HomeMy WebLinkAbout0026 HINCKLEY CIRCLE - Health 26 Hinckley Road c;gc-L>r
Osterville
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QUITCLAIM DEED
1,ADELHEID L.WEBER,an unmarried woman,of Osterville,Massachusetts 02655,
for consideration paid and in consideration of THREE HUNDRED TWENTY-SEVEN
THOUSAND FOUR HUNDRED and 00/100($327,400.00)DOLLARS,
grant to PATRICK J.EHART,individually,with a mailing address of Post Office Box 220,
Osterville,Massachusetts 02655,
with QUITCLAIM COVENANTS,
that certain parcel of land, together with any buildings thereon, located in Barnstable
(Osterville),Barnstable County,Massachusetts,now known and numbered as 26 Hinckley
Circle,Osterville,being more particularly described as follows:
LOT 21 on a plan entitled"Plan of Subdivision of Ralph David Hinckley et ux at Osterville,
Barnstable, Scale 40 feet to an inch,"dated February 20, 1954, drawn by T.H. Stegmaier,
Civil Engineer, Middleboro, Massachusetts said plan being recorded with the Barnstable
County Registry of Deeds in Plan Book 115,Page 125,and being bounded and described as
follows:
WESTERLY by a private way, as shown on said-plan, one hundred and one and
00/100(101.00)feet;
NORTHERLY by Lot 22, as shown on said plan, one hundred thirty-one and 37A00
(131.37)feet;
EASTERLY by land of the Town of Barnstable(Hill Side Cemetery),ninety-seven
and 23/100(97.23)feet; and
SOUTHERLY by land now or formerly of the Evans Estate, one hundred thirty-four
and 78/100(134.78)feet.
Said land is conveyed together with an easement for a right of way over the passageway
running to and from Joshua's Pond to be used in common with others entitled thereto.
Said land is conveyed subject to an easement to Cape and Vineyard Electric Company;dated
October 15,1984,recorded with said Registry in Book 888,Page 389,insofar as the same are
SARAH F.ALGER,P.C. now in full force and applicable.
ATTORNEYS AT LAW
pApm ROAD•Pos Omm Box 449 -
3srumu,MrssAawserts•02655
t�PHoke 508428-8594
FAcsimtL:508420-3162
COP
Said land is conveyed subject to a taking by the Town of Barnstable for the layout of
Hinckley Circle, dated April 2, 1964 and recorded with said Registry in Book 1049,Page
147.
Said land is conveyed subject to real estate taxes assessed by the Town of Barnstable for
the fiscal year 2014,not yet due and payable.
I hereby certify that(a)the above property is not my principal residence; (b)I am
unmarried; and(c)there is no former spouse,civil union partner,or former civil union
partner who has a homestead interest in the property being conveyed
For title see deed to the grantor dated September 28,2009 and recorded with the Barnstable
County Registry of Deeds in Book 24060,Page 199.
� ,
WITNESS my hand and seal this /. 5^ day of J,u l 2013.
Adelheid L. eber
COMMONWEALTH OF MASSACHUSETTS
COUNTY OF BARNSTABLE
On this day of ,2013,before me,the undersigned notary public,
personally appeared Adelheid L. Weber, proved to me through satisfo berye evidence
pers o
ho
identification,which were CGI�y �� rn�-'
signed the preceding or attached document in my presence,and who swore or ed to me
that the contents of the document are truthful and accurate o e st of her know edge and
belief.
Notary Public: C?h Ks'h ' 2-01
My commission expires: /
k.
pd*
G*WX NYI.WN OF
My Canmissb E7v*n
IA 20ts
The Commonwealth of Massachusetts
Department of Fire Services- Office of the State Fire Marshal
P.O. Box 1025, State Road, Stow,Mass. 01775
FP-7 (rev. 1/06)
CERTIFICATE OF COMPLIANCE UCP%Py
M.G._L. CHAPTER 148 SECTIONS 26E,26F, & 26F1/2
City or Town COMM Fire District Date- 07/02/2013 Unit/Apt A
This Certifies that the property located at 26 HINCKLEY CIR WOSTERVILLE, MA 02655
has been equipped with approved smoke. detectors and carbon monoxide alarms and was found to be
in compliance with Massachusetts General Law, Chapter 148 Sections 26E,26F, & 26F1/2 and CMR
31, et seq.
Inspection .S s ing compl o J on 1 8, 13
Inspector: (0�(A W GA_ff?�"
Permit No 590 Ch Numbe 1064
Signature- Vy
Fee Paid:$25.00 Head of Fire Department: Michael Winn
SELLER'S COPY
The Commonwealth of Massachusetts
Department of Fire Services- Office of the State Fire Marshal
P.O. Box 1025, State Road, Stow,Mass. 01775
FP-7 (rev. 1/06)
CERTIFICATE OF COMPLIANCE
M.G.L. CHAPTER 148 SECTIONS 26E,26F, & 26F1/2
City or Town COMM Fire District Date: 07/02/2013 Unit/Apt B
This Certifies that the property located at 26 HINCKLEY CIR/B/OSTERVILLE, MA 02655
has been equipped with approved smoke detectors and carbon monoxide alarms and was found to be
in compliance with Massachusetts General Law, Chapter 148 Sections 26E,26F, & 26F1/2 and CMR
31, et seq.
