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HomeMy WebLinkAbout0038 BAY STREET - Health 38 Bay Street Oste'rvilte P A -._11.7_,035__ _ " Y. f a, 0 ° ° ° 6 . o e , ° A ° 4 a P _ 7 TOWN OF BARNSTABLE F LOCATION SEWAGE #o2002 ' 4 s o ` VILLAGE ASSESSOR'S MAP & LOT — D3S 4; INSTALLER'S NAME&PHONE NO SEPTIC TANK CAPACITY 11a-1C =ZQE0C 9(th C'�l2.eGe. /Sa��j9r I � LEACHING FACILITY: (type) C`� �r �/ (size) }? X lf NO. OF BEDROOMS BUILDER OR OWNER eso Nor Cv�Ysh' PERMITDATE: COMPLIANCE DATE: W,362 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 o A ie aly� 4' Q ulec; sb 6 i C gf�PlC^� TOWN OF BARNSTABLE LOCATION 3g SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 106TQ LEACHING FACILITY:(type), - C�/0010 , -size) NO. OF BEDROOMS PRIVATE WELL OR,PUBLIC WATER BUILDER.OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r� r ..,1 N 4�v � 'Q �� � � 0`� � a � 8 0 � ��` w `� �o ��J , , p d TOWN OF BARNSTABLE LOCATION ��� CGc® �D�/'�e0� SEWAGE # / VF.LAGE O ZJ�/ ASSESSOR'S MAP&LOT (9 3S— NAME&PHONE NO. r�k 049 aVI )��'Oc�7QL SEPTIC TANK CAPACITY LEACHING FACILITY: �- �5 �� ' V /{type) r (size) V! ^ S� ' D,t- `60 NO.OF BEDROOMS — BUILDER PERMPTDATE: COMPLIANCE DATE: Separation Distance Between the: 3 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) IV Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching fag' ) Feet Furnished by21 k D'D 4 C 10QS2' L CVLL 9/; ... s �� $, � �' 4 � � � �' a'�.. r �a c �� �� � �� ;�3 N.. qq.;: "' Fee THt COMMONWEALTH OF MfajSS d_H'..USETTS Entered in computer: �� Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Migpogar *pgtem Congtruction Permit Application for a Permit to Construct(x)Repair( )Upgrade( )Abandon( ) L,Complete System ❑Individual Components Location Address or Lot No. 3B a4l Sjnc N�crut)(G Owner's Name,Address and Tel.No. 70hvt l.Scl sv� Assessor'sMap/Parcel n \ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4?B'-1/3/, 54--yka-, A W i tscc t P 8ainow SC- fag-Ss3� 13axhr., tJLt� a Rolrar�.rx OSZr_,llL p o1.6S'S �t Z Y11o,,.� �-' ��s("L✓'vi��& WI►� 02l05,� Type of Building: Dwelling No.of Bedrooms Fi✓c Lot Size 47,Z-5o sq.ft. Garbage GrinderW,) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow i n�f����Pr�., day. Calculated daily flow 550 gallons. Plan Date 3/7/ecn. Number of sheets art a Revision Date io%/a z Title !Gge to f: 4 �t 3�f3wa S+y-r_g_t Size of Septic Tank 2=Ycsa !nbl I . Type of S.A.S.Lx_;rlt C-1nc.,»Lee i2tx 4-7'tc2't,�,c, Description of Soil; Ra Ste,- +cp sd, I Lose on dar%. 'P— 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 iss by this Board of Health, Signed Date OCT, Application Approved by Z_ Date o d Application Disapproved for the following reasons Permit No.Qf3®X-qP Date Issued THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / � IL DATA L No. 2 U J d f \ ` - A . Fee '3 l Y COMMONWEALTH OF MA '.; 'SETTS Entered;in computer: t/Yes / 1 +. r PUBLIC HEALTH`"DIVISION -TOWN OF BAR NSTA LE MASSACHUSETTS ' 01ppYication for -XDigpooar 6paem Construction Permit 4 Application for a Permit to Construct(X)Re*( )Upgrade( )Abandon( _ ) Ik Complete System ❑Individual Components— Location Address or Lot No'. 3e (�j Sort Gskr✓')l a Owner's Name,Address and Tel.No. f , 7ohr tJ�tsH ? Assessor'sMap/Parcel.� 38 13a 71 pGG 3$ � 5�.� 6S1-tr✓i 1 i.— n \ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. '1�� ,,.