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HomeMy WebLinkAbout0063 BLUE HERON DRIVE - Health (2) f,. 63 Blue He—von Drive - _ }t A = 117 — Oo4 • , (Mile 1 c. u ttt a : c 'a r , c rl�rODllV Commonwealth of Massachusetts Title 5 Official Inspection Form h; Subsurface Sewage Disposal'System Form -Not for Voluntary Assessments r 63 Blue Heron Dr. � > Property Address `r s ROSIELLO,BARBARA MULLIN&ROBERT L t ,a r : Owner Owner's Name/ information is required for every Osterville ✓ MA 02655 1/22/20 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 A. Inspector Information filling out forms on the computer, use only the tab Robert Paolini key to move your Name of Inspector cursor-do not Robert Paolini use the return key. Company Name 67 Tanbark Rd. —v Company Address Marstons Mills MA 02648 City/Town State Zip Code ` - (508)280-9499 S14454 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 1/22/20 Inspector's Si ature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent,to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5in3p.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 r - - Commonwealth of Massachusetts Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) 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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cunt.) 2). System Conditionally Passes(cunt.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): 0 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): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form � F Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. ^ c. Other: 4) 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 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form -�; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 63 Blue Heron Dr. V Property Address ROSIELLO,BARBARA UMLIN&ROBERT L Owner Owner's iName information is required for every Osteryille MA 02655 1/22/20 page. Cityfrown Site Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than%day flow ❑ ® Required pumping more than 4 times in the last year 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 water supply 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 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should.contact the Board of Health to determine what will be necessary to correct the failure. 5) 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 CA. 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 t5insp.doc•rev.7I26MG18 Title 5 Official Inspedtion Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L ` Owner Owner's Name information is required for very Osterville MA 02655 1/22/20 . e page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) , If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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: p ® 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Blue Heron Dr. Property Address r ROSIELLO,BARBARA MnLIN&ROBERT L Owner Owner's Name information is required for every Osteryille MA 02655 1/22/20 page. CitylTown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Description: Number of current residents:. 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ . Yes ® No NA Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Blue Heron Dr. Property Address . ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. 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: t5insp.doc-rev.712 612 01 8 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 I MLI Commonwealth of Massachusetts 6a Title 5 Official Inspection Form I; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner owner's Name information is Osterville MA 02655 1/22/20 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known) and source of information: 2001 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet S Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight. No evidence of leakage.System vented through DBox. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is Isterville MA 02655 1122/20 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 GI. 4" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 46" 2„ Scum thickness 7" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? Measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump every two years.lnlet and outlet tees in place.No signs of leakage. { t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. Cityfrown. State Zip Code Date of Inspection D. System Information (cunt.) 7. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 4 Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Ia Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert No 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.): Box is.level.Box has three outlet laterals with equal distribution.No signs of leakage. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ,V 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. 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.): *If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 12 Cultec 4's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osteryille MA 02655 1/22/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System(SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy soil.No signs of hydraulic failure. 12. 