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0292 GRAND ISLAND DRIVE - Health
292 GRAND ISLAND DRIVE Osterville A =,052- 015 -002 / i fi i i ,� osa-ors-ooa. Commonwealth of Massachusetts Title 5 Official Inspection Form '( — �l�, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is Osterville MA 02655 06/10/2021 required for every _ _ page. City/Town State Zip Code Date of Inspection . Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information on the computer, use only the tab Michael T Bisienere key to move your Name of Inspector cursor-do not Cape Septic Inspections use the return key. Company Name 52 Rivers End Road rab Company Address Teaticket Ma. 02536 City/Town State Zip Code Q/ 508-280-3356 S13938 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails �! 06/10/2021 Inspe�Slgnat� _Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: This 6 bedroom home has an H-10 1000 gallon septic tank, an H-20 pump chamber, an H-10 1500 gallon septic tank, two D-Boxes feeding a leaching field with 35 infiltrators with no stone and 2 flow diffusors with stone. At the time of the inspection no visible failure criteria was found. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by .the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 - r Commonwealth of Massachusetts —, Title 5 Official Inspection Form �1� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments - � 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ 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 pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System,•Page 4 of 18 Commonwealth of Massachusetts ,r� Title 5 Official Inspection Form =1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments _ 9 P Y v � 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021. page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ .® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 f Commonwealth of Massachusetts l Title 5 Official Inspection Form tit Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 292 Grand Island Drive v Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. Cityrrown State Zip Code Date of Inspection Co Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form t.} Subsurface Sewage Disposal System Form Not for Voluntary Assessments 292 Grand Island Drive V Property Address Robert and Dorothy Boyle Owner Owner's Name information is Osterville MA 02655 06/10/2021 required for every page. CitylTown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 6 Number of bedrooms (actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 765.6 GPD Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ® Yes ❑ No Water meter readings, if available last 2 ears usage d town water 9 ( Y 9 (gP ))� Detail In 2020-232,000'gallons were used and in 2019- 182,000 gallons were used. Sump pump? ❑ Yes ® No Last date of occupancy: occupied Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18' ��, Commonwealth of Massachusetts Title 5 Official Inspection Form 11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i-h Subsurface Sewage Disposal System Form - Not for Voluntary Assessments I 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is re Osterville MA 02655 06/10/2021 wired for every Q page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 2/25/2019 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 1000 gal tank-21 1500 gal tank-22 Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line. town water feet Comments (on condition of joints, venting, evidence of leakage, etc.): Water was flushed and came freely. t5ins .doe•rev.7/26/2018 p Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form 4� , Subsurface Sewage Disposal System Form - Not for Voluntary Assessments . 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 `06/10/2021 ; page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1000 gal tank- 12" 1500 gal tank- 14 Material of construction: ®'concrete ❑ metal El 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: H-20 1000 gal / H-10 1500 gal Sludge depth: 21- , Distance from top of sludge to bottom of outlet tee or baffle 34" 35��e 1„ 1 Scum thickness Distance from top of scum to top of outlet tee or baffle ' 5" 5" Distance from bottom of scum to bottom of outlet tee or baffle 13" 13" How were dimensions determined? " sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): I recommend the new owner put the septic tank on a maint. plan with a local septic pumping co. based on the future use of the home. At the time of inspection the liquid level was at working level and the tee's were in place. t5in4p.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 c Commonwealth of Massachusetts r Title 5 Official Inspection Form l; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osteryille MA 02655 06/10/2021 page. City/Town 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day 15insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 f Commonwealth of Massachusetts ,�P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner wn r'O e s Name information is required for every Osterville MA 02655 06/10/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 01. 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.): At the time of the inspection the liquid level was at working level and there were no visible signs of leakage in both D-Boxes. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 +� Commonwealth of Massachusetts _. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 292 Grand Island Drive v Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): I ran the pump and tested the alarm * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 Flows ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 35 infiltrators ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 l , Commonwealth of Massachusetts b Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 292 Grand Island Drive u— Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osteryille MA 02655 06/10/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At the time of the inspection no visible failure criteria was found. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 aN Commonwealth of Massachusetts �x Title 5 Official Inspection Form I- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 292 Grand Island Drive Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts `title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 292 Grand Island Drive ''roperty Address -- Robert and Dorothy Boyle Ovaner's Name J _ Osterville MA 02655 06/10/2021 ' ity; own State Zip Code Date of Inspection ° System Information (coot.) 14. 