� e �Ic:CC.fit',a i� r 5 ►,ah A Wits. Pff i l u,.. .S i. " 13a,rf cr, AJ 4. Rol0.-7vz� ` Osl-�ruilia MrA ortosS Type of Building: Dwelling No.of Bedrooms F:✓e Lot Size 4 7,2-so sq.ft. Garbage Grinder kjo�) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fix(dres Design Flow o d gftH"ns-perday. Calculated daily flow Sso gallons. Plan Date Number of sheets Urxa Revision Date fo%/o z Title Size of Septic Tank 2Jcx1g:> o,ay l . � Type of S.A.S. l.c= CG�4..I�rs 12�x�t-7�acZ�ti��t, Description of Soil; I 1r Natit'ie.of kepairs or Alterations(Answer when applicable) s Date last inspected: Agreement: Y „ 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 untita Certifi- cate of Compliance has been issue4 by,this Board of He thh. Signed 'j h Date:O c ; �! G Application Approved by X j 4.j. Date o l a',)-2 Application Disapproved for the following reasons Permit No, 201- /Sy Date Issued 1� li i -------=�---------------- -------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (tertificate of (Compliance THIS IS TO CERT Y,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by C612 at a, `',. < 0 s�r�v`,k 1 e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. d 0od -9 P dated a/°A (J.;�1 Installer_ \`)(u c e b c,r c; l V. c 1 r r Designer / The issuance of this permit shall not be construed as a guarantee that the sys will function a d signed. Date I Inspector 0 4V Im --------------------------------------- No. 0od Fee IQy— l4 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ?isspooal *p.5tem Conaruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at t 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 must be completed within three years of the date oft ' , ermit.r Date: o I JL I I U Approved by -" �. TOWN OF BARNSTABLE f LOCATION t ti a SEWAGE #o2OO ' �S VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NOtC��l.a es_ .4( SEPTIC TANK CAPACITY /oti..c =o7�0aaGh(. �'�te<. LEACHING FACILITY: (type) C�55h �1 (size) NO. OF BEDROOMS BUILDER OR OWNER JaN.Y Ct/�Ylh� PERMITDATE: COMPLIANCE DATE: Q-1x3fi2 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 by21, o 4'Y 12/13/2002 15:05 15084283750 BAXTER,NYE&HOLMGREN PAGE 02 Bic 1607� P9163 9113883 12-13-2 j302 a 02 2 13P DEED RESIUM9N i WHEREAS,John S.Welsh of 48 Bay street,Osterville,MA.,is thb owner of the Nymphas Hinckley house and premises located at 38 Bay Street,Osteeville;MA..made up of two parcels,the first parcel containing 21,910 square feet,more or less,an4 being the parcel marked Daniel Bros.,lac.And Lot 5 on a plan entitled"Plan of Land at Barnstable(Osterville), Barnstable,Mass.,Belonging to Teresa D. Wright and Zilpha R. Wright anal Daniel Bros.,Inc_, dated May 21963,"recorded in Barnstable County Registry of Deeds in Pliin Book 178,Page 147,and drawn by Nelson Registry of Deeds in Plan Book 178,Page 147,ilnd drawn by Nclson Bearse and Richard Law, Surveyors,and the second parcel containing 25, 1155 square feet,more or less,and being Lot B as shown on plan entitled"Subdivision Plan of Laid in Ostcrville, Mass.,Belonging to Gordon J.Morrison and David B.Colc,Scale 1 inch equals 40 feet,July 27, 1963,Nelson Bearse-Richard Law, Surveyors;Ccntcrville,Mass."which laid plan is recorded in Barnstable Deeds in Plan Book 198,Page 91. WHEREAS,John S. Welsh,as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms toy be included in a separate,free standing building located to the rear of the Nymphal Hinclde� house and its attached garage as a condition that ensures compliance with the rules and riigulations pertaining to septic system installations and flow design criteria as set forth in 310 ChtR 1 l Scction 15.303 and to obtaining a building peraut far these premises; WHEREAS,the Town of Barnstable Board of Health,as a pre-condition to granting its approval authorizing the issuance of a building permit for the renovation of the Nymphas Hinckley house requires that the agreement restricting the number of bedrooms in a separate,free standing building located to the czar of the Nymphas Hinckley house and iti attached garage be put on record with the Barnstable County Registry of Deeds by recording this document. NOW,THEREFORE,John S.Welsh,does hereby place the following restriction on his above referenced premises in acoordance with his agreement with the Towrt of Barnstable Board of Health, which resuiction shall run with the land and be binding upon all successors in title: 1. 38 Bay Street,Ostxrville.MA.,easy have constructed upon the premises a sepammte, free standing building to the rear of the Nymphal Hinckley house and its attached garage containing no more than one bedroom until such time as the Barnstable Board of Health shall change its regulations and allow further construction on the premises. John S. Welsh agrees that this shall be a permanent deed restriction effecting 38 Bay Street, Osterville,MA.,and being shown on the plan recorded in Plan Book 178,Page 147,and 12/13/2002 15:05 15084283750 BAXTER,NYE&HOLMGREN PAGE 03 also in Plan Book 198,Page 91. For title of John S. Welsh,see the following deed on record at the Bs mumble Cowty Registry of Deeds:Book 10581,Page 284. Executed as a sealed instrument this /3 d;Ofs 20002.. 9 � .Welsh COMMONWEALTH OF MASSACHUSETTS Barnstable,st Decemb ar 2002 Thm personally appeared the above-named John S. Welsh and adnlmledged the foregoing katn ment to be his free act and deed before me. My wWssion expnea: Aajaf� a oa9 12/13/2002 15:05 15084283750 BAXTER,NVE&HOLMGREN PAGE 04 • i i • I I i i i ' I ' I I I I I I Printed:12E13 2002P07 14:14:52 BARNSTABJOHNLE CO NTYMEA REGISTRY OF DEEDS ER Trans#: 370800 Oper:RENE c_saaa:acss�e:a sasace=cs�so::evarasa I Book: 16078 Page: 163 Intl: 113885 Ct1N: 2046 Rec:12-13-2002 I 2:13:10p BARN 38 BAY STREET DOC DESCRIPTION TRANS AMT --- ----------- --------- RESTRIETION JOHN S 10.00 roe fee 10.00 Surcharge CPA $20.00 20.00 Total fees: ---30•0 Ctlt: 2047 Rec:12-13-2002 I 2:13:10p DOC DESCRIPTION TRANS AMT POSTAGE FEE .50 Mail per page fee x=* Total charges: 30.50 CHECK PM 1044 30.50 i i I— �rr`own off'I:3�d><��;tst�ble i'i1 4 Depnrintent.of llehltlt,"Snfety,•nnd. Cnvironutctitsil Services �112 Q-�6 Fd o`oFtt(rt,� Public Health Division ante. o� 307 Will Street,Ilymmis MA 02601 S nAnNrrtAatF 019. pTfOMAt� Dale.Sciteduled , , [ 'flnie h'cc Ird, /00. = . Soil S itabilify Assessin,en.t fall Se►vame Disposal Performed Hy: SkrA e•• W i lss.