Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0100 BLANID ROAD - Health
100 Blanid Road, O to:;A e - P:jipr _ t i o r i ° o 0 a ti r t t q n TOWN OF BARNSTABLE ^� LOCATION tJ�Av�t(� 0\0045� SEWAGE# VILLAGE 05kCvkWe ASSESSOR'S MAP&PARCEL 066 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /500 LEACHING FACILITY.(type) 6�,04V_JG l (size) l Z.rj,3X gs 4- NO.OF BEDROOMS S OWNER G fA't,F PERMIT DATE: j- x_c COMPLIANCE DATE: Separation Distance Between the: ,/� Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ✓I A Feet Private Water Supply Well and Leaching Facility(If any wells exist on IVA site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) " " Feet FURNISHED BY I""-a r , O Oy A (3 o 0 0.1 O 3 1a IT 13` O 3 30' q' (oo 3 , a3' Le 5 je �Cbh� i No. �® go - .. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pphLation for Misposal 6pstem (Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 100 W-Mr tft Owner's Name,Address,and Tel.No. 644rVi\1c_ Mc,KcY\Z,i Assessor's Map/Parcel I o. Installer's Name,Address,and Tel.No. Designer's Name,Address,and?el.No. - Sv\tivo^ E �¢co�+t•�es�1 r•5 Type of Building: Dwelling No.of Bedrooms Lot Size �03 Go sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 550 gpd Design flow provided &0(0 gpd Plan Date 5akm6un (8 4 Zy Number of sheets Revision Date Title 5A-t- -9!" �c��osy�` wltMm Size of Septic Tank 1$ao Type of S.A.S. �-.5o1 (,y� 614VK�OV3 Description of Soil IPA 'La-(117 LdAnn Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boa ealth. Sign �� Date Application Approved by Date C Application Disapproved by Date . for the following reasons Permit No. 7 0 2-0 —30�( Date Issued 9 2$^ '"C 7020 No. ' Y Fee Its o THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:f PUBLIC HEALTH }DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpoYitatio . for Disposal bpstem Construction Permit Application for a Permit to Construct( �) ' Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 100 P> A.Owner's Name,Address,and Tel.No. v-,fir-rv,\l Assessor'sMap/P.arpel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ` : f C � _l,�`:�^'-' Type of Building: • • ,rvo Dwelling No.of Bedrooms 5 �. Lot Size A716 j Fe+ sq.ft. Garbage Grinder(AX5 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow(min.required) 1557 O ' gpd Design flow provided W(ca gpd Plan Date�Q � { �. (`� , z Number of sheets. Revision Date Title 9'(As\ l?"PO.f CA 11•A4QCA&,Q V S + Size of Sepiic Tank ti500 Type of S.A.S. Description of Soil FA 10-181 U-(�,� (.QAYV\ ' ' _f 2a-!-37' C_ 71S`( �00 mid <AQD Nature of Repairs or Alterations(Answer when applicable) E, y I L� Date last inspected: T Agreement: - r The undersigned agrees to ensure the construction'and maintenance of the afore described on-site sewage disposal system in ' accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board=of,Health. Signed- rr^/ 'e� ((�� Date ?Application Approved by. `1�, i .ew..J��'i r �'ti Date Application Disapproved by U Date for the following reasons r Permit No. .2-p .2 U It Date Issued �j ''`� X y i THE COMMONWEALTH OF MASSACHUSETTS \ BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( ) Upgraded( ) Abandoned( )by at UQ 'jt4 t t has been constructed in accordance with the provisions of Title 5}and the for Disposal System Construction Permit No.20,7 t� �'dated Installer A I X'Xt,`)rti) _ /l Designer #bedrooms Approved'design flow S50 gpd The issuance of this permit shall"of be co strued as a guarantee that the system will1>1flction' asa designed. r Date Inspector, N, No. .' Q�O `` ��1 Fee Uro THE COMMONWEALTH OF MASSACHUSETTS ,r PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct(` Repairs( ) Upgrade( ) Abandon( ) System located at 10J ?-Jc( t"/� itoj 0'-W �tk(R_. and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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. �-- Date q _,Z .)y Approved by U Town of Barnstable Inspectional Services Public Health Division IF aMMffAace, Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 ' Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: ? 27 2c- Sewage Permit# :2020- tU Assessor's Map\Parcel Designer: Ey Lj Installer: Iof cGlo(CA Address: Address: ©� �,Li e )�C ab 076F 3'4 On �8' �bLl ���A..2 was issued a permit to install a (da e) / v (installer) Y p q se tic system at �C911 �Q�l �S t , based on a design drawn by (address)ZUM,- dated Zo2 o (d(rigner) 1"T certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constr ��M ce with the to rms of the RA approval letters (if applicable) s c 114°R1 S yGs to CIVi s Zure s Si na " 9 Q �FFS�I NA1-��G\ (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. \\toa\depts\HEALTMSEWER connect\SEPTICOesigner Certification Form Rev 9.14-13.DOC 7 Commonwealth of Massachusetts Title 5 Official Inspection Form S surface i S OILY') wage Disposal System Form - Not for Voluntary Assessments � �- 100 Wandio Road Property Address -- Brian Guarnotta Owner Owner's Name - — - — information is required for Osterville _ MA _ 9/10/12 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out A. General Information forms the I� computer, r,use 1. Inspector: I only the tab key to move your Wayne Archambeault cursor-do not use the return Name of Inspector — — key. Company Name - — — — --- PO Box 914 IL Company Address -- - Hyannis MA 02601 moan - _.. -- --- -- -- ----— — City/Town State Zip Code 508-775-1362 355 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and t4at the—i information reported below is true, accurate and complete as of the time of the n pection.a fie in ection was performed based on my training and experience in the proper function and-maintenance of o mite sewage disposal systems. I am a DEP approved system inspector pursuantAd Sections*.34Uaf Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fatls -� Cf a � � Needs Further Evaluation by the Local Ap ovin thority W r- tra �kbo�r�'sS—iignature ___ _ 9/10/12 v 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•11/10 Title 5 Official Inspecti F :Subsurface Sewage Disposal System•Page 1 of 17 Se Commonwealth of Massachusetts Title 5 Official Inspection Form lilt.. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �`- 100 Blandin Road Property Address - Brian G_uarno_tta Owner Owner's Name - -- - — information is required for Osterville MA 9/10/12 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or."not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments *M` 100 Blandin Road Property Address Brian Guarnotta Owner Owner's_Name -" information is required for Osterville MA _ 9/10/12 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 100 Blandin Road Property Address -- -- Brian Guarnotta Owner Owner's Name -- --- - information is required for Osterville MA 9/10/12 every page. Cityrrown State Zip Code Date of Inspection . B. Certification (Cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) .System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® -Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments *MP 100 Blandin Road Property Address - - Brian Guarnotta Owner --- - — -- Owner's Name — — information is required for Osterville _ MA _ 9/10/12 every page. City/Town 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. ❑ ® 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 CM 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 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, cr 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 CM 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 100 Blanid Road Property Address Brian Guarnotta Owner Owner's Name information is required for every Osterville MA 02655 9/10/2012 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate :"yes" or"no"as to each of the following: I y g 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: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -- 