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 Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp:doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 l Commonwealth of Massachusetts Title 5 Official Inspection Form M1II Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. CitylTown State Zip Code Date of Inspection D. System Information (cunt.) 13. Privy(locate on site plan): i Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 We 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts; Title 5 Official Inspection FoTM Subsurface Sewage Disposal Systern Form-Not'for Voluntary Assessfnents 63 Blue Herring.Dr.. Properly Address. ROSIELLO,BARBARA M JLLIN&ROBERT L. owner owners Nerve information is Osterville. MA 02655 1/22/20 required for every page, Cityfrown. State Zip Code Date of inspection D. System Information (coat:) 14. Sketch Of Sewage Disposal System; Provide a view:of the sewage disposal system, including ties to at least two permanent reference andmarks:or benchmarks. Locate all wells within 1 OG feet.Locate where public water supply enters he building. Check one of the boxes below:. D hand sketch in the area below D drawing attached separately .� d. L� rn jjO�pes- II • � bob i At. i 1/22/2020,4:57 T�Ie 50fftdgt'tnspecton Form:.$4Wu A�ce'seweSe D ossl Sy m'•P eJB of iH Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every Osterville MA 02655 1/22/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water - ® Check cellar ❑ Shallow wells 7' Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record r 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: As-Built ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Used USGS observation well data.Used technical bulletin 92-0001 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 i V c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 63 Blue Heron Dr. Property Address ROSIELLO,BARBARA MULLIN&ROBERT L Owner Owner's Name information is required for every OsterviPle MA 02655 1/22/20 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed& Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6(Checklist)completed, ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included r t5insp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 TOWN OF BARNSTA.BLE LOCATION G SEWAGE # 700 %G. VILLAGE ASSESSOR'S MAP & LOT 2 17— INSTALLER'S NAME&PHONE NO. ,548'Y2O-973� tlGtsrl®t��ei9sS SEPTIC TANK CAPACITY /SOd LEACHING FACILITY: (type) �d1re°C �/ 6141TJ (size) 3I X NO. OF BEDROOMS S' BUILDER OR OWNER 7� eJfl c✓ Cy7�Lia�, PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: F Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 4m,,�i p�O' 0 4 ev M �r7S/°�sGrt0�1 Port v4�r Drive" �6# -7(Cta;�,A.2GW-) No. ® V [ ""i Fee 4CCOMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for W5poe al *pgtem Con0truction Permit Application for a Permit to Construct(Gr Repair Qk—Upgrade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.43 91uC�l/-end e Or t'w Owner's Name,Add ess and Tel.No. �lJ�y�� / Assessor's Map/Parcel Installer's Name,Addre s,and Tel.No.�0J`�� Designer's Name,Address and Tel.No. �0I ep4 49� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) gjrW// cv/r� N� s�H•c � 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 Board of Health. Signed U.44 Date Application Approved by �&Ivv _ s- 6 Date d Application Disapproved by: Date for the following reasons Permit No. u g-,—a Date Issued ,No. OQ U�l /1n" / ' V Fee w n 1 Entered in computer: _E�COMMONWEALTH OF MASSACHUSETTS a - w Yes PUBLIC HEALTH DIIS101�'-TOWN OF BARNSTABL , MASSACHUSETTS - Y ZIPPYication for �Digogar 6pgtim Con0truction Permit /F Application for a Permit to Construct(W Repair(�4— Upgrade O Abandon O ❑.Complete System ❑Individual Components .jl:.ocation Address or Lot-No.(p 3 9/6 H.e, Or V�i Owner's Name,Add ess,and Tel.No. f Vi Assessor's Map/Parcel p Installer's Name,Address,and Tel.No.�O$'aS_ �a Designer's Name,Address and Tel.No x1reg"y7?^s•�/ ,�aszpti !?� (3�r•�o,S �H�rh•c�r!h� cvarlc / Type of Building: Dwelling No.of Bedrooms t/ Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil , Nature of/Repairs or Alterations(Answer when applicable) fo-fr gIl X2,2,5 O,?� a1r,6-C W/fl9 NU tin*f 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 !i Compliance has been issued by this Board of Health. ' Signed ! Date Application Approved by pit✓. 1 ,r ( Date '''j Application Disapproved-by: Date r r for the following reasons s Permit No. 2 p o*"- u Gf G Date Issued 3 -7 UO ———————--=—————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,/that the On-site Sewage Disposal System Constructed (4_) Repaired ( 4.)_ Upgraded ( ) Abandoned( )by Jes{ �� i4i"y'b at Hiro it QeI V/= df17_Q"V1111= has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �t,O r-06� dated Installer OSGplI &*".-V3 Designer & 9/e v, #bedrooms_�/ Approved design flow L1,j4d gpd The issuance of this permit shal not be/onstrued as a guarantee that the syst m w� ill fun io as esigned. fr Date � �5/U S Inspector No. e) D y cS ' Oqp Fee ( W THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS,. lwig ogat gtem Con5trUctton Permit - Permission is hereby granted to Construct (A—) Repair ( 4-4— Upgrade ( ) Abandon ( ) System located at dlc/% &-'e0f2 &l i//:; Osr.-rV,!!�- ;4 r and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. I`1 Provided: Con tructibn must be completed within three years of the date of tDpe its! ate D t (J Approved by 03/26/20E98 05:04 5084775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services Thomas F. Geiler,Director ' Public Health Division Thomas McKtan,Director 200 lain Street, Hyannis,MA 02601 Offiee: ` 4644 Foal: 508-790-1630 Date:� f ®d' SeWW Penmit# 0 A I mmor's 1�[mt>I/�",u :.t➢ 1 p `7 -.06 6t K .T Ce n Form DeWgaear: !ac1[�P� m, W yd .d 6_�e Y S 4` c. Sur r 6 Add : tZ VJ Cf'Cp Address: 91 CM iiao1,e^%:A',-f - 5MI hLdo MA d2 Lfy JA l fV14 a.IZ& yF: O.r1 �� ' e t as issued a permit to instal a O (lrtsta er) septic system at G S 1 Ve ll e r®n Dr L°3 t-° based on a d(zign d-r:vrr,,by (address) deed 14 t 1 ) 0 -2 (designer) I certify that the septic system referenced abode was installed subst®r►fAa ly according to the design, which may include minor approved changes such as lam] rel don of the distribution box and/or septic tank. Stripout (if required) was insWait. l and the soils were found satisfactory. /�0�o 6(d /0 0� fT'� (� � ,>�'�� new tom® y� /1'aI7 P% - snrb­e: le I certify that the septic system.refmnced above was installed with n*iar changes (i.e. g eater than 10' lateral relocation of the SAS or any vertical if any cornponent of the septic system) but in accordance with,State.