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: aX� hand-sketch in the area below I j drawing attached separately e. is • F qu 5. u t �.c• s 7,2 /2C13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments QX 292 Grand Island Drive `V Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 9 plus feet 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: r ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: I augered a hole at a lower elevation and shot it with a transit to show 4 plus feet of seperation. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts !i7 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments E � 292 Grand Island Drive V Property Address Robert and Dorothy Boyle Owner Owner's Name information is required for every Osterville MA 02655 06/10/2021 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 (� TOWN.OF BARNSTABLE q LOCATION Q� k6ha br, SEWAGE# .20 I` VILLAGEr�, � ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. um SEPTIC TANK CAPACITY Q LEACHING FACILITY: (type) size) to z 4l NO. OF BEDROOMS pso Wh OWNER PERMIT DATE: COMPLIANCE DATE: 2 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Fac'lity(If any wetlands exist within I�` 300 feet of le c facility Lb Feet FURNISHED BY MA) :Fs1011)321, v a a Cad .72,�,, t>7 jq%`` yV'24 ,a g, s � 1 i _ No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes — . t PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppfltatioii for MispoSal *pstrm Construction VPrmit Application for a Permit to Construct( ) Repair( ) Upgrade AX Y Y Abandon( ) Complete System ❑Individual Components Location Address or Lot No. q; &AA �W.A �Owner's Name,Address,and Tel.No. Assessor's Map/Parcel S ,. nstaller's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size ��Gsq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requir d) gpd Design flow provided gpd Plan Date Number of sheets o Revision Date Title c n zfo s Size of Septic Tank Type of S.A.S. Description of Soil it l .q/y\ ��am t L� Nature of Repairs or Alterations Answer when applicable) ► r Date last inspected: Agreement: The undersigned agrees to ensure the.construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issue�by this Bo alth. igne 4Date 2 Application Approved by Date /a Application Disapproved by Date for the following reasons Permit No.C14 �o ? Date Issued N-6- 1 —/ f � .� 3 �,. ( Fee -50 4.• �.,_ e _ A r t THE.COMMONWEALTH OF MASSACHUSETTS Entered in computer Yes 'PUBLIC HEALTH DIVISION - TOWN_:OF BARNSTABLE, MASSACHUSETTS- y ., 01pplitation-for Misposar;*pstrm ConitrUttion Permit Application for a Permit to Construct( ) .Y Repair( ) Upgrade(\X Abandon( ) Vf Complete System ❑Individual Components Location Address or Lot No. n�� Y�h �TS !/7 'Owwner's Name,Address,and Tel.No. t Assessor's Ma&dreel �1 _G I - �.S --CI) ;`,�f L. F�l ' Jb��k (,ti _910,f1 cSCt-1°�"t 4 � h u rr, Installer's Name,Address and Tel.No. Designer's Name,Address;and Tel:No. � nrkS Est,Vobi;lhif_- 31 • _,r Fh0., *t r U Uhl ro. t 1<1M u-o--o13 Type of Building: - . Dwelling No.of Bedrooms _ Lot Size S,- sq.ft. Garbage Grinder(` ) -�oms Other Type of Building �� 1'�t)jkt No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ( I 1 gpd Design flow provided L_, gpd Plan Date Number of sheets e Revision Date .b. Tit.leAkwo s1'1/ 0_ 7 l Ii C /I C�( t - pw. r, Size of Septic Tank �r Type_of S.A.S. Description of Soil 11)(16 1 ojt r 4 f ) yy''L./'i))m�►�6 rd / f- Nature-of Repairs or Alterations Answer when applicable) r , ft Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o� I'I'ealth. r Sine _ I gn �-..----- Date { s Application Approved bye Date_--,*��_'$/Q ` Application Disapproved by Date for the following reasons R 1 ) Permit No. .*" l;.� Date Issued ' t ..'.i THE COMMONWEALTH OF MASSACHUSETTS z. BARNSTABLE,MASSACHUSETTS eeftifitate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded, ) Abandoned( )by tat /j h C►o►�if �r , has been constructed in accordance � - l with the pro sions of Title 5 and the for Disposal System Construction Permit Nq�CL /^ .--C, )dated -4 ) Installer m � _ /, / t i. Designer i,j_ f�yY i #bedrooms /7 1 Approved desi 1 flow ®J A d _ 'W gp The issuance of this ermit shall)not be construed as a guarantee that the system will ned.ction as desig At Date - 01 Inspectorl���l N` .� �� re d ------------ Fee THE COMMONWEALTH OF MASSACHUSETTS' PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal *pstrm Construction i3Prmit Permission is hereby granted to Construct( ) Repair( ) Upgrade(x) Abandon( ) System located at N Yld f, } and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. y - Provided:Construction mu't be co lerted within three years of the date of this pe it. YM Date G �'/1 ' 1 - Approved by k ` 1 Town of Barnstable o Regulatory S`erVices Richard 1. Scilr, Cnt:prim:.Director •\BARNST.aBLE, - MdSS'- . °oaA 039.,�m� Public IIealth;I)14 is orr 'I'bomas NIcKe'a,t, Director 20.0;Maur S4:reet,Hty:.rartis,z:�tA 02601 1 Office: 50S-862--1644 4 {{ j q `:Crrstall'er S t`Desiner Certillcatitria'I fain: Date: 4C.1_( 1_� S rmit# .?b1R' _) '� Asses.sot s 61.1 Z, 1)esgrrer, yin�c � 5 ��� I-rrstallerc: _ �: t+'t v�`S t acC .L'r� u„1C�: t Address: 12. Wi Crlkvv�s� 1�J I?�l —. : - flddress V. L3r:-, k On— l%f tf, �t�`+^ ti:as ksucd a perirrit to install a. {:datel � -i;`inst�iller) Septic system at �Z �Z1�•G J„ based on :a desiC7n, by (<ddtess) G'- +� rr2C'Tir? (1Jc �I(s 1fL(_ dated l certify that the septic system re-eienccdt above w-as installed ubstantially accorchi.] to the design,whrich may uiclude minor approved clian<;es St.lch as 1ater.a1 raelocatit�n of fire distribution box and/o.r septic tank, Strip out (if �v as inspected mid the sods' ' 'v5`Cre f0tlnd'satisfLactory. l certify that the septic system .re.letencedl above vas installed Nvit.h. major ehahges (i.e. greaten than,I Q? lateral relocation,of the SAS or any vertical:relo ;ation of any comporie;tt of the septica systeril) but in accordance�t tir State & l_oc�t`l Reg ilat.ioris,. Plaia r evisioir or certified as=.built U.ydes.igner to fo'lloay. Stiip Out Of required) was'ins}iectecLand flip sails were.found satisftictory, _ [ certify that the system refer-el l •abov_e zVas constructed in:e i < . �&A the teiaris, ot`tlie l:x t} prava(lettcrs'(aJ`ap})lic able) sary PEt�R�� "kn irrstallcc ryp,351t)9 . E (UesTmel'sSign,:ture) (:1111 .;l�csi nc tt PL.rASI`: RET[)ld.N TO 9Al2NSTAB:LE PUBLIC HEALTH I):I�'IS1ON. CI✓32'�'i.i+IC.OT.1> OF C'ONIPLIANCE WILL NOT .BE ISSUED UNTIL BOT11 TBIS:TORM. AND AS- BUILT C\1tD ARE RE•CV_`JVED BY THE BARNSTA-BI E PUBLfC IIE.ALr.n1 DIVISION; THAN-K YOU. E1:`.Sc,;ki � Sirmct•t:ertifit,aii�ii�' rnt hev�4-? i 1�.dt�e Engineers note:This certification,is limifed to an as-built in°pectien o!system components as i^stalled prior to backii!i.Tire engineer did not supervise construction of itie systern. Ine in;;aller assumes responsibility ser all ..a.erials,wor rnarsnip:backtiiling to specified parades with croper compaction