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0047 BARNARD ROAD - Health
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'2� , I 17711 RUM ff 7n, IT i§ ISAR ARMk ;),I- e`ffllbom, t 51 �71 ;ZA I�U y Q vA, ,, % ---.. 1011 1-r;ll WM'Fillo;.l awl FRIMIm.......... I-�S ;� ;IMAIIA�T� 4P A 4 T WNW "i"Uil, W 2 == " TOWN OF BARNSTABLE rJ(-CATION n 2t'� SEWAGE #�b ®� _VILLAGE �Jyl � ASSESSOR'S MAP & LOTp39,-37 t c�<'33sy ' STALLER'S NAME&PHONE NO.�"1��` UIJgCG u q Can SEPTIC TANK CAPACITY /"ro® N 10 LEACHING FACILITY: (ty ) 3-S00 4 10 (site)-3 3'n� X J a '9 3 NO. OF BEDROOMS BUILDER OR OWNE/R 81921 arc R O(X a L •L..0 .�o)de 69A Qol)d. PERMITDATE: I ����(e> COMPLIANCE DATE' Separation Distance Between the: Maxitrtum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge:of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Ei��a e BA�k ,sue. g ►sow ��� - � � m 3-s0-0 eta s s a8 � Da No._ ' � ,,. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye Application for Migonl *p6tem Cowgtructiou Permit Application for a Permit to Construct N Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No.y-7 Uwner's Name,Address,and Tel.No. ' Assessor's Map/Parcel �� f 0Y1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.11C, &V k�_fi � Type of Building: Dwelling No.of Bedrooms L Lot Size 16 S sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers(x ) Cafeteria( ) Other Fixtures Design Flow(min.required) Liyd gpd Design flow provided LAS-7. gpd Plan Date F6k 9 .�NZ7 P Number of sheets Revision Date IA Title OO- �V-e— Size of Septic Tank 6® Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the constr maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the n ' ental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board Sig q Date Y 14 Application Approved by e Date Application Disapproved by: Date for the following reasons Permit No. Date Issued X 41 �,;�--ice-!�= t No. Fee THE CtOIV" NWEALTH OF MASSACHUSETTS Entered in computer: .PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Ye ZIppYtcation for Migolgal *pgtem Congtructton permit � ^ Application for a Permit to Construct N... Repair O Upgrade O Abandon O Complete System ❑Individual Components Location Address or Lot No.LO 9,o-ry\#,r d DSA u v,.l I e, Owner's Name,Address,and Tel.No. Assessor'sMap/parcelr.} 1p� 1 raj f� J Installer's Name,Address,and Tel.No. t Designer's Name,Address and Tel.NoZ� �Y�Q,f 1nS .AD. 0 Z. n _ Jk Type of Building: - Dwelling No.of,Bedrooms L' Lot Size 161,5S sq.ft. Garbage Grinder ( ) Other Type of Building i/1 No.of Persons Showers Cafeteria Other Fixtures Design Flow(min.required) LjL-AQ gpd Design flow provided HS1. ($ gpd Plan .Date L a Number of sheets Revision Date N Title ro O. Size of Septic Tank Type of S.A.S. Description of Soil .. N Nature of Repairs or Alterations(Answer when applicable) Date last inspected: y. Agreement: The undersigned agrees to ensure the constru ji,� maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the n / rhental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board_o Signe \ //I/i/l� � %�-�; Date �q Application Approved by /� O / fl Date Application Disapprovedby: �-v Date for the following reasons Permit No. ..� Date Issued " n _ r r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance -� THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (,;K,) Repaired ( ) Upgraded ( ) Abandoned( )by S3 1 ©t (� at ca has been constructed in accordance / -O dated with the provisions of T,,itl ,S and the for%Disposal System Construction Permit No. Q606 C) Installer dA DesignerI' Designer #bedrooms 'r Approved design ow—' ail0 gpd The.issuance_,of this'pe tt%'sh 1 not be construed.as a guarantee that the system will functio s •es-ig ed. Date [ ` Inspector --- � —��T" V�J �----------------------- � — � ---- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC:HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Permission is hereby gran e"o Co truct ( pair Upgrade=((�j ) Abandon t( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction mu t be completed within three years of the date( this pe DateApproved A roved 6 c� �•t" 1i rr MFBt�15-2006 06 :22 PM JCENGINEERING 508 273 0367 P. 02 02/26/1994 02:75 5EE-79e-1579 •J.P.MACn-MBER & 50N PAW 9S 14, 6 S Town of Barnstable Regulatory Service 1 Thomas F.Geder,Dlreater public Health Division Thomas MdCau,Dh*Mr zoo Main$bwk 0"um s MA 02601 n01ae, SO 4ft-16M Pam: 346.7941.630A III_A Dwh= Dates 1 r I Das er. 5G Y� i _ Installer:. 8e i1aC �,10.. (a k�ck � 5 �i� — '� A.ddrMs: ) g 5�' Gtahloe rr Ids L,wQY Address: E, uia«.parr H.h az.s3`� �►cln �'a$-$��-�$�lQ on a� LL /I V D !x'/l I L Lt0. (02. was issued A permit to inBteil V TdihT !� a system �!Y 7 3arn&r8 9WA based on a dedp dm wn by �G ["n'�trreer,n 1Y�C . dated i�b . `� 2.00 3 1 tl>at the seio systani referEnced above was installed aubstantidlly acoordit to the d whiab may include minor approved changes such m lateral relmdon o the distnbuaon box mWor septic tank, i ow* lost the mrda system refaaa W above was installed with rot or chaqu (i.c. smater than 10�labial relocation of the SAS or any vardcal relocadou of any compouM of the septic;05t04 but in accordance with Suitt&Lacal Regulations, Plan,rrmioix or centtd is%b t by designees'to follow. iaHN L, CHURGMILL JR. er s ire 41L gm�c a es ice' 6 a BY T Ut Q; 1tilBrotlalD�sf�er Can Form ' .MARr15-2006 06 :22 PM JCENGINEERING 508 273 0367 P. 01 - - FACSIMILE COVER SHEET JC Engineering, Inc. Civil &Environmental Services Telephone:508-273 y0377 2854 Cranberry