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Home My WebLink About0014 BAYVIEW ROAD - Health 14 BAYVIEW RD., OSTERVILLE oo o r e t t 4 a e e ° m 1 ®%zt 1,7. 2016 22:21 Jim The Inspector Man 5085349919 page 1 %m Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Road rj Property Address - Peter Minshall Owner =O Owner's Name information is required for every Osterville V MA 02655 10-13-16 page. City/Town State Zip Code Date of Inspection _] Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. filling out f:rms" A. General Information filling out forms on the computer, S/* 9s use only he tab OF 1. Inspector: .� • ssgy� key to move your �+ cursor-do not ME Sears J . �:' AS use the return James D =s. •rn Name of Inspector key. =�= SEARS - ':4 rA Capewide Enterprises, LLC ttVl Irm I I Company Name = i �E�• -V-V ••.RTtF 153 Commercial Street Company Address nisi Brva Mashpee _ MA 02649 City(Town State Zip Code 508-477-8877 S1623 Telephone Number . License Number B..Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (316 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails - i ❑ Needs Further Evaluation by the Local Approving Authority 10-13-16 )Spectorr's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority.(Board of Health or DEP)within 30 days of completing this inspection. If the system has.a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. . 15ins.doc•rev.6r16 - Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 V1) Oct 17 2016 22:21 Jim The Inspector Man 5085349919 page 2 Commonwealth of Massachusetts . W Title 5 Official Inspection Form P Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner. Owner's.Name information is Osteryllle MA 02655 10-13-16 required for every -_ page. Citylrown State Zip Code . Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system is a 1500 Gal. Tank D Box and six chamber's B) Systern Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, NO) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old"or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying'septic tank as approved by the Board of. Health. • A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ NO (Explain below): ) t51ns.doc•rev.W16 Title 5 Official Inspection form:Subsurrooe Sewage Disposal System•Page 2 of 17 Oct 17 2016 2221 Jim The Inspector Man 5085349919. page 3 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information is MA 02655 10-13-16 required for every Osterville _ page. CitylTown Stale Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumpslalarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Oct F 2016 22:21 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information is required for every Osterville MA 02655 10-13-16 page. city,rrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system Is functioning In a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone't of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well" . Method used to determine distance: *'This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or,"No"to each of the following for all Inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in @NEW is less than 6" below invert or available volume is less than '/ day flow I.EACI{//V& 15ins.doc•rev.6116 - Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Oct 17 2016 22:21 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information is required for every Osterville MA 02655 10-13-1.6 page. CityfTown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. 11. ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is Less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10.000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes° or"no"to each of the following, in addition to the questions in Section D. 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 11 ❑ 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, t5lns.do�•rev.6116 - - - Title 5 Official,lnspeclion Form:Subsurlace Sewage Disposal System-Page 5 of 17 Oct 17 2016 2222 Jim The Inspector Man 5085349919 page 6 Commonwealth of Massachusetts Title 5 Official Inspection Form g Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information is Ostenrille MA 02655 10-13-16 required for every page. CityrTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® 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: Z ❑ Existing information. For example, a plan at the Board of Health. El ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(5)] D. System Information Residential Flow Conditions: 4 Number of bedrooms(design): NA Number of bedrooms(actual). DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 15ins.1cc•rev.6116 Title 5 Official IcspeGion Form:Subsurface sewage Disposal System•Page 6 of 17 Oct 17 2016 2222 Jim The Inspector Man 5085349919 page 7 Commonwealth of.Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,..�' 14 Bayview,Road Property Address Peter Minshall Owner, Owner's Name information is Osterville MA 02655 10-13-16 required for every page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal, Tank D Box and six chambers. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2014-213,000Gal g y g (gP ))' 2015-371,000Gal's Detail: Sump pump? ❑ Yes ® No NA Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: - Design flow(based on 310 CMR 15.203): Gallons per day(gpo) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc•rev.6116 TMe 5 Official Inspeclion Form:Subsurface Sewage Disposal System Page 7 of 17 Oct 17 2016 22:22 Jim The Inspector Man 5085349919 page 8 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name required fo is Osterville MA 02655 10-13-16 required for every. page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use. Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes Z No If yes, volume pumped: gallons t How was quantity pumped determined? Reason for pumping: Type of System: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes,attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): 15ins.doc•rev.6116 Tide 6 Official Inspeclion Form;Subsurface Sewage Disposal System•Page 8 of V Oct 17 2016 22:22 Jim The Inspector Man 5085349919 page 9 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information is required for every Osteryille MA 02655 10-13-16 r page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1998# 98-173 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 18" Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: test Comments(on condition of joints, venting, evidence of leakage, etc.): Pipeing 4' PVC SCH 40. Septic Tank(locate on site plan): 101, Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene, ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 1500 Gal. Precast H-10 Dimensions: 1" Sludge depth: t5ins.doc•rev.6P16 Title 6 Official Irtspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Oct 17 2016 2222 Jim The Inspector Man 5085349919 page 10 • a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Road . Properly Address Peter Minshall Owner Owner's Name information is Osterville MA 02655 10-13-16 required for every — , page. Cityrrown State Zip Code Date of Inspection D: System .Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of tee or baffle 29 f' 11 Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asb g -Tape Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank and covers at 10" below grade,Tank at working level w/inand outlet tees. No sign of leakage or over loading. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.8116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 or 17 Oct 17 2016 22:22 Jim The Inspector Man 5085349919 page 11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information is O.sterville MA 02655 10-13-16 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) . .Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): g i Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): x Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t t5ins.doc•rev.6/16 - Title 5 Official Insoection Form:Subsurface Sewage Disposal System-Page 11 or 17 - T 0 is al 9 P X 9 Oct 17 2016 2223 Jim The Inspector Man 5085340919 page 12 Commonwealth of Massachusetts a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall i Owner Owner's Name information i e required for every Osterville MA 02655 10-13-16 3 page. Cityrrown State Zip Code Date of Inspection t D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 - 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.): D Box is 16"x 1IT-16" Below grade w/three line's out. Box is clean and solid. No sign of over loading or solid carry over. Pump Chamber(locate on site plan): Pumps in working order: El Yes El No* Alarms in working order: ❑ Yes ❑ No' Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.)` `a * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins.doc•rev.6116 niie 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Oct 17 2016 22:23 Jim The Inspector Man 5085349919 page 13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayviow Road Property Address Peter Minshall Owner Owner's Name information is required for every Osterville MA 02655 10-13-16 page. Citylrown State Zip Code Date of Inspection D. System Information (cons.) Type:. ❑ leaching pits number: ® leaching chambers number: 6 ❑ leaching galleries number: ❑ leaching trenches number, length: - ❑ leaching fields number, dimensions. — ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: — Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is six 100-cultec 25'x29'. Leaching at 2'-5" below grade, camera prob and T.H.. No sign of over loading-solids or holding water. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan). Number and configuration Depth top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Oct 17 2016 2223 Jim The Inspector Man 5085349919 page 14 Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information is required for every. Osterville MA 02655 10-13-16 page, CityfTown State Zip Code Date of Inspection D. System Information (cont.) k Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 15ins.doc•rev.6/16 title 5 Official Insoeclion Form:Subsurface Sewage Disposal System•Page 14 of 17 i Oct 17 2016 22;23 Jim The Inspector Man 5085349919 page 15 Commonwealth of Massachusetts _ Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form- Not for Voluntary Assessments e 14 Bayview.Road " Property Address Peter Minshall Owner Owner's Name information is required for every Osterville MA 02655 10-13-16 page. City,?own State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below; ® hand-sketch in the area below ❑ drawing attached separately 38 .: ISIns Oa:•rev U15 TiUa 5 Ofhdal Inspection Form:Subsu,lace Sawage Dispose System•Page 15 of 17 Oct 17 2016 22:23 . Jim The Inspector Man 5085349919 page 16 I .,f Commonwealth of Massachusetts ' W Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information Is required for eery Osterville MA 02655 10-13-16 page. CitylTown State Zip Cade Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells NO Estimated depth to igh ground water: 82 f feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed; 10/25-12 Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test Hole on new design plan10/25/12 82" to G.W. . Bottom of leaching at 52"above G.W.. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.616 Title 5 Official Inspe7ion Form:Subsurface Sewage Disposal System-Page 16 of 17 Oct 17 2016 2223 Jim The Inspector Man 5085349919 page 17 0 Commonwealth of Massachusetts } Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Road Property Address Peter Minshall Owner Owner's Name information is Osterville MA 02655 10-13-16 required for every ` page_ City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 4 t a 1 61ns_doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 1 Town of Barnstable Barnstable i Board of Health i �"MAaA`� ` 200 Main Street, Hyannis MA 02601 'OrEa a`0� 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi February 20, 2013 Mr. Matthew Eddy, P.E. Baxter Nye Engineering and Surveying 78 North Street Hyannis, MA 02601 RE F14 Bayview Road Osterville Dear Mr. Eddy, You are granted a conditional variance on behalf of your client, Peter Minshall to replace. an onsite sewage disposal system at 14 Bayview Road, Osterville. The variances granted are as follows: 310 CMR 15.212: To install a soil absorption system 4.5 feet above the groundwater, in lieu of the minimum five (5) feet separation distance required. The variance is granted with the following conditions: (1) No more than four (4) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type roomst are considered "bedrooms" according to the MA Department .of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) A soil evaluation shall be conducted at the time of or immediately prior to the installation of the system. A $100 witness fee shall be provided at least three days prior to the'.scheduled soil evaluation. Q:\WPFILES\Variances 2013\VuinceDecisionEddyl4BayviewRoadOsterville2013.doc e (4) The septic system shall be installed in strict accordance with the revised engineered plans dated January 4, 2013. (5) The designing engineer shall supervise the construction .of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised engineering plans dated January 4, 2013. i This variance is granted because the engineer demonstrated that. due to the topography of the land and limited space on this lot to locate a new soil absorption system, this proposal appears to be the best alternative for this site. The existing system is located in approximately the same area; replacement of the septic components is necessary to provide heavy duty loading (H20) beneath the driveway. Sinc rely yours, VV'a"Y ne iller, M.D. Chair n Q:\WPFILESWariances 2013\VarinceDecisionEddyl4BayviewRoadOsterville2013.doc . r + BAXTER NYE. ENGINEERING &. SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,3rd Floor,Hyannis,MA 02601 Tel: (508)771-7502 Fax: (5.08)771=7622 January 4,201.3 Dr.Wayne Miller,Chairman Barnstable Board of Health Mr.Thomas McKean,Director . Barnstable Health Department 200 Main St. Hyannis,MA 02601 RE: 14 Bayview Road,Osterville-Board of Health Variance Application BN Jon#2012-039 Dear Dr.Miller,Board members,and Mr.McKean: In reference to the 14.Bayview Road,.Osterville variance application,attached please find the proposed septic plan upgrade for a new system to allow for H2O vehicular,loading and additional information as reviewed with,Mr:McKean.. 1. The variance request is to.allow 4.5 ft. of separation to high ground water in-lieu of 5 ft. a. The proposed 4.5 ft.of separation will be an improvement over the current system.separation which is approximately 3.75 ft. i. We have maximized,the feasible separation. b. The existing system.is a Title 5;system and has a current passing inspection which is on file with the Health Dept. c. The system is being redesigned solely to allow for H2O loading., i. The home owner is constructing a new garage and game room. In the process,they want to relocate their driveway entrance from Bridge St.to Bayview Road. This new driveway location will provide a safer means of access to the property. In relocating this driveway it will go over the existing septic system: d. The location of the leaching area under the driveway as proposed is the.most feasible location.. Due to the necessary title 5 setbacks from a cellar,pool and property lines the only other area which can meet these setbacks is the far south corner of the lot. And.this southerly area could not provide a,reserve area meeting Title 5 setbacks. This southerly area would require a much longer pipe run which would lower the invert of the disposal field thereby providing less separation to groundwater. The existing ground elevation also drops off in this.area which would require fill: It would also require crossing the existing water service line which is less desirable. - 2. The existing house is four(4)bedrooms per the existing 1999 building permits on file at the Building Department. a. There is no increase in flow/no increase in bedrooms over the existing.four bedrooms. b. The septic system was upgraded to a Title 5 system in 1998 as part of a real estate.transfer: i. This upgrade'was'done by an installer without an engineered plan as was allowed at the time. ii. The upgrade permit was incorrectly filled out stating the house as three bedrooms,when it was actually four bedrooms. iii. The system upgrade performed in 1998. has the disposal field sized for four bedrooms. . c. There are'two Building Permits from 1999 on file at the Building Dept.which identify the house as four bedrooms(see attached). i. The-current owner and applicant hereto has verified these building permits were issued for work on his house. d. The current owner has the listing sheet from 1998 which identifies the.house as four bedrooms.