100 Blandin Road Property Address - -- Brian Guarnotta Owner Owner's Name _ — -- -- - - information is required for Osterville _ MA _ __ 9/10/12 every page. CitylTown State Zip Code Date of Ins _ pection D. System Information Description: Number of current residents: 2 _ 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 ears usage d na 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 9/10/12 Date Commercial/Industrial 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: t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts G Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 100 Blandin Road Property Address - ---- — - Brian Guarnotta Owner Owner's Name — - - - information is required for Osterville MA _ 9/10/12 every page. City/Town 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: 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/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): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - "si Subsurface Sewage Disposal System Form - Not for Voluntary Assessments - _ 100 Blandin_Road Property Address — - -- -- -- -- Brian Guarnotta Owner Owner's — information is required for Osterville MA 9/10/12 every page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: installed 10/3/1990 permit# 90-456 Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 1.5' 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.): Septic Tank(locate on site plan): Depth below grade: 1.5' feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene El 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: 8.5'x5'x5' Sludge depth: 3" t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 'o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments O.H -- 100 Blandin Road_ Property Address ---- Brian Guarnotta Owner _ -- -- - - - --- Owner's Name - information is required for Osterville MA _ 9/10/12 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 39 --- Scum thickness 2 ---.- __ Distance from top of Scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 13" IHow were dimensions determined? measuring rod Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): liquid levels at proper heights and tees and tank in good condition 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System+Page 10 of 17 i Commonwealth of Massachusetts r Title 5 Official Inspection Form s� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,^M 100 Blandin Road -- - --- --- Property Address - - ---- --- 13han Guarnotta Owner Owner's Name - information is required for Osterville MA 9/10/12 every page. dityl-rown 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 El 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 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntar y Assessments r '.w 100 Blandin Road Property Address — - — — Brian Guarnotta Owner -- -- -- --- - Owner's Name --- - information is required for Osterville MA _ 9/10/12 every page. Citylrown State Zip Code Date of Inspection 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.): 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•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts 71 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 100 Blandin Road Property Address -" --- - Brian Guarnotta Owner - - - --- - - - Owner's Name - - - information is required for Osterville MA _ 9/10/12 every page. City/Town State Zip Code Date of Inspect _ ion D. System Information (cont.) Type: ® leaching pits number: ❑ leaching chambers number: - ❑ 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.): 4' leaching pir with liquid level 2' below invert pipe no stain line above liquid level 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 100 Blandin Road Property Address — — -- Brian Guarnotta Owner O wner's Name — information is required for Osterville MA_ 9/10/12 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M A 100 Blandin Road -- - -- Property Address - - -- - -- Brian Guarnotta Owner Owner's Name — -- --- information is required for Osteryille MA _ _ 9/10/12 _ every page. CitylTown i State Zip Code Date of Inspection D. System Information (cont.) Sketch f O 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 15 of 17 M f , Assessing As-Built Cards Page 1 of 1 TOWN OF BARNSTABLE q LOCATION SEWAGE # /O`�/S ViLLAG �tQ���, ASSESSOR'S MAP & LOT 1 4a 06� INSTALLER'S NAME & PHONE NO.LOLl9// oCf SEPTIC TANK CAPACITY O o p OrA LEACHING FACILITY:(rype) D'D (size) S NO. OF BEDROOMS__2 _PRTVA WELL OR PUBLIC WATER BUILDER OR OWNER J p /,/ �S`�p ✓ DATE PERMIT ISSUED: 1 y . DATE COMPLIANCE ISSUED• ©e-t< 'R D VARIANCE GRANTED: Yes No 1 DItJ}� J http://town.bamstable.ma.us/Assessing/HMdisl)lay.asp?mann,gr=l 40n6c%,,QPn-1 �„ Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °.w 100 Blandin Road Property Address ---- ----- --- Brian Guarnotta Owner Owner's Name - - ---- - -- ----- information is required for Osterville — MA 9/10/12 _ every page. City/Town State ` Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 30' 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 property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: groundwater maps on line ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: town GWM shows 30' to water bottom of sas at 10' seperation 20' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 l f , Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments rY 100 Blandin Road Property Address - — - - --- — Brian Guarnotta Owner Owner's Name - - - - -----—-- information is required for Osteryille MA_ _ 9/10/12 every page. Citv/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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Q110 � M AR 2 3 200 t rh�� 0 COMMONWEALTH OF MASACHUSETT5 t EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET BOSTON MA 02108(617)292-3500 TRUDY CORE Secretary ARGEO PAUL CELLUCCI ommi s ST C r CommissRUHS ioner Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 100 BLANDID RD. OSTERVILLE, MA 02655 M140 P066 L7A Name of Owner ROBERT ARDIFF Address of Owner: 491 WEDGE DR.NAPLES FLORIDA 34103 Date of Inspection: 3/16/00 Name of Inspector: JOHN GRACI 1 am a DEP approved system inspector pursuant to Section 15.340 of This 5(310 CMR 15.000) Company Name: SEPTIC INSPECTIONS Mailing Address.: P.O.BOX 2119 TEATICKET,MA.02636 Telephone Number: 608-664.6813 FAX 608-664-7270 CERTIFICATION STATEMENT I certify that I have personalty inspected the sewage disposal system-at this address and that the information reported below is true,accurate and complete as of the time of Inspection.The Inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: X Passe s • _ Conditionally Passes _ Needs Further Evaluation y the Local Approving Authority Fails Inspector's Signature: Date:3/17/00 The System Inspector shall su mit a copy of this Inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS "The inspection is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.My inspection does not Imply any warranty or guarantee of the longevity of the septic system and any of its components useful life." THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS FOR PROPER MAINTENANCE. 