Highway Facsimile:508-273-0367 East Wareham, MA 02538 TO: Paul(Bevilacqua Construction) FAX#: (508) 833-6359 PH#: (508) 8334899 FROM: Michael Pimelntel,E.I.T. DATE: March 15, 2006 PAGES (including Cover): 2 RE: 47 Barnard Road,Osterville,MA Certificate of Compliance Paul: As discussed today,please find attached the Certificate of Compliance executed by our office. Please fill out accordingly and send to the Board of Health for approval. Thanks. SCE 0995 Cc: Jesse Caprio(fat;: 508-420-7327) The messw is intended only for the use of the Individual or entity to which it is addressed,and may contain infoftnation that Is Privileged, confidential and exempt fmm disclosure under apolcable law, if the reader of this Message is not tre intandso redplent,or the employee ar agent reepansl*for delivering the message to the Intended recipient,you are hereby notified that dlsaeminatlon,disbibutlon or Copying of this communication is strictly prohlbtted. If you have n>► K*d this communication In error,please no*us immedlateiy by telephone,and retum the original message to us at the above address vie the U.S.Postal Service. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �C(�J LI DATA N m IL 87 M talc-hc Ci CL t I J c�l -hc L I •�'L 118 ca-lc-hc [J�] talc-lc V y•- L9 z _ w �. -8 J i �.� c. '°- Ca�C—�C Y a W o U „M�i� i+f1 e,r::i:'1� '• 'ir4 p::i 5�;��y L���.. J � N COLIC-Ic m N m m ' N � M - 1 Town of Barnstable pit TaE rOw o Department of Regulatory Services �,S A13 E,: Public Health Division Hate_., 4 � 16 q Sao 200 Main Street,Hyannis MA 02601 prf°MPS� Date Scheduled 2 -7 - 6(, Time /0 A M Fee Pd. _ soil Suitability Assessment for Sewage Disposal Performed By: 1((c(n°e 1 P medtle( EIT CSE Witnessed BY: o ld R-S_ LOCATION&GENERAL INFORMATION Owner'sNamd 30rnarA Loca[ionAddress Rand L( L �/7 Zacnocd a PO ?oOK lat1 Os4e�u:l�l !tA Address w. f�lwout4 }(A d2�7`I Ma earcek 3- Engincer'sName Assessor's Map/Parcel: Q l3� NEW CONSTRUCTION 1?-1 REPAIR Telephone# sc 8-273-o 37 7 Land Use s,,)1e Fcvr,�(y / (e5rde ll(.J Slopes(%) 4 Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line I ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to.holes) See_ CJJQ(:lrteCk eIeoi e,nkit(eW " Qro�osed Sr`ie ��ort" lbCafed of y7 bomord (Load Osk�utlle t t1A �p�ed [eloruac/ 9r ZQo 6 'u - kwa5�l -7 Parent material(geologic) OU Depth to Bedrock Depth to Groundwater. Standing Water in Hole: 7 120 b.y.5. Weeping from Pit Face 7 120 lay S. Estimated Seasonal High Groundwater l20 t logs DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: D`recA Obstru�i4cty 7 l20 in. Depth Observed standing in obs.hole: 120 in. Depth to soil mottles: Depth to weeping front side of obs.hole: 7 l 20 in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level— PERCOLATION TEST, Dafe 2`7-06 Time /d ab Ary Observation Hole# Time at 9 _ Depth Were 31, 57-' 30- /b Time at 6" Start Presoak Time Q. 10:/0 A N /o 2 5 AY/ Time(9"-6") ------------ End Pre-soak /d:170 n /0:31 A H + 4 Rate Min:/Inch /- 2. 2- Site Suitability Assessment Site Passed X Site Failed: Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back--- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:I-IEALTH/WP/PERCFORM , / DEEP OBSERVATION HOLE LOG Hole# i Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenev.%©ravel)_._ 31--120 G . !t5" 2.5 Loose. DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) y_3a Ls ivyrs/8 3v i24 G N5 Y6/(G G dos e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenev%Graven .. d DEEP"OBSERVATION HOLE LOG Hole# Omer Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency%Gravel) w. _ Flood Insurance Rate Man: ' Above 500 year flood boundary No— :.Yes X within 500 year boundary No Yes r s r Within 100 year flood boundary No X 'Yes Depth of Naturally Occurring Pervious Material pervious material exist in all areas observed throu e ghout the Does at least four feet ofnaturally occurring p area proposed for the soil absorption system? Y 5 - , If not,what is the depth ofnaturally occurring pervious material? Certification certify ction and that the above analysis was performed by me consistent with that on /0`27-9 9 (date)I have passed the soil evaluator examination approved by the I c Department certify that of Enviromriental Prote the required training,expertise an perience described in 310 CMR 15.017. `.4 Date 2-7`66 . Signature Q:H EALTH/W P/PERC FORM TOWN OF'BARNSTABLE LOCATION d SEWAGE #Q 0 a _ VILLAGE OS+C-2f-t dk— ASSESSOR'S MAP & LOT,39 s " INSTALLER'S NAME&PHONE NO.i ,3 i Ct CG'is g con• ' 3 3-y q SEPTIC TANK CAPACITY 10 LEACHING FACILITY: (ty ,) 3-900 ,410 (size)�3. 5-0 X 1 NO. OF BEDROOMS IT. BUILDER OR OWNER f3Arg pLr-J /�o c a L <L C ./O)d PERMITDATE'. COMPLIANCE DATE: �*/4A 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 wtthun 300 feet of leaching facility) Feet Furnished by e se- q f ® 0 t • 117�, ISo� �ll� 3-Sco 4to 9 • a y 1 Q.,. /1 16" s aS b Y r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION A Aly � ,e • - 222 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 47 Barnard Road j Osterville MA 02655 ^' r Owner's Name: Peter Coffin Owner's Address: P.O.Box 1011 West Falmouth MA 02574 Date of Inspection: June 18,2005 Job# 05177 cr>E co CII I - . Name of Inspector: PATRICK M.O CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD N � MARSTONS MILLS MA 02648 0 Telephone Number: 508-428-1779 rn 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 m training and experience in the proper function and maintenance of on site sewage disposal systems. I am a approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: F.44 _XX Passes G Conditionally Passes = P IC m Needs Further Evaluation by the Local Approving Authority 'C N 1 Fails .