HomeMy WebLinkAbout0150 GARRISON LANE - Health 150 GARRISON LANE, OSTERVILLE
A=114-006
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ASSESSORS MAP NO:
No. � `'� PARCEL NO: C�C`)Ga
��- ---
Fee— ---- --
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appricat ion for Vell CootructionVermit
Application is hereby made for a permit to Construct (k 'Alter ( ), or Repair ( )an individual Well at:
o w 4'�-2 0.9 rc,
r�•/- '•� Location - Address Assessors Map and Parcel !/
M/_ J 1 �u l �o"� - /.,T^(oG r/(Soar �h�, OS /u +!l0 /``�,
Owner —Address
Installer - Driller Address
Type of Building
Dwelling -------------------
Other - Type of Building--__ —___--- No. of Persons-------------------------
Type of Well y ,• �'vG — — Capacity
Purpose of Well
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate .of Compliance has been issued by the Board of Health.
Signed -- /Y/�/
date
Application Approved B -��-- --------
e_—_--_
Application Disapproved for the following reasons: ---------- ---- -
- - ------------------------------------------
date
Permit No. Issued�J—£-r--`' ------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
C ertif irate ®f COMPliance
THIS IS TO CERTIFY,((Th�at the Individual Well Constructed ( "jAltered ( ), or Repaired ( )
JCCc.vove� ___
by— � I�nstaller------- ---------- ---, —
at— �"J.,IgoL." L^� • � �-��`�-�`�
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Perm� O� —� Dated '= �
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector-- -----
000
No. ------- ------- - �t* L Fee ------
BQARbfjOF HEALTH
TOWN OF, B"ARNSTAB_LE�J
r Appitcat ion fforjVell Con!5truct onVermtt
Application.is hereby made for a permit to�nstruct (�, Alter ( ), or Repair (.z`)an individual Well at:
4
-- - - Location — Address — Assessors Map and Parcel
M/. slip 6G,1,S.- L-_�.
Owner Address
Installer — Driller Address
Type of Building \ f
Dwelling --- ---------- /
Other - Type of Building-- ------ �� No:of Persons---------- --------
1
Type of Well 9 — Capacity---/----
Purpose of Well
Agreement: I
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certific ieof Compliance has been issued by the Board of Health. /
Signed
1 date
Application Approved
date
Application Disapproved for the following reasons:
date —
Permit No. �T� — Issued v'—/ '- '��� ---------
-date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate ®f Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed (Altered ( ), or Repaired ( )
SCli �, c -----— — -- - ------ ---- -
Installer
at�S° Cui/slow L^' .
--------------------------------- -------------------------
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
2,15
Regulation as described in the application for Well Construction Perms No. -----------Date
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE - -- -- Inspector---------------- -------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Iverf Con5tructionPermit
No."=- ��='11 ✓`% Fee
Permission is hereby granted --_----______—__—
to Construct (Alters ), or Repair ( ) an In�dividua] l�.•'�%,G�%tli
Street
as shown on the application for a Well Construction Permit
No.-� ✓�� —�—_ Dated `' ,l' .--'„ 4d l
Board of Health V
DATE
i
In
�' �
t
C
® �� �� �.
(� TOWN OF BARNSTABLE
LOCATION l'SD 6141Qig KO-') k")p os�,eo`I'de SEWAGE#.� �
i
V�iL LAGS CAS' ewc,i 1/e ASSESSOR'S MAP & LOT L
INSTALLER'S NAME&PHONE NO.fdOw US& r#V'4 eS SOULS 0 0991I
SEPTIC TANK CAPACITY hr,16 0 J*
LEACHING FACILITY: (type) (size) 2 Y A 3 Z-
NO. OF BEDROOMS
BUILDER OR OWNER IJ4XeY S1040-#0?-)
PERMIT DATE: 9— '2' —tea COMPLIANCE DATE: L/ -7— b
Separation Distance Between the:
Maximum Adjusted Groundwater'Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
L -� 21 '
24
' Y
17
LL
1
QO K
TOWN OF BARNSTABLE f
LOCATION s S D A' Z AA-e SEWAGE #
II.I.AGE �� ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
" SEPTIC TANK CAPACITY
%
,'LEACHING FACILITY: (type F
) � A. d,. (size f
NO.OF BEDROOMS Ad�,S� �(�
4*$UILDER OR OWNE
PERMTTDATE: 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
Ed �f Wetland and Leaching Facility(If any.wetlands a 'st
n 300 feet f leac f - meet
-F ed by moo °
.}e
�':f � .. �
1
1
cA�AftR� r_ L��\ ��� -- �`l ��\ � jdo0� _
t 3° °-4
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�•660 /,o a 0
�.
No. t) '37 7 Fee �.
THE COMMONWEALTH OF MASSACHUSETTS 1✓ntered in computer:
�J � Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zipphration for Oigpoof *raem Congtruction Permit
� Application lication for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components�
Location Address or Lot No. O " i j v, j ,.� Owner's,Name,Address and Tel.No.
Zoe `^ �O
Assessor's Map/Parcel ✓�
Installer's Name,Address,and/Tel.No. ��_ R t Designer's Name,Address and Tel.N .
Type of Buil mg:
Dwelling No.of Bedrooms Lot Size J•G{Asq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow S O gallons per day. Calculated daily flow �� gallons.
Plan Date 7 — /�— ?�n'd Number of sheets r� Revision Date
Title
Size of Septic Tank --Type of S.A.S. -3 Z x Z q L f-
Description of Soil 2 7 F
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environm 1 Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue Board of a th.
Signed Date ®b
Application Approved by -8 Date J — 2 '
Application Disapproved for the following reasons
Permit No.—ZO'"S 6 7 Date Issued
7 ..