(see attached). e., The assessor's information lists the house as four bedrooms. Land Surveys • Site Design • Subdivisions • Septic Design e Wetland Filings • Planning January 4,2013 Dr.Wayne Miller Barnstable Board of Health Mr.Thomas McKean Barnstable Health Department Re: 14 Bayview Road; Osterville'—Variance Application 3. Attached are floor plans of both the existing house and proposed addition. f. The proposed house addition reconstructs the garage,mud..room entry area,laundry room and adds.a game room above the garage: is The game.room is open through a vaulted ceiling and open stairwell to the mud room.entry below and.is therefore riot private. ii. Additionally,a four bedroom deed restriction will be recorded on the property as required. iii. These two conditions are in keeping with the BOH Bedroom Definition policy and guidelines so.the game room is not considered a bedroom. 4.. A monitoring well to determine high ground water was installed per Mr.McKean's recommendations. High groundwater is.determined to be at 2'55 ft. a.` We are requesting,as discussed with Mr.McKean,to allow the soil.log verification and perc test to occur at the time of installation of the system. Mr.McKean agreed he could support this request. b. A soil log on the plan notes the soil witnessed by Steve Wilson,.P.E.and Soil Evaluator,during the observation well installation. c:. . Additionally,a soil log from the adjacent lot Map 93 Parcel 58-1 is attached hereto. This log verifies medium sand,a two minute. erc,and high ground water at elevation.2 ft. P g We believe,based on the information provided,that this project as proposed meets the goals and requirements of both the Town of Barnstable BOH regulations and the State Title 5 Environmental Code.We appreciate the Board's consideration of this information. I Very truly yours; Baxter N e Engineering& Surveying att w Ed Managing Partner Cc: Mr.Peter Minshall File 0:\2012\2012-010\ADMIN\LETTERS\20.12-039 Ll BOH Variance submittal.docx Page 2 BAXTER NYE ENGINEERING & SURVEYING 78.North Street, 3`d Floor,Hyannis,MA 02601 Tel:(508)771-7502 Fax: (508)771-7622 Matthew Eddy Subject: FW: Septic plan - Minshall From: Peter Minshall [mailto:pminshall@washcapllc.com] Sent: Wednesday, December 19, 2012 7:15 PM To: Matthew Eddy Cc: (CH NEWTON) David Newton; Stephen Wilson Subject: Re: Septic plan - Minshall Please proceed , Peter C Minshall Managing Partner Washington Capitol Partners 110130 th Street suite 210 Washington D C 20007. 202-625-5001 phone 202-625-1101 fax - 301-346-8618 mobile Pminshall@washcapllc.com On Dec 19, 2012, at 6:48 PM; "Matthew Eddy" <meddy@baxter-nye.com>wrote: Peter/Dave: Per our discussion on Monday, I met with Tom McKean, Health Dept. Director.. I reviewed the redesigned system and, as I noted below, he is going to require us to file to the BOH fora variance hearing on the groundwater separation. He agree our approach and what.we-were asking for was reasonable and he could support it. Please confirm you want us to proceed with this filing. The next hearing is 1/15/12. We need to get the filing in by this Friday due to the holidays. Thank you Matt Matthew Eddy, F.E. Managing Partner BAXTER NYE ENGINEERING & SURVEYING •78 North Street-.3rd Floor •`Hyannis,MA.02601 Ph: 5087771-7502 x17 Fax: 508-771-7622 email:meddy@baxter-nye.com •www.baxter-nve.com, y Please consider the environment before printing this e-mail v 1 Single Family - Long Report 06/28/98 Page 1 Address 14 Bayview Rd List Price $795,000 t Town Barnstable List# 8040759 LlstType MLS Listing Status ACT i Style Colonial Rooms 7 FBaths 2 DescStyte Beds 4 HBaths 1 YrBuilt 1963 Approx #Lvls 3 TBaths 3 Garage 2 Car-Attach, DirEnt, DoorOp,StorAb, PavDry OccupBy Owner Leasbl N Fpice Y SepLivQtr No Separate Living Quarters Bsmt Y County Barnstable LotSize 0.54 YrRnd Yes Village Osterville LivSpc 2701 to 3200 MlsBch Zero to 1110 Mile ConvenTo Chrch, GlfCrs, School, Shpng, PubTen BchDsc Bay Area Street Priv, Paved,TMaint BchOw Deeded Rights Subdiv Little Island Dock NoDock OthAcc DWAcc Zip Code 02655 Pool No DscAcc Bay Basement Full, Finish, BuikHd. Floors" WtoW, HdWd, Vinyl EqutpAppl Compct, Dish, Disp, EDry, Micro, ERange, Refrig, TVAnt, Wallov, Wash Roof Asphit InteriorFt Attic, CableH, EDryHk,WashHk SpclFnc UnkwIn ExteriorFt ExtLgt, GreenH, Patio,PLndSc, Screen,,StDoor, StWind, USprnk Siding Shing WtrSwr PriSew,TwnWtr, Elect, Phone, CATV HotWtr Oil,TankLs HtCool HotWat, 3ZnHt Foundatn Main 48 x 22 Assoc No MshpReq No YrlyFee $0 FeeYear EL 5 x 32 Feelncl Irreg Y Asphit AdditSvc LotWtdth 198. Depth 120 Irregular Yes LotDesc Corner Ad Copy Asphalt 30 year roof-4 years old & exterior walls ail reshingied.4 years ago.Automatic watering, new Title 5, oversized 2 car garage with workbench,finished playroom,deeded beach&mooring its to West Bay, greenhouse,2 patios. Directions Bridge St, house on Easterly corner of Bridge-St&Bayview Rd on Little Island. Map# 093 TItIRef B 609 P 1.12 LC0 AssmtStat Assessed Parcel# 049. Plan . B.119 P 23 LandAsmt $221,300 UFFI N AnnualBttr $0 PlnLot Improvmnt $154,100'Asbest N UnpaidBttr Zoning TotalAsmt $375,400 UTank N F1oodPlain 250 Year Flood Use 101 - Single Family Taxes$ $5,221 LPaint Unknown. Tax Year 1997 Room Dimen Level Features Living Room 1 Wall to Wall Carpet,Sliding Door Formal Dining 1 _ Beamed Ceiling,Wood Floor , Family Room 1 Beamed Ceiling,Vinyl Floor,Sliding Door Kitchen 1 Master Bedroom 2 Bedroom 2 2 Bedroom 3 2 Bedroom 4 2 Bathroom 1 2 Vinyl Floor, Full Bath Bathroom 2 2 Vinyl Floor,Full Bath Bathroom 3. 1 Vinyl Floor,Half Bath Foyer 1 Den/Library 1 Laundry ry 1. . Information Deerned Accurate but not Guaranteed-printed by,NnGn Grover Properties,Inc-#8040769 This property has been listed by a member of the Cape Cod and Islands Multiple Listing Service,Inc, } sr TEL. 428-2285 Fax 428-55.55 CLIFFOR® W. Dow, JR. ASSOCIATES lee a Ito r and J9n6urer 772 MAIN STREET OSTERVILLE,MASSACHUSEWS 02655 Little Island Colonial lst Floor Large living room with f-ir-eplace ,sliders to large patio Combination Kitchen -family dining room with. built-tn barbecue,sliders to large dining patio and heated greenhouse Library with built in book shelves Half bath, large hall and guest closet: 2nd Floor Large master bedroom with picture. window, full bate, and great closet space 3 Twin sized bedrooms, : Full bath Full basement with fireplace ,built-ins , bulkhead with inner door , Heat by oil-forced hot water.. with .6 zones, Lovely well. treed lot with " underground watering, new Title V, petic Town water . Deeded beach rights for swimming and boating Oversized two car garage- with door openers and workbench,lst floor laundry ,compactor,Washer, ryer,refrigerator,dishwasher,disposal, farrr�er ' s porch,circular paved driveway. Yard prefe:ssionaly, maintained]_ UA 6 .1 r II I; u=u 11111 ii DATE-..iA FEE: Mass. P/ 9 1639 `0� REC. .BY Town ofBarnstable SCHED. DATE: Board of Health 200 Main Street, Hyannis MA.02601 Office: 508-862-4644 Wayne A.Miller,M.D.. FAX: 568-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M:D. VARIANCE REQUEST FORM LOCATION Property Address: JL4 'j y�c, _ o� A L.Vila 'TA le 4a.A 0 S h A c Assessor's Map and Parcel Number: 1W 69 3 I PCL Oy9 Size of Lot: Z .3&4 s. Wetlands Within 300 Ft., Yes Business Name:":' No X Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you_to represent him or her?,.. Yes ?C No PROPERTY OWNER'S NAME CONTACT PERSON Name: Pc4rr Name:>'�• Address: Il 301 .51- 1JK/�*5ka DL.Address: 7e A104A Sk, 14V,4"it� C9260/ Phone: Phone: SO$- -- -7 50 2 .'-A • s ire' r,Va ,, VARIANCE FROM REGULATION(t ist Rag:) REASON FOR VARIANCE(May attach if more.spaceNneeded) t 310 Gn 1V . 