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HomeMy WebLinkAbout0021 COCKACHOISET LANE - Health 1 Cockachoiset Lane (Osterville) 'a J��tECVC(EbC Ad UPC 12134 a No. 21153LGN Posr•coNs°�� HASTINGS,MN a ----------- Vol TOWN OF BARNSTABLE LCX'AT10',;'U/ll�s�/� SEWAGE # ff. V,7--LAGE __ ASSESSOR'S MAP & LOT ��✓ v INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type)�/�/ �?4/' (size) NO.OF BEDROOMS BUILDER OR OWNER(--A14V e PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge.of WVh d Leaching Facility any tlands exist within f achin facility) Feet Furnished T y .l Al Cock -4e //oi er L.4v Cac K lachaJSe� TOWN OF BARNSTABLE W10- A �C©�'Aorc /a`f,TZ<iy. �C-�/ew,,//SEWAGE # gO—SiR6 VIi.LAGE ASSESSOR'S MAP & LOT --00� INSTALLER'S NAME & PHONE NO. QCnj �J,�/ GG .�✓jsi�/ SEPTIC TANK CAPACITY r LEACHING FACILITY:(type) i�j %T (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER' t v BUILDER OR OWNEROh.n DATE PERMIT ISSUED: 3c) DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No /90V 101 7 II wr A U C K3H _ A7 / RIFY ALL EA57' NORION -1� J NS N THE IELD 1 / /�.� Z r R TO VERIFY ALL IMERIOR 8 EXTERIOR MATERIAL6. /FINISHES I 1'HE FIELD WITH OVMEft �///Y�,(_A-jNING HEA EIGNT O NOA.u�. ORT 11-ABOVMSS ONUC N CONFOR 0 C ACHUSETT �ING ODE.9TH El AM NDEMENTBIRC2015 5.)SEE CERTIFIED PLOT PLAN FOR ALL TING 8 PROPOSED DETAILS. A. RE-BUILt ¢ 6.) FOLLOWALLMANUFACTURERS SPECIFICATIONS FOR INSTALLATION OF _ FCDW�� w DECK - ALL SIMPSON COMPONENTS,MATERIAL TO BE ZMAX OR S.S. SS 7_) FOLLOWALL REQUIREMENTS OF THE JECC2015 RESIDENTIAL ENERGY F�2V��1''/'1' �FAMILYa m EFFICIENCY REQUIREMENTS 8 VERIFY ALL DETAILS WITH THE INSULATION O Q]Q=�( ¢ ¢ I INSTALLER/CONTRACTOR. RAM Up�aQLL VERIFY ALL PLUMBING 8 ELECTRICAL DETAILS W/OWNERS ON THE SITE 4 t DURING FRAMING CONSTRUCTION k 9.)ALL WINDOWS 8 DOORS TO HAVE SILL PANS&ICEANATER SHIELD FLASHING. N 1D.)ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED NEW VERTICALLY OR HORIZOWALLY M BLOCXING AT EDGES,3'EDGE/17 BAT HVAC FIELD NAILING lu- f ¢ 11.)ALL WINDOWS 8 DOORS TO HAVE SILL PANS 8 ICE WATER SHIELD FLASHING 12.)PROVIDE UTIUTY INSTALLATIONS FROM STREET TO NEW HOUSE x� ' as ~ VIA UNDERGROUND CONNECTIONS TO COMPLY W ALL LOCH.CODES KITCHEN -imax s, xxre `� eiExt 13.)THIS STRUCTURE IS DESIGNED TO THE AFBPA WOOD FRAME CONSTRUCTION a_____________� a�wn.,.cxex -------©. MANUAL FOR 110 MPH EXPOSURE'8'LOCATION PER SECTION R3012.1.1 NEW I u.aa..w«ex ININ 1<.)TIMBER:FRAMINGTO BESPRUCEIPINE/FIRN0.2GRADE,9WPSIMIN. 15.)INSTALL ALL ROOF TO WALL,CHIMNEY,8 OTNER FLASHING PER PANTRY I I NEW © MANUFACTURER'S INSTRUCTIONS MUDROOM >e 16.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS 8 SLABS I I TO BE 3000 PSI AT 28 DAYS 17JFOLLOWALLMANUFACTURER'S INSTRUCTIONS FOR INSTALLATION OF O r ALL WNDOWS ANO DOORS 18.)THIS PROPERTY IS IN A AE FLOOD ZONE ELAZU n/ NEW, w �I ry x I �LOS. R 19.)ALL MECHANICAL.ELECTRICAL,AND PLUMBING COMPONENTS TO BE PLACED ILL i e W.I.C.I a„ H NEW ABOVE THE DESIGN FLOOD ELEVATION. GARAGE LL G IECC2018 RESIDENTIAL ENERGY EFFICIENCY DETAILS /1� E I I I I _II�NEW ones Nseei.�x PrsEsaaPrNe vN�soR xe�ccxrxruulloN v ALL .z cNwNM.PxEsw�PxrE�xstxAlaxnx>:NE.s1RA1x»,IsaiRwENrsI Z ua. ax>:x ® r m J W Z OFFICE- ¢ 0 " xww ,xx�aoxT'xmma >z a�..�«,1xEwu.�x�x O Q _Y;t15. —---------- °F'" P RCH �>+� 0 J REMOD. c. (_n CQc BEDROO #1 LIVING ® ooa era AT ¢ Z O G © O 2 LLI © ti h— QU > I w'xiixuxo uexwo - - "Duals Lenaxo I �f U I CO ERED I �l O W W fn ----------- --------- — ----------- Z cal O B NAILING SCHEDULE A6 110 MPH EXPOSURE C WIND ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OFBOXNAILS NAIL.SPACING igghmhiwg B�ml£�1Sggg��§� 9EgWo„51 mass xlmsrnoraP.�x.um �I!I'i q �F srsP��.,� oosrvuum �����d�g���`ye1�; P(cxu� �i38g o�W 83 FIRST FLOOR PLAN IT. °� SCALE: LEGEND: �^x•"°am 114"=V-0" EXISTING WALLS `wx5 Ruse v,m D CONSTRUCTION TO BE REMOVED 8 S4 2021 M NEW CONSTRUCTION ©SMOKE DETECTOR ©CARBON MONOXIDE DETECTOR uwasPawvoq DRAWING NO.: ®HEAT DETECTOR xuays _ . Al Aw U c J A7 Z T Wi0 {p 00 D� A A �O 4 Fes_-� OU m<a . a "" BATH#3 '�• BEDROOM#4 e e k BATH#2 N. = © �•� O NEW' s r 1 "MEROOM �.m LL CLOS. t /\ 1 �,as.. �%a $E ROOM#3LA o Z © n CLOS. b p Z R 'BEDROOM#2 o e cOc C, \ �jVt- ui 4 G N�LIVING � � W Q BELOW Al " ,saomwun� a O Lj 4 a F- U J c 0 U 4 a a, a o wM w w O a. e�mgb�sfagpg�$xo MASTER Nw.g $¢ . BEDROOM SECOND FLOOR PLANS 1J.ifgi a � a �ix�sdid a� gqyz xg tlB WEyeN�agge3o _— Si_l1��5�85Y CRAWLSPACE SCALE: 0.5 1/4"=1 0., a � � DATE: 5/4/2021 DRAWING NO.: %BUILDING SECTION(CD-FAMILY ROOM A2 4 y Engineering & _ S ullivan � r Consulting, Inc. ,.t (508)428.3344•P.O.Box 659•711 Main Street,Osterville,MA 02655 seci@suilivanengin.com • www.sullivanengin.com t; March 6, 2020 ' Mr. Thomas McKean Health Department Town of Barnstable 200 Main Street Hyannis, MA 02601 RE. 21 C &wIioiset lane, Ostei-;Oe Dear Mr. McKean, As a follow up to your discussions with Attorney Albert Schulz, we offer the following evaluation of the existing septic system at die above referenced property. According to a septic as-built card die existing system was installed in 1990 under Septic Permit#90-526. No engineered plans or permit have been located. The system has passed a Tide V septic