 12 MAX. ° EQUIV.)— MIN. PIPE- MIN. LEACH ° PITCH I/4"PER.FT PITCH 1/4"PEIF PIT PRECAST -� LEACHING `—INVE T Q . o 7 EL.. �r�10 SEPTIC TANK IN ST. INV€R� �? ;4' PIT OR // �f0 EQUIV. INVERT EL.. OX EL. •: �f p� O -'. .UQ. . GAL. INVE�T ,•• - w a.w 0 3/4"TO I I& o' EL.41.. EL'f:2.94 IN RT ww o EL. a. U. WASHED ° w STONE •, -�- PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE p S I L LOG/ WITNESSED BY : DATE .. 111017.�.. TIME.l ✓". • • . L• � ! BOARD OF .HEALTH TEST HOLE I TEST HOLE 2 ENGINEER ELEVWt,�t j*ZZ6!Z 450A rAvO . .. .. . . DESIGN DATA 540/3 SD/C. NUMBER OF BEDROOMS Z�r� TOTAL ESTIMATED FLOW c% . GALLONS/DAY BOTTOM LEACHING AREA SQ.FT. /PIT eI 70/r SIDE LEACHING AREA PIT GARBAGE DISPOSAL Y ES . . .(50% AREA INCREASE) ifJt� TOTAL LEACHING AREA . 5344,0.Or. SQ.FT t/ PERCOLATION_ RATEZC';aS.�*4) l41D. MIN/INCH _ LEACHING AREA PER PERCOLATION RATEI/449 SQ.FT. /v5WATER ENCOUNTERED T NUMBER OF LEACHING PITS /.��O. �/� A/l APPROVED . . . . . . . . . . . BOARD OF HEALTH 45- .70 S .4 .Dom. r)A DATE . . . . . . . . THOMAS E.KELLEY CO. AGENT OR INSPECTOR ENGINEERS—SURVEYORS $ A40 LONG POND DRIVE 0 / VM'YARMOUTH,MASSYZ34 ,cH oFM� Y 026" �p�� TH J.- yG s ,g� CELLEY —�i No.21261GIST ON L� PETITIONER 7 7 LOC4TIO SEW&,C, FERMI 1J0. ' VILLAGE d�3-- Ua 111 ST l�L L E R !J D E S BUILDER 5 IJ &MF- &DDRE SS DATE PERKA T ISSUED ' DATE COMPLI L KIC'E ISSUED — lie t H, 1 THE COMMONWEALTH OF'MASSACHUSETTS �° BOARD F HE H ................OF........ . .. ^ Appliration -fur Disposal i9orkii Tomitrurtiott Vrrmit Application Zeby'made for Pe mit to Construct ( �r Repair ( ) an Individual Sewage Disposal System at ...... .... Lj. . . ................ ocati ddr or Lot �e.......... Ow r ddress W j - �� 6 . a Ins a er Address Q Type of Building Size Lot__ /____. Sq. feet �-, Dwelling—No. of Bedrooms__________________.._.._._.___..__Expansion Attic ( Garbage Grinder Other—Type of Building -----------------_____------ No. of persons..__---_..................__ Showers ( ) — Cafeteria QOther fixtures ..... --------------------------- ----------------------------------------------------------------------------------------•..............:---- Design Flow_____________�U________._____._____gallons per person per day. Total daily flow._______. ____.._... gallons. WSeptic Tank]-Liquid capacity_ -500•gallons Length................ Width................ Diameter-----..--------- Depth-_-._____..__. x Disposal Trench—No. .................... Width..........._-------. Total Length-----------_........ Total leaching area........_......____.sq. ft. Seepage Pit No......./_........... Diameter_ ____ Depth below ' let___ _______ _____ Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) OP- f e' . i x- 1 -7 0' '~ Percolation Test Results . Performed by-------------------------- -----•-•-••...•-•- Date Test Pit No. I................minutes per inch Depth of Test Pit_-______________.._ Depth to ground water..--__-.-____.___--:-... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_._ . _____________-- --------------- .- � 2esc _" rpton oo ____ '_. - ---- - ----------- ----- U ••--_....