TOWN OF,BARNSTA3LE
LOCATION [!�O 6 4�tt lse;.�; Or 1�'V-Flf SEWAGE # --5-6-7
VILLAGE �i�E'�Zt t Ile ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.rA4-v 6-9- F#U 149PS �0'115 �-�0�
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) ✓ ��1 �° (size) 2 Yx 3Z-
NO. OF BEDROOMS
BUILDER OR OWNER N� �abrJ
PERMITDATE: 2 —�' � COMPLIANCE. DATE: - d
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching.Facility Feet -
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility (If any wetlands exist.
within 300 feet of leaching.facility) ; Feet
Furnished by
F
Aim".:
-S y 7 Fee
No. - t
s � ; %Entered in computer:
THE COMMONWEALTH'OF MASSACHUSETTS
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
�2pplication for Mir ogal b gtem Construction Permit
U� APP lication for a Permit to Construct Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components� ( ) P P�
Location Address or Lot No. U 6 c. r 13 tom-. Ow er's Name,Address and Tel.No. J /_
v• a 7� Z
Assessor's Map/Parcel �/_ �� 1�6 g+c c -, i �0 09, PS� , �� G '/93
r Installer's Name,Address,and•Tel.No. Designer's Name,Address and Tel N
�Y r+ �� 3 t~ /�/
TI pe of Building:
Dwelling No.of Bedrooms Lot Size I'G fAsq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow f -r O gallons per day. Calculated daily flow s G gallons.
Plan Date 7 Number of sheets Z' Revision Date
Title
Size of Septic Tank /S—U Type of S.A.S. 3 Z A
Description of Soil
t>
' Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environ al Code and not to place the system in operation until a Certifi-
Cate of Compliance has been issue s Board of alth.
Signed two €; t Date 3 106i
Application Approved by I Date
Application Disapproved for the following reasons
Permit No.�O�'S G Date Issued 91 " Z
-----------------------------------------—
THE COMMONWEALTH OF MASSACHUSETTS a
BARNSTABLE, MASSACHUSETTS
(Certiftcate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( Repaired( )Upgraded( )
Abandoned( )by
at /SZJ C—a"r r S ,.- Gvt e O s T y 6 L E has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.Tzzw` 5 t6 7 dated 5
Installer Designer
The issuance of this pe t s all not be construed as a guarantee that the syste 1 function esigne .
Date y 7 0I Inspector
---------------------------------------
No. SG Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Mi5pooar"tem COugtruction Perron
Permission is hereby granted to Construct( )Repair( )Upgrade( lAbandon( )
System located at
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permt.
Date: /l/ - " ev Approved by
I
STRATTON
RESIDENCE
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bC is OI3 tY TTOT-I1t3)(✓ LOG Hole# P�lac TEsr L7 AT i�
Depth from Soil Horizon. Soil Texture Soil Color Soil Other ^. ,
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. J U Its 3 t Z�UQ
Consistency, Gravel)
U.�!t`I'le�S �. l�onr.a ►Ylorunc�i
_. .9o+Vcm o4. Tcs+ Hole
_ £1 I L to CNo
Solt 4-0 pr,►? ('�Vc. 44 all Pcas r+c
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Dev�>�PEp PAo Fri LJT
- $a tiom of T-cst {`Iola El i I,G
No way- SITE , SEPTIC PLAN!
OF LOCATION s ISO Gariso:� l.an�� Os�rui U
MgsS9D SCALE*- N/A DATE : IJZZ-lob
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p� TEPHEN yG . PLAN REFER.SWCE' L-"c..c Z&44-c16
A rT1A55�SSoRS MAP: 114 PARC—C (b
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�v%ri6 APPIrCANT=_.IJav>c� 1.. 5tru-{�-�✓►
GIST
ss N�'�
!oruAL Ei BAXTER,NYE &HOLMGREN,INC.
+ 812 Main Street
Osterville,Massachusetts 02655
ff Sc♦s "from boildvtg5 she�ltj het be use-j
to c'stalol�sL. j- -op-ri� I�nu. ?ob No: �i91 4 1
• Town of Barnstable P#
Department of Health,Safety,and Environmental Services
�T►+�% Public Health Division Date
Q,l 367 Main Street,Hyannis MA.02601
BARNar'ABr$ Z tb
Date Scheduled Time� Fee Pd.Soil ity ASsessmen for Sewage.Disposal
Performed By:-�5}e."c cgy,1 men Witnessed By: Morrl•\cQ;
QCA'IIO CEtERAL tNFORNtATtO.N
. :
Location Address 15 0 Owner's Name e
�rrt sa. tl.l..�rc, NaYtc,� .,rt�i�t
Oshv' Address 13& Roc►c i?,Q t�ksha., \
O
Assessor's Map/Parcel: (!} 1P, Eng''meer's Name f�6YIr Aloe f Hd%rA3rrr
NEW CONSTRUCTION REPAIR Telephone N 44 ZSr-9 1 31 ex t° 13 U�
Land Use i' Ic s ..R Q H h z I Slopes(%) Surface Stones ri orZe
Distances from: Open Water Body ft Possible Wet Area R Drinking Water Well R
Drainage Way ft Property Line R Other It
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
,�. .. �;•�`••�•'•�.:'�� � . :.; 1. ..
ar aJ \V ur 1
eta aea,4! tar •1 !J �•� „�ue ♦i • �> `.