inspection. According to die as built card die leaching consists of 3 - 8' infiltrators. The infiltrators chambers are installed with 3 - 4' of surrounding stone. The exact infiltrator make and model is unknown, but we have uneardied a portion to confirin die dimensions. We believe the chambers are at least equivalent in size to a Cultec Recharger 180 which has an effective depdi of 14". Leaching capacity per Tide Vat die time of installation is as follows: Bottom Area= 9' x 30' = 270 SF/270 SF x 1 GPD/SF= 270 GPD Sidewall = 14"/12 12 x (9' + 30')) = 91 SF/91 SF x 2.5 GPD/SF= 227 GPD Total = 497 GPD Based on die above, we believe die existing system is sufficient for die 4 bedrooms as has existed since at least 2012 under die current ownership, and is consisted wide Assessors records. We would note that our evaluation is being prepared for a property transfer subject to this confinnation of 4 bedrooms. To die best of my knowledge die transfer was not subject to the passing Tide V inspection. ]a Also,Tide V Passing reports only describe conditions at die time of inspection and under die conditions of use at die time. An inspection does not address how die system will perform in die future under die same or different conditions of use. The system is 30 years old, and likely approaching its life expectancy. In addition, any future property owner should be made aware that in accordance with Town of Barnstable Board of Health Regulation Chapter 360-201, die Board of Healdh or Healdh Department may require an upgrade enforced during a building permit application process as die system is not properly sized according to todays Tide V. I trust dus meets your present needs. Very truly yours, John O'Dea, P.E. Sullivan Engineering& Consulting, Inc. Page 2 of 2 McKean, Thomas From: McKean,Thomas { Sent: Thursday, February 06, 2020 2:37 PM To: 'Albert Schulz' Subject: RE: 21 Cockachoisett Lane, Osterville Good Afternoon Albert, I attempted to call you this afternoon and briefly spoke to your administrative assistant. This property is located within a Saltwater Estuary Protection District and is subject Section 360-45 of the.Town of Barnstable Code. This Code restricts wastewater discharge flows to 440 gallons per acre per day. However, this Ordinance was adopted in July 2008. An affidavit was submitted to the Health Division from John C. Kiley dated August 18, 2015 indicating there were four bedrooms at this property during his ownership from December 3, 2001 to January 12, 2012 . Also appended to the submitted affidavit was a floor plan showing four(4) bedrooms. Based upon this information,the Health Division does not object to allowing four(4) bedrooms at this property. However, the Health Division does not have information from a professional engineer as to whether or not the existing septic system, specifically the leaching facility, provides sufficient capacity for four bedrooms. The existing septic system was installed in 1990 . According to the as-built card,the system consists of a 1,000 gallon septic tank, distribution box, and three plastic infiltrators.There are no engineering plans on file nor any calculations showing what the actual leaching capacity is. According to the septic system inspection report by James Ford dated July 30, 2015,there are three infiltrators with four feet of stone existing there. According to a calculation chart used here at the Office, three infiltrators with four feet of stone is insufficient for four bedrooms, but is sufficient for three. I hope this clarifies the issue for you. Please feel free to call me if you should have any questions at (508) 862 4640. r Sincerely, Thomas McKean From: Albert Schulz [ma i Ito:aschulz@schulzlawoffices.com] , Sent: Wednesday, February 05, 2020 1:01 PM To: McKean, Thomas Subject: 21 Cockachoisett Lane, Osterville Hi Tom, The above property is under agreement to be sold in mid-March. Mark Curley tells me that when the property was purchased back in late 2012, he talked to you about the fact that historically, there has always been 4 bedrooms in the 1 r ' ' li'W r Of✓GJ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ; 21 Cockachoiset Lane * Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is Osterville Ma 02655 2/10/20201&3/6/2020y required fore -- - -- page. Cityrrown 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 q, Inspector Information csl I�fy�S filling out forms on the computer, Sean M. Jones use only the tab key to move your Name of Inspector cursor-do not S M Jones Title V Septic Inspection use the return Company Name key. 74 Beldan Lane m Company Address Centerville Ma 02632 _ City/Town State Zip Code 774-248-4850 smjonestitle5@gmail.com, SI4522 lean@sNonestitle5.com License Number B. Certification I certify that: I am a DEP approved system Inspector In full compliance with Section 15.340 of Title S. (310 CMR 15.000); I 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 2/10/2020& 3/6/2020 Inspector's Signatu Date The system inspector shall submit a copy of this inspection report to the Approving Authority(B,oard 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. t5insp.doc•rev.7/2612018 Titles Official Inspection Form Subsurface Sewage disposal System•Page 1 of 18 commonweslth,of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane __._..._..._..._�__ Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is Osterville Ma 02655 2/10/2020& 3/6/2020 required for every page. CityITown 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: The property located at 21 Cockachoiset Ln Osterville is served by a Title V septic system consisting of a 1000 gallon septic tank,distribution box and 3 Infiltrators. The system was found to be in proper working condition at the time of inspection. 