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HomeMy WebLinkAbout0163 BAYVIEW CIRCLE - Health 163 Bayview Circle " Osterville F/R A = 164 008 NoJ690 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS VYe ftpYiratiou for joisposai *pstem (Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System YIndividual Components Location Address or Lot No. iW apC4, Owner's Name,Address,and Tel.No. e k& It�j Assessor's Map/Parcel , Installer's Name,Address,and Tel.No.��� ,. Ici, a ekj�^ Designer's Name,Address,and Tel.No.6 9 R,,N;- J �k 5_ 2 1 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1—r�� I✓��/ �L����Z�� `�G+ i_F gk ,�mod..._. 4���, 3 `�°� ��v� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Aarf alne Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued I�--------- ---______-_________--_-- ----------- -SR�YN�e n,.,..re 1 r �� ,I .. ' ,'�-... t ._l;.�. ..+• AT.� -•'?�*Wa MT..` ' I I d +1r..>ew•P,.,,^+R.• *'+�:+F+''=,n. .. p.r+e-.. 6..� '� i�` '•i , ....,�dci4......, „y '+ ` '•�rw:. � r Nor / Fee A THE COMMON IIEAL`T OF MASSACHUSETTS Entered in computer: t Yes PUBLIC HEALTH DIVISION. ,40WPOF'BARNSTABLE, MASSACHUSETTS JOhra.tioii for,bispoBal *pstrm Construction 3periiiit Application for a Permit to Construct( ') 'Repair( ) Upgrade( ) Abandon( ) ❑Complete System �Individual Components W Location Address or Lot No. 163 z v a re4ri Owner's Name,Address,and Tel.No. �•l�, �� �.�,r .�. t�3 13�t,•�dti✓ C.;,f�t+�- o3.r•�c�.;���- . Assessor's-Map/Parcel # Installer's Name,Address,and Tel.No"" .yam �q e � Designer's Name,Address,.and'Tel.No. - Katy G 8'�`�s�,� s�ce.c.� �,.,f b�a�ti' r•i�� Oil • Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) ' Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date; 't Title Size of Septic Tank Type of S.A.S. Description ofi Soil' Nature of Repairs or Alterations(Answerlwhen applicable) -LS`- k' A a/Y t1. §6 1`[ e /�C,v✓ Si b�'.r`1 � . t..�r �, `n t_ Al r;r%e, 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 a7Certificate of r Compliance has been issued by this Boar,• •f al i He �� """� Date (3��- 1�_+- i_O1 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued ---------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (certificate of Compliance THIS IS TO CERTIFY,thai the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(n . Abandoned(` )by _jeep C.C. l�1� 1'b1! at l6 ��►,,,�;�.,�, ( j. cf,�►� l has been constructed in accordance ol with the provisions`oaf TT e and the for Disposal System Construction Permit Ne 4 L'idated Installer � `�- ' Designer #bedrooms Approvedxd sign flow gpd The issuance of this permit shall not be construed as a guarantee that the system"wit � c'bn�es'gned. Date /�,11 Inspector rt x No.L- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposal 6pstent Construction 3permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( .) Abandon( yi. t System located at ,I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with ? F Title 5 and the following local provisions or special conditions. I; 'rf Provided:Construction must be completed within three years of the date of this permit: k to .. Approved by,__ Nge .i^ TOWN OF BARNSTABLE LOCATION to 3 &XA V'1 Q Gi K- SEWAGE # VILLAGE ` -s'V1 ASSESSOR'S MAP & LOT 16 V© INSTALLER'S NAME&PHONE NO: .\�11Y►; a1,'� H Q6 04g()- SEPTIC TANK CAPACITY NO.OF BEDROOMS_ 1 9 'BUILDER OR OWNER PERMITDATE:'� Q: 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 yr 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 LA Y 17? •2 :3 No. �"1 2 Fee �S;y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Migool 6potem Conotruction Permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 b"V f Owner's/N1a�mne,Address and Tel.No. Assessor's Ma /Pazcel 0S x—V I�(..E \ - �i C��O(�p� p � �b3 ga�V%� GR�� O'S76n-'I" M & Pam- 0 2_8. (. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �8 k . 173 s p�� M f4v,.c.�z S4. `�Z® ,1128U �1'.C, J:5U 61 A/L-�Z o A/6 11jC k Mf/�2 ST nls7 ryT r.1,S iuP� o�FlS"'{txiWA1(3MR-41 O 7"7 El Type of Building: Dwelling No.of Bedrooms Lot Size s 184) sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 6 D gallons per day. Calculated daily flow J1 gallons. Plan Date i 1 + 1 L, Liu Number of sheets f Revision Date h! Title Size of Septic Tank f Type of S.A.S. c� is Description of Soil r b Nature of Repairs or Alterations(Answer when applicable) zAM V^ _ w Date last inspected: -C, rn. 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 Environ ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issuekbythis Board of He Signed '�° u%t-�--.� Date Application Approved by — Date Application Disapproved for the following reasons Permit No._ 20 Date Issued t No. � 1 � � Fee 77 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes �- PUBLIC HEALTH. DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS application for Migogar bp!5tem Construction permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. l 3 8ft9 U/F /LCL,Aj:-F wner's Name,Address and Te .No. 651-t;TzVI�Ej C-4 J-r1+1A (-rdoDoFF Assessor'sMap/Parcel �� �� gayV1G7J G/Xecc� � � M Af (o`� PAOC-6t- Installer's Name,Add ss,and Tel.No. Designer's Name,Address and Tel.No. 5— $ , 2-73 J I M !49`c-cam Sv�� f zo ,Ozko 1,77C, �,v�,ni�-�rc,,v�,-�N� u, /box 7 D 7- 0 3 77 tt2.SToNS Mtt-LS, AA k !