1.5• 2—I Z C-Aa a,gc '/A � �Iislrsl6� �O c�fsm9f�• . t• 09 an 4' e NATURE OF WORK: House Addition House Renovation. Repair of ai ed Septic System GP- Checklist, (to be complefed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets.' _ Four-(4)copies of the completed.variance request form' _ Four(4)copies of engineered plan submitted(e.g.septic system plans), _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian' _ Four(4)copies of labeled dimensional floor plans-submitted.(e.g.house plans or restaurant kitchen.plans). Signed letter stating that the property owner authorized you to represent him/her for this request - _ Applicant understands that the abutters must be notified.by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for.grease trap variance requests only) Variance request application fee collected(no fee for.lifeguard modification renewals,,grease trap variance renewals[same owner/lessee only], outside dining variance renewals(same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi- REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary, Internet Files\Content:Outlook\BAJ9P9B7\VARIREQ.DOC � 20 t2 3S;,�3 5 Commonwealth of Massachusetts Title 5 Official Inspection Forms Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Rd. Property Address Peter Minshall Owner Owner's Name information is required for every Osterville MA 02655 9-20-12 page. City/Town Stale Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. mngoutforms A. General InfInformation ��tat"""�I►��►� on t the computer, `\`��ZN O. MgSsq rII& use only the tab 1. Inspector; S[ `�� cy�' key to move your 'moo' DAMES cursor-do not JamesD. Sears4 y q use the velumSPARS key. Name of Inspector Capewide Enterprises,LLC %��' cFo r,F��°•=oQ 2 Company Name N... 153 Commercial St. �''��nrimn11110 Company.Address Mashpee MA 02649 City/Town State Zip Code 508477-8877 S 1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Trde 5(310 CMR 15.000). The system: ® Passes Q Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority �- 9-20-12 iaW0=rsS71ignV�ature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. `***This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•11110 Title 5 afio a Form:Sub&oace Sewage.DIs L1 M 17 vcN w i�v.i.-rvN N.c Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Bayview Rd Property Address Peter Minshall Owner Owners Name information is required for every Osterville MA 02655 9-20-12 page. City(rown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E I always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined"(Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old'or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. «A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND.(Explain below): t5ins•11110 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i Commonwealth of Massachusetts UTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Bayview Rd Property Address Peter Minshall Owner Owner's Name information is required for every Osterville MA 02655 9-20-12 - page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) t B) System Conditionally Passes(cunt.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below).- C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 16.303(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 15ins.11/10 Title 5 Offidal Inspection Form:Subsurlece Sewage Disposal System-Pega 3 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 0 14 Bayview Rd Property Address Peter Minshall Owner Owner's Name information is Osterville MA 02655 9-20-12 required for every page. Cityfrown State Zip Code Dale of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, If any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well" Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in oempmj is less than 6"below invert or available volume is less than Y2 day flow 4 84cIIitiG' tsl—.I+no Title 5 Mid rnspedion Forth:Subsurface Sewage Disposal System-Page 4 of V Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Rd. Property Address Peter Minshall Owner Owner's Name information is required for every Osterville MA 02655 9-20-12 page. Cityrrown state Zip Code Date of Inspection . B. Certification (cont.) Yes No El ® 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 fecal colifonn bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. , E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no" to each of the following, in addition to the questions in Section D. 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 I I 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 !Sins-11110 Title 5 Olricial Inspection Form,SubsOme Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Bayview Rd Property Address Peter Minshall Owner Owners Name information is Osterville MA 02655 9-20-12 required for every page. Cityrrown State Zip Code Date of Inspecbon C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? 0 ❑ Has the system received normal flows in the previous two week period? El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ Were as built plans of the system obtained and.examined? (If they were not available,note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ 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) 1310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): NA Number of bedrooms (actual): 4 - DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 536 Per Baxter Nye,Eng. ,sip,•z,n o Tice 9 Offidaf Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Bayview Rd Property Address Peter Minshall owner Owner's Name information is MA 02655 9-20-12 required for every Osterville page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is a 1600 Gal Precast tank D Box and six 100 cultec 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2010-217,000GaI2011-225'000Gal Detail: Sump pump? ® Yes ❑ No Present Last date of occupancy: Date Commercialllndustdal Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft, etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: 15ins-11110 Title5 Oftdal Inspection Form:Subarlace sewage Disposal system-Page 7 or 17 ♦.70P LV i t-V'7.YViJ N V Commonwealth of Massachusetts Title 5 official Inspection. Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 14 Bayview Rd. Property Address Peter Minshall Owner Owner's Name information is Osterville MA 02655 9-20-12 required for every - page. cityrrown. State Zip Code Date of Inspection D. System Information (coat.) Last date of occupancy/use; Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank, Attach a copy of the DEP approval. ❑ Other(describe): IRIS-11110 Tltle 5 Como inspection form:sumurface samus oisposa,System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 14 Bayview Rd. Property Address Peter Minshall Owner Owner's Name information is required for every Osterville MA 02655 9-20-12 page. City/Town State Zip Code Date of Inspection D. System information (cont.) Approximate age of all components, date installed (if known)and source of information: 1998 # 98- 173 Were sewage odors detected when arriving at the site? ❑ Yes ® No Ruilding Sewer(locate on site plan): 18" Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting,evidence of leakage, etc.): Pipeing 4" PVC SCH 40 Septic Tank(Date on site plan): 10" Depth below grade: feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes [] No Dimensions: 1500 Gal Precast Sludge depth: t5ins•11110 Die 5 Off dal Inspadfon Fwm:Subsurface Sewage Disposal System•Page 9 of 17 f Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Bayview Rd. Property Address Peter Minshall Owner owner's Name information is required for every Osterville MA 02655 9-20-12 _.. page. cityfrown state Zip Code Date of Inspection D. System Information (cunt.