--••--.M-- -----1 '- --- W0 - ------------------------------------------------- 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 Article XI of the State Sanitary Code— The undersigned further agre s not to place the system in operation until a Certificate of Compliance has been issued by th ar of heat G/// ed....... Date Application Approved By----- /� @ L ------------ --- �� --7-7------ Date Application Disapproved for the following reasons____________________________________ _______•_-..._._________..---_-__.__ __.--.--------.._.._.._..----_----- .........................----------------------------------------...............-.............-....................... ------------- -------- ----------_-•---------------------- Permit No. ' ---------•-•-•--_------ --?? Date Issued------------------------------------------ -- Date Q. No......................... Fim.......0 ........... THE COMMONWEALTH OF MASSACHUSETTS HE H BOARD ,r __............OF.._..-- Appliration -for Uhipv,5al lVarkii Tomitrurtion Vnulft Application ishereby.made for Pe mit to Construct ( 4ol"or Repair an Individual Sewage Disposal it System at: .................... .... 7 .... .... ............................. ............................. ocati ddr rZLot d ----------------- ------ . ....... .. . ... .......................... Insta ler Ow rdress -------------- ------I ----------------- Address Type of Building Size Lo -----Sq. feet U Dwelling—No. of Bedrooms-------------- ........Expansion Attic Garbage Grinder 0< -1 a, Other—Type of Building --- ---------------------_- No. of persons..-____--.._----__-_----.._. Showers Cafeteria P4 Otl-ler fi S ........... . .................................. Design Flow....... 0 ------ ------------ gallons per person per day. Total daily flow.....___ -__-__......_.........gallons. Liquid capacity- Z, P4 Septic Tmik-�- 'tY- _�__gallons Length________________ Width_._..____---.- Diameter.........__..... Depth------ --------- Disposal Trench—No_--------------------- Width-__-___________----- Total Length---.___._--_______-- Total leaching area------- ------------Sq. f t. Seepage Pit No......./............ Diameterlokxo----- Depth below let___ Total leaching are.------- ----------sq. it. Z Other Distribution box ( ) Dosing tank ( ) OR- ;pe- -, I,_ / --7,0' P-4 Percolation Test Results Performed by-------------------------------------------------------------------------- Date----------------------------------- �_l Test Pit No. I................minutes per inch Depth of Test Pit..._._____.._._..._. Depth to -round water.------------_-------- rxq Test Pit No. 2----------------minutes per inch Depth of Test Pit.-_--______________ Depth to ground water_--------------------- ---------------- ------ ----------- -- ----------------------------- .#------ ...... ........... __/-------------------- 0 Description 0 -------- --------------- ------------------ ------ ..... --- - ------ --------- 1 1 So ------------------------ �/----------------------------------------------------------------------------------- --------------I-------__----------­------------- ................