Inspectio es ng comple on: Mo J141 81 .
,
1
Inspector:
Permit No 5 89 ��Nu.�4r 10
9 f Or)
Signature: U41VWV
Fee Paid:$25.00 Head of Fire Department: Michael Winn
SELLER'S COPY
SINE Town of Barnstable
Regulatory Services
a&wsMeis,NAM � Thomas F.Geiler,Director
0 9. `0� Building Division
- COPY
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
December 6,2011
To Whom It May Concern:
Re: 26 Hinckley Circle, Osterville
This-correspondence is in response to a letter from Sarah Alger dated November 23,2011.
The letter wishes to solidify an e-mail that I had sent to Attorney Ted Schilling regarding
26 Hinckley Circle in Osterville regarding an apartment that is on the property. In
reviewing all the documentation provided past zoning and other items this property appears
to be a pre existing non conforming use.
As far as changing the zoning use code my office does not do that. Contact the Assessing
Department for this change.
Sincerely,
Thomas err y,CBO
ldin Commissioner
Bui g
Commonwealth of Massachusetts -
Tltle 5 Official Inspection Form
Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name
information is required for every Osterville MA 02655 6/20/13 1,page. City/Town' State Zip Code Date of Inspection
Inspection results must be submitted on this=form.. Inspection forms,may not be altered in any
way. Please see completeness`checklist at the end of the form:
Important:when A. General Information l
filling out forms
on the computer,
use only the tab
key to move your
1: InSpeCtOr: J .
v/�u
cursor-do not
Jason P Burnie
use the return Name of Inspector
.key.
Neighborhood Waste Water..
rab Company Name
350 Main St
Company Address
, Yarmouth MA 02673.
City/Town State Zip Code-
508-775-2820 S15011
Telephone Number License Number. ,.
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of:the inspection.The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000). The system: ;
® .Passes. ❑ Conditionally Passes 0 Fails
Needs Further Evaluation by the Local.Approving Authority
6/20/13
Inspector's Signat Date
The system inspector shall submit'a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow.of 10,0.00 gpd or greater;the inspector and the system owner shall submit the
report.to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority. ,
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins•3/13 Title 5 fd.111rrpTonForm:Subsurface Sewage Disposal System•Page 1 of 17
t
commonwealth of Massachusetts
Title 5 Official Insaection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name
information is Osterville MA 02655 6/20/13
required for every
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
t
Inspection Summary:Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the.failure criteria described
in 310 CMR 15.303:or in 310 CMR 15.304 exist:Any failure criteria not evaluated are
indicated below.
Comments:
The system is a pass. The system consists of a septic tank with 2 outlet lines. 1 outlet goes to an old
system that consists of a.d=box and a pit that was supposed to be filled in and abandoned according
to a plan dated 2003, but never was. The 2nd line goes to a new d-box and leach chambers that were
installed in 2003 per the plan on file at the Barnstable BOH. Both SAS's were dry. The outlet lines
doing from the tank to each d-box are not level and have a seperation of approximetly 5
B) System Conditionally Passes:
❑ .one or more system components as described in the"_Conditional Pass" section need to be
replaced or repaired.The system,upon completion.of the replacement or repair,as approved by
the Board of Health,will pass.
Check the box for"yes" "no"or"not determined (Y,N, ND)for the following statements. If"not
determined,"please explain.The septic tank is metal and over 20 years old*or the septic tank(whether metal:orhot) 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 than20 years old is available:
Y ❑ N ❑ ND (Explain below):
t51ns•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Fora
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , M
M 26 Hinckley Circle
Property Address
Adelheld Weber
Owner Owner's Name
information is required for every Osterville MA 02655 6/20/13.
page. City/town: State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with'Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due.
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with,approval,of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ The system required pumping more than 4 times a year due to broken.or obstructed pipe(s).The
system will pass inspection if(with approval of the Board.of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ :N ❑ ND(Explain below):.
C) Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1.. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in'a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
i
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
- Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments +, `
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owners Name
information is required for every Osteryille MA 02655 6/20/13
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health(and Public Water Supplier, if,any)
determines that the system is functioning in a manner that protects,the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
0 The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water.
supply.
0 The system has,a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and.SAS and the SAS.is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance: -
**This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or.less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes"or"No"to each of the following for all inspections:
Yes No
Backup of sewage into facility orsystem 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
El
® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
El ® Liquid depth in cesspool is less than.6" below invert or available volume is less
than '/day flow
t5ins•3/13 Title 5 Official,Inspecton Form:Subsurface Sewage Disposal System•Page 4 of 17
C ,
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments -
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name
information is
required for every Osterville MA 02655. 6/20/13
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
® Required pumping more than 4 times in the last year NOTdue to clogged or
El
obstructed pipe(s).Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than,50 feet
from a private.water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to-or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
:0 ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,0009pd.