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-rov.712612018 Title 5 Offioat Inspection Form:Subsurface Sewage Disposal System-Page 2 or 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane i Property Address F, 21 Cockachoiset Ln Realty Trust Owner Owner's Name 1 information is Osterville Ma 02655 Z10/2020&Ai2020 required for every ---- page. Cltyfrown State Zip Code Date of Inspection. C. Inspection Summary (cont.) 2) System Conditionally Passes (coot.): ❑ 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). ❑ 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 pipes)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.00e-rev,7/=018 Tide 5 Official Inspection Form:Subsurface Sewage Dispasal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 C_o_ckachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name _.._ information is O required for every sterville Ma 02655 2/10/2020 8t 3/6l2020 page. Cityrrown 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. 0 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 tfimsp4oc-rev.M612018 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 21_Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner owner's Name information is required for every Osterville Ma 02655 2/10/2020&3/6/2020 page. Cityrrown State 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. ❑ 0 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 C.4. ' 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 t53nsp.o*8-.rev.Mi6ridia Title 5 Orfldal Imipmflurt Furm;"surface Savage Disposal Syatem r'egq 6 of is Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is Osterville Ma 02655 2/10/2020&3/6/2020 required for every CitylTowm State Zip Code Date of Inspection page. 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? ® Q 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? ® Q 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 approximation 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 7f26f2016 Title 5 Official Inspection Form:Subsurface Sewage oieposai system•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Flame information is Osterville Ma 02655 2/10/2020&3/6/2020 required for every page. cdylTown state Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 4 µ Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example--110 gpd x#of bedrooms): 497 gpd provided+ Description: "see attached letter from Sullivan Engineering 0 Number of current residents: Does residence have a garbage grinder? ❑ Yes 0 No Does residence have a water treatment unit? ❑ Yes Z No- If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes Z 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 '0. No Last date of occupancy: unknown Date 15insp.doe,•.rev.7/2W016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page-7 of 18: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane ___._.__.._....,......._,._ _..._.......__..._._... :......._� Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name Information Is Otille Ma 02655 2/10/2020&3/6/2020 sery required for every page. City/Town State Zip Code Date of Inspedion D. System Information (cont.) 2. Commerciallindustrial 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: P 9 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: [5i"O,tloe•rev.7/MMI8 Tige 5 Official lnspmcn Form:Subsurface Sewage Disposal System•Page a of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owners Name information is Osterville rnMa 02655 2/10/2020&3/6/2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (coot.) 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: system installed 1990 Were sewage odors detected when arriving at the site? ❑ Yes Z 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 a Comments(on condition of joints, venting, evidence of leakage, etc.)-. Joints in good condition, no leakage, vented through roof. tliinsp,doc•rev.7/2MIa Title 5 official Inspection Forth;Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset_ Ln Realty Trust Owner owner's Name information is Osterville Ma _ 02655 2/10/2020& 3/6/2020 required fof every page. CityiTown _ State Zip Code Date of Inspection page. D. System Information (cont.) 6. Septic Tank(locate on site plan): .5 _ 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: 1000 gallons Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 3 0° Scum thickness Distance from top of scum to top of outlet tee or baffle 711 Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? Opened covers and took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance. water level was even with outlet, tank was not leaking and was structurally sound. t5insp,doc•rev.7I28/2018 Title 5 official Inspection Form°Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ` 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is Osterville Ma 02655 2/10/2020$`3/6/2020 required for every —--- - — — — page. Cityrrowm State Zip Code Date of Inspection D. System Information (cont.) 