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as °n.r : '+. •n. \ a�, � > `��. ♦�'J' \ ��
ea. raal•rtlll a ru • roe ,Jd >+ IJ ZWF All .,•1J
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ra. nJ r.. rar Mtl rt: '!° -• • • \•t.,a�.` I• Ye� \ A
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•a•aJ � na n.�l-• a t'I.p'r•a+..r ,aaa°•+ +:e �'�\",a� �.t Yea';� l�
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a„J ` a tl.r _J. •ne rtl°MiiarJ !I a l,{1a~p. •`\l•n ,\ '�\�}�• ,
a. •4, , � as. ra! ar ; LG�• , -�y \\.,
•�� br rL •fir a4r 'ra ��A ly J/141D
`� na nJ a.r aJJ ee • m •u.♦� � 1A• �µ��q�b
,r •ry.0.
a rp rJ J� ry
w I =:.p C a•
PIT
Nor .70
Parent material(geologic) G l me,z( Q+4 r s(,i Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
.Estimated Seasonal High Groundwater it Z, ►.1C.0,C) YYl N�J
: ETET2NATYt'�I ':Utt EASUA ,: D:'VVATER.TALE
Method Used: :...............................................
Depth Observed standing in obs.hole: in. Depth to soil mottles: in,
Depth to weeping from side of.obs.hole: _-._ in,-:Groundwater Adjustment __ -- _ .P•
Index Well#_ ....... .Reading Date:.___.._._ Index Well level ._._i_ Adj.factor Adj.Groundwater Level
PER+Ca; .ATI:t7�.N;:.TEST::.::::;>::::,;:<::::�ate»7.;Ex;<;>:.;:<Tllae: f
..............................................................................................:....................:....:...
Observation /
Hole# =1 Time at 9"
Depth of Perc - . C> Time at 6"
Start Pre-soak Time Q 1/ Time(9"-6")
End Pre-soak U-abk 429 sa�uya_ 'ra
Rate Min./Inch
Site Suitability Assessment: Site Passed_� Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back
Copy: Applicant
I
:I tfl5XtVAT10NIlJ►L :LOO: TiCtiYe#
Depth from Soil Horizon Soil'rexttim Soil Color Soil Other
DA)
Surface(in.) (US] (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel)
Sr� L_o;I-o^ I b y t2 "VI
10 t`j� 1/
l+ 1`'.. WG
v
DEEP OBSERVATION HOLE LOG Hale
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel)
8�� (�BSEA `IOl�tbL t,OG Dole
Depth from Soil Horizon . Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
°o ravel
... ...:. ..::
AI'aEP;OBSEBVATION> IOI. LOG Ilvle# .
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling .(Structure,Stones,Boulderes.
Consistency,° Gravel)
Flood Insurance Rate Mai,
Above 500 year flood boundary No_ Yes ✓ ,
Within 500 year boundary No ✓ Yes
Within 100 year flood boundary No_ Yes l�
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious.material exisfin all.arlm observed throughout the
area proposed for the soil absorption system? Y.�,
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on A- —(date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Date
Signatures 7 �8 C�CJ
�' .
i
DATE-
PROPERTY ADDRESS: 150_Garrisson-Lane _—_—
Osterville ,Mass .
S EP 1 7 1999
02655
�oFa---------------------- s�
#E4L*W
On the above date, I Inspected the septic system at th £ s•
This system consists of the following:.
1 . 1-1000 gallon septic tank. 4 . Cottage has i-i000 gallon precast
2. 1-Distribution box leaching pit . Pit overflows to the leach
1-1000 gallon leaching pit . Main House . in g pit for the main house .
Based on my Inspection, I certify the following conditions:
1 . Main house has title five septic system. ( 78 Code )
2. Cottage has a leaching pit that overflows to the leaching
pit o.f the main house system. This is prior 78 code .
3. The two systems are in proper working order at
the present time .
SIGNATURE: IJ _
r�------
Company: Joseph_P. Maco.mber_& Son , Inc .
Address:_ Box-66 ...........
Centerville , Ma ._02632-0066
Phone:...508_775_3338_______
THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
•
JOSEPH P. MACOMBER & SON, INC.
Tanks-Cesspools-Leachflelds
Pumped & Installed
Town Sewer Connections
P.O. Box 66 Centerville, MA 02632-0066
775.3338 775.6412
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET,BOSTON MA 02108 (617) 292.6500
TR LTD Y C
Sect
ARGEO PAUL CELLUCCI DAvID Corn 8TA
:rts
Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM
PART A
CERTIFICATION
Pv.p..�Adclra„: 150 Garrisson Lane Name of owna<Jane Rizzo
Osterville ,M ss . 02655 Addraaa of owrw:
Dou of Inspection: 971 6/99
Nam.of Lupector:(Please I'Ant) Joseph P.Macomber J r .
1 am a DEP oved system Inspector warn to Ssctton 16.340 of This 5 (310 CMR 16.000)
cort,p,any Nam.: J.T.M a comb e r & Son Inc .
I.(aMngAddraas: Box 66 Centerville .Mass . 02632
Taie0wn4 Number: . Q 2_7 7 3 2 3
CERTIFICATION STATEMENT
I cersity that I have personally Inspected the sewage disposal system at We address and that the Information reported below is true, accutste
and complete as of the time of inspection. The Inspection was performed based on my training and experience in the proper function and
maintenance of on•slts sewage disposal systems. The system:
/Passes
Conditionally Passes
_ Needs Further Evaluation By the Local Approving Authority
Fail
trupector's Sigrtayr Data:
The System Inspsc shall submit a copy of this Inspection report to the Approving Authority (Board of Health or DEP)whhin thirty (30) days
completing this Inspection. If the system Is a shared system or has a design flow of 10,000 gpd or greeter, the inspector and the system o»
' shall submit the report to the appropriate regional office of the Department oft£nvItonmantal Protection. The original should be sent to VW
system owner•and copies sent to the buyer, If applicable, and the approving authority. '
NOTES AND COMMENTS
revised 9/2/98 Pagc I of 11
%j? Pmisd oA It"14d raa,
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
PropertyAddrass: 150 Garrisson Lane Osterville ,Mass .