&Local �icac�gg �'" revision or certified as-built by designer to follow. Stripout(if requa' p�� �d the soils were found satisfactory. = PETER to��\`� e Mc6!.Jl�E. CIVIi- � No, 351011 F iCMA[ a. per's Signature) (A X Designer's alp Hem) LILEAff REEM TO EARN I D , CIONff VVII.Y. IlT®T E �It FAND BBC AFRE REC IM BY THE PA TABLE 1L C L '': ITA Y 4! i t y 1 Barnstable Town of Barnstable igal+i M&NSMABM MASS, �; Board of Health - FA FAAy ,� 200 Main Street, Hyannis MA 02601 zoos Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 22, 200@,C` Mr. Peter McEntee, P.E. 12 West Crossfield Road Forestdale, MA 02644 RE: 63 Blue Heron Drive, Osterville ` A 1°17 004 Dear Mr. McEntee, You are granted variances, on behalf behalf of your client, Timothy Fulham, to construct an onsite sewage disposal system at 63 Blue Heron Drive, Centerville. The variances granted are as follows: 310 CMR 15.405(1)(b): = To place four (4) feet of soil cover over the top of the soil absorption system, in lieu of the three feet maximum allowed. Section 360-1, Town of Barnstable Code: To construct a soil. absorption system 62 feet away from a coastal bank, in lieu of the minimum 100 feet separation distance required. The variances are granted with the following conditions- (1) The septic system shall be installed in strict accordance with the revised engineered plans dated December 21, 2007. (2) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated December 21, 2007. This variance is granted because physical constraints at the site severely restrict thelocation of a soil absorption system due .to vegetated wetlands bordering two sides of this lot. The proposed system appears to'be designed.to meet the maximum feasible compliance standards contained within the State-Environmental Code, Title V. Sinc rely yours, yne iller, M.D. :\WPFILES\McEnteeFulham63BIUekeron2008.doc DATE: FE8 t ��� REC. BY Town of Barnstable SCHED. DATE: � Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Wayne A.Miller,M.D. FAX: 508-790.6304 Paul J.CanniQ D.M.D. VARIANCE REQUEST FORM LOCATION &0 3 /SCu e ke ffi>^ 1�� (L X, M A Property Address: Q S'f'e�vt Assessor's Map and Parcel Number: 8-7 "(Wtf Size of Lot: 6 l /}c rR Wetlands Within 300 Ft. Yes U Business Name: N�ropp Subdivision Name: APPLICANT'S NAME: /2 fe✓ M C�5tt'{ee / iE Phone (So 0 4 7'7--y 3)3 Did the owner:of the property authorize you to represent him or her? Yes _l No a PROPERTY OWNER'S.NAME 6 fboiTACT PERSON Name: / + • 16 A Y F,U 111Q rv% Name: 12 Address: l5- 40,'n Cr s cir Uv*-112J l e�( Address: � Phone: s'a 6 O k QZYgI Phone: 77-5-.313 VARIANCE.FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 31,0 CM/Z ut:!te IacgJ .w,a�io tC Gt.tC�lcr�f NATURE OF WORK: House Addition ❑❑❑00❑ House Renovation ❑ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form j Four(4)copies of engineered plan submitted(e.g.septic system plans) Ij Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent hindher for this request w Cl Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's dense —rTitle V and/or local sewage regulation variances only) *, Full menu submitted(for grease trap variance requests only) ��,� Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance rer�'�Whls[same o rAease�,e only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[eay if no expansion to the building Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller, NOT APPROVED Paul J.Cannifl ..M.D. REASON FOR DISAPPROVAL C:\Documents and Settings\decollik\Local Settings\Temporary Internet Pi1es\0LK1\VARIREQ.D0C ' r f Engineering Works _ EXISTING FLOOR PLAN. 12 W. Crossfield Road -63 Blue Heron Dr, Osterville, MA Forestdale, MA 02644 Job No. 243--07 Date:` 1-2/2.0/07 (508) 477-5313 Page' 1 of 1 BED RM. ' • (12'x19') • - CL ENT. = DEN o (12'x15') J. (BED RM.) BATH TL C ENT. L LIV. RM- HALL KITCHEN CL. (16'x28) , J CL. (13'x16') W GARAGE ENT. & CASED DIN. RM. R LAUNDRY D OPENING. (IS0,5') (12'xW) CASED ' OPENING CL. CL, ENT. E . PORCH FIRST FLOOR Pr ROOF BATH 0 L BED RM. BED RM. (16'x16') HALL (16'x16) CL: CL. CL. CL_ N ROOF ROOF ATTIC II SECOND FLOOR 4 BEDROOMS TOTAL k ' t ' Engineering Works 12 West Crossfield.Road, Forestdaie, MA 02644 Tel/Fax(508)477-5313 December 21, 2007 Re: 63 Blue Heron Drive, Osterville, MA(Assessors Map 117, Parcel 4) Construction Title 5 Septic System Dear Sir/Mam: . 5r` Please be.advised.that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to the Barnstable-Health Department for approval. The following variances are being requested: • 310 CMR 1&405(IXb)-Contents Of Local Upgrade Approval` 1 AT variance to the 3' maximum cover requirement over an S.A.S. for 4' of - cover. • LOCAL REGULATION, Chapter 360,Article 1 —Setback Requiremnts ; 1. A.38' variance, S.A.S. to Coastal, for a 62' setback. The application and plans are available for review at the-Barnstable Health Department, 200 Main Street,;Hyannis, MA,.Monday through Friday(excluding holidays).from 8 30 a.m. to 4:30 p.m. A public hearing will be held;to discuss the proposed work, on Tuesday, JAnuary 8, 2008, at 3:W p.m. The hearing will be held.at the following location: 1 Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Sincerely, Peter T. McEntee P.E. { Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508) 477-5313 December 21, 2007 Barnstable Board of Health 200 Main Street Hyannis; MA 02601 Re: 63 Blue Heron Drive, Osterville, MA, Title 5 Septic Upgrade Representation Authorization Dear Board members: hereby authorize Peter'McEntee PE to represent my interests for the subject project. Signature/s 14o)' Board of Health Abutter List for Map & Parcei(s). '117004' Direct abutters.