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 y� 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: ED concrete ❑ metal ❑fiberglass ❑ polyethylene. D other(explain) Dimensions: Capacity: gallons Design Flow: gallons per day t5 nsp.doc•rev.7/2MI0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of IS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments 21 Cockachoiset Lane _-- Property Address 21 Cockachoiset Ln Realty Trust _ Owner Owner's Name information is psterville _ _ Ma 02655 _ 2/10/2020�3/6/2020 „ required for every Clty1rown State Zip Code Date of Inspection D. System Information (cost.) 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 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box was video inspected and found level and in good condition with no rot.Water level was even with outlet invert with no signs of past backup. V t5inap.doc•rev.71&M18 Title 5 Official Inspection Form-subswtace sewage oisposal system•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name Information is required for every Osterville Ma 02655 2/10/2020&3/6/2020 required - ------ -------�----- -- page. city/Town State Zip Code Date of Inspection D. System Information (coat.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ Ne 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: ® 3 Infiltrators leaching chambers number: . .. leaching galleries number: - ❑ leaching trenches number, length: leaching fields number, dimensions: ❑ overflow cesspool number: innovative/alternative system Type/name'of technology: 15insp.dcc•rev,IrI Z0111 Title 5 Official Inspection Farm:Subsurface Sewage Disposal system•Page 13 of ta, t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is Osterville Ma 02655 2/10/2020&3/6/2020 required for every page City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS)(cunt.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): s.a.s.was video inspected and found dry with no sign of past overloading. 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.): t5lnsp:nec•rev,1 2brju18 Title s offrcaei Inspection Form:Subsurface Sewage Disposal System•Pape 14 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is Osterville Ma 02655 2/10/2020&3/6/2020 required for every page Ctty[Town State Zip Code Date of Inspection D. System Information (coot.) 13. 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.): i i t5insp.doc.rev.7/2612016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page.15 of 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is Osterville Ma 02655 2/10/2020&3/6/2020 required for every page, dkir own State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: f the sewage disposal system, including ties to at least two permanent reference Provide a view o g p y 9 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 ff [ l i AZ 5z- 3 zS 53 2� 7�( y 3� t5insp.doc rev.7/2612DIa Title 5 Official Inspection Form;SubsuAece Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts kvTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address _ 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is required for every Osterville Ma_ 02655 2/10/2020& 316/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope . t ❑ Surface water ` ❑ Check cellar ❑ Shallow wells Estimated depth to high round water: 12'+ - -� P g 9 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) i ❑ 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: Groundwater was established by accessing town of Barnstable groundwater contour maps. ------------- Before filing this Inspection Report,please see Report Completeness Checklist on next page: t5insp.doc•rev.71=016 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 17 or 18, Commonwealth of Massachusetts Rim Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 Cockachoiset Lane Property Address 21 Cockachoiset Ln Realty Trust Owner Owner's Name information is Osterville Ma 02655 2/10/2020&3/6/2020 required for every page. City/Town state Zip Code Date of Inspection E. Report Completeness Checklist PP Complete all applicable sections of this form inclusive of: i P ® A. inspector information: Complete all fields in this section. t ` • 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 ram"' t5insp.doc•rev.7/26=18 Title 5 Official Inspection Fomti:Subsurface Sewage Disposal System•Page 10 or 18 U � AFFIDAVIT I, John C. Kiley, III, of Osterville, Massachusetts, on oath depose and state the following: 1. I owned 21 Cockachoiset Lane, Ostcrville, Massachusetts,(the "property") from December 3, 2001 until January 12, 2012. See Exhibit 1. 2. During my ownership of the property it was configured and utilized as a four (4) bedroom residential dwelling. 