• flip Inspector's Signature: Date: June 18, 2005 ''�i,�FSINSpEG;���`` 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. Notes and Comments: Cesspool structurally sound; overflow has a well defined stain line 16-18"below inlet pipe.Cannot determine higher stain lines due to old discolored blocks. ****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 I Page 2 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _XX 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: Y T 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: Tit1a C inonortinn P^r 411;i)nnn - 2 Page 3 of I 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 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: T41P G Tnv—^tinn P^r ail;nnnn 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool —X— Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow —X— Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Q Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. —X— Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. X_ 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 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 Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no 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. T41A G incnantinn Rnr Aii ci,)nnn 4 III I Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin = Date of Inspection: June 18,2005 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: t Yes No _X_ Pumping information was provided by the owner,occupant,or Board of Health _ _X_ Were any of the system components pumped out in the previous two weeks? _X_ Has the system received normal flows in the previous two week period? _ _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _ N/A Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS, located on site? _X_ _ 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? _X _ 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 _X _ Existing information.For example,a plan at the Board of Health. X _ 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)] T;t1a C 1nenantinn Fnrm//I ei,7nnn - 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 Number of current residents:0 Does residence have a garbage grinder(yes or no): No " Is laundry on a separate sewage system(yes or no): unknown [if yes separate inspection required] Laundry system inspected(yes or no): N/A Seasonal use:(yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): 2003—24,000 gal.2004—39,000 gal.=86 gpd. Sump pump(yes or no): unknown Last date of occupancy: Summer of 2004. COMMERCIALANDUSTRIAL 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: No pumping records. Source of information: Owner Wass stem pumped as art of the inspection y p p p pect on(yes or no): No(Both cesspools empty.) 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 —X 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: 1955+/- Were sewage odors detected when arriving at the site(yes or no): No T;No 6 r Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 BUILDING SEWER: XX (locate on site plan) Depth below grade: 61' Materials of construction:_X_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: No (locate on site plan) Depth below grade: - 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:- 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 were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP: No (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.): T41.G T.vn t;nn r^ul ci,)nnn 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 TIGHT or HOLDING TANK: No (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: No (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.): PUMP CHAMBER: No (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.): r Titla C incnartinn Rnr 4ii aiinnn 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: " leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions: —X_overflow cesspool,number: One overflow cesspool. 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.): Blocks are intact.Observed a well defined stain line 16-18" below inlet.Blocks are older and discolored making determinin higher historical stains difficult to determine. CESSPOOLS: Yes (cesspool must be pumped as part of inspection) (locate on site plan) Number and configuration: One with overflow Depth—top of liquid to inlet invert: 5' Depth of solids layer: 0" Depth of scum layer: 0" Dimensions of cesspool: 6' dia. x 5' depth below inlet. Materials of construction: Block Indication of groundwater inflow(yes or no): No Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation;etc.): Blocks are intact,cesspool empty at time of inspection. PRIVY: No (locate on site plan) -- Materials of construction: Dimensions:. r Depth of solids: Comments(note condition of soil,signs'of hydraulic failure, level of ponding,condition of vegetation,etc.): TitlA S Tnenr+rtinn Fnrm Oil,;rmnn 9 r Page 10 of 11 a a OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Barnard Road n `` Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 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. Barnard Road Water service' Driveway 60 36 29 22 T41.C ►ncnart;— rnrm A/i v,)nnn 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Barnard Road Osterville MA 02655 Owner: Peter Coffin Date of Inspection: June 18,2005 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water: More than 20 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: Checked with local excavators, installers-(attach documentation) _X_Accessed USGS database-explain: USGS topo map and town GIS You must describe how you established the high ground water elevation: Town groundwater contour map shows water below el.5 and topo map shows property above el.35. Land elevation el. 35.0 Cesspool 7' Y F El.28 23' + Groundwater below Titles S Incns.rtinn Rnr 4/1 G/innn 11 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION—:,�-" I APR 2 9 2003 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 47 Barnard Road Osterville, MA 02655 Owner's Name: Lisa Hij&ins Owner's Address: I Flyaway Pond Drive N. Easton, MA 02356 MAP Date of Inspection: September 6, 2002 PARCEL3 -�- Name of Inspector: (Please Print) James M. Ford LOT Company Name: James M. Ford Mailing Address: P.O. Box 49 OsterviUe,MA 02655-0049 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 15340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: April 10, 2003 The system inspector shall sub 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. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART'A CERTIFICATION (continued) Property Address: 47 Barnard Road Osterville, AM Owner: Lisa Mizzins Date of Inspection: April 7, 2003 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: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 47 Barnard Road Osterville, M. Owner: Lisa Higgins Date of Inspection: April 7, 2003 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 io 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 s- Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 47 Barnard Road Osterville, M4 Owner: Lisa Higgins Date of Inspection: April 7, 2003 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 '/2 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 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is 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 I1 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: 47 Barnard Road - Osterville, AM Owner: Lisa HiiNins Date of Inspection: April 7, 2003 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 ? n/a 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)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 47 Barnard Road Osterville,MA Owner: Lisa HiQQins Date of Inspection: April 7, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [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)): 02-14,000 01-21,000 gals. Sump Pump(yes or no): No Last date of occupancy: Unknown 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: Pumped approximately 2 years ago per owner 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: Original-date unknown 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: 47 Barnard Road Osterville, MA Owner: Lisa Higgins Date of Inspection: April 7, 2003 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: ✓ (locate on site plan) (Cesspool acting as a septic tank) Depth below grade: 6" Material of construction: concrete metal _fiberglass _polyethylene ✓ other(explain) Cesspool block If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: S'Wx 4'Tx 6'bottom to grade Sludge depth: 3" 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 baffler -- 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.): The cesspool was dry. Approximately 3"of sludge was present. The cover was 6"below grade. 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 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE'SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 47 Barnard Road Osterville, MA Owner: Lisa HiQQins Date of Inspection: April 7, 2003 i 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: Qallons Design Flow: aallons/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: None (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.): 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.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 47 Barnard Road Osterville, MA Owner: Lisa Higgins Date of Inspection: April 7, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: F Type leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: ✓ overflow cesspool,number: 1 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.): The overflow cesspool was S'Wx 6'T x 8'bottom to grade and was dry. The scum line was Y up from the bottom. There were no signs of failure. The cover was 2"below grade. 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 1 Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE-DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 47 Barnard Road Osterville, AM Owner: Lisa Hijuins Date of Inspection: April 7, 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. �r o a- B � 36 60 10 Page 11 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 47 Barnard Road Osterville, MA Owner: Lisa Higgins Date of Inspection: April 7, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 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- Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: The bottom of the overflow cesspool to!trade was 8'. 1 hand angered down on the bottom of the cesspool to 11'below grade, and no water was observed Using the Cape Cod Commission Technical Bulletin,the high ground►rater adjustment for this site(MI W 29, Zone A, 3103)was 0.9'. 