=, r,J4-46 Type of Building: Dwelling No.of Bedrooms 3 Lot Size a"-) 180 sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( )' Cafeteria( ) Other Fixtures Design Flow 360 gallons per day. Calculated daily flow 35ogallons. Plan Date 1 ` 1 Number of sheets Revision Date" tj A Title Size of Septic Tank + � Type of S.A.S. ) c7 Description of Soil LL xa cn Nature of Repairs or Alterations(Answer when applicable) L)I s�. Date last inspected: s i Agreement: `-`The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions o Title 5 of the Environ/ ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued y this Board of He 1 . Signed - Date Application Approved by n'1 Date --•— 2 YA " Application Disapproved for the following reasons — Permit No. 2 G Z Date Issued 2 y U THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance I THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed O Repaired'( Upgraded( ) Abandoned( " )by a at (n� � wa..y C'�` ' has been.,constructed ' ac ordance Title the provisions-of and the forDisposal System Construction Permit No. �n l( ZG Z dated SZZ 7d Installer �Cr` Designer r C - G "e" The issuance of iApmi s� of be construed as a guarantee t a y Ca 11 un lion as designed. Date 1 11 Inspector — / ——————————————— —————————————— Y— No. 00 r �� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwigpoar *pzte f on5truction 'Permit Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon( ) System located at 1 3 �G I vie.) rc� ps�__V l 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 ust be completed within three years of the date of this permit. Date:__ �-� U, rC r 200 L1 Approved by Zl� 1 TOWN OF BARNSTABLE LOCATION j \ SEWAGE # �'�� VILLAGEN ASSESSOR'S MAP & LOT l UO INSTALLER'S'NAME&PHONE NO. �M^ � y 96 SEPTIC TANK CAPACITY ©� LEACHING FACILITY: (type) �``�4"A t�S "1® /`size) — 31 , 3 NO.OF BEDROOMS_. BUILDER OR OWNER PERMITDATE: �11 �`, ` 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 Feet on site or within 200 feet of teaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by i 955/0 If4 -40 P� 35 L4 57 PO NOV-19-2004 09 :52 AM JCENGINEERING 508 273 0367 P. 02 Town of Darnstable Regulatory Services Thomas F.Geller,Director JUN 1 1 Z004 Y� Health Division %p Public gy Thomas McKean,Director 200 Main Street,Hynants,MA 02601 Officer 508.962-4644 fax; 508.79(�ti34A inst ter& Deal or Certification Form Dote: Designer; �'G._ � s C Installer: � ► Addresst Z`3 S' .. g�, �tjq�J_�'i Address., 702Z - �.. �—�aO, N A M Ml� cSz-5�� � lu r tJ.S I►�l A On Z9 D .�jti-,�,� cou ,was issued a permit to install a t (installer) septic system at8AVYrIpi ag� based on a design drawn by drees L dated osigner 1 retiify that the septic system referenced above was installed substantially according to the desip, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major 011211ges (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulaeions. Plan revision certified u-built by designer to follow. oFL1�,�\ IONN I.. CHURCHILL Fw netaller's tgpa—1 JR. CIVIL .qNo 41 S07 �`�liONK. ea:gnor Is SiP7 — (Affix a , tamp ere p ASE RETUMI, S UB t ALIH D —CF=F1 ATE TANCE W NUI fK ED &W UNIL I Q:Hegjdv3eptic/nesiestr C•enif9cation Fowl. hei o� NOV—19—:2J04 09 :51 AM JCENGINEERING 508 273 0367 P. 01 - - FACSIMILE COVER SHEET - - .„�.,,�.,,.,. . I I i 4iIWl7 i'�'i•�"+'i:'.!III'I II��IF21q 7'I"'i"Iq'�, III, I I 11 II II I IID d9'��"'il I II1111 P'hl'l l'"1"5 I II I (i II,111��,.IIly;lll ll,lll.rl'I, yI,L,,Jlp,pll,ll{Ill,llllh'rl,ul„ull Ihll ,IJ'lI'11 LIfp1I,II ;JyI' �I,IIIIIII'lIlI4I1I�I'yII,IJI�111alglll�Io��IIIIU,I JI1'I,pIV,II� I,yl„I.11 II,I, �+IIIfIII1 II II�II III'VI I III i!d1,41JOtul��IVd�41d111JIIId�215�IJIIIU141JiI�iii4d,U,ildlild 7ilY�iYl�l�lpd�ldral�:l l'.!y6'I'L�IY IIIIIJhbI11�IIh�I4VIVV1�71i��A�N4��i6115,1'I�i7��1iIdi411611111111.1i..J�h 1141yy4.�iAItAdAl4iliVlll�UIVI�,I.K�.I�I.I��III.kIICI�1�1411N1'IiI.i41piYV.11,��l JC Engineering, Inc. Civil &Environmental Services Telephone: 508-273-0377 2854 Cranberry Hwy, Facsimile: 508-273-0367 East Wareham, MA 02538 ��.I"IYii'Ii,Ph��l:i� I'� ���IIIIy•�p � ,y,y� .I pp pa ,�;�diYl I ppan' 'I I"'i'''i'i�i i'i`II II'I111 p1r '' 'I II' "II"I rl�l'1•?I PJ I I IGI!:II�1.1`II II„I,trlll ti11,1 I, 'P.I,�I Igll I'I I�q ll IIIY I I� III I II I •I•if 6 1191 I L 1191�Jlll h 1 r.l.l 7 I IIII'� 1 I Ii' I III �Ullllltll s.L�.V4l lit&l.,Ll�i uI,IV...,.�,��,,�,��,�fi�.lU,,,,�,1�.��I�.�JIV.I IISIL,,....,.I�I,,IJ,IR,I ill,Id,l,�rll�.l,l,ahlp,l�,1191d1f i�,illll'IIiI��IhI��I�Vll�l�lllnl��l&IIIII�I�I�aPl,il�llil,ICI,I,RI,.,P,IRII�,tl1tli�I�I�luI1111LIV.h..�17�h.L1.I LIh.,IILIII,,,LI,IJlll2�,lllh.l,l.il�I�i,hh,llh IpI6,IhI�IIh11CI1NnIPdh hl�lh I,I I I L I I TO: Mr. McKean FAX #: 508 790 6304 FROM: Dave Simmons DATE: November 19, 2004 PAGES (including Cover): 2 RE: 163 Bay View Circle COMMENTS: Please find attached the Installer&Designer Certification Form signed by both the installer, as well as, the engineer. If this is not sufficient to issue the COC, please contact our office. Thank you for your timely response, Dave Simmons cc: File JCE#562 This menage Is Intended only for the use of the Individual or entity to which It is addressed,and may contain Information that Is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message Is not the Intended recipient,or the employee or agent responsible for delivering the message to the intended recipient,you are hereby notified that dlseeminstion,distribution or copying of this communication Is strictly prohibited, If you have received this communication in error,please notify us Immediately by telephone,and return the original message to us at the above address via the U.S.Postal Service, r. s 0609/2004 09:32 508-420-0280 HOLLER & SON CONSTR. PAGE 011 1 Town of Barnstable Regulatory Services t Thomas F.Geller,Director AS Public Health Division + ` Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 1�estaller& 13esizner Certification Form Date: Designer: ETC E Nc,�txE. . N C�� Installer: ;�E�S 4UZP— Addr.ess: ZS S-1 C .N a,jUq u& w1j Address: TO, Pim 7o-2— - C. . (,)n �� a �� OD"j--m. was issued a permit to install a (dat ) (installer)septic system at �t 6 W l-t_0Z- based on a design drawn by ddress) (S t-Is_ dated (designer) 1 certify that the septic system referenced above was installed substantially according to the design,, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations, flan revision or certified as-built by designer to follow, SN OF xt, JOHN L. G1F o CHURCHILL a (Iztstalleies Signature) JR. CIVIL No. 41807 signer's Sign (Affix D} tamp ere) P ASE RETURN, BA,WNSTABLE PUBLIC HEALTH DfV CERTIFICATE OF CQ_MPLTANClF WILL P10T BE ISSUED UNTIL. BOTH THIS FORM AND AS- BUILI CARD ARE CEIVED BY THE BtARNSTABLE PUBLIC HEALTH PIVISION. THANK.YOT T Q:HealthlSeptidDesigite*Genifisation Form r FAILED INSPECTION 0 AT E : 948/03---- PROPERTY A0ORES.S : 163-BaU2.iew_Ci2cee----- 02655 On the above date, I inspected the septic system-at the above address. Tnis system consists of the following: 1, 2-6 'X8 ' Uock ce,3.6/1oo_Pz, RECEIVED Z. Cezzgoo ih aae .in ze2.i.ez. Based on my inspection, 1 certify the following conditions: OCT 2 12003 3. 