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HomeMy WebLinkAbout0052 BRIDGE STREET - Health 5 2 'ridge Street . -r '�tc;rvi]le . A= 1'16-004 ,I Al SMEAw `do. 2-153LGN UPC 12134 srmead.com • Mado to USA �cvc� �?� s���� � �� � �,� 1i r e , x. w i o r ii TOWN OF BARNSTABLE Q LOCATION S� 1�(`,C )C S+ SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL96 ; OOj f Rotes a°� INSTALLER'S NAME&PHONE NO. xGa �x � �, 306 y77vi 5 7 SEPTIC TANK CAPACITY 150 LEACHING FACILITY_:(type) .1 41 1I P z:'� (� 5 (size) 3 X NO.OF BEDROOMS �i OWNER Y_ d PERMIT DATE: o COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist 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 -27 75" 3q, .2 G,S 3 �2 D- 9 oC No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered incom uteri PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye 0(ppliLatlon for ]Disposal .pstem Construction Vertu Application for a Permit to Construct(--�—Repair( ) Upgrade( -r—Abandon( ) []'Complete System ❑Individual Components Location Address or Lot No. SZ�c 5�� Owner's Name,Address,and Tel.Nq. c)51eT��\ `0e1oo,tivN A. Src ion`�N Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 6br-q_?� -DI 7_7 e3oX (&`� -14ASDI Type of Building: Dwelling No.of Bedrooms (-( Lot Size 15,51t sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 4H 0 gpd Design flow provided Lill gpd Plan Date ` \ G b Number of sheets ` Revision Date Title Size of Septic Tank Type of S.A.S. I tX-5 ( � Description of Soil 941r- 14,R Z3 0-44 a (ate C\ 16'yK $Awo 511 w- sa'+ ('2 Ill /3 (gAAA 15A1A&) SI�o czS Nature of Repairs or Alterations(Answer when applicable) r� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ed Date Application Approved by Date 6 Application Disapproved by Date for the following reasons P N . `�ermtt • �Q.�� � )ate Issuel ;,0 .`..•w �.. ,• ,f, x. - ..._• y '+...a YT ��t,�. ^'"i-.•-`1 �. 1'1' " .'ti'..a•'w.-a - .T�-+��+'•'-�'• ,- _• { J A a Z .. No.CT"'�' V -�" >> ti9,/r'. d Fee .17 -THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 PUBLIC HEALTH DIVISION - TOWN OFBARNSTABLE, MASSACHUSETTS 'Ye , appl ation for Misposar !ipstrm toiYstruction Permit Application fora Permit to Construct(—)—'Repair( ) Upgrade'(,)' Abandon ❑•e"omplete System ElIndividual Components Location Address or Lot No. 52.$t tt SN,-A,\ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1I G!. NL Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �U 4 �l'�•-'�'� rc..- �vu� + �? - Dl t� �-3`��i`../ ' Type of Building: Dwelling' No.of Bedrooms Lk Lot Size IS,S-It sq.ft. Garbage Grinder(I Other Type of Building No.of Persons Showers( 1) Cafeteria( ) Other Fixtures Design Flow(min.required) Lfq 0 gpd Design flow provided In gpd Plan Date I ql 2 t, 7 q 6 Number of sheets t Revision Date („(�►��� }. Title�� �c„� �lruOvlcJ� Ta11-J•t'V1t4 V Size of Septic Tank kStAU Type of S.A.S. t �X?ti{Q �•�� y T-' Description of Soil Iy� 0-3 Ar th`M.- (ate � Nature of Repairs or Alterations(Answer when applicable) Date last inspected: t 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 h - Compliance has been issued by this Board of ealtlp Signed _�r� "� Date Application Approved by + " ` Date 6 JP-4/1 Application Disapproved by �='� ""'ate Date for the following reasons --- Permit No.Q O "' Date Issued -- _ - _ _ _- _.-_-- _ _.__....- -� n- _ -• - --- - ----------- - - -- - - -- - ---_ --- 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 -tiX .__ -. .. .. -. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.r` I br I dated tn hoe% Installer Designer #bedrooms �-� Approved design flow A41 1 0 gpd The issuance of thisppermit Ishall not be construed as a guarantee that the system wi rfanct!•on as designed. Date ( Inspector _ No. cam-•.� )(� Fee JiISU / THE COMMONWEALTH OF MASSACHUSETTS ' PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS 30isposal 6pstem•-Construction Permit Permission is hereby granted to Construct( )— Repair( ) Upgrade Abandon( ) System located at 57 nr k 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. • t; Provided:Construction,must be comblete within three years of the date of this permit. Date [ t Approved by _..,,•� ` i � 1 .. _ Town of Barnstable Inspectional Services • wtxsrnat.�, s Public Health Division KASI Thomas McKean,Director 019. .� o ° 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer g Certification Form ') Date: Sewage Permit# d� U 1� "LL°� Assessor's Map�Parcel Designer: 5(AIISU�71v�nstaller: p,(1S Address: Ilk Address: 0(5yWk- On 1 ' cal c�, Ar was issued a permit to install a (date) (installer) septic system at 5 Z '7b n d G►- S k �- based on a design drawn by (addre s) 7 qq datedN\Wz tvk& hA.Aay �0 (designer) y, I certifythat the septic s stelerenced above was installed substantially according to P Y the design, which may include minor approved changes such as lateral relocation of the r 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 n liance with the to rms of the IAA approval letters (if applicable) P T. W D DhIer's Signature v No. 2699 e ��FFSSIO T L �'�� (Designer's Signature) (Affix tamp 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. WoAdeptAHEALTIASEWER connect\SEPTIC\Designer Certification Form Rev&14-13.DOC TowHAW qh1stAle ,g ltttt Deptirpeut of Regulatory Stirvlces . � c Public Health D;<vision >�ateMAM �— g� 20U Main Street,Ilytutnis MA o2601 Vt t° Dafc Scheduled `" T• — LI ,• 1'tnc � Ii e e Yd. ���� Soil. ►�uit�ability,�l ssesst�aen�,�`or Sew is osa Q l PerformedBy:�t1 I .ya �� L ny�fi ari Wlhtessed n�,fit By: -+ r �. . LOCATION& GENERAL� 1 ORMA.TION _ Location Address Owner's Name' c{ BulE2Lfd}' `fp t✓r �ridr�ct r/orCr�s1 s I Address . . (�l yl)PSt �5+ � i irr,� UUo;• O5�le!`V /t°, 1 Assessor s Iv1ep/Parcel: S r'gp5y ilL /f114�a 17 //(� aU Engineer's Name r `I NEW CONS'fRUCI'ION REPAllt.✓ ullt`ya� ��e�rl' nTcleplioite - i --------------- &� Land Use R.e.f', en-E� fn�[p- iM Slopes(%j O S i'® Surface 5lone:i .�CIY,IP . s a Distaiice9 from: Open Water Body-� 0± R-:Possible Wet Area 23D _ ft Drinking Waier Well {t Drainage Way ft PropertyUrie %ZSf 'ft Other {t e yI �I�IS CII:(Street native,dLnetisions of lot,exact locations of test holes&pert tests,Iecale'wetlandsn prvximfty tv bolts), V ,tl dig l j Parent inaIertal.(geologic) Depth to Betlrbolt ®p llepth Io Orouudivater Statiding Water ut Hole Weeping ftOtrl Pit]�aec ' a b+slhital`ed 5easooal High[7roundwater PETERIMNATIOIV rOR SEAS ONAL:IRGH'WATER TABLE, Method used:- �.�; Deptlt Observed standing In Otis.Bole to Deptlt IO 3g11 tndttle,: Ucpth to tveeQing fron►side of obs.hole _lIL Ortmidwutet AdJusltt iint f[. hidex'1'�'ell It Readl-UP,Dalc: hidex Well Ievpl .�. ArU',ilt .ClrnundwliterLevel ctnr,;� A� r,. PCRCOL,AT1ON TES'j' urttrs l0 �! /Y'Autte �1 �t 1. �: UbscrvetIon p I like at q" r Deptl\of Pero Tbtte at G" S tat l Prc-soak Time Q End Pte-soak a 0 Hate min./Inch..: . "''• Ph►,`°h: AtJh,�riV -Site Suhabilily.Assessrueni: Site Passed Silt Fulled .