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 or guarantees, either expressed,written or implied, relating to the system,the inspection andlor this report. I1 N Health Complaints 07-Aug-02 Time: Date: Complaint Number: 3592 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: TITLE V SEWAGE Article X Detail: Business Name: Number: 47 Street: BARNARD Village: OSTERVILLE Assessors Map\Parcel: Complaint Description: SEPTIC BUBBLING UP IN NEIGHBORS YARD k Actions Taken/Results: SPOKE WITH NEIGHBORS, THEY SAID USUALLY ONLY THERE ON WEEKENDS. WILL MAIL A LETTER, HOPEFULLY THIS WORKS, IF NOT, WILL ATTEMPT TO GET ACCESS TO PROPERTY AGAIN. ON 8/05/2002 DS & SW STOPPED BY AGAIN. RENTERS WERE THERE, BUT LEAVING, THEY SAID NO ODORS, NO PROBLEMS FLUSHING ETC. THEY GAVE US PHIL MCCARTIN'S (RENTAL AGENT) PHONE NUMBER (508)428-5775 DS SPOKE W/ PHIL. SAID HE USED TO PUMP AND WORK WITH HEALTH DEPARTMENT, AND SAID HE WOULD KNOW IF THERE WAS A BAD SEPTIC. DS &SW WENT TO COMPLAINANTS HOUSE. SHE CLAIMS SHE COULD STILL SMELL IT, THOUGH, MYSELF, SAM, AND HER HUSBAND COULDN'T. SHE SAID HER SECRETARY ALSO SMELLED IT THAT AM. HUSBAND SAID HE HEARD GURGLING NEXT TO THE HOUSE. THERE IS NO SEPTIC PLAN ON FILE FOR THE 1 Health Complaints O7-Aug-02 HOUSE, BUT I USED MY BEST JUDGEMENT BY LOCATING THE VENTS ON THE ROOF, THAT SHOW THE MAIN SEWER LINE SHOULD BE COMING OUT OF THE MID- REAR OF THE HOUSE, SO I HIGHLY DOUBT THE LEACHING WOULD BE LOCATED ON THE SIDE OF THE HOUSE, ESPECIALLY WITH THE CLOSE PROXIMITY TO PROPERTY LINES AND/OR FOUNDATIONS. IF ANOTHER COMPLAINT IS CALLED IN, MR. MCCARTIN WOULD LIKE TO WALK AROUND THE PROPERTY WITH THE COMPLAININT TO SHOW THAT IT PROBABLY ISN'T HOUSE SEPTIC HAVING PROBLEMS. Investigation Date: 7/31/02 Investigation Time: 3:00:00 PM 2 s �.�- k # 4 TOWN O/�F BARNSTABLE LOCATION �7 &rna:d r SEWAGE #'�To SP4A&1vt VILLAGE ®S `�'r`" ASSESSOR'S MAP & LOT IN 'S NAME&PHONE NO. r''GfC®Co cu 11 �(Lfv- 1-779 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �Sf/�Gf 4>�©��✓ � (size) NO.OF BEDROOMS BUILDER ORC�<'�`rtr 4T n PERMIT DATE: DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 60 5° 4 ` �ro�� L, � D TOWN OF BARNST.�BLE U5CATION — 7 1�801 ArG) R SEWAGE # VIb,LAGE O,3T2.rVt ASSESSOR'S MAP & LOT 1307 O "INSTALLER'S NAME&PHONE NO. Z SEPTIC TANK CAPACITY CWJ2 '6 LEACHING FACILITY: (type) CQ % Oo) (size) NO.OF BEDROOMS 3 BUILDER OR OWNER ' I'►S4 1411SSt^S 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 leachii g facility) Feet Furnished by T'4 ER ,or, 7. FOf ��o^ ��' a�► a- � B � as aq ,i � 36 60 � . PLAN FOR NEUJRESIDENCE AT CARROLLRESIDEN,CE 41 5ARNARD ROAD OSTERV IL.E, MA 02655 DRAWN BY: ® ® ` { BUILDING' CO. I(o00 FALMOUTI4 ROAD • CENTERVILLE • MA • 02632 PHONE: 508-428-3200 FAX: 505-420-1321 EMAIL: INFOOOL DECAPEBUILDERS.COM OWNER OF RECORD: MR. AND MRS. JONN M. CARROLL, JR, 1 BERNARD STREET WELLESLEY, MA 02481 INDEX: A-1 FOUNDATION PLAN A-2 F/RST FLOOR PLAN A-3 SECOND FLOOR PLAN A-4 FRONT ELEVA T/ON A-5 REAR ELEVA T/ON 4-6 LEFT ELEVATION A--I RI614T ELEVA TION A-8 SECTIONS ASSESSORS MAP/PARCEL A-9 DE7AIL6 TOWN OF BARNSTABLE - I39/031 � Q=10 FIRST FLOOR FRA1'9/NG PLAN -11 SECOND FLOOR FRdMtAIC PLAN ' REGISTRY DOCUMENT NO, BARNSTABLE COUNTY - I&S443 1 - - CR m BT. RC . ' .- -._.._.___•.__ _. CHECKED BT: RC •D/2oP b'FDR ILKA TYPE;'C'. N � Z �i W O O Q L m M 'o .9 • � api W m r � O U. Z? d W v U (� u U O m Lu \ ............ --------------------------------------------------------------- _ Q W LL B'x 4'POURED CONCRETE 0'x 0'POURED CONCRETE WALLS ON]O'%K)'KEYED FOOTINGS WALLS ON]O•X Ib' KEYED FOOTINGS O ' Q 1'IHICK PAD' 'O a , - FOR CHIMNEY, - - - l Q , GARAGE e'-lo' ry COLUMN PAD6 --- - -- tu PITCH -- _ • _ e O LU -1 - ------------------- ________ ^� AR DRILLED•GRCIIT�O ,0. • R a •� C O ,A / l , • ' POURED CONCRETE BLAB , v , • . , . . W/b LY • • ' X VAPOR dB BRIER PO ILL IF _._ `DROP O'.DOORS•� � . Q DATE: A I/23/O6 b'.3• a-3• . . SCALE: PROJECT NO. z bs-0, 200&003 SHEET NO. FOUNDATION Pl-AN • SCALE V.'.Ib" COPYRIGHT OLDE CAPE BUILDING CO.,INC.2004 NO. IOF 11 • DR4WN CYO JPC E-0.. �-0 CHECKED EYE FL -- - ---- ----- -------- MASTER Q o $ BEDROOM PINE a � S • Q L U W W MASTER �•i // Oi W _ BATHROOM ( V7 Z-4 z!UU U d n•-w•x9-s' o - i W m m i ru_E �Z N D w � O o � :m! aOzXe �u0 o � a LL W Q LAUNDRY KITGI-FEN PINE ; S ' - _----------' -' GREAT ROOM HE Tu Q •. - a (211 , v __••___-•___u�i]xa50T�BFAn-_•. � •: - - w 2-CAR N U_ GARAGE .m . MUD __'--a___ z�,• - '� w O ROOM 1 s'-0' --------- _ (L Cl v Q PINE _ POWDER ROOM � O Q U,j ,� 3-0• _____ ___ DINING ROOM ____ __ � PINE ---- - OFFICE 1L V r PIKE • O - 9.-0. PINE 5-0. iQl2tab W1aa6 Tll2ddb Wlaib DATE: _ IR3/06 SCALE: 76�-3, II'-b• 6:3• �' y.-d.. - ]'6.. 3'E. 3'-ti i'-0• �:-0., s.�,. s'w .. PROJECT NO. 2006003 eeb'. - SHEET NO. 15T FLOOR PLAN —LEA 1/4•.t-0" 1a04 80.FT. _ COPYRIGHT - OLDE GAPE BUILDING CO.,INC-2004 NO. 2 OF 11 . GRLWN BY. RL )4'-O" ¢'-0• � E O' LHELKm BYE. RC z rc � o tt U, o a t Q _ ROOF 5E m • L ai w w J O Q //'L Q• m r m ( u; zvra z U U O m U �? u0i� e RE a Z X p ,unae we44 - Tur.44 T _ �, OQ' 3 O u: z J F a a Lu LL W O BEDROOM-1 BEDROOM-2 O G�) � CL09ET •O � •. . - V 4'p" 4 PLAYROOM 4'-0 llJ � �Q cv 0 O F BEDROOM-3 - � wtu a/ BATHROOM _- _ _— Is'-rxlo'-lo• - ,Q E PINEILL O Q > p � �p ------------------ OPEN TO ,waa] T-- 4 � • LU U O DATE: Ic'N; 3'c• Ic'-� 1/23/06 ]4'-0" B'-0• d'.9• 5'-3" 9'-4y" 5'-3" 3'-4 h• 5'-3"b 4'-2" 4'-0' • 5CALE+ bs-0' PROJECT NO. 2006003 SHEET NO. 2ND FLOOR PLAN . - COPYRIGHT •- i ,, OLDE CAPE BUILDING CO.,INC.2004 NO. 3 OF 11 • oRcwH®r: me ' - � � CHECKED BY: JPG _ �ry W B W . Q p Q t M IF U W W J Q p uw, P m zlz- 0pmpLLI Ln Q W Q =LL 0 e J - J � LL W �E3 FTT rrr FRONT ELEVATION lj 4 J -1z � IY QC r W • UFO DATE: I/Z3/06 SCALE: • PROJECT NO. 2006003 SHEET NO. - I - A4 COPYRIGHT _ OLDE CAPE BUILDING CO.,INC.2004 NO.4 OF 11 DROWN BY: FG BY: RG Z W 8 I 1 W Q Q N W W Q /.