Owner: Jane Rizzio
Date of Inspection: 9/16/9 9
WSPECTION SUMMARY: Check A, B, C, or D:
A.,, SYSTEM PASSES:
i have not found any information which Indicates that any of the failure conditions described In 310 CMR 1.6.303 exist. Any failure
criteria not evaluated are Indicated below.
COMMENTS: No one has been living o onhs been i n the hn„n the h�„tee fnrr turoTears .
B. SYSTEM CONDITIONALLY PASSES:
/ t One or more system components as described in the `Conditional Pass" section need to be replaced or repaired. The system, upon
completion of the replacement or repair, as approved by the Board of Health, will pass.
Indicate yes,•no, or not determined(Y, N, or ND). Describe basis of datermination in all Instances. If 'not determined', explain why not.
The septic tank Is metal,unless the owner or operator has provided the system Inspector with a copy of a Certificate of
Compliance(attached)Indicating that the tank was Installed within twenty (20) years prior to the date of the Inspection: or
the septic tank, whathsr or not metal,Is cracked,structurally unsound, shows substantial Infiltration or exfiltrstion, or tank
failure is Imminent. The system will pass Inspection If the existing septic tank is replaced with a complying septic tank as
approved by the Board of Health.
/!ID Sewage backup or breakout or high static water level observed in the distribution box Is due to broken or obstructed pips(s)
or due to a broken, tattled or uneven distribution box. The system will pass Inspection If(with approval of the Board of
Health).
broken pips(:)are replaced
obstruction Is removed
distribution box is levelled or.replaced
- The system required pumpMg-non than•four-timas wyeardue to broken or obstructed pipe(:). The rystem wili-Imn•'r
Inspection If(with approval of the Board of Health): -
broken plps(s) are*replaced
obstruction is removed
40
revised 9/2/98 Page 2ofII
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 150 Garrisson Lane. -06terville ,Mass .
Owner: Jane Rizzio
Dew of Inpecti«39/16/9 9
C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WiTH 310 CMR 15.303(1)(b)THAT THE SYSTEM
IS NOT FUNCTIONING IN A MANNER WWCH..WILL.PRQIECT THE PUBLIC HEALTH.AND SAFETY AND THE E7it1t ONMEWT:
AM Cesspool or privy is within 60 feet-of surface water
Cesspool or privy Is within 60 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBUC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS
FUNCTIONING IN A MANNER THAT PROTECTS THE PUBUC HEALTH AND SAFETY AND THE ENVIRONMENT:
A[lr The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or
tributary to a surface water supply.
The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 60 lost of a private water supply well.
The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 60 feet or more from a
private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the
well Is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen Is equal to or less
than 6 ppm. Method used to determine distance /1'/`� (approximation not valid).
3) OTHER
i
revised 9/2/98 Page 3of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 150 Garrisson Lane Osterville ,Mass .
Owner: Jane Rizzio
Date of Inspection:9/17/9 9
D. SYSTEM FAILS:
You must indicate either"Yes" or"No" to each of the following:
I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this
determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure.
Yes No
"or system componerrtdue�to an overloaded orcbgged SASor•cesapod
Backup of•sewage intofeciRty .
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 lev I in t e distn on b above outlet invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in 0ee6Peel is less than 6" below invert or available volume is less than 1/2 day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped&
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
1Z Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool or privy is-within a Zone I of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
••coliform bacteria,volatile organic-compounds, ammonia nitrogen-and nitrate nitrogen. -
E. LARGE SYSTEM FAILS:
You must indicate either "Yes" or"No" to each of the following:
The following criteria apply to large systems in addition to the criteria above:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public
health and safety and the environment because one or more of the following conditions exist:
Yes No e�,
the system is within 400 feet of a surface drinking water supply
o the system•is.-within 200 feat Of•a-4fibuta►V40-64uFfao"Fi►rki►►g+i MMOUpPly
�U the system is located In a nitrogen sensitive area(Interim Wellhead Protection Area=IWPA) or a mapped Zone II of a public
water supply well)
The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional
office of the Department for further information.
revised 9/2/98 Page 4orii
i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Propertyaddress: 150 Garrisson Lane*. Osterville ,Mass .
Owner: Jane Rizzio
Data of Inspection: 9/16/9 9
Check if the following have been done:You must indicate either "Yes" or"No" as to each of the following:
Yes No
Pumping Information was provided by the owner,occupant,or Board of Health.
_ •None of the system compoaents.bawbaan puwMwd4oFst•Jeasi two•aweaka andAhe'uystem hasbaeoaacataiag wasaW Jlow
rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this
inspection.
_ As built plans have been obtained and examined. Note If they are not available with N/A.
_ The facility or dwelling was inspected for signs of sewage back-up.
The system does not receive non-sanitary or industrial waste flow.
_ The Site was inspected for signs of breakout.
Y _ All system components,4i�cluding the Soil Absorption System, have been located on the site.
_ The septic tank manholes were uncovered, opened,and the interior of the septic tank was inspected for condition of baffles
or tees, material of construction, dimensions,depth of liquid, depth of sludge,depth of scum.
The size and location of the Soil Absorption System orrthe site has been determined based on:
_ Existing information. For example, Plan at B.O.H.