(no set distance)and the properties Located across the street. Total Count: 5 Close Map&Parcel Owners Owner2 Addressi Address 2 Mailing CityStateZip 117003 WOOD,GUILE& WILDWOOD NOMINEE'49 BLUE HERON DR OSTERVILLE,MA JUDY W TRS TRUST 02655 117004 OLNEY,LISA M .%FULHAM,TIMOTHY 15 WINDSOR RD WELLESLEY,MA W 02481 117005 MULLIN,SAMUEL S THE 89 BLUE HERON 34 GOVERNOR HINGHAM, MA. TRS TRUST LONG RD 02043 117010 HOSTETTER,ADAM BIRMINGHAM, 770A MAIN ST OSTERVILLE,MA 3& ROBERT TR 02655 117011 LIAKOS,CHRISTIAN %WHALEN,ROBERT P.66 MYLES WESTON, MA " - C TR IR&VICTORIA A STANDISH RD 02493 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 12/21/2007. LEGEND -=----------- --=-- t=------ ------ =---7 " Sep �tl " "" `1•= S 583425" E h�--- iv HOSTETTER, ADAM J EXISTING CONTOUR BIRMINGHAM, ROBERT TR _14 --- I 254.39 _ - I tr - W MAP 117, PARCEL 10 l�hem TOP OF COASTAL BANK ` _ pd o. . ...® , 1 r t TP-3`m .. P 4 2 , fond 1 Gto�,on 0 EDGE OF B.V.W. !® 1'61 e Est WETLAND SYMBOL 1 t ■ ...._...... ■ 6 Y t � 4 t . 1 i LOCU ® TEST PIT i 1 rl 1 BAN ISTAL ■ Paved r ��TOP OF Yr 4 COA TYP.) i 5 ! Ir 'Go age 1 Drive ■ 1/7 ' �. -.� it /,,'„ � � ��.,► p' r� �, Cois to/ a r ! r i 1 ,n 11 r r . r}i Bay I i1 l i,.��fl�f ,� Q Q ! /n/an d C+ Y D Wet and 00 ' ' w ," et/and /;.EXISTING",I ° l� d �` R scource LOCUS MAP 01, Resc,I�urce / 'HOUSE � L /r0 NOT TO SCALE -..) -. �'( / a 4 1 1,..(#63) i ' 4 r . I GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 1L I BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS d d i I "�"d�m a MULLLN, SAMUEL S TRS °, iuw:+ ,t f M1. C7A 1 I iUa I b OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE j � 1� .k �"" LOCAL RULES AND REGULATIONS EXCEPT AS .REQUEST BELOW: THE. 89 BLUE HERON TRUST i ' ri 1y of wh I 310 CMR 15.405(1)(b): rn rr over r uirernent for 4' of MAP 117, PARCEL 5 r ■ NII r 1) A 1' variance.to the maxi u r c eq • er R ! max. cover, S.A.S. shall be vented and H-'20 Rated. LOCAL REGULATION Chapter 360. Article 1 Setback Requirements 1 i ! It r - Q 6. 1 I 2) An 38' variance, S.A.S. to Top of Coastal Bank, for a 62' setback. TP-1' a 'LIAKOS, CHRISTIAN C TR I 3, THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR r� .mod % WHALEN, ROBERT P JR 70 INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE N , +��� �. !! ' i F TP-2 �� �. E Nil & VICTORIA .0 DESIGN ENGINEER ... ,N O . f ( { °. N ! �.l MAP :117, PARCEL 11 I 4. ANY CONDITIONS,ENCOUNTERED DURING ..CONSTRUCTION DIFFERING A i I Ott p7, i , FROM _THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 4�,' SEE SHEET 2 OF 3 I ENGINEER BEFORE CONSTRUCTION CONTINUES. � _- �- - f1 _-_ e ~= 5. ALL ELEVATIONS BASED ON hdGVD. Lots 21 & J4 ,. Rn ���� N 69'2�70� w (20 SCALE) 6, THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 70,279t S.F. W° I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION, 1.61t AC. r / split WOOD, GUILE & JUDY W TRS� 7 WATER SUPPLY PROVIDED BY TOWN WATER. J WILDWOOD NOMINEE TRUST TT W - Map117 �G " MAP 117, PARCEL 3 s: THERE ARC .NO ABUTTING ELLS LQCATER WITHIN 150' OF THE S.A.S. 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED Parcel 4 BY PROVIDNG LOAM & -SEED IN LAWN AREAS AND REPAIR OF PAVED SOIL LQG AREAS IF REQUIRED, OR, AS DIRECTED BY APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY DATE: DECEMBER B', 2007 ('REF.# 12,033) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 55 SOIL EVALUATOR: PETER MCENTEE PE, CSE CONSTRUCTION. 9' 1. WHEREDIRE CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS �6 1 WITNESS: DONNA MIORANDI� RS,. CSE IN THE AREA'BEDEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. �r5 n r� r n n`�'r AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). f Elev. I P Depth Eley, Tf G Depth Elev. P-3 Depth Elev., Tf-` aDepth 12. CONTRACTOR SHALL EVALUATE STUCTURAL INTEGRITY OF EXISTING O" �; U" r - 0" 15.20 0" SEPTIC TANK PRIOR TO CONSTRUCTION. IF TANK IS DEFECTIVE, IT 1 3.26 A 12.8 A 1�.30 r1. A SHALL BE REPLACED WITH A NEW 1500 GALLON SEPTIC TANK. SANDY LOAM SANDY LOAM SA,'NDY LOAM SANDY LOAM 10YR 4/2 1OYR 4/2 Il'bYR 4/2 10YR 4/2 13, SUBJECT SITE LIES WITHIN wP & GP OVERLAY DISTRICTS- AND STATE 12.76 6" 12.35 6" 14.80 6" 14.70 6" REGULATED ZONE II. SANDY LOAM SANDY LOAM SANDY LOAM 10.76 10.6G 26" 12.80 13.20 24"SANDY LOAM WETLAND DELINEATION FLOOD PLAIN DATA 10YR 5/8 10YR 5/8 11OYR 5/8 1 OYR 5/8 VACCARO Environmental Consulting - FIRM 'PANEL #250001 0018 D 30" � C C C + C P.O. Box 955, Sondwich, MA 02563 REVISED: JULY 2, 1992 QA.SJ, 4$" 50" (508) 888-5855 ZONES A11 (EL 11), B & C C� MED. SAND PERC MED: SAND PERC E, PETER T. LP 2 5Y 6/4 0„ 2.5Y 6/4 62„ PROPOSED SEPTIC SYSTEM UPGRADE McENTEE - MAD. SAND clvlL 5.3$ ADJ GW _ 5,38 ADJ. GW _ 2;5Y 6/4 MED. SAND 63 BLUE HERON DRIVE, OSTERVILLE, MA No, 35109 - - 2.5Y G/4 2.68 ST& GW _ 127" 2.68 5TG. GW -_ 122" Prepared .for: Timothy Fulham, 15 Windsor .Road, Wellesley, MA 02481 C)O, , 3.80 138" 3.70 Surveying by: SCALE DRAWN JOB. NO. 2.28 1,,2" 1.85 132" � 138" Engineering by: PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) g Works 1"=40 WARNER SURVEYING P.T.M. 243-07 Engineering r; in INDEX WELL MIW-129 - ZONE A 12 West Crossfield Road 22 Long Rood n Zit NO GROUNDWATER OBSERVED Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. Y % WATER LEVEL = 9.7' - NOV 2007 c^ GW ADJUSTMENT = 2:7' (508) 477-5313 (508) 432-8309 1 2/21/07 P.T.M. 1 of 3, �+ r ,t )A ` ►NSPECTION PORT' LEGEND • ,� 5B 34125" E •,. tit 54.39' l -~ _'``' ,, 1N11� - - 14 -. EXISTING CONTOUR i P �2 � / ��,� GW �. - x 37,11 EXISTING SPOT GRADE TEST PIT VENT , r-_ W EXISTING WATER SERVICE w �J 1� C 1 ,�+ P I i . G� 1 --G— EXISTING GAS SERVICE 1 ��'� / G 1PROP. S.A.S N / 1 \�' '/ F-- 4____,____� � A3 UGW— EXIST. UNDERGROUND WIRES TOP OF �Qk STAL BAN i �-��/� „� I __I___-LT -4 5 31 x WETLAND FLAG `� - - 1 WET/V-�05 �L. MADEP P LIC}Y 92-1 (FI C� 3) � / 1 62�"�— 1 I w ,`� WETLAND SYMBOL F'aved�cJ Ge �,. EXISTING LEACH PIT TO BE PUMPED, FILLED W/ SAND 8c ABANDONED �Oe TRY NO 1. f, J J EXISTING SEPTIC TANK >� ' ! /- / r �€ '3 3 2 To of Conc. nd. TOP OF TANK, EL.13.2.5 �� ; I j t. f j/ ;! _ ,�J� �4 �c�� 1r� ' I alp 16.54, NGVD IN OU T)=77, l_'�,�r= % / 4, ff . ,, •I TBM N0. 