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HomeMy WebLinkAbout0131 HOLLINGSWORTH ROAD - Health 131 Hollingsworth Road Osterville 0 e a . " " " -p n a c " Y 62-�`�`—mot ` Fee . 0 d No- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for �Diopoml *pgtem Ott.5truction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) xComplete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. art /3 / I //,-n�stc�v , eel, DSrv�%le Cam/s. ,'e,LeeC �r 7'rs . Assessor's Map/Parcel / D 9O 7 7P en -S Q Sk r✓,,"//C, /»q 4,R Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ��� yak-33 R CSG��I � L�.�sT LJ2P� St�lllvan tny/nrsr�ny, Type of Building: Dwelling No.of Bedrooms Lot Size a 7��ft. Garbage Grinder NO Other Type of Building No.of Pers ns Showers( ) ,,afeteria( ) Other Fixtures a d�1 Design Flow(min.required) gpd Design flow provided t gpd Plan Date Number of sheets Revision Date ri 211 Title Size of Septic Tank f ®® �'(�/�f"1L Type of S.A.S. Description of Soil IZ,l t0 C) 4'` tdPtV"1 `� C.41fe0-- 10y K S/�o ,za `-1Cc, C.k (-bA CZ C 6-1 CA- 2.17 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the cons ction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of t nvironmental at-tts�i ace ftie system in operation until a Certificate of Compliance has been issued by this Boar th. c Signed Date T Application Approved by Date Application Disapproved by. Date for the following reasons Permit No. �j��%- ` Date Issued b L 1==—== —_------ ---- ----- �,_.�� � � F• � 4. .,.- *b;4s. r" 4`"3'L 3"'"..""I�""!,. a�.sa-:I �,.^"Sr^,6.�cXaT��TK'ri'y,� T,,,� 'r�T� •-ar-::-�..i^' w*'�;,»�-71-.s+-+�•--''.,-„-;..fy"'`'. ✓✓lI PM ..-.q& } �" ::Y4ad.'r lKu,-S + 7 Fe e n No � ► � ric �U 9 ' THE COMMONWEALTH OF.MASS/�CHUSETTS Entered in computer: TOWN .. Yes PUBLIC HEALTH DNISION-TOWN OF BARNSTABLE, MASSACHUSETTS i application for,30i!9pogal-6p5tem 'Corootruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon'( leConiplete System ❑Individual Components LocatiovAddress or Lot No. Owner's Name,Address,and Tel.No. /44)!/•r) 5 to �e� k',(, OS k�v,11 f Carl -5.. ��"c�.[ C + E�i�t�Pc�n l�rt v `y 1 Tr..r . Assessor's Map/Parcel q Q a O 17 7e ✓i•//c, Vn q o R,lo�65 Installer's Name,Address,and Tel.No; - - Designer's Name,Address and Tel.No. -4 3 9 it t �:�. ��eu.�4C,�.✓� C���T. l��P. .5�-lliYan �»,y�hcc,-�_ny,r�,c. Type of Building: ' Dwelling No.of Bedrooms Lot Size o `Y�fl.0 goft. Garbage Grinder Other Type of Building No.of Pers ns Showers( ) afeteria( ) Other Fixtures I ik + � Design Flow(min;-required) gpd Design flow provided t gpd Plan Date 1 / Number of sheets Revision Date t i (�+ ► Title 1 r _ furl. Size'df Septic Tank 1. `, QW& Type of S.A.S. Description of Soil 17-, 146 O—c�S (d&V--, 7-7`'`1(0 CS ( 6-k6Z I t'k fol(o ✓vNVD� 4Ic-4v C Z t A-i e 9 ?—Y r,,,P k s Nature of Repairs or Alterations(Answer when applicable) # . Date last inspected: t Agreement: The undersigned agrees to ensure the constelction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of t Anvironmental C e-and-not-to`piace the system in operation until a Certificate of Compliance has been issued by this Board"ef, th. Signed h Date ,.//r-'9 Application Approved by lq�, Date Application Disapproved by. Date for the following reasons Permit No. ){dtj - L C Date Issued (/ �ylt G -- ———————————————— — — L —_— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS r Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( y) Repaired ( ) Upgraded ( ) Abandoned( )by J , Q r, ,_.'/a C9,A-i.G 0 v K(;�_ do I >7 , V V at /3 f�tl l/,.b 9 SrLI�O! 7 / L• t GI'V,'lI has been constructed in accordance twith the provisions of Title 5 and the for Disposal System Construction Permit No. 00 e— dated �,/�tj ak . Installer t� ( 1� 1 Designer _ #bedrooms Approved design flow — gpd The issuance of this permit hall not be construed as a guarantee that the system w' ftYn tidn as design Date +>;'' (yr . U Inspector iM, _ es ------- - - ----- - ---- -- ---- ------------ No. ( ? Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS r, I=igpogal *pgtem Congtruction Permit Permission is hereby granted to Construct (�) Repair ( ) Upgrade ( ) Abandon ( ) System located at /2 / d d/h h q { U_)o r M le'd , 0 i and as described in the above Application for Disposal System Construction Permit:The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construct on must be completed within three years of the date of thi pe it. Date L Approved by (� r _ TOWN OF BARNSTABLE LOCATION V-44A 44 SEWAGE# ZZ)(>' ,VILLAGE (3�4C.,,V"/l e ASSESSOR'S MAP&PARCEL. i yv,--�O INSTALLER'S NAME&PHONE NO. Gam✓�c qC pN< S�� v i SEPTIC TANK CAPACITY LEACHING FACILITY: (type) Son C,a/C4ck, size) 1 Z NO.OF BEDROOMS OWNER A M 00t r f k C 40 PERMIT DATE: �� COMPLIANCE DATE: 3� Separation Distance Between the: Maximum Adjusted Groundwater Table to the.Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY . m l 5 _p S S - 6 TOWN OF BARNSTABLE LOCATION 13 I H III I S(,j r SEWAGE# VILLAGE 0.STirV,I ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE""NO. SEPTIC TANK CAPACITY CL.SS a LEACHING FACILITY:(type) S (size) NO.OF BEDROOMS OWNER..Re, AJ L I PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet Private Water Supply Well and Leaching Facility(if any wells exist . on site or within 200 feet of leaching facility) feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BI��S ec,-r,p or 3/t7 fj' A BA ► y� 301 07/17/2009 16:36 A 5?.84£783115 SULLIVAN ENG INC PAGE 01 JUL-17-2009 02:51F FROM:RJ BEUILACOUA 508-833-6359 i T0:50B4283115 P.3 Town of Barnstable Regulatory Services Thomas Geller F. Director � ,+►arsrzff,� 1 Public Health Division Thomas McKean,Director 200 Maly Street,Hyannis,MA 02601 Office! 