_ Determined in the field(if any of the failure criteria related to Part C Is at Issue,approximation of distance is unacceptable)
(15.302(3)(b))
The facility owner.(and.n^_ span±-.Jf differaot frnar.owrnaJJ.wrerapJv�ridad.wIth SnfnrMatiomDn thA prnpar main}en f
Subsurface Disposal Systems.
1
I
i
I
revised 9/2/98 Page 5of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 150 Garrisson Lane Os,terville,Mass .
Owner: I Jane Rizzio
Date Of won 9/16/9 9
FLOW CONDITIONS
RESIDENTIAL:
Design flow: �/Q g.p.d./bedroo
Number of bedrooms(desi n Number of bedrooms(actual):
Total DESIGN flow N . .
Number of current residents:
Garbage grinder(yes or no):
Laundry(separate system) l es or(9_; If yes, separate.inspection.required --.
Laundry system inspected es or no)
Seasonal use(yes or no): T
Water meter readings,If available(last two year's usage(gpd):
Sump Pump(yes or no): d41 y✓,4.ely
Last date of occupaney: lr¢tp
CO M M ERCIAL/INDUSTRIAL:
Type of establishment:
Design flow: AA,4 gpd ( Based on 15.203)
Basis of design flow AA
Grease trap present: (yes or no)
Industrial Waste Holding Tank present: (yes or no),&�
Non-sanitary waste discharged to the Title 5 sy�tam: (yes or no)Lf//9 -
Water meter readings,if available: i(J
Last date of occupancy:
OTHER:(Describe) --
Last date of occupancy:_
GENERAL INFORMATION
PUMPING RECORDSS aannd our a of information:
ilke
Id
System pumped as part of inspection: (yes or no)_
If yes, volume pumped:-gallons
Reason for pumping:
TYPE OF YSTEM
Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system(yes or no) (if yes, attach previous inspection records,if any)
I/A Technology etp.Attach copy of up to date operation and maintenance contract
Tight Tank /� Copy of DEP Approval
Other
APPRO)aMmA AGE of all components, date installed,44 known)-and source ot4nformation: y9N- �
Sewage odors detected when arriving at the site: (yes or no)�p
revised 9/2/98 Page 6orn
� J
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 150 Garrisson Lane Osterville ,Mass . ,
Owrw: Jane Rizzio
Date of Inspection: 9/16/9 9
BUILDING SEWER:
(Locate on site plan)
I
Depth below grade:
Material of construe on: st fro 40 P C other(explain)
Distance fro��r ate Wafer supply well or auction line /d
Diameter
C mments:(condition of joints,venting;evidence of leakage,-etc.)
Joints appear tight . No evidence of. leakag` .
SEPTIC TANK.-JOW
(locate on site plan)
Depth below grade:
Material of construction: concreteWAmetaLj29 Fiberglas3o"Polyethylene4 ,other(explain)
If tank Is(natal,list age AA Js.age•confirmad by Certificate of Compliance_(Yes/No)
Dimensions: y6"Z og
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffie z
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:-tLl�
Distance from bottom of scum to botto of outlet as or baffle:z-
How dimensions were determined:
Comments:
(recommendation for pumping,condition of inlet and outlet tees or-baffles, depth of liquid level In relation to outlet invert, structuroHntegrity,
e de co of leakage, Pum Tank ever 2-3 ears'
VnTet & outletetc.( ees are present .The tank is structuraiiy sound
and shows no evidence of leakage
GREASE TRAP: L
(locate on site plan)
Depth below grade:-Ve
Material of construction Aldconcrete4LfmetaKW FiberglassdX PolyethylenWl/
N4 other(explain)
Dimensions
Scum thickness: TV
Distance from top of scum to top of outlet tee or baffle:--4)—A
Distance from bottom of c}�m to bottom of outlet tee or baffle:
Date of last pumping: 74
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet Invert, structural integrity,
evidence of leakage,etc.)
rease trap is not present .
revised 9/2/98 Page 7or11
r�
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
ProwtyAddress: 150 Garrisson Lane Osterville ,Mass .
o' nw: Jane Rizzio
Data of k"pectio":9/16/9 9
TIGHT OR HOLDING TANK:4Q&(Tank must be pumped prior to, or at time of, inspection)
(locate on site plan)
Depth below grader
Material of conatructionAaconcretah metaliFiberglassNAPolyethylened/other(explain)
Dimensions•
Capacity: gallons
Design flow: gallons/day
Alarm present
Alarm level: Alarm in working order:YesAl,* No(M
Date of previous pumping:_IM
Comments:
(condition of inlet tee, condition of alarm and float switches,etc.)
Tight or holdin2 tanks are not present .
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet invert
Comments:
�note•if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) — -
istribution box has one lateral .No evidence of solids carry
over . No evidence of leakage into nr n„t of tha bn,r
PUMP CHAMBER:1,11(f e,
(locate on site plan)
Pumps in working order:(Yes or No) A)A
Alarms in working order(Yes or No)_w
Comments:
(note condition of pump chamber,condition of pumps and appurtenances,etc.)
ump .c am er is not present .
revised 9/2/98 Page 8of11
SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(corrdnued)
PropenyAdde"j: 150 Garrisson Lane Osterville,Mass .
wr owr : Jane Rizzio
Date of I-l"c"ion: 9/16/9 9
SOIL ABSORPTION SYSTEM(SAS):
(locate on site plan,if possible:excavation not required,location may be approximated by non-Intrusive methods)
If not located, explain:
Type:
leaching pits, number:,
lasching chambers,number:
leaching galleries,number:
leaching trenches,number,length'
leaching fields,number, dimensions:
overflow cesspool,numben-1
Alternative system: (fjj(� IOi.
Name of Technology:Comments: Fnwo'
(rtote condition of soil, signs of hydraulic failure,level of ponding, damp soil,condition of vegetation, etc.)
