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Home My WebLink About0070 VINEYARD ROAD - Health l0 Vineya R ad � A 016 018 1 i ,r 1 d . i nA41to i door I i —� -ia a' �_— �'--.a'f,---ll -_.._ _-- ._ ' I —b _ _i �(�ti V S'b.la° F,• a 5 i �M�168 v 0 P� ppE c b/j a1 '� 1I � )DR- CY nloal.e�.J..n•.r. r � � .—_ -�- r I .— � I , b Alt cp IIYa`l�ya�'may`' '0� 1 s I d AA I LOTQt ell VO Mill a d ,ia �� 1__ � iYs" — a •fat\.\,. �-W;,d>'�9M� - ��a �".: = � \ � � c —. a. . � a•ss4 i G°<� , �.i - a --'r••, •fir - i N�, .l _ - :i _ ._. �_------ i 's II l •�` O._ _---' - - is .f°rl _. n -— _ i ap5 ol 11 .. \ - � , , SCA Ho• \ \ O<' i Commonwealth of-Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M 5 70 Vineyard Road I. Property Address - Jeffrey&.Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name f { information is Boston, MA 02110 April 27 2013 required for P every page.. City/Town 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 computer,use 1. Inspector: only the tab key � � +� to move your Linda Pinto cursor-do not Name of Inspector use the return key. CSN Engineering Company Name P.O. Box 2030 , Company Address Teaticket MAI 02536 ICI Citylrown State Zip Code 508 299-3250 $,,A4432 Telephone Number License Number �R :� t7 -B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is,true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to, ction 15�.340 off Title 5(310 CMR 15.000).The system: ® Passes r.� ❑ Conditionally Passes ❑ Fails, c 4 ❑ Needs Further Evaluation by the Local`Approving Authority Q1 C April 29, 2013 ci Inspector's Signatu 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. ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's.Name informationor is .requiredf Boston, MA 02110 April 27, 2013 every page. Citylrown 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: ® 1 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: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as 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): Commonwealth of'Massachusetts _ Title 5 Official Inspection Form -Subsurface Sewage Disposal System Form-Not for.Voluntary Assessments M , 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O,Atlantic Trust Company Owner Owner's Name information is required for Boston MA. 02110 April 27, 2013 every page. City/Town 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owners Name information for is P re Boston, MA 02110 April 27 2013 every page. City/Town 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 used to determine distance: "*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 ❑ ® 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 Y2 day flow Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface-Sewage Disposal System Form-Not for Voluntary Assessments 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name formation is Boston MA 02110 April 27, 2013 required for every page. Cityrrown state Zip Code Date of Inspection ' J 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. R ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is 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 desigmflow 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 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. r 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 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. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name infor requiredion foris Boston, MA 02110 April 27, 2013 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 ❑ ® 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? ® ElWere 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, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ 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: ® ❑ 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): 5 Number of bedrooms(actual): 5 (DESIGN flow based on 310 CMR 15.203 (for example:.110 gpd x#of bedrooms): . 550 i , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner. Owner's Name information is Boston, MA 02110 April 27 2013 required for P , every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 1,500 Gallon concrete septic tank, 1,000 Gallon concrete septic tank, D-box, seven 500 gallon concrete chambers Number of current residents: 0 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 years usage(gpd)): Detail: 2012 - 17,000G 2011 -236,000G -- Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gauons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? El Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Commonwealth of Massachusetts Title 5 Official Inspection . orm Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name formation is Boston MA 02110 April 27, 2013 squired for � ' every page. Citylrown 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: Town 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 El 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. ❑ Other(describe): J Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name information is Boston, MA 02110 April 