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 29" 1„ Scum thickness Distance from top of scum to top of outlet tee or baffle 8" 17" Distance from bottom of scum to bottom of outlet tee or baffle - - --- How were dimensions determined? As Slu dge dge Tape Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): Tank and covers at 10" below grade, Tank at working level w/in and outlet Tee's No sign of leakage or over loading Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping. Date t5ins•11110 TO 5 official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 r • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Bayview Rd Property Address Peter Minshall Owner Owner's Flame information is Orville MA 02655 9-20-12 required for every page. CityrrDwn state Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level_• Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches,etc.): Attach copy of current pumping contract(required)_ Is copy attached? ❑ Yes ❑ No bins-11110 This 5 Official Irspection Form:Subsurface sewage Disposal System•Page 11 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Rd. Property Address Peter Minshall Owner Owner's Name information is required for every OSterville MA 02655 9-20-12 page. C'ity/Town State Zip Code Date of Inspection D. System Information (cunt.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 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.): D Box is 16"x16"-16" below grade w/three line's out. Box is clean and solid, No sign of over loading or solid carry over Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No Alarms in working order. ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins 11f10 Tina 5 Official Inspection Form_Subsurface Sewage Disposal System-Page 12 of 17 JGi.J LV I L VJ.'TVI.J l.J. I V Commonwealth of Massachusetts .Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Rd Property Address Peter Minshall Owner Owner's Name information is Osterville MA 02655 9-20-12 required for every State Zip Code Date of Inspection page. CityFown Q. System Information (cunt.) Type: ❑ leaching pits number: ® leaching chambers number: 6 0 leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is six 100-cultec 25'x29', Leaching at 2'-9" Below grade, Camera prob and T.H. no sign of over loading-solids-or holding water_ .. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-11110 Tile 5 otridei inspection Form:Subsurface Sewage Dmposel system-Page 13 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Bayview Rd. Property Address Peter Minshall Owner Owners Name information is required for every Osterville MA 02655 9-20-12 _. _ page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, I� t5ins-11110 Title 5 Official inspection Form Subsurface Sewage Disposal System-Page 114 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Balriew Rd. Property Address Peter Minshall Owner Owners Name information required for every Osterville MA 02655 9-20-12 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: hand-sketch in the area below ❑ drawing attached separately .5'3 A- 3 - � 1 , c i n i A ©3 5/ s (Sins•11/10 Tltle 5 Official Inspection Fomt:3ubsurtace Sewage Dlspssa;System-Pop 15 of 17 II_ _. .. � .. —. ._...._— _ _.... Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Rd Property Address Peter Minshall Owner Owner's Name information is required for every OsteMlle MA 02655 9-20-12' page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Site Exam: ❑ Check Slope Surface water ® Check cellar Shallow wells 7'-6" Estimated depth to high ground water. feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed. Date ® Observed site(abutting propertylobservation 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: Hand Auger hole TT water, Bottom of leaching at 3'4' 3'=9"above G.W. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.11110 Title 5 Otf M Inspection Form:Subsurface Sewage Disposal System.Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Bayview Rd. Property Address Peter Minshall owner Owner's Name information is required for every Osterville MA 02655 9-20-12 page. CityrTown State Zip Code Date of Inspection E. Report.Completeness Checklist ® Inspection Summary:A, B, C, D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•111to Tithe 5 Official Inspeclion Form:Subsurface Sewage Disposal System•Pepe 17 of 17 h 1L`{ - PLA t1 oN` .BAGV �zEr V. �pa�y �to;u - 4.x ►►o =moo � SQ7tG TANS • x Top x: GPI f ► 5� --- GAL. — + � : urr rram. t5o0 _- - :. . E 715Po5��- r 4� 5 ov— . ► LO: _ R cups SUL WAN rt� M0. 29733ap . ONAL G m Lo-m 9 E Lr�titt �tEL�• . � is 9" ►W k L VZOFIL r� i . y Tinztab �7iG�l.� 1tal�Tt�l ��-Vrc-t..� DAM • � 1 s 4a-rJo } tT1F`f T'KAT rAE. .� � SIN 4EV.E�N ccwtPt`t5 ,W CT'w S1tE.0 N Ait� L auo :.Cou 2T Pt�iJ d-1loG3'�j ; k u 12 6 "f OF .:Tirl6 ` 'm KIN OF.. A(AF P 58 t s: t Tu►N BAD- Hys tIJG Spica 4L FLWP . 4{A E. LA�1D �¢V�YGs�S • G�1b ja i masers mom 5u i La►O&i; sNcucn Nor s QppIJ t.4NT. use Tb� �-naBus�t PArcp�y L�u�s. -- '-$a-�5 iD� r�•J ��wc, b - sra. 3t-Z `O ,' - ,20 - r lob sv n0 c :may I.00Ac- o .61 e 1 &17- VO .. \ ' \ .: ,4 "` s 9a- uF NN f . sk \ ti ASSESSORS MAP PARCEL 300' RADIUS AROUND LOCUS � � sAxTER & NYE, INC. 812 MAIN STREET OSTERNALLE, "MASS,;,: 02655 SCALE: 1" = 200' : (508)-428-9134 gi`nfering Deo'.(3rd floor) Map _,f? '3 = Parcel., ry` - Permit#- House# L4 14&1• Date Issued Board of Health(3rd floor)(8:15 9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin.Bldg.) ,He SEPTIC UST BE. Definitive Plan Approved by Planning Board 19 INSTAL A PLI�ANCE 5 TOWN OF BARNSTABLE ENMI01 �.. ' .-BODE AND Building Permit Application TO Project Street Address Village Owner jj� iy f/y t Address 1&4t pa-� Telephone Permit Request a,& r Z �ciAA- W�v� ALI& V,. Fob bAk rga First Floor square feet Second F oor square feet Construction Type Mfepaw FR, 4 v�tSt Estimated Project Cost $ 2T-000 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family &r/— Two Family p Multi-Family(#units) Age of Existing Structure 3o�,2" Historic House ❑Yes EJ%o— On Old King's Highway p Yes 3-140, Basement Type: Q-F�1p Crawl ❑Walkout ❑Other - Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 3 New Half: Existing New O No.of Bedrooms: Existing New Total Room Count(not including baths):Existing New First Floor Room Count Heat Type and Fuel: ❑Gas 3pQH— ❑Electric Cl Other Central Air p Yes 9+fu Fireplaces:Existing r- New t5 Existing wood/coal stove ❑Yes ❑No Garage: p Detached(size) Other Detached Structures: p Pool(size) ❑Attached(size) ❑Barn(size) Q None 0 Shed(size) p Other(size) Zoning Board of Appeals Authorization p Appeal# Recorded❑ Commercial �❑Yes p ❑No �If yes,site plan review# Current Use Proposed Use Builder Information �/ g� q me � ��C !,,,L Telephone-Number�" "7�0 6 l6�Nn Address License# Home Improvement Contractor# /6 35-wt Worker's Compensation# 0 7fJ B4*w NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE c DATE. — yI I BUILDING PlIVIIT DENIED FOR THE FO LOWING REAS N(S) � . 41 � TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION Map f3/l- - Parcel C 9} �` � Permit# Health Division Date Issued �- z /q�� Conservation Division } 1 t w �f' ! Fee 49 Tax Collector ( �, SEPTIC SYSTEM PJIUST BE Treasureh. „_.�;.L INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE& ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN FIEGULoAT10�11S Historic-OKH Preservation/Hyannis Project Street Address .`. Village Y Owner Address Telephonea� r ff Permit Request 5 t X 6 cam'` Square feet: 1st floor:existing /)A proposed r" 2nd floor:existing proposed Total new — Estimated Project Cost 26,f 0©o Zoning District Flood Plain Groundwater Overlay Construction Type tIZ4 PQ Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family la�Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 3-11o_" On Old King's Highway: ❑Yes L A15__ Basement Type: Full ❑Crawl ❑Walkout ❑Other -- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) N6- Number of Baths: Full:existing new 0 Half:existing % new C� Number of Bedrooms: existing 4 new O Total Room Count(not including baths):existing _new First Floor Room Count zf Heat Type and Fuel: ❑Gas ta�il ❑Electric ❑Other Central Air: 0 Yes fh'No Fireplaces: Existing New' O Existing wood/coal stove: ❑Yes tWo Detached garage:❑existing D new size Pool:❑existing ❑new size Barn:❑existing O new size Attached garage:Lrexisting ❑new size Shed:❑existing ❑new size' Other: - Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# _ Current Used- Proposed Use ?PJA" (° BUILDER INFORMATION Name V ,J Telephone Number Address 11 j� License# D 4 V" Home Improvement Contractor# Worker's Compensation# 'T�!$-0c9s-60� '��5. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE +� TOWN CF BAR'VSTA.BLE � . 