Loamy sand t0 boney soil to medium fine ggnd - Wn -g_ignq
CESSPOOLS:
(locate on site plan)
Number and configuration:
Depth-top of liquid to Inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater:
Inflow(cesspool must be pumped as part of Inspection)
• Ce.-,g,pool a qrp notprincent
Comments:
(note condition of soil, signs of hydraulic fallure,.level of.ponding,condition of-vegetation, etc.)
essDoo s are not =regent
(locate on site plan)
Materials of construe 9n: yam' Dimensions: �l�
Depth of solids:
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation;etc.)
Privy is not present
revised 9/2/98 Page 9of11
n
SUBSURFACE SEWAGE DISPOSAL SYs'mm INSPECTION FORM
PART C
SYSTEM WFOR)dAT10N(condrx►ad)
Prop*M Addraa:
O wn.r:
Date of 4upoc-don:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Induds tles to at Fast two pormanent reference landmarks or benchmark&
locato all wells wlWn 100'(Locate whore public water supplY comas Into house)
s7o.�a 41.4e., I• p o I
N
T
revised 9/2/98 Nit 10of11
r
s� •-
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
PropwyAddrasa: 150 Garrisson Lane Osterville ,Mass .
Owrw: Jane Rizzio
Data of Inspection: 9/1 6/9 9
NRCS Report name
Sob Type_
Typical depth to groundwater
USGS Date websits visited
Observation Wells checked
Groundwater depth: Shallow Moderate Deep _
SITE EXAM Slope
Surface water
Check Cellar
Shallow wells
i
Estimated Depth to Groundwater Feet
Please indicate all the methods used to determine High Groundwater Elevation:
_je/obtained hom Design Plans on record
bserved.Site (Abutting propert servation hole, basement sump etc.)
determined from local conditions
_ZChecked with local Board of health
Checked FEMA Maps
__E/Checked pumping records
_�ZChecked local excavators,Installers
Used USGS Data
Describe how you established the High Groundwater Elevation. (Must be completed)
Used water contours Map .
Gahrety & Miller Model
12/16/94
revised 9/2/98 Page 11 of 11
a•w+1nn rnfr�rT�a.nrtm.nmrrr-nn rtr+.rnlr:1+••rTfa.r►ITRePnn9tsarr+t7+tio�rnvt/t1� 7'RT'rr.T.+-m�:i..tr.r••t
TOWN OF Barnstable BOARD OF HEALTH 1
- an-.• -.:._T,n_•, ,SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION I
-TYPL OR PRINT CI.EARL1'-
PROPERTY INSPECTED
STREET ADDRES$ 150 Garrisson Lane Osterville ,Mass . '
ASSESSORS MAP, BLOCK AND PARCEL # DD
OWNER' s NAME Jane Rizaio
f�
PART D - CERTIFICATION
NAME OF INSPECTOR Joseph P.Macomber Jr .
COMPANY NAME J. P.Macomber & Se-ti 'Inc .
COMPANY ADDRESS ' Box • 66 Centerville ,Mass . 02632
Street Town or City Stat• LIP
COMPANY TELEPHONE (508 775- 3338 FAX ( 508) 790- 1578
fa
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal. system at
this address and that the information reported is true , accurate, and
omplete as of the time of .inspection . The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent
with my training and experience in the proper function and maintenance of on-
site sewage disposal systems .
• n : ilf:C1,
Check one:
SysteLd PASSED
The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or the environment as defined in 310 CMR 15 , 303 . Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section of
this form.
System FAILED*
The inspection which I have con tcted has found that the system fails to
protect the public health and the environment in accordance with Title
5 , 310 CMR 15 , 303, and as specifically noted 'on PART C - FAILURE
CRITERIA of this inspection form .
ZInspector Signature iL Date
ecopy of this tification must be provided to the OWNER, the BUYER
Dn
where applicable ) and the BOARD OF HEALZ'li.
If the inspection FAILED, tht owner or" perator shall u pgrade ' tho system.
within o•n "�e year of the date of the inspection, unless allowed or required
otherwise as provided in 3.10 CMR 16 . 305 .
partd .doc '
� 1�� THE�C®�MON®A®H�OF�ACSSA;HUSETTS
ASS G
( .-------••-•----OF......�.� .... ..............................
Alipt ratio t for MoVaaia1 Varkv Tongtrurt€on Frrutit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at: � t.
-L. 1-7 9.....GAR-I �se^r A�✓ _- u �a�vNo
...............................
Loc,fo -Address or Lot No.
.A QQ C
...........................................
...................... Address
Installer Address
dType of Buildin Size Lot............................Sq. feet
aDwelling No. of Bedrooms.A...................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ' 1(- ....... No. of persons...... ►:^.............. Showers Cafeteria ( )
� Other fixtures ....................................................------------------------------------------------•-----•-•------------------------------•-•------
Design Flow................. .. . gallons per person per day. Total daily flow.............Z+-OQ....._.....___.gallons.
WSeptic Tank Liquid'capacityl#d*.gallons Length_...___„__.___.Width................ Diameter................ Depth................
Disposal Trench—No_____________________ Width..,_._..__�___._y__. t e� ...__............. Total leaching area...___....._........s , ft.
x p f_ •'IT 1 � � g q
Seepage Pit No......... ......... Diameter__ .O��t..__.. ept low. t.........._,..:,,_v Total leaching area__._...___________sq. ft.
Z Other Distribution box ( ) Dosing tank, ( ) �"
Percolation Test Results Performed by.-__---•-a'_:"__:___•_•_____.