7hi,6 iz not a t-it.Pe 1.ive ze/2tic ey,6tem. TOWN OFBARNSTABLE 4. 7hie .iz a hewage. zyztem. Pzioic 1970 HEALTH DEPT. 5. -7Yze Sewage .6y.6tem --ins in hydAauiic , aieuze. - .6. A new t.it ie �.ive eept is zyztem needy to &e .in.stai—ped. SIGNATUR Fame _ _'_ _ P_ _Macomber_Jr .- --- - � cmpany : )94 zph •p _ Son, Inc . ^ COreSS - --------- -- _Ce1�s�.YLLL?__ �Ja _ _Q2-63,2- 0066 T iS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks-Cesspools-Leachllelds Pvmped & Installed Town S,e,4er Connections P 0 Box 66 Centerville. MA 02632.0066 775•3338 775.6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 163 Da yv.iew Ciac2e b e/Lv4_ e, rLbb. Owner's Name:C.in y goodoz Owner's Address:9 89 Seay.iew Ave 0,31_eay.ii- e, ft.6,6. 02655 Date of Inspection: 9118103 Name of Inspector: (please print) ao,3eph /. Macom&e2 a2. Company Name: �. /). Macom ea & Son--T—nc. Mailing Address: Bo x 6 6 Cen.tezv.i—.Pe. Pla��. 02632 Telephone Number: 5 0 8—7 7 5_ 3 3 3 8 CERTIFICATION STATEMENT 1 certify that 1 have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Z�eeds Further Evaluation by the Local Approving Authority aiIs Inspector's Signature: Date: The system inspector sha ubmit 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 I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 16 3 Ba yv.iew C.i/zcie ,3 e2v.e e, a:3 Owner:C.indy Goo o Date of Inspection: 9179703 Inspection Summary: Check A,B,C,D or E/AL- W6 'S complete all of Sectloa D A. System Passes: N6 1 have not found any information which indicates that any of the failure criteria described in 310 CNM 15.303 or N 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below, Comments: - 7he zewa#e zyhtem .ins .in hydaauiie �a.i.2u/ze. A new t.itie dive he2t.ic Aztem nee a to kle .crzh a — B. System Conditionally Passes: VO 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. 4VEThe 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:. ,&&6'.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(wit) approval of Board of Health): broken pipes)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 i Page 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INS,PECTION FORM PART A CERTIFICATION(continued) Property Address: 16 3 Ba yv:iew Ci zcie e/cv- e, a.6.6. Owner: C.i.2d oodo Date of lnspectio0:9/18/03 C. Further Evaluation is Required by the Board of Health: N4 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. I. 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: �d 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 1.00 feet of a surface water supply or tributary to a surface water supply. IV6 The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. .1f)6 The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. -,Q) The system has a septic tank and SAS and the SAS is less than I 0CL feet but 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: r . 3 Page 4 of 11. OFFICIAL, INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:163 Bayv.iew C.i2c.2e 0.3 e/tv.i e, Owner: Cindy 2odo� Date of Inspection: 9 A/0 3 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _ _ Backup of sewaee inW facility or system comnot� ce or cesspool due to overloaded or clogged SAS or sspool _✓ _ Discharge or sg of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool �tIQ.1J� 'Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''day flow Required pumping more than 4 times in the last year Vj2T 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. TZAny 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. 1/Any portion of a cesspool or privy is within 50 feet of a private water supply well. __Jr/Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes now �/ 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—I WPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 f Page 5 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 163 Bayview Ci zc.Pe e z v— e, a Owner: C-ind4l 00 0 Date of Inspection: 9// Check if the rollowinR have been done. You must indicate ' s"or"no" as to each of the followin 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 v _ Has the system received normal flows in the previous two week e 'p nod . Have laz,ge volumes of water been introduced to the system recently or as part of this inspection Were as built plans of the system obtained and examined?(If they were not available note as rA / Was the facility or dwelling inspected for signs of sewage back up? LJ_ Was the site inspected for signs of break out ? v Were all system components r.14eluding the SAS, located on site ? . ' Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condit10n of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum ? z _ Was the facility owner(and occupants if different from owner maintenance of subsurface sewage disposal systems ? )provided with information on the proper The size and location or 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 is unacceptable)(310 CMR 15.302(3)(b)) PP of distance s " 5 Page 6 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 16 3 Bayview C i2e Pe Owner: C�rzrLy 0 4 -4'z >�2.Pe. Date of Inspection: Y/ RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design):.L Number of bedrooms(actual): 3 DESIGN now based on 310 CMR 15.203 (for example: 110 gpd x N of bedrooms): Number of current residents: 9 Does residence have a garbage grinder(yes or no): A-t Is laundryon a separate sewage system (yes or no):,t � (if yes separate inspection required) Laundry system inspected (yes or no): Seasonal use: (yes or no): A�—D Water meter readings, if available (last 2 years usage (gpd)): 2000=79, 000 ga.P.PonA=216. 