508-862.4644 Fax: S 8-790.6304 jqjtjWer Designer Cerr0cation_FQrm: Q p— / Q / Date: l�Q-/ Sewage Permit# QO C7d.+sessor's MaplParcel 0 1. Designer: / �� staller: f � . Address: Pd NX &1Z Address: . 416 .,A lor 14Z oacy],I& /q 0&5�r was issued a pe=it to instal!a ( lnst - septic system at based on a design draws by ass 1 dated osl s I e that the septic system referenced above was installed substantially accord'accordirg to. the deaf4a, which may inclade minor approved changes such u lateral relocation o F the distribunon box andror septic tank. I certify that'tho septic system referenced above was installed with a*or changes (i.e.. greater than 10' lateral relocation of the SAS or any vertical relocation of any c0nVc nant of the Sept! a)but in accordance with State &Local Regulations. Plan reviSi or certified t by desfgaer to follow. . rFTI� SULLIVAN er'e Signat�ae No.29733 V aMrna a ei: pars Signa (Affix Designer's tamp Here P K �a'r�n�ren>Y BAAI+18_?__ABLE FVBLLCTfislTV78IO1�L 189KYQXL. Q:Heawsiptiunesigner Certification Form 3.26-04.doc COMMONWEALTH OF MASSACHUSETTS EXECUTIVE.OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION]FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION PropertyAddress: 131 Hollingsworth Road Osterville. MA 02655, Owner's Name: Carl Reidell Owner's Address: Date of Inspection: September 3 2608 Name of Inspector: (Please Print)James M. Ford Company Name: James M. Ford Mailing Address: P.O..Box 49 _ Osterville,MA 02655-0049 t _' Telephone Number: (508) 862-9400 c j CERTIFICATION STATEMENT ` 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 perform based on4"�iny training and experience in the proper function and maintenance of on site sewage disposal systems. I am.a D.P approved system inspector pursuant to Section 15.340 of Title 5(310.CMR 15.000); The systei co Passes Conditionally Passes Needs urther Evaluation by.the Eocal Approving Authority ✓ Fails Inspector's Signature: Date: September 15 2008 The system inspector shall sub � a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the.system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and.the system owner shall.submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments - ****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. _ JJAA Vv Title 5 Inspection Form 6/I5/2000 page I tl ����. Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 131 Hollinzsworth Road Osteryille, MA Owner: Carl Reidell Date of Inspection: September 1 2008 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair;as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the 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 ex.filtration 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: 2 - Page 3 of l l OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A } CERTIFICATION (continued) Property Address: 131 Hollinzsworth Road. Osterville, MA Owner: Carl Reidell Date of Inspection: September 1..2008 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 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a mariner 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 asurface 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 detennine distance **This system passes if the well water analysis,perfonned at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or.less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be,attached to this-form. 3. Other: o - 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 131 Hollingsworth Road Osterville, MA Owner: Carl Reidell Date of Inspection: September 1, 2008 D. System Failure Criteria applicable to all systems: You must indicate either"yes or"no"to each of the following for all inspections: . Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow ✓ Required pumping more than times.in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of'a surface water supply or tributary to a surface. water supply. ✓ Any portion of a cesspool or privy is within'a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well: ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)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 System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the-following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water-supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "Yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304,. The system owner should contact the appropriate regional office of the Department. 4 I , f Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 131 Hollingsworth Road _ Osterville, XM Owner: Carl Reidell Date of Inspection: September 1, 2008 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓. Has the system received normal flows in the previous two week period Have large volumes of water been introduced to the system recently or as part of 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: Yes No ✓ _ 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(3)(b)J. ' 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE]DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 131 Hollingsworth Road Osterville, MA Owner: Carl Reidell Date of Inspection: September 1. 