4. F � , m Page 1 of 11 revised 9/2/96 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 100 BLANDID RD. OSTERVILLE, MA 02655 M140 P066 UA Name of Owner ROBERT ARDIFF Date of Inspection: 3/16/00 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: X I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are Indicated below. k B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the . replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. nta The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether or not metal,Is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass Inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. n!a Sewage backup or breakout or high static water level observed In the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). _broken pipe(s)are replaced _obstruction is removed _distribution box Is levelled or replaced nl� The system required pumping more than four times a year due to broken or obstructed pipe(s).The system will pass inspection if (with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed revised 9/2198 Page 2 of 11 { SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued)_ Property Address: 100 BLANDID RD. OSTERVILLE, MA 02655 M140 P066 UA Name of Owner ROBERT ARDIFF Date of Inspection: 3/16/00 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health In order to determine if the system is.failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 16.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,.Method used to determine distance m&(approximation not valid). 3) OTHER n/a . a r revised 9/2198 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 100 BLANDID RD. OSTERVILLE, MA 02655 M140 P066 UA Name of Owner ROBERT ARDIFF Date of Inspection: 3116/00 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No - X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. ` - X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. - X Static liquid level in the distribution box above outlet Invert due to an overloaded or clogged SAS or cesspool. - X Liquid depth in cesspool is less than 6"below Invert or available volume is less than 1/2 day flow, - X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped 0. - X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. - X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. - X Any portion of a cesspool or privy is within a Zone I of a public well: - X Any portion of a cesspool or privy Is within 50 feet of a private water supply well, - X Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either'Yee or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: y Yes No - X the system Is within 400 feet of a surface drinking water supply - X the system is within 200 feet of a tributary to a surface drinking water supply " - X the system is located In a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system In accordance with 310 CMR 15.30412j.Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 100 BLANDID RD. OSTERVILLE, MA 02655 M140 P066 L7A Name of Owner: ROBERT ARDIFF Date of Inspection: 3/16/00 Check if the following have been done:You must Indicate either"Yes"or"No'as to each of the following: Yes No X _ Pumping Information was provided by the owner,occupant,or Board of Health. X - None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X _ As built plans have been obtained and examined.Note if they are not available with N/A. X _ The facility or dwelling was inspected for signs of sewage back-up. X _ The system does not receive non-sanitary or industrial waste flow. X _ The site was inspected for signs of breakout. X _ All system components,excluding the Soil Absorption System,have been located on the site. X - The septic tank manholes were uncovered,opened,and the Interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X _ Existing information,For example,Plan at B4O,H, X _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b))` X _ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. 2 revised 9/2198 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 100 BLANDID RD. OSTERVILLE, MA 02655 M140 P066 UA Name of Owner ROBERT ARDIFF Date of Inspection: 3/16/00 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual): Total DESIGN flow: 330 gpd Number of current residents:0 Garbage grinder(yes or no):YES Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): NO Seasonal use(yes or no): YES Water meter readings,If available(last two year's usage): Na gpd Sump Pump(yes or no): NO Last date of occupancy: Na COM M ERCIAL/INnUSTRIAL Type of establishment: Na Design flow: Na gpd(Based on 15.203) Basis of design flow:Na Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no): NO Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available: Na Last date of occupancy:Na OTHER: (Describe) Na GENERAL INFORMATION PUMPING RECORDS and source of information: n/a System pumped as part of inspection:(yes or no):NO If yes,volume pumped n/a gallons Reason for pumping:n/a TYPE OF SYSTEM X Septic tank/distribution box/soil absorption system _ Single cesspool _ Overflow cesspool _ Privy _ Shared system(yes or no)(if yes.attach previous inspection records,if any) _ I/A Technology etc.Attach copy of up to date operation and maintenance contract _ Tight Tank Copy of DEP Approval Other:n/a APPROXIMATE AGE of all components,date installed(if known)and source of information: THE SYSTEM IS APPROXIMATELY 10 YEARS OLD. Sewage odors detected when aftiving at the gite:(ym df ho): N6 revised 9098 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 100 BLANDID RD. OSTERVILLE, MA 02655 M140 P066 UA Name of Owner. ROBERT ARDIFF Date of Inspection: 3116/00 BUILDING SEWER:X (Locate on site plan) r Depth below grade: 40" Material of construction: _ cast iron X 40 Pvc _ other(explain) z Distance from private water supply well or suction line: n/a Diameter: 4" Comments: (condition of joints,venting,evidence of leakage,etc.) THERE IS TOWN WATER SEPTIC TANK: X , (locate on site plan) Depth below grade: 36" Material of construction: X concrete_ metal— Fiberglass_ Polyethylene_ other explain: n/a If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO Age: n/a Dimensions: 1000G L 8'6"H 6'7"W 4'10'- Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 33" Scum thickness: 0" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: n/a How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level In relation to outlet invert,structural integrity,evidence of leakage, etc.) THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS. GREASE TRAP: _ (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other Explain: n/a , Dimensions:n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle nla Date of last pumping: n/a Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) Na revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 100 BLANDID RD. OSTERVILLE, MA 02665 M140 P066 UA Name of Owner ROBERT ARDIFF Date of Inspection: 3/16/00 TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: Na Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other Explain: n/a Dimensions: n/a Capacity: n/a gallons Design flow: n/a gallonstday Alarm present: NO Alarm level:WA Alarm in working order:NO ` Date of previous pumping: n/a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n/a DISTRIBUTION BOX:X (locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE. Comments: (note If level and distribution is equal,evidence of solids carryover,evidence of leakage Into or out of box,etc.) THE DISTRIBUTION BOX IS STRUCTURALLY SOUND. PUMP CHAMBER: _ (locate on site plan) Pumps In working order:(Yes or No): NO Alarms In working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n/a revised 9/2198 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 100 BLANDID RD. OSTERVILLE, MA 02656 M140 P066 UA Name of Owner ROBERT ARDIFF Date of Inspection: 3/16100 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number:(1)6 X4 LEACH PIT leaching chambers,number: (n/a)n/a e leaching galleries;number: (n/a)n/a leaching trenches,number,length: (n/a)n/a leaching fields,number,dimensions: (n/a)n/a overflow cesspool,number: (n/a)n/a Alternative system: n/a Name of Technology: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS STRUCTURALLY SOUND AND APPEARS TO BE FUNCTIONING PROPERLY.THE PIT WAS EMPTY AT THE TIME OF THE INSPECTION.THE PIT HAS NOT HAD MORE THAN 6"OF WATER IN IT. CESSPOOLS: _ (locate on site plan) Number and configuration: n/a Depth-top of liquid to inlet Invert: n/a Depth of solids layer: n/a Depth of scum