27, 2013 required for P 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: System installed 2002 Were sewage odors detected when arriving at the site? - ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line.: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): (Tight) (Yes) (None) Septic Tank(locate on site plan): „ Depth below grade: 6 feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) 1,500 Gallon Septic Tank, cover is 6"below grade, top of tank is 26" below grade 1,000 gallon septic tank, cover is 10" below grade, top of septic tank is 22"below grade If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ® No Dimensions: 1500 gallon and 1000 gallon , � Sludge depth- 2' Commonwealth of Massachusetts Title ,5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O.Atlantic Trust Company Owner Owner's Name information is Boston, MA 02110 April 27 2013 required for P every page. Cityrrown 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 28" 2" Scum thickness Distance from top of scum to top of outlet tee or baffle 611 16„ Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Tape Measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The structural integrity of both tanks appears sound. The,tank has PVC pipes with PVC tees on the inlet and outlet ends. (The liquid level is at the level of the outlet invert and there was no sign of backup or leakage in any of the tanks. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑'metal ❑fiberglass. ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name information is Boston, MA 02110 A nl 27 2013 required for P every page. Cityrrown 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): r 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.): t "Attach copy•of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company. Owner Owners Name information is Boston, MA 02110 Aril 27, 2013 required,for P every page. Cityrrown State Zip Code Date of inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): 0„ 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.): The D-box appears to be in good condition with no sign of solids carryover, and 1 outlet. The top of. the D-box is 26" below ground. There is no sign of backup or leakage. I 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: , M _ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M s 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name information is Boston, MA 02110 A nl 27 2013 required for p every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 7 ❑ 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.): There are seven 500 gallon chambers stone around.There is no sign of hydraulic failure in the area of the SAS. The top of the chambers is 30"deep. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool i Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Commonwealth of Massachusetts UTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name information is Boston, MA 02110 A nl 27, 2013 required for P every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Commonwealth of Massachusetts Title 5 Official' Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . t 70 Vineyard Road Property Address Jeffrey&Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name requir required is MA 02110 April 27 2013 required for: Boston, p ' , every page. CitylTown 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 C 4- -7 o 8 A _ 1 r A, . Z - S S7 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name information is Boston, MA 02110 A nl 27 2013 required for P every page. Cityrrown " State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: > 5' below bottom of SASfeet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Sept: 12, 2000 Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS Maps show ground at site at elevation 20, Bottom of SAA is approx. elevation 15. Seperation between high groundwater and bottom of system is> 5'as shown on Site Plan dated September 12, 2000 by Sullivan Engineering. I Before filing this Inspection Report, please see Report Completeness Checklist on next page. Commonwealth of Massachusetts Title. 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M s 70 Vineyard Road Property Address Jeffrey& Elizabeth A. Mallon C/O Atlantic Trust Company Owner Owner's Name information is Boston, MA 02110 April 27 2013 required for P every page. Citylrown 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 1 r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION PARCEL. LOB' . TITLE 5 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 70 Vineyard Road Cotuit, MA 02635 Owner's Name: Lisa Drake Owner's Address: 417 Monomoscoy Road Mashpee, MA 02649 RECEIVEDDate of Inspection: April 20, 2004 Name of Inspector: (Please Print) James M. Ford MAY 0 5 2004 Company Name: James M. Ford Mailing Address: P.O. Box 49 TOWN OF BARNSTABLE Osterville,MA 02655-0049 HEALTH DEPT. Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Nerds Further Evaluation by the Local Approving Authority F 1 Inspector's Signature\submi Date: April 22, 2004 The system inspector sha 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. 