and s2ttir.q raers:`cover s as shown on t!.e dasign plan. f Town of Barnstable. � Op1HE► Regulatory Services� ti Richard V. Scali,Interim Director i Y HA ASS,LO,MASS, Public Health Division F1AS9. ��''DrfoMpta`�� Thomas McKean, Director 200 Main Street, Hyannis,MA 0260.1 Office: 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternative Systems Property Address: 'Z 9 1 �'i' ray n ci �S 'Gt�lt� 1>'•"r vYC" Assessor's Map\Parcel: 05-"7 -- C is'—C3( Z Property Owners Name:' In accordance with Massachusetts DEP alternative system approval letters, the following certification information is required by the Owner of record. The Owner of record must place an "x" in the applicable box next to each line certifying the information. Yes N\A R" ❑ i have been provided a copy of the"Title 5 1/A technology Approval letters. �,�(15 page Standard Conditions letter and the specific technology letter) ❑ iJ I have been provided with the Owner's Manual ❑ ©1 have been provided with the Operation and Maintenance Manual 1 F,-I"I=or Systems installed tinder a Remedial Use Approval, I agree to fulfill my responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval ❑ 9/For Systems installed under a Remedial Use Approval, 1.agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR .15.287(5) �L ❑ If the design does not provide for the use of garbage grinders, the restriction is understood and accepted .*- L� ❑ Whether or not covered by a warranty, 1 understand the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or tine LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303 I > c c3 y/ _agree to comply with all terms and conditions above. Property 0 ners printed ame F1 rty Owl ignature Date Note. is form t be submitted along with the septic system disposal works permit application for all I\A systems including new construction repairs\upgrades d with an without aggregate (stone) and with conventional design criteria or credited design criteria. Q:\Septic\iA homeowner certiticltion.doc y lip�r'k- Y�(i '� • C3 �i i� �y C,�� L)��U+{�,l`(�+Y" V &--�j/. Cj1*T- t�Y:�r-��•�`y"�. ��i�Y f'p;,1"�'.� C.��r� �'\{ � T•L�iT YLJ�'"l.d��V'1��{•� l✓i,J !C"\Y`t�{:.� V �" V�I"` TIM T6.wn of Barnstable � F i" Department of Regulatory Services: `W. Public h ealth'Di , auMAS&t '! VISI011: Date '7 �A 200 Main Street;Hyannis MA 01601 ,. rEa may+ j Date Scleduled Tune _ Fee Pd',b € C Soil suitability Assessment for aewaAYe Disposal 4 l Performed By. t' ifi Cj�'j,✓r .Z Witnessed By: LOCATION& GENERAL INFORMATION Location Address ,lei 2_ C ra w sl,,:vttX-Dr — Owner's Name (( � )(gc a .ri �C t/lHt C1eetw�Y Address .3q 2-0 &L V4 A vt Assessor's Map/Parcel: L °i63 _ Engineer's Name ,1.. 1avtC. Yt . NEW CONSTRUCTIONr nn ((__ REPAIlz '-'' Telephone# �o-� . +t51 .C. Land Use Iu t�jlrC:a�t i rl Sl opts:(`$) (L _ Surface Stones_ ✓ r Distances from: Open.Water Body SJ ft' Possible Wet Area 1 C j I ft Drinking Water Well f? Drainage Way !.?� ft Property Lane rt Other f[ SKETCH:(Street name,dimensions of)ot,'exact locations of rest holes&:perctests locate wetlands in proximity to hales) Parent material C�t� ►' tt-r� (geologic) Ucpth to Bedrock, `, f Depth to Groundwater StandinglViter•in Hole: ✓"1 f. Weeping from Pit R ee ` t Estimated,SeasonaI Fligh Groundwater DETERNIINATIO'N FOR SEASONAL HIGH WATER TABLE Method Used:, Depth Observedstandin-g in obs.holey in. Depth to soil mottles: tti; Depth to weeping from side of=offs.hole: 1% Groundwater Adjustment ft: Index Well# Reading Date: Index Well level _ Adi.factor _Adj.Oroundw titer'Level PERCOLATION T +'S`a' Date,......._.., Time. Observation Hole# Z 'time at 9„ Depth of Pcrc_ RQ.t'L C,n r 1.� T{me.at'6" Start Pre-soak Time. - _ Z M 1.rt/teat, Time(9"-6") End Presoak ` 4VL1tii ) �� Rate Min./Ineb, Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) _ Original: Public Health Division Observation Hole Data To Be Completed.on Back .--------- ***.If percolation testis to be conducted within 100' of wetland,you must first natil'y the Barnstable Conservation Division at least one(1) week prior to beginning. Q!IS EPTICTERCFORM.DOC DEEP OBSERVATION HOLE LOG Hale# Depth front Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency, rav i teraQz DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten 'i ravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,.Boulders. Co sistency.%Gravel) DIIP OB SERVATION HOLE LOG- Hol e# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) .(Munsell) Mottling.. (structure,Stones,Boulders, onsi ten Flood Insurance.Rate Map, Above 566 year flood boundary No_ Yes 11.E iA CIA—k ;s. .f`b'oC' , Within 500 year boundary No Yes A Within IM year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least ft3ur feet of naturally occurring pervious material exist in all areas observed throuShout the z5 . area proposed for tfLe soil absorption system? — If not,what is the depth of naturally occurring pervious material? Certification I certify that on t I t e1�i (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 )10 CMR 15.017. Signature y,( Date Q;\S EjyrtC�YBRCFORKDOC TOWN OF BARNSTABLE OCATION a � C�- �t/�_ �i� SEWAGE VILLAGE 4/ Sf1�� / rAll'� ASSESSOR'S MAP St LOT INSTALLER'S NAME & PHONE NO. i7f7h � 0 .SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ����cr/ �. (size) le, -X 9 NO. OF BEDROOMS-,;Z PRIVATE WELL OR PUBLIC WATER. =BUIL6ER R OWNER ��ryu� G` a /`f�g �� ��SCAN DATE PERMIT ISSUED: Pn DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �, r Yr � �� No._ ...---- Fps............... BarnstablL l,on ;vat,on :"��ssso THE COMMONWEALTH BOAR FI-I TS D OF HEALT �� � - ✓ Signed Date .......... ra............ .OF.......... .P, .................................. Allp irFativaa for MipaiiFai Marks Towitrurtivaa Frrmit Application is hereby made for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal System at ................_...�q°...... . �5 .. 2._ o.. S ..�AOP�&-- ------- .....� --------- Lo Location- ress or Lot No. L` ......................_---� � .................. __......_•. caner Address ..............................-...- A --� . ---------------- --- �1s Installer Address Q Type of Building Size Lot..... t e Z(p U Dwelling—No. of Bedrooms.............. ............ .....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria Q' Other fixtures -------------------------------- d W Design Flow.......................5.5.............gallons per person per day. Total daily flow...........................Z ....gallons. WSeptic Tank—Liquid capacitylR2b()..gallons Length................ Width............... Diameter---------------- Depth................ x Disposal Trench—No. :................... Width......I" ....... Total Length..... ---• Total leaching area....'.SS..sq. ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.. - .. _----• ........................ Date....... _' ,,-.a Test Pit No. 1----Z....minutes per inch Depth of Test Pit._._.._ .___... Depth to ground water_-_-_.q_t 4--_---. Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -•-••--- -- ------ i O Description of Soil............ .......-------1 ��---'} ••--�4�� L�.._---•------------------------------------ ------------------- x •-•.......-----••---•---•-••--•••--••----_.. _..� .......• n ....... " ---•--•----•---------------•-----------------••-•-•------------•------•---- W .. -------------------------------------------------------------------------------------------------------------------------------------••....••-••--•-••----•••----••-•-•---•----•-•--•............--•-•- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli ce has been issued by the board of he Signed r Date j Application Approved By ............. ...... .:-...�11 ...---................................................................. Date Application Disapproved for the following reasons: ---- -------------- ---- -- ...--.. ---...--................---..........--....------------------....---------------- ............................... . .. ....... .............................. ........................ . ---- --...--- ----...................... --.......-- ...------------------ Date PermitNo. ........ �.:-... �7 ..,....:- Issued ..........................................................---- -- Date L� FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS ... BOARDI:,OF• HEALTH 1., f ................OF........ �:. t "�21.f=° - ................................. Appli ration for Bhiposal Works Tnnitrnrfion Prrutit Application is hereby made for a Permit to Construct ( VF or Repair ( ) an Individual Sewage Disposal System at: .mot-,`q �i �•�g 4��.t�,.,.�.,p�[r f j� it) ......M,�Ar+--------•-- � . ............ Location Aydress or Lot No. i - -~ �......... ............ _ .. ---------------------- ------------- Owner j� v Address a •--•-•---•-•---•----•-••......--• + ! . - : ....................... ---...--•-.......---.._..-•••--•--•-•--._...-••-•--------•--••--•-••---•---•--•-•----.....-•--•-•. Installer Address Q Type of Building Size Lot.................... I .. eetw- U Dwelling—No. of Bedrooms..________._................................Expansion Attic ( ) Garbage Grinder ( ) U '4 Other—T e of Building No. of persons____________________•______• Showers — Cafeteria P l Other fixtures......-•-•-•--......................................... ..•.. W Design Flow .....' -- -•--- --g P P P Y daily flow.............................. ....gallons. � Septic Tank—Liquid capacity !XM gallon ss Length.. e.. day. Diameter................ Depth................ Disposal Trench—No..................... Width..... 71..... Total Length........__. Total leaching area....-2!..;-.sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet_................... Total leaching area................_.sq. ft. aZ Other Di stribution t Test Results Performed by) Dosing tank ( ' ? �,...........1 r----------------------- Date------ -- M4 ..... ,.1 Test Pit No. ..... ____minutes per inch Depth of Test Pit....... ....... Depth to ground water_-_____. GPI Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•-•-------••.-- •••••. - --•-•---- .------••------------------------------------------------------------ Description of Soil............-_-_— f...--- :.:... ....:._.. ..,�.1,_ :.. a_- ....* /,, W -••-•----------------•-•-•-•---------------------•-----------••••------••-•-•-----•--•-----•----••---•-•-••---•-----•-•--•••••-•--------•-••----•-•-•••---•-----••----------••.......................... VNature of Repairs or Alterations—Answer when applicable................................................................................................ -------------------------------------------------------------------------------------------------------•-------------------------------------------------------------................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of'Compliance has been issued by the board of health. — Signed ---------------------- ----- ---------------------------------------------------------------- ...---.......--------------------------- Dare Application Approved B Ewe Application Disapproved for the following reasons: ...................................................................................-.........--..............-- .......--- ----.--- ... . ....... ............................................................................ ........................ .......... ........... ....-------.................................. ...------------------------------------- Permit No. .......�/........ 37. 2 Issued ............................ ..........--........--..Date--...-..--..---....-...-..---------------------------------------- Date Permit THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------------l ---- ...........: Cer#tftrate of Cromplianre THISIS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired . ) by................�....`.. . --..... ..... ------------------------------- Installer at ..---------q�..rf. -------- ....... - -----------ae r------...- a has been installed in accordance with the provisions of TITLE 5 oAhe State Environmental Code as described in the application for Disposal Works, Construction Permit No. .......F,1_.7�) ._?-.......... dated ------------------------------------------------ THE ISSUANCE OF T IS CERT FICATE SHALL NOT BE CONS D ARANTEE THAT THE SYSTEM WILL FUNCT/I�0 S TISF CT RY. U/DATE------------------------------ �/- � ------------...- -- Inspector .........................-'--------..----I....... ..... ---------------------------- -------- THE COMMONWEALTH OF MASSACHUSETTS BOARD",OF HEALTH / .......................:..... ............ No .. Mops 1 ork� o �fr ilan eruti� Permission is hereby granted.,....... «=cc 1 -& .............•--•-------....---••-•-•------------•----•--.........----...._--••••---•••... to Construct ( ) or Repair ( f a ivi al Se rage Disposal System atNo..........�.-'--23 ------ ------------- � Street as shown on the application for Disposal Works Construction Permit �37 __ Dated.......................................... C Board of Health DATE---------- l / ............................................. FORM 5255 HOBBS & WARREN, INC., PUBLISHERS ` � M LOCATION SEWAGE PERMIT NO. C.,C;.,v 0 szz llm LOP i S'5 INST.A LLER'S NAME i ADDRESS � &i o)Ob i BUILDER' OR OWNER R,c,Aign 1 AW�'i i DATE PERMIT ISSUED 3 DATE COMPLIANCE ISSUED r . ���`� o � ��gu _..,. Gp��� .p° J � � , , e• �� '']�` e . � d ') t r f J TOWN OF BARNSTABLE LOCATION a e- SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME Si PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITYAtype) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER s I BUILDER OR OWNER Je 4, <, 7j, r /�� 4 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � � 1 a Ivo... .............. °. F�s......