0q�3 ® 4 1, ;CAI ION 11/ ,VAX Vie al 9,0 SEWAGE # VLLLAGE0 .S l e A V/L Z P ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. J'I'- Al A. C o t 10e° P, 7 s o 1 SEPTIC TANK CAPACITY /-LO d LEACHING FACILITY: (type) to C V Z :t'C (size) NO.OF BEDROOMS BUILDER OR OWNER C • - =�� PERMITDATE: 3--11 -` w COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (1f.any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1'72.,.P//l A -d, A, � I J,_. No. Fee $ 5 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: - / Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppliCotion for Migoml *p5tem Cow5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( ) bandon( )X5d Complete System El Individual Components a Location Address or Lot No.1 4 B a y V l e W Road wner's Name,Address and Tel.No. 5 0 8—4 2 8—8 7 3 6 Osterville,Mass. 02655 (�Z Clifford R. Guptill 5555 Assessor'sMap/Parcel O"� / 1 4 BayVieW Road Oste0ville,Mass. Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.PMacomber & Son Inc. Box 66 Centerville,Mass. 02632 Box 66 Centerville,Mass. 02632 J.P.Macomber & Son Inc. Type of Building: DwellingXX No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder( ) Other Type of Building RES No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3 x 1 10 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 500 Type of S.A.S.6-1 00 Cultec Rechargers Description of Soil Mt-d i um t-n f i nP Ganci Nature of Repairs or Alterations(Answer when applicable) )m i t t i ng cesspools, Installing 1 -1500 gallon septic tank, 1 -pump chamber, 1 -sewage pump, liaht & alrm, 1 -Distribution box, 6-100 cultec rechargers. 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 a not to place the system in operation until a Certifi- cate of Compliance has been iss d by this arWeth. Sign' a Date 3/1 2/9 8 Application Approved by Date _R—It5 --9 A Application Disapproved for the fo owing reasons Permit No._F -- 17 2� , ate Issued '^1i i g?Y'.. ;tia- F"` :Yt'K.aea S .t. No. Fee $ 5 0 0. '�'• 0 �` THE COMMONWEALTH OF MASSACHUSETTS`' Entered in computer: Yes. _ 'PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZippYicatton for Mi5pogar *pgtem Cow6truttion Vermit Application for a Permit to Construct( -)-Repair( )Upgrade( ) Bandon( Complete System ❑Individual Components G Location Address or Lot No.14 Bayview Road Owner's Name,Address and Tel.No. 5 0 8—4 2 8—8 7 3 6 Osterville,Mass. 02655 ((�� ?�� Clifford R. Guptill 02g55 Assessor's Map/Pazcel -1 f 14 Bayview Road Osterville,Mass. Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 -•J.PMacomber & Son Inc. Box 66 Centerville,Mass. 02632 Box 66 Centerville,Mass. 02632 J.P.Macomber & Son Inc. Type of Building: Dwelling XX No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder( ) Other Type of Building RES No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 0 gallons per day. Calculated daily flow 3 x 1 1 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1500 Type of S.A.S. 6-100 Cultec Rechargers Description of Soil Medium to f ine sand Nature Repairs or Alterations(Answer when applicable) )mittincf cesspools. Installing 1 -1500Aallon septic tank,1 -pump chamber, l -sewage pump,light & alrm, 1 -Distr,,,,irr►►bution box,6-100 cultec rechargers. Date lastirfispected: 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 a l not to place the system in operation until a Certifi- cate of 6 41?liance has been issued by this Vard, f a h. SignedOF Date 3./12/9 8 Application Approved by Date `-- =r�''}� Application Disapproved for the fo owing reasons t .Date Issued - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS y1. Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System`Constructed( )Repaired ( )UpgradedXXX) Abandoned( )by J.P.Macomber & Son Inc. 14 Bayview Road Osterville Mass. \' i at Y r has been constructed in accordance+ with the provisions of Title 5 and the for Disposal System Construction Permit No. - dated Installer J.P.Macomber & Son Inc. Designer J•P.Macomber & Son Inc. The issuance of thi§permit' /7hall�tot61 construed as a guarantee that the system w f� i gn as designed. Date Inspector � � �� ----------------- No. Fee $ 50.00 THE--COMMONWEALTH OF MASSACHUSETTS ,. PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Miopozar *p$tem Conotrurtton Permit Permission is hereby granted to Construct( )Repair( )Upgrade�X )Abandon( ) System located at 14 Bayview Road Osterville,Mass. 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 of this permit. cr Date: 0 / i Approved by 14, AsBuilt a Page 1 of 1 i 1 U W N Ur tsAtcly J 1 H tS L1✓ U'Ik3 v LN 1 f�f} LQCATION /L ISA X VAC 9,0 _ SEWAGE # - VILLAGE ,/) ,S 7e A y%L L e ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. f ,y1 A c o `4 ge P, SEPTIC TANK CAPACITY S 4 y ' LEACHING FACIL=: (type) io C. VZ tf C (size) NO.OF BEDROOMS 3 BUILDER OR OWNER ti PERMITDATE: 3-I 4SS? COMPLIANCE DATE. Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Fee' Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 fat of leaching facility) Feel Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility) Fee Furnished by Z 1\ S O http://issgl2/intranet/propdata/prebuilt.aspx?mappar=319039&seq=1 8/31/2012 10/9/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I,Joseph P.Macomber Jr_ , hereby certify that the application for disposal works construction permit signed by me dated 3/12/9 8 , concerning the property located at 14 Bayview Road ostPryi 1 1 P, mass meets all of the following criteria: °There are no wetlands located within 100 feet of the proposed leaching facility There are no private wells within 150 feet of the proposed septic system Y There is no increase in flow and/or change in use proposed • There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will=be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) p/ B)Observed Groundwater Table Elevation(according to Health Division well map) 7ofr� SIGNED : DATE: 3/1 2/9 8 LICEN SEPTIC SYSTEM INSTALLER IN 4E TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert ,` �� ° �/ '' _ �� , Q � e3 � � �y � � w ' � a �� I N BAXTER NYE ENGINEERING & SURVEYING a NORTH BAY Registered Professional Engineers Y ST. and Land Surveyors ; 78 North Street — 3rd Floor knoll Hyannis, Massachusetts 02601 Y} 7. YrF.r Phone - (508) 771-7502 Fox (508) 771-7622 BAY R www.boxter-nye.com G ST STAMP_ STAMP GE LOCUS tiA``H OF qs o�� SHANE M. BRENNER No.45917 v F F� si LAND Ty WEST BAY CONSULTANT BRB'.. D LOCUS MAP t CONSULTANT NS"4'04'W 197J4' i GENERAL NOTES . BENCHMARK O BRB EoIP PREPARED FOR : BRID(l. .�' STREET 1 OF PLM IS TO DETAIL EXL4W SITE CONDITIONS AT LOCUS. EL • 9.23' NGVD ,�- .).THE INTENT .THIS SEE NOTE RE PROJECT -.'� ' PRIVATE BENCHMARK — Mr. David Newton ATE WAY 40 MADE 2.) LOCUS AREA IS COMPRISED OF. < 3 ASSESSOR'S MAP 093 PARCEL 049 C. H. Newton Builders Inc. 1969 TOMIN LAYOUT r- 9 0 - - PLAN BOOK 119 PAGE 23 • --- 919 Main Street .� PLAN BOOK 157 PAGE 121 _ _ 8.5 ' IN STREET DEED BOOK 11709 PAGE 344 • ° L'etQo' , ; c+ LOCUS iS LOT 1 AND A PORTION OF LOT 2 As DESCRIBED BY REFERENCE D®. 03terV111e, MA., 02855 o 91 1c 192g . L.O. d'r i �O��}► , 7 n OWNER: PETER C. O SUZANNE S• UINSWVJ. ` 8.5 1101 30TH STREET N.W. \ / � 0 '� Q: '` C WASHIVGTON, D.C., 20007 c0 APPROXIMATE �9.2 / J' � 3.) PROJECT BENCHMARK. tViIUM FOR THIS PLAN 6 NGVD BASED ON PREVIOI/S NbRK AT THIS SITE BY BAXTER & NYE MC. 1 LOCATION OF �` \ � �xA..1 � _ _------"'�$ a DATUM S DOCUAENIED BY ISfTE PLAN OF LAMA AT /14 BAYVIEW ROAD IN (OSTETMLE) BARNSTABL!~ \ SEP�Ce. YSTE�I MASS. FOR PETER Q AI SLRMME & AANSiNLL. SCALE: 1' - 20'. DATE FEB. 4,' 1999, BAXTER & t CK \ 1� 30 SETBA \ O ' // \ � NYt~ MC., PROJECT N0. 99005 AND#RCI#VED F1L1D IEORMATION. PROPERTY-� HL7D PER THIS 0 \ F SiTE PLAN. \ + 4 ° • / \ ) ZONING INFORMATION . • / '9� � ZONING DISTRICT : RF-1 (Reddentiai) ° 0+ G CURRENT MINIMUM ZONING REQUIREMENTS: G'KP MIN. LOT AREA = 43,560 S.F. 4• s9 y� � / � •� c^ MIN. LOT FRONTAGE 20 �i MIN. LOT NAlnH 125 6PA : : Fy � \ � s s FRONT YARD 30 SIDE � REAR YARD 15 / 15 >` �\ �\ O MAX. BUILDING HEIGHT = 30 y OVERLAY DISTTtICTS. AP, RPOD AND SEP �5' 5.) A TITLE SEARCH HAS NOT KM PERFORMED FOR 1MS SITE IF DETETWFD\ �, 093/049 ��F Z�d3`'r` �// `. PROPANE TO BE NECESSARY, A TITLE SEARCH SHALL BE PERFORMED BY oTF+ERrx to f 3 Co W ` \ 24,369 S.F. � �� d, TANKS � • F� Cc 0.56 AC. ' / s'1dA� � �' g,) THE PROPERTY LINE MFOtlMATKM SHONAV ISBASED ON CURRENT AVIYLABLE RECORD0 co Cm f P 0 `\ / Q` INFORMATION OONS�VG OF PUNS AND DEEDS. e \ �FtP�`FA , roor `, �y THE DZTING FEATURES SH M HEREON WERE OBTAINED FROM AN ON THE GROUND F1E1D J � • \ x 9 / /G� E IPMENT SURVEY PERFORMED BY BAXTER NYE ENGIFIEERING AI SURVEYING ON AUGUST 9, 2012 won # - Q F N J F > P .0 7 o NUMBER. 