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 i Page 2 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 70 Vineyard Road Cotuit, MA Owner: Lisa Drake Date of Inspection: April 20, 2004 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: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. if"not determined", please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than.20 years old is available. ND explain: Observation of sewage backup or 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: 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: f 2 Page 3 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 70 Vineyard Road Cotuit, MA Owner: Lisa Drake Date of Inspection: April 20,2004 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 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis, performed at a DEP certified laboratory, for 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. 3. Other: 3 . Page 4 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 70 Vineyard Road Cotuit, MA Owner: Lisa Drake Date of Inspection: April 20, 2004 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the 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 '/z day flow ✓ 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 I of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is 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.] No (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 System: 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 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 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 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 70 Vineyard Road Cotuit, MA Owner: Lisa Drake Date of Inspection: April 20, 2004 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant, or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ 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,excluding the SAS, located on site? ✓ Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions, depth of liquid,depth of sludge and depth of scum ? ✓ 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)]. N 5 Page 6 of l 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 70 Vineyard Road_ Cotuit, M4 Owner: Lisa Drake Date of Inspection: April 20, 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):' S Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 1 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied- weekend use COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection (yes or no): 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) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed 819102-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 70 Vineyard Road Cotuit, MA Owner: Lisa Drake Date of Inspection: _ April 20, 2004 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence.of leakage,etc.): SEPTIC TANK: 1(2) (locate on site plan) Depth below grade: 22" Material of construction: ✓ concrete _metal _fiberglass _polyethylene —other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. (and 1000 gal. settling tank) Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 8" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 12" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. Recommend Pumping. (Settling tank: Only liquid was present. Tees were present. The tank was 2'below grade.) NOTE: The pool house bathroom is piped to the main septic through an injector pump in the basement. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): 7 Page 8 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 70 Vineyard Road Cotuit, MA Owner: Lisa Drake Date of Inspection: April 20, 2004 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no); Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-box was level and clean. No solids were present. PUMP CHAMBER: None (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.): I 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: 70 Vineyard Road Cotuit, AM Owner: Lisa Drake Date of Inspection: April 20, 2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 7 drywells- 12'x 62'(per as built card) 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.): There did not appear to be any signs of failure. The bottom to grade was approximately 6. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth -top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 9 Page 10 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 70 Vineyard Road Cotuit; MA Owner: Lisa Drake Date of Inspection: April 20, 2004 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. to Q A s 1 3 A a a o a ao ay y 3 / 7 /fib y as as � 3c� ay6 10 Page 1 i of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Properly Address: 70 Vineyard Road Cotuit, MA Owner. Lisa Drake Date of Inspection: April 20, 2004 SITE EXAM Slope Surface,water Check cellar Shallow, wells Estimated depth to ground water 18 +1- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record - If checked, date of design plan reviewed: ✓ Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain:_topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using c Barnstable topographic map and water contours map, the maps were showing approximately 18' +/- to ground water at this site. The system is within 300'of the ocean and therefore no adjustment needs to be taken. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties :)r guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 TOWN OF BARNSTABLE LQ 'A. ION O U C, 4/�N le�• SEWAGE # 4 M0" S` ' C�i'U�� ASSESSOR'S MAP & LOT 0/6- 01 VILLAC INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Srrp l vrla Scfc ^k .LEACHING FACILITY: (type) —) bcj" IS (size) i ;,NO. OF BEDROOMS L .BUILDER OR OWNER L I S,4 PERMITDATE: 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 leac g facili Feet Furnished by T�f�eIn FO�� A .J +r 1 3 A a i 13 a 0 a ao lav,6 y y as as TOWN OF B.ARNSTABLE C� LOCATION djD,'C✓ SEWAGE# d -65� VILLA�JE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER - PERMITDATE: j COMPLIANCE DATE: d Separation Distance Between the:> Maximum Adjusted Groundwater Table and 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 facility) Feet Furnished by � 1 w ` j L No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: VY PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Miquar *p5tem Construction Permit Application for a Permit to Construct( )Repair(�4 Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. '7 0 V 1 N C Y/V R P R0 A 0 Owner's Name,Address and Tel.No. t Assessor'sMap/Parcel t// 11� �/G �ia/1 cEL 018 7 mo-r,o�sco y Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 412 0 Liy /L L.i YA/✓�/YL"/NEE21 Al C CO-OP 6/1 -5 7J'/�RI<ER.. p-og6 oo•O • sox ost /21//L•i— g 5 Type of Building: Dwelling No.of Bedrooms 6— Lot Size S6 sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow S�"G� gallons. Plan Date SEA ZOOG Number of sheets I Revision Date NO N E Title S iTiF PL,�/v P/bPOs-ED S l tE 1 M Pr'O11,-_ E VtS Size of Septic Tank 15-00 OPL. . Type of S.A.S. 12.'X Cn�'' i--,gchirv9 CA00im a4M Description of Soil, O N'i 'loll Latn'1 i L/�^ l2`i �L�i BRvwN Ca/1/seS/�/Y� loY2 S/3 , 12"- LIG" "0" B'46!rk YEL. Cogriz sAA/B lOYa G1/o,, 4 G"— 12o" "C:' Lrt• YE1.'i5H &R1v_ CoArsO SA/vD io Y1L G/q tjo G r&a&D bfiAfF12 -IvCou/vt6D 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 Certifi- cate of Compliance has been issue this Board of Hpalth. Signe o -Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued No. L% " - �,. ,,w « Fee U ,THE COMMONWEALTH OF MASSACHUSETTS `Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0(pprication for �Di5poe;al *pgtem Construction Permit Application for a Permit to Construct(>- )Repair X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. E S Owner's Name,Address and Tel.No. ]7_ � Co7u/T, /rIlA s Lua Dr,�Ce 3 Assessor's Map/Parcel ��] lY�RPO/G 018 Installer's Name,Address,and el.No. Designer's Name,Address and Tel.No.`/� � c�U/` $LlLLt t//.l!✓�/YO/N�'Eg111/� .�/1rG. 7 PraRt«R RaAt> 00.p . �S�Z 121/OLLE ,/ea'Ii9 5S .. Type of Building: Dwelling No.of Bedrooms Lot Size 254/ sq..ff. Gar.4q Grindei'PWIES Other Type of Building No.of Persons Showers( Cafeteria( ) Other Fixtures f Design Flow 5S0 gallons per day. Calculated daily flow,— �� 3 gallons. Plan Date SEp*' I a 2C�OG Number of sheets !t Revision Date NON E Titles tTE PLR* — /oPasE D S 1 tE I M p!,9,v6.1n_=1j1r5%, Size of Septic Tank �O4 (,�f3L. ' Type of S.A.S.1!A'MW %Enchiw Cht4wtaeg Decri tion�of Soil Cv/IlS� S NO 1Oy2 5�3 !, - �1. B ` DPW 11:rA YE 4. cewsE SANA IOYP- G/1-) 4 120" "C L-t. YEc,'15 H �. QRN CoA"V= SR/vb 10 Y2 G 4/ No &rPa&D WR>'E12 ENCGea/tte Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the'construction and maintenance of the afore described on-s to sewage disposal system 1 in accordance with the provisions of Title 5 of the Environmental-Code and not to place the system i operation until a Certifi- ' cate of Compliance has been issue by this Bo of lth.(_ Sign ! Date Application Approved by/I: �� ate " Application Disapproved for the following reasons61 Permit No. . Date Issued s w'��rr C THE COMMONWEALTH OF MASSACHUSETTS.,- BARNSTABLE, MASSACHUSETTS I Certificate of Compliance-, THIS IS TO CERTIFY,that the On-site Sewage Disposal Syitem Constructed( )Repaired Upgraded( ) Abandoned( )by 4 ' at-70 V/tiE Yr92D R o 4 D eafu/y /YNi15,f } hasbwn constructed in.accordance with the provisions of Title 5 and the for Disposal System Construction Permit N dated i Installer Designer$ULLi//R/tr NGiNEER 1Wy �YG The'issuance o is permit shall not be construed as a guarantee that the sy w l function a esigned. i, Date Inspector ml/P- ZIA,N..