2008 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): n1a DESIGN flow based on 310 CMR 15.203 (for example: 110.gpd x#of bedrooms): n/a Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a i Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no):. No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310.CMR 15.203): Qpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank, distribution box,soil absorption system Single cesspool ✓ Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Date of installation unknown. Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 131 Hollingsworth Road Osterville. MA Owner: Carl Reidell Date of Inspection: September 1. 2008 BUILDING SEWER(locate on site plan) . Depth below grade: Materials of construction: cast iron 40 PVC other(explain):' Distance from private water supply well or suction line: Cotmments(on condition of joints,venting, evidence of leakage, etc.): SEPTIC TANK: ✓ (locate on site plan) (Cesspool acting as a septic tank) Depth below grade: Cover 6" Material of construction: concrete _metal fiberglass _polyethylene ✓ other(explain) cesspool block If tank is metal list age: Is age confinned by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 4'W x 4'T x 6'bottom to Qrade Sludge depth: -- Distance from top of sludge to bottom of outlet tee or baffle: -- Scum thickness: Distance from top of scum to top of outlet tee or baffle: -- Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: . Measuring stick 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 Cesspool was dry.An outlet tee was present. GREASE TRAP: None (locate on site plan) Depth below grade: 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: Commments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 o, Page 8 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 131 Hollinjzsworth Road Osterville, MA Owner: Carl Reidell Date of Inspection: September 1, 2008 TIGHT or HOLDING TANK: None (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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Carmnents(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: .None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Continents(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 131 Hollingsworth Road _ Osterville, MA Owner: Carl Reidell Date of Inspection: September 1,2008 SOIL ABSORPTION SYSTEM(SAS). ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type . leaching pits,number:' leaching chambers,number: ` leaching galleries;number: leaching trenches,number,length: leaching fields,number, dimensions` ✓ overflow cesspool,number: 1 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 overflow ivas dry. The scum line was up to the inlet pipe signs ofpast failure The bottom to grade ivas 8'6" The cover was 8"below. CESSPOOLS: None (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 or no): , Comments'(note condition of soil, signs of hydraulic failure,,level of ponding,condition of vegetation, etc.): t , ' Ste' .. -' .ir •, #„ PRIVY: None (locate on-site plan)' Materials of construction: " Dimensions: „ Depth of solids: } Comments(note condition of soil,signs`of hydraulic.failute, level of ponding,'condition of vegetation;etc.): , I l h. Page 10 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 131 HollinQsivorth Road Osterville, MA Owner: Carl Reidell Date of Inspection: September 1-2008 SKETCH OF'SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two pennanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. �7 3 a y3 Io 10 ttr? Page I of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM[INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:. 131 Hollingsworth Road Osterville, MA Owner: Carl Reidell Date of Inspection: September 1 2008 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated.depth to ground water 30 +/- feet Please indicate(check)all methods used to determine the high ground water elevation: I Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site.(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps the maps were showing approximately 30'+/-ground water at this site. This report has been prepared only for the septic system and components described herein: This septic system has been inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic system; the inspection,this report and/or any components of the septic system which have not been located and inspected. . I1 i t � °Ft"ETA Town of Barnstable P � IARNSTPABLE, � Regulatory Services MASS. 039. �0�' Thomas F. Geiler, Director ArFD MAC A Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 '� ..�.�a ems - :s�,.ra�:�.s .?;.,r�w�.' :t?�, ,�s ...�..a,�s;�".xt,��a,�s?�,.�-.�'.�;:a:.'- ,..�.,€w,x �•,�.�i -��� c-:. ., ,.,��.z .�.z'�..�..-','�''.�`� j DATE: Z Gy NUMBER OF PAGES TO FOLLOW: 1 TO: O FROM- I PHON v - PHONE: (508)862-4644 S FAX PHONE: FAX PHONE: (508)790-6304 cc: NOTES/COMMENTS: ii'Y\.