' - -•-----•-•----•---------------•---•--•---. Date........................................ .;
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
_=
- p
0 Description 9f S ......
G ¢ '7Y - -----------------------
U Nature of Repairs or Alterations—Answer when ap >cable...............•_..._.._____._.._______.___..__.....__...............__..____:__.._.________.._.
-----------------------------------••---••--------------------------•-----------------••--•--•--...---------•-------•-----------------------------------------------------------------------•-------••••
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage.Disposal System in accordance with
the provisions of Article 1I of the State Sanitary Code— The unders" ned furt agrees not to place the system in
operation until a Certificate of Compliance h sued by the bo f
Signed -.....------ •-------•-- = ?.�.�.....
ApplicationApproved By.................................................................................................. ---------------------------------......
Date
Application Disapproved for the following reasons------------------------------------------------------------------------------------------------•----•=----_-----
'ry Date
f
Permit No......................................................... Issued_-- - ...... ...........................
Date tl
-------------------=JS. ------------------- --------- - - - {
NoA ...................
Fus... ... ....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............................
ip4f Appiiratio for � � Wo
rks
(� � r t mt#
4 Application is hereby made for a Permit to Construct ( ') or Repair ( ) an Individual Sewage Disposal
System at ..............
j 4
-wl
C....L......... ..... ........d .........:c..}'_.... .. .......... ................................................................................
-Location-Address - or Lot No.
.......... _ ......... .............. . ..............................................
r Address
r'
Installer § Address
.,fig,# "
Type of Building Size Lot............................Sq. feet
U i
Dwelling No. of Bedrooms. .........Expansion Attic ( ) Garbage Grinder ( )
Other T: e of Building ._.___.__ Showers — Cafeteria
a YP g a, cNo- of persons.----- ( ) ( )
Other fixtures ...........................
W Design Flow.................. _.._•-______-___--gallon s per:person per day. Total daily flow.___.___.._... __ ..................gallons.
WSeptic Tank*Liquid capacity1 r?!_gallons Length:............... Width................ Diameter................ Depth................
xDisposal Trench—No.....................'Width Total Len h _ Total leaching area....................sq. ft.
r
Seepage Pit No........ ......... Diameter ? ! ..... Dept li' o v' let........ ......... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank
Percolation Test Results Performed by.............. ----------- ••••-----•--........._......... Date.........................................
aTest Pit No. 1................minutes per inch Depth of`Test Pit.................... Depth to ground water..............--....--..
(i Test Pit No. 2................minutes per inch Depth'of Test Pit.................... Depth to ground water...........---..........
---•• ; w r ............. •-•-----•-•--••-
O Description pf Soil., ;_,. t i C` --
U ............. --. --- ...... - ,,
U Nature of Repairs or Alterations—Ans er when ap cable................................................:.•.__-_•-.•••••................__._.._...___...
------------------------------------------------------------------------•••--------------...-----...-----------•-----------------------------------------•--•-------------------------------------•--•--
Agreement: j
The undersigned agrees to install the aforedescribed Individual Sewage Disposal ;system in accordance with
the provisions of Article XI of the State Sanitary Code— The undelsi,ned furth�eagrees not to place the system in
operation until a Certificate of Compliance ha :ee sued by the bo d
. -J S
if
Iles ' "'� " '.° -----•-•--
Signed•-- ��� I . . -•
y Date
Application Approved By....................
........................................
,F Date
Application Disapproved for the follow ng reasons:... -------------•-------------------------------------=--------••--••--•••--:•••-
...................................•-•----•-------------------..........................................................................................................................................
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALTH
. ..........OF.....
&rtifirab of outp ianre
THQ IS TO C FY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
t nstaller
at7......... r
has been installed in ac rdance with the provisions.of Articl . I of The State anitary Code as described in the
application fqr Ds osal.Works Construction Permif No. _ _..*t'. dated_-... .- _ """"
P ?' t`--------- t ........
THE ISSUANCE OF THIS CERTIFICATE SMALL NOT EE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.. ........... Ynspector---••--------.._.... •-----•--...... ....
HE COMMONWEALTH OF MASSACHUSETTS
BQXRD . O0= HEALT
....
No_ ------•
Y FEE. .............
Permission is hereby granted t ."-----
r -•--•� .......
to Constr tt ,( , Rep ' an ividual ,yw ge sposal eip,
at No..._ '�"� .....L � _......
treey �
as shown on a application for Disposal Works Construction it 'N Dated.. •. .,� ji. `.......:
Boa of H al
DATE-- ---A2 --
. 3
FORM 12 5 HOBBS & WAR'REN..INC.. PUBLISHERS - -
• LEGEND
{ ?� LEACH PIT EXISTING HYDRANT WEST o
�r ZONES
-1 & A.P.
(Ji QQ SEPTIC TANK � WATER METER RF BAY �
O DISTRIBUTION BOX Uj
ELEC. METER BOX
� RESIDENCE F-1 LOCUS Y CM LIGHT POSTMUMS
- TELEPHONE & ELECTRIC POLE @ TEST PIT AREA =MIN 43,560 S.F.
�� a
� WIANNO
® CONCRETE OR STONE BOUND FOUND IN POSITION ALA MARSH OR WETLAND
FRONTAGE = 20' o F / r
® BOUND FOUND OFF OF POSITION GV WIDTH = 125
CONTOUR M GAS VALVE
,�, FRONT SETBACK = 30'
- EDGE OF PAVEMENT 5C7.;� SPOT GRADE
SIDE SETBACKS = 15' Z
D.E.P. # SE-3-0820; Dock REAR SETBACK = 15' SEAVIEW A�
D.E.P. # SE-3-1052: Dredge, Bulkhead, Ramp & F oats
LOCUS MAP
SCALE 1 = 2,000'
ASSESSORS MAP 114 PARCEL 6
4.4
1.6
I �
!r. 0.0
4.3`
t L 5.3
12.6 �
10 _
2.7 1 -.8.4 0,5 DESIGN DATA
12.2 5, 4,3 y
0.� 12.3 2.5 �`, :�� -^ _� ♦ 7' 5 SINGLE FAMILY- 5 BEDROOMS
13.1 .8 4 �� 4 4' 6 `sR�, ��otii NO GARBAGE GRINDER
��. DAILY FLOW = 110 X 5 = 550 G.P.D.