14 C/1!7 Sump pt'arsp(yes or no): Xt 2001=89, 079a.P.Pon.6=243. 84 91)D Last date of occupancy: COMM ERCLALANDUSTRIAL Type of c;tablishment: AJA Design now(based on 310 CMR 15.203): d Basis of�csign now(seatslpenon sgft,etc.): Oda Grease trap present(yes or no):4 / 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 6f occupancy/use: A jam OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as pan of the inspection (yes or no):.tel If ycs, volume pumped:�-gallons -- How was quantity pumped determined? Rcason for pumping: TYPE OF SYSTEM Septic tank, distribution box, soil absorption system Single cesspool Overflow cesspool dZe P ri vy Shared system'(yes or no)(if yes, attach previous inspection records, if any) _ lnnovativdAlternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from s)►stem owner) I!L�2Tight tank Aruc6 a copy of the DEP approval ,UD Other(describe): Approximate a a�omponents, date installed (if known) and source of information: MWere sewage odors detected when arriving at the site(yes or no : Y ) _ 6 Y M Page 7 of I t OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART C SYSTEM INFORMATION (continued) Property Add ress:7 63 Bayview C.i2e.fe e,cv.c e, maze. Owoer:C.inrly Goodoje Date of Inspection: 9118103 } BUILDING SEWER(locate on site plan) Depth below glade: olzan yege2 y 12-il2e & it t n y� Materials a.._constructio�t iron 4840 PVC ✓other(explain h2ouyh out the �ewa ye y�tem. Distance from private water supply well or suction line: /S� 1 Comments (on condition of joints, venting, evidence of leakage, etc.): vat .phi, Nn v_v.i_rivnnP n4 44ok i Syetem .i.6 vented tnzzough the IZ00A ven b. f. SEPTIC TANK�1 (locate on site plan) Depth below grade: h Material of construction: concrete4/,d , meta1,1 fiberglassI&Solyethylene jother(explain) tank k is metal list age: Is age confirmed by a Certificate of Compliance (yes or no);WA(attach a copy of cenificate)t: Dimensions: Ally Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: i Scum thickness: A4 Distance from top of scum to top of outlet tee or battle: ,t�A Distance from bosom of scum to bottom of outlet tee or baffle: /ll Now were dimensions determined: A� Comments(.on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Sel2t.ic• tank_ .i•s' not Rze.aent Pump .the .tank eve2u 2 3 yeaeesa, alte,z the new 3y6tflm i,3 in.s aii d GREASE TRAYL tve-(locate on site plan) Depth below grade: AJ4 Material ofconstruction,44 concrete4lmetaWh fiberglass///9 polyethylenxM other. (explain); . Dimensions: Scum thickness: IfIlf Distance from top of scum to top of outlet tee or baffle: 2141 Distance from bottom of sets;n�to bottom of outlet tee or baffle: Date of last pumping: l(l Comments (on pumping recommendations, inlet and outlet tee or baffle condition;structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): _42ea�e tiza/1 .i.6 n0t 7 f 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: 163 Bayv.iew Ci2c.Pe h t e2L.c e, ah-3. Owner: Cindy o0 o Date of Inspection: 9/ / TIGHT or HOLDING TANK(tank must be pumped at time of inspect ion)(locate on site plan) Depth below grade: t/ Material of construction:/yJ$ concrete V,4 metal t14 fiberglass &polyethylene�other(explain): Dimensions: ,t/A Capacity: gallons Design Flow: V14 gallons/day Alarm present(yes or no):,O Alarm level: _&,4 Alarm in working order(yes or no): .dil Date of last pumping: Comments(condition of alarm and float switches, etc.): 7-iaht oa ho dine l ae notRae6ent . DISTRIBUTION BO "(if present must be opened)(locate'on site plan) Depth of liquid level above outlet invert: A/A 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.): !7i tfni0.tifinn Pnx i,t nn� 0n PAP a PUMP CHAMBERAIWe. (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.): um,l? r_hnmPva Li not 2 v�sonf 8 I Page 9 of 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C •' SYSTEM INFORMATION (continued) Property Address: 1 6 3 Bayview C-i zc.ee 0,3teaviiie, aeh. Owner: C-indy qoo.6ol Date of Inspection: 9/ /0 3 SOIL ABSORPTION SYSTEM (SAS): Zlocate on site plan,excavation not required) 2-6 'X8' Uock ce,3.6/2ooP. in 6e2.ie,3. If SAS not located explain why: Located: See /gage 10 Type ___e leaching pits,number: ,(Id leaching chambers, number: 47 leaching galleries,number: D leaching trenches,number, length: , (� leaching fields,number, dimensions: 4 $overflow cesspool, number: I , innovative/alternative system Type/name of technology: ) w Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.): Loamy sand to honey tine Band. Both ce,6h/:ooi.6 aae �in hyd,3u.P.ic a.c u2e. o.c h ate dam12 vege a .con .cis u.e . e,3z/:oo ou e 12um/2e , A new .c e .ive 3e/1 .cc 3y.6 em z ou e .cn's a e . CESSPOOLS: (cesspool must e pumpg as part of inspection)(locate on site plan) Number and configuration: .2 Depth-top of liquid to inlet invert: OLA?r Depth of solids layer: Depth of scum layer: Dimensions of cesspool: aG --- Materials of construction: Indication of groundwater inflow(yes or no):.Lk) Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Same a-s a&ove. PRIVY d,locate on site plan) Materials of construction: ,(/4 Dimensions: Am Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): i u .3 not R2e.6ent. 9 �i I Page 10 of I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ` SYSTEM INFORMATION (continued) Property Address: 163 L3ayview Ci/zcie h t e/ZVt Z Te--, 7abb. Owner: C-bld y 0 0 0 Date of Inspection: 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. ti \ VIVO iZ. Q . }y 10 Page l l of I 1 ' t OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C . SYSTEM INFORMATION (continued) Property Address:163 Bayview CilLcQe Ob.te2v.0 e, ah�. Owner: C-iad oodo Date of Inspection: 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: NO Obtained from system design plans on record - If checked, date of design plan reviewed: NA CL,SObserved site(abutting property/observation hole within 150 feet of SAS) N Checked with local Board of Health-explain: NA =Checked with local excavators, installers- (attach documentation) AccessedUSGSdatabase-expIain:hi_ j:://.t<own. &aaa_3ta9ve. ma, uh. You must describe how you established the high ground water elevation: U.6ed: Cah2etuR_-N-i-eielt ftdP2 12116194 G2ouad way-ea eieva.tion,6 290ve 6ea eeveP. 