�-cam QAFax Form.doc J i Health Master Detail Page 1 of 1 r' u Logged In As: "roWN',malkusk Health Master Detail Wednesday, March 25 2009 Application Center Parcel Lookup Selection Items Parcel Septic Perc I Well I Fuel Tank Parcel: 140-201 Location: 131 HOLLINGSWORTH ROAD, OSTERVILLE Owner: CUTTER, MARC &JUDITH R Septic changes have been saved. ..................................... ...................... Septic 1, 04/28/2008 ...........Hew-Septic... Permit number: 200816'6 Permit type Select type ;= Complete system: i Issue date C4/28/2008 Complete date Septic tank size: 11500 Type/Size of SAS: 57500 gallon chambers Installer: Select Installer Card on file: 177 . I/A service type Select service Innovative/Alternative Technology type Select IA type Variance date ? .......... . Abandon complete date : ___.. �� Abandon permit number Repair deadline date : y p Repair notification date : :_.. Keyword: Comments ** • *** l _, _�__ 5 bedrooms Installer must sign permit Revision date of 1/12/09 - Delete Septic _. ......... ........ ......_. .. ..................... Inspection 09/03/2008 1 New Inspection...( Number Date Inspector Result 5221 Ford, James M. , Ford Septic Services F (Fail) The following conditions) are occurring: r discharge or ponding of effluent to the surface of the, ground pumping more than 4 times during the last year NOT due to clogged or obstructed pipe backup of sewage into the house due to an overloaded or clogged SAS or cesspool f static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool any portion of the SAS, cesspool, or privy below high groundwater elevation any portion of the cesspool within a Zone 1 to a public well ( any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis Comments: Delete Inspection I Save'Septic Changes Return to Lookup http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=140201 3/25/2009 AsBuilt Page 1 of 1 11 TOWN OF 13ARNSTABLE LOCATION 3I 1'� 1�1 S / SEWAGE# VILLAGE OSTt.rV t ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Ce Ss,Oat LEACHING FACILITY:(type) 0.. „rpCM (size) NO.OF BEDROOMS t OWNER RPM1 PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility fi Private Water Supply Well Leaching Facility(if any wells exist on site or within 200 feet of leaching facility) ff Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). ff FURNISHED B Y` I l)s GTJ q D r' �'f 3/o 8 A aACk Q � � 3 1 14 30 a y3 1e http://issgl2/intranet/propdata/prebuilt.aspx?mappar=140201&seq=1 3/25/2009 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im �� ,� C DATA ..:� ". No. r r u Fee THE Entered in computer: ! .t} Yes PUBLIC HEALTH DIVISION - TOWN OF.BARNSTABLE, MA SACHUSETTS ZIPPlication for Mi.5pogar 6pqum Con5truction Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O XCotnplete System ❑Individual Components Location Address or Lot No. Owner's Name, ddress,and Tel.No. k, 3 / 140//. dui r��C, OSk'vj°/Je 6yar/-5. Pert, 7 . Assessor's Map/Parcel /go 0.?0 '7��' i'Yllu'/� -S7F, O S/t�✓i"//C, /Yl 40��j'j 0�- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No: � yd,?_'3.3 Suz.11iva,n rny�nGcrJny.�tc: Type of Building: �- Dwelling No.of Bedrooms Lot Size e "T �-dsgrft. Garbage Grinder, Other Type of Building No.of Pers ns Showers( . ) jalfeteria( ) Other Fixtures 46 p �, Design Flow(min.required) gpd Design flow provided 7" gpd . 0 Plan Date 441 Number of sheets Revision Date Title mil. �...+. Size of Septic Tank jL�0O q�d n'L Type of S.A.S. C �'/ /a { T Description of Soil 12., l�d�:; 2."?- LW 1 Cl t oL& Cz.I Ak-rt'k_ Z­ry 6 I-c AIRA 5� Nature of Repairs or Alterations(Answer when applicable) Date last inspected. . Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. . Signed Date Application Approved by Date Application Disapproved by. Date for the following reasons Permit No. adb��.rl�b9 Date Issued b �- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance / n . E6 E THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( V) Repaired ( . ) Upgraded ( ) U� Abandoned( )bydj . at 13 l !�d //� hR Gc�Uf�-h �dL- a C�P�I ✓��llP has been constructed in accordance . \ with the provisions of Title 5 and the for Disposal System Construction Permit No.. 0 dated U Installer Designer #bedrooms i a Approved design flowIj g gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector, . IF --———————————— -— — —-———— — - ron E RI No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 'r ig o acY �pgterrr Con.5truction Permit Permission is hereby,granted to Construct ( V Repair ( ) Upgrade ( ) Abandon ( ) System located at /'3 / i�D./�i �7�l S GUO ► 0 S/Pa /1 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: Construct n mu7 be completed within three years of the date of thi pe it. �,. Date a L6 Z Approved by I�LV Fee THE n - - Entered in computer: PUBLIC HEALTH DIVISIO --TOWN OF:BARNSTABLE;-MA SACHUSETT4- Yes application for nigpogal �pgtem 'Construction Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O ZComplete System El Individual Components . Location Address or Lot No. Owner's Name, ddress,and Tel.No.131 /�0//�n�SLO'gnl, k,(,OS v,11E Crir/s. �;e teeC (�i Mt n P�rt�,7'Er Assessor's Map/Parcel O a Q '7/�/Y)k i I7 S f, 0 S k_r k1.,'//C, M A Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.SoJ-yd 4.'.33 / St.