�....�............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ................................0 F.................................................._...---•------------.............. .. ,���Iira '�a for Uiipngal nxkg Tun rur#inn anti# 1- on ><s hereb made-for a Per i� Construct or Repair an Individual App y (� p ( ) Sewage Disposal System at: C>5--",5 ?.......� ��'. ... .......... � 5. _..._ ��� :r� .................G� 7 -... Location-Addr ss or Lot No. cell Owner Address. >•............. W •..................•----•--..................----...........---•--•.........................•.... .......-•-••---......................--•••--•-•...-•-••-•---•---............_....................• Installer Address dyp of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.......... ...........................Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures -------------------------------- ------------------------- - W Design Flow..................... .•......_...gallons per person per day. Total daily flow..................Y....................gallons. C4 Septic Tank—Liquid capacity/��-gallons LengthA.^(L Width... .�Diameter................ Depth__ ._-- Disposal Trench—:�Io. .-- -r---------. Width.. .-----_-- Total Length.., 2'.-..---- Total leaching area... . <'-c Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by... �s>tii.. 4e`r_G-.'�Z --• --- ---......... Date------- � � ---" �..s ----•-----... Test Pit No. 1�Z-_.minutes per inch Depth of Test Pit...`1� ..... Depth to groun wate ....... Test Pit No. 2................minutes per inch Depth of Test Pit.ZR .... Depth to ground water..... ............... 0 Description of Soil.................................................,...................... ------------- x U ----•• W ..................................................... ......................................-----••---•---•--••.......-•--------•••-----•-----••-•••----•--------•---•---...............•-----•..-•-•-- U Nature of Repairs or Alterations—Answer when applicable............................................................................................._.. ..--------•------------------------••------•----------------------------------------.....----.----•••••-•-••--••---------••-----•••------------••-••-•---------------•--•--•-••------••-...-•-•-----•-•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. igne -• ••-----•-•..........................•-------••-•-••----••-...........•----- C e Application Approved By-- -•-�'�----`• ` Y--------------------------- Dat'e Application Disapproved for a following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date 1 Permit No.............••...............--•-------........-•-..... Issued-..................Da Date.........................t•--- i 1 No.0.-~ Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .._--•... ................................OF..............-...............-.......---------------•--••-----------•-•----•---.---•---- Appliratiun for Disposal Works Tonstrurtiun Prrmit " Application is hereby made for a Permit to Construct ( ") or Repair ( ) an Individual Sewage Disposal System at V'` ,on Addr ss f' �! or Lot No *J/i,/r`�1 � `^.� .! C` s'�/ . ` ✓cam�.tr e ' .. ...._ .. �....'.`- • •• ••.... ---••-••-•--......•-- .......... ........ y ---•-•---... Owner Address W 14 -, .........................••••.. .... ..................•........ •dres.----•-•--------•••........................•- ;, Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_________ ___________________________Expansion Attic ( ) Garbage Grinder ( ) pal Other—Type of Building ............................ No. of persons...._...................__._ Showers ( ) — Cafeteria ( . ) 4.1 Other res ---•-•--•-•----•--•-•--•--•-•-•• . • . W Design Flow_______________________________ _gallons per person per day. Total daily.flow.................. __gallons ,:4 Septic Tank—Liquid ca ac>ty�✓��'.gallons Length .:_�-6._ Width $_"F Diameter_______ _______ Depth n . . Disposal Trench—No. Width._'r�._....... Total Length_', ._.___ Total leaching area_._,! Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching"area...................sq. ft. Z Other Distribution box ( `'"f Dosintank ( ) A �,✓ Percolation Test Results Performed by.. _............................. t -------------- Date_____ .A:�.. Test Pit No. 1 -_.minutes per inch Depth of Test Pit-- "`_ ____. Depth to groun water.._._..��.......__. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.!Q ._.. Depth to ground water----- .......... ...................................................................:..........................•-••-•.--•-- O Description of Soil.............................................................. 7.. x ._ W ------ -=--------------- ------------------ --------------------------------------------------.......................................-.............................................................. VNature'of Repairs or Alterations—Answer when applicable............................................................................................... ---------------------------------------------------------•----------------•-------•-------------------------------------------------------------------------------.................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. igne .,•--.......-•------------------------------------------------------•-•---•_... Application Approved By-.. e ,r�" ................. Date Application Disapproved�f or, e following reasons-------------------------------------------------------- --------------------•-•---------..._... � ..........................................................--•---.........................................---------------...-----------------------------------------------------------------•--......._. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.............................. ............................................•...-• Tnrtifiratr of TuntpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) •-------------•-- -----_••••-••---•-------•---------•- -•--------------------------------------- at filler . . ........................,� ... has been installed in��'a oo'r ance wit th rovisions of TI" he State Sanitaryo a s ibed in the q application for Dispo orks Co uction Permit No.._�_.. ______________ dated "" ....... _________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE®.AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................•--••---------•------------••---....-••--.........•••... Inspector.................................................................................... MMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF......................................................