= THE COMMONWEALTH OF MASSACHUSETTS 1 PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS f Miopooar *pgtem Cong,truction Permit , Permission is hereby ranted to Construct( Repair)( )U grade( )Abandon System located at 7'lb V1lVt yA l2 D oA D U I'd//7 and as described in the above Application for„Disposal.Systern Construction Permit.The applicant recogni/zeshis/her..d,u to comply with Title 5 and the following local provtstoris:or special condrions r ...' Pro��ided:Construction must b comp eta it i three years of the date of this';erm' iy Dat, Approved by i( fJ ! TOWN OF BARNSTABLE .,yy LOCATION SEWAGE VILLAGE ASSESSOR'S MAP & LOT �hI INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:,(type) (size) /49� � NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: d Separation Distance Between the: Maximum Adjusted'GroundwaterTable and 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 facility) Feet Furnished by ti d� l t or Cotuit Fire Department OT U Fire, Rescue & Emergency Services G l� COM 1 64 High St.. P.O. Box 1632 Cotuit, MA 02635 Paul A. Frazier Phone -(508) 428-2210 Chief of Deaartment FAX (508) 428-0202 TO: Tom McKean, Director of Public Health Town of Barnstable, Board of Health P.O. Box 534 Hyannis, MA. 02601 FROM:: Chief Frazier, Cotuit Fire Department SUBJECT: Tank Removals, et al DATE: December 6, 2000 The following tanks have been removed/abandoned since my letter dated June 5, 2000. If you s,lould have any questions or require additional information, please feel free to call. Thank you. NAME ' ADDRESS DATE NOTES McEnrce 70 Vineyard Rd. 07/17/00 500 gal. tank removed, Jfvd/6 OT Cotuit, MA 02635 No contamination or odor present . Connolly 23 Point Isabella 08/05/00 2000 gal.tank removed, D 73 Od Cotuit, MA 02635 no contamination or odor present. Oyster Real Estate 904 Main St. 10/23/00 275 gal. tank removed, r Cotuit, MA 02635 no contamination or odor ,c�� present. t A COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENviRoNMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617)292-5500 TRUDY CORE Secretary ARGEO PAUL CELLUCCI Governor DAVID B.STRUHS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTIFICATION ��j Property Address: 70 V//VE Y14 K0 R0• Name of Owner N40?eEn/ Alc GVYE06 C070 i 7-i N(q Address of Owner: 10 V/NE y�gRO R D Date of Inspection: S- 3/• 0 0 / C•0 7 U I T m A O 2(e 3 SS Name of Inspector:(Please Print) P,4#J . �. N(JNT Tr. E. r 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: Mafiim Address: 2b RUSSF-"'S WA ES T-1=oRD, mA a I rp(, Telephone Number: �C178 (,Ci3_Q,e fr/ CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: (. Date: 6 •a- 00 The System Inspector shall.submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department of Environmental Protection. The original should be sent toots system owner and copies sent to the buyer,if applicable, and the approving authority. . NOTES AND COMMENTS 1 revised 9/2/98 Pagel ofII W..* Printed on Recycled Paper l i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 70 IIIW E YA#t p RD. C O TU I T r MA Owner: /V AUREEN MMC ENledE. Date of Inspection: S- 3 1 • 00 INSPECTION SUMMARY: Check A, B, C, or A A. SYSTEM PASSES: �1 have not found any information which indicates that any of the failure conditions described in 310 CMR 16.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: 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. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If "not determined", explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether or not metal,is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass- inspection If(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2orll a i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property address: 70 VIWC- Y4 Kd 10. r GOTu 1 r, M A Owner: M 4v►2E" M C€A"ZOE Date of Inspection: S, 3/• 0 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING W A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:. Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING W A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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. Method used to determine distance (approximation not valid). 31 OTHER revised 9/2/98 Page 3ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 76 V1 NE Y4nd RD. ) C 0T U t T I MA Owner: MA0n.EE0J M C GA1/Z6 E Date of Inspection: 5. 3 (- 0 O D. SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 16.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility�or sYstem component due to an overloaded or clogged SAS or-cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipels). Number of times pumped_. Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for »coliform bacteria,volatile organic-compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of-a-tributary to a surface drinking water supply —•--- the'system,is located in a nitrogen sensitive area(Interim Wellhead Protection Area=IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such`system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4orII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 70 V PW E V Art IO R D, r C OT U IT ) M A Owner: MAUAI=EN /�c EN✓tO E Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yeses No Pumping information was provided by the owner,occupant, or Board of Health. _ None of the system components kavabeen purnped4orat,least two weeks and-the system has ib"nwece vingwernral.flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. V _ The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. V _ All system components, excluding the Soil Absorption System,have been located on the site. _ The septic tank manholes were uncovered, opened,and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid,depth of sludge, depth of scum. The size and location of the Soil Absorption System on-the site has been determined based on: Existing information. For example, Plan at B.O.H. _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) / 115.302(3)(b)) V _ _ The facility owner land accupants,if different from.owner),were.provided.with information-on tha juopermain•anaam of Subsurface Disposal Systems. revised 9/2/98 Page 5of11 f . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 70 V/N[y/4AO 120. CO TU I? , MA Owner: /VIAvILOe N M t EAIAOF— Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: J r o g.p.d./bedroom. Number of bedrooms(design): Number of bedrooms(actual): No7LC,; NO 001CIV PL,4N Total DESIGN flow 440 Number of current residents: / AV-A11,44 C: (z Garbage grinder(yes or no): NO Laundry(separate system) (yes or no):JV; If yes, separate inspection required Laundry system inspected (yes or no) y/ES Seasonal use(yes or no)-AV-0 Water meter readings,if available(last two year's usage(gpd):_AJ A' ON WELL Sump Pump(yes or no): /VO Last date of occupancy: 4•/7.00 COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: god (Based on 16.203) Basis of design flow Grease trap present:(yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection:(yes or no)-yf—S If yes,volume pumped: 1.ZOO gallons Reason for pumping: CES5 1>00LL 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) I/A Technology etc. Attach copy of up to date operation and maintenance contract ,Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installedlif known)and source of,information: n.�0 t-,/S 0�(� SVs T�em r- p�!'reo( �- -ZO Yt?rS -210 / 2CC0rd10'5 +v OGv/ItI'. Np in vr.�211-, aV,) I Bold . t1 Sewage odors detected when arriving at the site:(yes or no) revised 9/2J98 Page 6of11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 70 Vin eWV 21, c oTu I r M A Owner: / AVAeEN Mc ENrta E I Date of Inspection: 3 I, BUILDING SEINER: (Locate on site plan) 1� Depth below grade: Z Material of construction:-�,/-Cast iron—40 PVC—other(explain) Distance from private water supply well or suction line ZS -'r Diameter Comments:(condition of joints,venting,evidence of leakage,-etc.) o ICcwpr � Tie,-4 SEPTIC TANK:_ (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ ls.age-conformed by Certificate of Compliance_(Yes/No) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: _. Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How dimensions were determined: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structur"tegrity, evidence of leakage,etc.) GREASE TRAP: k (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass _Polyethylene other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: r � cr &IT f MA Owner: v2 M C C/2d E Date of Inspection: S• 31 . 00 TIGHT OR HOLDING TANK:�(Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass_Polyethylene_other(explain) Dimensions: -- — Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order:Yes_ No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX-_p//- (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box, etc.) PUMP CHAMBER: AI (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or Not Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc.) revised 9/2/98 Page 8 of I1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 70 !lade-'flwO /1/>. , COTU/r /tiA Owner: �� / /14C 61//Lo- Date of Inspection: SOIL ABSORPTION SYSTEM(SASI: V (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits,number:_ leaching chambers,number:_ leaching galleries,number._ leaching trenches,number,length: leaching fields, number,dimensions: overflow cesspool,number: ie7 3 Alternative system: Name of Technology: Comments: (note condition of soil,signJ of hydraulic failure, level of pending, damp soil,condition of vegetation, etc.) CESSPOOLS:_ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert:. Depth of solids layer: ("lr Depth of scum layer: L r' Dimensions of cesspool: $re Materials of construction: rewC�i Zoc k r ^6- -� Indication of groundwater: inflow(cesspool must be pumped as part of inspection) AJO / % c #.3 -2 ' OPWr.a rSir Comments: (note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation, etc.) PRIVY: 4 (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) revised 9/2/98 Page 9of11 d SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 70 VIA16 y/}RD /20. co ry 1-r� ,01+ Owner: AlA(M EEN M C€N/2Qc Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) IUCTE: ALL 011WGXj6NJ AAA .4PP26x1/14A--1C A S rt�4�F- A4CAJUn60 OWLIN6 INfXCT►oN uOuS� APP2ok. WEc -OC4TIo� 2_ CAR CA12A6 E iP14AM �064O 4 CEss,4�o t QS ) q s� g' lv D IM1. �sspast � TE SkETC SCALE : I"= ZO t w'b[AM 8' OEPTN C€ssPooL revised 9/2/98 �� Page 10ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C t7 SYSTEM INFORMATION(continued) Property Address: /0 111✓ey2ld Rd. , ��Tu it /V A Owner: /V uluREwu Mc 4-Wnd lE Date of Inspection: 0 D NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited 6.13•00 Observation Wells checked QAttM STr'A Cii.E 2.3 G i 2`4 7 Groundwater depth: Shallow Moderate Deep WELLZ30 SITE EXAM Slope ✓ / �� y�— Zy•7$r 6doW Surface water✓ J Check,Cellar Shallow wells Estimated Depth to Groundwater/Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record V/Observed.Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions ✓Checked with local Board of health Checked FEMA Maps ' Checked pumping records Checked local excavators,installers V/ Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) y ) o Z,<rGt� Z f /6 � Gt fi a �j'r►, -f'li 2 S��✓ C- r Less revised 9/2/98 Page 11of11 B f THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTEC TION BE IT KNOWN THAT Paul C. Hunt Jr. Has satisfied .the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. . Issued by The Department of Environmental Protection. March 31, 1995 Acting Director of the 'Zion of Water Pollution Control r . i •OF � MAS 9 W //Cd c^ Q h y Z863 . Massachusetts Department of Environmental. Protection and. UniversitY of Massachusetts Amherst Division of .Continuing Education certify that PauC . Hunt, r.C � has satisfactorily completed the soil examination, which meets the requirements of 310 CMR 15.000 Title 5 of the State Environmental Code, and is hereby recognized by.the Department of Environmental Protection as an approved Soil Evaluator. Program Coordinator, dvision of Continuing Education University of Massachusetts fill DePIq Director, cipal As i nce Dep ment of EnvV":mental VrXection. Fall 1997 i i y - butt r ASSESSORS Abutting g Property o n '1 ?sT- -- Tow n Wg.ter N G v.o. -- ----- MAP 16SE PARCEL 18 1 t\ z ,sas x ls.es 1 s ZONE x 675. �2 CV�"�'� + Phl&A XW A19AD '------- - =.:: ;::�.. ', x:,r Vol i ARF• -_- W[DE NOT CONSTRUCTED PRIVATE ROAD) MINIMUMS ----- B x iD.T� � � vi\� r. ,:.ao r `e` x �s• . AREA = 43,560 S.F. (0-7 FRONTAGE _ �\ ' n . . �. • /6---------- FRONT SETBACK 1=030' CD s $ 5 375.110' s� 15 lulu - �• I SIDE SETBACKS REAR SETBACK = 15' 79. ' ' • _la x,i as t 4 cJ _ ,;e.co �t I - ;BUILDING HEIGHT = 30' z' r DATUM FOR THIS PLAN IS N.G.V•D. 1 1 RC.5C RVE .x M x,F 2.77� ' .GETATED \� LAWN PROR�SED - - ETw�Ds /o`. H, WOODSf P"rro,l PLAN REFERENCES: :1 1 '�'ti L.C. PLAN: 11542 N -25, IG ` EWALL { E" TATJtC x_.-e L e E mEfR i.`..... I C. PLAN: 11542 4 oq3 uoC� , x - ... MCI x I I O7 x <o 75 `Z - 'CD {04 x 6_ ^"e' i 1 I D t3oX } :1 .1 x 5D� REMO�E167CIST :1 `x .I ,WOODS -A f'-TIC SYSTE E.1 \ 1 DaSTING HOUSE i EDGE r/1 BEACH GRASS • ♦ °1 i 7. 00ds '. ._- '-- x e/ --- _ x.1 :`CD {0 c 5FSTORY W.F.W-F • .-- e'' 1 ' 'a - (` PK20 POSGD 20x40 _ - 14 BEACH 3 1 x ,1.,6.' PROAOSED STONE %r• 4- POOL JDrixvC-WA1/ - / ` 1 sun -- toR� j -.. / 'Z. I x'T.,a oN PRO PGSE to ___.-__. _ {02 g ^` B ' a 1- 1, �2 2 C, F .,E x s !K d , / LET _ 5Z CD! 01 / 1 ii WG J / -*, 1' t DWELL )• � i { 6 20 =NI 1 .\ r LOW GROUND COVER ,O .� a.PINE TREES 2.5'WIDE (� el00DS :`� _ - r--' _.'i.z•, / WOODEN STEPS `.J d 6 'i .I I �� ;'PROPOSLaU ' �� \\ -... f " LEACU P,T r-OR '. WATER SCl2V 1GE, \`_ _��GRAVEL ter` I l 10T AREA ,� ,. �� \ , -- s woods 56254.9 S.F. `1 To�t✓i:1 DE I i �� ! 22 - P1ZC1P05 LIr=F\NITION T-BBER sT e- ' EXISTING ._ PROP08 ED �� 'Y-OP OF COASTAL Kam' ' sib!) DIRT ' GARAGE ARAG GAZcOO C3Ah1\h - 1 STORY 5 G 1 T , 1 x `- - TRASH BINFF-21.4' ,F. EX45T. 1 , `BLD Tp BE.RELOCATED �. 1 r. .�, W,AI+J x: ._ �J 1',gtD. , Tu Ltw6;h�Y�-JIT't ..•: i V - i ud'F.eie WEST 3�s.or is` - �x1sT,\nieLLFo\z *Field Data b Baxter Nye &Holm ren Inc. I I x'•..- IRRIGATION ON LY I N/F Y e Y g 1 7- ARTHUR B. PAGE TR. - RCMn2NT ' PLAN VIEW Abutting Property On Town.Wdter F,G. 21.5 Scale: 1 II= 401 ' F.G,20.0 The proposed foundation complies with the sideline and setback requirements of the Town of Barnstable nnand is not located in the 100 year Flood Plain. I9.O I7.O TEST HOLE ELEV. ZO,O e Top El. 18.0 ' 18.8 8.6 O LOANM 18 4 .�r: Bot.El. t5.0 :•cam•;: MZI 18.2 1 �I 6RN• COARSE SAND Beddin 6 117 Y R 5/3 2 Comportment,2000 Gal 9_os 5 12 Septic Tank.See Note B. Per Title 5 B e6RN'15H YEL. COARSE Bottom GrT.ound ate 10.0 SAND IGIM &14, No Ground Water �- 1 „ DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM 1 yb C LT. YEL'ISH ORN COARSE Not tOScale NOTES 120' SAND IOYR 6/y Rcv1510t4 �IT11-101 Ar>DED C>ARSAGC GRkriveR NO GRo\�ND WATMfi -- ® I. Water Supply For This Lot is Municipal Water. DESIGN DATA t3y SI1Ll wAN EtVG1*EEESi1NG INC. Ji Finish Grade 2.Location of Utilities Shown on This Plan Are Approx. Single Family-5 Bedroom 5 Y S; SEPT, 12/ 00 At Least 72 Hours Prior to Any Excavation For This With a Garbage Grinder `' { Certified Plot Plan Falter Project The Contractor Shall Make The Required�+ Fabric Compacted Fl11 ` Notification to DIG SAFE-1-888-344-7233. Daily Flow=I I O x5=500 GPD ' Septic Tank:550 GIRD x 200%=I IOO GPD. 