�/li van i`=nyi ncc,-�ny,zrc. 14G 9 Gvf/lr. m� �sS Type of Building: / ,/p Dwelling No.of Bedrooms Lot Size a 7d(, 4.G ft. Garbage Grinder -'Other Type of Building jr No.of Pers ns Showers( .).Csafeteria( ) Other Fixtures t r1 t) Design Flow(min.required) - gpd Design flow provided t gpd Plan Date Number of sheets c � Revision Date ' Title +� Size of Septic Tank /.ri�O QQ1I f") Type of S.A.S. C. Description of Soil 1 Z, (_a.t , $-Z--�'• R c>ar�tzsZ.l cy 2 s/b tAa,,t-�, 5,�„v.� 2-7-`if1' C1 t 6�tA & it'-& G� 02,00 SNLQ, %2? CZ 61-i rl"-1 5rloi Nature of Repairs or Alterations(Answer when applicable) Iff Date last inspected: I Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date Application Disapproved by. Date for the following reasons Permit No. 2,1b ry— L Date Issued 9 l THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS d; Certificate of Compliance _ F�6"E THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( I ) Repaired ( ) Upgraded ( ) U\ Abandoned( )by \ at- / 3 / L- Ittc__ O )G/Vt'llr has been constructed in accordance \ with the provisions of Title 5 and the for Disposal System Construction Permit No. 0(I���`` dated Installer Designer #bedrooms �f e 7 Approved design flow q gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector - ron E RI - -No. Fee THE COMMONWEALTH OF MASSACHUSETTS - - PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS ni$flOga[ 6p2;tem CongtrUction �nerinit Permission is hereby granted-to Construct (V) Repair ( ) Upgrade ( ) Abandon System located at /3/ f�D//i;i7 OS/2-/" j,// and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided:Construc r n mus be completed within three years of the date of thi pe it.,)/ Date a L� d 0 Approved by �U I Health Master Detail Page 1 of 1 '�"A-0-01- . � Lagged In As: TOWN\malkusk Health Master Detail Wednesday, March 25 2009 Application Center Parcel Lookup Selection Items cif 36`6 Parcel Septic Perc well Fuel Tanis 2- I / Z A a Parcel: 140-201 Location: 131 HOLLINGSWORTH ROAD, OSTERVILLE Owner: CUTTER, MARC&JUDITH R Septic changes have been saved. .......... .......... ...................................__._...._.._........_.._._....._....._._...._.________...._..___..................__.................... Septic 1, 4/28/2008 New Septic... Permit number 2008166 Permit type Select type Complete system Issue date 4/28/2008 Complete date p chambers Septic tank size: Type/Size of SAS: 5-500 gallon _ _ ............____ Installer: ISelect Installer , Card on file I/A service type Select service Innovative/Alternative Technology type: Select IA type € Variance date : Abandon complete date Abandon permit number F . - omwrrmuu.o .. Repair deadline date 4/25/2009 1 ,91Repair notification date 3/26/2009 Keyword Comments: -_ *** 5 bedrooms —installer must sign perm i "Revision date of 1/12/09 Delete Septic Inspection 9/3/2008 New Inspection... Number Date Inspector _ Result 5221 9/3/2008 rd,Fo James M. , Ford Septic Services - F/R (Fail/Rep; The following condition(s) are occurring: [ ] discharge or ponding of effluent to the surface of the ground I r pumping more than 4 times during the last year NOT due to clogged or obstructed pipe F backup of sewage into the house due to an overloaded or clogged SAS or cesspool static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool € f any portion of the SAS, cesspool, or privy below high groundwater elevation any portion of the cesspool within a Zone 1 to a public well r7 any portion of a cesspool within 50 feet of a private water supply well 'with no acceptable water quality analysis Comments: w De 11 lete Inspection Save Septic Changes Returnto Lookup 0 V http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=140201 3/25/2009 i Town of Barnstable t # °t Department of Regulatory Services 1 asanarearu. 1 Public Malth Division Date 161AA 200 Main Street,Hyannis MA 02601 tbj9• � � Date Scheduled - T 04 ime Tee Pd. Soil Suitability Assessment for Se ageM�pj osal Performed By: Witnessed-BY:" 9 - LOCATION& GENERAL INFORM ,TION Owner's Nmnes t C � S IKade1\�- Location Address l 31 E10 1�ng5 Wl r .rC Ere}C V\ Wry -V ' Osb��•a>� Address 77 Wit^ A Assessor's Map/Parcel f a ~Z�, Engineer's Name NEW CONSTRUCTION REPAIR Telephone N Land Use Slopes(9�e) O"S�o Surface Stonts Ar Distances front: open Water Body G Q `Possible Wet Area SbJ 11 Drinking Writer Well �60 A 11 A- Drainage Way $� R Property Line ZO. ". ft. Other SUTCII:(Street name,dimensions of toy exact Iocathno or test holes do pert 106%local.te wetlands In Proximity to holes) BLANID ROAD 1� n K . b- 1 �1 p' F X F _.....__.. Depol to Bedrock . g Parent material(gewloglc) 4i�1 wcs� DepUt to Groundwater: Standing Writer in Hole: Jt1a Weeping from Pit Face o, } I Estimated Seasonal High Groundwater �Z —"��Z���''t.