••.....•....................... No. FEE..:..................... Disposal Works Tunstrtirtaun Vprrmit Permissionis hereby granted...............................................................:............................................................................. to Construc or Red r ( >v Sewag ys em at No......- '' =� .•.... -•-•-- -----------••-----•-•••-•.------. -•-. Street o} as shown on the application for Disposal W s onstruction Permit No.__. r-___ :'Dated'" _ ................. ...f.. ..................................................... � ? Board of Health DATE-----7- ----------------J_-----------------------------------------.....---• ,�� FORM 1255 A. M. SULKIN, INC., BOSTON . a; f STRIPOUT UNSUITABLE SOILS ASSOCIATED ' CONVENTIONAL S.A.S. LEGEND WITH EXISITNG SASS. SYSTEMS 1 & 2 FOR ILLUSTRATION'ONLY-DO NOT INSTALL -10-- EXISTING CONTOUR j �et''.i\ 20'x45' LEACH FIELD, CAPACITY=666 GPD x 11.98 EXISTING SPOT GRADE t` '' t - YcI IV f PROPOSED SEPTIC TANK P L23 9 --[fl-- PROPOSED CONTOUR , , EXISTING SEPTIC SYSTEM NO.1 2.9 W OVERHEAD WIRES t y x zf�ea,, EXISTING SEPTIC TANK (TO BE REPLACED) 80�pg 13 E 0--- -�- _� _ - UGW - OVERHEAD WIRES PUMP, RUPTURE, FILL W SAND OR REMOVE -- N x 18.9 �� '� � 215.39 � y> � WETLAND SYMBOL EXISTING S.A.S. (TO BE REPLACED) - fig-- ----- --9` G 20.93 (SEE NOTE 11) J WF-113O WETLAND FLAG 14,96 x \ TEST PIT 18,51 18.9 BENCHMARK r1�/�� -14---------------1 -����` �a----- - 18.30 - �1 292 Grand Island Drive 55,325 ±S.F. FEW F- 00D � J\ VENT JG� BENCHMARK SET MAGNETIC NAIL SET <v 1.27 fAc. ------12--------=Y- 14.65-(P �' -,� a EL.=13.36 FEMA FLOOD LOCUS MAP ZONE AE(EL12) �1���\ 36�`_- J� 5.51 x 15,09 NOT TO SCALE J lO� wry '/'�12 +. 1, 5,90 / . . . . . `1 29, U1 1 995 10.78 +, . o GENERAL NOTES: .+\ 11.6'6 J X..SB.S \ -_ N to \\� 13.06 \2.01 y�"'1`��� ? T '� O 'rp o ^ 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL \ ® �' T Ix Q 4. y 1 BOARD OF HEALTH AND THE DESIGN ENGINEER. ,1�•BUFFER '�•�• +9,42 1 11.70 O 1 € '- T i - 3_6� o J F�.a 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS To �0 O ��= 1_ �V OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE � I � 1az8 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: , Jam. 0 I - _ 20 �12 �\ -310 CMR 15.405(1)(b): Leo ��1. +,10�2 .EXISTING - + �j o 1) A 2' variance to the 3' maximum cover requirement, for up to c 25 PROPOSED �� c' eo\a,,' HOUSE( O S.A.S. �P 11' s 3 5' of max. cover. S.A.S. shall be H-20 and vented. " +7A8 10.39 ry . ' e o,.• 1 T.O.F.=13.23t' \'�� � Ct.� 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR INSP. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE x 8,3a�' o\°\ j 12.21 �-- PORT-_ x u.o DESIGN ENGINEER. Ae . DECK yob �p,g0: �..' .,'�\ .,:,: .j t':: \ 11.91 PK SET 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ea M :, 13.36 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN +e.9o .W. -V11 ENGINEER BEFORE CONSTRUCTION CONTINUES. +6.41 ��� reX wo�� ' . .' r`. W W \ \a 5. ALL ELEVATIONS BASED. ON NAVD88 (AS ESTABLISH FROM VERTCON). 9.30 \ \ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ~8.88:. \ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF u.�2 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. {. b • �\ ��\ 8.39 +8• \\ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. i \5,71 SPI E ✓ 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. .66" aaa x 57 \ 12.60 9 AGREEDALL AS UPONEBYEOWNOER ANNDSTRUCTION SHALL CONTRAACTOR OR AS OTHERWISE D AS DIRECTED BY THE APPROVING AUTHORITIES. Z g ; . 5,32 + +.4.60 1'46x - ;'x:e.o3.'`. +9.22: 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY ++ ( �.,.`'`'� •'''�,. +�•9;a7• 12.0 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING O, PLAN LOT TOI�\E1::.:• F_\ ago -----'� i ' . 12,46, CONSTRUCTION. o +zso`� GARAGE D..II/EWA�Y: :::,` .. 8.71 \ 0 o �q G, l C' 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS ��• y'C' F 1 x : 7, 7•.. LSC IN THE AREA BENEATH AND FOR 5' -ON ALL SIDES OF THE S.A.S. AND O +3 a s.n,.. i� �1 avw7 3.64 - 1 7.60 �"�, . ''G. . N . •',. REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). x 4.60 4,03 \ I '� i :.,: �, `. 1 i,;:..,. •, �'•:• 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE �y +�3.97 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. .. moo• 1o.aa 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND • ++2,a7 Bvws �k� - NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. PLANTPLOTW • 3,7'1 '+4.50•, • Ws + 00, 12.06 FLOOD ZONE DESIGNATION .� 3.66 BVW4 • /� C1� �� 12,73 BOYLE, ROBT. J & DOROTHY A BvW9 3kc 3.45 i� //' +6.35 �i 292 GRAND ISLAND DRIVE 3.17 % +�r80 1 ��' PARCEL ID: 052-015 002 OSTERVILLE, MA 02655 Bvwa� + 75. . . . . . . . +vla 259-DO PLAN FRESH WATER 3•02, �. ,/ �J� S 80.p5'13 w" • - PROPOSED SEPTIC SYSTEM UPGRADE . WETLAND / I 5.79� cz) CB 292 GRAND ISLAND DRIVE, OSTERVILLE, MA Bvw2 . 8.42 a.10 STAKE 3420 Savannah Place,z.es �� Prepared for: John Geany, Vero Beach FL 32962 EXISTING SEPTIC SYSTEM NO.2 SCALE DRAWN JOB. N0. 13s WETLAND CONSULTANT Engineering by: FLOOD ZONE DESIGNATION EXISTING SEPTIC TANK (TO REMAIN) P.T.M. 191-18 c6 SABATIA, INC. EXISTING PUMP CHAMBER (TO REMAIN) Engineering Works, Inc. 1"=30 By MAP N0. 2500ECJULY 21 Observatory Ln EXISTING D-BOX TO REMAIN CHECKED SHEET NO. Bvw1• EFFECTIVE DATE: JULY 1 6, 2014 Pocasset, MA 02559 ( ) 12 West Crossfield Road, Forestdale, MA 02644 DATE 2.39 ZONE AE(EL12) & ZONE X (508) 563-5349 LEXISTING S.A.S. TO BE REPLACED (508) '477-5313 9/17/18 P.T.M. 1 Of 2 f Y i o NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL, NOT BE < EL:9.3 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER OUTLET AND SET TO 6" OF FINISH GRADE S..PROPOSED SA. SET TO 6" OF GRADE PROPOSED D-BOX T.O.F.=13.23t INSTALL INSPECTION PORT OVER ONEH ROW(MIN.) CHARCOAL INSTALL RISER & COVER PROPOSED S.A.S. F.G. EL.=12.Of F.G. EL.=11.8f F.G. EL.=101.5f F.G. EL. to OPPOSITE END OF S.A.S. VENT SET TO 6" OF GRADE 14.3(max.) CONNECT MAINTAIN 2% GRADE MIN. OVER S.A.S. ALL ROWS F.G. EL.=101.5t � F.G. EL.=101.5t F.G. EL.=101.5t E L = 18' L = 3' INSPECTION SEE SEPTIC ® S=1% (MIN.) ® S=1% (MIN.) ® S=1%8(MIN.) PORT SYSTEM 4"SCH40 PVC 4"SCH40 PVC L = 7'f 4'SCH40 PVC PROFILE-2 L = 8' ® S=1% (MIN.) ® S=1% (MIN.) LLL10"I 8 11" TO 4"SCH40 PVC 4"SCH40 PVC 14 INVERT INV.=9.45 48" LIQUID i- I 6" 6 11" TO LEVEL ADD INV.=9.17 PROPOSED INV.=9.00 . 5 ROWS OF 7 UNITS AT 6.25'/UNIT = 43.8' INVER cAs BAFFLE INV.=9.98 INV.=9.20t D BOX INV.=8.92 SOIL ABSORPTION SYSTEM (PROFILE) XI N- EXISTING PROPOSED INV.=9.00 WAM' " ' 4 OUTLETS COMMON S.A.S. FOR SEPTIC SYSTEMS 1 & 2 7D BOX INV.=9.17 D-BOX INV.=8.92 PROPOSED SEPTIC TANK ESTABLISH VEGETATIVE COVER INV.