3. I append hereto a layout of the floor plan of the property during my ownership. See Exhibit 2. Signed under the pains and penalties of perjury on this ��"' day of August, 2015. Jo .C. Kiley, III c i EXHIBIT 1 I Bk 14539 Per 249 092865 12-06--2001 a 03 : 13P DEED Sheila K. Largay of Woodbury, Connecticut, Thomas.A. Kiley of Rockport,Maine and Cambridge Trust Company of 1336 Massachusetts Avenue, Cambridge, Massachusetts, not individually but as Executors of the Will of Edith M. Kiley (Norfolk County Probate No. 94P.1606E1) pursuant to power of sale contained in the Will and every other power, and as Trustees of the Trust dated July 5, 1967 and recorded herewith(the"Trust"), and.Edgar Crocker, not individually, but as Trustee of the Trust, for consideration of Six Hundred _-V Seventeen Thousand Five Hundred Dollars ($617,500.00)paid hereby grant to John C.Kiley, Ill. of 21 Cockachoiset Lane, Osterville,Massachusetts 02655, a certain parcel of land together with the buildings and other improvements thereon being now known as and numbered 21 Cockachoiset Lane, Barnstable(Osterville), Massachusetts and.being more particularly bounded and described as follows: That certain parcel of land situate in Barnstable(Osterville) in the County of Barnstable and Commonwealth of Massachusetts, shown as LOT A on a plan entitled,"Subdivision Plan of Land in.Osterville-Barnstable---Mass. Belonging to Douglas H. & Marilyn F. Higham,"dated October 22, 1964, drawn by Nelson Bearse-Richard Law, Surveyors, Centerville, Mass., recorded in the Barnstable Registry of Deeds in Plan Book 191,Page 37, and being more, particularly bounded and described as follows: �\ NORRTHEASTERLY by Cockachoiset Lane, a private way, seventy and -? 94/100(70.94) feet; SOUTHEASTERLY by land now or formerly of John Bentley, Jr.,one hundred thirty and 49/100(130.49) feet; SOUTHWESTERLY by Lot B on said plan, ninety-three and 051100(93.05) feet; NORTHWESTERLY by Peaks Drive, a private way, one hundred three and 12/100(103.12) feet; and NORTHERLY by intersection of said Peaks Drive and Cockachoiset Lane, thirty-eight and 43/100 (39.41) feet. CONTAINING 12,000 square feet,more or less. There is conveyed as appurtenant to said LOT A a right of way over,Cockachoiset Lane from Bridge Street to West Bay. There is also conveyed as appurtenant to said LOT A a right of way for all purposes over Peaks Drive as shown on said plan to and from Cockachoiset Lane. So much of said premises as by implication of law lies within the sideline of Peaks Drive and.Cockachoiset Lane as shown on said plan is subject to a right of way for all purposes for the benefit of Lot B, and subject also to the right of all other persons now or hereafter entitled to use the same. 1 B,k 14539 P9250 092865 Said premises are also conveyed subject to the restriction,which restriction is to remain in effect for fifty(50) years from September 2, 1964, as originally imposed in the deed from Donald N. Graham et ux to Douglas H. Higham et ux, dated September 2, 1964, recorded in Barnstable Deeds Book 1270, Page 409, affecting the land shown as:Lots A and.B and Peaks Drive on said plan in.Plan Book 1.91, Page 37,namely: No more than two single-family dwelling houses shall be erected or maintained on the subject premises together with the usual appurtenant outbuildings; but any garage appurtenant to either of said single-family dwellings shall be attached to and be an integral part thereof, and the said garage or garages shall not be used as a habitation of habitations. Said premises are conveyed subject to the Building and Zoning Laws of the Town of Barnstable and to an easement in favor of the Cape &Vineyard Electric Company and New England Telephone and Telegraph Company, dated.September 20, 1957,recorded in the Barnstable Registry of Deeds in Book 988,Page 199. For our title reference, see Deed of Douglas H. Higham and Marilyn F. Higharn to John C. Kiley, Jr. dated December 18, 1970 and recorded with the Barnstable County Registry of Deeds in Book 1494,Page 330. See also the Estate of John C. Kiley,Jr. (Middlesex County Probate No. 87P 1540E and the Estate of Edith M. Kiley(Norfolk County Probate No. 94P 1606E I). [signatures on following page) I f l f=? fx:i l✓1 * TA F.1 lWO.i f�l Ix VIIJ ii I !tea '•-+ :.L'I I �L:} ;� f^ q L) v 1— 2 Bk 14537 Ps 251 072865 Ri Witness our hands and seals as of the_ day of December, 2001. Sheila K. argay, as Execu or a 6V individually, and as Trustee and not individually T 4A, ley, as ExeClltor not individually, and as Trustee and not individually Cambridge Trust Company,pany, as Executor and not individually, and as Trustee and not individually B �� Y David U Strachan, Jr. �`-- Its: Trust Officer' 3 Bk 14539 P9 252 092865 Witness our hands and seals as of the �day of December,2001, Sheila K. Largay, as Executor and not individually and as Trustee and not individually Thomas A. Kiley, as Executor and not individually and as Trustee and not individually Cambridge Trust Company, as Executor and not individually and'as Trustee and not individually By: David G. Strachan, Jr. Its: Trust Officer Edgar rocker, as Trustee and not individually M 3 | | � County Then personally appeared the above-named.Sheila K. Largay and acknowledged the foregoing instrument to be her free act and deed as