layer. Na Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of Inspection)NO Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Na t • PRIVY: ' (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Na revised 9/2/98 Page 9 of I I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 100 BLANDID RD. OSTERVILLE, MA 02656 M140 P066 UA Name of Owner ROBERT ARDIFF Date of Inspection: 3/16100 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) �p°^A t 4A P, a� a O PA 13 - � �o I ' Page 10 of 11 revised 9/2J98 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM a PART C SYSTEM INFORMATION(continued) Property Address: 100 BLANDID RD. OSTERVILLE, MA 02655 M140 P066 L7A Name of Owner ROBERT ARDIFF Date of Inspection: 3/16100 NRCS Report name: nfa Soil Type: n/a Typical depth to groundwater: n/a USGS Date websde visited: n/a Observation Wells checked: NO Groundwater depth: Shallow_ Moderate_ Deep_ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 10 Feet n/a Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps _ Checked pumping records Checked local excavators,installers aj Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS-10+FEET revised 9/2/98 Page 11 of 11 f s ,1y 1 V Commonwea f Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection � a William F.Weld Gowmor � Trudy Coxe Secretary, xe David S. Struhs Commissioner .SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM y9�ti P g9'Vsl 1gy J CERTIFICATIONqe�F ( ll � Property Address: '(?� r�IL1l1 r� � (©d-f U 111C3 Address of Owner: ` 9 Date of Inspection: �� 3�Pge�7 (If different) Name of Inspector: d>' -Q'6 l/ ,pt4 Number: )Company Name, Ad es s n(d�T'e'fe'p�o`t W CERTIFICATION STATEMENT ' I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of ins ion. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewa isposal systems. The system: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspec11-9- 7 to r's [g nat Date: ���. T ystem Ins ctor s all su m a copy of this inspe _ion report to the Approving Authori ithin thirty (30) days of completing this inspection- if the system is a shared system or has a design flow of 10,000 gpd or greater, inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent tc�me system ok%ner anti copies sell[ IL, rile uuyei, if applicable and the approving authont�. INSPECTION SUMMARY: Check A, B, C, or D: A SSYSTEM SES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) YSTEM CONDITIONALLY PASSES: s . _ One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Ind[ ate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. . (revised 8/15/951 One Winter Street a Boston,Massachusetts 02108 a FAX(617)656-1049 a Telephone(617)M-5500 4D Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 100 'Oc n We rye Gee FI J Owner: Scaly A., 'Fosto Date of Inspect on:Ma 19q 7 BJ SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box i due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass in pection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The syste equired pumping more than four times a year due to broken or o tructed pipe(s). The system will pass inspection if ith approval of the Board of Health): broken pipe(s) are replaced obstruction is removed Cl FURTHER EVALUATION IS REQUIRED BY E BOARD OF HEALTH: Conditions exist which require further evalua i n by the Board of Health i order to determine if the system is failing to protect the 1 public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH ERMINES T T THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND FETY AN THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface wat Cesspool or privy is within 50 feet of a bordering ve ted wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (A D PUB L WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT P OTECT TH UBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The cvstem has a septic tank and soli absor ion system and is witni 100 feet lu a surface water wpply or tributa,y is a surface water supply. _ The system has a septic tank and soil ab rption system and is within a e I of a public water supply well. _ The system has a septic tank and soil a sorption system and is within 50 f of a private water supply well. _ The system has a septic tank and soil sorption system and is less than 100 t but 50 feet or more from a private water supply well, unless a well water ana sis for coliform bacteria and volatile organ compounds indicates that the well is free from pollution from that facili and the presence of ammonia nitrogen and n ate nitrogen is equal to or less than 5 ppm• D) SYSTEM FAILS: I have determined that the system viol es one'or more of the following failure criteria as defined in 31 CMR 15.303. The basis for this determination is identified be w. The Board of Health should be contacted to determine what w I be necessary to correct the failure. Backup of sewage into 2feffluent ility or system component due to an overloaded or clogged SAS or cesspool. _ Discharge or ponding to the surface of the ground or surface waters due to an overloaded or cl ed SAS or cesspool. / (revised 8/15/95) ` 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1 b la h Q�. (054erO !l D) Owner: 4 � , r, ter Date of Inspection: Ma 3,19q7 DI SYST FAILS (cont nued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool'or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYS EM FAILS: The ollowing criteria apply to large systems in addition to the criteria above: The esign flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and t e environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply well! The owner or o rator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 14 CMR 5.00 and 6.00. Please consult the local regional'office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST ir' Property Address: 00 Q la4lj P. (p$fpe tI►I�f�� Owner: Date of Inspection: ray 3� dqa7 Check if the folio g have been done: _ Pumpi information was requested of the owner, occupant, and Board of Health. one of a system components have been pumped for at least two weeks and the system has been receiving normal flow rates dur that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _As bui plans have been obtained and examined. Note if they are not available with N/A. he f i ity ,dwelling was inspected for signs of sewage back-up. he stem does not receive non-sanitary or industrial waste flow l The a was 1 spected for signs of breakout. All s em components, excluding the Soil Absorption System, have been located on the site. The ptic t 6m'anholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or t s, m rial of construction, dimensions, depth of liquid, depth of sludge, depth of scum. _ T e size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods.. _ The fau1.i� occ::parts, if ditfc,c. , from o+n0r) were provided + h information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C tti/�n nn SYSTEM INFORMATION IW 1J ay�t Property Address: Owner: Sa jj k. Date of Inspelon, Y 31�qa� - FLOW CONDITIONS RESIDENTIAL: Design floens Number of be�ooms: r Number of current rest nts: Garbage grinder (yes or no): Laundry connected to syste es or no): Seasonal use (yes or no): Water meter readings, if available: t Last date of occu an p cy:��� COMMERCIAUI N DUSTRIAL• Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection: (yes or no)_/� If yes, v me pumped Qallons Rea n for pumping: TY 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) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) (revised 8/15/95) S 9 , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C p�A�pptCt. Q,Kj� SYSTEM INFORMATION (continued) Property Address: 190 4 " Owner:'5o'ltv A, rg+e r Date of Inspection: %, SEPTIC TANK:_ (locate on site plan) Depth below grade: Material of construct: n: _concrete metal _FRP other(explain) Dimensions: r Sludge depth: /t 7t Distance