=10.1.5f 5 OUTLETS COMMON S.A.S. FOR PROVIDE NEW SEWER OUTLET AT HOUSE BACKFILL WITH"L'LEAN NATIVE OR EXISITNG INSTALL INLET TEE SEPTIC SYSTEMS 1 & 2 HOUSE AT, OR ABOVE, INV.EL.=9.81 PERC SAND TO TOP OF CHAMBERS NOTES: BREAKOUT=TOP 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP ELEV.= 9.33 INVERTS, PRIOR TO INSTALLATION. INV.= 8.92 2) SEPTIC TANK AND-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.-- 8.00 SEPTIC SYSTEM PROFILE-2 TRUE TO GRADE ON A MECHANICALLY COMPACTED 5' MIN. SEPARATION 2.83' i IX INCH RUSHED STONE BASE AS SPECIFIED S C C - EXISTING D BOX PUMP SYSTEM) T R GROUNDWATER FROM E S 0 G 0 ( IN 310 CMR 15.221(2). 4' (MIN.) OF NATURALLY EFFECTIVE WIDTH414.2' SEPTIC SYSTEM NO. 2 3) INSTALL INLET & OUTLET TEES AS REQUIRED. OCCURRING PERVIOUS SOILS EXISTING SUITABLE 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE ADJUSTED G.W., EL=2.8 ' -_ MATERIAL AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. USE 5 ROWS OF 7-HIGH CAPACITY H-20 INFILTRATOR UNITS 5) THE PROPOSED S.A.S. IS TO BE LOADED AT.BOTH ENDS. WITH NO SEPARATION BETWEEN EACH ROW & NO STONE o 0 0�-O- 0 00 0 0 0 0TYPICAL SECTION o00 00000000 SEPTIC SYSTEM PROFILE-1 I I f- 28 28 GRAVITY-FROM HOUSE SEPTIC SYSTEM NO. 1 Closed End Plate men End Plate DESIGN CRITERIA SOIL LOG NUMBER OF BEDROOMS: 6 BEDROOMS DATE: JUNE 28, 2018 (REF P#15,700) SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: PETER McENTEE PE(SE#1542) Z-- WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT 16 DESIGN PERCOLATION RATE: <5 MIN/IN ELEV. DEPTH ELEV: TP-2 DEPTH t�---34 DAILY FLOW: 660 GPD 13.3 A 0" 13.3'• q 0', 75" -I ---I DESIGN FLOW: 660 GPD LOAMY SAND LOAMY SAND 1.25" Side Vie w w End View GARBAGE GRINDER: NO - NOT PERMITTED FOR GARBAGE GRINDER 12.6 B 8 1OYR 4/2 12.6 10YR 4/2 8" g PROPOSED SEPTIC TANK: 1500 GAL. (H-10) SYSTEM N01 LOAMY SAND LOAMY SAND HIGH CAPACITY INFILTRATORS, H-20 LOADING EXISTING SEPTIC TANK: 1000 GAL. (H-20) SYSTEM NO2 10YR 5/8 10YR 5/8 . ,o.s 3D,. ,,.0 28" HA EXISTING PUMP CHAMBER: ESTIMATED 500 GAL. H 20 SYSTEM NO 2 INFILTRATORCHAMBERS E C C LEACHING AREA REQUIRED: (660 GPD) = 891.9 SF L PERC N.T.S. .74 GPD/SF DISTRIBUTION BOX: 1 INLET, 5 OUTLETS (MINIMUM) MED. SAND MED. SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 5 ROWS OF 7 HIGH CAPACITY INFILTRATOR H-20 UNITS, 2.5Y 6/6 l 2.5Y 6/6 WITH NO STONE AND NO SEPARATION BETWEEN ROWS (COMMON S.A.S.) 2.8 ADJ. G.W. ADJ. G.W. - 292 GRAND ISLAND DRIVE, OSTERVILLE, MA - 2.8 SIDEWALL AREA: NOT APPLICABLE Prepared for: John Geany, 3420 Savannah Place, Vero Beach, FL 32962 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF LF 28 STG. G.W: - 134" .8 STG. G.W. - 138" / ) 1.8 4 138" 1.8 4 138 Engineering by: SCALE DRAWN JOB. N0. (INFILTRATORS) 35 UNITS x 6.25 LF x 4.73 SF/LF = 1034.7 SF STANDING G.W. AT EL.=2.2("C" HORIZON) N.T.S. P.T.M. 191-18 PERC RATE 2 MIN/IN. Engineering Works,. Inc. DESIGN FLOW PROVIDED: 0.74 GPD/SF(1034.7 SF) = 765.6 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. USE INDEX WELL MIW-29, ZONE A. NOMINAL BED AREA: 14.2' x 43.8' = 613.0 SF (400 SF REQ'D) WATER LEVEL=6.84 (MAY 2018), ADJUSTMENT=0.7', ESTIMATED HIGH G.W., EL.=2.9 (508) 477-5313 9/17/18 P.T.M. 2 Of 2 BA i GRADING AND DRAINAGE NOTES D.E.P. Me # XTERNYE ' is &-i �S X Order of Conditions Expires: k.) V IN G 1. DISTURBED AREAS SHALL BE PROTECTED AT ALL TIMES TO CONTROL SEDIMENT TRANSPORT BEYOND THE LIMIT OF WORK. 2. DISTURBED AREAS SHALL BE TREATED WITH WATER DURING EXCAVATION, OR CONSERVATION NOTES: /c/ t it is APPROVED ALTERNATIVE, TO CONTROL THE DUST. 1. NO WORK IS TO BE DONE UNTIL FORMS A & B ALONG WITH REQUIRED PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION. BAXTER NYE tt 3. THE SITE SUBCONTRACTOR SHALL PROVIDE ALL EXCAVATION, BACKFILL AND COMPACTION NECESSARY TO ACHIEVE THE FINISH GRADES SHOWN ON THE PLANS. 2. LIMIT OF WORK SHALL CONSIST OF HAYBALES AND SILT FENCING. LIMIT OF WORK TO BE MAINTAINED IN GOOD REPAIR UNTIL COMPLETION OF PROJECT. ENGINEERING & 4. ALL DISTURBED AREAS NOT OTHER"SE TREATED SHALL BE STABILIZED WITH 4 '' !' �� ( / LOAM, SEED, & MULCH. THE CONTRACTOR SHALL BE RESPONSIBLE FOR AREAS UNTIL VEGETATION HAS BEEN PERMANENTLY ESTABLISHED. SLOPES IN EXCESS OF 3. ALL MATERIALS FROM DEMOLITION AND REMODELING SHALL BE HAULED OFF SITE AND DISPOSED OF IN ACCORDANCE NTH APPLICABLE REGULATIONS. SURVEYING si, 1 3:1,AND, AREAS THAT:SHOW, SIGNS OF EROSION FROM CONCENTRATED FLOWS J SHALL BE FURTHER STABILIZED WITH EROSION CONTROL BLANKETS (ECB) OF 4. PROPOSED BUFFER PLANTING TO BE REVIEWED AND APPROVED BY n M CURLEX DOUBLE NET - CURLEX 11 .98 BY AMERICAN EXCELSIOR COMPANY OR CONSERVATION COMMISSION STAFF, IF APPLICABLE. EQUAL IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO PROVIDE *REQUIRED ECBS AND PROPERLY STABILIZE ALL AREAS OF THE SITE. 5. POOL DISINFECTION SHALL BE BY A NON-CHLORINE METHOD. to Registered Professional Engineers �t' A t- V, v 4 "e,l LO 5. ALL DRAINAGE STRUCTURES SHALL BE DESIGNED AND INSTALLED FOR H-20 SHALL S. A LEACH PIT SHA BE PROVIDED FOR POOL DRAW DOWN. AN AS-BUILT ,,l and Land Surveyors z LOADING. LOCATION OF POOL DRAW DOWN LEACH PIT SHALL BE FORWARDED TO THE CONSERVATION COMMISSION, BY THE Pool- CONTRACTOR. 78 North Street - 3rd Floor 6� I)d 6. ALL GRADING WORK SHALL BE DONE IN A WORKMANLIKE MANNER ACCOMPLISHED TO CREATE POSITIVE DRAINAGE AND ELIMINATE ANY PUDDLING OR 7. WETLAND RESOURCE AREA DELINEATION BY SABATIA, INC. Hyannis, Massachusetts 02601 oPONDING. WHERE NOT OTHERWISE NOTED OR DEFINED ON THE PLAN, ALL CUT 0 AND FILL SHALL BE BLENDED TO DAYLIGHT AT EXISTING GRADE WITH A 3:1 SLOPE. (J� Phone - (508) 771-7502 z 7. ANY DEWATERING OPERATION WHEN REQUIRED AS PART OF THE for- SHALL CONSTRUCTION PROCESS ENSURE ALL DEWATERING OCCURS THROUGH A Fax (508) 771-7622 12w PROPER DEWATERING BASIN (STONE. FILTER FABRIC AND HAYBALES OR OTHER ACCEPTABLE MEANS) PRIOR TO DISCHARGE FROM THE SITE. www.baxter-nye.com N/F RUS"FEE, V A N�y rE (S, EXCAVATION/FILL NOTES ' NA A P ;5 n';1 e 1. SIDE SLOPES OF TRENCH EXCAVATIONS DEEPER THAN 4 FEET SHOULD BE N.L) FLATTENED (AS REQUIRED BY SITE CONDITIONS) TO AT LEAST 1H:1V OR :'D 0 ................ SUPPORTED WITH TRENCH BOX OR SIMILAR DEVICE. ALL WORK SHALL BE PERFORMED SAFELY AND IN ACCORDANCE WITH OSHA AND MOSHA ................ 2 REQUIREMENTS. CONTRACTOR SHALL OBTAIN TRENCH PERMIT AS REQUIRED. d, 20. ..................... M.A ...... 