�. Q^ K1 r III j /1A W m 0 W Vi.W �Q . • � I U m pmp U • • _ ® I GIz O m�h�`1.��1 R=LL O IZ z p i L Q � L LL W Q r I � R LU a) Q r O Q O Lu � dLU REAR ELEVATION } • ♦ .. • w j w • - DATE: - 1/23/06 SCALE: PROJECT NO. . - 2006003 • SWEET NO. - COPYRIGHT OLDE CAPE BUILDING CO.,INC.2004 NO. 5 OF 11 ' DRAL'IN Bl'� RL LMELKm BY. RL 0 o W T V W � tt - S O -- — w w J z�q� • I u' w � a Z;000�U oZ m 0 a ` m. azXO a d Z E a A w LL w O 0 S LU _ O W O O Ali Q . W a W Z JJ RIGHT ELEVATION DATE: 1/23/O6 SCALE: PROJECT NO. 2006003 SHEET NO. & COPYRIGHT OLDE CAPE BUILDING CO.,INC.2004 NO. 6 OF II DRdWN Br� RC / GNELKEG Bl', RG ' to K r a Q 'o 0 � c O - a O L U /n ,,AOJ '0! w�puml zw �' d Z! a z_U O O O O Q 0 LL a i z O L a LL W O W Q LD ' p w O O du), w dui O > w Q! (Y LEFT ELEVATION w SCALE:Ila`.1'-0'• (� Y u O ' DATE: 1/23/06 SCALE: PROJECT NO. 2006003 SHEET NO. Al COPYRIGHT OLDE CAPE BUILDING CO.,INC.2004 NO.1 OF 11 DRAwN er, JPc LHEGKFL BY: RC - -]X ID RAFTER6•16'O.C. 12D - -9p YEAR ARCH.SERIES BHINGLEB - -OVER IY FELT - -OVER 5/B'CDX FIR GNELTHING ' t I i]X B LEILIN S•16"o T : _ R-2A BATT INSULATION ` �\\ -PROPER-VENT INSTALLED AT FAVEB 0 F Z K LU + ACM.OFF,ED(.E ., CONT.ALUMINUM K FASCIA , 10 FLOOR b T6•W"o.c. -I%S SOFFIT - _ CANT.BO-11 VENT In' FOCI` I X 10 F - SHEET - RI -- W O -OVER I X a STRAPPING + -OVER 2 X B CEILING JOISTS•tv'o.c. , ASPHALT SHINGLES ON c R__INSULATION --ITS CEDAR`EMRA'S t_SS 5/B"MIN.PLYWOOD SHEATHING -OVER TY MOISTURE BARRIER ON APPROVED ROOF TRUSSES -OVER vP cox FIR SI4EATRING - - OR WOOD RAFTERS(SEE PLANS) -OVER 2x4 SIDS AT le•0.c. - USE"H"CLIPS IF SPACING 24'O.C. -W/R-B INSULATION + N1 O -W/4-MIL VAPOR eaaRIER w/ - - ` ROOF VENTILATION 1:300 OF THE INSULATED - tn`SHEJ=TRocK O • CEILING AREA UNIFORMLY DISTRIBUTED O 11/4`1.FIR PLYWOoo - EAVE PROTECTION TO EXTEND FROM THE EDGE OF Q O __ _ GLUED ANo NAILED 11 THE ROOF,36"UP THE SLOPE BUT NOT LESS THAN 12"BEYOND U s ;111t1! 1 1 I �{ 11 11,1 I 1 Ifl 1' 1:%10 FLOOR bIST6.6"o.c. THE INTERIOR FACE OF THE EXTERIOR WALL BAFFLE AS REQUIRED FOR ROOF VENTILATION ((�\�� W W [ \ ALUMINUM GUTTERS - '- •ilJ 1 O^ I""XB"FASCIA - � Nl m ' 1" "SOFFIT W/VENT J/ D XB I w O 117 BED MOLDING ON FRIEZE _ • ! V, Z IL q e-coNCRETE wcl_ON rrrRODFmG FRAME WALL CONSTRUCTION >N.LONCRE-E FILLED O'k]O'KEYED FOOnNG ' FINISH AS PER ELEVATIONS TYVEK OR EQUAL HOUSEWRAP BA5E5OA WHITE CEDAR SHINGLES X 2' 4 WOOD STUDS s IS"O.C. Z .—ACT FILL FLOOR x O 4 CONCRETE SLA6 OVER FIN SH I RI3 INSULATION 4 CONT.6 MIL VAPOR/AIR BARRIER /w' O Q 3/4"T 4G PLYWOOD SUBFLOOR OR INTERIOR WALL FINISH a(LL z -- -- APPROVED EQUAL ON WOOD F OOR DOUBLE PLATE AT TOP W/SOLE PLATE AT BOTTOM _ z . - JOISTS (SEE PLANS) WALL WITH 1/2"DIA.ANCHOR BOLTS EMBEDDED A9 FINISHED FLOOR P-T,SILL PLATE FASTENED 70 FOUNDATION O J S SILL SEAL BETWEEN PLATE 4 FOUNDATION WALL J E SECTION A A Q H ER JOI ST LL Ll CONTINUOUS MIN ISININSIJL. O EXTEND VAPOR O BARRIER AND 5 TO J01 �D AND SUBFLOOR JOISTS TO BE BRIDGED WITH CO INUC SLOPE GRADE AWAY FROM BLDG. I"X 3"STRAPPING OR 2"X 2"CR SS BRIDGING OR SOLID 13 6'-" S"POURED CONCRETE WALL BITUMINOUS DAMPROOFING 3 ROWS-'S REBAR(HORIZONTAL) ON POURED CONCRETE FOUNDATION WALL WITH < 1 ROW-•4 REBAR•4'.. (VERTICAL S FOR A TAR OVER POURED CONCRETE FOOTING '• v SEE PLAN SIZES - (POURED CONC.WALLS TO HAVE HOLES FILLED WITH ' CEMENT MORTAR OR DdMPROOFING) AIIM orzP EttE DRAINAGE LAYER(OPTIONAL-NOT INCLUDED) Z 4 -CON'.ALurnNUM GUTTER - -MIN.3/4"MINERAL FIBRE INSULATION r W O O -1 x B FASCIA WITH A DENSITY OF NOT LESS THAN 3.6 LB/CU.FT, 0 - %B CEILING JOisra•Iv"O.c. - BASEMENT SLAB 7r--00 OR MIN.4"OF FREE DRAINING GRANULAR MATERIAL, 4"POURED GON RE7E S CONT.SOFFIT yENT 2100 P.5.1,w/6 IL. ot POLYORAB.M.EC.APPROVED DRAINAGE LAYER MATERIAL zfFR ROLK -1 X b FRIEZE 3600 P-5.1.WIT IC A STRAPPING BEAR ON COMP CTED SOIL CONCRG \ w S CEILING JOL4T6•le'O.C. TO BEA �J 4"DIA.WEEPING TILE W/NSVLATION -Ww1m CEDAR'EXTRA•BHINGLE6 UNDIST 6"CRUSHED STONE COVER 1L -OVER TYVEK 1'TOIBTIIRE BARRIER - J -OVER In'COX FIR BREATHING - L -OVER 2X4 BNDS AT I.,O.G. _^ -W/R-19 iNB11LdtION N W/4 IIL y OR BARRIER _ MAME WALL SECTION - FULL BASEMENT -W/IR"BHEETROCK FIR PLTW 00 - `ND NAI - DETAIL UJOI SCALE: N.T.S. 2%10 FLOOR JOISTS•IS" - 9 B'CONCRE'TE W - Irwo-Kerm FOOoorINlvG -oAnFrROOFIvc - _ DATE: 1/23/06 4'CONCRETE BLAB OVER COMPACT FILL y - SCALE: I/411�I,-0I, SECTION B-B " - PROJECT,NO. - 200&003 . SHEET NO. - o48 COPYRIGHT OLDE CAPE BUILDING CO.,INC.2004 I, - - NO. 8 OF 11 ------------------ ------ --------- ------------------------------------------------- ---------- ------- -SC.ED ey TYPICAL FLOOR. 