1 I Pf! ! �. 2 L t. car, con c. step �O t- I EI.=15.76 NGVD ' ` g � +! i f a�o _ /Q ct TOP OF C�ASTA BANK �� /` y % ,f,! i % ' M ■� `100, f I MADEP-P.O�ICY9271 (FIG. 2) �/i i/ �/ EXISTING;/`; HOUSE 63 /TOE=7 4.43'1 � tk (NGVD)' Cil Lots 21 & 34 W ti tip' FF ° 70,2791 S.F. a 1 M 1.61 t AC. Map 117 Parcel 4 TOP OF COA2•�L BANK MADEP P�I Y 92-1 (FIG. 3) 10.�o�� � J � ! � �'�a3 J Imo' � 1 o00 /a� + f + co II awn"Al I y I a p� I�, PROPOSED SEPTIC SYSTEM UPGRADE Q I w 1 TV ® TP-1 k + - 63 BLUE HERON DRIVE, OSTERVILLE, MA I p N � - � �1�E Prepared for: Timothy Fulham, 15 Windsor Road, Wellesley, MA 02481 1 ' Engineering by: Surveying by: 4 ,0� FEMA FLDOD BOUNDARY—� � ` ErtgineeringK'orks WARNER .SURVEYING SCALE ` DRAWN JOB.3 N0. 12 West Crossfield Rood 22 Long Rood 1"=.'Z� P.T.M. 243-07 Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. (508) 477-5313 (508) 432-8309 1 2/21/07 P.T.M. 2 of 3 y - i NOTE: TO PREVENT BREAKOUT, THE PROPOSED f FINISH GRADE SHALL NOT BE < EL:11.52 FOR A DISTANCE OF 15' AROUND THE VENT ELEV. TOP PERIMETER OF THE S.A.S. FOUNDATION F.G. EL. 15.2t (Existing) < EXISTING F.G. EL.14.9t F.G. EL.15.0t MAINTAIN 2% MIN SLOPE OVER LEACHING AREA A'. IIAJ I �X�sP 5T. P �NblArMf // T O cc,,a(a,n S 1A L r n'()SO, IM I uc4�id�y1 4'` —INSPECTION PORT < '. .. .. . J) /Z d L 61' 6'+ 3,12114f �4 SCH 40 PVC 4' SCH (40 PVC 1 b" EXISTING - (MIN.) 10 S= 1% 77 . 1000 GALLON 14' ® S- 1% MIN, ® (MIN.) 3" TO SEPTIC TANK INV.=11.92t INVERT e. (SEE NOTE 12 -SHEET 1)ADD GAS (EXISTING) QF 4-CULTEC C-4 UNITS x 8'/UNIT BAFFLE ' PROPO ED INv.=11.0LENGTH=32' INV.=11.31 D—BOX INV.=11.14 SPLASH PAD TO CONSIST OFBSORPTION SYSTEM (PROFILEEXISTING - UNDERLAYMENT OF FILTER FABEXTENDING 15" IN FROM INLE ".rs. 3" PAVEMENT FOR RESTORED DRIVEWAY « 4" SEEDED LOAM OUTSIDE DRIVEWAY AREA NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING CULTEC NO. 410 FILTER FABRIC PIPE INVERTS PRIOR TO CONSTRUCTION. (SEE, ALSO, NOTE 9. GENERAL N07E5} 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE F.G. EL.=15.2t 14" (MIN.) CLEAN NATIVE BACKFILL 21° 6-4" POLYSEAL OUTLETS ON A MECHANICALLY COMPACTED SIX INCH CRUSHED 3/4"-1 1/2" WASHED STONE BASE, A5 SPECIFIED IN 310 CMR 15.221(2). 17" MIN. STONE FILLED 6" ABOV 2" 2 1-4" PQLYSEAL INLETS 3) INSTALL INLET & OUTLET TEES AS NEEDED. FIELD DRAIN UNITS i 4) GAS BAFFLE TOBE INSTALLED ON OUTLET TEE TOP,OF STONE ELEV.=12.02 AS MANUFACTURED BY TUF'-TITE, "LABEL OR EQUAL. BREAKOUT=TOP OF UNIT ° O TOP OF UNIT ELEV.=1 1.12 % N I M ELEV.=1 1.07 Ili llll�lllllf 11 SEPTIC SYSTEM PROFILE BOTTOM ELEV.=,D.82— . s EXISTING SUITABLE 00 48" (TYPICAL) MATERIAL N.T.S. 5' MIN, ABOVE BOTTOM OF EFFECTIVE WIDTH=12' ADJUSTED GROUNDWATER Top View Section USE 3 ROWS OF 4--CULTEC C-4HD FIELD DRAIN UNITS WITH NO N ADJUSTED GROUNDWATER EL.=5.38 4 SEPARATION BETWEEN EACH ROW & COVERED WITH STONE AS SHOWN. D�--BOX SOIL ABSORPTION SYSTEM (SECTION) CULTEC CONTACTOR FIELD DRAIN C-4HD DESIGN CRITERIA 7 NUMBER OF BEDROOMS: 4 BEDROOM.` MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT SOIL TEXTURAL CLASS: CLASS I SMALL RIB LARGE RIB ° b tl --I / DESIGN PERCOLATION RATE: S MIN/IN DAILY FLOW: 440 G.P.D. ! / DESIGN FLOW: 440 G.P.D, MODEL FD C-4 E MIDDLE/END ° , GARBAGE GRINDER: NO SMALL RIB LARGE RIB 48" // ' / EXISTING SEPTIC TANK: 1000 GALLON• 4� » /��!� LEACHING AREA REQUIRED: (440) = 594.6 S.F. ' 0. 12" =tea -- -- USE 3 ROWS OF 4 CULTEC C--4 UNITS WITH NO STONE O tl O U. b O tl tl • , --+ - `'' FOR AN S.A.S. HAYING THE DIMENSIONS: 12.0' x 32.0'. 8.5' 1 vi I BOTTOM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF OF C-4 UNIT) 4" DIA. 8.0' 6, S o 4 UNITS- - 8.0'/UNIT = 32.0 FT Qi 3 i N 3 ROWS x 32.0' x 6.7 SF/LF = 643.2 SF 8.5" 8.5" i p 1r7 DESIGN FLOW PROVIDED: 0.74(643.2 S.F.) = 476.0 G.P.D. C. f 1 °SMALL RIB tl ° ° ° ° . ° ° ° o LARGE RI PROPOSED SEPTIC SYSTEM UPGRADE ' _ __ ; 63 BLUE HERON DRIVE, OSTERVILLE, MA CULTEC CONTACTOR FIELD DRAIN 0-4 CHAA48ER STORAGE - t652 CF/FT � f -- II 15 Windsor Road, Wellesley, MA 02481 - h --1 2-�1 Prepared for: Timothy Fulham, y, ALL CONTACTOR FIELD DRAIN C-4HD HEAVY DUTY UNITS ARE MARKED WITH A COLOR STRIPE FORMED INTO THE PART ALONG THE LENGTH OF THE CHAMBER. � r TM Engineering by: Surveying by: SCALE DRAWN JOB. NO. CULTEC,Inc. PH: (203) 775-4416 I EngineelingWorAy WARNER SURVEYING NTS P.T.M. 243-07 P.O.Box280 PH: (800) 4-CULTEC CULTEC Contactors and ReMarger® 12 West Crossfield Rood 22 Long Rood 878 Federal Road FX: (203) 775-1462 Plastic Septic and Stomtwater Chambers S.A.S. LAYOUT Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. SmokleW,CT08804 USA www.cultec.com (508) 477-5313 (508) 432-8309 12/21/07 P.T.M. 3 of 3 ' } STAMP: PRICE AS SEPARATE BID. ADD ALTERNATE NO,2 lYYJ `YI) NOT IN BASE BID 7_7­ CRA14IL. 5 ACE - I q'x9}'LVL EACH 51DE OF GIRT PROVIDE NEW USE SAME SPACING FOR I B INSULATED BEAM OVER FOUNDATION ACCESS PANEL OPENING, EXCEPT USE _ MODIFIED BEAM ABOVE - I 7}°TIMBERLOCK SCREWS FROM EACH SIDE SEE DETAIL 2/AI,0 W BOX-IN EXISTING n'S SEPTIC WASTE PIPE 11I1 PROVIDE ACCESS CLEANOUT 2 SECTION THRU EXISTING GIRT I o SCALEr I".I'-O" C) v - .REMOVE<REPLACE EX DRILL OV16 IN,CIA THROUGH w BULKHEAD DOOR -AQ ' ° -g'V A TWO STAGGERED ROWS I LU Z ,. WITH INLH SPACING d 2' w/BILCO'ULTRA'OR 3 IN.AT ENDS A5 SHOWN PING O G EQUAL FIBERGLASS DOOR USE I/2 IN,DIA BOLTING _ TABL - SIZE'C°(FIELD VERIFY SIZE) - d HARDWARE SAE Gr2 OR m EX DW } -EQUNALENT,WASHERS ON A I . B 945' - I p uj I_ BOTH SIDES - - - TORQUE NUTS 70 RE E L.C. Z S' c U REMOVE E%,WOOD STEPS _ I 50 ft Iba IF PLAIN t DRY = REPLACE WNEW P.T.STEPS 55 ft Ibs IF ZINC.COATED O I 24 It iba IF WAXED Oi " � I I ■e �5 w I �EEEE3 N F B NE POOL TABLE MODIFIED BEAM ABOVE - 3}°v3}'4i°COLUMN EACH END OF BEAM - AI,3 OFFICE B'-4°z4'-B° ® SEE DETAIL I/AL0 A -DIG OUT d PROVIDE NEW 30'x30'xl5'DEEP I - o I '', O . CONIC.A15 FOOTING w/(3)94 BARS BOfH I¢ t STEEL PL 2°EA.END _ E%.WDW 1T-B° WAYS,TOP d BOTTOM �I. EA.SIDE OF I - I C 3 b° —_ TRIPLE 2x1� p_ __ __ — t/-10-51'a" CLEAR REMOVE L.C. - B O F. I'--1 b r--1 ..... .."