�0:$ �r°"�le''•��1 � • ` DETERMINATION FOR SEASONAL IIIGIi WATER TABLE Method Used: Na�ug in. Depth to soil mottles: i° Depth observed standing in obs.hole.; i11 Groundwater Adjusbntnt R Depth to weeping ftorn side of obs hole: . . _ Ad.factor�_.Adj•Groundwalcr Lev, Index Well N Reading Date: index Well level j. PERCOLATION TEST Rate .LI Z l5 Time a a Observation Time of 9" Hole N 3S Time at 6" i Depth of Pere 2 _ �lon5 Time(9"-6") — Start Pre-soak Time ( .i. End Pre-soak Rat e Mi"Anch Site Suitability Assessment: Site Passed ✓ Site Failed: — Additional Testing Needed(.YIN) N _ original: Public Health Division Observation Hole Data To Be Completed on Back ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)weelt prior to beginning. Q11113ALTI MPIPEILUORM I3L;RP OBSR.RVATION HOLE LOG Hole It l WPM fium Soil florizon Soil Texture Soil Color Soil Othcr 9urfkca(In.) (USDA) (Munsoli) Mottling (Structure,Stones,Buuldets. ('nnalatnnflY a�aGraVCi) V 5 s l S fo 2S-,to to�(r� al p D1Vi llp OBSERVATION HOLE LOG Dole# _ Depth front Soil Horizon Soil Texture Soil Color Soil Other Surface ) N ) SDA (Multsell).. Mottling (Structure,Stones;Douldcrs. u (in: Consistencv %Gravel) _ Li —2` tU 5 ZS-� Ct DEEP OBSERVATION HOLE LOG Hole N Depth front Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulders. Consistcncv %Urn c 0-� LOtPcv� 2-1-4,(0 Dl+EP OBSERVA ION HOLE LOG Hole# ,Depth from Soil Horizon Soil.Texture Soil Color 5011 Other Surface(in.) (USDA) (Munsell) MoUling (Structure,Sloites,Boulders. Consistency.0%Gravel) Law\ N7-ze 3 •i o� FI I d Insurance Rate Mao: Above 500 year flood boundary No Yes Within 500 year boundary No= Yes Within 100 year flood boundary No,,:— Yes Depth of Naturally 0ccurrint> Pervious aterial Does at least four feet ofmaturally occurring pervious material exist hi all areas observed throughout the area proposed for the soil absorption system? ff not,what is.the depth of naturally occurring pervious material? t Certification I certify that on ( Il`� _(date)1 have passed the soil evaluator examination approved by the Dopartment of Enviro ttentni Protection and that the above analysis ivas performed by me cons�lstent with the required training,expertise and experience described in 310 CMR 1.5.017. Signature Data LI Z (.� Q:I ICALTH/WMERCI-ORM ASSESSORS REF.: FLOOD ZONE: ZONE: Map 140, Parcel 201 Zone C RC Community Panel No. Area (min.) 87,120SF (RPOD) OVERLAY DISTRICT: #250001 0016 D July 2, 1992 Width Fronta mie n) 100(min) 20' AP - Aquifer Protection District Setbacks: OWNER:V NER: Fron t 20' Side 10' Marc & Judith Cutter Rear 10' �+ 39 Southfield Court Needham MA 02492 o � � Dom 4&�M.Trolto / ? 88.14' a� Fhd N82Pafhn - �'a��,► �� �3,q• � �� (20' Wide) p� T 40. k'oe N82.52•10"E ,}5.2410' ode ® a , C" 449 4 ! `0 ? C76 ftod 4 Easement39• 21.0' ' 3 co\ 5 �� �+ 1 3.2 . t 0 UT— kaj Lot 1 N 0X' 20,904f SF a o &tt boo ` L prc #131 New �o 6 Concrete Z 43 2 Foundation m p A a ,JC m rn Former vitj [�J�o�( � Nouse -COD pe.J o J � �o�a� I 40.9' ./J ce 22. NIF S8o�8.47 f 126 Otto J.& Anne M Plescio, Trs 1 2' /rwb, 8.Hal/ vA OF Fx' 0 RICHARD I certify that the new LHEUREUX foundation shown hereon Mt2 conforms to the setback PLOT PLAN requirements of the Zoning Bylaws of the town of At 131 Hollingsworth Road Batable. MAI ARNSTALBL D • A.5 A.5 IT' , 2)2x12 B•xr P.T.POST . - FLUSN TYPICAL . I I ' ——— ——I _J to'TNIOK x 4•-0' - I CONCRE WALL ON ■ ---I COONNTE�roo I I 1 r----- -----I ! � 1E FOOTING 3W DIAM.CORRUGATED AR AwAYI W%ORAL BED. CAL10•TNiac x -,o• f .. -CONCRETE WALL ON . • -- CONT.20 d0 - _ CONCRETE FOOTING - �' I I f I I I I P 12'°o C.�6vERR�T w gw°vN , FOUNDIN ATI wALLs TO OqTIE - - — ___—J I °S NUOUA - - - TUBE TUL UP f I - �! •_•. -'-----"I I ...7yyyy . - ------- — —TUBE STEELUP' -- ---- 1' I I I --- J I r--- r--� f -- I L __ 1 1.---f- I L----- I - -- ---- I --_—__.________ J L_—J• L—_J r , 28 I S„ B'ATDOOR�OPENINo 7 10'THICK x 4'-87 I L. III - PKT. DROPPED 1 2 a. 4 e e Y s 4 10 1 I CONCRETE ON PKT. 3rOxNtl•LVL . I DROPPEo III - sTi CONC COLUMN M DN: - I CONCRETE FOOTING I 3NOx,1O•LVL— III ON 30•x30•x12•OP I 3 L CONIC.RUED DOUBLE JESTS UNDER CONIC.FOOTING TYP r--——————- x: I r-�If-1 STL LALLY'COLUMN ALL PARALLEL PARTITIONS - • ,!.` f w I I I I I �Na rooT+a UNFINISHED BASEMENT ` I I - - f I m I I f ,o•TwCK x r-10' L J _ CONCRETE WALL ON I _e. -III- 5,_g. _ -r r_. - BM. I I CONT.2ox1O• '� f III CONCRETE.FOOTING Q ( m 1 is r- a r �. r-=� I ■ I . I PR- p =1Sam _�1E ®.®• 1 ==-_ y�p� _I I A.e 31/2'CONC. L�LJ L__J L__J L_ ' J I ■ I 717E'lf'FI6 f oN sox3wxciauoP I - ENTIRE OARAOE s CEILING '....f I+ L JIL J CONIC.FOOTING,TYP. If' ;`� DROPPED. .POST .I I �. , 1� r 3)1 x11D"LVL. UP TYP. 1. 2)1Ox11D':LVL VQE III —�" I &�1 MAW, GARAGE SLAB i I 10•THICK■r-1o•. r r——l r---; r——,1- r 1 } _ CAN F�RosT WHERE CONCRETE WALL ON'- �II— �I ,31/2-CONC.' DP I —— IE'NOT CONTMJOUS I CONY.2o•x1o• I 1__L L_J_ J_-__I_ 1__ _L_�L I STL LALLY COLUMN 116 CONCRETE FOOTING. ____ — _=o -- _——— _ _ _ 7CN PER F00T (-- - -1=-=�,L.Pp. I- I r I--'CONC..FOOTING L J L IL L _J --.J L__,J -II r II 6 I I I 11 I I n II Y 10 11 1211 3),Ox,io'LVL >, ■ I a -ICI T4Ux44•x, 4• UP __J T L J p s� r --- -- ------ -__ ' j II . uv 211 s II I ,o•TNICR x FLU!s - 4 II I I - CONCRETE WALL ON Lb PKt II ___1JI a fl I I ! CONCRETExF007IN0 ._ �� ICL x 4•-S. - --------- -- -11 II r-------------� n1MSImuP WMCT. x1Yo�oN 4 4 ■ " -II �f I ■ —— _ .''< - MMITTMWCTCR,B'LOMMUM CONCRETE FOOTING ------ ----- 1 If I. r---- ------ I I - M TAI cowRAOE II � ; I I I � ws� _ --_ - Fiu91 „WGN�SLI�PPOR�vE ' _4U 1 ,f; •r to .. • .. it A B _ u A.5 - ,e •STEPS - 8'z8•P.T.POST t TYPICAL yq, r F1Ya 609e Tw2446 i i b « le TRANSOMS.ABOVE j _ q EACH WINDOW h S.0.D. I I 7 CTR-IN WALL BREAKFAST ani . Sj FWH3108 b - 4M4524.W. FWa . . h :.. 18• ABOVE EACH VA DOW STEPS I h h ..' 