4 2. AFTER REMOVAL OF TOPSOIL AND INADEQUATE MATERIALS; GENERAL FILL X Cie :t_1';,T. SUBGRADE SHOULD BE PROOF-ROLLED WITH A LOADED 10-VVHEEL TANDEM-AXLE N 3_1h' j " ' '/ II DUMP TRUCK. THE PROOF-ROLLING SHOULD BE PERFORMED AS DIRECTED BY A 1 ys< ....... is ' s ....... . ..... ... GEOTECHNICAL ENGINEER. NO FILL SHOULD BE PLACED UNTIL THE SUBGRADE IS STAMP STAMP X APPROVED BY A GEOTECHNICAL ENGINEER. BORROW MATERIALS FOR FILL X." 2 '7 0-F • OPERATIONS FOR GENERAL SITE GRADING SHOULD MEET AASHTO DESIGNATION A-2-4 (CLASS 111) OR MORE GRANULAR AND BE APPROVED BY A GEOTECHNICAL OF X 1-7,71 ENGINEER. ALL FILLS SHOULD BE CONSTRUCTED IN 8' LOOSE LIFTS AND S A- Ei 2 COMPACTED AS FOLLOWS, UNLESS OTHERWISE NOTED IN PROJECT SPECIFICATIONS: MATnIEW FILLS SUPPORTING FOUNDATIONS AND FLOOR SLABS, 95% OF ASTM D-1557 w �,j 1-0,11D Ty 07 2 .5 , EDDY I ___�PROPOSE (AASHT0 T-180) CML L AIN D AJ rc r TOP 24 INCHES OF ROADWAY SUBGRADE AND SUBBASE, 95% OF ASTM 6' No.43183 X I A A 5;5, D-1557 (AASHTO T-180) is NCE RETAINING WALLS AND FILLS WITHIN ROADWAY (BELOW TOP 24 INCHES OF GIST 600 0) jw -1557 (AASHTO T-180) 1-1/4" x 1-1/4" x 4' WOOD STAKE AT 8.3 FT. O/C Fa O SUBGRADE AND SUBBASE), 92X OF ASTM D OR APPROVED EQUAL A - FILLS IN GREEN SPACE, 90% OF ASTM D-1557 (AASHT0 T-180) s"--/ - FILLS UNDER AND AROUND STRUCTURES, MANHOLES, TANKS, VAULTS, ETC. -A� is TOTAL PROPOSED NEW HARDSCAPE AND PPPS. -0) 0 ASSOCIATED GROUND DISTURBANCE AND PIPE EMBEDMENT (BEDDING, HAUNCHING AND INITIAL BACK FILL), 95% OF WITHIN LSCSF IS 4,680 SF 1 31,8 ., ". -I MIRAFI SILT FENCE (MIRAFI 100X) C 0 JXU L T s a 45- k ASTM D-1557 (AASHTO T-180) OR APPROVED EQUAL 2% 2% 3' WOOD STAKE, T"x 3' REINFORCING STEEL ... ........ P R OP 0 tE _2 it .............. ..... OR APPROVED EQUAL .............. ,RtTAINING WALL, ......... UTILITY NOTESI ;'SUrFER FROM AC 1. CAUTION* THE CONTRACTOR SHALL CONTACT DIG SAFE AT 1-888-DIG-SAFE) Jf UTILITIES, AT LEAST 72 HOURS t4G LAND ...... .... AND UTILITY COMPANIES TO LOCATE ALL EXISTING U EXIS11 PRIOR TO THE START OF CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE AL LEACH PIT FOR POOL DRAW DOWN .... .. THE EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING PROTECTM -PRE-CAST H-20 LEACHING BASINS UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF EXISTING AREA WOO x 6' STORAGE HEIGHT UNDERGROUND SYSTEMS, INFRASTRUCTURE, UTILITIES, CONDUITS AND LINES ARE WORK CONSULTANT AREA WITH 1.0 FT OF STONE AT OUTSIDE PERIMETER A 3 1 r, !�,Yiz--��A I _7-1-1 I -F%'�'3 ! %:; 1 11 i4, , I A f-r � , "", i c) 1 '�� -f'�X SHOWN IN AN APPROXIMATE WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN fA� N,7.1),: HEREIN AND HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER, THE RIM - 8.5 20" POOL -C t ;_� j, E., STAKED STRAW SALES TOP OF SLAB OF LB STRUCTURE 7.5 LA. 0 . . . EN EDGE ENGINEER, OR ITS REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY AL (6- STOR HT. + 8- SLAB TOP-TYP.) SILT FENCE &-MA CO RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE EN BOTTOM OF PRE-CAST LB=0.83 fP� BALES LIMLT-& WORK. SEE s! CONTRACTOR'S FAILURE TO LOCATE SAID SYSTEMS, INFRASTRUCTURE AND FLOW R BOTTOM OF STONE EL=0.33 #601 OLD c:; UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION, 4"; 0- CV SEE DETAIL #111 EN 8,3 THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE SET 4' INTO REDESIGN. AT UTILITY CROSSINGS, VERIFY IN FIELD THE LOCATION AND INVERTS TOP OF GROUND tA e V GROUND JiL OF WATER, ELECTRIC, GAS, TEILEPHONE & DATA/COMM AND RELOCATE IF "As A ON 1511e WATER CONFUCT14G %RTH PROPOSED INVERTS PER THE ENGINEERS DRECTI . THE EX CONTRACTOR SHALL PRESERVE ALL UNDERGROUND SYSTEMS, INFRASTRUCTURE • BEDMENT AND UTILITIES AS REQUIRED. MIN.) PREPARED FOR : s* VE:L 0 Z5 NEW ON' STEP 50- BUFFER FRO t:WA Y iA, is WETLAN (MIN EXISTING PROPOSED Robert J. and Dorothy A. Boyle PATIO 3420 Savannah Place E 2 E N 'S Is. Vero Beach, FL 32963 �_j EXISTING BRICK PATIO, BRICK WALKWAY AND TIMBER RETAINING WALL f% 4N 4.1 `?1 RE-VEGETATE 8� SF.± IN .• E.N S:s- EXISTING FOOT PATHWAYS WITHIN SE? 50' BUFFER (SEE ATTACHED '� I -FT BUFFER ZONE TO BE PLANTED 50 PLANTING PLAN) FULLY TO COMPLY WITH CHAP-704-3 PROJECT TITLE SILT FENCE STRAW BALE BARRIER N.T.S. C_ OF BARNSTABLE'S BUFFER ZONE • L E, C, 3 ACTIVITY REGULATIONS (REFER TO ('-s BVN-7 601 0E=--rA1L_ ATTACHED PLANTING PLAN) S -A 292 Grand Island Drive > NOTES: J 1. BASE SECTION SHALL BE MONOLITHIC WITH 8' OUTSIDE DIAMETER. Barnstable, MA -20 LOADING. 2. ALL PRECAST COMPONENTS SHALL BE DESIGNED FOR H .... ...... EXISTING 3. CONCRETE SHALL BE COMPRESSIVE STRENGTH 4000 PSI. TYPE CEMENT. WETLANDS 41 5 4. FRAMES AND GRATES SHALL 13E HEAVY DUTY AND DESIGNED FOR H-20 LOADING. I N!, BVW5 PROPOSED R 5. STANDARD MANHOLE FRAME & COVER SHALL MEET MUNICIPAL AND/OR STATE SPECIFICATIONS 59 10 00 VMEN, APPLICABLE. N STAIRS BY r BUILDER S. STANDARD MANHOLE FRAME & COVER SHALL BE SET IN FULL MORTAR 80. ADJUST TO GRAM WITH CLAY BRICK WHEN GRADE TO TOP OF PRECAST UNIT DISTANCE IS V-01' OR LESS (5 COURSES MAX). USE SOLID CONCRETE BLOCK WHEN DISTANCE IS GREATER THAN 1'-0'. 24 DIA C.I. FRAME & SOLID COVER MARKED f ,;, ?' /ti �Ol "DRAIN",* TO BE PROVIDED AND SET TO FINISH S 10*01 GRADE AS SHOWN ON PLAN FOR MAINTENANCE ACCESS, TYPICAL, UNLESS OTHERWISE NOTED. r'. / DESIGN FOR H2O LOADING. LEBARON LK110-TYPE-A (MASS. STANDARD) OR APPROVED BVW-3 F1IVISH GRADE EQUAL. C, 12'MIN. SEE NOTE 5 & 6 12' OVERLAY MIN. BVW-2 7 2 4 LAYER a. PEASTONE 0 0 a ED 0) [z] C:3• 0 113 0 0 O (4) B" OCKOUTS :3M 0 CD 13 M C3 E .rM 113 a KN 00. jo 0 O. 0, .0•0 z 3/4--1 1/2- CLEAN R '04' SO N •00 0 111 CM ED C:I =1 z 10 113 0 . : S;' T m A R 0 WASHED STONE (40X SDMI 1211012018 ADDED FLAG NUMBERS 00 PER PLAN 0 M.,A IP 0 VOIDS) 0 . ODOO -3 0 AG;('_ 27 i .0 . 0 ED C31 E_ C3 E=I EI 113 a ATE DESCRIPTION >61 DEED 8( ( PRECAST NO BY D P Is A N EP 0,Ds, 211 :PA'GrE 89 SHEET TITLE Elm DRY WELL FILTER FABRIC 00 06- a a cm c3 cm rm ci a3 a ENVELOPE - ALL is 00 00 0 0�0* 0 SIDES. & OVER TOP OF STRUCTURE TO 0 0 0 ED CD C3 C3 E3 Q_-3 a3 0 .0 0 BE MIRAFI 14ON Proposed Pool & �2 0 0 .0 OR EQUAL ;�%)D 0 a 01 m m ED, 0 to a 0�- Deck Plan 2! 0 .0 OD 0 ® C:D C:I EM C:r- C33 0 a 0(:ID OD SHEET NO CPO OCD .0 0 OD -*0 .60 Or .0 -01 C2w0 Cr Nspioqoc�- 9.wo D A T E : NOVEMBER 01, 2018 \-ACCEIPTASLE COMPACTED 6" LAYER OF 3le-I 1/2" StJBGRADE AS DETERMINED 20 0 20 40 CLEAN WASHED STONE BY THE ENGINEER LEACHING BASIN (LCB) N.T.S. SCALE IN FEET C_ SCALE : 1"= 20' J'C 111 FE EN DETAIL DRAWN BY: som CHECKED BY: UWE FILE:JOB NO: 2018-031 2018-031 DM.dwg ' f O p L _1. _ - i � TOP O!= �D U•��L� , ,1.�'3 N o _. _"' �� /20 A�) 17 ' do 14 //OS J S8 / ZG h ! r ( j i „ -o—o—o—o— ProPoseo/ c�rouno/ Profi/G HOAe/z. $GALE: / = /D, S � 7-/ 0AJ ( 6- 7— SG ,9L. E- : / /D" Aj o t.�/ ---_ \ SCHE,C�. 40 F- VC O,E � /s�in�mUm Y4„ per foot) 2� let er \ '�,� v EQ i'9 L T E F'7O S l G �/8 PEG _5-7 \ -TANK: 13 \ .W \ z z I � � 0/57- aOx -- --- /._OD G, /� s' '� AG. SEPT/C TARlK 3 ¢ -/ jz �r X8 -T��owc�/ i� o�o rn d ar Gig UC, - 0 f� S O _ `^- �� � SC A L E. - / O p 57 i" 4rrn k z 57 r� 1/n/G N _ - FL Dlt/ .E'ATE A`� J O G,9LS./014Y Cj 97 UM .'ti?.S•L.!' TE 5 7- H©L E• # S E F'T/G 7-,-g ✓r K 4 4 D x /.5 _ t G \ _ U5E- : /�OG� GAS. TANK - J / �_ / G/1 //lJ�j a e T 7'ol-q = /0 , X 2 2' �!. 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