❑ ® The system fails. I have determined that one or.more of the above failure
criteria exist as described,in 310 CMR 15.303,therefore the system fails.The
system owner should contact the Board of'Health.to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
. . ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area-IWPA)or a mapped Zone II of a:public water supplywell
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered"yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments
26 Hinckley"Circle .
Property Address .
Adelheid Weber
Owner Owner's Name
information is required for Osterville MA. 02655 6/20/13
'
page. Cityrrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes".or"no"as to each of the following:
Yes No
Z ❑ Pumping information was provided by the owner, occupant, or Board of Health
El ® Were any of the system components pumped out in the previous two weeks?
Z ❑ 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
Z El
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)] .
D. System Information
Residential Flow Conditions:.
Number of bedrooms (design): 3 Number of bedrooms.(actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): SAS@
344gpd
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
i
Commonwealth of Massachusetts
Tithe 5 Official Inspection Form
Subsurface Sewage Disposal System.Form -Not for Voluntary Assessments
26 Hinckley Circle
Property Address.
Adelheid Weber
Owner Owner's Name .
information is required for every Osterville MA 02655' 6/20/13.
page. Cityrrown State Zip Code Date of Inspection
D. System Information
Description:
The,system consists of a septic tank with 2 outlet lines: 1 outlet goes to an old system that consists of
a d=box and a pit that was supposed to be filled in and abandoned according to a plan dated 2003,
but never was.The 2nd line goes to.a new d-box and leach chambers that were installed in 2003 per
the plan on file at the Barnstable BOH. Both SAS's were dry. The outlet lines going from the tank to
each d-box are not level and have a-seperation of approximetly 5
Number of current residents:
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? (include laundrysystem 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 12 74gpd
9 (last y 9 (gp )) 117 55gpd
Detail:
{
Sump pump? ❑ Yes.® No
Last date of occupancy`.
Early 2013
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based.on 310 CMR e15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins 3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 7 of 17
I
Commonwealth of Massachusetts
F Title 5 Official Inspection Form
Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name
information is required for every Osterville MA 02655 6/20/13
page. Cityrrown, State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
.Other(describe below):
General Information
Pumping,Records:
Source of information: Barnstable BOH-last pumped 2012
Was system pumped as part of the inspection? ❑ Yes,® No
If yes,volume,pumped: gallons. .
How was quantity pumped determined?
Reason for pumping: .
Type of System:
Septic tank, distribution box, soil absorption system
Single cesspool
Overflow cesspool
Privy
❑ Shared system(yes or no) (if yes, attach previous inspection records,if any)
El 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):
t5ins•3/13. Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 8 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name
information is required for every Osterville ' MA 02655 6/20/13
page. Cityrrown, State Zip Code Date of Inspection
D. System Information (cont:)
Approximate age of all components, date installed (if known)and source of information:
New d-box and new SAS-2003 Old tank,d-box and SAS unknown
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on.site plan):
Depth below grade: 5..
feet
Material of construction:
❑cast iron ®40 PVC ❑other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage,etc.):
We ran a sewer camera up the.line and it was ok at the time of inspection.:
Septic Tank(locate on site plan):
Depth below grade: Inlet-8" Deck-4'8"Outlet-8"
feet
Material of construction:
®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain)
If tank is metal, list.age: years
Is age confirmed by a Certifcate of Compliance?(attach.a copy of certificate) ❑ Yes ❑ No
Dimensions:
1500gal
2"
Sludge depth:
t5ins-3/13. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage.Disposal System Form Not for Voluntary Assessments
M 26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name
information is required for every Osterville MA 02655 6/20/13
page. . City/Town State Zip Code Date of Inspection
D. System Information (cont:)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle 2+
Scum thickness
0"
41.+
Distance from top of scum to top of outlet tee or baffle .
Distance from bottom of scum to bottom of outlet tee or baffle 1'+
How were dimensions determined? estimated
Comments(on pumping recommendations, inlet and.outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.): .
The inlet of the tank was ok. 1 outlet line goes to an old system that consists of a d-box`and a.pit that
was supposed to be filled in and abandoned according to a plan dated 2003,but never was. The 2nd
line goes to a new d-box and leach chambers that were installed in 2003 per the plan on file at the
Barnstable BOH. Both SAS's were dry. The outlet lines going.from the tank to each d-box are not
level and have a seperation of approximetly 5".
Grease Trap(locate.on site plan):
Depth below grade: feet
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain):
l
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping:
Date
t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 26 Hinckley Circle .
Property Address.
Adelheid Weber
Owner Owner's Name
information is required for every Osterville MA 02655 6/20/13
.