1/2'.UNDERLAY WALL BETWEEN GARAGE HOUSE 314'7-PLYWDODTSUIBF� R 5/8"FIRE RATED DRYWALL TYPICAL FLOOR, IS 1 ff, 2"Xio,FLOOR 2".4'STUDS TYPICAL FLOOR: SOLID BLOCKING G BAT INSULATION In'UNDERLAY in"UNDERLAY 314 Tt PLYWOOD 5UIBFLOOR 314"T�PLYWOOD 6U5FLOOIR TOTAL THERMAL VALUE-RIBFLOOR J015T5-16'1- I�Tlll POLY VAPOUR BARRIER SOLID BLOCKING-BEARING 2"XIO"FLOOR JOISTS-16'1- DRYWALL SOLID BLOCKING-BEARING 100 loo,-0" loo,-o FINISH GROUND FLOOR —F�lwlu�-wR�N-D-FLOOR > w w BAT INSULATION CONTINUOUS,WOOD PLATE LLI 3�2'XIO"WOOD 15FA� 2 CONT,Fj WOoD PLATE BOLTED TO STEEL BEAM WITH In' 11'ANOW-5OLT5 1 17"1- In DIA. BOLTS-4e" STAG. w STEEL�015T HANGERS 0 /..5[LL PLATE GASKET 0 w, SIEFl BEAM —TcAoF-C-ORCRE-T-E 11 Xt ly 4u 114*,8*STEEL TYPICAL BEAM DETAIL 0 TOP AND BOTTOM PLATE o a I • o in" WITH In" ANCHOR BOLT WOOD FLUSH BEARING le n F� SCALE I, I*-0" 4'CONCRETE SLAB �In"STEEL COLUMN ON COMPACT FILL 10 KIPS TYPICAL BASEMENT WALL 2 COATS DITUMINDUI5 EMULSION TYPICAL BEAM DETAIL S'CONCRETE WALL STEEL/BOTTOM BEARING r 46°BELOW GRADE SCALE I'-I'-0" TYPICAL PERIMETER DETAIL d) BETWEEN GARAGE AND HOUSE w LU a V-I'-0" 43, > VI Z uj 4 (L oi-iq Klu 0 ---------------------- -------------------- ---------------------------------------------------- ---------- -------------------------------------------------------------------------------------- --------------------------------- 7------------------------- ----------------------------- 13 a a z --------------------------------------------------------------------------- ------------------------ U- tu -------------------- ------------ ------------- -------------------- --------------------------------- ro TYPICAL FLOOR: TYPICAL SIDING EXTERIOR WALL In'UNDERLAY SIDING • 3/4"TIG PLYWOOD SUSPLOOR HOUSEWRAI 2"XIO"FLOOR JOISTS-16"1- 1/2"EXTERIOR SHEATHING SOLID BLOCKING BEARING 2".4"STUDS-I." BAT IN5U ATION TOTAL THERMAL VALUE-RIB ul Ln I POLY VAPOUR BARRIER DA.AN5HOR BOLTS 6,D.C. tj Q %1(i In I&' "DRYWALL EMBEDDED MIN 8"IN CONCRETE Z c" loo'-O" 3 In"STEEL COLUMN FffTsH` : 1 1-10 KIPS 7X&P.T.SILL ON 1/1�SILL SEAL 2,6 CONT.WOOD PLATE I- I 1 0 1/7",12"ANCW.BOLTS 0 12" 3 1/"CONCRETE SLAB -5 REINFORCING RE-EAR clw SILL PLATE GASKET d)ON COMPACTED FILL -4 REINFORCING RE-BAR EVERT.).4'O.C. tu FLASHING 99-0 1/2" 51,-6" AWSA 153'StMENT FLOOR WATERPROOF ALL PENETRATIONS A yy DAIPPRO FING -J (LPL/rL, ( GRADE 0 ll4".Z"STEEL TYPICAL BASEMENT WALL TOP AND BOTTOM PLATE S, 0 WITH In".6"ANCHOR BOLT 2 COATS ASPHALT EMULSION < S'CONCRETE WALL In"GROUT I.-BELOW GRADE SO"x 30".12" r ------ --------- CONCRETE FOOTING • TYPICAL PERIMETER DETAIL soiNrs /4" STUD -4 BARS E.W.BOTTOM AND UNFINISHED BASEMENT IF APPLICABLE TYPICAL FOUNDATION WALL DETAIL SCALE I" 1' 0" SCALE 114" 0" TYPICAL COLUMN FOUNDATION DETAIL SCALE I"-1' 0" DATE: 112310r. SCALE: ------------ ---------------------------------- --------- ------------------------ ------------- PROJECT NO. 2006,003 SHEET NO. o AS COPYRIGHT OLDE CAPE BUILDING CO.,INC. 2004 NO.S OF II -------- ------ - DRAWN BY: RC ' - OFIEGKED BYE .FC ' E a N p s Q Q V _ X N Lu U, I ZIU U tzLg a0 U -I.Box ; . `� :ml p Z Q ___________________________-----------------_________________________ _ e =__ ___ - ___ ___ ___ _ . . .__________________________________________ _______________ --- --- --- --- --- ___ ___ ___ ___ ___ ___ ___ __ _ _ _ _ _ -_ _ --- . ---- v G 7 J E Q J E LL W 2> O LO R OI TS 1 "o ' � DBL;JC119T9• . ' F.P.VPENING . Z L BL KIN OV R B : Q O to Q ail DB B • --------- • L µJ TAI IP ING i O ---------------------------- -- - J --- _ LL i-- V -t O - - - - --- --- lL DATE: . 1/23/O6 SCALE: ,'•. 18T FLOOR LAYOUT PROJECT NO. 2006003 SHEET NO. T - A 1®'- COPYRIGHT OLDE CAPE BUILDING CO.,INC.2004 NO. 10 OF 11 ? � � o1zAwN er. .1Pc ' � - GNEGKm BY. JPG L) ---------- ---------- -------------—------ ______________________________.-__-____-- .- w _. Lu 8 o rc p C d I I ---------------------- Q � �v '�IOJI W r W (� V Zv - 11 u u m a a zU U m U Z -- ------------ _.. -- - -'--..--------- - --- — - ---- -- - - -- -- -- - Q O d Z � J E E LL W 0 a xa P BT P x ILLIlX45 _ _ ___ __ __ _T_ ___ ... ... ___ QY) -- ----- - - - - - _ _ --- - -- Z w O N JOI S• DB JOW 5• - - -- -� 1 � - Q ------------- UJ ------------------------------- — „ Q 111 _U--- - p U O -- --- w DATE: IQ3/06 SCALE: PROJECT NO. 2ND FLOOR LAYOUT 2006003 SHEET NO. COPTRIGNT All OLDS CAPE BUILDING CO.,INC.2004 NO. 11 OF 11 TOF =34.00' FINISH GRADE OVER D-BOX= 30.8' FINISH GRADE OVER CHAMBERS = 30.25' - 30.7' GENERAL NOTES REMOVABLE COVER TO SLOPE @ 2% MIN. OVER SYSTEM 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OVER TANK EL.= WITHIN 6" OF GRADE 4" SCHEDULE 40 PVC MIN SLOPE 1% 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE FINISHED GRADE 31 .0, ± 5" DIA. OUTLET(S) 2" OF 1/8"TO 1/2" DOUBLE WASHED STONE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. I F -@ FOUNDATION = 32.0�± 20" MIN. ACCESS COVER PROVIDE RISER OVER PLACE RISERS ON ALL CHAMBERS -- - - -- 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 12"MIN. 12"MIN. „ TOP OF SAS= 27.83� WITH PIPED INLETS TO WITHIN 6" 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL i (3 TYPICAL) OUTLET+ INLET TO WITHIN 6" 36"MAX. 36"MAX. � 12 MIN. OF FINISHED GRADE OF GRADE 27.00 36" MAX. BREAKOUT EL - 27.50' BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. f r 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN Mb13„ 2" DROP MIN. PROVIDE WATERTIGHT ELEVATION = 27.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. 