--------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------_---------------- ------------------------------------------------------ --------------------------------------------------------------------------------------------------------------------------------------I--------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned urther s ag e lot to place the system in r q, n operation until a Certificate of Compliance has been issued/lb� th I ar of hi�ea t ............... ned------ ... ----------------------- -------------------------------- ----- --------------- -r-------------- _.Pa>_7. ......... Application Approved By------------- .. ..... ..... ---------- ----_---------------_---- Z Date Application Disapproved for the following reasons______________________________________________---------------•----------•-•--•-••-•--------- ---••-------- ......................................................................................................................................................................................................... Date PermitNo........................................................ Issued.--------------------- .................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ..... .........OF......... ........../-., (.......... W.Wrtifirate of T'llutpliaurr THI, IS T )CRT f, That the Individual Sewage Disposal System constructed (Z<or Repaired by...... . ........ - --------- ............................ .......................... a ------- ....... If....... -------I .... .. .. ..4,.K_7�................... has ben-installed in accordance with the provisions of ai;L The State Sanitary Code as desc e in the application for Disposal Works Construction Permit No..i. ................................... dated__-.__- ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...2v..t_y----- ................ Inspector---------4......... ............................... THE COMMONWEALTH OF MASSACHUSETTS BOARD O�EALTH .............Vm.... ............OF............ ...................................................... No...._... A...•.'... ...4- -.'- FEE-- ......... . . ...... Bin:pma jar hq/Qlgu�/ rurffvu Vantit Z -. ,. / � .4�t__ej. . . ................. -------- ............................. Permission is eby granted_______-..__1, ........ I ----------------------------- to Construe ��®r Repair an Igdlvidpal SF D i�, / e age posal ys/ ,i 1L, a at No..--.....YYAM, ✓-2.4. ......................P.........----------------------------------------- ---- ------ ---- ..................... Street rml A ion 'i it N as shown on the application for Disposal Works Construct' P Dated---- ............................... -- -- ------ ---- -- ------------- /_ ----- .......................... Boo rd of Health(/ DATE................. _7........................................... FORM IZ55 HOBBS & WARREN. INC.. PUBLISHERS F.• 's ARC Nir i 1 Oit . osirom. No.381 f �_....___..