5000 0018� � COMMUNITY PANEL 2 1 D x q 9.4 � 1 m 1 ` s � i THE FLOOD NVSURAN(2: RATE MAP IEFINES THIS AREA AS A 2i0FE 13 12. v w > a \ 5 m i 3 - _ _ 0. m t 8. f �o 0 , ed flags !f' SITE IS NOT WITHIN AN A.C.EC. (AREA OF CRI11GAi. ENVIRONMENTAL OONCERN). o. �... Q •f • SITE 6 NOT WIFNN AN AREA OF B70YED HABITAT OF RARE *I.DLF'E PER SCREEN PORCH , Q 10.2 2 NHESP MAP OCTOBER 1, 2010 'EbW7ED HABITATS OF RATE WILDLF'E' �\� \ /DECK ABOVE t o.t �p "- FOR USE WR THE MA *ERANDS PROTECTION ACT WAILAT10NS (310 CUR 10).' 4 \ ` o SITE DOES NOT CONTAIN A CERTIFIED VERNAL. POOL PER MMP MAP OCTOBER 1, 2010 �\ 0 �` 'CERTIFED VEI2NAI. P00L�' o F r ° `T x 9.3 ° SITE IS NOT N11T#N A PRIORITY FNWAT PER NHESP LAMP OCIOW 1, 2010 "IOR11Y a. _. HABITATS OF RARE SPECES FOR SPECIES UNDER THE MASSACI*WTS 90ANGERED SPECES ACT, REGULATIONS (321 CURIO). w > SITE IS NOT N�ITFMN A STATE APPROVED ZONE I GROW MUTER RECFUR(E PR07Ef.TION o �f► � �\\ � ° � �• AREA •SITE IS VIM N A ZONE OF CONIREU ION TO A SAL707ER ESTUARY ELO.H. w S (ITAIDrSTABLE \ * ° 9 p. REC. 360-45). a + \J 9.) UTILITY INFORMATION SHOWN HEREIN: 7 1� °° OC) \ \ G, THE CONTRACTOR SHALL CONTACT DIG SAFE AT 1-888-DiG' �; °�' c� ALL OMMG UWXS, AT LEAST 72 HOURS PRIOR TO THE START OF CWTRUCi�THE LOCATION OF o N \ ° � OEM UNDERGROUhID UTIJTES, CONDUTS AND LMES ARE SHOWN M AN APPROXIMATE z WAY ONLY, MAY NOT BE LANTED TO THOSE % M MO�EiIV AND HAVE BEEN RESEARM BASED ON THE �+ SHEEN---TITLE AVAMBLE UTILITY RECORDS NOTED HEREON. THE CONTIWIDR AGREES TO BE FULLY RESPONSIBLE FOR N ANY AND ALL 11AMM WMM MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE SAD ,-.:. ■ - ■ ■ N MFWISTRUCTURE AND =1113 EXACRY. IF FIELD CONDITIONS DIFFERS FROM PUN INFORMATION, THE ,�CI9 n Conditions Plan \ 9 CONTRACTOR SHALL NOTIFY THE ENfMNEER MIIEDMTELY MR POSSIBLE REDS. \ SOURCE INFORMATION FROM PUNS HAS BEEN COMM MIH OWERIM EVIDENCE OF UIIUIIES 1O DEVELOP A VIEW OF THOSE UNDERGROUND UIRM HOWtlIE'R; LACKING EXCAVATION, THE OW LOCATION Uj OF UNDERGROUND FEATURES CANNOT BE ACCURATELY, COMPLETELY AND RELWXY OUVIED. *HERE Cn ADDITIONAL OR MORE DETAILED INFORUAWN IF REQUITED, THE CLINT IS ADVISED THAT EXCAVATION MAY S H E E T N O o BE NECESSWY cli c10 EX sym SEPTIC smEM INFORMATKNN oerAm FROM SEPTIC SYSTEM MVSTALLER TIE CARD 0 0 98-173 PREPARED BY J. P. MACOAIBER & SON. W. ON FILE AT BQAItD OF HEALTH. DATE : 08 24 12` TOWN WATER SERVICE SIM ON THIS PLAN FROM C-O-W INTER DEPARTMENT SKETCH 20 ' 0 20 40 0-2404-S DATED 3/27/1962 o THIS W TAKEN FROM WAR MAP GENERATED AUGUST 22 2012 SCALE IN FEET ELECTRIC LINE SHOWN ON PLAN AS , N SHOWING OVERHEAD SERVICE FROM POLE I468/1 (BAYVEW ROAD). SCALE: 1"= 20' N . DRAWN/DESIGN BY: MTM ' CHECKED BY: MWE OS 07 2012. VER20N .INDICATES NO UNDERGROUND INFRASTRUCTURE AT THIS SITE: N N : CADD FILE: 0 JOB O 2012-0.f9 2012-439Mdwo O SAL NOTES • 1. LOCATION OF UNDERGROUND URIiES ARE APPROxMNTE AND SHALL BE VERIFIED IN THE FIELD BY THE CONTRACTOR AND BAXTER NYE "� APPROPRIATE UTIM COMPANY PRIOR TO ANY CONSTRUCTION. N ----- --- _ - 1- 'V - Copan=TwN NOTES. � ENGINEERING N g ,1 0,.. SURVEYING �» 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED N ACCORDANCE WITH TITLE V OF THE STATE SANITARY CODE DATED APRI. 21, .� M, AS AMENDED THROUGH THE DATE OF THIS PLAN. & ANY LOCAL RULES & REGULATIONS APPLKABLE NORTH BAY Y� �j 7� ��j� B .B i 2 ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE ENGINEER ELEVATION INFOROTION Must NOT BE CHANGEDRe Registered Professional Engineers 1 ST. 9 9� j� � �� r y Q�� n � i p� wm+our WRITTEN PRIOR APPROVAL BY THE E1dc�lEER. _._J EL = 9.?3' N D 3. WHEN CONSTRUCTION iS COMPLETED PRIOR TO BACKFN.LNVG NOTIFY THE BOARD OF HEALTH AGENT AND ENGINEER FOR INSPECTION. SEE NOTE RE PP,, !ECT and Land Surveyors ✓� A`.' 4 ",11D BENCHYAP 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4' SCHEDULE 40 PVC. UNLESS OTHERWISE NOTED HERON. 78 North Street - 3rd Floor f --3'/3 1 q g v LA oU- \- g -- �s -_ _ -------- 5. EXCAVATE UNSUITABLE WTERW. AS NOTED, TO THE -C HORIZON" . FOR A HORIZ DISTANCE OF 5' SURROUNDING THE LEACHING Hyannis, Massachusetts 02601 `- ,\ -------- FIELD, AND REPLACE WITH CLEAN SAND PER 310 CMR 15.255 TO THE TOP ELEVATION OF THE SAS y0 5�4�0 - °� CB/END w �SAYR ° s. MUTE ALL PIPES AGAINST FREEZING As WHEN LESS THAN 3 OF COVER. 30 IN STREET < NNSUU REg1NRED �P Phone - (508) 771-7502 ` � 9.C' �° __ L.=11,0 '�`a � � o A / Q_ /O, �_ g i \sT ,� ^ 7. THE SEPTIC SYSTEM DESIGN 1 �I INCLUDE GARBAGE r,RINDER DfSPOSAIs. B Fax - (508) 771-7622 AND www.boxter-nye.com\ WELL TO FiLLED / KnN!TORIN� a auv \ X � CMMIES LOCATE ALL DMING i � IN AND PROPERLY g.0 \ "^ WELL VEWAY �� 8 5 �� UiUIT LEAST 7C 2 HOURS BEFORE THE START OF ONTRACTOR SHALL CONTACT DIG SAFE ATSTRUCTION. THE CONTRACTOR SHALL DETERMNNE�THE EXACT LOCATION, BOTH �' �""�"'""1 _ \ \ �CF O HORIZONTALLY AND VERTICALLY, OF ALL EXISTING UTILITIES BEFORE THE START OF ANY WORK THE LOCATION OF EXISTING LOCUS ` ABSEPTICED DURING ° �° ; EEL. 10.45 iEW ° UNDERGROUND UTILITIES ARE SHOWN M AN APPROXIMATE WAY ONLY MAY NOT BE UNITED TO THOSE SHOWN HEREON AND HAVE NOT RESERVEPC�NH \ INSTi1LL A�T10�N J A P P R 0 x i M A TE \ FLOW � RS \ d/� \\ m BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS REPRESENTATIVE THE CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR STAMP STAMP LOCATION 0F � .t_ QQ -v \ Z MY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE m LOCATE THE UTILITIES EXACTLY. IF ELEVATION N OF M ` \ \ SEPTIC SYSTEM --�� ° Q LT AS \ b VENT , o / 8. J INFORMATION DIFFERS FROM PLAN INFORMATION. THE CONTRACTOR SHALL NOW THE ENGINEER MMNEIMTELY FOR POSSIBLE REDESIGN. ��cA qc \ o A c : \ �p a AT UTILITY , VERIFY IN FELD THE LOCATION / INVERTS OF ELECTRIC. GAS, N � ti SET OQ ,� TELEPHONE DAT COANiI AND RELAGITE IF �o MATTHE GN ,:: \ -'�•' �j � CONFLICTING WITH PROPOSED INVERTS PER THIS ENGINEERS DIRECTION. THE OOINTRAC'TOR SHALL PRESERVE ALL UNDERGROUND � W. m , UTILITIES AS REQUIRED. c, EDD : 8. 9. THE PROPOSED UTILITY CONNECTIONS SHOWN HEREON ARE SCHEMATIC. FINAL LAYOUT SHALL BE AS DETERMINED BY THE WEST BAY "O 4 �\ \ \ \ .. . �, APPROPRIATE U1'NJTY COMPANY. \ .•;;. �` \ (' r'�; y� TRe ONAL `rN LOCUS MAP CONSULTANT \ ::.. .. 1 LEACHING AREA REQUIREMENTS SM LOOS DATE • 10/25/2012 \ \� O • •�► �/ �� o RESIDENTIAL 4 BEDROOMS (EXISTING, AS PER BUILDING PERMITS BARNSTABLE \' ° �o gyp, \i/\R� / 136,311 do 137,233) SOIL EVALUATOR: BOARD OF HEALTH AGENT: �� Box \sue / 2-S s� \ / x 110 GPD/BEDROOM STEW WILSON, P.E. NOT WITNESSED CONSULTANT y \� NOv 4 / P OP NE �� ti _ \ \ REPLACE pV� gp # �o, ,\ \ N K s �, TOTAL DESIGN FLOW 440 GPD (EXISTING) ° � i , � / OBSERVATION OF SOIL TANK %M H-20 TANK - \ \ \ GARBAGE GRINDER (NOT INCLUDED) = N/A s � F F \ PROPos�D / o` DURING MONITORING 'oo° 8: g �� PERC RATE = <5 MIN. / INCH (CLASS 1) WELL INSTALL \ \ \ \ AL K \ FR N6- E U I PM ENT LiAR = 0.74 GPD/S.F. h F� MIN, LEACHING AREA OF SAS, REQUIRED: 0" GS ELEV 9.4 FT \\ � g.3 \ �: � \ PREPARED FOR : ��' ,10.0 440 GPD/ 0.74 GPD/S.F. = 594.6 S.F. MIN. PROPOSED SYSTEM: A TO B HORIZON; LOAM/SUBSOIL 24' x 28' LEACHING FIELD BED WITH 6 - 8'x4' FLOW 180 7. Peter & Suzanne Mlnshail L \ y$ F E. ----�9- ___, 10.1 10 2 DIFFUSER LEACHING CHAMBER UNITS AND STONE o� _ C1 MEDIUM SAND 1101 30th Street N.W. BOTTOM AREA: (24 x 28,) - 672 SF Washington, D.C. 20007 \ TOTAL EFFECTIVE LEACHING AREA = 672 SF 107 (ELEV 0.45 FT) 9 ' 6 SCREEN PORCH x Poo Po°� 1° 2 _'° SYSTEM DESIGN CAPACITY = 672 SF x 0.74 GPD/SF = 497 GPD WATER AT 82' (ELEV 2.55 Fr) SEPTIC TANK SIZING: = 440 GPD x 200% = 880 GAL SEE OBSERVATION WELL /DECK ABOVE i 10.1 �,O �'� READINGS $• G\ \ USE 1500 GALLON TANK MIN. D.E.P. File #SE 3-5039468 - \ • c Order of Conditions Expires: 11-14-2015 \ �� \ Y 9 3 0 9 3 I0 A 9 Xa`, ' \ OBSERVATION WELL FEADWOS DEPTH TO WATER ELEVATION \ y \ 24,369 S.F. \ t boo. G� ' (FTJ (FTa 0.56 Ac. o \ CONSERVATION NOTES: ° i Shy \ ' �6- 5. TOP OF OBSERVATION WELL VARIANCE REQUEST: a 1. NO WORK IS TO BE DONE UNTiL FORMS A & B ARE SUBMITTED \ �� \ `, g N�� \ TO CONSERVATION COMMISSION. \ \+ -" ��0 �PS� 1) 310 CMR 15.212 TO ALLOW A VERTICAL SEPARATION FROM THE BOTTOM 10/29/2012 8.0 2.45 OF THE SAS TO GROUNDWATER OF 4.5' IN LIEU OF REQUIRED 5.0' 11/05/2012 7.9 2.55 2. ALL ROOF LEADERS TO DISCHARGE TO DRYWELLS OR DRIP TRENCHES. \ ��, __ ,�'� P� 11/14/2012 8.0 2.45 \ \ ---- C 3. ALL MATERIALS FROM DEMOLITION OF EXISTING GARAGE SHALL BE REMOVED �F FROM THE SITE AND DISPOSED OF IN ACCORDANCE WiTH APPLICABLE REGULATIONS. T 11/19/2012 8.2 2.25 11/19/2012 8.1 2.35 4. EXISTING SEPTIC SYSTEM TO BE REPLACED WITH H-20 LOADING STRUCTURES. \ � O� A�\-�' 11/21/2012 8.5 1.95 11/27/2012 8.7 1.75 Co 10 O W C p SET MANHOLE FRAM COVER W lU) WHIN 6' OF FINISHH GRADE 3A'- 1 -+ RISERS dt COMERS SHALL BE WATOWIGHHT DOUBLE F- � NSPEC" POR9) WASHED STOLE � •"w- � 2' PEA61OIE ~ � � • OR FLfl7R FAOtIC W Rf •� RJOW LINE ": .: •.. .:.. _ y r ( ) .a�•�,'�. . .ice... r �- •• •,'.?