+:. %Vilnessed 13y: _ Donra �OC�,':li3VIV �.C��N1�it�1)rl`V3+UIt119A`�'tUN L,ocnllon Address -36 Owner's Nnmc h1�2 S. f�rsrnk.w .CSWo(.E3 u,1Le Address L.ds V�u� : NV, s"`t Assessor's Mnp/I'arcel: /�fOr ��x/��./ lingillm's Nnmc NEW CONSTRUCTIO Telephone f12g 13 1 �J Und Use. 12cs"(Lkgl zzI Slopes_("/6). SnifnccStones ki(DV L Dislmices from: Open Water Body li Possible We.t Area ZUr) �n .Drinking Water Well Drainage Way At .Property L,iiic II t)Ihcr 11. si<)V'roi: (Street name,dintensioils of lot,exact locations of iest hoics&puc tests,locnte wetlands in proximity to Miles) t o_ Im 16'Id OWNS M/ld. z _ •SO ry m� Ur I^ • j - '�'.\BO � � nit sE ,,,.,,w, m� u lYi I• M.0L.6C.f0 S 1 _F ..1'SCz 22 TV TIP I - _ u� � _ � .zLoa s Parent material.(geologic) G(G C:la l u t vex h Depth to Bedrock Depth to Grolindwnter. Slmding Witter jn Mote: 1Vecping from I'il lace Gslimntea Seasonal I ligh Groundwater " D 1v�21 XN� 'ZC11V x!UXt SEASO L.,IZIGII'� '.�`' +3 ,:'Z` 13L):'; Method Used: . Depth,Observed standing In obs,hole: In: Depth to loll inoilics: In. Depth to weeping front We of obs hole: in. Groundwater Adjustment II. .nr,ding Vmc: ,In Iex Wcll`,cvcl= — nrij.-Ndor Ad•I tJrouiuinntcr I;cri t lON IJrUzA' :4)p16 little Observation 1'lole N . 'i'lihc at 9". Depth of Perc [G>_ '['titre at G" Stml Pre-sunk•I•ime Q Time End Pre-sunk Vy1�lo(¢ by K caair. . Rate Min./Inch v�r a tl'1 Site Suitability Assessment: .Silt Passed_ Site railed: Additional Testhig Needed(YIN) Original: Public ileaitll Division Observation hole Dnln To"Be Completed oil lJncl( j Copy: Applicant Depth from Soil Horizon Soil Texture Soil Color Soil : Other. V Surrace(in.) (USDA) (Munsell) Mottling. (Structure,Stoncs,13.ulderes. Consistency.%Giavclj �� f•'i��" U 'lift' 2;. 4I �lv�=.:tof7'��,' Cj t7"Ylc�(rv�D,���rr�ed r�.Yr•� ,'���� :>..... .........l Depth from: Soli Iforizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Molt�ji>g,� (Structure,Stones;Uouideres. e....:.• i to c o e �vjl-f 10 4{Z 10` Vj 4e � : l l #" t`VANUL LOB . dole# Depth front. Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Sloncs,Uoulderes. Consistency.°a rave d`E l. : ::.... >::>::<:< DEEP:.:(J�.S:� E1T�.O...... L :>L..O:G: < >:':: :: , :Hc�l #...... ..... .. . Depth rrom Soil Horizon Soil Texture Soil Color Soif Other . Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories,Boulderes.' p i e . ravel) Flood I►tsurance Rate Man: . b. Alb Above 500 year flood boundary No Yes Within SOO year bowidary No t Yes Within 100 year flood boundary No .,',.Yes Depth ofNatui6Ily'0ccurdugNrvious Material Does at.least four feet of naturally occurring pervious material exist in all areas observed throughout the*.- area proposed..for the soil ab orption system? If not, what is the depth of naturally occurring pervious material? Certifiention a (date)I have passed the I certify thaton oil evaluator`exanuliation approved by the vp �� .. Department.of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described.in 310 CMR 15.017.' Signature '' / } _ Date BORTOLOTTI CONSTRUCTION,. INC.. �1L j2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION �!-- Address Prop � --- ----"--- — 0,� LU � s - -- ---- t--S EP T 1990 Cd Date of Ins pec Map 1 arcel Own ------ - - -- � �"--- - 30 7a PART A — CHECKLIST CHECK IF THE FOLLOWING HAVE BEEN DONE: L/ISUMPING INFORMATION WAS REQUESTED OF THE OWNER,OCCUPANT,AND BOARD OF HEALTH. ONE OF THE SYSTEM COMPONENTS HAVE BEEN PUMPED FOR AT LEAST TWO WEEKS AND THE SYSTEM HAS BEEN RECEIVING NORMAL FLOW RATES DURING THAT PERIOD. LARGE COLUMES OF WATER HAVE NOT BEEN INTRODUCED INTO THE SYSTEM RECENTLY OR AS PART OF THIS INSPECTION. VAS-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. THE SITE WAS INSPECTED FOR SIGNS OF BREAKOUT. _AZALL SYSTEM COMPONENTS,EXCLUDING THE SAS,HAVE BEEN LOCATED ON THE SITE. - "HE 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. v THE SIZE AND LOCATION OF THE SAS ON THE SITE HAS BEEN DETERMINED BASED ON EXISTING INFORMATION OR APPROXIMATED BY NON-INTRUSIVE METHODS. HE FACILITY OWNER(AND.OCCUPANTS,IF DIFFERENT FROM OWNER)WERE PROVIDED WITH INFORMATION ON THE PROPER MAINTENANCE OF SSDS. PART B — SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL — -----No of Bedrooms UacooV No of Y Garbage Grinder Y�IS Laundry Connected to System _—4-1-6 _Seasonal Use NON RESIDENTIAL: Calculated flow WATER METER READINGS,IF AVAILABLE: ----- --- - - - GALLONS Pumping Records and Source of Information: - SYSTEM PUMPED AS PART OFINSPECTION?� Z _IF YES,VOLUME PUMPED GALS Reason for Pumping: --— -- -- TYPE OF SYSTEM: , I .Septic tank/distribution box/soil absorption system Single Cesspool Overflow Cesspool Privy Shared system (if yes,attach previous spec n records, if any) " Other(exp.laln) s" 'yr jC) �.S Q 0�i /- O/ GN' C� S Appro mate age of�, ll components. Date installed,if known. Source of information. SEWAGE ODORS DETECTED WHEN ARRIVING AT THE SITE? /� d �,. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B - SYSTEM INFORMATION (Continued) SEPTIC TANK: Depth below grade: Dimensions: Material of construction: Concrete . Metal FRP Other} 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 Comments: DISTRIBUTION BOX: DEPTH OF LIQUID LEVEL ABOVE OUTLET INVERT Comments: — PUMPCHAMBER: Pumps in working order? Comments: SOIL ABSORPTION SYSTEM SAS IF NOT PRESENT,EXPLAIN: TYPE: !: Comments: [.v N VA CESSPOOLS;`. Number and configuration — �7 Depth—top;of=liquid to Inlet Invert Depth of solids layer Depth of scum layer Dimension of cesspool ` ' Materials of construction Indication of groundwaterinflow(cesspool m st be pumped) C mments: PRIVY:. Materials sfruction c Dimensions Depth of solids Comments: 1. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B - SYSTEM INFORMATION (Continued,) SKETCH OF SEWAGE DISPOSAL SYSTEM: INCLUDE TIES TO AT LEAST TWO PERMANENT REFERENCES,LANDMARKS OR BENCHMARKS. LOCATE ALL WELLS WITHIN 100' "U O t, DEPTH TO GROUNDWATER �k3 DEPTH TO GROUNDWATER ETHOD OF DETERMINATION OR APPROXIMATION: �le p�/e `6 te m� I - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. —FAILURE CRITERIA (Indicate Y- es N-no ND—not determined.Describe basis of determination.If"not lain why not.) Backup of.Sewage into Facility? Discharge or ponding of effluent to the surface of the ground or surface waters? 44 Static liquid level in the districution box above outlet invert? Liquid depth in cesspool, 6 below invert or available.volume 1 2 day flow? q -P P / Y A/ Required pumping 4 times or more in the last year? Number of times pumped Septic tank is metal?cracked?structurally unsound?substantial infiltration?substantial exfiltration? tank failure imminent? ` Is any portion of the SAS,cesspool or privy, below.the high groundwater elevation? Within 50 feet of a surface water? Within 100 feet of a surface.water supply or tributary to a surface water supply? Within a Zone I of a public well? Within 50 feet of a private water supply well? Within-50 