�...... © W{J `4' fv 70 r - ._ po CERTIFY THAT THIS PLAN IS IN ACCORDANCE WITH CURRENT ZONING LAWS OF THE TOWN OF BARNSTABLE ��. MASS. REGISTERED RCHITECT w a . "d CY Qi 'i '4 3 wor o ff I 7/0 r , r ► l a - ft a r1 �- ! Ic : 4. tt If IS 40. d z !! !! ! � . � f c� e� ✓ 1 Q t t! V" t 41 t G ! ! 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' 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours ��,, � Prior to Any Excavation For This Project the Contractor Shall Make Map 073, Parcels 028 & 029 the Required Notification to Dig Safe(1-888-344-7233)and contact ' Sullivan Engineering&Consulting Inc. (508-428-3344). I p � ;F � " ,* 2. The Contractor is Required to Secure Appropriate Permits From Town ` �' � C - . Agencies For Construction Defined by This Plan. ZONE: "` "'' , � , , 3. Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall N 1-1 Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to RF x 1 . Assure Watertightness. In General, Water Lines Shall be Constructed in Area (min.) 87,120 SF (RPOD) Coordination With COMM Water,and Shall be in Accordance Frontage (min) 150' . Width min - �,: t �� With 248 CMR 1.00- 7.00&310 CAM 15.00. (min) Setbacks: \ ,� 4.A Minimum of 9"of Cover is Required for All Components. Q 1.5.All Structures Buried Three Feet or More or Subject Front 30 Side 15 �i1 to Vehicular Traffic to be H-20 Loading.It is the Engineer's Rear 15' 11:1 ' - � a11, Recommendation that H-20 Always be Used. ' 11 6.Install Watertight Risers and Covers to Within 6"of Finished Grade DESIGN DATA �. Over Septic Tanks Inlets, Outlets,D-Box,and Two Leaching Chamber. Single Family L OCA T ION MAP: 7. Septic System to be Installed in Accordance With 310 CMR 15.00& - 0 Bedroom @ 110 GPD P Y Scale: 1" = 2000'f 248 CAR 1.00 7.00 Latest Revision and the Town of Barnstable No Garbage Grinder U Board ofHealth Regulations. Total Daily Flow=1100 GPD (O 8.All Piping to be Sch.40 PVC. 2 tanks in series 2 day flow and 1 day flow 9.D-Box Shall Have a Minimum Inside Dimension of 12 and a Minimum See Cross Section for tank detail OVERLAY DISTRICT: Cq 0Sump of 6'. LEACHINGAREA AP - Aquifer Protection District U 10. The Separation Distance Between the Septic Tank Inlets and 1100 GPD/0.74(LTAR)=1486.5 SF Required J Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend Sidewall=L"eachmg Bed,Bottom Area Only a Minimum of 10"Below the Flow Line. Outlet Tees Shall Extend 14" Bottom Area=(48.15'X 31.59=1516.7 SF FLOOD ZONES Below the Flow Line,and Shall be Equipped With a Gas Baffle. Total Provided=1516.7 SF(1122.4 GPD) - X, AE(e112), & AE(e113) LEACHING CHAMBER DESIGN FEMA Map #25oo1Co543J All Pipes to be Schedule 40. Use July 16, 2014 15-500 Gal.Leaching Chambers in a 48.15'x 34.5'Double Washed Stone Field as Shown. LEGEND: Proposed [hombers 5 500 Gallon �- o Cedar Tree _ -20 Leaching , ___._ in a 50x30' 0 .IT6UCI8�-WOS'toed ..� 3/4"Stone B,-1 j 'N. "�, Deciduous Tree ;: 0 a I \ \ A • �a i` ,a v CB/DH ✓ T'x F ,,� Find �/ i x \ •t ` i (,+ i / + Coniferous Tree O - , ss \ !