- Addilloaal'1'eslhig Needed(Y/IJ) odgluai: Public Hearth Division Observation Hole Datti To Bo Completed of Sack -- -- t ")f pert c ul t tloUaest IS to be W.Aducted withW 100' or wetland,you must ii>et notify the li.triilstab.16 Couservalioii'DIvisiou at least oiu, (1) week prior to ItegIInUng. ` Q:\S RVI'IC\PE RCFORivt.DOC . .. f 5. r r' t &. t 3' a ` b I. OB$'E'AVATION VIOL LOG ' ; I cal®>'� �' -:: Deplh:Ctom Solllloiiz00 Soil Texture SdI1.Calcr Soll 0llter :u. 3urfai a(ln) (USDA) (Muiisell Mottllu Y f; :(S' u'-tuts,Stones;Houlder's: �o_ltsislency d�avcll ®- 8" ` .L.'s r /'1 S4 !0 Y: C 5 ! � ,. .1. -. "' r :... ,-. ir, ..: .' , .11 .v... - .. .. ,:.y .. .�. r - mi� 1.114W. r: y_ I)LILI�0�3�L1IyA'I'YUN�J[OLL I;OG Ilole'�k Dclilli Crum Soll Flnrlx0t Soli Texture Soil Colar 5011 Outer Sutfa6e(lu.) (USDA) (Muiisell) M.011lmg °•(Slruutuia,Sloitrs;Uuuldt rs: '' onsls sit 9'o v 1 n''° , Lc f o t'S 0' w: Lo M ',I l� i 2 y ��� �0 , Sx' ' s - f c: ,- L'�.rr.,....I..�'.:,I..�,,:�-I'I.—�q:..I-�,LI.,�q�..";.-..L.�.�'L..�.i�I rL'C1L.d..-,I.rf.I:�:I'.,,"I L,.-_'.;�.�IA,,.I�.4—"..�-L I.-,'....---.I!,�.:�II_..r��.I 0-L,'I IL_.�"�.�I.:.-'�,;r..,"�I I,'1���1.�—1,�.r�.2,:I.L,.q�..I..,,1I.:".�j I.:,�..,'��, �.,.,,.�,"-....—�..:r,j.I���r��:�%,L r:.,,..+q r, a 9 D 1.l P OB�E,RVATION I30LL LOG .' Ioh , '3 d Deptli Ciom. - Soil Il, ii wu • :'Soil Texture Sotl Color ,9011 (Older ,':., a - SUr�aCe(in.) �,; (USDA) (Mu0ac11) ,Ivlbllling ,.�:(Sliuctuto,Slonos,Uouldes. t . cot 'te r ® I( / /k t{ ;ram•?� ., x m 6 I� rl L. ,f"qY t(3" CV " r q. i rL L. u" I , . , :.., r + ' -. DJLL+"k 6.-.B8 ►,Rv TION ROU, LOG !7[0l� _ _ ,. . ` Depth 111 Soil Ilunzoh Sod Caxtwe SO I Color Sall Olher q. 5rirCace(ln.),`' (U$I)A} (Munsell) Mu►tilh' (S(tgt luie,Slopes;f3ouldets; -,c . ' -... "Cous loti 6 1 M' '33J� S ,1� �, l o YR `� .f -Y ,. e y ;4 �' ®�' , G o C o' t s c . r, 9 w _ t ` - {.r:.' i . -. 1�luucl Ittstii auc c Il utc 11�tiu Above 5UU year rload,bou0da>y No ", Yes •h . , .. , t.: . - :. h s imildn 5UU year boundary No �. Yes z , ice',. r ..u tda e t U e r fl od but 1do Y s tlu r lU a a Wt Y. Y. Y - '.; De ill of l`aturall Otedi'rlti Perilous uterlal . )� 1 v s NI k lloes at li�aet foui fcat o,nnlurally uccuiting parylolli miter lal exist to all,tU eue`pbsel ved flu ougliout the area proposed fior,tita soil uUsotplion syslentl f, If►ot;what is ihe*L t I oi`italurally oc curiing pervlous mate[►l' �. #1 ', Cci tlClcaliuu ;' T cei tlfy.,tl►at oli �/. l" -.'(dale)I have passed Wt3`sotl evaluator examnattoli approved by lho ,.. DapartmeuC of Lnvtronirii;utal Protectloc nitd that the aUtve analysis was per Coriued by tie conelstcut with n• '•' tllc C0(ltlI1CC1 tl'filltlll ,c`lierltse Riitl expei'ietica descri(ied in1l),CMR 15.0I7. r.:,"":.-�'..::I''—��!-�,I.r':I-:-r".,'IL, ,; �igitalttte Datb'. GU 2j ;y t' i' I f 1 ' .. - - Q:M-F I1C\1'I4iLCP[)liM DOC' :•. ':x f - Town of Barnstable Barnstable Board of Health AFAffmdcaCft Y BARN Y s`"s B'Zg 200 Main Street, Hyannis MA 02601 AjE1 39. Aim 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi August 25, 2014 Mr. Peter J. Crosby Box 253 South Boston, MA 02127 Dear Mr. Crosby, You are granted a one-year extension to replace your failed onsite sewage disposal system component(s) located at 52-Bridge Street, Osterville. _ This extension is granted with one condition: e . The water supply line into or inside the dwelling shall be turned-off. The septic system originally failed during an inspection conducted by Douglas Brown on June 10, 2014. There was a backup of sewage with the liquid depth within'six inches of the invert of the cesspool according to Mr. Brown's report. This extension expires on August 20, 2015. Since ely yours, ne if ler D. Chairman wy , Board o Health Q:\WPFILES\Extension2014Crosby.doc Page 1 of 1 1- Crocker, Sharon L` From: Peter;Crosby [peterjcros@aol.com] Sent: Thursday, Y Jul 10, 2014 7:48 AM U l To: Crocker, Sharon Cc: Peter Crosby Subject: Fwd: Bridge St To the Board of Public Health, I am the executor of my parent's estate, located at 52 Bridge Street in Osterville. I would like to petition the Board to allow us a postponement of the below requirement to upgrade the septic system within 60 days. We have put the house on the market and we want the eventual buyer to be able to site the new septic system where they believe it to be appropriate. There is no'one living at the house. I hope you will consider my request. I or one of my siblings would be happy to attend a hearing and'discuss this.petition in more detail. Thanks for your consideration! Best, Peter Crosby Box 253 South Boston, MA 02127 617.285.7685 Begin forwarded message: Peter I Crosby petericrosR,aol.com ' 617.285.7685 www.petericrosb .net I 7/10/2014 x Message Page 1 of 2 Crocker, Sharon From: Peter Crosby [peterjcros@aol.com] Sent: Tuesday, July 29, 2014 9:32 AM To: Crocker, Sharon Cc: Cathy Finn Subject: Re: Bridge St Thanks so much Sharon! We will be represented by my sister Cathy Finn.{-� Appreciate your help! Peter Sent from my iPhone On Jul 28, 2014, at 11:50 AM, "Crocker, Sharon" <sharon.crocker2town.barnstable.ma.us>wrote: Hi Peter, Attached is your acknowledgement for the August 19, 2014 Board of Health meeting. Best regards, Sharon Crocker 508-862-4739 -----Original Message----- From: Peter Crosby [mailto:l)eter.i.crosby@gmail.com] Sent: Tuesday, July 22, 2014 11:47 AM To: Crocker, Sharon Subject: Re: Bridge St Sharon, I just wanted to make sure that you received the below, and that I could expect to hear about a slot from the Board to discuss the postponement. Just wanted to make sure you have what you need. Thanks so much, Peter Crosby 617.285.7685 On Jul 10, 2014, at 7:48 AM, Peter.Crosby<peterjcros rr,aol.com>wrote: To the Board of Public Health, I am the executor of my parent's estate, located at 52 Bridge Street in Osterville. I would like to petition the Board to allow us a postponement of the 7/31/2014 Message Page 2 of 2 below requirement to upgrade the septic system within 60 days. We have put the house on the market and we want the eventual buyer to be able to site the new septic system where they believe it to be appropriate. There is no one living at the house. I hope you will consider my request. I or one of my siblings would be happy to attend a hearing and discuss this petition in more detail. Thanks for your consideration! Best, Peter Crosby Box 253 South Boston, MA 02127 617.285.7685 Begin forwarded message: <sewer.pdf> Peter J. Crosby petericros@aol.com 617.285.7685 www.peteri crosby.net Peter J. Crosby petericros@aol.com 617.285.7685 www.petericrosb <let Receipt of BOH Submission 52 Bridge St Ost Aug 2014.doc> 7/31/2014 P�ppTHETp�� Town of Barnstable Barnstable MASS. Board of Health N-AmerleeCKY + ISAR.VSTABLE. • , O D T 0 �ArfO MA't A�0 200 Main Street, Hyannis MA 02601 2007 OFFICE: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi Peter J. Crosby, PO Box 253, South Bostom, MA 02127 ACKNOWLEDGEMENT OF RECEIPT: July 10, 2014 We have received your submission to the Board of ifealth 12e: 52 Bridge Street, Osterryille requesting an extension on the septic repair deadline . N Thankyou. Your item is scheduled to be heard at the Board of Health Meeting on the: Date of: Tuesday, August 19, 2014 Meeting Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor Time: 3:00— 6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you— once it is available. It will also be available on line at the town website: www.town.barnstable.ma.us Go to ..."Boards & Committees > Board of Health - or- Go to Official Agendas Any questions, please call Sharon Crocker at 508-862-4739. Thank you. Q:AGENDAS BOH\let Receipt of BOH Submission 52 Bridge St Ost Aug 2014.doc �a SHE ` Town of Barnstable Banistable Regulatory � �-3�1i1#71:71C 3y �„ RAEtVST:1 t3J.E.r�:-!; Services Department Pudic ]Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 PA\: 508-790-6304 Richard V.Scali,Director Thomas A.McKean.CI-10 CERTIFIED MAIL # 7012 1010 0000 2851 3696 June 20, 2014 Barbara A Crosby TR Barbara A Crosby Trust 52 Bridge Street Oste-rville, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 52 Bridge Street, Osterville, NIA was Last inspected on 6/10/201.4, by Douglas A. Brown, a certified septic ]"Spector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines 01'1995 TITLE 5 (310 CMR 15.00) due to the following: 0 Back up of sewage into facility or system component due to overloaded or clogged SAS or cesspool. a, Liquid depth in cesspool is less than 6" below invert or available volume is logy 41ian 'da #1 r.... : u.i4 v rY. You are ordered to repair or replace the septic pile system. within sixty(60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER OR-DER OF THE BOARD OF HEALTH r� 9 l`�---T-1=r<7fi1as!M�c�<eaa, R.S., CIAO Agent of the Board of Health Q:'61EPTIOLcllers Septic Inspection failures or Fume(ivft>2 131-id-c St Ost Jw1 2014.doc Page 1 of 1 Crocker, Sharon l� From: Peter Crosby[peterjcros@aol.com] Sent: Thursday, Y Jul 10 2014 7:48 AM To: Crocker, Sharon Cc: Peter Crosby Subject: Fwd: Bridge St To the Board of Public Health, I am the executor of my parent's estate, located at 52 Bridge Street in Osterville. I would like to petition the Board to allow us a postponement of the below requirement to upgrade the septic system within 60 days. We have put the house on the market and we want the eventual buyer to be able to site the new septic system where they believe it to be appropriate. There is no one living at the house. I hope you will consider my request. I or one of my siblings would be happy to attend a hearing and discuss this petition in more detail. Thanks for your consideration! Best, Peter Crosby Box 253 South Boston, MA 02127 617.285.7685 Begin forwarded message: I Peter J. Crosby i petericrosPaol.com j 617.285.7685 www.petericrosby.net P 1 7/10/2014 Town of Barnstable Barnstable Board of Health A&AMWNCft i s D C. s�vsrneie. 200 Mani Street, Hyannis MA 02601 agars. 2007 A1�' 1639.MAC Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi BOARD OF HEALTH MEETING RESULTS Tuesday, August 19, 2014 at 3:00 PM Town Hall, Hearing Room, 2ND Floor 367 Main Street, Hyannis, MA I. Hearing - Food: Arthur Beatty, Sunnyside Restaurant'--: 282 Main Street; Hydnnis —denied }. entry to Health Inspectors to premises of food establishment on July 8, - ' 2014. POSTPONED UNTIL OCTOBER 14, 2014. The Board accepted a postponement pertaining to "denied entry" until October 14 as Mr. Beatty's attorney was not available. II. Hearing — Tanning: Lisa Carty, Sun Center 2000 Tanning Salon — 11 Enterprise Road, # 5, Hyannis, operator failed to maintain equipment properly. DECISION: c The Determination is a 7-day suspension of the establishment's tanning license which will be postponed/suspended for one year. If there are no other complaints of burns (from improper procedures) from today, August 19, 2014 —August 18, 2015, the 7-day suspension of license will be dropped. Otherwise, it will be instituted immediately upon another occurrence. The following conditions are required: (1) any time there is maintenance to be made beyond the changing of bulbs, filters and starters, a certified technician will be used. (2) Within the next 7 days; Sun Center 2000 will create a checklist for routine maintenance and submit this to the Health Division for review. The checklist will be used to ensure equipment returns to proper working order. As an additional assurance, two employee signatures will be required to sign-off on the routine maintenance checklist upon completion of repairs / maintenance before equipment is put back in service. (4) At the start of each day, this checklist will be. used to review every machine and at this time, it will require only one signature unless maintenance is done': III. Septic Variances: Peter Sullivan, Sullivan Engineering, representing John Fish, Trustee- 82 Sand Point, Osterville, Map/Parcel 073-016, 1.46 acre parcel, constructing an addition, relocating drive, relocate septic tank and change leaching field to H2O. Page 1 of 2 BOH 08/19/2014 GRANTED. The Board granted approval of the plan and approved the percolation test to be delayed until the time of installation of the septic system. Leaching system will be H2O. IV. Septic Repair Deadline, Cathy Finn representing Barbara A. Crosby Trust, owner— 52 Bridge Street, Osterville, Map/Parcel 116-004 failed septic system, property is vacant. GRANTED. The Board granted a one-year extension to the septic repair deadline to expirei 08/31/2015 with the condition the water will be shut off or they will return to the, df Board for a revision (hot water _heating system). (House is for sale.),' V. Food — Variance: Richard Toas, Wicked Good Kettle Corn, requesting a food variance to allow popping of popcorn at farmers markets. GRANTED WITH CONDITIONS. The Board granted the variance to cook popcorn at farmers markets and temporary events with the condition that (1) a hand wash station is used, and (2) the batches will be bagged within three minutes. VI. Septic Installer: Jennifer Flood, Truro, MA GRANTED. The Board granted a septic inspector's license to Jennifer Flood VII. Old / New Business: A. Approval of the Minutes ' May, June, and July 2014. CONTINUED TO SEPTEMBER 9, 2014. B. Update: Stable — Kathy Woodbury, 365 Sampsons Mill Road, Cotuit. CONCLUDED. Permits for Ms. Woodbury have been paid in full ($375) and the Board voted to rescind the Cease and Desist Order.. The Board requests the stable be inspected quarterly for the next year, beginning with September 2014. Page 2 of 2 BOH 08/19/2014 Town of Barnstable kI.Xvt Op . � THE Tp�� y�� AffAmwica Cdv Regulatory Services Department i 4+ IIARNST BLE. "ASS• Public Health Division m ArFD MAt A' 200 Main Street, Hyannis MA 02601 2007 Q Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 +._ Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 3696 . Via.-o June 20; 2014 �- Barbara A Crosby TR1� '� , se Barbara A Crosby Trust 52 Bridge Street ` Osterville MA 02655 ` ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 52 Bridge Street, Qsterville, MA was last inspected on . , 6/10/2014,by Douglas A. Brown, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Back up of sewage into facility or system component due to overloaded or clogged SAS or cesspool. • Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/Z day flow. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. ,� r PER ORDER OF THE BOARD OF HEALTH a �ce 7RS.,�CHO Agent of the Board of Health ��G L Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\52 Bridge St Ost Jun 2014.doc - Of the Taw , Town of Barnstable Barnstable AHm ° Regulatory Services Department micaC 1 rh s i I�> BARNSrABLE, 9� MASS. i679 Public.Health Division �� Prfb MAC A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 3696 June 20, 2014 Barbara A Crosby TR Barbara A Crosby Trust 52 Bridge Street Osterville, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 52 Bridge Street,Osterville, MA was last inspected on 6/10/2014,by Douglas A. Brown, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Back up of sewage into facility or system component due to overloaded or clogged SAS .or cesspool. • Liquid depth in cesspool is less than 6" below invert or available volume is less than V2 day flow. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within.the deadline period will result in future enforcement action. PER'ORDER OF THE BOARD OF HEALTH a Wean, R.�, CH�O I • Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\52 Bridge St Ost Jun 2014.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. M 52 BRIDGE ST .Property Address CROSBY . Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 - 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: Imp°want:When filling out A. General Information .. forms on the P f _ com uter,use only the tab key 1. Inspector. - - to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. DOUGLAS A BROWN`INC Company Name , VQ P.O. BOX 145 Company Address CENTERVILLE 7VIA `02632 City/Town State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that,the --� information reported below is true, accurate and complete as of the time of the i spection. Ttue inspection was performed based on my training and experience in the proper function and M6intenance-of onr-,§1te sewage disposal systems. I am a DEP approved system inspector pursuantf6"'Section:15.340:.f c ; Title 5(310 CMR 15.000). The system: , ❑ Passes El Conditionally Passes ® Falls _ ; ❑ Needs Further Evaluation by the Local Approving Authority i rn 6-10-14 lnspedKrs Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. if the system 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. I ,t5ins^3/13 Title 5 Official Inspection Fo :S bsurface Sewage Disposal System^Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. City/Town State Zip Code Date of Inspection B. Certification (coot.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) 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: 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 i 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.3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 r . Commonwealth of Massachusetts 4 ► Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): distribution box is leveled or replaced : ,❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ ,broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further.Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1: System will pass unless Board of Health determines in accordance with 310 CMR 15.303(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•3/13 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 52 BRIDGE ST ' Property Address CROSBY Owner Owners Name information is required for OSTERVILLE MA 6-10-14 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. - El 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 Y2 day flow t5ins•3/13 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 ,M 5 52 BRIDGE ST ` Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. CitylTown 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 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area IWPA) or a mapped Zone 11 of a-public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 52 BRIDGE ST _.GSM Property Address , CROSBY Owner Owner's Name information is ` O TERVILL 'MA - - required r S E 61014 euedfo every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ®' Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ,, ® -rHas the system received normal flows in the previous two week period? -a ❑ ® Have large volumes of water been introduced to the system recently or as partof this,•inspection?: , m ® ❑ , 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? ❑ ®3 Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank r 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. El - Determined in the field (if any of the failure criteria related to Part C is at issue' approximation of distance is unacceptable)[31.0 CMR 15.302(5)] D. System Information Residential Flow Conditions: 4PIER ` 9Number of bedrooms(design): TOWN, - Number of bedrooms(actual): 4 . ,. T ° DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 PER TOWN t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments s 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: SYSTEM CONSISTS OF 3 CESSPOOLS AND WHAT APPEARS TO BE 3 CHAMBERS OF SOME SORT Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection El Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: 2013----214 2012---151 GPD i Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gauons 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 52 BRIDGE ST Property Address CROSBY Owner Owners Name information is required for OSTERVILLE MA 6-10-14 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 I� ❑ Tight tank: Attach a co of the DEP 'approval. 9 PY ® Other(describe): 3 CESSPOOLS AND 3 CHAMBERS OF SOME SORT l5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: CESSPOOLS APPEAR TO BE ORIGINAL CHAMBERS FROM 1985 Were sewage odors detected when arriving at the site? ❑ Yes ® No 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 Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate•on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth- t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 52 BRIDGE ST Property Address e CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. CitylTown 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 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 How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc:): Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ' ` ❑ polyethylene El 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts ` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments �M 52 BRIDGE ST Property Address CROSBY - Owner Owner's Name information is required for OSTERVILLE' MA 6-10-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert;evidence of leakage, etc:): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: , Material of construction: ❑ concrete ❑'metal ❑ fiberglass ❑polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow:' gallons per day Alarm present: ❑ Yes ❑ No Alarm level Alarm in working order: ❑ •Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): • 5 - *,Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 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 Voluntary Assessments 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is