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition., structural integrity, .
liquid levels as related to outlet invert, evidence of leakage, etc.):
l -
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:
i gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments(condition of alarm and float switches, etc.):
' Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17
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Commonwealth of Massachusetts
Title 5 Official Ins Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name
information is
e
required for every Ostervill MA 02655 6/20/13
page. Cityfrowni State Zip Code Date of Inspection
D. System Information (cont:)
Distribution Box'(if present must be opened) (locate on site plan):
i
Depth of liquid level above outlet invert
Comments(note if box is level and distribution.to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
The new d-box was in good condition.it is 4'8"to the cover of the box. The old box was in good
condition and it was 1'from grade to the cover of the box.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
:Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): .*
* If pumps or alarms are not in working order, system is a conditional pass.
Soil:Absorption System(SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Both SAS's were found
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name
information is required for every Osterville MA . .02655: 6/20/13
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
leaching pits number. 1-6x6.
®. leaching chambers number:
2-500gal
chambers
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:.
❑ overflow cesspool number:'
❑ innovative/alternative system.
Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
The old pit was found to be dry and it is 5'from grade to the cover. The chambers on the new system
were also dry and they are 5'from grade to the cover.
Cesspools (cesspool mustbe pumped as part of inspection) (locate on site plan):
Number and configuration
Depth top of liquid to inlet invert
Depth of solids layer
i
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•3/13. . . Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
W Title 5 Officia Inspection form
Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments .
w� 26 Hinckley Circle
:Property Address
Adelheid Weber
Owner Owner's Name
information is required for every Osterville MA 02655. 6/20/13
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure,.level of ponding, condition of vegetation;
etc.):
i
I
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Hinckley Circle
Property Address
Adelheid Weber_
Owner Owner's Name
information is required for Osterville MA 02655. 6/20/13
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
r eLk
a
ac
Ne
oij
60
A Jc
t7
c�►a 130x"= 4 7o
L4 Qnx= y �
ID
Nei! 1'xt = 42
Ne4JSas = 6 � J
oil 13ex : 3
t5ins-3/13 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
26 Hinckley Circle
Property Address
Adelheid Weber
Owner Owner's Name — -
information is required for every Osterville MA 02655 6/20/13
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to high ground water: 12'+ per plan dated 2003feet
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. 2003 and on file at the Barnstable BOH
Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health - explain:
❑ Checked with local excavators, installers- (attach documentation)
® Accessed USGS database - explain:
MIW-29 Zone A water_level 6.9 .8x12= 10"adjustment
You must describe how you established the high ground water elevation:
A test hole was done on plan dated 2003 and it shows no water was found at 12'. From grade to the
bottom of the new SAS it is 7'. This gives you a proven seperation of 5' below SAS and where
groundwater is known not to be. The old pit from grade to the bottom is 11'. We referenced USGS
topo maps 1974 that shows the site elevation at 40 and Neck Pond at Elev 6. This gives you a
seperation of 34'.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
bins•3/13 Title 5 Offnal Inspection Form.Subsurface Sewage Disposal System•Page 16 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
'26 Hinckley Circle.
Property Address
Adelheid Weber
Owner Owner's Name
information is required for every Osteryille MA 02655 6/20/13
page. CityfTown State Zip Code Date of Inspection
E. Report Completeness Checklist
:® Inspection,Summary:A, B, C, D, or E checked
® InspectiowSurnmary D (System failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater
®.Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
` t
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
I
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TOWN OF SB '
� 1
yam,
LOCATION: �(, A r-jZk lec c Uac l.c
VILLAGE:
a
To6 - 4 A CAL Pl/ PERMIT # : .2007- 33
INSTALLER' S NAME: gjt�6,foc wo 56fat`c
INSTALLER' S PHONE # :
LEACHING FACILITY: (type) ;t (size)2 3 jL�S
NO. OF BEDROOMS:
BUILDER OR OWNER:
PERMIT DATE: -7 afO®3
COMPLIANCE DATE: R' r2
DRAW DIAGRAM ON BACK
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No.
2003 `331 Fe�0.00
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
c Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Application for Mizpool *pgtem Cougtructiou Permit
Application for a Permit to Construct( )Repair(x )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
26 Hinckley Rd Osterville A. Weber
Assessor's Map/Parcel 23 Sunset Ln
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
w.E Robinson Septic Service A & M Land Services
P.0 Box 1089 Centerville 15 Sunset Drive S. Yarmouth
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(nq
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 1 e a rah
system to plans of A & M Land Services Pump and fill
existing leachpit
Date last inspected:
Agreement:
The undersigned agrees to ensure the cons ' n and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Titl o the Environmental C and not to p e he system in operation until a Certifi-
cate of Compliance has been issue 'Cis Boazd of Heal
Signed Date
Application Approved by Date 7--2-t -y 3
Application Disapproved for the following reasons
Permit No. ZOO 3 —33 ( Date Issued `Z Z!-0 3
� } f
No.
2003= 3 . - e� . :. ... _is F5 0.0 0 .