Exbcutor as aforesaid, before me, LL N try qPuisc My commission expires:, STATE OF MAINE County Then personalty appeared the above-named Thomas A. Kiley and acknowle'd -the- foregoing instrument to be his free act and deed asExecqVr Lasaf Ares,id, bbetfbr�a)��: 6' Pota ublic 0 My commission expire COMMONWEALTH OF MASSACHUSETTS Then personally appeared the above-named David G. Strachan, Jr., a duty autho-i6d trust officer of the Cambridge Trust Company, and acknowledged the foregoing t6. i-'ifi�'�ree�ct and deed of the Cambridge Trust Company, as Executor as aforesaid, before m CL Pamela C. Messenger, NotartyyPq�b. My commission expires:i, Augu.' 4 ' ' � | Bk 14539 P 9254 92865 I COMMONWEALTH OF MASSACHUSETTS Suffolk, ss December 3, 2001 Then personally appeared the above-named Edgar Crocker and acknowledgcd lhe. foregoing instrument to be his free act and deed as Trustee as aforesaid,before me,,, ���%��i����►�w�/ _..� _'—mot'*'-, � ' Pamela C. Messenger, NotaryoRubll'e My commission expires: Augu '29I 2b08 `. \� !rriru*a���110 5 BARNSTABLE REGISTRY OF DEEDS Ilk 2 5998 Ps 125 b 2060 0 1---1 2-20 11 2 a 02: 03P MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 01-12-2012 a 02:03Pm Ct14: 1040 Doct: 2060 Fee: Q,317.40 Cons: $969,964.00 A NSBLECOUYEISTYAOBTA COUNTY EXCISE DEEDS Date: 01-12-2012 a 02:03pm Ctlr: 1040 Doc': 2060 Fee: $2,619.00 Cons: $969064.00 QUITCLAIM[ DEED 1, JOHN C. K LLEY,III, of Osterville, Massachusetts, an unmarried man for consideration paid of Nine Hundred Sixty Nine Thousand, :Nine Hundred. Sixty Four (� ($969,964.00)Dollars grant to RICHARD P. CALLAHAN, Trustee of 21 COCKACI<IOISET LANE REALTY �-� TRUST under Declaration of Trust dated October 18, 2011, recorded with Barnstable County Registry of Deeds Book Page _ , having a mailing address of c/o - Oxbow Corporation, 1601. Forum Place, Suite 1400,West Palm Beach,Florida 33401 j with quitclaim covenants 6- That certain parcel of land situate in Barnstable (Osterville) in the County of Barnstable and Commonwealth of Massachusetts shown as LOT A on a plan entitled, "Subdivision Plan of Land in Osterville- Barnstable- Mass. Belonging to Douglas H. & Marilyn F. Higham," dated October 22, 1964, drawn by Nelson Bearse - Richard Law, Surveyors, Centerville, Mass., recorded in the Barnstable Registry of Deeds in Plan Book 191, Page 37, and being more particularly bounded and described as follows: NORTHEASTERLY by Cockachoiset Lane, a private way,seventy and 94/100 (70.94)feet; SOUTHEASTERLY by land or now or formerly of John Bentley, Jr.,one hundred thirty and 49/100(130.49) feet; SOUTHWESTERLY by Lot B on said plan, ninety-three and 051100 (93.05)feet; NORTHWESTERLY by Teaks Drive, a private way,one hundred tlu•ee and 12/100(103.12) feet; and Bk 25998 Pg 126 #2060 NORTHERLY by intersection of said Peaks Drive and Cockachoiset Lane, thirty-eight and 43/100(38.41) feet. CONTAINING 12,000 square feet,more or less. There is conveyed as appurtenant to said LOT A right of way over Cockachoiset Lane from Bridge Street to West Bay. There is also conveyed as appurtenant to said LOT A a right of way for all purposes over Peaks Drive as shown on said plan to and from'Cockachoiset Lane. Subject to and with the benefit of all rights, easements, reservations and restrictions of record insofar as they are in force and applicable. PROPERTY ADDRESS: 21 Cockachoiset Lane,Osterville,Massachusetts For title, see Deed dated December 3, 2001, recorded with Barnstable County Registry of Deeds at Book 14539, Page 249. Witness my hand and seal this 12a' day of January, 2012. J C. Kiley,III COMMONWEALTH OF MASSACHUSETTS Barnstable,ss On this 12"' day of January, 2012, before me, the undersigned Notary Public, personally appeared John C.Kiley,111,proved to me through satisfactory evidence of identification being: other state or federal governmental document bearing a photograph image;or Oath or affirmation of a credible witness known to me who knows the above signatory; or My own personal knowledge of the identity of the signatory to be the person whose name is listed above and acknowledged to me that he signed the foregoing instrument v t tarily of his own free act and deed. 1Nf!!1ltjj/ C'(%4 e!/ `�```'JC�P•J;9g10N Ekn� '��i Z,sol 9 E. Clark,Notary Public oV. ..o `CIF'. My Commission'Expires: 8/22/14 1� LAW OFFICES OF '+ �.pp,,_` `4{r •• RICHARD P. LARGAY4gA�$p�N{�•�.,N�`\��`�`� Z IS WEST MAIN 2G01� .I///'f�O I^�� HYANNIS,MA 0 (506""-"gg BARNSTABLE REGISTRY OF DEEDS IIE'XHIBIT 2 Vs FL)i ) sar m space Living P f2�am Rom, 2.3 �-�- A l 54 s� ht- �I�se v C Z Sul f Room B a+h �3 O's Kl+ch n 52 B ss /q:+ ff room sue) j Room � q Commonwealth of Massachusetts Tof e 5 OffidoM �nspecto©n orm Subsurface Sewage Disposal System Form - Not for Voluntary Assessments " e . 