from top of sludge to bottom of outlet tee or baffle: l S ! �S Scum thickness: C /v Distance from top of scum to top of outlet tee or baffle: o� J � Distance from bottom of scum to bottom of outlet tee or baffle: V / Comments: (recommendation for pumping, condition f inlet and outlet tees o b ffles, depth of liquid I el in relation too invert, structural integrity, evidence of leakage, etc.) GREASE WRAP:_ (locate on s plan) Depth belo"'• gra Material of construct n: _concrete _metal _FRP _other(explain) Dimensions: Scum thickness. Distance from top of scum.t%condition r baffle: Distance from bottom rat sput tee or battle: Comments: (recommendation for pumpind outlettees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakag trevised 8/15/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C p SYSTE/M INFORMATION (continued) Property Address: I DrD l9 6 n,� (a-f e, VF Ole) Owner: < Y,yy th, I'oC'fiel Date of Inspection: y t qQ TIGHT OR HOLDING TANK:_ (locate on site plan) Depth be w grade: Material of nstruction: _concrete metal _FRP—Other(explain) Dimensions: Capacity: gallons Design flow: allons/day Alarm level: Comments: (condition of inlet tee, condiu n of alarm and float switches, etc.)/ f DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and da;ribc;:r. .i e�_:�' e•.ide^ce of sol- c ca,r\•o%,er, evidence of leakage into or out of box etc t PUMP.CHAMBER:_ (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, tc.) 1 1 (revised 8/15/95) 7 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: /00 )lapl-d kd. (�`tgro46) Owner: Date of Inspe ion:-nA Y !'fRyy 2)9Q7 SOIL ABSORPTION SYSTK (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: VA' Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) CESSPOOLS: _ (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 groundwate+. inflow (cesspool must be pumped as part of inspection) 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.) (revised 6/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C SYSTEM INFORMATION (continued) Property Address: ��� 13�a,n�� • �orr,!`t'P Owner: Sall Date of Inspettion: M 3flgq`7 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' ou 0 DEPTH TO GROUNDWATER Depth to groundwater: _ feet method of d rmination or approximation:/� (revised 8/15/95) 9 TOWN OF BARNSTABLE LOCATION /00 f q h/I c i SEWAGE # 90 VILLAGE S �O�v /P, ASSESSOR'S MAP & LOT ! 4-0 066 INSTALLER'S NAME 6: PHONE SEPTIC TANK CAPACITY loop III LEACHING FACILITY:(type) 6'0 l (size) NO. OF BEDROOMS 2_PRIVA WELL OR PUBLIC WATER BUILDER OR OWNER toP DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ® % VARIANCE GRANTED: Yes No 6i1�/'. � � �J I I rn No...�...�f........... 0......®..... THE COMMONWEALTH OF MASSACHUSETTS �� - �--- BOAR® F KEALTH ..b.. .-h-------------OF......... ... .r�.. Q cif... ApplirFa#ion for Disposal Works C mitrurtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at, 9. 4 ( - Q Ij /le ca io A ress or Lot No. p..--•--......��............................................... �..s......................... ....c .s.... ............... .��.d ss—a y 3 Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No, of persons............................•Showers ( ) — Cafeteria P� Other fixtures .----_----• ..-•'-•'.............•'-••••-- W Design Flow.........................................- gallons per person per day. Total daily flow...... .................................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit N ..................... Diameter.....:.............. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Dist i Zion box ( ) Dosing-tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------................... 'd, Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test-,Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.______________.....____ =-----------------------------------•........---------------------------------------'----------- xDescription of�Soil........................................................................................................................................................................ V .....----••----•'......"-•-•••"•"'-'-•-••-•--.._-•-•-•................••-•'--•'--••......---•'•-----'...... .................................... W .....................-------------••--•••......'•••••-••••••-•...-••'--.........--•---.._...-------- -' x U Alterati _Arliwer when ap licabl,e_ ij n_ f_�`_F_aC� S�j� $ Agreement: The unde`igned agrees to install the a#oredescribed Individual Sewage Disposal System in accordance with rnTm --• the provisions of ti y t i E 5 oftithe State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has, been issuedebyeboay� of health — QSigned. .- ........... ...... '-•--�-•••'-••...-••-.... Date Application Approved BY `'=1./. ----------------- Application ` Date Disapproved for the following reasons:..........................................--•---.....•--•••---•---------------•----......--••--•------.-------- Date Permit No]� ....•-• "'' t .... Issued.....�� /� t• 1 A.— No..- - ............. ....._......_ THE COMMONWEALTH OF MASSACHUSETTS -7-- BOARD OF HEALTH ..._- ....................................oF......Y.. .. °'.Z7.. ... �f J------------.. -_------------------- ApplirFafioaa for DiipoiFal Works Tomitrurtion "P.rrarfit Application is hereby made for a Permit to Construct ( ) or Repair (&-j"an. Individual Sewage Disposal Y S stem at• � ? 'ram. y ✓ ..�...' Location.Address or Lot No. . �.:::G-5......j...':''......-•------•............... .................................................................................................. f Zn— �" ....---•-•.....---• -••-......•................• - Installer Address Type of Building Size Lot............................Sq. feet .., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Ty pe of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------------•-•-------------••----- W Design Flow........................................:...gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------------_------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date---------------------------------------- ,_� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_---______-____--._-___ a ...-........................................................................................................................................................... 0 Description of Soil........................................................................................................................................................................ x U ..............................................---------------------------------•---••..........-••------...-•---------------------------•---------------•---•••--------.........---------•-...--•--•-•-- W U Na u e of Repairs_or Alterations—A wer when applicable..) v f_ `__ ----- �'.�_�!___. a.. ...5................. -- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'ITIE ;of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by e boald of health. Signed.� ~' > r __?!_1,1. ;> .. - /2 V . Date Application Approved BY ...``-a./-® .. /4%01 ------ Date Application Disapproved for the following reasons---------------••---•-------.._---•-----•-•-----------...--------------------•--•------------------.....---•-_.- .............................................................•-•-•••--•--------..........._..----•-••-•--•--•------------------•--•••--•---•-•-------------...-----------•------------------•---•------- / Date Permit No._��......- �°! -------------- Issued...../..+� ."` ...' .______.Lv" ._._.___ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................ TrrfifirFatr of Tompli aurr THIS IS T CERTIFY, Tll,at the In' idual Sewage Disposal System constructed ( ) or Repaired -- - - ffl / f � Installer / 4 � .../ . ---•-------------------------------------------- has been installed in accordance with the provisions of TI E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit �To . .-4 .2:!r.._.�f� ..... dated__..���.�"'___ <-�*_. ! .---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU AS A GUAR EE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DAT ...... 60� . j THE COMMONWEALTH OF MASSACHUSETTS r.,_. BOAR OF HEALTH -200 J /t/ •%' i r............................,....... No............. ... FEE.,,,1---------,......... utit Permission is hereby granted... .......................I ................... to Construct ( ) or Repair fj::�,�an Individual ewage,Disposal System at No......1 f - .!_, ... ? :/.. '",�f!r.����� / -----------------------------------•-------------•-- Street Ile, ! ^ as shown on the application for Disposal Works Construction Per t o._ `__ _.rz__mated.` '= "...�` ........ r .... / Board of Health DATE ... "- �1 ............... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS l i ❑ ❑ ❑ ❑ zo siao EFt a�a� q° _ .�� O CA . A LIV NG MOSTINGe � °GARAGE ' MUD ST �a 7"BTEP _——_—_ .=A STEP — - o ® 2 'a ® � ' i KITG1'IE'N n � o DJLII >4 0 Nss m O i O v �® WALL 4r MW. Q—.—,.�' '�I OVM4 - v yfl- v 7-4° o r 32 ® o m vn DEN / LIBRARY: a esa". - a p o ul MA-n4 Z 14'-2 1/4° T-A 314° 2'-4° O I 20 OFFIC FOYER O 5a c-0. iv D b 'q y 3p o b ^� i t° 0; SWEET ,01 JOB: 0402 TEST FLOOR PLAN DESIGN BY:RYGON 5CpdaV4'=r-a DRAWN BY: KW p 12 -- 12 �'.12 91 rP -----� - — - 12 \ — sv 1�oW'>F�I C, ® G // MASTER BEDROOM' 12 12 b N 12 12 -- b� Qb W) 5 1 O LAUNDW \ CI 1 22 i ( 2A " MASTER g o " ROOF PL^N a \ ---- - - scatEvs aT-CT \ o \ coRrl®a ® n V-7 V2° 2e6's Y.Wb.C. Z I \ 12 \ BEDROOM OB O BED i�2 // \ j IV 2fl 26 �IJ ZL_ 9�N 2noa w — ^BUILD OVER" �. "` I VALLEY lJ1'E b - 2'-O° a 2&DOWER RAFTERS TYP. - gel?RiDiE SATI1 m b 2cb RAFTERS Cf) LL ' 1 n 1 SWEET 96CMD FLOOR PLAIN ROOF FRAM*a� i f PLAN' _ SCALE vw.c T-a _m: 0402 SCALE U&'-T-O DE51GN BY:RYGE DRAWN HY: KW - z 17'_On .. 9_bii - 1T_6n - 20'-0".:.: Q Z: Q w Q � w < . ... - .. .. KEEP OUTDOOR SHOWER J Q uVl x o x Q a -----= w � ZzLU � :. - t O "�Er—Rc. L U Q , - --- ---- - ) - Q o x (wooD I WOODE SHELVES 3 � 5 ECID STONP:. I MASTER i. .PKT:•. _ �'. �. J1� w 0 0 0 o CWI25 �' ^ I BEDRO M I 1 >- . o a m 26 va"x2a.7/a" - `" I wcoDO j 3.:x 3 x A PANTRY .. o :N :" i ::. 7RAY CEILING I:.:.. ... STEP DN = I - I :. ... ... .. .. MASONRY... PKT. .... :. — .. ... N I"IASTER LL -.. m m.. : :. STEP 1 -0 3/4" ... ai_gn_ _ I 2 w I : � I I BAT(TIH z GWI25 � .. I FLAT G 1NG 28 7/8"x28 /8" O . .. ..... : ... .. --------- His RANGE - SUN ROOM KITG�IEN I I fi \ � O L N Ic2— 7V .. :. ::. .(WOOD) — �. ... . (EXISTING.TILE) Iw CATHEDRAL CEILING : : w p T - .. — — ---------- -----� Q SU GKR . ... .. ... N ' w D7W �I TC ZD I rs ..... ' � = I Q I � - W{D GOAT TV, � :....1 3/4' X I177/6n LVL RIDG� ZLI1JEN I2� LIN 'CLOSET 2 -. KIDS .. _� .. = BEDROOMtu. .'--------- -- .-------- .x .I. ------- -- 4X .. :...o.. .. �D .. ..... (2) TW25410 ... m .. .m w r ---- ----- .. ...�� .: A 2 34�I/8" X 60 7/8" .. - .. N d I 6 I - - _O W/ 3 1/21 S UD KT _ ..�I LL � A CEILING .. - w (WOOD) ® 2 .. - .. w I - .I 3/4"X II 7/6" LVL RIDGE- > I .. . . .. .. .- Y .o -_ � FLAT CEILING .. .. Q CATHEDRAL CEILING 7n iy 4X6 �. .. ..� .. �. � ..� �. 4X6. .. _ - _ .. .. 6. EIOOKS TV i w r I r _ � 00 oo .. LLI -A ( X J C � STUD) S U - z .. .- 3 x Cl x (W D) m Z k r 1-c m m LIVING RO 2 r. TW284 0 OL LIVI OM:. PKT. 1 0 0:o I w W m .(WOOD) .... ... DOORS 34 1/8" X 60:7/8" X x I ~ - - J- -TW28410� , .: m . .34 1/8" X 60 7/8" - \ SLEEP Ll LL 3Q ua Q Q L Z LL.I LLI o H : MASONRY. a\o V d STEP o o Z oo O MM n m in m - \ - 28'-0" - 20'-0" C PROPOSED FLOOR PLAN 5HE1T SCALE: I/4" = 1'-0" JOB: McKENZIEI2 DRAWN BY: TFR DATE: 11/03/12 z : V cN .. .. ... :I.3/4" " LV RIDGE �...Q ... ... .. .. .. .... \J LLI J TYP. ROOF J - - R38 F.G. INSUL./ EXISTING SHEATHING N/A Q W IL :. PATCHING ONLY TO EXISTING — LU - H U ASPHALT SHINGLES > � = J - INSTALL NEW ... : .. - .. .. 12 12 13/4" X.II 7/8' LVL ig - U .:. RIDGE FOR.CATHEDRAL - TYP- EAVES Lu Q . .: ..... .8. Q 8 CEILING BELOW ALL - MATCH EXISTING PROFILE/DESIGN (MATCH) ":-:. (MATCH) bdORK-TO BE DONE INSIDE : : - - SHINGLES TO REMAIN: - m _ .Tl'P- EXTERIOR WALL W. �..� W - EXISTING ASPHALT ROOF = Z ADD IX3 TYP. RE-USE ROOF RAFTERS - - - - .. - - STRAPPING - 2x6 EXT. STUDS @ 16" O.G./ "INSTALL.IX3-COLLAR TIES N/ - O V - - - TYPICAL.STRAPPING - - 11/2 PILYWOODSSHEATHING/ - .v Q Lo .V - ULY H EYOND .. PROPOSED ... " - (WOOD) ) ATCHING ONLY TO EXISTING SUN ROOM - CLEAR WHITE CEDAR-SHINGLES 1 �/ -KITCHEN LIVING ROOM .. - (CATHEDRAL) o _ co .: (WOOD) _ PANTRY LY w w _... n . A.. .. J KEEP STEP DOWN GO _ PDD TILSLAB F OORING�D O co O ~ 1L .... � z TYP. FOUNDATION WALL . .. ... .. NO:WORK APPLICABLE CL .. .. RE-USED EXISTINGFOUNDATION .. - .EXISTING SILL TO BE. . 24'-0" ... CONCRETE. - .. PROPOSED SECTION "A" PROPOSED SECTION "B" SCALE: 1/4" 1'-0" SCALE: 1/4" = 1'-0" • ... EXISTING 2x8.RIDGE BOARD Q - .:: .. .TYP. ROOF LU O .. .. : - 2x6's.@ .16" O.C. ::. - .. .. -.. .R3B:F:G. INSUL./ O .. .. .. ASPHALT .. EXISTING EXISTING SHEATHING N/A z PATCHING ONLY TO EX ATTIC . �. -SHINGLES ATTIC... i6. Q .TYP- EAVES .. + MATCH.EXISTING PROFILE/DE5IGN Ln . - - TRAY CEILING... - .. ... LU O ISTING CEILING JOISTS TO REMAIN N TYP- EXTERIOR WALL- .. .. 2x6 EXT. STUDS @-16" O.C./ - 6" R21 F.G. IN5UL./ - ... . .. - .. - 1/2" PLYWOOD SHEATHING/ - ... TYVEK WRAP/ N _ - PATCHING ONLY TO EXISTING Z LY - MA5TER - r CLEAR WHITE CEDAR SHINGLES LLI MASTER BEDROOM KIDS BEDROOM i � Q LLI CLOSET Z - Q O � O TYP. FOUNDATION WALL NO WORK APPLICABLE EXISTING SILL TO BE RE-USED 51-IEET EXISTING CONCRETE FOUNDATION - NE FOUNDATI S 24'�-O" � A ,4 PROPOSED SECTION 11C'I SCALE: 1/4" = I'-0" JOB: I MLKENZ1E12 DRAWN) BY: TFR DATE: { 11/03/12 z v Z X p U .'s 55 20,_0„ 17'-0" 9i_bn 17i_1nLU I w Q ry :. .: ... 5N0 ER IQ w p t u _ a o a SHED a _ B z � z . w UcoJ � _ — _ CLOSET (�.Z V a o: DECK' O O (YCDLU UTI ITY _. CLOSET O o Q ~ BEDROOM #3 p. _ SATI a LL _ — (Y .. .. ----- -----., Z .. z Z I 0 � ISKY.I N (� LT. I: L-� RANGE I LAUNDRY/MUD o . i o . KI Fr-PEN I :o SUN ROOM _ .. _ .. ... REF: ... — .: :... .. .. m .. .. :: .. .. .. ... BUILT-INS. .. .. .. STEP BEDROOM #2 iy DOWN .. .. .. FIREPLACE- .. _ ..BUILTIN CLOSET Q � Z ... w cL w --� J _ z o . m ° LIVING ROOM .:.BEDROOM #1 :: .. I w w a Q � — _ co wO z w Q Z C) LLI �.Q O Q l7 w � z ' a] — � o � EXISTING FIRST FLOOR PLAN SWEET SCALE: 114" = 1'-0" (SWEET 18" X 24") EYS JOB: McKENZIEI2 DRAWN BY: TFR DATE: II/02/12 .. ' • ,. O • �o H. 22'4r I I I I I 4 41 z IIIIII o a IIIIIII � z w O A3 }¢ � o � � b m N <z z y Q UP t) O z I 3 G a GARAGE ° o '�° �. z In w m m S Q M5 A15 A15 A10 ................... ........................................ .....47.MIN.CONC..SLAB.............K. ...... ........ Q U 5 B'-W GARAGE DOOR SLOPED Y•/FT, o A-+' J S O /� NSTALL HEADER AND FRAME TO CODE TO FROM OF li F E D C FOR FUTURE B'-0GARAGE GARAGE.BXB W WELDED 0. d DOOR WIRE MESH N % I.--WWFTOP yj OFSWB Li Q U 0 07 N 2 < U § O O p J Q N -.1 O U _U N O W " O r¢ Z U B Q z U 0 5•-p• 5•.p Q w z ''/A� z z ido 24'•0' 16'-0' 12'E' T-8' V/ U F L6 N Q L9 Z G3 2 Z U Q PATIO A11 Ala o CC a c3 z o a 24" EO. EO. EQ. 2'-0• B A h I I _ -- 7�D zI 4� f GRA ITE O 1 O O O O i O r U , d I W 1 O H HORIZONTAL V-GROOVE I O (n m .HERTICLE FEATURE WW1 wl GAS FIREPLACEANDGRANRE Z FIREPLACE SURROUND O � 1 A4 1 m - ---- TRASH j RIOOM § _ I VINGO 1 A2 Z I B'-11•CLNGHT. >iI: I W § O OO`m PROVIDE :3Y,-WHITEOW( 81 2 - I = W 1 g' By OWNER GRANITE SINK § (STAINED) W. I I LL o O' COUiITERS ' Y O J I N MASTER V -i GASF REFUGE Yy_ BEDROOM © 4 GENERAL NOTE: Z >�/ CS PP3 8-11'CLNGHT. J LL I G I: =--- ----; ® 3K".WHITF OAK 1.ALL CONSTRUCTION SHALL COMPLY m w i (STAINED) BUILD NG CODES WITH ALL STATE,LOCAL AND FEDERAL 2 O W CABEDO NING 8 BILCO•C• �- O H I H 1 2.ALL PLUMBING AND HEATING TO BE C KITCHEN z-- Ago ......... §. ....... ....... .... ...OA. .... DINING ,.. ......... .