OSTERVILLE MA 6-10-14 required for every page. CitylTown 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 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): -t Pumps in working order: ❑ Yes` ❑ No* Alarms in working order: �' ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): e " If pumps or alarms r 'nof in� working order, system Is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located,,explain why: I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 52'13RIDGE ST Property Address, • CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) _ Type: ❑ leaching pits number. - leaching chambers number: li ❑ leaching galleries number: ❑' leaching trenchesnumber, length: ❑ Teaching fields number, dimensions: ® overflow cesspool number: 2 ❑ 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.): ' ALL CESSPOOLS WERE OPENED AND FOUND TO BE IN HYDRAULIC FAILURE 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 BLOCK Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Forma Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . M , 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments note condition of soil•si ns of hydraulic failure level of ondin condition of vegetation, 9 Y 9, etc.): ALL COMPONENTS WERE IN HYDRAULIC FAILURE AT TIME OF INSPECTION 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.): 4 t5ins•3113 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 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Assessing As-Built Cards Page 2 of 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. Citylrown 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: 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: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 http:%/www.toN vnofbamstable.us/Assessing/HMdisplay.asp?mappar=116004&seq=1 6/10/2014 Assessing As-Built Cards Page 2 of 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M '( 52 BRIDGE ST Property Address CROSBY Owner Owner's Name information is required for OSTERVILLE MA 6-10-14 every page. Citylrown 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=116004&seq=1 6/10/2014 s 9 Assessing As-Built Cards Page 1 of 2 X LOCAT SEWACF� PE�RM6>tT NO. VILXA6E INSTAtL E R'S NAME i A00ItESS BUILDER OR . OWNER _ all .S ` DATE PERMIT ISSUED 2 �S DATE COMPLIANCE ISSUED 10 http://www.townofbamstable.us/Assessing/14Mdisplay.asp?mappar=116004&seq=1 6/10/2014 i Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6565 I !�' / t Logged In As: Parcel Detail Wednesday, June 18 2014 Parcel Lookup Parcel Info Parcel 116-004 I Developer; ' ID Lot` Location 152 BRIDGE STREET I Pri 182 Frontage Sec ' —`) Sect 7777771 Road Frontage` Village,OSTERVILLE I District Fict'C-O-MM I ' Town sewer exists at this _ Road; 10182 address N0 Index:-- Asbuilt Septic Scan: Interactive �`� � 116004_1 Map sIt k Owner Info Owner ICROSBY, BARBARA A TR Co-Owner,BARBARA A CROSBY TRUST Streetl 52 BRIDGE ST ( Street2 City�OSTERVILLE �_.__ _.� State MA Zip 02655 Country Multiple Ownership Info % Owner Name Co-Owner Address CROSBY, BARBARA A 52 BRIDGE ST, OSTERVILLE 50 BARBARA A TR CROSBY TRUST MA 02655 CROSBY, DAVID DAVID B CROSBY 52 BRIDGE STREET, 50 B TRS TRUST OSTERVILLE MA 02655 Land Info Acres 0.37 -- Use Single Fam MDL-01 Zoning,R Nghbd0118 Topography[—Level Road Paved Utilities jSeptic,Gas,Public Water 1 Location Construction Info Building 1 of 1 Year _-. _._..__ _ Roof __ Ext Built1887 _ Struct[Gambrel- Wall(Wood Shingle Living 2155 Cover Roof Area Wood Type Shingle p (None http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=6565 6/18/2014 LO CATION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME ADDRESS SC117 e U 1 L D E R OR OWNER V R' DATE PERMIT ISSUED4� 7,14 ; DATE COMPLIANCE ISSUED ,0 _ � � THE COMMONWEALTH oF MAesAoxussTrs � BOARD.~~ _--'����&�1A���-'��F---�x���.��@����^�^��������.................. � =����m��� ��� �����~� ���� ^--vrv----`-----~ ~`-~ -'--n----`-- --'`-�~~- ~-`-----~-~r---~~ nr-~-~~~~ Application is hereby made for u Permit to Construct ( ) or Repair (A-I'an Individual Sewage Disposal System at ___________________________________________ or Lot No. ----- ' � --_--_----_---------'- -----------------_---- ----------------------------- ---------------'----'-------_-'----''((-_---- ))' - Address--- - ---- �a� ��� Type cfBn� Size Lot---------'----Sq. feetIw�l�g �o. of Bedrooms--------'-------------Exyuoa� ` Attic Grinder Ot6cr- Ivoc of Building --------_.--- No. c6 persons---.---_-_- Showers Cafeteria P4Other 6xtocco -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Design Fx� .............................................g�loou per person per day. Total du�vflow.-..---.-----'-----'�--- . Septic Tank—Liquid capacity............}uluou Length-'__--' W�&6-_---' D�oc�r----.-- Depth--.----. Diuonou Trench- Jo.-'-------.. W�16-_'----- Totz Lcogtb--.--.----- Totu l�cbiqgure�-------'--sq. 8. Pit Vu--.-----' D�oetcr-----.-- Depth b�m° i�ct_.-------'Toto ur��------' �. Z Other ) Ioo��mtank ( ) Percolation Teo Results Per-formed by.......................................................................... Dut�---_-.------..-----. Test Pit No. l_----' o�otcaperi�h Depth of TestPit.................... Depth to ground watec_--_-__- � Test Pit No. per inch Depth of Test Depth to ground water........................ 04 .--------_.-----_--'-_---_--_------__.---___'- �� Nature or /�t��t�xm--z�ou��r �k�o --_-��� .� ... U................ | .................... .................................................................................................................................................................................. � ,^grccmrur: The ~ ugceco to install the aforedescribul Individual Sewage Disposal System in accordance with � � the provisions of TL ZTL lLj 5 of the State Sanitary Cod to place the system in operation until a off iance hhas b issued b: �boajrWofhgth. -~�=_C -~- - ---' _--'-�_--'------- Aool�odoo 8v���-' t' ----------.. -------.�,7 ...... Date Application-Disapproved for the following reasons:................................................................................................................. . ' � - ' --'---'---- Date Perozit - IssuedL Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�C(, I PAPA THE COMMONWEALTH OF MASSACHUSETTS BOARD OF I-IEALTI-I ppliration for Uhiposal Works Tonstrnrtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair (�.,,°'an Individual Sewage Disposal System at J................................. .......f: ��c-:..................... .....------------------------------ .------------- .._......--------------- r �? Loptation-Address or Lot No. Owner p Address a �+£ �`. •yJ f t16 1 ✓!/;4;;.: s ° ......s" r ............ ..................•-..__._.....................------.....------..............................---- f+� Pq Installer Address Type of Building Size Lot............................Sq. feet U Dwelling-�No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria R, Other fixtures.•---=----••----•----------•----- . W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons. x 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 incfi_."Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch`t ,Depth of Test Pit.................... Depth to ground water........................ i. �« ODescription of Soil ----�r 11,E- ...................................-........................................................................................................ V -----------------•------------•---•--------------- - --------------••----------------•••------- UW ____________________________.______.._._ __ ___ _...__.__. Nature of Repairs or Alterations -Answer' when applicable----------- ,�'.:._ _: .___r _t__ _r':_a„:: _. >�,� _________________ Agreement:' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with i, the provisions of T ITI,E 5 of the State Sanitary Code—The undersigned further agrees not to yplace the system in !` �# operation until a Certificate of Compliance has been issued}by the board'of heealth: � l > _ Signed ' , y ,v Date -•Application .Approved.:BYE .'--a '...t, x' �M jt. ....... ,,. Application Disapproved f or'the following reasons____ ________ ________________________________.Z: ........................................................ ------------------------------------•---.....----....----•--•--------------•----••---------•-----------•--------------------------------------------------------•--•-••-----••--•----- ......-----__---- m Date Permit No... ---•............... Issued........ ----- Date THE COMMONWEALTH OF MASSACHUSETTS k�W ,. .: BOARD OF HEALTH V ` d ! r 1 :: ...t.:'..' .._:.....OF....:..,�` .`.::.. '..; .�........ . i.............................. Trr# frtt#.e of'Tuuaplittnrr .THIS ISITO CE,RTIFY, .-That, Individual ,Sewage Disposal System constructed (' ) or Repaired ( b �+,✓ ."'11 ef:''.r''°r' r.e f' ''A i w f 1 F,r ✓i e y. .,J� ........ ................. ......................... i Installer N has been installed in.accordance with the provisions of TITLE 5 of The:State Sanitary .Code as described in the application for Disposal Works Construction Permit No ;: ....... __________ dated_ �,�UARANTEE _ _x_ % THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT.BE CON TRUED AS A THAT THE SYSTEM WIL�LyF NCT ON SATISFACTORY. DATE �..:-=X:•• ._... Inspector - -•--•---- -----•----•______________•----••-- THE COMMONWEALTH OF MASSACHUSETTS F, BOARD O HEALTH .........OF...... � >�•�, ..y✓% ...... No..� 7 FEE. '.f.'.............. Permission is hereby granted '� '"�>_ '`' '..................... �` -' to Construct„ ) orZepair ( 'an Ind v�ilual #.vc=age Disposal System j Street as shown on the application for Disposal'Works Construction Permit Noa� .. Ta _ Dated.... '. ._-- -- ---t..�._.. ._._.._..-- ^"' Board,o Health DATE............................................................................... FORM 1255 A. M. SULKIN, INC., BOSTON - I Aspuilt Page 1 of 1 LOCATION SEWAGE PERMIT NO. 2 5- VILLAGE INSTALLER'S NAME L ADDRESS BUILDER OR OWNER i V , DATE PERMIT ISSUED 2-44 DATE COMPLIANCE ISSUED . i http://issgl2/intranet/propdata/prebuilt.aspx?mappar=,l 16004&seq=t �4 11/20/2012 i s `D • Oc �► ' +rot b�a C3� ut, k y ° y r t. M E __.F-l: IN CATS CRS =s 1 WELL WJN� _ a r LE = I GENERAL NOTE: - a .. PROPOSED AREA CALCULATIONS u - 1.ALL CONSTRUCTION SHALL COMPLY •, / y < ✓`� „ R WITH ALL STATE,LOCAL AND FEDERAL " VVV V �'•� b � " TOTALLOT 15.575 SF BUILDING CODES. �'^ '� ,N,''y1�� F-♦4 20%LOT COVERAGE 3.1158F 2.ALL PLUMBING AND HEATING TO BE m W i•? 30%GROSS FLOOR AREA 4.673 SF COORDINATED BY CONTRACTOR. _ 1 /� 3.ALL ELECTRICAL TO BE COORDINATED PROPOSED LOT COVERAGE BY CONTRACTOR. r 4.)ALL INTERIOR WALL DIMENSIONS ARE MEASURED FIRST FLOOR AREA 2,121 SF FROM OUTSIDE BOX TO FRAME FRAME TO FRAMEGARAGE 624 SF COVERED PORCHES 343$F NOTE: ALL SMOKE DETECTORS SHALL BE , (./( TOTAL LOT COVERAGE 3088$F HARDWIRED. 3 PROPOSED HABITABLE AREA ® HEATSENSOR FIRST FLOORAREA 2,1213E Q SMOKE DETECTOR • - ✓ �(/, 5 {W� SECOND FLOOR AREA 3.941 SF F ' TOTAL PROPOSED FLOOR AREA 3,9413E ® SMOKE B CARBON.MONOXIDE SENSOR • F 2 A G C r V J a o ,0'-0' - 29-T 194)" 21'SPER[ M Al2 - O O .�_ • Al2 DRAINAGER O \\ 6 r 6 7" 4,1° t. / \ • i I l l l l i l I // O\ ---------- TE ------- UP PERIMETER- � © DRAINAGE ® Z? .GARAGE j 6EL IRDRwoeoaw] uTiuTY I-- -- �- ui (CGNC.SLAB . ,O 1 V SLOPE TO CODE) ' 1 11 . 1° r-a-•.rs• s•-e1n='xr-7,rr• _ I I ry - LAUNDRY -- -�,_----- h PWDR _ I FLUSH HEARTH j uj Z .�W/�a PROVIDE STEEL O 9'S CLNG 1SV-•xi,'S• • r ic Q (nDOOR TO CODE DINING sroNE ap _-- ROOM I - GREAT J— „ 9SCLNG ♦ I ROOMI •&SHELVES ABOVE PANTRY STONESTONEry 9`41'CLNG Lu PORCH N Q ro -1 O O ry - WD 'CASED OPENING NI 1 PANTRY - - (n TRANSOM SHELVES 1 STEEL BEAM ABOVE STONE MUD uSTONE vo ® i• ABovE _ ______ I " - W W Q • AZ 1 I ROOM ` � a� s•s' 6.-B.�� z r I PANTRY� V � E" 2''B' ',' FRENCH DOORS 1 - Q f— W GLASS. - ^' VGROOVE" Y V) W V� S-10' TR SOM m 3'- LR ___ _ CIELING ABOVE' Z J LINEAR FEET--_ " -� W L------------.—_--- _---}--_J .. �j 0!> Z - 9TONE _ -- _ —---_ G _ — -- — — -- ————— — ---� - W.w W - • ENTRY " CLOSET f m .§ OPTWN0.-(,)1S-0'a9S GARAGE D00R .,. - i3-9•'-•,3-3 wr9i I m D N BEDROOM q2 i UP, .o I a I 9'iY'CLNG STONE STEP SHE VES H'SX8'-R GARAGE DOOR " B'SXB'SGARAGEDOOR urIEAR ® U GROOVE I 4 .}V 12'fi•-Y13V CIELINGASOVE yyp IPEDECKING PATIO A11. - FOYER 14'-4, 3'-7 5. •" w-e-CLNG @ 1J STAMPED CONCRETE COBBLESTONE. _ ) REF38 § I I 2.)BLUESTONE APRON I I 3.)PAVERS aG I I 0 • I BATH I!/ 11 F_t __ — - _ '1— J 04 ml m� � _ a + -I F 2 2'a I vc600vE I I `- • u3 Q § CIELINGABOVE READING U) 2D-a.t4•-r I NOOK O PERIMETER DRAINAGE D7 § '© Q KITCHEN e'-s•ctNc ♦ (, N. -------- ---------- 9'S CLNG - ----- 3'B 7-0' 3'-0' - 1'8 2'-3' Y 4 STONE za 9'-0' z-0- 9'-0• 2-m 4 ENTRY _ 7'-^� �. - E --- ---- - --- -- -T t--=- r --- --- --- ., smB '.1 • • BLUE STONE ® I STEPS ® co 0 w Q Z W "' A2 - - ---- —---_-_- - Lij Q-� =LI----V- --- - - - - o D_ LL _..------- — -- _L 24'17 10'V 36'-0' 30'-0• _ . 00'-0" N 1 LL G 2 B A O ' ' A,2 Att A11 • - , GENERAL NOTE: N12 .� PROPOSED AREA CALCULATIONS 1.ALL CONSTRUCTION SHALL COMPLY LOCAL AND FEDERAL o h h ��§ WITH ALL STATE, - ' 41 TOTALLOT 15,575 SF BUILDING CODES. N°` 20%LOT COVERAGE 3'115 SF 2.ALL PLUMBING AND HEAT IN TO BE 30%GROSS FLOOR AREA 4,673 SF COORDINATED BY CONTRACTOR. _ 3.ALL ELECTRICAL TO BE COORDINATED u PROPOSED LOT COVERAGE BY CONTRACTOR. 4.)ALL INTERIOR WALL DIMENSIONS ARE MEASURED FIRST FLOOR AREA Z121 SF FROM OUTSIDE BOX TO FRAME FRAME TO FRAME GARAGE 624 SF ' COVERED PORCHES 343 SF NOTE: ALL SMOKE DETECTORS SHALL BE TOTAL LOT COVERAGE 3088 SF HARD WIRED. - PROPOSED HABITABLE AREA ® HEAT SENSOR FIRST FLOOR AREA 2,121 SF ® SMOKE DETECTOR SECOND FLOOR AREA 1.820 SF TOTAL PROPOSED FLOOR AREA 3,841 SF ® SMOKE&CARBON MONOXIDE SENSOR H 2 9 A l 2 F Al2 G N2 A11 B A Ali CL J S o ftMr o 20`- 16'a 22'-T LL V pill 12'-0• Ira' - Lu T'T 8'-7 - 6•-Y - 2'-S' 4'-0' e'-0• 4'-0' V/ 1 1 E E O ® STONEOR O STONE OR FG LASS lq,,,q G ROOF I SHELVES ® O SHELVES - I I I I BATH CLNG HT.6'-2%* _ • ROOF I ROOF W i i a ® H� I Op I ® °I I I () U)�— I I I I STONE `a s1+ WD - -- ETCHEb GLASSII I ----- ----- ei m -W W 2'g 2a VAULTED CEILING BATH MASTER CLNGH6-2% W (_Q) BEDROOM#4 A .. FUTURE z•a ® s1 sz s, UNFINISHED o lea•x1 r-3• U) VANITY B'� 81 - Lu V/ OROOF O F _____________ < ! ez STORAGE Jo STONE \��J/ 1 A2 1 2-0 �� QUJ DBL.HANGING �. 