\ 1, t/ R=36.5' �, \,,- __ .._cFndK 140.05' ,' �\ .,\_ / OI, E. Sign n , I �� 9� ce \ ; 1 ad f \ -rN 7 1e Light Post ., E �• RIF /h�h� \nd 1111 3"\ 1 i \ 1 �0 ,". .. T - \ 1, TBM EI=34.26 NAVD 88 OO Water Gate (round) 13 v //�' M 7 \ \ I _ - Q11 © Gas Gate (round) 33 / t 1' i ,\ p\\ \,4., to of CB DH O b - OHW- Overhead s e� : .- \ �. t3"5 0' ` �" \ Wire ella,'... 1 tt\\ 5 t\ \ d9e 1 - -25- - Elevation Contour ` \ \ ,y.\ 1\ i \yam` y _. itfi. \\ '`\, z:�` ,. ,. ` i \ �\\. t \, r � ® Catch Basin �- n �a P . , �., ;,i �. ~', -� A, 1 m \ Z I .. -. d �.. '' Hydrant " .x \ -^ 1 r � � o F , S 4 W Hose Bib \ o a �. �'.` r Y 1 � - 1 f ac% 1=' J i71.r 4' Wit"}`.. 1�' \ 11 s ri 1 , - :r..t t t Iron Pipe Ac \ , w r -_ m l \ 1 c A " ED I ,..,,.. T. f y m \ �. :\ ._ r \ 71.53... ,.p4 Guy y ...". ., ma. r. - '....,I \ . < ,. i a� Utility w - , r 1 \ 4 t t Pole o r' 1 1 Y \ \ \ f,- I' z` f ' \ ....,s sts 44".(., -i 1 C } Q \.. 5t 3 _ � '' S` ♦„.,a- , - >-�-,_ a 1 4 t f ,>>_;y I 1 �r j i -)a- - \ 1 ♦ a 1 CU / `.a s t" '. ,t, 1049 Reeerve z Pro'qsed ` - Z\ \ ;..y } P l f t �11- - 1 �4 , .�' � 1500 Qallon`,t-,r., .,11> �,. 1 S2' .a- , b^ ", , € [ ti? o - -- 0 Se tic fan \\ ♦ 11k r t i :" i `" \ 7 1 J }... , T ,i I y^a 4 N 1 }} ' 3d' s:?�, s t �'s1 ..y,.,,... Q O l ;,. a sr, t s I i t� , �° s 1 .. - ' >� " - ' i ' �r I - r ► , \ h0 I Il- '�/ 1 ..,'<. rfr, 1 -: ar`t >x \ 'ri.l ;F' " ,�(' �} \ _s , _/ / 1.I � b osed o'' t. 'w'f r \ P %A s' n� / /, 1 Gara e= _ d r \ \11 9 a. 1 ,, r; ` \. \ To't A rox MH l�v 1 / 1 x,• 1 , ,. : ..., PP / \ slab 47t _ \'`; 1 r F �Z ' \, \ \ + / /� Pro ed µ � iE 1. r l v ell� / - I, \ \ \ a fir' 1.;'' -.0.�..T.E\..,�.S-I.�.I RT.-.,...�-.�1:11-...l�.,i*.�.17.*..1�-1-.'1,,-:-*.4�--1,'04..�-�z.-I-9�,�II,,-1I,--_,-,,7-��C-T�"-LI,7,�'i,,-��<1��-�,,,1,�,�,,v,�i`,-�--N-�.,,-"F>"-1,:1 1-�,i,P.��'i �.-"�,I,,>--Z,-1,--S-FrV�,,j 1 1�II,��,,-I,,I�-A�..,.-i-,".N"-��-/ ".7".-w,*-,,-,.'`�,�'�--t�:�A1''�-1 1-�',,-\I ,�,r�-:-1I`"�,�"'�'e.,',I�.,,�-1'1,NI,�,.1 ,,"'1,,�&,",�"I, : w>" 1- xi in j1I1�'-I�,1(�!,11 1,�I I1,�1,".",,,,",,-",Z,-,,1,I<1-",�i-"1- A ,, •;> ;}..� -1 _ 10' 1 \`� _ E st g Septic ` '\ > „♦, •,," It Stone Drive `. � e _ i ;. 4 s �-45 ♦" � _ _ <, �� � �, ___- 4 Card ' \:. ..; 4 -" =--- �. .,. n; .- }"�' to turn '1 ,,t`° 1 _ _ �; As per Tie � \ Stone ,.!f \ hto Ld k 1\ Permit# 77-22 "y .- 3` N\ ..dove , b`,4"3' € \ „Popo 1 \ l ,1. \ CB dy �" ,� ,' ' ��\ i ., y i 1 00 G 11 I Lawn \ X j ',.%� r e 1 t0 be Removed _ uP 1 �s- y.- r �- % t __ _ ;} Septi ark t ese�� /, ) ` Ihwra xJ } l Lawn /( I p 1' I t i n,::"' \\ ♦\.\\ _.� \ gg+e r ` V I j I I I of 1 }' jtt t z Lawn` _, s t,{ v 1 ,� 0 .��.,, i t PERC TEST: 14 670 ��`, f� -- z T I s , \ ♦ 1'} �� n r=t 'I' 3 l �� 1. �� m v 1 t N \� IV •Q r t •`r � ; SQ 1 �j e / t J J y, :.,� t ! 3' \ r t � 2 Pr or .Y3/f }I-- PERFORMED BY:CHARLES ROWLAND EIT- '• \ �L ^, 1 \ y 0 e /�., } SULLIVANENGMERING&CONSULTING,INC. g2 `\ �\ 11 ,+ �{ ;, \ \ / �o EI IY' 1 ; 1 p SOIL EVALUATOR NO. 13586 ` ,--., - o / t i_ o` 4 �1 1 \ be R 1/ \ �, \ / WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE \.<_.w 4Xe 1 2 a I J \ 1 ) f ! MAY4,2015 ( red -F :¢ / l \ j 1,S wood Existing Septic ,\ (� I l SITE PASSED AS per Tie Card ' ,1 `♦.