• a GIRT PTD '-0_ — O __ -._{a - - 2x4 WALL 51M, � J B -— - _ - 41 - _ v -—- I ' - OVERLAP SUPPORTS O EX nNG MP O FAMILY ROOM PIT p' L X 2}°TYP,. 2'-TYP, REMOVE L.C. 1 I I I OPEN Oo2 BOXOUT COL. OPEN - CLQBEGE I B'xB°.MIN. I l -.1B°DEEP - 24'DEEP GL AI,1 en,zr - TYP;OF(2)II SHELVING STORAGE SHELVING: b _ I - Z W Llf EXISTING. C !SEE DET, I i I FOOSBALL I O ROOM I BOILER - a I TABLE AI? EX,LALLY COL'S,-DIG OUT EX,FOOTINGS �l LOCATION 3 51M. ''/�. �J - I I 26°x53} /PROVIDE NEW 30'x30'd5'DEEP - z Q EX. MEGFI. NEW a I - <(/ - a••v I CCNC.FOOTING w/(3)n4 BARS BOTH - I Q W •- - ROOM , '� HALL A \\\�// o•.m' - I WAYS,TOP d.BOTTOM O Q (ET H - CARPET I .- .... I - O _ TING ar DIA AI2 U_j O w .{ LU WATER HEATER EW OAK 7 W Ly Of J LOCATION �INE RISERS i I O.. •. A - -, - I � Lji LLI > Ex.wow I UP EW NEWEL "" 'EX1Ec I nELEVATION AT GIRT i j O w w RAILING T PANEL OPEN IB"DEEP - J 1•� A LVING ALES I 0 > — SHE _ I W LU . ..:. EX.WDW - - I 1L/ O cY) N I W `D ,. •. .;r �Im EX.WOW NEW I- 10°CONC.WALL I I CLOSET O =Iw 13, STEEL PL I I EA.SIDE OF I EXI5TINIS TRIPLE I USE I/2 IN,DIA BOLTING GIRT(PAINTED) It HARDWARE SAE G12 OR EQUIVALENT, WASHERS ON TITLE: BOTH SIDES _ _ 6.6' j THC. - yoP�� DOOR SCHEDULE INEW TYP.3 1°x3}°xi ST COL ST,BASE PL, PROPOSED DOOR SIZE I BASEMENT BASE! TENT PLAN NUMBER Manufacturer Model NOTES FLOOR PLAN WIDTH HEIGHT. - L ION THRU EXISTING MAIN GIRT PLAN 01 6 PANEL SC,MASONITE -- 3'-0° 6'-B° -- SCALE, I°=I'-O° I NORTH I INDICATES NEW WALL CONSTRUCTION 02 6 PANEL SC,MASONITE -- 3'-0' 6'-B' ..I - NOTE , 03 6 PANEL SC,MASONITE -- 1'-6' b'-B' -- - NEW 3}'.3}°vj'ST COL _ DATE ISSUED: REMOVE BATTERY SMOKE DETECTORS, 04 6 PANEL 5C.MASONITE -- 3'-0' 6'-B' TYP' I PROVIDE NEW HARDWIRED SMOKE DETECTORS! 6x6x�"THK.ST;BASE PL 03/2509 CO DETECTORS LOCATED PER FIRE DEPT. 05 b PANEL 5C.MASONITE -- 2-6° b'-B' -- AT COLUMNS EACH END OF BEAM REVISIONS: . -DIG OUT t PROVIDE NEW 30"z30"AS'DEEP REOTS, O6 THERTIA-TRU 210 b'-B' STEEL DOOR EX.CONIC.SLAB. CONC,FOOTING w/(3)R4 BARS BOTH ' ALL DOORS TO HAVE OIL RUBBED BRONZE HINGES d KNOBS. WAYS,TOP t BOTTOM I ROOM FINISH SCHEDULE I WALLS _ a . $ ROOM FLOOR NORTH SO CEILING REMARKS I ° ° _ " SOUTH EAST WEST . . DRAWN BY: BD NEW OFFICE CARPET{PAD(ALLOWANCE-440,ODTD. wNFN,PIASTER 1 xWEN,PLASTER 1 WHEN,RASTER t :1L PLASTER t PAINTED-EXISTING FLDOR JOISTS/ WSTING FL.JOISTS TO BE SANDED gg - WAIN°(DAT-PTD. WAMSCOAT-PTD WAINSCOAT-PTD. WAINSC-0AT-PTD PREFAB ACOIISTICA PANELS PRIMED 1 PAINTED g NEW HALL CARPET I PAD(ALLOWANCE- O.ODTD, wxVEN,ASTER/ wNEN,PLASTER{ WHEN,PLASTER t uWEN.PLASTER{ PAINTED-EXISTING FLOOR lIDSTS{ WSTING FL.JOISTS TO BE SANDED- I PROJECT#: _ WAINBCDAT-PTD. WAIN9fDAT-PTD WAINSCDAT-PTD. WAINSCOAT-PT PREFAB ACAISTICAL PANELS PRIMED/PAINTED FAMILY ROOM CARPET t PAD(ALLOWANCE-DCO.00TD. "WEN,PLASTER/ a EN,PLASTER t —EN.PLASTER t WHEN.PLASTER{ PAINTED-EXISTING FLOOR JOISTS I EXISTING FL.JOISTS TO BE SANDED DRAWING NO.: wAwSCDAT-Pip. WANSCOAT-PTD WAINSfL41T-PTD. WApIDCppT-PTD PRE-FAB A(Al15TKAL PANELS PRIMED/PAINTED STORAGE ROOM WL PAINTED CONCRETE SLAB ORT-La ON CONC.WALLS / I �L U IvI N• FOOT I N G I SCALE, "-I'-O° Al , O EX, MECHI. ROOM ML NEW O,X SUSP:ACOUSTICAL CEILING#A PAINTED CONCRETE SLAB DRY-LOC ON CONC,LULLS TILE 4 GRID SYSTEM(SPEC.Teo) r STAMP: EXISTING - - OAK TREE D� I 1 1 FIELD LOCATE 1 1 I 1 NEW FLO-WELL DRYWELL /12" DRAINAGE STONE'AT \/ -- PERIMETER; 4'DIA,FLEXIBLE PVC - SUBMERGED DRAINPIP SLOPE TO DRYWELL / / Z MASTER BEDROOM - EX.SEPTIC / LL II'-4'r 2d-B' / N Z i A 2'-6'WIDEO 1/'THK.CEDAR� r -------- Z U a^ wSTAINLES5 STEEL q'-2x � 1 /// - 2-P.T.2x6 EDGE JOISTS Z w '% REMOVE 4 REPLACE EX LATCH HARDWARE - CEDAR POSTS ON z_ BULKHEAD DOOR -�/ - - PROVIDE NEW FLASHING_!_ ___--- i� - \I�� -- // N I,.I 8'DIA, O c W NEW CONC,CONC,SONOTUBES-TYP. h ----SEALANTS-AS-REO'D: 4x4 CEDAR POSTS-TP 1- - CEDAR Q 9 - ------ - SHOWER ENCLOSURE �I ''.x6 MAHOGANY DECKING �� 50 • 1.6 CEDAR I _ OVER P.T,FL,JSTS. '�B 0 SHOWER ENCLOSURE w/ I _ I I I I -{ {I �� ^d 2 COATS I FD WATER REPELANT i 4'4° i ----------CLOSET------- �� � I � ,.IL I I � P.T.2x6 JOISTS 0I6'O.C. 1.6 VERT. REMOVABLE CED R PANEL - l _—_—d -_-- CEDAR PANEL ON INSIDE FACEDEN . PIER PLAN 0 - I TEO PIECE WOOD PALETTE OVER 0 - I 4'CONC,PAD (fj ON 6"COMPACTED z W ; O GRAVEL SLOPE TO 0 I FLOOR DRAIN U ON ® _ _ Q ; Q cl LIVING ROOM 1V-3"x 2T-4" z _ _ - ;:GARAGE - 0 C.n 0 LLI . q- U ' 22'-8'x 22,-8' _ - 0 z W L✓ J W Of W `r KITCHEN LAUNDRYQ 0 = 12,-6. I5'"4' 12'-4' 15'-4' _ w J W W J i - > LL.I O QO I W - m . ________________ ___________--__________ J N PINING ROOM OO - ------ - W Q UP If'-10'x 14'-8' _ 1 Lu SCREEN PORCH 12'-4'x 0-10' TITLE: PROPOSED SHOWER DECKING ON ANY PLAN/DETAILS DECK P.T.FRAME w/5,5.y SCREWS 2x4 CEDAR FIRST FLOOR PLAN ®16.O,C. DATE ISSUED: `_ SCALE• 1v4--r-W PIAN - - 03/2509 - NORTH 4.4 CEDAR POSTS-TYP. Ix6 TlV-GROOVE VERT,RED CEDAR REVISION$: ON POST BASE CONNECTORS SHOWER ENCLOSURE w/S.5 NAILS AND 2 COATS WATER SEALER FAl I• I f"'�.' eey . I I- 4'DIA,FLEXIBLE PVC SUBMERGED DRAINPIPE- I I - SLOPE TO DR-ELL DRAWN BY: BD I } - — -i'— i_I—i_ I i—1 — -1_• i—i i _I I I _ —I _ p.r.2.1 Jolsrs a I6•o.c. CEDAR p0575 ON — _`-- _ PROJECT#: a E B'ONDIA. -II 9 CC.SONOTUBE5-TYP, 4'CONC,PAD • I ON 6'COMPACTED DRAWING NO.: 3 GRAVEL SLOPE TO FLOOR DRAIN ®33 A2 . 