feet of a bordering vegetated wetland or salt marsh (cesspools&privies only, not the SAS)7 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,amonia nitrogen and nitrate nitrogen. PART D - CERTIFICATION INSPECTOR:."' ROBERTJ. BORTOLOTTI ADDRESS: 765 WAKEBY ROAD,MARSTONS MILLS COMPANY: BORTOLOTTI.CONSTRUCTION INC. MA 02648 (508) 771-9399 CERTIFICATION STATEMENT I CERTIFY:THATI HAVE PERSONALLY INSPECTED THE SEWAGE DISPOSAL SYSTEM AT THIS ADDRESS AND THAT THE INFORMATION REPORTED IS TRUEd ACCURATE AND COMPLETE AS OF THE TIME OF INSPECTION. THE INSPECTION WAS PERFORMED AND ANY . RECOMMENDATION REGARDING UPGRADE,MAINTENANCE AND REPAIR ARE CONSISTENT WITH MY TRAINING AND EXPERIENCE IN THE:PROPER.FUNCTION AND:MAINTENANCE OF ON—SITE SEWAGE DISPOSAL SYSTEMS. CHECK ONE.. i HAVE NOT ANY INFORMATION WHICH INDICATES THAT THE SYSTEM FAILS TO ADEQUATELY PROTECT PUBLIC. HEALTH,OR THE ENVIRONMENT AS DEFINED IN 310 CMF 15.303. ANY FAILURE CRITERIA NOT EVALUATED ARE AS STATED.IN-THE!,', AILVRE CRITERIA"SECTION OF THIS FORM. I HAVE DETERMINED°THAT THE SYSTEM FAILS TO PROTECT PUBLIC HEALTH AND THE ENVIRONMENT AS DEFINED IN -310 CMR 15 303. THE:BASIS FOR THIS DETERMINATION IS PROVIDED IN THE"FAILURE CRITERIA"SECTION OF THIS FORM.,. INSPECTOR'S SIGNATURE:.. ; a ORIGINAL TO SYSTEM OWNER PIES:BUYER 'rf livable APPROVING ( applicable), ROVING AUTHORITY .:pu0m 1m5 Imb ® ( WB _ L E>O WHSZFX Fa"rO WrAW �NISFA/t7JJMED fOE1757BY NO2:51EP5ATIH'EC O Pwu2,4WL AS 11ft1.A5f01EYJ 2A:a7NG70M r°R IRIEEA9E°Bromm 2.W=MFME AV ArWrMCPM rOOEjrVWMe°VAWA9JIIECTFOR • S £ ' A H ADO'R A 940' - 5B1' F-QN wvvm C '=a' .. ��1,..."(,,,..v,...3 y IT-0•p I ___; ' IYO° i�1- l Ny' T9• •!S• w4 LJ A i i 2DEYI.FiEW.O.Y' i 11 °"--t--J LLI g�4 LJ/P.F029 ,aT I I F. S CAEN�mOA A7J KE - p°p I ; 5ti RTAL5QJFAIZMI i ' 7-22• - Tz T. r-�-, A5J Jj A5 i 71 a 54VLSAtt7.4 ° ° j C •. `L O z d•- , re�n r l v� �• ".f' pEN � i - n .M451ERL4DHCVM � _ v �n� gE51iJ00M �1 1 X� 1 ® ° NOIE:aM562N5 p ® QNh O ROM A RJfeM°Pl PN,9MAM OM*VAYNR A5J A5JAlD i 1 i G ,0 ° b ' 1 IISEDASMO[9. _ � 4ftP '-° ©,Q a05:i p70Ar $ i� •� �.b^ —_ir,°W S'! 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S' S.g, 5'-9�' T9�" T9� S'-'2• ' i i I i. i 5ECOW FL NOfE:9 O"C(A.0 ' YI53 ' C10 1 1 OM APPRJ TO EE NS15A1119: I ' yv-r-o., ArwAG 10 6 ------------------------------ ---- ---------- ZONES Leaching Area Requirements - House & Garage LEGEND Design Schedule - House ELEVATION FND.OFF S 85*59*10" E C.B. EXISTING PROPOSED N RC & R P O D / GP & WP TOP OF FOUNDATION 30.0' SET Ing setbo(.'k !�ne_7� ----107.35' 5 BEDROOMS AT 110 GPD/BEDROOM 550 GPD 24 1 RC MINIMUMS FINISHED BASEMENT FLOOR 22.4' Edge of Pavement - - -I k� I 22 AREA = 43,560 S.F. LOCUS FINISHED GARAGE FLOOR 29.5' NO GARBAGE GRINDER WQ ter Pipe - w FRONTAGE = 20' y SEWER INVERT AT FOUNDATION 20.0' PERC RATE = 2 /1 MIN. INCH (CLASS 1 20 WIDTH 100' SEWER INVERT INTO SEPTIC TANK 19.4' Septic rank Re I Distribution Box 0 FRONT SETBACK = 20 SEWER INVERT OUT OF SEPTIC TANK 19.1, LIAR = 0.74 GPD/S.F. Water Gate SIDE SETBACKS 10' BAY STREET SHEET o SEWER INVERT INTO DISTRIBUTION BOX 14.5' Light Pole REAR SETBACK 10' SEWER INVERT OUT OF DISTRIBUTION BOX 14.3' MIN. LEACHING AREA OF S.A.S. Utility Pole BUILDING HEIGHT 30' Contours 10 SEWER INVERT INTO LEACHING SYSTEM 14.0' Spot Grade BOTTOM OF LEACHING SYSTEM 12.0' 550 GPD/ 0.74 