1`f�2 ` ` C. SEPTIC TANK =
,4 12.9 ��• �9' 330 X 200� =1100 G.P.D.
13.4 ez9� - --'" T 3�.p%, 4.7 1.5 USE 00 GAL.
AIP Sc LA�t'l.���JG ��, ��4 15 SEPTIC TANK
' .,•a�4,�.�vR >, o`k -� "t� 0 14.5`� '� g% /1U.$ �� ,
yf� `��L2 '`S '��' 1O 10,9 /10 7;. `r \ ,
20.2 ��t <a`°�`. 20 s \ 9> O � DE93GN
, 0.8
L9 M H ` ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED
-'� ,` _ ,� i ��'• 1 ►I `` W. �A USE 3 - 4" DISTRIBUTION LINES IN AN
C�?r!C . i f. S_ �� , 6' _____ 0 141.E �: 4''2 N
2000 18 24'X 32' WASHED STONE FIELD
20.7 I 8 o iff9 6,7 ,; I ,�g; AS SHOWN
\ <'' _. 550 G.P.D. 74 = 743 S.F. OF BOTTOM AREA REQUIRED
s 2�2. /.
Q 19.9 USE 24'X 32'= 768 S.F. AREA PROM ED
:9 ., 6�, ` ., ��\...__ � ,`� ZONE A11 . _� �_ 1.3 �
20'S ♦ r ? 0 17.7 ` •��; 15 10" N � CLASS 1 SOIL PERCOLATION RATE 1" IN 2 MIN. OR LESS
20.5 \LAWPJ RFt�
1.
- 4.5 WETLAND
21.3 ._ ~� R�; ���DFNC�Rc?N PLi�;fi�TitdG 16,91 OA ♦� ` ,
/ -- -- �' ♦ ��% _ I.P. FNC1. \
19.7 18.30 18.9 ` `2 7.8 `6 4 ` ,ice
21A / 019.4 �C. 40 `9,8 �.,' , ,&
y T 1 f� ' 4 �b
/ .•. I.3 „1 SC1. FT ^/F:TL Q ID � ., _ \ 12,? ` ,\' LS
N 58,`s`.�2 SQ. FT. UP ND 4` o ? O` ♦ oll
' ° 4,4
71,985 SQ. FT. TAL 20.0 �� ` 20.2 FI_AC� P •� � I A� ! �
;TI<, ��'f 2 1 19.3 153 Z ME
_ -_ ___. _ . 2.1 0 21.7 1.65 AC 9 6 ;' tJ ♦
� ' B ° aa �
C.Es. FND. LIMIT �F '
? 'WORK
I.5' DOWN + 21.8 21.8 1 PROPOSED i� ` ' ��,V � 1� ♦ 19,5 ��` 19,1 ♦ ?� o
+ 1 SEPTIC - ° 13;7 ♦ TOP OF COASTAL BANK
;
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PREPARED FOR
' .4 ' pRIVEWAY
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0 23.2 _ 21,4 TITLE
P bP D LEA TREES
�FlE 24 x3: L' � '' "" PROP. L.P. FOR POOL
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21.3 Wetland Permit Plan; Propo$ed House
22,6 2 +
x' NOTES
22.2 0 22.�
22.9 2.4 2.7 22.0 N 22.4 -
23.2 LAWN
DATUM NGVD
CI
MIUL t:H
23.1 ' 0 23.3 22.7 ,; a2 .20'�� vti ���' ��' R _.,t` NN I FLOOD
D16 OFN25 NE BAXTER, NYE & HOLMGREN INC.
22.8 !.�� a 2`' S61 0 ��
22,9 23.3 22.6 f` �' c ' PANEL NO. 250001-0016D
s�� U`Q�;�`���, 21i8 Registered Professional
22,72 9 4J 22.8 0 22.6 �� G,�f��rkk��`j �` 22.4 REV. DATE DULY 2,1992
22.9 22.7 a `� 100 YEAR FLOOD ELEVATION - 11.0 Engineers and Land Surveyors
�,6 23.5 812 Main Street, Osterville,Ma. 02655
23.2 #7 3 BENCHMARK 0 I - �. y EXISTING HOUSE, GARAGE, PATIO AND -
COTTAGE TO BE RAZED �P��H OF MAs Phone- (508)428-9131 Fax - (508)428-3750
23.0 � TOP OF SPINDLE � sqc�
23,3 Y EL. = 26.70 r g EPH N
3311
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23.2 G 23.6 �o ° rs ER`��.,� 20 0 20 40
1� 22,6 22.3 �_ 2� /�,-,� ,l ,,� 23.1_ '`FSS/ONAl-
2E�G\ SCALE IN FEET
3.2
1 .8" Z;9 22.1 ^ �, ' SCALE: 1 "= 20' DATE: 7/10/00
22.3 �,�^� ^' 23.3 `T
� 23.5
REV. DATE: REMARKS
N77 35�30�.`` ` 2.4 �y ^, 10 ,,2 .1 -1 - 8 9 00 Add leach pit for pool
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, �35,30„2,4 23.2
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