,^ ' �
" ' w 4THE COMONALTH OF MASSACHUSETTS Entered in computer: Sf
Yes
PUBLIC HEALTH DIVISION TOWN OF BARNSTABLES MASSACHUSETTS
_ r -. ;ppliration for Miopogar *potetr� �ongtruction errrYit,
Application for a Permit to Construct( . )Repair(x )Upgrade( )Abandon( ) "O Complete System ❑Individual Components
Location Address or Lot No. Owner's*ame,Address and Tel.No.
26 Hinckley Rd Osterville A. Weber
Assessor'sMap/Parcel 23 Sunset. Ln
Oster- III&
Installer's Name,Address nd Tel.No. Designer's Name,Address and iTel.No.
w.E Robinson Septic Servtbce A & M Land Sertices
P.0 Box 108� Centerville 15 Sunset Drive S. Yarmouth
Type of Building:
Dwelling No.of Bedrooms 3 - Lot Size sq.ft. Garbage Grinder(nc�
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 4�' gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) T n.t a 1 1 a new Title S leach
system to Flans of A & M Land Services Pump and fill
existing leachpit. /
Date4ast inspected':
.;<-
Agreement: '
The undersigned agrees to ensure the cons ion and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Titl of the Environmental C and not top et�he system in operation until a Certifi-
cate of Compliance has been issued his Board of Healt
Signed Date
h_ Application Approvedby, ` Date 7-2 1 3
Application Disapproved for the following reasons
Permit No. 'ZOO 3 — 33'(" � Date Issued 7- Z(- 0 3
Weber THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance 1
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( x)Upgraded(, )
Abandoned( )by W.E. Robinson Septic Service
at 26 Hi nrklev Circle Osterville has been constructed in•accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 2a6 3—3 3( dated 7_ 2(-03
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the syste w' . �t'o s c
Date — 6 7 Inspector ?�Ppz -4 eT
a
No. 2y0 3-'33( Fee 50.00
Weber THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
'Wi5pooar *pOtem Con0truction Permit
Permission is hereby granted to Construct( )Repair( x)Upgrade( )Abandon( )
System located at 26 Hinckley Circle Osterville
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 pe tt.
Date:__ t " U 3 Approved by `�
TOWN OF SMiE)n teft
LOCATION:
VILLAGE: M%j` dt
PERMIT # :
INSTALLER' S NAME:
INSTALLER' S PHONE # :
LEACHING FACILITY: (type) p�y [S (size)�xt3��s
NO. OF BEDROOMS: 3
BUILDER OR OWNER:
PERMIT DATE• `7��f�p
COMPLIANCE DATE: .
DRAW DIAGRAM ON BACK
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CAPE COD
RUILDINC Richard Davis
INSPEC�1 1230 Newtown. Road
Cotuit, MA . 02635
508-420-0260
LETTER OF INITIAL LEAD NON-COMPLIANCE
DATE 2 `3-%a
Dear 9,Pa X ,9
Thi-s_l_etter� s to certify that I inspected the property located at
G w c�,��« apartment no. &4 , and relevant common areas, in
the city or town offC��'1 , for dangerous levels of lead
according to 105 CMR 460 .7310-(KY—through(F) : Procedures For Initial
Inspection,Regulations for Lead Poisoning Prevention and Control, and
determined that there were VIOLATIONS. The inspection was conducted on
Please be advised that Massachusetts law requires that only certain
residential surfaces be free of lead paint . (Deleading must be done by a
licenced deleader MASS. state law) NOTE: A copy of the report must be on
site at the time of re-inspection which is after the deleading process . -
STRIP ALL WINDOW WELLS OR COVER WITH FLASHING. SEE NOTE FOR FURTHER
REQUIREMENTS. DO NOT PRIME OR REPAINT UNTIL THE INSPECTOR HAS SEEN THE
BUILDING. NOTE: MASS. GL CHAPTER Ill S.S. 190-199 Requires that : On both the
interior and the exterior of any dwelling, loose offending paints or putty,
regardless of surface or height,
g g must be removed. The surface should then be
sanded, reputtied and repainted with a non-leaded material in order to
reduce further deterioration. Any chewable surface within (5) five feet of a
standing surface must be stripped to the bare wood and repainted with a non-
lead paint . FEDERAL LAW 24CFR Part 35 Dated 1 April 87 requires stripping be
done to the (5) five foot level and as above.
** As of above date of regulation Si erely,
it will be the responsibility
of the owner to be aware of
any future changes in the law. L
' Richard Davis I 1074
Inspector Licence #
Report # Y ;? OD34
At the time of inspection children under 6 were living in the house OYES ONO O INCONCLUSIVE
f4 ,
,.