GPD/S.F. = 744 S.F. MIN. To�1 Test Pit WATER TABLE NONE OBSERVED AT EL 5.8' PROPOSED SYSTEM SIDEWALL (12'+47)(2)(2) = 236 S.F. 5F Assorted Shrubs LOCUS MAP BOTTOM 12' X 47' = 564 S.F. SCALE I = 2,000' TOTAL 800 S.F. Specimen Trees ASSESSORS MAP 117 69_0 Air conditioner PARCEL 35 Gas Meter Design Schedule - Garage 'g- ELEVATION Light Post Notes On Septic Design :2 TOP OF FOUNDATION 17.2' FINISHED BASEMENT FLOOR 1) EXISTING HOUSE PRIOR TO DEMOLITION OF ADDITIONS HAD SIX 3: FINISHED GARAGE FLOOR --- in BEDROOMS. REFER TO EXISTING CONDITIONS FLOOR PLAN i SEWER INVERT AT FOUNDATION 15.5' PREPARED BY ABACUS ARCHITECTS; DATED 21212000 �9 TYPICAL SYSTEM PROFILE for GARAG E z SEWER INVERT INTO SEPTIC TANK 15.3' 2) PROPOSED HOUSE WILL HAVE FOUR BEDROOMS. REFER TO NOT M SC&E SEWER INVERT OUT OF SEPTIC TANK 15.0' 0 35 SEWER INVERT INTO DISTRIBUTION BOX 14.4' FLOOR PLANS PERPARED BY CIVITAS ARCHITECTS; DATED Prop-d "jW AWK0 W r MAO raw WK SEWER INVERT OUT OF DISTRIBUTION BOX 14.2' 11/15/2002 Top of V/Cag=IF SIM 9 XWTAR 47,250 sq.ft FourWation z 17.T a"WAU I z SEWER INVERT INTO LEACHING SYSTEM 14.0 1.08 acres Gaftor now Not Yet ftt#\,d FND M4N OM 3) A DEED RESTRICTION WILL BE PREPARED TO LIMIT THE GARAGE TAW X_nj FROM MW VM B XDf BOTTOM OF LEACHING SYSTEM 12.0 r"M MAN OM LVICKM 7MD"=16* APARTMENT TO ONE BEDROOM. F0WUMTMWi or WATER TABLE NONE OBSERVED AT EL 5.8 y jr r1w r an BE Lrwu 7 4) THE TOTAL NUMBER OF BEDROOMS AFTER CONSTRUCTION WILL re" 9- (min) Cow 3V (nwx) Cover 0 Q_ 4' SCH AO PVC BE FIVE, ONE LESS THAN THERE HAD BEEN. 00 o CMICRETE LDCHM COINAM61 coma ADJUST INVERT TO 15.5 1 toll C14 0 4r, P PVC 7; 04 Cn 1 16 b) DISTRIBUTION BOX (H-a) EXISTING K) 15M CALLUM SEPTIC TAW-(H-20) TV BE VISTALLED IN A LEVEL STABLE BASE C= C=j r=1 =2 CLE LOUTC4 GARAGE z TO BE VCTALLED ON A LEVEL STABLE RAW 0 12.0 TOP OF I Cn d 5.5' FOUNDATION No Cirmindwato Observed 0 Ekrv. 5.8 21) 17.32' 41.1:;8' N/F WILLIAM E. WRIGHT LEACHING SYSTEM j Of TYPICAL SYSTEM PROFILE for BAXTER, NYE & HOLMIGREN INC. O , ^:` r i FourW&ftn ZZ SOIL LOGS DATE: 1-12-00 #P-9656 NOT T13 SCALE ENGINEER BOARD OF HEALTH AGENT: 16z 0 Stephen A. Wilson P.E. Donna Morandi, Bams. Health Dept. MW XWOU"M V 1ELOV nMH StAff 7 11kIN7 - W MUS OF DIM S NWAR nodshed Grade 30* F'r-oposed Cr"TAL) TEST PIT 1 TEST PIT 2 nNW0 MAN NO TAW Eft MW OVER -A 17-VG.S.E. 17.8' now-ITA, AURMW nwm VAX LEACFM MOM 16t = 15.8 G.S.E. Fa[M &0 r=T r(M BE Lrvm) 0 "A" SANDY LOAM 0 "AP" SANDY LOAM "o 9" (nin) Cow 9L, 10 YR. 212 10 YR. 412 4- SCH .40 PVC 36" (num) Cover 6" OMMETE WOW OWBERS MIN� 61 em"Ca .. 1. ­­1 1 ,-V . 5".wz "B" SANDY LOAM "B" SANDY LOAM C= =1 r=1 @ =1 r=!1 rn 4' PVC 16" 1 OYR- 4.13 116 OYR 413 41, hite pie e DISTRWT10M BOX (H-20) TO BE INSTALLED LLED ON A LEVEL STARS BASE C= C= Ctl 1=1 C= "C1 " MEDIUM SAND MEDIUM SAND T-1 M GALLON SEPTIC TAW M BE INSTALLED ON A LEVEL STABLE BASE L EL 12.0 1 OYR. 6/6 5YR. 4/6 5.5, 60" 42" M C.B. No Ckourtdwatw Observed 0 Elev. 6.5 FN D.OFF "C2" MEDIUM SAND NO WATER LEACHM SYSTEM "C2" MEDIUM SAND 12"Oc dar 1 1 OYR. 7/4 PERC @ - 60" 1 OYR. 5/4 N/F ZILPHA R. WRIGHT 120" RATE= < 2 MIN/IN 1132 GENERAL NOTES: - ------ PROPOSED RETAINING ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH C.B. 1�70ceddF_.-SE 'n WALLS TITLE V OF THE STATE SANITARY CODE DATED TANK IC FND.­ ANK MARCH 31, 1995 & ANY LOCAL RULES APPLICABLE. 