'a 3.The Contractor is Required to Secure Appropriate Use a 2000 Gallon Septa Tank r, ep"'� Permits From Town Agencies For Construction See Note No.8 - Defined by This Plan. LEACHING AREA SITE PLAN Leachin4.Install Risers as Required to Within 12"of Finished 550 GPD/0.74=744 S +50%=1116 SF Required ` PROPOSED SITE IMPROVEMENTS Chamber 3/4•-1l/r, Grade. SidewalI =2(12'+67)2 t316 S.F. Double Washed 5.All Structures Buried Four Feet(4')or More or Bottom Area=12'x 67 = 004 S.F. C C a t '3 1 1 AT slam Subject to Vehicular to be H-20 Loading. .1120 S.F.Total Provided t 60 A G,: 7C VINEYARD ROAD COTUIT , MASS. (_ �'_0^ 6.Septic System to be Installed in Accordance With LEACHING CHAMBEf2DESIGN s 310 CMR 15.00 Latest Revision And The Town of All Pipes to be Schedule 40.Use t • ` s' FOR L J Barnstable Board of Health Regulations. 7 -500 Gal.Leaching CI•omber r ,"fr USA DRAKE ' CROSS SECTION OF CHAMBER 7 All Piping to be Sch.40 PVC. 12'x67'Washed Stone Field as Shown. "` SCALE• AS SHOWN DATE: SEPT. 12, 2000 ..:NOT TO 3uLe. 8.The First stCo Shall be 2000 Gal.,2 Compartments. - ENGINEERING INC. The FirstCompariment Shal I Have a Volume of Not - Less Than I100 Ga1.And The Second of Not Less Y SULLIVAN E N Than 550Gal. OSTERVILLE , MASS.. _ - 20045 r t o Q 00 It O r r 2014 SEP 12 AIM 0 06 v, u ra exisT� � W o U � m � E a ALIGN EDGE OF NEN I"=( �STAIR WALL KITH FIRST RISER i0 EXISTING LOP- . __________________i Q �. ...._........._..._...._.._..__..__ AjS I I m 3 DN ADN 36dd M u ___ OU61 TILE I _ .RAILING L NDI IT NG \ ------------ LL o � Q c� ADH-26ad T9 MALL o BATH ADN-,bi-1- ; ; N YERIFf Ex STING2-151/T Iu� I� DORMER NINDONS :`v y III, STMAGE Q - g�2S nt 6�v�aZ - BALGON 1 4-D IUEE I •---- - _. HALL TrnJ: 35�lrz- — i - a'-e• 31n_' s-4• 0 , 3,a➢ o�vY �sx� m S6'x36'xlb' -___-__-__ ^ : ORE t�d ADIF36aJ 3'-0' - �f I I ' Vc F N/Exl Tl G . '" .00-grz vuNDDNs W 111 Q I I I 1 � g - STUDY/DEN , F ADN-6 a y LU Q------------- o ----`------ = I I ! = o W .WH-�b+iOPm'.,21LING F tu Q V ' I r VE41FY 'STING Z - pORNER rVI1mOT6 ' w 1U Z 4 � v > O I I m ; Q O O n ----------------- ° U r LL 1401 tle[a .LNE.I,?O14 10'9' la'd' cola A5 NOTE. O tlrewn OPERATOR i F I R S T FLOOR FL AN S E C O N D FLOOR PLAN SCALE: I/4' 1-0" 5CALE: 1/4' I -O' ay. ay. a a A-1 a o h F' f' o 0 0 _ O ap Q o n OD ] 0 rt O•t� 0 $ a+ II IX3 RL.5WN6LE5 T.nE. s I M rV*I, W /IXE RARE/ FASCIA -C.i'N LES T.M.E. — —— —-_IKj LASI 0NG$ . T%GORiFR BOARDSIE V P CUSTOM R.G.RAtUN6 � �yI ————————————— ———— — ——_——m O RL.SHINGLED BASE yy M TO BALCONY x v cd REAR ELEVATION SCALE: 1/4' I -O �o dx�m€��Do,onov�s� ss�ava I6N NEA WRMERS IGN t✓FJV WRtECS IGN NEw OORtffRS W LU WOG�RS ISPN6 GARAGE W ISLM6 GARAGE WI 515PN6 6ARAGE aw \ Q TRO MATGHAEA 5TNGLES 12 Z O .z^ I,e3/1K8 RAKE/ = V, FA IA �(� .` MATGN OOW-'E¢$I�i, O U) V O ——— —————————— —_— PROFILES.TNM AND AC.SHINGLE$TIE. WL.SHINGLE$TIE —— —— —— —— —— —— _——— DORITCR50N MAIN-SE —— —a4�V91N6i GFENI5TIN6 —— ——- f- 1 j T:gR1ER BOARD$ IX(q. BOAR F tu Q W ME TIE. QN Q W //LL \\ OfiiDM RC.RAILING • kb W O i WZ w _ —— —————— —— —— ——= —— L————— - --- --- ---- LU Qv o RL.�IwLEV BASE � � r X TO BuconY W i f f ! Job I scale AS WOTED RIGHT SIDE ELEVATION FRONT E L E V A T I ON v s � SCALE I/4" I'-O' SCALE: I/4 0 A-2 0 a O r1 �U H 0 j r1 Q RL.SHINGLES T.ME. 5/B'LOX RYW WD . 2X85 O Ib'OL. - - Tx` O - OD ID r �ALDM.DRIP EDGE py 1 X FAxIA P O N N N GUTTEK4 TME. LONT.SOFFIT VENT 7" U IX PR1EE ON IX H M ` X 1EAD LA51NG W V 1 U c N � � v U x LUSTOM RL.RAILING \ gc8��za�a,��Gygz, \ \ - LONT.RIDGE VENT O••v a O r" :. ' 2XI3 RIDGE 5S TME. S/5-B'CPX PLYWOOD _ 2rc95 a Ib"J.L. , RLEIEER MEl-BRh�E ROOFING - W OIJ W 5B WO'LDX PLYWOOD IX MAHOG.DECKING OL ON 2X TAPERED r EEPEFZ5 F 2X10 RfOGE SIMPSON H25 i�1LH I 2XI05 a v RAZCZ Z Ib' R-30 F5.Il�. O L , LJ 1 F ..� \ IX TRIM ON IX BLOCKING w000 GUTTER TIE. Z Q O ✓N IX FASCIA + O w 12 x 30 STEEL In-LDX�F1YwD A JU nQ� \ 1q KNEE WALL 2,S FG.I01 IN'LL.. W.L.'J1 LE5 TME- - W J \ TAPERED 2.X F\ �yII F-- W AT BALCONY\ EX I PLYWOOD J A 1 {— \ I/2'GDX PLYWOOD / E%ISTIN6 2xB5 a lb'OL. Q7V Q W \ - r LIhTOM RL.RAILI.WiS L,Un S/B'FL.6YP.BD.ON LU 2X15 a Ib'O,L.T.ME. , ? - - V Z IX35TRAFPIN6 _ Q/ - \ - w 2 X 30 5TEEL 5 .Q.n v O 6E::N 5D5— -.. V r W ---------- --- .n Job ro.: 1.101 dace ,LNE 21,201a METAL TIE-DOMPI STRAP' AT BALLLNY wALI 5LLL TO ls A5 NOTED TOP PLATES OF EXI511N i cd tlrdun OPERATOR I D E T A I L a SCALE 1 1/2- = 1'-0' S E C T I IV 7 SCALE . 1 / 9 I' - O - A �rA O V/ � 0 C p r � � r 0 � U � z '7 c? U) w q F U a ' F E v 4 W6V POST _ I�.I v _______----__-._ mow/ n m/ I 2fd5 B 16'O.O. V (2)13/4%l V4 LVL — 2x85 a VOL. (2) (2) .Io- — _ y �e 0 2xas�16roL. � �gF'9'zm N�.`P �3I2'x 31/2•� y�ucid�� W L Z Q o �.LuLU o �o W Q �� QN QUJI o • _i NEW POST - ----------- — , �. Zb w Z Z Q NDNPOS X 1 � LVL I¢AOER ILL Job no.: IJOI tlete JIt.IE 21,201a tale AS NOTED tlraan OPERATOR I 5 E G O N D FLOOR FRAMING PLAN ROOF FRAMING PLAN O- SG AL E I/3' I -O' ev. 0 -4