—
TOWN OF BARNSTABLE
BOARD OF HEALTH
ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION
Date Time: In Out
Owner I`t Tenant
i
Address Address -2-G
V7 114--
Compli nce Remarks or
Regulation# Yes NO Recommendations
2. Kitchen Facilities V
3. Bathroom Facilities lypfGVe. r 0
4. Water Supply
5. Hot Water Facilities
6. Heating Facilities b
7. Lighting and Electrical Facilities
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural
Elements
14. Insects and Rodents
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal 0 3 — 3 -3 jVL
17. Temporary Housing
18. Driveway Width
19. Number of Tenants Observed
PART II
37. Placarding of Condemned Dwelling; VC
Removal of Occupants; Demolition
Number of Bedrooms Number of Vehicles Allowed (max) ~"
Number of Persons Allowed (max)
Persons Interviewed Inspector
If Public Building such as Store or Hotel/Motel specify here
sr.�.
`°LOCATION SEWAGE PERMIT NO.
VILLAGE
a jo
INSTALLER'S A M E A ADDRESS
e U I L D E R OR OWNER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED � _ ��
[/ou
p
��%s� Pam[ ��do,
No.__............. ..1.
!� Fps..........6.�..
THE COMMONWEALTH OF MASSACHUSETTS
>� BOARD OF HEALTH
lQ..Lc1. 1..............
Appliratiou for Dhipoiittl Works Tomitrurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (A-ran Individual Sewage Disposal
System at:
--..s ..._......1�l..n�Jl P f l -C ................. ..... .................. ......_...........---
ocati Address --or Lot No...........................................
C� 71 . ----------------------------------------------- ..................................... ....................................._.....
�� / Ownez• Address
az!2Izvl...ef�.....�1_...�__�_.......................................... ....:...t�-----t=p._....�..`................. ...---...---•---•--------...------•--......__.
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms_____......_.....___________________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ------------------------------------------------••----...............................................................................................
W.
Design, Flow............................................gallons per person per day. Total daily flow............................................gallons.
04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
W Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No_____________________ Diameter....................
Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
1-4 Percolation Test Results Performed by.......................................................................... Date........................................
014 Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 •-••-••••••••-•-•-••-•-•-••••-•---•--•••---•-•••----•-•..............•--._._...•--•---•-•-•-•-•-__--.........................................................
0 Description of Soil........................................................................................................................................................................
W
U •-..._..•-•-•-•-••--••----•---••••••••.....------•----•-•••-••--•-•-•---•••.....•-••-----•-••-•-•---••--.....•-••••-------•--••-•••-•--•-----•••••-•••••---•••.....................•-•--•••--•••---•••••
W •---•------•----------------------••------••-----••...-•---•-•---••--•--•-------•--•---••-••__...... � r
U Nat ur f Repairs or Alteratio s— nswer when applicable___�..................... �r 5 t d�S
pp -` -- -
r j
a =--------�----------a- .......:___ al� /,� =�Ll__ -....._.... !
Agreement: •.;
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of ITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee b d of hea h.
igne ._. . ............. .... •• •--.......................... r7Da
��___
Application Approved By..................... . . ........ -•-- -_.. ................ .......Application Disapproved for the follo i g reasons----------------------------•-----•--._.....-.--------------------------------•-• ._...•--•_..
.... -•...................•--•-•------.......---•...-- •--•--••.....-•---•---••-----••-••--••-------•-•----•••-_..
Date
PermitNo......................................................... Issued.................. ...............................
Date
-- --- — -.a - — - ----- ', ---------------
No..... ...... !'.3�-. FEB..j......_..... ....._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. .".................OF.... .�!�"' +`d.��.���.::.-.............
App iratiou"` for Di-opniitt1 Murks Tontrnr#'inn rrrnti#
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at: !
.... k..__._.... �' l� f C....-----•-----. .,�? ...... .� ......................•--.....--•--.......
. .... .........
ocatio -Address or Lot No.
...........................................
Owner• �y�` / ' .. Address
Installer Addre ss
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building
� yp g ,:------•------•---:---_--:. No. of persons---.--------•---••-•--_-.--- Showers ( ) — Cafeteria ( )
Other fixtures ................. ----------
--------------------------------
W.
Design Flow............................................gallons per person per day. Total daily flow....7..........___..............._..........gallons.
Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter--................ Depth................
W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by..... .......................................
•-•-------------------------
Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 -•••-•---••-•-----•---•-•----•-•--•------------------•-....--------••----•---•--•--.........--••_............................................................
0 Description of Soil.........................................................-..............................................................................................................
VW ---..._•---------------------•---•-•----•••--------....••-•--•.....-••---•_•••----•---------•......-••--••--- ----- ..........
Natur f Repairs or Alteratio s— nswer when applicable ''avY r S S o
y
Agreement: 1; /
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 undersi ned further agrees not to place the system in
operation until a Certificate of Compliance has been, bd of Meal .
.. .._ -- .
Date
Application Approved B
Da
Application Disapproved for the f ollo g reasons-...................................-•--------------....--•----•----••-•_•......-j
--------..----
...... ....................................................................................................._ ..............................................._ ._....__.....___-......._
Date
PermitNo....................................................... Issued........................................................
. J
Date
1 F
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ��F HEA T
.................OF... .....��... .... f�:ll. ...................................