11.aed on we i data. grind 1992 11.6ed: USCS: 7Pnhnir_ri0 0.ri eL n 9) nnn 1 1)0r,fp y 199, I up or uro Leaching 9�! Pit 6/ :cet Groundwater: tcct Below Bottom of Pit ' High Groundwater Adjustment 1.8 ft per Frimptcr Method Therefore, the vertical separation distance between the bosom r Of the leaching pit and the adjusted groundwater table is ll�� feet. . 11 A.\T•�.\TR•TT�\\1.�Inf'I\1n/TTR 1'AT.T111•.1r.RRT1tRt..�\AR11,'AI•�IA11�t\ 9 MR T1'TTT TT•. h Ba2n-6t ag—pe '1'UNN UP WARD OF HEALTH NSUI^ T11 T'•.•'1.�TF���\ISURFACF 9FH�AUF 01 f'USAL ,S Yes T^F,M IN9I'�ECTION FORM - PART D '- CERTIFICATION -TYPE 08 PRINT CLEARLY- PROPERTY IN STREET ADDRESS _163 Bauv-ew Ciacie Ozteaviiie, ft.6.6. ASSESSORS MAP , BLOCK AND PARCEL _ �►" l�i'I "DD� OWNER'.s A,MEC-indY Goodol- PART D - CERTIFICATION NAME OF INSPECTORJ_oseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Son Ind".` COMPANY ADDRESSBox 66 Centerville Mass . 02632 Strggt Tovn or City Stat• iIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508 ) 790 -1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system nt this address and that the information reported is true , accurate , and omplete as of the time of The inspection was performed and any recomme►Idatio►Is 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 . System PASSED ; The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public healLh or Lhe environment as defined in 310 CMR 15 , 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of / this form , System FAILED* The inspection wl► icll I have condl7tted has found that the system fails to Protect the j)ublic health and the environment in accordance with Title 5 , 3.10 CMR 15 - 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , e ' - Inspector Signature r Date ecopy of this c tification must be provided to the OWNER, the BUYER arn where .applicable ) and the 130ARD OF HEAL711, * If the inspection FAILED, the owner or.""operator shall upgrade' ayete within one year of the date of the inspection, unless allowedorthe requiredm otherwise- as provided in 3.10 Chjn partd • doc LETTER OF TRANSMITTAL JC Engineering Inc. Civil&Environmental Services 2854 Cranberry Highway D�Ap> Telephone: 508-273-0377 E.Wareham,MA 02538 Facsimile: 508-273-0367 Town of Barnstable DATE: 6/30/04 JOB NO. 562 Board of Health RE: As-built Septic System Plan 200 Main Street for 163 Bayview Circle Hyannis,MA 02601 Osterville,MA WE ARE SENDING YOU: x Enclosed _ Under separate cover via the following: Report 1 Prints _Brochures Shop Drawings Specifications_Copy of Letter Change Order Contract Documents Enclosed,please find one(1)copy of the As-built Septic System Plan and the Designer Certificate for<,l 3 Bayv' w Circle,Osterville,'MA. m CZ) i!!� Ifc bu have y questions,please contact our office rn C) �. IES9�i"TRANSMITTED as checked below: z, For Approval _Resubmit Copies for Approval x For Your Use_Approved as Noted Copies for Distribution As Requested_Returned Approved as Submitted Returned For Review and Comment x For Your Information REMARKS COPY TO: File/Client SIGNED: Melissa Borges TOP OF FOUNDATION PROVIDE MANHOLE EXTENSION 5"DIA. OUTLET(S) 4"SCHEDULE 40 PVC MIN. SLOPE 1 % TRENCH 1 FINISHED GRADE - TRENCH 2 BREAKOUT= 17.66' GENERAL NOTE S ELEV.= 30.32 RISER WITH COVER TO WITHIN SLAB (AT SEWER PIPE) 6"OF FINISH GRADE (TYP.) RISER TO 6"OF FINISHED GRADE 22.6' - 22.0' 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OVER D-BOX=22.20' ' TRENCH 2 FINISHED GRADE- 20. ' METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE TRENCH 1 BREAKOUT= 19.66 20.6 - 20.4 ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. \ FINISH GRADE @FND. EL.= 29.4' FINISH GRADE OVER TANK EL.= 23.9' - 22.5' 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD 24" MIN. ACCESS MANHOLE INSPECTION PORT WITH BOX TO GRADE OF HEALTH AND THE DESIGN ENGINEER. TYPICAL FOR 2 (ONE PER TRENCH INSTALLED ON MIDDLE ( ) 9"MIN. UNIT) 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 36"MAX. 19.25' BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. ILI _ 4. TO PREVENT BREAKOUT, THE FINISHED GRADE SHALL NOT BE LESS THAN ELEVATION 19.66, L =37' S=2% MIN. --- L= 1, 2" DROP MIN. " a, S = 1% MIN. PROVIDE WATERTIGHT 17.25' WITHIN 15 OF TRENCH 1 OR ELEVATION 17.66 WITHIN 15 OF TRENCH 2 UNLESS A 40 MIL CO _ 3" 3" DROP MAX. 3 JOINTS (TYP.) GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF THE _ '- -- -' -- " LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. EXISTING - 4 PVC IN FROM 1.33 8.5 20.04' SEPTIC TANK 4" PVC OUT TO 0_92' (TYP.) 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. INVERT LEACHING FACILITY [UHNIEHNIENN $Ej[E1__ 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 20.25' 12" BOTTOM OF TRENCHES TO BE LEVEL 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS OUTLET TEE 19.70' MIN. 19.53' 6.25'(TYP.) 2.83'(TYP.) NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED Co WITH GAS WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. BAFFLE 6"CRUSHED STONE 8. ELEVATIONS BASED ON ASSUMED DATUM OF 25.00' N.G.V.D. OBTAINED FROM A NAIL IN A OVER MECHANICALLY 5 MIN. 1833' 2.83'(TYP.) 32' COMPACTED BASE 31.3 (TRENCH 1 AND TRENCH 2) . TREE AS SHOWN ON PLAN. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH 5 OUTLET DISTRIBUTION BOX 16.33' DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= <8.48' AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN PROPOSED 1500 GALLON PLASTIC SEPTIC TANK BASE. FIRST TWO FEET OF OUTLET ENGINEER.PIPES TO BE LAID LEVEL. 10 - HIGH CAPACITY INFILTRATORS INFILTRATOR END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE LENGTH 140" WIDTH 64„ DEPTH 62„ CROSS SECTION VIEW PROFILE WATERTIGHT. HIGH CAPACITY INFILTRATOR DETAILS 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOT TO SCALE NOT TO SCALE NOT TO SCALE APPROPRIATE AUTHORITY. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS A` �` , 1 • / TEST PIT DATA LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE • ,d` ` , 4 �" --"'`r-T1 * THEY SHALL WITHSTAND H-20 LOADING. I� II • 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND MicahFINES. _ t SOIL EVALUATOR: Samuel Philos Jensen r, . !- l • • 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND /aFl DATE: October 16, 2003 UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF a ;` Qt ;-� '>f 110 • ca TEST PIT#: 1 LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN o // j, 4 ' COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ` ` J�r tt • • • ELEV TOP: 19.48' ACCORDANCE WITH 310 CMR 15.255(3). m ��,` `{ J • • • • •�� ELEV WATER: <8.48' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN a _ ` • SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. MAP 164 s 4 � i <2 Min./In. 16. PROPOSED PROJECT IS LOCATED WITHIN: 0 i DEPTH OF PERC= 43"-61" -� + ASSESSORS MAP 164 PARCEL 008 PARCEL 7 '' ` Hi �'� • TEXTURAL CLASS: 1 17. OWNER OF RECORD: NULL, CYNTHIA J l... tik y~' • _ ' ' • �. ADDRESS: 57 BIRDS HILL AVE. •f w c 4 1 • - • • -�" 0 19.48' NEEDHAM' MA 02192 �, • ' * ` rt` f )• • • *` A Sandy Loam 10YR 4/3 40 • " ; ` ..t } ! . �. 1 6" 18.98' FEMA FLOOD ZONE C MAP 164 ' %, ;r ' ' ' ` „�,.- + �... • ;. ,� AS SHOWN ON COMMUNITY PANEL# 250001 0016 D • F�� �r � � • 01 Bw Sandy Loam 7.5 YR 5/8 . ' ?*w� f • " r ` [f` 18. PLAN REFERENCE: PARCEL 2 ', a O, �' k 1. "REVISION OF LOT#18 AS SHOWN ON SUBDIVISION PLAN OF LAND IN OSTERVILLE, MASS., _ a / + '`` f " PROPERTY OF THOMAS J. POWERS&JOHN G. DOHERTY,-SCALED 40 FEET TO AN INCH, �": �� p• 4'�' r, �) x`f✓` 42" 15.98' DATED DECEMBER 16,1957, AND RECORDED IN PLAN BOOK 140 ON PAGE 73. TRENCH 1: INSTALL FIVE - \ -� " ' �� fr _ 2. "PLAN SHOWING LAYOUT OF BAYVIEW CIRCLE, OSTERVILLE, MASS.,AS MADE BY THE HIGH-CAPACITY INFILTRATORS WAGE�gEMENT T i } �; . (� - Perc. SELECTMEN,"SCALED 40 FEET TO AN INCH, DATED FEBRUARY 24,1960, AND RECORDED IN - • • FT DRAV4K PLAN BOOK 154 ON PAGE 119. , • .,,• �,� �� �� ,�- C1 61" M-C Sand 2.5 Y 7/4 °55'50"E Sp r 5-15%Gravel 3. "TOWN OF BARNSTABLE PLAN OF PROPOSED 15 FT. EASEMENT FOR DRAINAGE ON N81 6'° "- BAYVIEW CIRCLE, OSTERVILLE, MASS.,"SCALED 40 FEET TO AN INCH, DATED JUNE 19,1969, CB/DH 63 TRENCH 2: INSTALL FIVE pp�o� ` + ���► *• a�q r►. , ? � East B � AND RECORDED IN PLAN BOOK 230 ON PAGE 125. FND HIGH-CAPACITY INFILTRATORS •• . • ' A, r REFERENCE: HELD \ J + • \ ! �' • 91" 11.90, 19. DE1.EDBOOK 1 O PAGE 211 BRB/ FND .,� �� N 1(9) o MAP 164 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. ELD \ - \ 1 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY o LOCUS PLAN C2 Med. Sand 2.5 Y 8/4 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY v PARCEL 8 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. T.O.F. 322,180 S.F.± SCALE: 1"= 1000' \ ,- 39.3 EL. 94 No Standing Water, 37.32 DESIGN DATA� � (7) w_ � LEGEND ' INSPECTION PORT(TYP.) Weeping, or Mottling W #163 (1) { I NUMBER OF BEDROOMS: 3 Observed DESIGN FLOW: 110 GPD/BDRM 132" 8.48' EXISTING CONTOUR "'� '' EXISTING N cvco 10� ro TOTAL DESIGN FLOW: 330 GPD 3-BDRM /-T-0-1- t �y � 50 PROPOSED SPOT GRADES I v f DWELLING EL. P.) DESIGN FLOW X 200 % = 660 GPD =30.32' t 2$ 8) r r v� PROPOSED CONTOUR z TOP OF (6) �� USE A NEW 1500 GALLON SEPTIC TANK U W FOUNDATION REMOVE UNSUITABLE MATERIAL BENEATH INLET INVERTS WITHIN 5-FT OF E/T/C EXISTING OVERHEAD UTILITIES IO > EL.VARIES 4 CID (5) TRENCHES AND REPLACE WITH CLEAN COARSE SAND INSTALL TEN HIGH-CAPACITY INFILTRATORS IJ < 1 / 32. �% W EXISTING WATERLINE NOTE: WHERE UNSUITABLE MATERIAL(E.G. "B"HORIZON)DOES NOT LL O o EXTEND BELOW THE INVERT ELEVATION WITHIN 5-FT OF THE PROPOSED d O G (2) SYSTEM CAPACITY GAS EXISTING GASLINE W I Lu �I (3) �j SYSTEM, REMOVAL MAY NOT BE NECESSARY. CONTACT THE DESIGN (TOTAL LENGTH)(7.79 SF/LF)(.74 GPD/SQ.FT.)=GPD U p I DEC p., ENGINEER WITH ANY QUESTIONS. m W N o (CV) (31.3'+31.3')(7.79 SF/LF)(.74 GAUSQ.FT.)= 360 GAL. LEACHING/DAY TEST PIT LOCATION Ia f GARAGE / Q i PAVED EXISTING CESSPOOLS TO BE PUMPED (PER GENERAL USE PERMIT FOR INFILTRATORS MODEL PROPOSED 1500 GALLON PLASTIC SEPTIC TANK DRIVE AND FILLED WITH CLEAN SAND "HIGH-CAPACITY") IW /f% 4"SOLID SCHEDULE 40 PVC PIPE b c p DISTRIBUTION BOX I > � � MAP 164 HIGH CAPACITY INFILTRATOR B.M. I °c�0Ak o Nail in Tree PARCEL 1 Elev. =25.00' 4(/ N��� Assumed f p REV. DATE BY APP'D. DESCRIPTION PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR: I PROPOSED 1500-GAL PLASTIC SWING TIES SEPTIC TANK CYNTHIA J. GOODOF DESCRIPTION HC (1) HC(2) BRB/DISK LOCATED AT I SEPTIC COVER IN (3) 52.10' 33.99'\\ FND MAP 164 163 BAY VIEW CIRCLE SEPTIC COVER OUT 4 55.71' 42.54' ( ) OSTERVILLE, MASS. j CB/DH PARCEL 11 D-BOX (5) 52.60' 49.83' RESERVED FOR BOARD OF HEALTH USE FND TRENCH 1 START(6) 49.02' 51.09' SCALE: 1 INCH = 20 FT. DATE: NOVEMBER 16, 2003 i TRENCH 1 END(7) 40.85' 65.76' < o 10 20 ao ao FEET � TRENCH 2 START(8) 58.76' 62.17' � JOHN i_. PREPARED BY: "URGHILL JR. JC ENGINEERING, INC. CIV TRENCH 2 END(9) 52.14' 74.69' No 41z°7 o- 2854 CRANBERRY HIGHWAY r EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 SCALE: 1"=20' Drawn By: SJ Designed By:SJ Checked By:JLC JOB No.562 TOP OFFOUNDATION PROVIDE MANHOLE EXTENSION 5" DIA. OUTLET(S) ELEV.