�. ... .B'.-11!CLNG.-. . ............................... ..................... ...... .. _. ..... ... ...... ........• ...R. COORDINATED BY CONTRACTOR. 11'1•CLNG HT 67 ti CABINETRY Q •Y' uu 3.ALL ELECTRICAL TO BE COORDINATED a ' m �•WHITE OAK FLOOR TO PSL PORT PSL PORT Y' 3 I I I-B BY CONTRACTOR CEILING ^T 4.)ALL INTERIOR WALL DIMENSIONS ARE N ,,��1 ��............... ............. ................ ........{STAI ED).. ........TRANSOM ... ..... .. ....... TRANSOM. .. I L..i I 1 N TO BEAM i0 BEAM .........N... .......... .... ABOVE ........ ... .. ""'iaAliiDniABOVE ....p.a..... .r:e...... IiI .MSTR...� I ... ..................................... .... MEASURED FROM OUTSIDE BOX TO FRAME —— — ———BEALI�6VE-'—— ON °YD' I I CLOSET I AND FRAME TO FRAME z z z ? u u R OWNER FUILHT I GU55 Tll� o I a IS-11•CLNG HT.I m a �� DECORATNE ev OWNER NOTE: ALL SMOKE DETECTORS SHALL BE OA OA O I PANTRY tG cuRBLEss � 4:I- I ti i HARD WIRED. L SHOWER 5• 5. I PANRTY wl L NEAR N I J CO SCREE 3'-88 I p o 3J$WHITE OAK �� DRAIN $ Q HEAT SENSOR O w O B'-14'CLNG I W/D LNDRY 4 (STAINED) HALF WALL wI _ (V •wH17E OAK N3 ' FOYER STONE SILL m (STAINED) iL{ a-1®HG3 a� VAULTE�CING �• GBENICH GLASS ABOVE: OB SMOKE DETECTOR N 8'-1• 5'-11' D 2' I m FULL 1gf. 3-2• 2 4 : O OA ® SMOKE 8 CARBON MONOXIDE SENSOR O § CABINET 1 M O HANGING BAR CABINET ID MASTER ' B to ISHELF --- COUNTER :® BATH ! § PROPOSED AREA CALCULATI ONS 3P PED6TAL g ABOVE g_1t•CLNG L Q —ON TAL § 3,-WHIN OAK cRoo+E PWDR (STAINED) z 3 TOTAL LOT 12,038 SF '� 11•CING"+ VEST. o§ �o UP vc * 20%LOT COVERAGE 2,407 SF BUl.. 3Y.-WHITE 8.11•CLNG w H' A h 1 30%GROSS FLOOR AREA 3,611 SF - 1w. O (STAINED) O HEIGHT � Wp PROPOSED LOT COVERAGE �— IPE PROPOSED BUILDING 1872 SF _I O OA COVERED nlE on sT Al GARAGE 352 SF COVERED ENTRY 72SF CO 0 § PORCH BULKHEAD 28 SF Q W < IPE STEP TOTAL LOT COVERAGE 2,324 SF IPE STEP �` fgWMl W a J MAXIMUM GROSS FLOOR AREA I— WW Q Q� J UFIRST FLOOR AREA 1,872 S 4'-1• 5'-0• 21'-2• T-I" 4"' SECOND FLOOR AREA1 D_ LL �,237 SF c GARAGE FLOOR AREA 234 SF 12'-7 4V-7 TOTAL PROPOSED GROSS FLOOR AREA 3,343 SF F E D C B A O N LL 3 z 3 1 O AIS A15 A15 A11 At A11 A11 �'i II A N, T-O* 8.1. 7'-(r 4'-0• A1a5 A3C As G I III (j QZQ'I KS�TK0Wm 2oWO Y' UNFINISHED a A15 5 .......... . .......... ...... Q�ZNI U. RAGE ......... oNo F E D O dN�N NW_JaQ I 0- ' U. o 06 o U ¢ N p U z V p¢ K Z U O 6.-0. 5'�� Z Q Z O U 23.��. .. O ZO w o N z W " c 8 Z co O Ala A,4 N p a J caj Z W O ¢ low• tow' B 2'-S' 7'6• lo'-0' 10'-0' TL• 10;. z 1 c c C C c a U' � WINDOW SEAT h WINDOW w 1 . - STORAGE O co wEE J U Z All PLWOOD KNEE WALL S'-0' - Ii 'l WD VQ n v/ Lu STUDY I i A4 1 B.7 TE c ----- ---- Z i t'WHITEOAK Q i A2 C<C (STAINED) , L 1 176' 18'f!• Lu 2' 14'-1�' W W BEDROOM#3 � C1 V 0 J 717-D-CLNc BEDROOM#2 9 q HEIGHT " vENr 'MITE'c OM GENERAL NOTE: C Q W WH1TE Oa( L�t �'Wi1.ALL CONSTRUCTION SHALL COMPLY_ WITH ALL STATE, CAL AND FEDERAL W m H 1 1 H : __________ ____ H I 2 BUILP PLUMBING AND HEATING TO BE = O i _............................................._....._........................................_..:..... .. . ........_.....,..:...,.3......... . ..._...:.............._,...,............,,.:!I? .... _.. ...... .. ... ...._...........' COORDINATED BY CONTRACTOR. P CD I a k ry a O _ . ...... . ........:...............] .... ... §.......: C) A20 C1 632 2 q' 13-4 © 6'40y- pa• 2 3.ALL ELECTRICAL TO BE COORDINATED BY CONTRACTOR. Aza I ............... OPEN Ra11NG ........ .. ___ ...D.•. ....... ......... 4.1 ALL IN FROM WALL DIMENSIONS ARE ME 1 ........... .. ....... ....... .. ............ ... .,1, .. .. ... .H.: `. . I 28 -oaceuusTERS WD I�PLWOOD KNEE AIO MEASURED FROM OUTS!DE BOX TO FRA u GRANITE 'ON ouu 6 WAI I Sa NOTED FRAME ALL DETECTORS SHALL BE _ :a -----' ------ � FOYER LMeN rILE� HARD WIRED. TI B LINEAL R. iV LINEAL FT BENCH ar ' STORAGE § it xX'CWG SH TILE ER n T,,B - Q HEAT SENSOR N Z: __ _ oAK Sraas I BATH#2 Q SMOKE DETECTOR O 0 BATH#3 w/PaNiED r-1 r aNc N �; r- •ar+c RISERSAND ® SMOKE&CARBON MONOXIDE SENSOR Q 4 SKIRT 2<• 3�. 11NEN ' M 3'<' 4 N _ PROPOSEDAREA CALCULATIONS A'� Q O W EE _ TOTAL LOT 12,036 SF 20%LOT COVERAGE 2,407 SF 30%GROSS FLOOR AREA 3,871 SF 2r O O O L___ ______________________________ OD OD OD PROPOSED LOT COVERAGE . _..____________-________ - PROPOSED BUILDING 1872 SF GARAGE 352 SF r 2•-31• :2••77• 2'-7Z' 2'-1]• 2'-21• 2'-77' 2'-77' 2'-2]• COVERED ENTRY 72 SF m 8 8 0 9 8 B 8 B BULKHEAD 28 SF Q INTEX RAILING SYSTEM 4'-10' 4'.10': TOTAL LOT COVERAGE 2,324 SF LU Q MAXIMUM GROSS FLOOR AREA LIJ C Z J S,-8, 787,E 3•41- FIRST FLOOR AREA 1,8725E SECOND FLOOR AREA 1,237 SF Q a- LL (4 GARAGE FLOOR AREA 234 SF 2' 7 TOTAL PROPOSED GROSS _ FLOOR AREA 3,343 SF F E D C B A N a 1 y rA , 0 00 A15 A,5 a5 A11 A I A,A At0 DO tz ANCHOR BOLTS w/ 3"x3"xY4"PLATE WASHER TYP. a 2X6 SILL PLATE GARAGE WASHER PLATESFACRqG N/A O MAIN BUILDING WASHER - PLATE SPACING 38"O.C. 22'-O• . ----------------------------- u I UF-cc-----------------------, 1 � I� I I I 1 CONTINUOUS CONCRETE I B• I FOOTING TYPICAL I LJ Z N ,c s; u A3 I m o 'PO 7?" I I A z N a OFpMI°iV I p m w 0. g o Z z TF : I IG s A15 A15A14 ............ ...... .... .................................... ......... V7 O E D C §cicI 1 1 FUTURE GARAGE DOOR OPENING i i W O qy I I I Z z a I I I O o > I I I I I I O ¢ N o Q O U TYPICAL ANCHOR BOLT SPACING -- ------------------------- J Z a j 1 SCALE:Y2" = 1'-0" = S ¢ V z m z 1 LL O z aw J ,6D'-0' Au AM Z O Q OJ 24'-0• 16'-0• B20'O' A ---------------- 'D I I BEAM BEAM 1 PDLKET : POCKET I ------------=--------=--------J r--� r*-� L---------=-------- ------ N i I I I I Q I I I I l i I I _ I O W I __—_--- __-- -----J _: J L._:.-J L------------ ------- 1 cn PROVIDE]YT'DIA,STEEL ��/�"111 CONTINUOUS - CONCRETE FILLED LALLY COLUMN CONTINUOUS I = I CONCRETE CONCRETE W 1 FOOTING TYPICAL : ON]D'LO CO�nDEEP FOOTING TYPICAL 1 N ili/ Q I � Lu 1 I I NEW NEW A4 1 I AWL j blH BASEMENT j I N CRAWL 1 1 PROVIDE CONC. 1 �IU PROVIDE 1 I 1 AZ I W DUST COAT : 4•CONC.SLAB I W BXS BB W ELDE-RE MESH o w 1 4 § 5� 5� �------- J I :WWF TOP J50F SLAB: U U J I 1 I 1 I I a aJ a� I I V Z J I N� FOUNDATION WALLS �� ---_-- I o HEIGHT TO BE 5-0" o N o - I GENERAL NOTE: c w I I ----- 1.ALL CONSTRUCTION SHALL COMPLY WT Co H I t CALLA FEDERAL r WITH ALL STATE,LOCAL D FED x CD I W I ------- H 1 2.ALL PLUMBING ANDHEATING TO BE ~ O O I a ............................. ....... .....................i.,... . ..............................:...,.... ..... 6'-W ...... .6'-e'.......... ...........6'-6'..:.................6'-6'..............3fi................g•.g1................,.....6'6'. ....g•.6e.....1. .....I........................................ .....,.§ COORDINATED BY CONTRACTOR. ........:. I I I I i 3.ALL ELECTRICAL TO BE COORDINATED BY CONTRACTOR. ELEL 1 I -------- --J _ —__-----_--___ __ —___—__� I t 4.)AIAUEDFRMO WALL DIMENSIONSA RE .............�.............. ..... .... .......... I ....BEAM.................................................i..... .................................. ..............................CO ........................................... ............. MEASURED FROM OUTSIDE BOX TO FRAME Aze I CONTROL JOINT: ICONTROL JOINT I POCKET Am AND FRAME TO FRAME O - O O ° -STRIP FOG I G O ' NOTE DETECTORS SHALL BE _ I � `\\ — ---_----_----� 0• �. ALL SMOKE 1 I BEAM PROVIDE HSS4'X4'1(Y.