21 Cockachoiset Lane Property Address Richard Callah4n Trust Owner Owner's Name S�'9 information is Osterville MA 02655 7/30/15 required for every i�. page. City/Town State Zip Code Date of Inspection 15P t;,wl 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. General Information filling out forms � 91 /83 on the computer, use only the tab 1. Inspector: key to move your cursor-do not James Ford use the return Name of Inspector key. U.6 Company Name P.O. Box 49 Company Address Osterville MA 02655 City/Town State Zip Code 508-862-9400 S 12482 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7/30/15 Inspe s Signature Date The s em inspector shall submit a copy of this inspection report to the Approving Authority(Board of Hea 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. Xooa1 v� l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments { 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: �. ® 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 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): 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 I Commonwealth of Massachusetts u W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. Cityffown 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): ❑ brokenpipe(s)are re laced p ❑ 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 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30115 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *"This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow t5ins•3/13 Title 5'Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 f Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w •'' 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303, therefore the system faiils. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, 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. l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of W Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ; °� •°"r 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Cisterville MA 02655 7/30/15 page. CityfTown State Zip Code Date of In C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of El ® 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 backup? ® ❑ Was the site inspected for signs of'break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been.determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at Tissue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): n/a DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 I t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail unavailable Sump pump? 0 Yes ® No Last date of occupancy: unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3I13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M ,.• 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30!15 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: k Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ` ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval ❑ Other(describe): (Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 f Commonwealth of Massachusetts z Title 5 official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of ail components, date installed (if known)and source of information: system installed - 11/30/1990 -per as built card 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): 6" Depth below grade: feet Material of construction: ® concrete El 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 El No Dimensions: 1000 gal. Sludge depth: 2 l5ins•3/13 Title 5.Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 27 Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 10 How were dimensions determined? measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):' The tees were present. The scum was minimal. Grease Trap (locate on site plan): Depth below grade: n/a feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑.other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 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 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osteryille MA 02655 7/30/15 page. City/Town 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): N/a Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts N Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osteryille MA 02655 7/30/15 page. City/Town 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 even 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.): The D-Box was normal. 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. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: 15ins-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 �M r 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30115 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: F ❑ leaching pits number: ® leaching chambers number. 3 infiltrators with4' stone ❑ leaching galleries number ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The infiltrators were dry.There were no sign of failure. A camera was used for the inspection. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage iDisposal System•Page 13 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/a t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 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 o . AQ 1-7 16 a ai 31 3 s 3g t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high grouDd water: 8+/- 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: Topo and vvatercontours map i • I ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: see above o Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 21 Cockachoiset Lane Property Address Richard Callahan Trust Owner Owner's Name information is required for every Osterville MA 02655 7/30/15 page. Cityfrown 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 TOWN OF BARNSTABLE a LOCATION o''��Co��Ac%c,r<T7�<i�. -ems .dSEWAGE # VILLAGE b �i ��% ASSESSOR'S MAP & LOT �— i INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY lira c',g LEACHING FACILITY:(type) j�, j�r S (sue) j —� NO. OF BEDROOMS._PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER o,f DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i S ,L7 t — a' TOWN OF BARNSTABLE LOCATION, SEWAGE # ol VILLAGE G id ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY _l /� - LEACHING FACILITY: (type) ' _ (size) NO. OF BEDROOMS BUILDER OR OWNER GLr• PERMITDATE: COMPLIANCE DATE: — Separation Distance Between the: . Maximum Adjusted Groundwater Table and Bottom of Leaching Facility. Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) t Feet Edge of Wetland d Leaching Facility any tlands exist within 300 fee of ,c��facility) Feet Furnished b i Cl- - F C 0 C A i .4 J i house, the assessing department lists the house as having 4 bedrooms and all rental certificates issued by the Town provide for 4 bedrooms, but that only a 3-bedroom system is in the ground. Mark tells me that you approved the property for 4 bedrooms. I would like to re-confirm this for the new buyer because I don't see any written evidence in the BOH file. When you have time, could you please give me a call to discuss this issue?Thanks! ; Albert Schulz Albert J. Schulz, Esquire SCHULZ LAW OFFICES, LLC The Samuel Isham House 1340 Main Street Osterville, MA 02655-1542 telephone: (508) 428-0950 facsimile: (508) 420-1536 www.Schulzlawoffices.com This email and any files transmitted with it contain PRIVILEGED and CONFIDENTIAL INFORMATION and are intended only for the person(s) to whom this e-mail message is addressed. As such, they are subject to attorney-client privilege and/or attorney work product and you are hereby notified that any dissemination or copying of this email is strictly prohibited`. If you have received this e-mail message in error,, please notify the sendor immediately by telephone or e-mail and destroy the original message without making a copy. Thank you. CAUTION:This email originatedfrom outside of the Town of Barnstable!, Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! M1 , s • I 2 TITLE V CALCULATION CHART COMPONENT 3 BEDROO 14BEDROOMS 5 BEDROOMS 6 BEDROOMS SEPTIC TANK 1500 a ons 1500 Gallons 1500 Gallons 1500 Gallons DISTRIBUTION BOX Distribution Box Distribution Box: _ Distribution Box - -Distribution Box SOIL:ABSORPTION SYSTEM: Cultec Recharger 330's 4 (334 GPD) 6 (471 GPD) 8 (606 GPD) 9 (674 GPD) [NOTE:5 are not enough [NOTE:7 are not Cultec Recharger 330's(with 2'stone surrounding SAS)• -provides only 401 GPD] enough-provides only 538 GPD] Cultec Recharger 330's(with 3'stone surrounding SAS) 3 (332 GPDI) 5 (490 GPD) [NOTE:4 6 (569 GPD) 8 (728 GPD) are not enough-provides [NOTE:7 are not enough only 411 GPD] -Only provides 650 GPD] High Capacity Infiltrators 4 (394 GPD) 5(461 GPD) 7(599 GPD) 8(667 GPD) H.C.Infiltrators(with 4'stone.and 14 inches underneath) - NOTE:6 are not enough,only [NOTE: 4'stone is not recommendeed,more infiltrator units are recommended] provides 530 GPD Infiltrator Maximizers 5(342 GPD) 7(457 GPD) [NOTE: 6 9(573 GPD) [NOTE:8 11(689 GPD)[NOTE:10 Infiltrators Maximizers(with 2 ft.stone surrounding SAS) are not enough,only 399 are not enough,only are not enough,only 631 GPD capacity] 515 GPD capacity] GPD capacity] Infiltrators Maximizers(with 3 ft.stone surrounding SAS) 4(357 GPD) 6(494 GPD) 7 (563 GPD) 9(700 GPD) [NOTE:5 are not enough, [NOTE:8 are not enough, only 426 GPD] only 632 GPD] Infiltrators Maximizers(with 4 fL stone surrounding S.A.S.) 3(357 GPD) 5(516 GPD) 6(595 GPD) 7 (675 GPD) .(NOTE: 4'stone is not recommended,more infiltrator units are recommended] [NOTE:4 are not enough,only _ provide3439 GPD] 500 Gallon Chambers (395 GPD) 5 (477 GPD) 6 (560 GPD) 8 (724 GPD) [NOTE:7 500 Gallon Chambers/Drywells(with 2'Stone) [NOTE:3 are not enough, are not enough,only 642 only 312 GPD capacity] GPD capacity] \ 500 Gallon Chambers/Drywells(with 3'stone) 3 (384 GPDI) 4 (477 GPD) 5 (574 GPD) 6(669 GPD) 1 '1 500 Gallon Chambers/Drywells(with 4'stone) 2(355 GPD) - 3(462 GPD) 4 (570 GPD) 5(677 GPD) [NOTE: 4'stone is NOT RECOMMENDED,more chambers are recommended] Flow Diffusors(with 2'stone surrounding SAS and 12"deep 4(343 GPD) 6(485 GPD) [NOTE:5 7(556 GPD) 9(698 GPD) [NOTE:8 stone on bottom) are not enough,only are not enough,only 627 provides 414 GPD] GPD] Flow Diffusors(with 3'stone surrounding SAS and 12"deep 3(340 GPD) 5(506 GPD) [Note:4 are 6(589 GPD) 7(671 GPD) stone on bottom) not enough,only provide 423 GPD capacity) Leaching Trench 60'X 4'X 2' or(2) 80'X 4' X 2' or(2) (2)48'X 4 X 2' or (2)57' X 4'X 2' or 30'X4'X2' 40'X4'X2' (4)24'X4'X2' (4)28'X4'X2' Leaching Field 446 S.F. (330GPD) 595 S.F. 743 S.F. 892 S.F. ALL MINIMUM S.A.S.SIZE REQUIREMENTS LISTED ABOVE ARE BASED UPON THREE ASSUMPTIONS (1) No garbage grinder,(2)Class I Soil(0.74 GPD/S.F.),(3)No wetlands within 250 feet of S.A.S.and groundwater is greater than 14'below SAS 1:CHARTITV