= 30.32 RISER WITH COVER TO WITHIN 4"SCHEDULE 40 PVC MIN. SLOPE 1 % TRENCH 1 FINISHED GRADE = TRENCH 2 BREAKOUT= 17.66' GENERAL NOTES V. SLAB 6"OF FINISH GRADE (TYP.) RISER TO 6"OF FINISHED GRADE 22.6' - 22•0' ` (AT SEWER PIPE) , TRENCH 2 FINISHED GRADE _ (17.42') 1- UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION -IF, FINISH GRADE OVER D-BOX=22.20 TRENCH 1 BREAKOUT- 19.66' (19.96') FINISHED -GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE �\ FINISH GRADE @FND. EL.= 29.4 FINISH GRADE OVER TANK EL.= 23.9 22.5 ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 24"MIN.ACCESS MANHOLE INSPECTION PORT WITH BOX TO GRADE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER- (ONE PER TRENCH INSTALLED ON MIDDLE 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL (TYPICAL FOR 2) 9"MIN. UNIT) 36"MAX. 19 25' 17.01 BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. L =37' S=2% MIN. --- --- t j (19.55') ( ) 4- TO PREVENT BREAKOUT, THE FINISHED GRADE SHALL NOT BE LESS THAN ELEVATION 19.66' " 2" DROP MIN. - PROVIDE WATERTIGHT 17.25 WITHIN 15 OF TRENCH 1 OR ELEVATION 19.96 WITHIN 15 OF TRENCH 2 UNLESS A 40 MIL 3 3"DROP MAX- 3 °' JOINTS (TYP.) GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF THE \ EXISTING 4" PVC IN FROM 1.33' g 5' LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. �- INVERT ' SEPTIC TANK 4"PVC OUT TO 0 92� M (TYP.) 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. LEACHING FACILITY 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 20.25' 12" BOTTOM OF TRENCHES TO BE LEVEL 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS E 19.70' MIN. 19.53' (19.68') 6.25'(TYP.) 2.83'(TYP.) NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED (20.40') WITH GAS WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. BAFFLE (19.85 ) 6"CRUSHED STONE 8. ELEVATIONS BASED ON ASSUMED DATUM OF 25.00'N.G.V.D. OBTAINED FROM A NAIL IN A OVER MECHANICALLY 5 MIN. ' 2.83'(TYP.) TREE AS SHOWN ON PLAN. 31.5' 31.3' (TRENCH 1 AND TRENCH 2) 18.33 COMPACTED BASE 5 (18.63') 9- CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH OUTLET DISTRIBUTION BOX Z633' (16.09') DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV-= <8.48' . AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN PROPOSED 1500 GALLON PLASTIC SEPTIC TANK BASE. FIRST TWO FEET OF OUTLET ENGINEER. PIPES TO BE LAID LEVEL- 10 - HIGH CAPACITY INFILTRATORS INFILTRATOR END VIEW 10- ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE LENGTH 140" WIDTH 64" DEPTH 62„ CROSS SECTION VIEW PROFILE WATERT11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED HIGH CAPACITY INFILTRATOR DETAILS OR ZONING SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOT TO SCALE NOT TO SCALE NOT TO SCALE APPROPRIATE AUTHORITY. - -- ---- -- -- - -- --- -- - -- `- a 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS TEST PIT DATA LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. °+,• ; )}'r` ,`;,f II t► 4 . 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND {, , •� i try C FINES. ch I j •�- ,t>> 1 ,fir /�'�a• SOIL EVALUATOR: Samuel Philos Jensen rl- • - t �,� • + 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND ��" ¢j ff DATE: October 16, 2003 UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF ' V, C) 110 car TEST PIT#: 1 ' LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN �`p\ � �'' 1 � yt`. A'� t► ' COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN Y ' �;,`, f' �! „ . • • ELEV TOP: 19.48' ACCORDANCE WITH 310 CMR 15.255(3). • a _ � ; � • • • . ELEV WATER: <8.48' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN MAP 164 % i SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. r C PERC RATE: <2 Min./In. 16- PROPOSED PROJECT IS LOCATED WITHIN: 90 DEPTH OF PERC= 43"-61" ASSESSORS MAP 164 PARCEL 008 PARCEL 7 r �'y ��va a f • , �, ..� - , %�f. •`�.- t - •. TEXTURAL CLASS: 1 17. OWNER OF RECORD: NULL, CYNTHIA J H 1 4i,41 : !r • • • • • . •• t1 ti . . . ` -__._ --- ADDRESS: 57 BIRDS HILL AVE. • .P ' ' t ' �' ' Sand Loam 10YR 4/3 NEEDHAM, MA 02192 ' 18.98' FEMA FLOOD ZONE C AP 1 M 64 . ���1 � • � AS SHOWN ON COMMUNITY PANEL# 250001 0016 D Bw Sandy Loam 7.5 YR 5/8 . � �, 18. PLAN REFERENCE: PARCEL 2 � � �� �- � � ''Isak°%( 1- "REVISION OF LOT#18 AS SHOWN ON SUBDIVISION PLAN OF LAND IN OSTERVILLE, MASS., r �`af. `�` •�`" �fi r1 PROPERTY OF THOMAS J. POWERS&JOHN G. DOHERTY,"SCALED 40 FEET TO AN INCH, to7 rJ, ME, �+. )) '"� ` _-�' DATED DECEMBER 16,1957, AND RECORDED IN PLAN BOOK 140 ON PAGE 73. TRENCH 1: INSTALL FIVE .i, • -_, �. �� 42" 15.98' HIGH-CAPACITY INFILTRATORS 5-FT EASEMENT •'• �� f*,� + ;,�� ! ;' � Perk. 2 NG LAYOUT OF BAYVIEW CIRCLE, OSTERVILLE, MASS.,AS MADE BY THE SELECTMEN,"SCALED 40 FEET O AN INCH, DATED FEBRUARY 24 1960,AND RECORDED IN Ff D 15- " • t�'. V` a. ' " PLAN BOOK 154 ON PAGE 119. ,50E s� • , . z- Cl 61 M-C Sand 2.5 Y 7/4 N81°55 6'0 '► J� 5-15% Gravel 3. "TOWN OF BARNSTABLE PLAN OF PROPOSED 15 FT. EASEMENT FOR DRAINAGE ON 213.63o - �, �i BAYVIEW CIRCLE, OSTERVILLE, MASS.,"SCALED 40 FEET TO AN INCH, DATED JUNE 19,1969, CB/DH TRENCH 2: INSTALL FIVE moo. , f�� •� � East B AND RECORDED IN PLAN BOOK 230 ON PAGE 125. FND HELD \ HIGH-CAPACITY INFILTRATORS • +++ • , •• + , • • 19. DEED REFERENCE: La BRB/ ISK o w + 1. BOOK 10961 PAGE 211 �► � w \ • f FND r ` \ \ a' If{ELD �' \ _ \ \ MAP 164 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. \ LOCUS PLAN 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 5 v PARCEL 8 N C2 Med. Sand 2.5 Y 8/4 i FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY l T 38 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. TOR ' ' 22,180 S.F.