0 0.0 ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING MIN BY THE DESIGNING ENGINEER. Septic System Design 16 0 ar cone. 0 2 map e I.P. r . . .... . . .... covers Evs. . ND. 10"0cedor S WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKnLLING, &AGE j 5 12' NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT At #38 Say Street X PUMP EXISTING ..5 FOR INSPECTION. OF Afj : PROPOS Osterville, Massachusetts ED. 314" 1.5" WASHED STONE: r CESSPOOLS AND -GAF AGE.",., EUV.. .30. FILL WITH CLEAN 30 Otn 47' FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. p.. PREPARED FOR SAND OR REMOVE C d. 12"0 spr)jce No. 0216 3... .. ....3c: THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN a) ivaw 1I.- ...I" . �.. I *. I I JOHN WELSH APPROVAL BY THE DESIGNING ENGINEER. 30.91 1 1 - Ui -/ONAL _y PLAN OF 04 PVC. F4 0 1810 spruce ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 0 Z_ TITLE 04 -0.1 0 ....PROPOSE SE, PRECAST LEACHING CHAMBERS D HOUSE LEACHING CHAMBERS & DISTRIBUTION BOX TO BE H-20 LOADING st.Os, %FJF*W Y) Sanitary IN posal House & Garage -ELEV.1.._. is NO SCALE) bed e (FOR HOUSE GARAGE 4 EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING of 10"Ocedor le C", SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5', PER /12 0 spruce & . . . .. . i ' C-4; BAXTER, NYE & HOLMGREN INC. E)(IS 77N,3 PROPOSED DRIVEWAY V_ 310 CMR 15.255. jo USE ... ... 1 / f 0.1 G is . 29874 Registered Professional 12' PRIMARY BENCHMARK N.G.V.D. GISTt FINISHED GRADE PROJECT BENCHMARK TOP OF SPINDLE HYDRANT #305 EL. 20.39' LA% 14"0 white ine </11 0,,X/11 ly/11 X/W X/ Fngineers and Land Surveyors 5�1 COMPACTED FILL 812 Main Street, Ostervifle,Ma. 02655 _d. 36"MAX.-�"MIN. cx�-17,ol . .....r... 0-F OF PE­ATT'0Nt 2 .......... one- Fax - 8- -T- SECTION OF EXISTIN H USE TO BE RELOCATED DOUBLE 314- TO 1 112 EFFECTIVE C=3 C=3 r=1 picket DEr WASHED STONE LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND t fe Ce SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE REV. DATE: REMARKS 0� UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. Co Al 0 16"0 maple 3/19/02 HOUSE & SEPTIC LOC. C.B. 1\ -- 1�1 - co t 3/25/02 SEPTIC LOC. FND. �O red pine 158.49- F.B. 4/16/02 MOVE SEPTIC TANK LOmap�l ND. CONCRETE LEACHING CHAMBER DETAIL I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT I THE PROPOSED FOUNDATION SHOWN IS /4\ 5/28/02 SEPTIC DESIGN DATE: 3107100 (5x8'x2' HIGH) H-20 IN COMPLIANCE WITH LOCAL ZONING BY-LAWS (WITH RESPECT TO SETBACK REQUIREMENTS 8/29/02 RELOC. EXIST. GARAGE NO SCALE A6 10/2/02 REV. SEPTIC, AS-BUILT GARAGE ONLY) AND FALLS WITHIN SPECIAL FLOOD HAZARD AREA C. /7\ 10/9/02 REV. SEPTIC LOCATION ' B1'1 Cal -a:- 11/21/02, ADD GARAGE SEPTIC Y STREET SITE PLAN SCALE: 1" 20' i THIS PLAN IS NOT TO BE RECORDED OR USED TO ESTABLISH PROPERTY LINES. 12/04/01 REV. GARAGE SEPTIC PUBLIC WAY 33' WIDE 20 0 20 40 MAWM Numem SCALE IN FEET H:\ 1 999\99017\ or FWM 4- SCH'AO f Cover LWW OVAOMT 12.0 SC F 4 4--0/ Pe T f, t�o c ar C co ANS D PROFESSIONAL LAND SURVEYOR DATE 99017ACSP9.DWG V G V2 2 6 NM NM5 XIIS XII6 XllD XI18 I, FXI511NG H15TOOC HOH TO�TAJN E' 22'-6" F4511N6 SHEATHING;SHEATHING SHALL e PF NALLFD/ITNAILEP TO FXI511NG P&P 5TPUCTLIPF A5 V&: A5 TO NEW NOTE:5TFP5ATM 0 0 INFILL 2x�WALL i 5EA50N FOOM TO PE u3 PMEMINFP PY O ME, 2. 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