0 r, SECTION AT SNOWER PLATFORM SCALES 3 -I'-O" L• STAMP: w Q c �m j ELECTRICAL FIXTURE SCHEDULE o SYM. LOCATION TYPE MANUFACTURER'S UNIT REMARKS z A. MECH. ROOM RECESSED LL N . g FAMILY ROOM CEILING MTD.TRACK z C FAMILY ROOM CEILING MTD.PENDANT Z t \ p FAMILY ROOM WALL SCONCE Z I I E STORAGE RM. SURFACE MTD. U / DO yr \ / F 'OFFICE CEILING MTD.PENDANT - p C I ELECTRICAL SYMBOLS EX.300 ANP ELECTRICAL SER\ACE - _ \J ELECTRICAL METER SOCKET .* N 0 STANDARD DUPLEX RECEPTACLE F� b F I. - - - -. - OUADRUPLEX(4 GANG)RECEPTACLE O" E / _ i' '•. / I �30v 330 VOLT OUTLET _ - / I C/) i HALF SWITCHED RECEPTACLE W w. I X`'/\1 I GROUND FAULT PROTECTED RECEPTACLE --- --p I F F i / .• EXTERIOR WEATHERPROOF RECEPTACLE 0 � Q -- \ CEILING OR WALL FIXTURE W O O U5 W Lu (yI �/ FAMILY ROOM \,J 'b'A4L COONCBOT.OFRF Lu LvIXTURE O z �I UNLESS NOTED ' ❑ O O ——�. - I ® - FAN/LIGHT COMBINATION - O O C J PADDLE FAN-CEILING MOUNTED - LU J W -4T4}L• " STRIP STEN FIXTURE - / l) C STORAGE ROOM R NR � J C d b IGHC O S SINGLE POLE SWITCH Of J O MECH.ROOM -S3 THREE WAY SWITCHW C C / SO DIMMER SWITCH In V�`— --fs C. Sp FOUR WAY SWITCH O I SI THREE WAY DIMMER SWITCH AI GEC.CL . - TELEPHONE JACK ' -- - <TV CABLE TV JACK - D - "THERMOSTAT TITLE: DOORBELL ..' GRIMES BASEMENT FLOODLIGHT ELECTRICAL PLAN JB JUNCTION BOX - S© SMOKE DETECTOR FLUORESCENT FIXTURE DATE ISSUED: 03/2509 P�f REVISIONS: ,�BAS LENT ELECTRICAL PLAN SCALE I/4'.I'-O' - F PLAN g NORTH R - - DRAWN BY: BD PROJECT#: g�g - DRAWING NO.: E I . 1 p LEGEND --------------- -. _- - -- 1; ----- -=---------_ N Sevult Ra S 583425" E N j� c�--- _ HOSTETTER, ADAM J \1�,\® CONTOUR 254.39 Y 12,� �. BIRMINGHAM, ROBERT TR 1� MAP 117, PARCEL 10 �i co tt i t I I.Mcm a o. TOP OF COASTAL BANK , t TP-3' I P - _-- 1 R ."' EDGE OF B.V.W. ,�!!� tit Pond E,e%�o�;�n � �s\ v�y WETLAND SYMBOL I t " ; . �,� r I t P�.. i M.. .....-° 1 1 tlt` LOCUS �o ® TEST PIT 11 TOR OF ; G., `Paved y\ cOAsTAL y 1� ;Drive ° t j BAN TYP.) 1 1 Goroge I 11 t : �r r r eov North (f, COStal \'t , l I / � r �, " r ' 3, rn n �i r a' • I / �Y I /6 n Q rt r a. n/and I a Wetland �y, 1 , , / Z ' a, ® etland LOCUS MAP a i r f EXISTING m 1 � ��/ Ir RiSCOurce NOT TO SCALE Resc urce 1 , t HOUSE ( + / { sti1� GENERAL' NOTES:. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2, ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE MULLIN, SAMUEL S TRS 1 f l f , LOCAL RULES AND REGULATIONS EXCEPT AS REQUEST BELOW: THE 89 BLUE HERON TRUST I ' ��' C ;h o z r 310 CMR 15.405(1)(b): > � I MAP 117, PARCEL 5 C ao N 1 3 1) A 1' variance to the 3' maximum cover requirement, for 4' of max. cover. S.A.S. shall be vented and H-20 Rated. LOCAL REGULATION Chapter 360. Article 1 — Setback Requirements It i Q �i I ° 2) .An 38' variance, S.A.S. to Top of Coastal Bank, for a 62' setback. {fir , 0� l + I y TP-1`,� j LIAKOS, CHRISTIAN C TR I 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR W + Oki 1 1 1 t ■ i I % WHALEN, ROBERT P JR, TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE r /�� r1 + TP-2 ® ` h Nil ' & VICTORIA C DESIGN ENGINEER. CIV•N $ I / f t \ Nj 1` MAP 117, PARCEL 11 I 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 47.. `_ 1 SEE SHEET 2 OF 3 I ENGINEER BEFORE CONSTRUCTION CONTINUES: J 5. ALL ELEVATIONS BASED ON NGVD. Lots �l C4C ,34 r j t Rptl Fence i' N 69'Z 0' W (20 SCALE) 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 70,279t S.F. 1 I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 1,61f -S. 1 I lit WOOD, GUILE & JUDY W TRS HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. / 5P 7.. WATER SUPPLY PROVIDED BY TOWN WATER. Map � ' $ �� WILDWOOD NOMINEE TRUST �V! h' 10"� fl MAP 117, PARCEL 3 8, THERE ARE NO ABUTTING WELLS LOCATED WITHIN 150' OF THE S.A.S. Parcel 4 i 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL_ BE RESTORED BY PROVIDNG LOAM & SEED IN LAWN AREAS AND REPAIR OF PAVED SOIL LOG AREAS IF REQUIRED, OR, AS DIRECTED BY APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY DATE: DECEMBER 6, 2007 ,(REF.# 12,033) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR 1'0 BEGINNING 9 55 CONSTRUCTION. SOIL EVALUATOR:' PETER MCENTEE PE, CSE 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS WITNESS: DONNA MIORANDI RS, CSE IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. R'ry Elev. TP—'3 Depth Elev. TP—4 2 th AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). TP— i Depth Elev. TP—� Dew Elev, P 12. CONTRACTOR SHALL EVALUATE STUCTURAL INTEGRITY OF EXISTING 13.26 A 0" 12.85 A 0" 15.30 0' 15.20 A 0" SEPTIC TANK PRIOR TO CONSTRUCTION. IF TANK IS DEFECTIVE, IT SHALL BE REPLACED WITH A NEW 1500 GALLON SEPTIC TANK. SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM 1 t.76 10YR 4/2 6" 12 35 1 UYR 4/2 6" 14 80 10YR 4/2 6" 14.70 1 OY'R 4/2 6„ 13 REGULATED I ZON LIES WITHINWITHIN WP 8c GP OVERLAY DISTRICTS AND STATE SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM WETLAND DELINEATION FLOOD PLAIN DATA 10YR 5/8 10YR 5/8 10YR 5/8 1OYR 5/8 VACCARO Environmental Consulting FIRM PANEL #250001 0018 D 10.76 C 30" 10.66 C 28^ 12.80 C, 30" 13.20 C 24" P.O. Box 955, Sandwich, MA 02563 REVISED: JULY 2, 1992 OF MgJs 48" S0•• (508) 888-5855 ZONES A11 (EL 11), B & C MED. SAND E PERC MED. SAND PERC PETER T. �� 2,5Y 6/4 60„ 2.5Y 6/4 b2„ PROPOSED SEPTIC SYSTEM UPGRADE MCENTEE CIVIL 5.38 ADJ. Gw _ 5.38 ADJ. GW 2E5DY 6%4D _ SAN MED. SAND 63 BLUE HERON DRIVE, OSTERVILLE, MA No. 35109 - - 2.5Y 6/4 Z 2.68 STG. Gw —_ 127" 2.68 STG. Gw —_ 122" Prepared for: Timothy Fulham, 15 Windsor Road, Wellesley, MA 02481 0 `0 �� S UyZER�\���� 2.28� 132" 1.85 132" 3.80 1381, 3.70 