± SCALE: 1"= 1000' \ EL. .8 19.4 I 'INSPECTION PORT(TYP.) DESIGN DATA No Standing Water, LEGEND �o Weeping, or Mottling w \ #163 (1) NUMBER OF BEDROOMS: 3 Observed EXISTING CONTOUR W EXISTING W --�- �� DESIGN FLOW: 110 GPD/BDRM 132" 8.48' / m � � � 05 rJ, I 3-BDRM T O F fN (6) (8) � ��`60 TOTAL DESIGN FLOW: 330 GPD 50 PROPOSED SPOT GRADES I v i DWELLING EL. o _ 50 PROPOSED CONTOUR f 30.32' 2.8 ( DESIGN FLOW X 200 /o - 660 GPD �- 1-� �o E/T/C EXISTING OVERHEAD UTILITIES z f TOP OF USE A NEW 1500 GALLON SEPTIC TANK U w FOUNDATION REMOVE UNSUITABLE MATERIAL BENEATH INLET INVERTS WITHIN 5-FT OF 0 > EL.VARIES 4) CID (5) TRENCHES AND REPLACE WITH CLEAN COARSE SAND w ---- - EXISTING WATERLINE < 1 31.5' INSTALL TEN HIGH-CAPACITY INFILTRATORS a- NOTE:WHERE UNSUITABLE MATERIAL (E.G. "B"HORIZON)DOES NOT C:) 0 0 2) j EXTEND BELOW THE INVERT ELEVATION WITHIN 5-FT OF THE PROPOSED GAS EXISTING GASLINE / 1� ( � (3) �� SYSTEM, REMOVAL MAY NOT BE NECESSARY. CONTACT THE DESIGN SYSTEM CAPACITY i DEC ENGINEER WITH ANY QUESTIONS. TEST PIT LOCATION m w r`°v No -- _� , ti f� (TOTAL LENGTH)(7.79 SF/LF)(.74 GPD/SQ.FT.)=GPD a ( / i (31.3'+31.3')(7.79 SF/LF)(.74 GAL/SQ.FT.)= 360 GAL. LEACHING/DAY PAVED GARAGE ` ! EXISTING CESSPOOLS TO BE PUMPED O O PROPOSED 1500 GALLON PLASTIC SEPTIC TANK DRIVE / AND FILLED WITH CLEAN SAND (PER GENERAL USE PERMIT FOR INFILTRATORS MODEL HIGH-CAPACITY") 4"SOLID SCHEDULE 40 PVC PIPE � 1 uj o ❑ DISTRIBUTION BOX I \ MAP 164 a HIGH CAPACITY INFILTRATOR i B.M. d Nail in Tree PARCEL 1 (96•87') ACTUAL ELEVATION "AS-BUILT" Elev. =25.00' W / Assumed I � � REV. DATE BY APP'D. DESCRIPTION "AS-BUILT" SEPTIC SYSTEM ' C PROPOSED 1500-GAL PLASTIC SWING TIES PREPARED FOR: ' SEPTIC TANK CYNTHIA J. GOODOF I ,f DESCRIPTION HC(1) HC(2) I BRB/DISK FND MAP 164 SEPTIC COVER IN (3) 51.1' 33.8' LOCATED AT SEPTIC COVER OUT(4) 54.0' 42.1' 163 BAY VIEW CIRCLE CB/DH PARCEL 11 D-BOX (5) 50.8' 47.9' RESERVED FOR BOARD OF HEALTH USE OSTERVILLE, MASS. FND TRENCH 1 START(6) 48.6' 48.8' SCALE: 1 INCH = 20 FT- DATE: JUNE 15, 2004 TRENCH 1 END(7) 40.5' 64.3' 11 11 _ AS BUILT 0 10 20 40 80 FEET H U Rig.' i0 TRENCH 2 START(8) 58.3' 59.8' OHN L. �. PREPARED BY: +uF7cH,LL JC ENGINEERING, INC. TRENCH 2 END(9) 51-T 73.0' PLAN ciiiL 9 No 41807 '" 2854 CRANBERRY HIGHWAY �. ' EAST WAREHAM, MA 02538 SITE PLAN - 508.273.0377 r SCALE: 1"=20' 1nL5 (1 Drawn By: SJ Designed By:SJ Checked By:JLC JOB No.562 LOCUS MAP 164 17. , PARCEL 7 -- �- • • •f • . • �Jf / AAA I:. MAP 164 15-FT DRAINAGE r xa -� o . O� PARCEL 2 w"I�, �'t .. _ 0. PROPOSED Ng1,,55'50"E BRB/DISK 'f _ ADDITION #1 21363 HELD _ __-- EXISTING FIVE (5) MAP 164 --- TORS HIGH-CAPACITY INFILTRATORS PARCEL 8 O _- tf' TYP OF 2 TRENCHES � I �. n y I � o __--- _.-- �j� 22,180 S.F.± � ff : - i O •• '� . f rt • Tl 01 EXIST. SPOT / o GRADE (TYP) 20.0' Fm U.S.G.S. LOCUS MAP \ SCALE 1"=1000' g 5ti� - \ j 12.25' 16.0' its I . Q x .3 Q0 �+ -PROP. SPOT I GRADE (TYP) / e 16.0' z MAP 164 i o 9`7` PARCEL 1 W A r f U EXISTING DISTRIBUTION jOX Uj v j L_ 13.21' }- �1°�" �p EXISTING 1,500 GALLON ' b < v ,�p,5 PLASTIC SEPTIC TANK STORY CALCULATIONS FOR BASEMENT LEVEL BASEMENT SLAB EL =29.8'±' 15 33' f i I Benchmark FIRST FLOOR EL = 38.4'±' 1.0' --28 g'-+ ____I / j� Nail in Tree TOTAL WALL HEIGHT =8.6' (38 4• - 29 8') EL.=25.00` 1 27.5'—T--�' �, 1!2 WALL HEIGHT _ 4 3' y - i9.0 c"i i ^^ rr, Assumed j ,,2_ WALL HEIGHT EL � 34 1' (Z ' + 4 - 3za 9 8 3'} HOUSE PERIMETER w! GRADE ABOVE EL- 34.1' = 163'± . V ' HOUSE- PERIMETER w,` GRADE BELOW EL. 34.1' = 157'± � 1 I 34 `b r-. % BASEMENT LEVEL COVERED = 50.9% (163' f 320') 26 0' t i t THEREFORE, BASEMENT IS NOT CONSIDERED A STORY AS DEFINED BELOW PROPOSED STRUCTURES DIMENSIONS PROPOSED DECK & STAIRS 20.0'— -i o ADDITION#2 Per Barnstable zoning regulations Section 240-128, the definition of a SCALE: 1�� = 20' STORY is that portion of a building included between the upper surface MAP 164 of a floor and the upper surface of the floor or roof next above and having at least 1/2 its height above grade PARCEL 11 t "Based on basement slab and first floor elevations provided by architect BRBi'DISK �. FND 5 POTL PLAN AT I 0-Is OWNER OF RECORD. NOTES ! — ZONING DISTRICT: RC 163 BAYVIEW CIRCLE DONALD F ROY M. CHRISTINE RICHARDS ROY 1 PROPERTY IS LOCATED WITHIN THE RESOURCE EXISTING PROPOSED r " T AY DISTRICT REQUIRED CONDITION$ CONDITIONS ✓V OSTERVI LLE, MA ?2 �'�OODMERE GiRCI_E PROTECTION Oti ERL ---- -- -- FRONT SETBACK = 20' MIN 28.9' ' 27.5' ! hereby certify that the lot corners, dimensions and setbacks tc the MIDDLETOWN. MD 21- 69 - PROPOSED STRUCTURES as shown on this plan are correct and 2. SEE ARCHITECTURAL. PLANS PREPARED BY REAR SETBACK. 10' MIN. > 10 139 9' ARCH-TECH ASSOCIATES, INC. FOR DETAILS SIDE SETBACK = 10' MIN 22.0° 10.1' were based on a field instrument survey Conformance to the town FEMA FLOOD ZONE (COTE ELEVATIONS AND SPECIFICATIONS BUILDING HEIGHT= _30' MAX-, < 30' 17.6'±" of Barnstable By-Laws and Regulations shall be determined by the PREPARED FOR_: --- X . - 3 LOCATION OF ALL EXISTING SEPTIC SYSTEM 'Or 2 112 stones wnicrrever is Lesser Zoning Enforcement Agent DONALD ROY AS SHOWN ON COMMUNITY PANEL: COMPONENTS SHOWN ON THIS PLAN WAS BASED "*Based on architectural plans & existing grade elevation of 36 2' #25001C0563J (dated 7-16-2014) ON A FIELD INSTRUMENT SURVEY PERFORMED BY JC ENGINEERING INC IN JUNE 2004 PREPARED BY: ASSESSOR'S MAP & LOT- 4 CONTRACTOR TO PROVIDE GRADING AS SHOWN y I, Jn94"IL 1` JC ENGINEERING, INC. MAP 164. LOT 8 ON PLAN TO COMPLY WITH ZONING �`' ` ''''! JR. GRAPHIC SCALE 2854 CRANBERRY HIGHWAY DF I_D REFERENCE: - �. --- - ---- r;.� 80 - �' - � L,� �"" � EAST WAREHAM, MA 02538 BOOK 19569, PAGE 174 � k PI AN REFERENGES t _ _ _. ._-_-_-- - ( IN FEET ) 2-14-20 PLAN BOOK 14Q PAGE r'3 _ -- _-_- -_-_-- -_---- _- _ ._ _-__-_ SCALE- 1" = 20' FEBRUARY 14, 2020 PLAN BOOK 154 PAGE 115 1 inch - 20 ft. Date Pro�fessron I Land Surveyor JOEI:#562-1