2888 . e•DIA DEC. BEDROOM 92 9- eENa1 N MASTER BEDROOM TW2482 87 DIA. 1x-o•<+r-D• 2eae >,w. 14'-O'z18•_O.' ,. .- - .8-UONT F'WI'i 6088 11 ON m DATE 18'.7RANSOMS ABOVE- 1 ..• .. 'm UP ~ «J• EACH MINDOW de S0.D .'t•, I . GREAT ROOM i q * gt *CFALN(; 21'-o•ne'-o' I I Zees_ - I I a . II o1 1 z I I 1068 $ 28Be b I 1 � I a xS Cla. I i �I 2US L KITCHEN 2488 _ - • I I „ pi 13' z1 4088... .............. • m 1 2�s GARAGE . • I O 24'-O'z28'-O•DROP CLO TO . 2868 Tpmw ARM Ic 2688 COVER STAIR. - ENTIRE GARAGE.A CEILING r ._9., h - _ SPLAY •_2• 7'- - _ _ 3._4. '-4' MIN.DOOR L—— CAPPED KNEEWALL TW2446 LKiHT 2 I x888 e° NEVI 1 B'DIA DEC. I NO -COLUMN TYP. PANTRY bMASTER BATH -1 —— - COVERED PSLH, m. -i ra,10 TW2118 masm F��R DINING ROOM 11' 3 4• UIO VEP i ' .yL,II 14'-O'z12'-0'TO ABOVE b � _I - CLO UNE I is I 1n - O SEAT ABOVE e TWx442 P - I TW2482 • 48x. 452 _- -__� 3098 hPANEI - .. THBEERp►tpALTARSUS 9lwu INTEGRATED 144 SIDE I cm w COIVM's b 2888 to _ CTR.r `COLUMNS 1%4 MINO O P�FRAME '* b b _W- - a h ENTRY.: B'z8'P.T.POST ® WRAPPED TO tY SO. STEP _4, let FLOOR LIVING - A.5 A.5 A.5 A•8 288 2na FLOW SO FT. FT. 10093 ' • TOTAL LIVING • 3379 GARAGE SO FT. ow • ENTRY AREA52 qq��SO FT.SSOO 1161 . SCREDIED pORp1 AREA SO FT. 161. TOTAL 4433 A.5 A.S A.8 A.5 - • C BLE - TW2448 ' 7W2452 M452' ... _.TW2436 • TW24S2 TW2462 e - ' . • y • BEDROOM #3 2458 e BEDROOM #4 2 a • a e1 s 2,08 RAM 3� _ ■4 POST 5-5 WALL S-5 WALL ti ACCESS TO STORAGE t UNFINISHED STORAGE • - - BOBS� - 2888 2555 - _.. E A.8 • • — b e'-1r wALL. .. e'-1o•w v 'f - 7085 ACCESS TO STCRAOE - ACCESS TO �I _ 2568 LINEN10 m UNFINISHED STORAGE • � • - �.. � 4'-10'WALL �., 3_ ., t zp - 58',16'TRANSOM I • '. ° *CFAWN c + R R e VL2030 i. OPEN e � • _. ■ .' ` . eELow • b 7Wf2421 a ♦ in mCm MOM IN fialm, • a m ' 'Moo 'w •TW1846 OVL2030 2 . ALIGN DORMER 411 e - A WIND.BELOW - CENTER CUPOLA . ON GARAGE ROOF - A. 9 D A.5 A.5 A.5 A,8 cr c .1 ,1.. - • v' A-, A.5 A.5 A.5 A.B 2)2x12 6'x6'P.T.POST , F!SH TYPICAL - �-- -- ----, i L I I I ———————— —J ■ CrDN N -W LL 0N CONT. Dxo• I II , ------------ CONCRETE FOOTM AREAWALVAMN AY" 'w` I I I CONCRETE WAU ON tr CONT.2O•xlo• CONCRETE FOOTING '- I I I - I I 1.; M12 I I I I I I Y O.C�°r' wNN r - I 1 Fd° o°�r w 6 7D ----- — ---- I I I L -- ----J � is " . _ r-———— -----� j I I L■ -- ,.,4.�, 4•x1• .• I i - - I TUBE UP 6E VP rL -------------- -------- -- ---- I ■ ; ' -------- - --- -J I_- TAT===1L- ; ------ r I-- 6PTovov ul L.. ---------------- _ _ T w I — J 2110 A DOOR.W-O pKLDR OPPED L —J L J f 2 a s e o s r o fo f I CONCRETE WA0"THICK LL ON III vlrr. srOxllD-LVL a l/2•CONa FILM ; CONT.CONCRETE FOOTING • - - STL LALLY COLUMN' I —_——— coN _ 3�0xl tr LVL�~III. CREIE FOOTdO ,p�g7g ON 30'xSO•xl2'DP i s 1/2'Cr-FlLLm All vof 1 PAR71 ON4 COMM FOOMr.TYP I r.-——— IsT L COLu►6+ - I _ la- I I �FFOOM or,rn, UNFINISHED BASEMENT 10.J, a I �I�- - I ; CONCRETE WALL CK x TON _p• - -Y r- • - - I CONT.zo'xlo• IS I To y 8M �. • r——-I r- 1 r- -I€ x - _,.r——.1 .M.. ; ■ I.... CONCRETE FOOTING - - ---- b 31 coNa — � � ®f� I •'. f L_1L.J L——J L——J L— ° J I ■ I - e nff GARAGE,&CUMON 3WX.Wxlr OP POST CONa FOOTdO.TW o'LVL UPTYP I I I z)�ltr LVL - I j �qp�p T�°ioaia�wto� GARAGE SLAB _ _ - I TO ALLS FROST w I 1 lo'THICK x r lC r r-- c-.- r- �.. . r r-I -----� CONCRETE WALL ON �Ir �1 3 t/z'coNa FILLED IS NO9r" ous. pITCN 1 FOOT CONCRETE I 1-_L L=J_ J=__-1= -I = _L�L9 I--a souu'xwY'xl`zu"�" I -- I TOwA s"o�oRs I I I II ---- --�- --- I- 1-- -;- I ONNa xWxl2,TIP. I r - -- -� I I - eACKFIU CLEAN 8 I I L,I L—. J I I. ry i WYPACIED i¢L � - II r DROPPED srOxllO•LVL I m 1 (Iexexi I 11' NBE UP r--------------- IL J ___ __ ■ I . L II :II II i I FFiu 2 I — --------■- zv x 11 II i . ( .,I o•TI6dt x r-i(r -- ----- -----=- coNca+r�2oxwoALL°-" m MT. II �ll II I 1 CONCRETE FOOTING s xexl/a• To' mica L•_ ,..1 =_�I 11 r————————————-J I .'.< .. - > TueE sim uP CONCRETE WALL ON ----- -- I I I) I I ' --- I canR�cNTaR�•l6 �CRETTEE�FOOOTING ----- ----- II I I I — I ------------ 2)zxl2 w lo•d FLUSN B A.5 A.5 A.5 A 8 C D 1 r S>EP « STEPS �. e'xe•P.T.POST - L TYPICAL 64M b FWO 60118 iW2M6 I 1 1 iv 1 I h EACIt WITRAN RCS C• - BREAKFAST To 1 rt . - I FWK3168- • Zr � b TW4452 452 FWO 06e 16•EEAApµ1 ANDOW STEPS - ( 2eee ` e•DI&DEC. I BEDROOM 02 MASTER BEDROOM M452 � COLUMN TYP. 12'r-Al - I 14'-O'xt6._O. -1 - - - _ YUWIT FWG GM UP ' I DATE Er TRANSOM ACH VINDOW b GREAT ROOM i cf * pt Z1'-O'x18'-G• ,oea • � 1 b �I I �' �_� 1 I b laea L 81$ «A ( KITCHE i I 24W 2eee ° - FAN ? m ° _ I ) 13'-O'x15•-O' I 4oee i m '♦� A.8 ...................... GARAGE 266e I h TYPE V tFIRE1CODE 60W6 ' - txtaP CLA 7O - - DdlME GARAGE&CEe1NG -11* CO STAIR 1 - - * - - _ - - - ; - BB 2ees - - r- G 2O.Mel.DOOR sees L—— - - KNE�EWALL - _ TW244e 2009 ' 1 _ O'A.N T�YP. I Wax PANDiY. 9 1 19!!M. u yASTER BATH 1 To e 1 1Y/1448 TW244e —————— II _ r ID SUP TV EF;pg�R DINING ROOM tt' b ' I ao UNE 1I I m — — 1 O SEAT m452 T0442 452 30ee 1-PANEL � - TNERYAIRU R15ULA , . •o IN ORA1t7)144Se1EW 2E88 I CTR.w COLUMNS y • 1 I �.' in ib b tx4 CYR..COLUMNS .. 5 12!-- - Ir h - ENTRY e'xe'P.T.POST ® WRAPPED TO 1Y SO. - STEP IV.gr A.5 A 5 A.5 A 8 1a`tw noaR FTso Fr. 12 003 + - TOTAL UVOW Sm f GARAGE SO FT. ow ENTRY AREA SG FT. let S PORCH AREA SG FT. t6 - .. TOTAL M33 A.5 A.5 A.5 A.B TWTMII IN GABLE 6 CN . TWl432 TYM2432 - TM4436 e _ Tw:43z Twe4s2 •.. BEDROOM >i3 2468 16 RFDROOM k412 t3'-CFxt2'-0' 112131416 s t e 4 i n"t DAM 2466 u a - POST � - . -0 ALL S-S WALL - - - A TO STORAM I)NFINISHED STORAGE • .z 6065 BP 2568 2808 A 6 OF 2068 B'-70'WALL to ACCESS - ACCESS 10-` . 