138" Engineering by: Surveying by: SCALE DRAWN JOB. NO. N PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 -MIN/IN. ("G" HORIZON) Engineering WARNER SURVEYING 1"=40' P.T.M. 243-07 INDEX WELL MIW—1 29 — ZONE A 12 West Crossfield Road 22 Long Road r2��� NO GROUNDWATER OBSERVED Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. WATER LEVEL = 9.7' — NOV 2007 Z GW ADJUSTMENT = 2,7' (508) 477-5313 (508) 432-8309 1 2/21/07 P.T.M. 1 of 3 . INLS��TION PORT LEGEND S 58 34 25 E 1Z '�54.39' , �` Q - �` — 14 - --- EXISTING CONTOUR GP. x 37,11 EXISTING SPOT GRADE. .1l� `1ti I F ,U ! �Q 1 .00P ) `j • o . ® TEST PIT -32_4r, VENT 31 W EXISTING WATER SERVICE +PROP —G— EXISTING GAS SERVICE �-4�Y S_A•9UGWEXIST. UNDERGROUND WIRES ���� IT -4 ' 5,31 x ANk ,t } \-/ ' �, , . ----L- -� WETLAND FLAG M�DEPP OF 92L B(FIG3 3) i `N � ---- - WET/V-3US, ` S, _Y 62'� g0 � i `' 41 WETLAND SYMBOL } ,. ' 1 . Paved v 1 e EXISTING LEACH P!T 4' � � / TO BE PUMPED, FILLED } } } � l� � // , �] t , o 9 •G ��� T� No. 2 W/• SAND & ABANDONED p"(:'CIF' �Av,,1 EXISTING SEP71C TANK 91 J ' ., 3 • 23 �2 Topl Of Conc��3nd. TOP OF TANK, EL.73.25 o j .� I /" / %' ,�1 / 1�' 13' E`l. 16.54 NGVD INV OUT)=1 7,92� �� I t y TBM N0. 1 L t. cor. con c. step I J I El.=15. 76 NG VD 1�I' Q,� -4� I _ TOP OF C�ASTALI BANK �D j �' �''/: "'� ro ■'� "100' MADEP PO�.ICY 92 1 .(FIG. 2) 1Ql' j EXISTING 1 /' ,HOUSE 63 `� (02 I� 6 L TOF=7 4.43 I 1 o � o r . Lots 21 & 34 �,� � ^o I �� %,i �J7/ a w 70,279.t S.F. 'L \�.1� I 1 / /'� f f, 1 0.a� `� /O I `► J 1.61 f AC. Map 117 ,�, ' Parcel 4 TOP OF COASTAL BANK � 1 1 `�• MADEP Pg1CY 92-1 (FIG. 3) 00 4�• G+ ,� ` W Qj v'F� I • I f' �" 11,��b - `L..` `` ---o--!�Q 1�`� G' ''�����L n�j " I I V A. ! 1Q, I yy + f1, .� :/awn m } 2°� ' - � PROPOSED SEPTIC SYSTEM UPGRADE TP-2 TP 1 �+ 63 BLUE HERON DRIVE, OSTERVILLE, MA • N i N ` �� Prepared for: Timothy Fulham, 15 Windsor Road, Wellesley, MA 02481 Engineering by: Surveying by: SCALE DRAWN JOB. NO. �0� • FEMA F�rOOD BOUNDARY i `� \� Engineering Works WARNER SURVEYING 1"_1; p P.T.M. 243-07 12 West Crossfield Rood 22 Long Road Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. (508) 477-5313 1(508) 432-8309 1 2/21/07 P.T.M. 2 Of 3 I , NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:11.52 FOR A DISTANCE OF 15' AROUND THE VENT ELEV. TOP PERIMETER OF THE S.A.S. FOUNDATION (Existing) F.G. EL.=15.2f EXISTING F.G. EL.14.9t F.G. EL.15.Ot MAINTAIN 2% MIN SLOPE OVER LEACHING AREA A'. e' —INSPECTION PORT L = 61'. 4" SCH 40 PVC L = 7'(MAX.) 4" SCH 40 PVC 10" EXISTING 14" C� S= 1% (MIN,) s 0 S= 1.% MIN. 3" TO ° ° 1000 GALLON 0 L ) SEPTIC TANK INVERT °16 o; INV.=11.92t (SEE NOTE 1< -SHEET 1} ADD GA5 (EXISTING) PROPOSED ROWS OF 4-CULTEC C-4 UNITS x 8'/UNIT INV.=1 1.07 BAFFLE LENGTH=32' 77 INV.=11.31 D—BOX INV,=11.14 SPLASH PAD TO CONSIST OF SOIL ABSORPTION SYSTEM (PROFILE) EXISTING UNDERLAYMENT OF FILTER FABRI EXTENDING 16" IN FROM INLET "'T'$' 3" PAVEMENT FOR RESTORED DRIVEWAY NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING CULTEC NO. 410 FILTER FABRIC 4" SEEDED LOAM OUTSIDE DRIVEWAY AREA PIPE INVERTS PRIOR TO CONSTRUCTION. (SEE, ALSO, NOTE 9, GENERAL NOTES) 2) G-BOX SHALL BE SET•LEVEL AND TRUE TO GRADE F.G. EL.=15.2t 14" (MIN.) CLEAN NATIVE BACKFILL 21" 6-4' POLYSEAL OUTLETS ON A MECHANICALLY COMPACTED SIX INCH CRUSHED 3/4"-1 1/2" WASHED 1-4" POLYSEAL INLETS STUNS BASE, A5 SPECIFIED IN 3t0 CMR 15:22,1(2)' 17" MIN, STONE FILLED 6" ABO 2" 2 3) INSTALL INLET & OUTLET TEES AS NEEDED. FIELD GRAIN UNITS • 4) GAS`BAFFLE TO BE INSTALLED ON OUTLET TEE; TOP OF STONE ELEV.=12:02 AS MANUFACTURED BY TUF-TITS, ZABEL OR EQUAL. BREAKOUT=TOP OF UNIT TOP OF UNIT ELEV.=1 1.52 O O INV.ELEv.=11.07CN � ul SEPTIC SYSTEM PROFILE BOTTOM ELEV,=,D.82- �I�IIII�IIIII�II EXISTING SUITABLE 48" (TYPICAL) MATERIAL N.T.S. 5' MIN. ABOVE BOTTOM OF EFFECTIVE WIDTH=12' ADJUSTED GROUNDWATER r Top View Section USE 3 ROWS OF 4-CULTEC C-4HD FIELD DRAIN UNITS WITH NO N ADJUSTED GROUNDWATER EL.=5.38 4 SEPARATION BETWEEN EACH ROW & COVERED WITH STONE AS SHOWN. D--BOX SOIL ABSORPTIOR._SYSTEM (SECTION) CULTEC CONTACTOR FIELD GRAIN C-4HD DESIGN CRITERIA NUMBER OF BEDROOMS: 4 BEDROOM " MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT «r SOIL TEXTURAL CLASS: CLASS I SMALL RIB LARGE RIB a n o DESIGN PERCOLATION RATE: 5 MIN/IN DAILY FLOW: 440 G.P.D. 1t ��d ��� tl , /i r/ f, DESIGN FLOW: 440 G.P.D. MODEL FD C-4 E MIDDLE/END tl GARBAGE GRINDER: NO• SMALL RIB LARGE RIB 4 t j j �/J /r, EXISTING SEPTIC TANK: , 1000 GALLON 8" / AMA ���� /f 2O , LEACHING AREA REQUIRED: (440) 594.6 S.F. // 0.01 Q .74 12" ----- USE 3 ROWS OF 4 CULTEC C-4 UNITS WITH NO STONE - --� ' l FOR, AN S.A.S. HAVING_THE DIMENSIONS: 12.0' x 32.0'_. 8.5' I �? I J BOTTOM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF OF C-4 UNIT) 4" DIA. 8 0°- 6, S o 4 UNITS x 8.0'/UNIT = 32.0 FT �" 3 ROWS .x 32.0' x 6.7 SF/LF = 643.2 SF 8 5 8+.5 I p i DESIGN FLOW PROVIDED: 0.74(643.2 S.F.) = 476.0 G.P.D. l.�OSMALL o v o v o RIB LARGE RI I PROPOSED SEPTIC SYSTEM UPGRADE I I 63 BLUE HERON DRIVE, OSTERVILLE, MA CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1,692 CF/FT �1 2 Prepared for: Timothy Fulham, 15 Windsor Road, Wellesley, MA 02481 ALL CONTACTOR FIELD DRAIN C-4HD HEAVY DUTY UNITS ARE MARKED WITH A COLOR STRIPE FORMED INTO THE PART ALONG THE LENGTH OF THE CHAMBER. Engineering by: Surveying by: SCALE DRAWN JOB. N0. CULTEC,Inc. PH: (203) 775-4416 TM Engineering Works WARNER SURVEYING NTS P.T.M. 243-07 P.O.BOX280 PH: (800) 4-CULTEC CULTEC ContectorG and Recharges® S.A.S. LAYOUT. 12 West Crossfield Rood 22 Long Road eral 878 Fed Road FX: (203) 775-1462 Plastic Septic and Stormwater Chambers Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. BmkftW,CT06M USA WWW.Cultec.com CULTEC j (508) 477-5313 (508) 432-8309 12/21/07 P.T.M, 3 Of 3 i L