\\ \g��\(�1 St / °I -"' /�x / QoaDe " �$. .e ''I \r,ll �� f ; s . Deck Permit# 79-678 ( 1 , '<1 I `D , l \ .� ,S \a oAea ,Rem . r, t , to be Removed c I° :�IL I�, �I ,� FF�EM7:� \fir Rey 'oee y TEST HOLE -2 ` \1 I 1 2 - �� �Y e� �' 1 </ ,TEST HOLE 1 1 TCP�4 �9 EL.42.5 EL.43.5 Fn�l \�\f� ,a"� J i 1 i \ IPr , 1' V ' i' f A/E LAYER 10Y1€�+>2 .... 3lE.LAYER LQf�1I 4/2 \.; �''�" / rid " .. . ..... .... . ... .... \ A"� Lawn f�. �.r^� ' / i � ! Lawn; . .. �:�\� :. h 1" „_... / y 1,.✓ ,�•..,, Q�),} 1 t' DARK GRAYISHBROWN. ... ..D., GRAY SFI BROWiv:.... os� ,\o,, .• , / ./� �v / r r,-r 'r �/ I � , 0 �.- L- 10�� LOAMY.SAND.:. 41.7 12" LOAMY.SAND..... . 42.5 ` *� . \\,: i \\ a,,\""f,, ' \.,,. - ,< ' %' r,/ : h / ; ' r ,': cri i ' B LAYER l0YR 4/6 $.L24I'ER.1Q ...4 6. 1 o,/�P \\ ,s�y /� ,. '` \ x-'' 1 3' } !t 1,I)0 ,,I�A�-, YELLOWISHBRDWN ........ YEILOWISHB120W1Y . ... �s N. Lawn /`\ /* 1 . 1 1 36 LOAMh SAND:. 39.5 30" LOAMY SAND' .. 41.0 �o '1'6, ``\. \ ' `` / .' i ,i 0b / i C LAYER 2.5Y 6/4 LAYER .SY 4 /���'T b' \`' \ \ ,. / r/ -1;;>� ? / i LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN 9?7 /a��°/ ''�y \` 16.13' It\\•` \ \, � New �(ev' x , / ` ' ' /' / ',� <,�f, ✓ ° / ,r f, r 321/ MEDIUM SAND 31.5 MEDIUM SAND �0�. / r \dawn`\ \ 46# f \t ". / , /..,/ /, r 'i 1 1- r / i• %' NO GROUNDWATER ENCOUNTERED 1 / 25 GALLONS GONE IN lO MIIV �! "� / i r r : ! -= ' ,- 1% / �' / 11 PERC RATE<2 MIlV/IN(LTAR=0.74) j \ 1 ` . �o \, t 4 l �i f.._ r' � f 2:5, / y / % / /-v.\1--�.1 ff1,,,,,-I,\\ZIL,' /1I,"�)1��,..�,,I',.-,r",.�',.".I 132 32.5 , . \. \ \.. & t , :i�._. <,/, / •, �.1 /// \ \t �'\ �' 1• 4�9,63�F i � \ \ , T I !„ i he v �'', �,. '� `' /' /' f L� ce/DH °.f \1\` \� i :�!G���� 1 ! / r` ,wf / y t, rJ dal,Bark I \\ / / r \\\ �K, i 1. / / / Proposed Cleanout Fnd \ j ! i� �j . ..� '�' / t 1 r l 1 f 'f� f / �; ' i TEST HOLE - 3 EL.38.5 TEST HOLE - 4 EL:42.5 Typ. - i. Po� )NN.J `�.• } I %' m 1 1 �' 1 5 �`' I' ,r �' ' A/E LAVER 0YR 4%2. - - A/E.LAYER 10YR 4/2 .. I - Via). \`' ti'r� ,'I t f„ �# ,' ,.tI , . / 1 / f i 'j f r /� DARK GRAYISH BRO WN DARK.GRAYISFiBRO WiV: ) moo- ? � '" �s / ` 'f0 / II .. .. .. II LSIAAC�4 {•fr1�/.4J .. .'. jai `'\`f t'.G- r,t\.6 ' l ,y.` : i/ 3 / 4 } �`,i' j I 1VO/� �' '/, g .. LOAMYSAND 37.9 10 . . 41.7 B LAYER lOYR 4/6 .. B LAYER.'.OXR ... =: j e,, � . } I i\ ! �"' �` °"1 t / A0 1 >� P �♦•� J! % YELLOWISH-BROWN Y>rL oW SH Bl�Ot v.. i ¢ .� {` i , / \ �/i l ..- w, , J ,' \ �/ / i LOAMYS1'M / ! )\ 1 /{ !P 0 27 LOAMY SAND .... .. 36.3 24 40.5 i r /\/ / / / C LAYER 2.5Y 614 L R . / I .) .,I i."_p� } i i , i i \ / / / LIGHT YELLOWISH BROWN LIGHT YELLOWISH BROWN i i ! i \_ l°' -f' �' i .N , J , f ' / / 321I MEDIUM SAND 27.5 MEDIUM SAND ! ` i ' - � ( `t y ""`f /, f f\ l=.,.r. 1 r! ' / / // / / NO GROUNDWATER ENCOUNTERED 24" 40.5 i/ o� -� �+1 # _-- / 11 . j". ; \`j 1I / / l i / / 25 GALLONS GONE IN 10 AN i/ I • ` , / r5 '� I / / / f % j / / �/ ,'/ _ _ 13211 PERC RATE<2 MI11r/IN(LTAR=0.74) 31.5 / ' � 1, � t \; r 4\ .