208 lo UNFINISHED'STORAGE - - a. f .. . . W dr TRANSOM ' _ b t s LOFT - � e s ♦ b V o S46 446 •TW M OVL2030 \TVr2411 OVE - - - . 4 - ' c -. .. �_-•ter--g--,-� WRID BELOW WMW3 .CENTER CUPOLA . ON"RAM ROOF ZONE: ,.. RC ,. Area (min. 87,1200 SF(RPOD) Fronto a (Mtn) 20' Lot 21A �' r Setbac�sin) 100 a c' Front 20 M Tratto t VJ �O 00' Side 10'� • •.. David ►c ,� •��. Rear 10 , Lot 6 ss.14' -_......• Fnd �. N . OVERLAY DISTRICT: - N: „�'� ~ ` 00 AP - Aquifer Protection District �. O"F N82'S2 010 E - ar, w� 46 39, R�0• ,,Path" ,--- ( °' ���, �, 4 ��2• FLOOD ZONE: o: (20' Nlid� y,,.. t.��0 ,.. Zone C o= •�,. '10''E - 45::2e.':.'.':':,, �►.'.'M�id,G /?o Community Panel No. N . r.-� ... f.:,r.•.. 250001 0016 D ::; : , .rL►1y 2, 1992 Location Map. Scale: 1"= 2,000'f ved •` o"Wood Easement �. `�..� S 4 DESIGN DATA SEPTIC NOTES ASSESSORS REF. 4, t f2' �, �2 ,� � Single Faurily-S Bedrooms 1.Lacetim of Utilities Shown anThis PIanAnAppex.AtLea072liours Map 140, Parcel 201 I j / `•� \� 6 39• With No Garbage Grinder Prior to Any For TLis Frojeddo Cn I r-a*Shdl Mdw PROPOSED/ �•\ DRIVEWAY 3g - Septic Tan Daily Flow k: 110 x S-$50 GPD the Rapiml 550GPDx200%=1100GPD 2.The�Nis Required to Seem AAntepietePa its Free Taws '•1 ) Use 1500 Gallon Conipmatment Sqxk Tack Lot 5 �Us-► 1 / `'• ., Agencies For ConatractiamDet3sed1ryT1dsP1m Lot 1 LEACHING AREA 3.The Water Line Shall be Qnstradad in ComAn don W1� Prrsa"a. a `G1 COMM Water.and Shall be m Aa:atdanceW�248CMR 1.00-9.00 rI G 1:1 j � F,t 'A dt 310 CMR 15.00.The Water Line Shall be Sleeved Where Rapdred. r 3`�t0 :rn, i► SLAB 36.2 �' `• 20,904E$F -"+*� i~ SidawaU/2 l2' sal'- 4.1oMA Risen toWithin6"ofFioiehedGradet4Required). RE RVE �! ` ` Ir O S.AU Structures Buried Three FedarMore ar Subject Atreus / Bottom Area-(12'x4S�m 540 SF ur.Vr •p i to Vehicular Traffic to be H 2O Loa ft Ris the BogmeWs r i SIM t \3 •� CP O 768 SF Total Provided R that M20Abssys beUsed. , �i e,t / �K '� w 6.Septic Systae to be hunHai in A000rdmce Wilh 310 Oa 15.008c UNCHM LEACHING C see, t ` / CHAMBER DESIGN Ct 249 CMR 1.00-7.00 Leteat Revision and the Town ofBamshft / AU Pipes to be Schedale40.Use Bond of HealmReguladoos. / \ O O t / 5.500 Gal.Leaching 0ambera in 7.An Piping to be Sch4o PVC 5� 12,x 45'Washed Stone Fickb as Shown 8 Below the Flow Extend e Mm blot Tom ShsU ai�of 10" w/f •rs I ed O a 9.An0atletTeeShaUExtendl4"BelawtheFlowthr, % and Shall be Bquiped with a Gas Bas9e. CROSS SECTION OF CHAMBER ( NOT TO SCALE i / C GGI'� I • e � O t 5 ' O � P1p OSED `- FF.EL 30.8 —. r � � sQttree� � . �� �i � ��y •.. � PAortolaa8etce - Sepdc To* 20 Flo." 1�20 L-dft PRPPOSED OOL ORI AY G ; nCMAN 1 f0 88 U ," „ _.`�; trsae-err (See Notea8dt9) Arue,o�aera a`e'r' s DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM 7H-3 1 NOTTOSCAIa Pcr.Oaooevae.,W / INs ANO I �� I L•_ RL Toni Legend. PERC TEST: 12,190 rnd PERFORM®BY:lO1H+1 O'DEA,EIT-SUIl1VAN IIXiQMMUJG Deciduous Tree WnNESSEDBY:DAvrosrAN-M S.-1OWNOPBARNSTABLE IN Nmd •--. ` '28' 7eM EIr32.51 MSL (Wpr")~ S8O 4] E �e TEST HOLE•1 TEST HOLE-2 TEST HOLB-3 TEST HOLE-4 top of Ct3/i),1 �" „ 126,r,2' ^` � � � EL.34s EI,.34s L+1.343 EL 34s Coniferous Tree `3`3� O LAYER O LAYER LOAM LOAM r eA N/�, `1 / a SE f YFI[�OVISISBRlDVVtd BYEL OW14ER 1BLATERIUMM HBRO�VN YEIIAWISHBRC/wN BYE OWIS BRAWN ® Water Gate (round) ,pt t (1 - // lrwp,9 yo/, �°arhgr f 25 LOAMY SAND 25 LOAMY SAM LOAMY SABID 1 aAirlY SAtID © Gas Gate (round) '• y i CI LAYER 10YR6/6 CI LAYER.10YR" CI LAYER 10I CI LAYER 10YR6At ® ' c r BROWNISH YELLOW BROWNISITYEUAW BROWNISITYP3IAW HROWNISITYELLOW Catch Basin g RTER O Iron Pipe ,$ $;'"_r3a'r1Al ;:giya MED.SAND MEM SAND WIM.SAND MED.SAM 5.5 9 PILEST 31.0 C21AVER25Y6N 38• PERCTEST 313 CZUMEMMY 6H u 2S GALLONS IN 11 NK 30 SEC. LIGHT YELL OWISHBROWN 23 GALLONS IN 12 MIN. LIGHT YELLOWISH BRAWN O Guy itO. 2C9;33 PIEtCRATE<2MWIN 312 MED.SA14D PERCRATE<2M1NID•1 30a MED.SAND -0 Guy G C2 LAYER MY 6/4 C2 LAYER2sY6/4 -O- Utility Pole OdsZ � 1 LIM LL BROWN SAND M y4s 14a" aGHT�BROWN 223 12D` 24s OHW--- Overhead Wires 170OROUNDwATBRIsNO(X)tl1'1atBD NOOROUt@wATBRBNODtINrBRHD ta)OROOlmWATBRRN00LiNT8RED itOGttaUNDwA78RBNO0UNTIDtfiD —• --25— — Elevation Contour Q 33x9 Spot Shot Elevation TITLE• Site Plan PREPARED BY PREPARED FOR: NOTES 1.) The property line information shown was Proposed Improvements Sullivan Engineering, Inc. CapeSury Marc & Judith R. Cutter compiled from available record information. At PO Box 659 7 Porker Road 2.) The topographic information was obtained ^p Osterville, MA 02655 Osterville MA 02655 39 Southfield Court from an .on the ground survey performed on 131 Hollingsworth Road (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fax Needham, MA 02492 or between 04/APR/08 and 23/APR/08. 3.) The datum used is approximate mean sea level. BARNSTABLE (Osterville) MA eS. 4. The intent of this plan is for permitting only. o Draft: JOD Field. MML/ w 20 0 10 20 40 80 ) P P 9 Y DATE: SCALE: „ Review: Ps Comp/Draft: MML/t?RL 5.) This plan is only valid with an original January 12, 2009 1 =20, Proj # 98091 Project # C599 stamp and signiture. r