3" DROP MAX. 3" 9„ JOINTS (TYP.)4" PVC IN FROM o C�> Oo AND THE TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 29.00' 14„ SEPTIC TANK 4" PVC OUT TOS - O o00 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 28.00 LEACHING FACILITY o o oo 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 0 27.67' MIN. 27.50' 2' oo o0 0 Do 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO 7 28.25' 41 OUTLET TEE o o O BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR ^C 6' CRUSHED STONE o o 00 � 0 0 0 0 o APPROVAL FROM BOARD OF HEAN. SYSTEM IS NOT TO LTH AND DESIGN E BACK FILLED INGIIN ENTHOUT GINEER. OBTAINING 22"ZABEL FILTER Dw M�3 OVER MECHANICALLY o _ 11.0 MODEL#A1801-4x22 COMPACTED BASE 4.0' 8 5, _ 8. ELEVATIONS BASED ON APPROXIMATE USGS DATUM OF 32.00'OBTAINED 4.0' FROM A NAIL SET IN UP AND BASED ON USGS DATUM OF 32.56'OBTAINED 6" CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 33.50' (TYP ) 4'0, FROM CB/DH FOUND AT BACK OF PROPERTY AS SHOWN ON PLAN. TO BE INSTALLED ON A LEVEL STABLE , OVER MECHANICALLY BASE. FIRST TWO FEET OF OUTLET 25.00� GROUND WATER ELEV= < 20.00 12.9' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION COMPACTED BASE C, PIPES TO BE LAID LEVEL. PROPOSED 1500 GALLON CONCRETE SEPTIC TANK 5' MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE LENGTH 10' 6' WIDTH 5' 811 DEPTH 5� 8° (DIMENSIONS PER CROSS SECTION VIEW 3 - 500 GAL. CHAMBERS AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY WIGGIN PRECAST DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW DISCREPANCIES TO THE DESIGN ENGINEER. SEPTIC TANK PROFILE CORP., POCASETT, MA) NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE NOT TO SCALE _ _ STRUCTURES SHALL BE MADE WATERTIGHT. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR TEST PIT DATA ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH `''�o • • `� -� DETERMINATION FROM APPROPRIATE AUTHORITY. •$' f f� M• • "`r 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS !}`% _ (t INSPECTOR: Donald Desmarais LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE .. • 1 EVALUATOR: Michael Pimentel, E.I.T. THEY SHALL WITHSTAND H-20 LOADING. ' 2/7/2006 • ' '• 8�-� -' (`�� � DATE: 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND • •_ ~ r" TEST PIT#: 1 FINES. �, `' ,•"'P •• °.- . Ea 8 t B lf ELEV TOP- 30.00' 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF • `# • • ELEV WATER= <20.00' LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN • • rap • . •j . •'•L.,.." COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ' • PERC RATE _ <2 Min./In. ACCORDANCE WITH 310 CMR 15.255(3). •• • i 34"-52" 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN • DEPTH OF PERC = ' • " + • �� • SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. w * • r J' •. • ' i • ,►� `• O'er TEXTURAL CLASS: 1 BM • It , �� 16. PROPOSED PROJECT IS LOCATED WITHIN: Nail Set in UP • �' • • ; . . tt•. • •• ASSESSORS MAP 139 PARCEL 37 ~ Elev. =32.00' • • w• • •• � 0 30.00' Approx. USGS .• ` • • • ' • • 17. OWNER OF RECORD: BARARD ROAD LLC �o • . • v • .� • Top Soil V • • • • ,, • ii 0 4" 29.67' PETER COFFIN J \ • �`�.'••4 . � �• 11 o X. iti • q ♦ ADDRESS: PO BOX 1011 \ Neck _ - • ;,+ • • ♦ W. FALMOUTH, MA 02574 Q \ UP 6 • �i S _.J -'' �OP � �. � � -a._.,- J� _ �-..� • � B Loamy Sand FEMA FLOOD ZONE C -�' . 10YR 5/8 AS SHOWN ON COMMUNITY PANEL# 250001 0016 D \140� I Qv Se cis iann ` `C 18. PLAN REFERENCE: l3 .� a ,1• r _ _ _ I 1. L.C. PL. 7685F • 34" 6� 27.17 19. DEED REFERENCE: `\! 1 N gg°�1 /`� / (`gyp t� 4 • •. Perc 1. L.C.C.# 169874 \ , "� 4 ii,� 1. • • O 52" 25.6T 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. �G _ •a "'' QPJ�� DRIVEL \ MAP 139 � ---,.� � � k `�-'� %� t* Medium Sanc OF r �'' - •/ i 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY " \ , PARCEL 36 /� \� V r . tr� C 2Loose6 FOR SEPTIC SYSTEM INSTALLATION. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY �32�\ Q`� nn \ \ N/F TURNER FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 3 16 , 3� r / ', No Mottling, o s ter' 6' s�= LOCUS PLAN Weeping, or Standing� o� Water Observed M 120" 20.17' - #47 SCALE: 1" = 1000' STIN PROPOSED 1500 PROPOSED 3 BEIDROOM �?- GALLON SEPTIC TANK \ 2 4-BEDROOM DWELLING S /o DWELLING � � \ PROPOSED "D-BOX" DESIGN DATA TEST PIT DATA LEGEND TOF = 34.00' PROPOSED 3 - 500 INSPECTOR: Donald Desmarais /A, .. 3�' + x 50.0 EXISTING SPOT GRADE 3 j / GALLON LEACHING I EVALUATOR: Michael Pimentel, E.I.T. - - CHAMBERS � - 50 - EXISTING CONTOUR -32-- PATIO a �\ DATE: 2/7/2006 50 PROPOSED CONTOUR 31 O TEST PIT#: 2 O �1� \ NUMBER OF BEDROOMS 4 ELEV TOP - ' ❑/H/W EXISTING OVERHEAD WIRES 30.50 -X-X-X-X-X- EXISTING FENCE OT \ DESIGN FLOW 110 GAUDAY/BEDROOM ELEV WATER= < 20.17' EXISTING WATERLINE 3 33' / TOTAL DESIGN FLOW 440 GAUDAY \ DESIGN FLOW X 200 % = 880 GAUDAY PERC RATE _ <2 Min./In. TEST PIT LOCATION �� 65 M USE PROPOSED 1500 GALLON SEPTIC TANK eve � / \ DEPTH OF PERC= 30"-48" o 0 o PROPOSED 1500 GALLON SEPTIC TANK \ TEXTURAL CLASS: 1 PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE MAP 139 'MAP 139 - � PROPOSED DISTRIBUTION BOX PARCEL 38 159 ( TP 1 PARCEL 37 �, INSTALL THREE (3) 500-GALLON CHAMBERS 0 30.50' o� PROPOSED 500 GALLON LEACHING CHAMBER N/F MACDONALD 30x00 ���JE / 16,553 S.F. ± /32� Top Soil �� / SHED 4" 30.17' SIDEWALL CAPACITY CB/DH (LENGTH +WIDTH)(2 SIDES)(EFF. HEIGHT)(.74 GPD/SQ.FT.)= GPD / (FND/HLD) (33.5' + 12.9') (2) (2') (.74 GAUSQ.FT.)= 137.3 GAL. LEACHING/DAY B Loamy Sand BOTTOM CAPACITY 10YR 5/8 (LENGTH)(WIDTH)(.74 GPD/SQ.FT.) = GPD I / CB/DH MAP 139 (33.5') (12.9') (.74 GAUSQ.FT.)= 319.8 GAL. LEACHING/DAY 30 REV. DATE BY APP'D. -DESCRIPTION (FND/HLD) - 28.00' i M 36k, PARCEL46 TOTALS: Perc PROPOSED SITE PLAN N/F HEFFERNAN TOTAL LEACHING AREA 617.7 SQ.FT. 48" 26.50' PREPARED FOR: TOTAL LEACHING CAPACITY 457.1 GPD BARNARD ROAD L.L.C. � Medium Sand BM C 2.5Y 6/6 LOCATED AT � CB/DH MAP 139 Elev. = 32.56' PARCEL 45 Approx. USGS No Mottling, 7 A NARD ROAD N/F LOGAN Weeping, or Standing OSTERVILLE, MA 02655 124" Water Observed 20.17' RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: FEBRUARY 9, 2006 _ 0 10 20 40 80 FEET " 1M�, PREPARED BY: o cl+u�j:;-:,:L �, �R F JC ENGINEERING, INC. CIVIL NO 473W 2854 CRANBERRY HIGHWAY SITE PLAN `` EAST WAREHAM, MA 02538 508.273.0377 SCALE: 1"=20' r/ Drawn By: MLP Designed By:MLP Checked By:JLC i JOB No.995