\V\ / j \r( 1.f / / 1 �s 1, i 'u"' f \Y - r 'i% i`/ / , t t,, .J 5 `.; / ( ,\, , \ f\m=:; i i / / f f\ / /'>' / I / _. f J j 3) l 2 f`.._ i i/'r r1r /J °t! ! l f. r __20f J �\{` I' / �'`C/ /, �\f 6e\� EL12)/ 1 i i ; ' <, . �",, � I•`. f f/i/� EMA Zone- - i ' I t I 1 i --, 'I /r �,i� \ // / <j - -- \ . AE (EL 13) Proposed Elevations - i I' ') `i ! �� `• � '�f r� ,�/ � Finish Grade / ° :4"6 Post Garage Slab 47t' 3' Max. _ `' �� `€ 19 . €I ' r t (lY E t t 10,�'�, CB to Pool House FFE 46f' „ ,,, 1 ' '`"... 1 1 I/ t /i r `' / y9 ` 9" Min Compacted Fill Filter i // f �j * _ * Fabric Df t /) //, � "r // /I` S 4,zz F.G. EL. 46f Final Foundation Gradin To Be And/Or 1 1 crl ( , // 2;�s. - oor inated With Landscape Plan 2" 1/8" - t/2" f 1 j 1 �'I" /, + o \ Pea Stone 1/ / ,�j}// / �.' 3' H-20 3/4" - 1 1/2" /` %,. 11 r 45.5 � LEACHING Double Washed l \1I/%r ,, ' Garage EL CHAMBER stone P Pool HSE EL. 44.5 Garage & Pool House Installer To EL. 43.06 Septic Tank I Confirm Prior 1500 Gallon EL. 42.81 4' - 10"- To Any Work H-20 Required I-- 12' 1 0" / Elevations based on (See Note 5) + . ^ �^t; proposed Elevations CROSS SECTION OF CHAMBER/� NOT TO SCALE O a - __ Main House Proposed Elevations See Note 6 (typ.) F.G. EL. 41 f F.G. EL. 39-41 15' E.G. EL. 44,F.G. EL 46t* - *Final Foundation GradingT F.G. EL. 42f Min. Coordinated With Landscape Plan / .EL. 43.0f EL. 40.76 Complies 3.75' With ) EL. 44.00 Flow Equilizers 1 Breakout F t J k4� �/y. -z Installer To � As Required � �''I Confirm Prior EL. 41.75 Main House Septic Tank To An Work 2000 Gallon EL. 41.50 EL. 39.51 y H-20 Required 1500 Gallon Top EL 38.00 U °`�v (See Note 5) H-20 Required EL. 39.26 EL: -20 _ (See Note 5) D-Box EL. 38.84 1 1 - C� Z�/ H-20 O 37.00 Leaching To Be Installed On Chamber -� eta e- ompactec`rese Bot. EL. 35.00 : ... ...: Bedding, T"s, . .. tM Inspection Port, 1f:Encaun.tered: Reilrotie: Bc:.Replaee N O.�F 142;us r & Baffels All Uri-8ot.table So:its Wit'hiri:. 5' of in �' v as Per Title 5 The Outer :Perirrieter::o:f:..m.. S stem N RIC14ARD R. ��� 1` C ��� . Y'. .. :. : . . L'HEUREUX o _L NO.`343122 0.48 t 68 No Groundwater ~FG 1STF��� ` `A DEVELOPED PROFILE OF SYSTEM Per Test Hole 1 s/o�a4�E�����, 1. NOT TO SCALE Title: Site Plan PREPARED BY. PREPARED FOR: Notes/Revision: 1.) The property line information shown was Proposed Improvements 4 Engineering & compiled from available record information. � CapeSury Mason & Laurie Tena II a 2. The topographic information was obtained (b 1V 11 Consultin�p Inc. 9 ) u a At b>' 7 Parker Road from an on the ground survey .performed on or 1-+- 8 Carmel circle (508)428-3344 - P.a Box 659 - 7Padw Rood,Ostervme,MA02655 Osterville MA 02655 between 06/MAR/14 and 28/OCT/14. 23 & 43 Point Isabella Road sedQsuiiivanengin.com - www.suilivanengin.com ) , � (508) 420-3994 / 420-3995fax Lexin ton Ma 02421 3. The datum used is NAVD 88, a fixed mean sea level datum. BARNSTABLE ^O�u'� MASS 4.) Lots 2 & 3 are to be merged by land �(V ) Field: WHK/KAR Review: RRL 30 0 15 30 60 120 court. I --.& �% = E 6 i Date: Scale: n r Comp.: WHK/KAR Pro j. # C-117.2_ May 13, 2�1 Jr -`30 Draft: RRL/WHK/KAR Drawing # C1172G1 ex1