6TONE ` �/� Y� _ 6•-3•LF______ LINEN __ __ _____ W J N DN m y GLWALK IN Q ; Z vV- g - D CLOSET c 0' WE (� w ROOF z mlo 1,1 I I m I E5Lo o i a ROOF ® H e-3•LF H D . zg VESTIBULE I �� -- ------ O BALCONY § g JCLNG HT.a-2,�' I � WD IPE P1, I CLNG HT 6-2%• G BEDROOM#3 - § 15'-ta x11'-3• S § AZ ® ,,'•' MASTER 12•-0• Ira• BEDROOM A� N �•6LOPPED CLNG.i SLOPPED CLNG�� y.g —. VAULTED CEILING • 2•-6• 13'-0'AFF B1 U - O I F A19 81 B1 ROOF 01 l U) O I E OPENCEILING § Q U VGROOVE - BALCONY - 91 81 /Bi m a ui B, LU z ui 4•-10'4' 10A�l •-T S'8 7•-0• T-0• W w Q ne 4 n'a° s'-0• A2 Q a LL fn 21•-c 12'4' 16'-a' tsa - N ss•-0 N LL Lo • G 9 2 B A O Al2 A11 All ' i GENERAL NOTE: FOUNDATION NOTES: TYPICAL ANCHOR BOLT SPACING s/e'ANCHOR BOLTS w/ PROPOSED AREA CALCULATIONS 'I T'ATV14'PLATE WASHER TYP. a ;n 1.ALL CONSTRUCTION SHALL COMPLY 1.ALL CONCRETE USED FOR WALLS,SLABS, '^ SCALE: 1'-D" WITH ALL STATE,LOCAL AND FEDERAL 8 FOOTINGS TO HAVE A COMPRESSIVE "= •� �; .� TOTAL LOT 75.575 SF BUILDING CODES. STRENGTH OF 3,500 PSI(MIN.)AFTER zwj PERIOD 28 DAYS. GARAGE WASHER PLATE o„ ,moo 20%LOT COVERAGE 3.115 SF 2,ALL PLUMBING AND HEATING TO BE SPACING 45" LQ _' O �. \ 30%GROSS FLOOR AREA 4.673 Sr COORDINATED BY CONTRACTOR. 2.ALL CONCRETE EXPOSED TO EARTH SHALL 2X6 SILL PLATE rFp.< yj A In 3.ALL ELECTRICAL TO BE COORDINATED BE SEALED W/ACSA APPROVED BIT.MATERIAL MAIN BUILDING WASHER W PROPOSED LOT COVERAGE BY CONTRACTOR. - - 4.)ALL INTERIOR WALL DIMENSIONS ARE MEASURED 3.ALL ANCHOR BOLTS SHALL BE 5/8"0 STEEL PLATE SPACING 35"O.C. FIRST FLOOR AREA 2,121 SF FROM OUTSIDE BOX TO FRAME FRAME TO FRAME EMBEDDED A MIN,OF 7"INTO CONC,WALL A MIN. GARAGE 624 SF DEPTH OF e"w/3X3XYa' PLATE WASHERS&BE COVERED PORCHES 343 SF NOTE: ALL SMOKE DETECTORS SHALL BE TOTAL LOT COVERAGE 3088 SF HARD WIRED. LOCATED A MAX.DISTANCE OF 35"BETWEEN BOLTS& A MAX.DISTANCE OF T-O"FROM EVERY CORNER PER PROPOSED HABITABLE AREA ® HEAT SENSOR THE WOOD STRUCTURES MANUAL FIRST FLOOR AREA 2,121 SF �B SMOKE DETECTOR 4.MASONRY OPENING SIZES TO BE COORDINATED SECOND FLOORAREA 1.820 SF BY CONTRACTOR. " TOTAL PROPOSED FLOOR AREA 3,941 SF ® SMOKE 8 CARBON MONOXIDE SENSOR ` op 4f 2 3 Al 2 <q�o F A,2 G "" "" B A "" Z Q Z 92•4 0 24'-0• 10'-0• 5814' Q v - 20'b• 16'-0' 21'-T 4.V B'-0' 4•4r 0J-------------------------- WE ILL Z 1 1 Al2 Al2 _ SMART PLACE POUR IN PLACE 1P CONC.WALL SUCK / \ - E ----------- —�----------� E a,54o-snamF I ————— ------ §-- —4— ' --- CONTINUOUS----�� \ --`----- _ - / 'STRIP FOOTING' I I -------ACCESS // II —�, ————————— — —.----------------- -----I I / _ W 3)4•DIA STEEL CONCRETE FILLED LALLY COLUMN I I I I0 O ON CONTINUOUS CONCRETE'STRIP FOOTING' IVSONATUBE q 3 IU w 3S•WIDE.12'DEEP W 3 a5 CONTINUOUS REBAR I L--_--------J PER ASAP ENGINEERING wI BIGFOOT i. A11 Q —`--------� BASEMENT � I � I 1 e'-4 s• s•_r PRovloE - I ��_♦♦ 4'CONC.SLAB ,\ UJIV I )--- ---- --- — HSS 4'X4'XY'.STEEL vd COLUMN ON ` 22-0' I / _� C N ¢ I I CONTINUOUS CONCRETE FOOTING" ( / 1.1. I SMART VENT wI I \_ POUR IN PLACE -i�� 38'WIDE.12•DEEP VA(3)65 CONTINUOUS REMIR W //II11 1 SAW CUT 1 1R CONC- SUCK 14'a 6'-11" 10'-10" I u 1,� Q L� t CONTROL JOINT 1 a15aa5,1-a,aF 6 %/ r 10•SONATUSE `'° Q I.— W ...FOOT U) J N 1-- I �_ Z w J - L-- -------------- -- ----I-- —I— — -- — ----- — -- ---------r.J 111��� Q 1 --------- --�— 1 1 -------- CONTINUOUS / \ Z 1 1 I 1 1 CONTINUOUS § 'STRIP FOOTING' I -- 'STRIP FOOTING' W m w - . i - - I I — ------ ----- -- L-- ---.-------- — -- — ------ --s--0---------1 I 4 =- - t-- o a s•-r s•�• s•-B- s'4r s'�° 4•�•• s•-2• s'r• s•-z' I $ CONTINUOUS CONCRETE FOOTING I rQ� I I I 3Y OA,STEEL CONCRETE FILLED LALLY COLUMN I ON CONTINUOUS CONCRETE'STRIP FOOTING' 3Yz'DW STEEL CONCRETE FILLED LALLY COLUMN A71 36•WIDE,12'DEEP x 3a5CONTIN000SREEIAR ON CONTINUOUS CONCRETE"STRIP FOOTING' L---� L[,j— -J L —'� § I E PERASAP ENGINEERING 36•WIDE.12QUPw 3 a5 CONTINUOUS RESAR I ,PSONATUBE 0 O PER ASAP ENGINEERING - SIGPOOT-- ——————————————— I OD CONTINUOUS I L----- 'STRIP FOOTING' I -\ — 1 A 1 0 • N F M.O.-GARAGE DOOR I L ---_— m m 2 ———————————————————————————— _——— ' A13 \\ I I ¢ o - F o L----------------- ------------------ LE -- - -----. ---- m / z-0 \ ------- LU \ of (. ¢ W n - 6-9,%- 4•-11'�^ W dQ ZLU J [/ A2 Q � U 24'-V 10'-0" - \ 36'-V 3V-V Q EL c G iL)4r N LL N G 2 B _ A , 0 A13 A11 AIi M x: 12'-Q'� �� 12'-0" „. LLJ 1 1 co T12 C`/ Al2 I � ROOF .Q I ROOF' '-' L41 1 I O 1 PROPOSED . � �--- -- — - __ GAME ROOM - _ — 1 a UNG HT.8'-8% SLOPE CY I1 I i I i I a ` � , w l , ROOF41-2 i i w ' POOL WE i STORAGE Q M COC e a T SUILT{N I - - SHELM i ` TI E , , ROOF LINEN CV 1 2-�^ R I BATH ROOF •— ih ROOF I Vy to 2, 6$2" B2 6 - F ;5' x 2 5 Q" w 4�F g2 > y 00 2' 4 to C A13 O p 0 p. A iin ...................... 1001-0. 24'-0' 10'-0' 2U'6• 16'-0' 21'6• - - IRONING BOARD .1 GARAGE HELVES ____J U 1 yLITY � BUILT-IN RUII T IN __ jCONC.SLAB T O CA SLOPE TO CODE) srlowER _ r ID PWDR ROOM O ELUSH 0 „ LAUNDRY m m HEARTH �� CLNG L 1___ 0 u Ia b iPE ATE O 9'-0"CUING ' sroNE ROOM ry PANTRY N /� NITCH �� N Ej 9'm0 CLNG - O vuD REGE PORCH m ... ......... HER • ...... PA Y S EL BEAM STONE_ MUD W r-0. ROOM SHE WS FRENCH DOORS � GLASS ° PA R o ON BENCH w/STORAGE BELOW - Ly 5 SHELVES MOW N STONE I �>� '� ON ® c B CAM- N .. Q ENTRY CLOSET BEDROOM 9'-0"CUNG Q m V-0'X 16'-0"GARAGE DOOR 3'-10' 4'-3' �� VGROOVL- MN IPE PATIO 2 Al CIELING ABOVE } CONC.APRON § e cl e n '. o FOYER REEI 3s ewcH - 9'-0•cwc O QI Lill BATH wD STONE KITCHEN a 9'-0"CLNG BREAKFAST 2 _ O ry 4VO 9'-0"CLNG OO B.STONE 00 A A STONE I 6' 2 0" 2 0" 3 P 9' z 3• 1 0 ENTRY U Z W ® ® o 0 0 0 Y 2'-0' 3- O LL W EQ. � _ N Nco N 4'_0. 16'-0' 4.-0. 7'-44- O .. Q N N z QI= • � c N LL Cr) Ed o Q� cn `N 24'-0" 10'-0' 36'-0' 30'4r ° ? ti K1 Cn PLOQ i A A,0 A10 B A,1 d b b O W op N A2 F A W O 1A o p Z } 20'-6" 16'-0" 21'-6" 2 N m K ' O J U W W Q LL o 3i o z co T-0" 6'-2" 6'2" 2.5' 4•-0" 8'-0" 4'0' 3'-5" fi'-]- 6'-7" 4'-11" K < = J W z D tD pNQ Oo, Oo W ¢ w C,QO U Z N Z U aooF D a o co O a z U C, () W K ROOF aooF FE BATH //�\ �" m TUB W 0 U U 4 Z � K Q 0 2'd -11 LOW LINEN ' lY CLOSTER 2'fi 1 . w/SHELF ABOVE z-e 4 FUTURE BEDROOM#4 UNFINISHED STORAGE ROOF A2 2 w �EssEA uj i � 1 f—— cn sxowEn m Fq AR -- H i LINEAR FEET b Z \� q ❑ BEDROOM#3 IW - W W m m LL WALK4N; 0 aooF •eL �xu `4i— CLOSET 'w1'-4° N ^I. , _ U i i MASTER Q ROOF 4 > _ ,BATH W BALCONY 4 2 Al Uj W Q 1 za- 1 LOFT 2 2.1- 1 W Z U) WLU , MASTER C, Z BEDROOM 1 O W m w I C� 2 CN° U) ROOF 4 I-- Lo o ; a BALCONY _ - ROOF co N cli J 10'-0" 7'1" 2'-6- 4'-104- 11'-0" 6'-0' — y 2V-6" 12-0" 1"" 14'-0' } m 66'-0" LLI 2 Q Q Z W W d J H W W Q � OfdU D_ LL U) 1 Al A B 2 C A10 A10 A10 . i DIRECTIONS: ZONE• t �. From Hyannis take Route 28 toward RC RPOD DESIGN DATA SEPTIC NOTES ( ) Osterville. Take a left onto Osterville West PERC TEST. 14,523 Single Family 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours �O Barnstable Road and follow to the end. Area (min.) 87,120 SF 3 ; PERFORMED BY:CHUCK ROWLAND EIT- SULLIVAN ENGINEERING -4 Bedroom Q 110 GPD Prior to Any Excavation For This Project the Contractor shall Make : SOIL EVALUATOR NO. 13586 No Garbage Grinder the Required � �O O� Take a left onto Main Street. Take a right Frdth e (min) 20' , equiredNotificationtoDigsafe(1-ss8-344-7233). onto Parker Road. - Take a right onto West Width (min) no Total Daily Flow=440 GPD 2.The Contractor is Required to Secure Appropriate Permits From Town �Q O� G g F � � Setbacks: - WITNESSED BY:DONNA MIOANDI,R.S. -TOWN OF BARNS TABLE Use a 1500 Gal Septic Tank Agencies For Construction Defined by This Plan. �Q OOgN Bay Road and continue as `i t bears to the Front 20' OCTOBER 21,2014 3.Whenever Sewer Lines Must Cross Water Supply Lines Both Lines Shau left and becomes Bridge Street. Site is on SITE PASSED LEACHING AREA Be Constructed ofClasa 1s0 Pressure Pipe and Shall be water Tested to G� 0\ GO the right, #52. Side 10 's } "0 GPD/0.74 TAR -594.6 SF Required Assure Watertightness. In General,Water Lines Shall be Constructed in (I )_ o k��0 0 �0 Rear 10 � ' moo► . Q ; .. Bottom Area Only=648 SF Coordination With COMM Water,and Shall be in Accordance TEST HOLE - 1 EL. 74 TEST HOLE - 2 EL. 74 Total Provided=648 SF(479.s GPD) With 248 CAR 1.00-7.00&310 CMR 15.00. r CIO 4 A Minimum of 9"of Cover is Required for All Components. A LAYER A LAYER _. s.All Structures Buried Three Feet orMore or subject / moo•�' wg a/�P LEACHING CHAMBER DESIGN to Vehicular Traffic to be H 20 Loading.It is the Engineers --' ..• d ... � .: - n . . LOAM. . . . . . . . ,� . . . . . . . LOAM . . . . . . . . . . . . . . Schedule 40. Recommendation that H-20 Always be Used :,� ' ' ► All Pipes to be Sch Jr• 8 6.7 10 6.6 SAS to be in a 18x 3616.Install WatezVgh t Risers with rings�&18"Covers to Within 6"of . . .B LAYER.IOYR.4/6. . . . . . . B LAYER 10YR.4/6 Double Washed Stone Field as Shown. Fmrshed Grade Over Septic T Outl D-Bo Sep'c Tank et; x 0. .� 0 . .DARK YELLOWISH BROWN. . . . . DARK.YELLOWISH.BROWN15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . - \.t. _ ' t ii+u' '��`,' -q� � ii r• >:x+v�.4_ 7 Septic System to 6e Installed in Accordance With 310 CAR 00& -0 32' . LOAMY SAND SOME BOULDERS. . 4.7 30' . . .LOAMY SAND SOME BOULDERS. . 4.9 248 CAR 1.00-700 Latest Revision and the Town ofBamstable Cl LAYER 10YR 616 Cl LAYER 10YR 616 Board ofHealth Regulations. J� < 8.All Piping to be sch.0PVC. BROWNISH YELLOW BROWNISH YELLOW 9.D-Box Shall Have a Minimum Inside Dimension of 12;and a Minimum ��5�6 o\O Existing Leach Pits Location Map a p MEDIUM SAND SOME BOULDERS 46" MEDIUM SAND SOME BOULDERS 3.6 Sump of6". °i° • + to be Removed Typ. 1"=2000'f 32" PERC TEST 4.7 C2 LAYER 1 OYR 713 10.The Separation Distance Between the Septic Tank Inlets and CB/D 25 GALLONS GONE IN 10 MIN. VERY PALE BROWNLiquid Parcel r Outlets Shall be No Less than the th.Inlet Tees Shall Extend 50" PERC RATE<2 ARNIIN(LIAR=0.74) 3.2 96" COARSE SAND SOME_BOULDERS _0.6 a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" �jOp�i�,/`.� TH-4 n�- !` ' � ± \ Below the Flow Line,and Shall be Equipped With a Gas Baffle. k .� 5 75f SE-� C2 LAYER lOYR 7/3 GROUNDWATER ENCOUNTERED - ~� \ ASSESSORS REF: 11.Fill to be Clean fill with out any Debris and meet Specifications of VERYPALEBROWN 310CAM]5.255(3). ?�so,s4 ((1 ,ram \ Map 116, Parcel 004 96n COARSE SAND SOME BOULDERS _6 9 , I GROUNDWATER ENCOUNTERED ' i Rom, F FLOOD ZONE U m ssy��o, ✓ 9 �o AE(EL 12) & AE(EL 13) ho^ / 4 �• ' Based on Map # 0„09�0 Bit /. o 25001 CO757J Drive 'i'o �� July 16, 2014 TEST HOLE - 4 EL. 8.5 TEST HOLE - 3 EL. 8.5 . .. . . . . . . A LAYER .... . . . . . . . . . . . . . . . LAYER. . �- #52F,P1, DISTRICT.• . . . . . . . . . . . . . . . . . . . ,�� v Sty f � � CLEANOUT !(� �,`� � OVERLAY 10' LOAM 7.7 8" LOAM . . 77 ti `�OLW 9.0 / J !� P AP - Aquifer Protection District B LAYER.I0YR.416 . . . .B LAYER.lOYR.416. . . :. : 4` 0 g DARK YELLOWISH BROWN. . . . . .DARK YELLOWISH.BROWN - v \ { PRO. 30' I'LOAM SAND 6.0 28' SANDY LOAM. . 6.2 o �A C1 LAYER 10YR 6/6 C LAYER 1OYR 616 �� S TANK / BROWNISH YELLOW BROWNISH YELLOW \Q �e - / MEDIUM SAND 96 MEDIUM SAND 0.5 30" PERC TEST 6.0 GROUNDWATER ENCOUNTERED PRO. f I D-BOXc f 25 GALLONS GONE IN 101111M \ Q�Q 1 96" PERC RATE<2 MUV/,U 1(LTAR=0.74) 0.5 1 \ t GROUNDWATER ENCOUNTEREDIWA Zone2 . r....:. i 4" PVC Vent With Charcoal Filter - / I - Final Location to be Determined at Time of Installation so as to be as \ 3 •'� i '� FL 1433 Provide P Incons icuous as Possible .10 /Cleanouts . EL. 11.0t F.G. EL. 10.Ot \ e F.G. EL. 8.5t PROPOSED .: EL. 9.00 Inspection Port Installer T0Con To Any Work Flow As Required Equalizers \ I {..r. 0j �� 7.1' y EL. 7.85 q Stnpout PRO. ' .. :. V�./ j EL. 8.1 Pipe pitch 0.005' VENT \ \ t l t jf lvl EL. 7.57 Too El. 7.55 \ 1 1500 Gallon - per limier food / I 1R=7.0' Septic Tank D-Box H-20 H-20 L. 7.40 ♦qE See Note 10 t Fri STRIP OUT EL. 7.26 EL. 7.17 ;n VF( /je / UNSUITABLE NONE J\ �d MATERIALS . Bedding,"T"s, & Baffels Remove & Replace 1 \ WITHIN 5' To Be Installed On as Per Title 5 All Unsuitable Soils [B Layer (El. 4.5t)] \ High Groundwater Stable Compocted UQ_S_e Within 5' of The Outer Per Monitoring Well Perimeter of The System Monitored 1116114 \ d Through Full Moon High Tide DEVELOPED PROFILE OF SEPTIC SYSTEM NOT TO SCALE vent SITE PLAN PROPOSED IMPROVEMENTS 4" PVC Vent SeaIB 1=20' 3.5' W/Charcoal Filter 2.0' \ Ins ection or 4"OPerforated PVC Pipe Placed \ \ _ Vertically Down Into The Stone \ \ \ \ \ \ \ Finish Grade To The Soil Below W/Screw Cap To Within 3" Of Finished Grade \ \ LOT AREA CALCULATIONS: \ 9"-min. Fill acted Coro \ \ X-max. p Filter Fabric (Coverage and Floor Area Calculations Provided by Architect) \ \ \ Lo rea = 15,575 SF \ 2" 4"O Perfora ted \ \ Pvc Pipe Pea stone Allowed Lot Coverage = 3,115 SF 1 ) (1)\ \ \ Proposed Lot Coverage = 3,088 SF \ \ 3.5 now 3.5' 3.5' 3.5' (Includes Building, Garage, Porches, ect.) 2' ' 3 4"-1 1 2" 36.0' \ 6" Double Washed stone Allowed Floor Area = 4,673 SF \ \ Proposed Floor Area = 2,121 SF (First Floor) +1,820 SF (Second Floor) 1s Total = 3,941 SF \ \ (Excludes Garage and Open Porches) \ 5' Over dig Cross Section Of Leaching Bed �c �n�ri 4` Strip out r \ \ Not to Scale '4";0$ \ \ Perforated Pipe �, �/s7E��° \ sslolv Switch Septic Primary and Reserve 03125119 Add Lot Coverage Floor Area CoIcs 08 28 18 Add Reserve 06118118 D-Box REVISION: Add Cleanout 06111118 18.0' NOTES. PREPARED FOR: PREPARED BY. TI TLE: Site 1. The ro ert line information shown was com iled Plan ) property Y P from available record information. Deborah A. Ireland Trust CapeSury Proposed Improvements neerin 2.) The En>� �& . topographic information was obtained from an 7 Parker Road on the ground survey performed on or between Suffivancowulft'l., Osterville MA 02655 At � SAS DETAIL 191NOV114 and 24/NOV/14. •moo•+ (508) 420-3994 (508) 420-3995 fox `���`��'�'��° '`�°� 52 B�idge Street SCALE 1"T A copesurvOcopecod.net 3.) The datum used was N.A.V.D. 88 B 20 10 20 40 80 Draft: WHK/CTR Field: WHK KAR amstable (ostervi►ie) Mass. w Review:JOD/RRL Comp.: WHK/CTR DATE SCALE: cry r May Project: CROSBY Project # 340031 y 21, 2018 1 ..=20'