�'a'a '} .,: '•.� ' .�f.' .. t.•• 1 V �� :. •�.P �.r: '` 1 t•: t�•• y� f • �� t•: .•� a.t•, a.>. +1,Y 7. •'�:,:. ,�'i.'-: H>• HH>• •�..;:' '� N� ~:�..'a i•'.; �'`' •:, •�.:. O r.r 00, •:�-. o::l'•1. _ j11• 't J �a�'. t:.I;�,� •.• •. ,tea 0. r• Q 4.0' 4.0' 4.0' 4.0' 4.0' 2V w CONCRETE FLOW DFFUSER WA OM CHAFER SYSTEM DETAL Z 3 Z NO SCALE Q ►= y' o_ o o a 3' W - -1 20' DiA1••- �- W o v ®=® ® OQ ® ® ® 1 4.0' 4.0' w TYPICAL SYSTEM PROFILE Im ` 4. : . Aj L � s N .� X NOT TO SCALE ® ® ®®® ® ® r Nl o' Q � cj NOTES: -�-j- 2 CHLAMBERS VENT N o a :. H ZU. 1. ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS. o APPROXIMATE TOP OF 89-00 ■ \ \ Q Ln P, FOUNDATION - 10.44U. t.t PFECAST LEAC.FWO CHAFER 28.0' C 2 CHMI�RS PROPOSED GRADE - 10.0 k WAR TO WITHIN 6. OF FINISH GRACE SET MANHOLE FRAME a RISERS At COVERS SHWl BE WA1TItTIGF1T R COVER O GRADE - RISERS At COVERS SWILL BE WATEi"IGHT .. _ - v 4. >' •� ' S'"HEET TIT FINISHED GRADE OVERL = 10 S0 =+Ts, ' aNr 4.0Y / Propose Septic Sytem INSTALL ONE INSPECTION PORT TO WI H IN 6' 2 CHMI�RRS a FINISHED GRADE OVER D. BOX = 9.72 VENT i ,n MAXIMUM GRADE OVER LOOM SS51EM = 9.3 OF FISH GRADE r' TOP OF TIN( = 10.0 -•_ . . _. _ M 4 SCH 40 PVC 3 9 (^�^ N;a�rr ENSURE PTROPER PIPE ;�` Plan- nd Profile c RASE Exts�ING L- 11' S-2.00% (1.0% MIN ALLOWED) TOP of D-BOX - 9 22F1 - 2' of �- ooLiBLE 36' (mmc�Cow► • 18 LF+•4 SfrH 4O PVC NUS=O Sx CONNECTION IETWEf?N C PIPE TO NEW 6' MiN 19 tF+•4 SCH 40 PVC OS-1.oz ;. (LONGEST UMN) WYISHED ELEV�Si C PAIN OUT - 8.96 PAIN N- 8 74 10• mK FrttST 2' cm w mm) OR FILTER FABRIC MowOON CREiE FLOW DEFUSER � OAS (4- (a w OUT - 6�) PVC NV OlT- 8 49 4 S(3N 40 PVC LEACHING CHAWIERS SCH 40 PVC) SHEET N O . z• PLAN OF SOL ABSORPTION SYSTD�II WITH n GAS BAFFLE ITV IH-6 3O N f� O .-� :. o 0 0 0 0 A W C2mO M 14' t r SLAP = OUT••6.13 rHv HY=6 A6 N REINFORCED OONC EFE ::' �•^- 6' CRUSHED ': :`i : BOTTOY OF NO SCALE STONE BASE v:.tr. x' r r - '.v +r: _ r.x o .. ,:,,�'� .t:, +� ,+:,`�: C CRUSHED' D(ISTI NG SOILS TO BE REMOVED TO THE 'C HORIZON' 4.5 w LDOUBLE WASHED STONE EL-7life E0dNA11BER DATE : 11/27/12 a '��, = <Y. " : = SHM BASE SEE � NODE 15 HEREON i 20 0 20 40 1 Adjudal ft lord Wafer a Ow 2.56 (E14SED ON OSSEIWTiON WELL READNCS) mmmod UM GALLON ONE-COMPART�IT SEPTIC TANG DI3?1�8UTION BOX GM LOADIIK31 SCALE IN FEET SHOWY ST15M OR EQUAL SHoREir W-6 OR EQUAL SOL SYSTEM MAS) FLOW DFFUSER LEAMM CHAFER ffYPICAU SCALE : 1"= 20' TO BE NSTALLED ON A LEVEL STABLE BASE M BE INSTALLED ON A LEVEL. STABLE BASE N NK SEPTIC TA TO BE INSPECTED & CLEANED ANNUALLY 3 OUTLETS REQUIRED DRAWN!DESIGN e Y: MTM CHECKED B Y: MINE JOB NO: 2012-039 C A D D F I L E: 2012-039WPP.dwg 0 _ e Morehouse MacDonald&Associates, Inc. Ara h4eC& 3 Bow Street.Lexington,MA 02420 781-861-9500-tel 781-861-8156-fax www.morehousemsedonaid.com i 30 27-6 1/8' T.O.FOOTING-ELEV.94 5/8• ---------------- ------------- ----------------------- - - ce -------------------------------- -----------------------, b 2'-6•x 1'4r FOOTING W/ (3)#5 -BARS CONTINUOUS 10•CONCRETE WALL W/2#5 BARS TOP AND BOTTOM 8P-1 _ NSS4X4X1/4 ` CONTROL JOINT •�• .�h #4 BARS 0 16'O.C. �\ Q DOOR hQ -------------- ------ T.O.W-ELEV.10'-/518' ------------- •4 CONCRETE i CO C ETE SLAB ' W/6 X 6 W2.1 X W2.1 WWFTOP -------- ----------------- OR FIBERMESH .'�y9� --------------------\-'-'--T.O1.CUR8-EL". -'' �-y #4 BARS 16 D.C. -- 5•CONCRETE SLAB—► 11_211e. u\ Q a ® DOOR W/#4 BARS Q 12'MID DEPTH �. Q%` a+ �\ I - EACH WAY 0 1b C - ------------------------ �- 5 - --------------- ---- - T-- ------------ a \ o V.I.F. T.O.WALL-ELV.AO'3 3/8' ,\ -------- -' s,P •+ <' ! 8'CONCRETE WALL \a �s w/2-#5 BARS TOP a 41- h Qy� T.O.WALL-ELV.1a-8 318' d A , h 9 G\. x 'YV Revised Description Date Mark Architectural Stamp Engineer Stamp Project Name Minshall Residence Osterville,MA Drawing Title Basement Floor Plan Drawn by CMB Job.no. Checked by JSM Drawing no. Date issued DEC.7.2012 Date printed DEC.?,2012 A-1 00 .. Ooryr�l OtaM-4012Nigb,or,tl. '. - - Ma.nmr 1Mcoamm a Aro,irti Ins _ ,i e Morehouse MacDonald&Associates, Inc AraWbxft 3 Bow Street,Lexington,MA 02420 781-861-9500-tel 781-861-8156-fax www.morehousemacdonaid.com 24'-7 3/4' I 68A• 7-10 518• A� Fn P i i a-- -- I I Q � LLD-- W -- 05-- �� ; P 5 LAUNDRY f ._ j -- EQ. EQ. e -31 s 102 % 06_ PANTRY - 103 STAIR 4'-0. 104 8f pentry S-6 314' ; .y : ; 5-21/8' 7-4112• I I I , 08 NEW TWO CAR GARAGE —. _._ ,a 105 MUDROOM ; , ---- b \ O 138'rotris I 1o1 ;-- , N 4 V =2'-0- --- -_ fo1 <<\ POR H I,a � 100 \\\ 07 .0`------------- - - -- — A 6fs Exh*V Home B 14 A 1 Revised Description Date Mark Architechxal Stamp Engineer Stamp 1 PROPOSED FIRST FLOOR PLAN Scale. 1/4'=1'-0' Project Name Minshall Residence, Osterville, MA Drawing Title Proposed Floor Plan Drawn by CMB Job.no. Checked by JSM Drawing no. Date issued 9-10-12 A�1 01 Date printed DEC.7.2012 Caypalt OtaM-2012MwihI�II�A. ''. rorrolr.�a.mo.ra a Arorilw,tie d t a Morehouse MacDonald&Associates, Inc. ArchApds 3 Bow Street,Lexington,MA 02420 781-861-9500-tel 781-861-8156-fax www.morehousemeedonsid.com , --- ___ ___ _ _____ ____ _________ ___ ____ _____ __ _ r-r 2'-9• �a $ILLi11RD TABLEzk C C WASHROOM EX. BEDR---__-_-- — MECHANICAL --203--- - ¢ y� ACCESS y� PANEL �t 2 ,BATH -- GAMEROOM o •r - { OF011 81n• OPEN TO ® — ---- BELOW ALIGN /Q'CT� O 5`t� 1 ASHROOM 0 202 C? TABLE TENNIS C C ram• 2'-g• EX. BEDROOM 1 --- „ - -- ------- ----------- - - ------- ------------ -A - 01 O lot EXISTING HOUSE TO REMAIN � B A 13 Revised Description Date Mark Architectural Stamp Engineer Stamp 2 PROPOSED SECOND� FLOOR PLAN Scale. 1/4"- V-0" -_-__ Project Name Minshall Residence Osterville,MA Drawing Title Proposed Second Floor Plan Drawn by CMB Job.no. Checked by JSM Drawing no. Date issued DEC.7.2012 A-1 02 Date printed DEC.7,2012 CaypgM 0190Y-2M2A1r%0ft M4W-d. We�or NMcODNW A AwedwkW ht e MMEOW Morehouse MacDonald&Associates, Inc .4rahareds 3 Bow Street,Lexington,MA 02420 781-861-9500-tel 781-MI-8156-fax www.morehousemacdoneld.corn --------------- - ----- ------- ------- ------ ------ ---------------------— - - -- --- - - - ----;-—-_ fm 1 1 ----_-------------------_----------_-_--_--_ EX.BEDROOM 2 EX.BEDROOM 3 - --------- EX. MSTR.BEDROOM EX.DECK d- 7- =46. DN. ----------------- - - --- --- - --- EX_HALL ; EX.BEDROOM 1 ---- ----- --- - - - -- - _ -- ----- --- - - --- --- �- --- -- -- - - - --- - -- -- -- -- --- - (�, t ' Tr EX. BATH ----- EX. MSTR_BATH ; �i t EXISTING SECOND FLOOR PLAN -- -- -� - Scale. 1/4"- V-0' — -- r i -- ---i,.._—_ - EX.GREENHOUSE s -- - — -- - --- ------ EX. PORCH 1 ; i ID vv --- EX.KITCHEN EX.DINNING ROOM --T I EX. GARAGE 1 EX.GARAGE 2 1 1 I 1 I 1 1 ......- - -- -EX.LIVING ROOM- - - - -- - - EX_SCREENED PORCH- - - - -- - - - 13W retrig DN. :up EX.PORCH 1 Revised Description Date Mark -- -- — _ — Architectural Stamp Engineer Stamp EX. STUDY EX_FOYER - F , window seat ® allEX.CLST EX. POWDER window seat --_— Project Name Minshall Residence Osterviile, MA Drawing Title EXISTING FIRST FLOOR PLAN Existing Floor Plan Scale: 1/4'= V-0" ---- - -- --- — Drawn by CMB Job.no. Checked by JSM Drawing no. Date issued 8-24-12 A-1 0 1 Date printed '. Cgy,w Ot/p-200�N,alb nlMrW. YeIMu�MM[OarY A AaIMtlaMti MI