�� 3Y,'DIA STEEL : N HARDWIRED. CD 0 POCKET: STEELSUPPORT CONCRETE FILLED I r--------_ I I COLUMN(ASTM580) LALLY COLUMNS Q HEAT SENSOR O I .)V CAP AND ON CONTINUOUS N I BASE PLATES CONC.STRIP FOOTING FURNACE 1D r-- ------J QS SMOKE DETECTOR O I I I ® SMOKE&CARBON MONOXIDE SENSOR fh :3 PROPOSED AREA CALCULATIONS 7 Y L__J L__J L -J I 1 TOTAL LOT 12.036 SF 2407 SF CONTINUOUS FOOTING CRETE I 2 OVFRAfiF I 'CGTYPICAL FOOTING TYPICAL � I � '- - '- 1 I FOOTING TYPICAL 30%GROSS FLOOR AREA 3,611 SF a JL---^----------------7------�-------------------- PROPOSED LOT COVERAGE O L------ ------------'------�- ---_j -----------------"-- PROPOSED BUILDING 18725E r GARAGE 352 SF Ln II COVERED ENTRY 72 SF iP DIA.CONC. BULKHEAD 28 SF w C \ SDNATUBE Q TOTAL LOT COVERAGE 2.324 SF Q I BIGFOOT(B�N) Lii a Z _, `�_ L/♦�_j MAXIMUM GROSS FLOOR AREA ~ w W Q 12'-0' 40'-0' 8'-0• Q w J U FIRST FLOOR AREA 1,872 SF acl c SECOND FLOOR AREA 1.237 SF GARAGE FLOOR AREA 234 SF 60'-0• TOTAL PROPOSED GROSS FLOOR AREA 3.343 SFUL 0 F E D C B A N 3 2 ] 2 O A15 A1$ A15 A11 Al DIRECTIONS: a , From Hyannis - Follow Main Street to the West End Rotary, Take third exit onto Scudder Ave. Turn right onto a • * Smith Street at the stop sign. Continue on to Croigville PERC TEST: 20-187 Beach Road and left onto South Main Street. Continue over the bridge to Main St. Osterville and turn left onto West PERFORMED BY: JOHNODEA,PE Bay Road continue to Wianno Ave. and turn right continue * • « 4 SULLIVAN ENGINEERING&CONSULTING,INC. and turn right left onto Hollingsworth Rd. turn left at Efi w: SOIL EVALUATOR NO.2911 Blanid Rd. #100 is on your left. WITNESSED BY:DONNALD DESMARAIS,R.S.-TOWN OF BARNSTABLE $ . ' •x SEPTEMBER 14,2020 SITE PASSED DESIGN DATA TEST HOLE- 1 EL.34.8 TEST HOLE-2 EL.35.2 Single Family -S Bedroom @ 110 GPD .. . .............. ".....io . ... ..... . .. LOAM. .. No Garbage Grinder �► «` L z tik i 7 34.2 6" 34.7 Total Daily Flow=550 GPD .".B LAYER 10YR 6f8........ B LAYER.lOYR 618.,: ...... BRO.VI MSH.YELLOW` ::: BROWWSH"YELLOW:: : :::: Use a 1500 Gal Sel tic Tank LOCATION MAP .. .. .... .. 34 .. LOAMY SAND.."..".... :.." 31.9 32 :::... .:.."LQAhfiYSAND.....:.."...".: 32.5 (1"=2000f) O OYioO�YEW LIVE E w LEACHING AREA MED SAND MED SAND 550 GPD/0.74(LTAR)=743 SF Required ASSESSORS REF.: PERC TEST 31.8 2s GALLONS GONE IN 81►mV Sidewall=2'x(12.83'-+-8.5+20.67'+12.83'+33.5' Map 140, Parcel 066 .132 PERC RATE<2 MIXIIN(LTAR=0.74) 23.8 132 124.2 +21.3)=219 SF NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED Bottom Area=12.83'x 8.5'+12.83'x 33.5'=536 SF Total Provided=755 SF(558 GPD) OVERLAY DISTRICT: LOT CALCULATIONS: �-r LEACHING CHAMBER DESIGN AP - Aquifer Protection District Lot Area = 12,036 SF TEST HOLE-3 EL.3s.8 TEST HOLE-4 EL.36.0 All Pipes to be Schedule 40. Use Existing Lot Coverage = 1,993 SF (16.51.) LO.r;M LOAM.:"."::":".:" .... FLOOD ZONE: Allowed Lot Coverage = 2,407 SF 207 """" """ 4-500 Gal.Leaching Chambers in a ( ) 6".. ::.......... :......_... 35.3 7° 35.4 Zone x Propose Lot Coverage e = 2,324 SF 19.31. B LAYER"1oYR 6fs" B LAYER IOYR 6f8.. Double Washed Stone.Field as Shown. P 9 ( ) ..... ...... . Map Number ..BROMIMSH YELLOW......"..". BRORW. SH.YELLOW 25001 C0752J .. .. ExistingFloor Area 1,365 SF - Per Assessors 11.3� 27 LOAi�fYSAND..'""".'::":":"::" 33.6 29 LOAMYSAND 33.6 ( ) July 16, 2014 Allowed Floor Area = 3,610 SF (3090) CLAYERZ5Y616 CLAYER2.5Y6f6 Propose Floor Area = 3,343 SF (27.89 OLIVE YELLOW OLIVE YELLOW) I MED SAND MED SAND ZONE; PERC TEST 32.6 25 GALLONS GONE IN 8 MIN I Sex I e N/F 120 PERCRATE<2M9V/1N(LTAR=0.74) 25.8 120 26.0 Area (min.) 87,120 SF (RPOD) MaryL. Ryon Tr. NO GROUNDWATER ENCOUNTERED NOGR UNWA Frontage (min) 20 Width 100' Setbacks: > N ES SEPTIC NOTES Front N�Sorah 67.72' Side 100' p6' y� ° ° -�� Fnd I I 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours Rear 10' Richor 76 10.5 {� �, �' Prior to Any Excavation For This Project the Contractor Shall Make ode Fenc�s� -... I the Required Notification to Dig Safe(1-888-344-7233)and contact Sty / 10' Setback ... . I /�`V Sullivan Engineering&Consulting Inc. (508-428-3344). BeQ 2. The Contractor is Required to Secure Appropriate Permits From Town / Rebar RA,r O Agencies For Construction Defined by This Plan. �` � F / PP6POSED ai r " %'SEPTIC TANK I o 3. Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall o -- S d` �; A P 20.5' a Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to ° ems' a . Assure Watertightness. In General, Water Lines Shall be Constructed in o Ston `o O O 12,036f SF [)rive �` � � _ " o "� 3 Coordination With COMM Water,and Shall be in Accordance W LO I With 248 CMR 1.00- 7.00&310 CMR 15.00. W ° to 4.A Minimum of 9"of Cover is Re uimd for All Components. PROPOSED z z o? q -4 D-Box f / r in I q � Finish Grade 5.All Structures Buried Three Feet or More or Subject �' o' i ' rlt.m , z to Vehicular Traffic to be H-20 Loading.It is the Engineer's TBM - To s i ' r s Din cDn ' � K I o of CB/DH 3' Max. = Recommendation that H-20 Always be Used. Basi t N11td•. m e �t 9" Min Compacted Fill y �l ,�,, DWELLING CB/D m E1.-34.1 Filter 6.Install Watertight Risers and Covers to Within 6"of Finished Grade 3 m Fab�c � z F.F. EL.°37.5 \ ; 25.9' (NA VD 88) And Or Over Septic Tank Inlet and Outlet,D-Box,and One Leaching Chamber. ''' 1r 2 1 Pe a sto ne All covers are tc be maximum 18"for concrete or 24"Cast Iron. , w..:. I t� §��" '. = A,. I �i..r . Septic System to be Installed in Accordance With 310 CMR 15.00& rH-2 n.,..... ... 3' ! f lit t 35� i.,., L► 3/4,. 1 1/2" 7 . LEACHING Double Washed 248 CMIZ 1.00-7.00 Latest Revision and the Town ofBarnstable far�,�„ � � rH-' + APProx. Septiclsystem w I CHAMBER stone Board ofHealth' egulations. 5 Per To wrr B.O.H. 8.All Piping to be Sch.40 PVC. .. ..-To Be..,Con firmed Prior C- h \`� ` 2 Se bo _ _•_ � - .. ma to Construction Guy `�s UP ''^^ 4' 10" � 9.D-Box Shall Have a Minimum Inside Dimension of 12';and a Minimum TO BE REMOVED., �O Cn �- 12' - 10" Sump of6'. O I ' < 3. T /� p 10. The Separation Distance Between the Septic Tank Inlets and CROSS SEC 1 'ION OF CL.�/`I MBEI-1 Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend' ��620 „ a Minimum of 10"Below the Flow Line. Outlet Tees Shall Extend 14" �\g.00 L39' e®sin I �� Below the Flow Line,and Shall be Equipped With a Gas Baffle. _ O N7 ' 22' 4 "W Water I® Edge of Pave. Gates m. I Bln . I a1 ►'� (40' Wide Public Way) Road I m I F.F. . El. 37.5 See Note 6 (typ.) ® F.G. EL. 36.00* - *Final Foundation Grading To Be F.G. EL. 36.00 Coordinated With Landscape Plan Flow Equilizers EL. 34.25 As Required Installer To Confirm Prior EL. 33.50 1500 Gallon To Any Work Septic Tank EL. 33.25 �_:E Tom EL. 33.50 See Note 5 33.00 H-20 ( ) D-Box L. 32.83 32.50 Leaching To Be Installed On Chamber Stable Compacted Base Bot. EL. 30.50 . Bedding, "T„s, .... .. .. .. . . .. Inspection Port, if"Eneauntel.ecl. R.eirr.oi%e::Bc::Replace.:: ..... ..... .... . ...... . . . . ..... . .. .... ........................ ..... .......... ........... & Boffels All .Unsuitable: Soils" as Per Title 5 �ha 0uter::::Perimeter .o.f.:Th"a": Sysf"ern: Ln .... .. .. .. N Ln EL. 23.8 No Groundwater Per Test Hole 1 DEVELOPED PROFILE OF S Y.S.TEM EL. 5 J ' , � Groundwater 18168 SCALE Per T.O.B. Standard NOT TO LEGEND: 0 CDT Cedar Tree HT Holly Tree NOTES: PREPARED FOR: PREPARED BY. 77TLE:a DT Deciduous Tree 1) The structures shown were located on the ground by Site Play ■/"� conventional survey methods on 81412020 • EngineeringCT Coniferous Tree Proposed ropos d 1mpro vem o f7 1� 2) The property line information shown hereon was 'n/ . compiled from available record information. VV Utility Pole Jon W. & Mary L. McKenzie u ivan consuitingiiic. At C) -E- Electric 3) The datum used is NAVD 1988, a fixed mean sea level T_ -G- Gas datum obtained by RTK GPS performed by'Sullivan (508)428-3344•P.O. Box 659 .711 Main Street, Osterville, MA 02655 100 Blanid Road Wetland Flag Engineering & Consulting Inc. sees@sullivanengin.com•www.suilivanengin.com Light Past Barnstable Osterville) Mass.4) Topographic information wos collected using both ( W El CB/DH conventional survey method and RTK GPS on 81412020. 20 0 10 20 40 80 Draft: CTR�ASL Field: WHKICTR T OHW- Overhead Wires Elevation Contour Review: JODICTR Comp.: NIA DATE: SCALE: c) 25 Project: McKenzie Project#: 400025 September 18, 2020 1 n=20'