(Irrfif iratr of Toutplittnrr
THIS IS,T ). CERTIFY T the,,Individual Sewage Disposal System constructed ( ) or Repaired
r°r ..5.........
fi- F... r._ !L Installer-------•-------------------•-•----...•............................... ........
_ has been installAd m accordanc ith the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Work Construction Permit No._ _:�-��.�__Z-__......... dated-.....Z/? 1�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE....¢.Z -.<b---------------------- h
....................... Inspector-•----------••---...--•-----.......---...................--•--•-•-•--.........:.....
THE COMMONWEALTH OF MASSACHUSETTS
BOAR OF HEt�TH
tt
...................OF... ..... .S..�L.....::..t.....---....•---..........................
No....... ] 00
rf Y FEE......:...............
1inVns Or �1tua.rttr#ion prrntit
----•-------------------------------•---......................................
Permission is hereby granted...:1r ......
to Construct ( ) or Repa' ( "an Individual Sewage Disposal ystem
C at No.-----_-----_ ---------- r-�'1. I*�1.........Cc::C:c�.:t---••-•--- ._- ...i..
--•-------------------------•----------.......•---..........
Street
.� .j.�
as shown on the application for Disposal Works Construction Permit No.Q�?.� __. Dated.......... ......... '.........
---
Board of ealth
-----
DATE........... = "?-: ...
FORM 1255' A. M. SU KIN, 'INC.. BOSTON - -.
-rop 5 4 4.3
EL ` O
` rr z T,44 NDA RD NOTES
GROUND SURFACE EIS__ '__�_ o� 8 Z
GROUND SURFACE Lr�______
____6" MIN ` s c�" ^i 1) THIS PLAN IS FOR THE INSTALLA TION OF A SEPTIC SYSTEM (iQt $3
OUTLET PIPE LEVEL 2) ALL INSTALLATION PROCEDURES AND MATL'RLQLS SHALL CONFORM TO 310 CMR 15 000, 7t4 5 fAIT E,NWRONMENTAL CODE,
FIRST TWO PEES' S � VENT REV UIRED q -Z S t'Y � Z ,x 1 Z` '
TOP EL_ �� c o rJ C_ TITLE 5, AND THE TOWN OF _ A�v 7 A ft2 __ StBSURFACE DISPOSAL REG ULA TJOA'S.
LI UID T,FVFI 3 NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE' OF AVAZ'AAU PROPERTY INFORMATION WITH RECORDED DEEDS
MIN 2' LAYER DOUBLE WASHED
10"
D-SOX _ . _ iia•- ,�2• STONE OR ZONING REGULATIONS.
INVERT EL 14' c� , — _ -- — EFFECTIVE 4) TOWN WATER SERVICES THIS PROPERTY. 150 sw
GAS BAFFLE AT 0 14 INVERT EL SIDEWALL 5) THERE ARE NO KNOWN PRIVATF,' WELLS ON THIS PROI 'RTY OR WITHIN 1�� OF THE PROPOSED SOIL ABSORPTION SYSTEM.
�- �� a IN EL
INVERT EL 6) ALL COVERS OF SYSTEM COMPOAENTS SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE, WITH OY ;COVER OF THE
Z j v G') Aj c R P 7 Z' c r 1 R,- �•i S SEPTIC TANK BROUGHT WITHIN 6" OF GRADE.
D - Box 3 w 3/4'- 1 112' IDUBI_L �.
6 STONE BASE INVERT EL (Typieel) INVERT EL Z V , Ot=C P (00 6i4 1-, WASHED STONE 7) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL HE LOCATED DIRECTLY
`>< ✓ °^� A « ke o j4 3.5 e)9 ,01 UPON OR ABOVE THE COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THc, PERFOSMANCE, ACCESS, INSPECTION
/5 vJ Gal Septic Tank ►* B07.7OM EL
PUMPING OR REPAIR.
ZO ± / (7wpical) � � Z 8 NO DRIVEWAY, P_9RKING OR TURNING; AREA, OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION
( r k S T, .✓ `1 \ / 5 i 7C 5�' yv l�E`-- El `v'—(' o'TE rni S7 A 1�e ( )
FS f G.(.✓A t&2 T Pe o rl o w SYSTEM, EXCEPT WHEN VENTING; HAS BEEN PROVIDED.
C1.. �l S,b 2 S 61 �'L�/� v y d 9) SEPTIC TANKS, GREASE TRAPS, LIOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE
' �
TO ENSURE STABILITY AND PRE PENT SE=NG.
i 10) OUTLET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH.
_— -- —1 11) ALL SYSTEM COMPONENTS SHALL HE CAPABLE OF WITHSTANDING H-I D LOADING UNLESS THEY ARE UNDER OR WITHIN 10'
OF DRIVEWA Y,S OR PARKING OR TURNING AREAS, IN WHICH CASE H-20 COMPONENTS SHALL BE USED.
/ l 12) ALL BUILDING SEWER LINTS SHALL HAVE AN INNER DIAMETER OF 4- AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC.
13) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VENTING HAS BEEN PRO VIDED,
EXCAVATION IV OT 14) IN THE AREAS OF EXCA VATION, I'XISTING GRADES SHALL BE REESTABLISHED UNLESS NOTED AS PROPOSED CONTOURS
1) EXCAVATE ALL MATERIAL ABOVE SOIL HORIZON (SEE DEEP OBSERVATTON 15) IF SOILS ARE ENCOUNTERED DUh'ING THE EXCAVATION OF THE SOIL ABSORPTION SYSTEM, THAT DIFFER NOTABLY FROM
HOLE LOG) AT APPROXIMATE ELEVATION 9 Z•q- FOR A LATERAL DISTANCE OF 5'
(WHERE POSSIBLE) IN Al✓. DIRECTIONS BEYOND THE OUTER PERIMETER of THE LF,ACHING AREA. THE DEEP OBSERVATION HOLE' LOG, CONTACT THE ENGINEER BEFORE PROCEEDING.
2) FILL MATERIAL SHALL, CONSIST OF CLEAN GI?4NULAR SAND, FREE FROM ORGANIC 16) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES.
MATTER AND OTHER DFLE7'ERIOUS SUBSTANCES, WHICH MEETS THE TEXTURAL
CRITERIA PUT FORTH IN SEC770N 15.255(3) OF TITLE 5.
3) SCARIF}' THE BOTTOM S UFFACE OF THE EXCAVATION PRIOR TO PLACEMENT
OF FILL i VTO THE RETAIAING STRUCTURE --
4) PLACE FIL ONLY WHEN IJOTTOM SURFACE IS DRY, Exist Leach Pit DES
IG
DA
to be pumped and TA
,20.. E � filled as required � - --- DEEP OBSERVATION
Ex Wa ter N Bg 56 , i _ \ a
Line v r _ \ �� Number of Bedrooms 3 HOLE LOG t
40It LP Existing��� -� Garbage Grinder: NO Test Hole #r j
►Q 1 500 Gal Proposed Design Flow: 3 7 p _ (EL
,— -
w Tank D—BOX (110 Gal/BR/Day x Number of BR) y (USDA) (Muneell)y
Cn ) Ao�on Tenure Color
\ Se tip Tank: U
5of �1 � O O �
(Minimum = Design Flow x 200%) G A / y I y j C 0 'C vi1 R o YR L��
\ o Z.Sy� 4
Leaching Area: Z`� S! , ��'I 2 n�so -7 5 ,
J Y
a cn 5� -7Z 92. iG wn^"SyP.�
Bldg #26 �� Test Pit Sidewall: r �Z '• yy ��.� G
\ g PROPOSED LF'ACHING FACILITY c°A'� s'°"d 7:s r
\ Location lZ'
\ (� 3-Bed 25 (2 Sidewalls x __ S _Ft x '__Ft) + / $ D Deep Obs Hole Date:
\ �y House - Two 8'-6" x 4' 8" x 24" deep (or similar) Soil Evaluator Cod S�Z�e
\ ,�' S 2 ��, (2 Endwalls x __.. F+ x Z Ft 3 j
Witnessed Hp
ca $ Concrete Chambers with 4 stone all around -- Pero Rate: Z M'N „�
ToF= to/,S 5 t o
Z� (Total Area = 25' x 12.6) Bottoms Son Survey Deeoription: CARYI<R
Geologic Material. OUT WASH
Depth to Weeping Water. NA y
x _-Ft) Depth to Standing Water. NA 4
ry Depth to ltottling(Color): NA Q
\\ o d t �9 0� 5r/ Long Term Acceptance Rate (LTAR)-. 0. / 4 Ent Seasonal High GW: NA
~ Close I O'�� USGS Observation Well: NA
Qo En orch Leaching Area Design Capacity: 3`� y �, Date of last Measurement_ NA
(Sidewall Area + Bottom Area) x LTAR comments: i+
Garage (98 8 ) � o i � S F G
Y .J 7� S v J / 1 ,o 6 E l2 E 1--L-_J A -•1 o
TO o c,) 012 , L4 C o N-rrz AL c.-Tt, 2.. ro �x CA—VA c�
4joT`_ej
r A"c> "07) F Y A 5 g&Q j i R Co
M.
"FWD e►
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4.
PROJECT LOCATION 2 6
h Sosl,w,s p'
4,11 f,,d ASSESSORS MAP /y/ LOT Z 6
tr -
< APPLICANT. /�
0 �OGV 5 1-lE d/ UJ� �P ✓.
Svnlse Lint
Y -
N y r PREPARED BY
r
A & M Land Services
,Ati 15 Sunset Drive
No South Yarmouth, MA OR664
r i (508) 394-2723
I
SCALE / Z.p � DATE.. -7/6/0 3
LOCUS MAP REV.
-z6 NNCv. 4
r r rO , D WG. NO. 3 0-7 Z SHEET 1 OF l
i