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HomeMy WebLinkAbout0945 MAIN STREET (OST.) - Health 945 Maim Street A= 117-046 i Osterville ,9 4 , o s W Y ° , T 42101/3 RGR 10% P � � 9 /' ��� � �� � e F' � ��%! Y✓ � � � � ��� Y V L- / i f _ c A ., 1 �. ! .. _ _. _ c ) � _ - - �' � i 7 �I �. u _ .. � - � i. � _ S �� t 1 " yy 3• � P F d rx' x 82 # e } way MAT mod lit - ft 4 x ^ t joy" ex! KKQ p• c QQ Qj TV-1 MM r a e PAT 0dRNz Commonwealth of Massachusetts l Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t; e� 945 Main Street «tN Property Address Brian Dacey Trust ; Owner Owners Name , information is _1 required for every Osterville ✓ MA 02655 6/29/2019 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. Inspector Information filling out forms p /L L^g on the computer, "T�D Ll use only the tab James Ford key to move your Name of Inspector cursor-do not Ford Septic Services LLC use the return key. Company Name P.O. Box 49 � Company Address • Osterville MA 02655 Cltyrrown State Zip Code 508-862-9400 S 12482 Telephone Number License Number B. Certification I certify that: 1 am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. yFails 7/2/2019 Date ector shall submit a copy of this inspection report to the Approving Authority(Board )within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DER The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts �. Title 5 Official Inspection Form X Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owner's Name information is required for every Osterville MA 02655 6/29/2019 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: } 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than'20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owners Name information is Osterville required for every MA 02655 6/29/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health;in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: 15insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts jn Title 5 Official Inspection Form �4 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owner's Name information is required for every Osterville MA 02655 6/29/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary(cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 J' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owners Name information is required for every Osterville MA 02655 6/29/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS privy or cesspool p p y Is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ Z 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. 4 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ® the system is within 400 feet of a surface drinking water supply ❑ ® the system is within 200 feet of a tributary to a surface drinking water supply ❑ ® the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owners Name information is required for every Osterville MA 02655 6/29/2019 page. Citylrown State Zip Code Date of inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ 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? „x ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] i 9 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owners Name information is required for every Osterville MA 02655 6/29/2019 page. Cltylrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Description: Number of current residents: 0 Does residence have a garbage grinder? - ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail unavailable Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts 9 Title 5 Official Inspection Form S Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 945 Main Street Property Address 3 Brian Dacey Trust Owner Owner's Name information is Osterville required for every MA 02655 6/29/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) ! Basis of design flow(seats/persons/sq.ft., etc.): i Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings,°if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: uknown Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts (P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owners Name information is required for every Osteryille MA 02655 6/29/2019 page. Cltylrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components; date installed (if known) and source of information: 6/29/15 leach added -per as built Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 f Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owner's Name information is required for every Osterville MA 02655 6/29/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 25" feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal. Sludge depth: 1 Distance from top of sludge to bottom of outlet tee or baffle 27 Scum thickness 2 Distance from top of scum to top of outlet tee or baffle 5 Distance from bottom of scum to bottom of outlet tee or baffle 12 How were dimensions determined? measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tees were present. There was no si n of leakage. The covers were 10" below. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts p- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owners Name information is required for every very Qsteryille MA 02655 6/29/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): N/a Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: V ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain): N/a Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 r Commonwealth of Massachusetts fn - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments - 945 Main Street r Property Address Brian Dacey Trust Owner Owners Name information is required for every Osterville MA 02655 6/29/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): N/a *Attach copy of current pumping contract(required): Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert even Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): There were no sign of backup t5insp.doc•rev.7/26=18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments • 945 Main Street Property Address Brian Dacey Trust Owner Owner's Name information is required for every OSterville MA 02655 6/29/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): N/a * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 4-500 gal.drywells w/stone ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 f Commonwealth of Massachusetts l(P Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owners Name information is OSterville required for every MA 02655 6/29/2019 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, dampsoil, condition of vegetation, etc.): There was no sign of failure. A camera was used 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration n/a Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil,'signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owner's Name information is Osterville required for every MA 02655 6/29/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: N/a Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owners Name information is required for every OSterville MA 02655 6/29/2019 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately (-loise- be- k t � � a Co7'rA5c a- Q i 3o Is' a 33 grab 3 3 0 36 O . 6 Y/c S s'a` t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 f • <eXCommonwealth of Massachusetts ' I D. � Title 5 Official Inspection Form ( Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owner's Name information is required for every Osterville MA 02655 6/29/2019 page. Cltylrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20' +/- feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Topo and water contours map. ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: see above Before filingthis Inspection p ctlon Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 ti Commonwealth of Massachusetts (P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 945 Main Street Property Address Brian Dacey Trust Owner Owner's Name information is OSterville required for every MA 02655 6/29/2019 page. Cltyrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed Z D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 l TOWN OF BARNSTABLE GLOCATION ��.�� �/s� .rT SEWAGE# VILLAGE ®S fey c®ff�E' ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE SEPTIC TANK CAPACITY /c a0 LEACHING FACILITY: (type) ,�1-S'ao 47y/ Qey,,ad(size) NO.OF BEDROOMS OWNER PERMIT DATE: 6' /✓`- COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 7` �a , 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 � Ile Ys _ le v � a � V917i 1- o zl�6 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitation for Misposa,I *p$tem ConstrUttion Permit Application for a Permit to Construct( ) Repair(!/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 95<9 �1R `� �' d Owner's Name,Address,and Tel. Assessor's Map/ParcelafAke ✓ Installer's Name,Address,and Tel.No. Definer's Name,Ad_dress,and Tel.No. 01 4,90 Type of Building. Dwelling ,o.of Bedrooms , Lot Size 2 a. 3-C sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) SJ 0 gpd Design flow provided / gpd Plan Date G �/�i S— Number of sheets Revision Date Title t�`ri/'� ®� "OJ�!C Size of Septic Tank !o®E'> Type of S.A.S.__�•�yclf3' Description of Soil CO¢rt e Nature of Repairs or Alterations(Answer when applicable) sf� - 5 d fj �A•� �•�c�r�/1 c,c�E�� G� � sl�4y 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 b is Board of Health. i Date �'/ ��37— Application Approved by Date f Application Disapproved by Date for the following reasons Permit No. Date Issued —� _ vrr No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in compuper: Yes PUBLIC HEALTH DIVISION;- TOWN OF BARNSTABLE, MASSACHUSETTS IpYItatlDn for IspDaar o t>eBY ; DTCBUtt10TCPCIIYIt Application for a Permit to Construct( ) Repair( pgrade( ) Aba don.(. ),„ El Complete System ❑Individual Components Location Address or Lot No. 95/S�`�"� 's ° -- Owner's Nar e,-AdWess,and Tel.No.;4 0 Assessor's Map/Parcel �� % A ,_ ..,7 - 23- .Z ? Installer's Name,Address,and Tel.No. Designer's Name,YAddress,and Tel.No. L!/. ®i»y o y► �08-��?�'ZS �,S`7�• �/o,t. s T. /�.�a,.9 fr'i' ic-I.� •�26'3/ Type of Building. L c' '' qt Dwelling No.of Bedrooms ,. }b i g 4% mot Size �2 a)3 6'G sq fth k;Garbage Grinder( ) , I 1t' �s Other Type of Building s No.of Persons Showers( Cafeteria( ) f Other Fixtures Design Flow(min.required) :S'J�o gpd Design flow provided gpd Plan Date G�B�i 5" Number of"shefs Re r ( f a _ f vision Date Title i Size of Septic Tank /Q o ep Type$f S.A.S.. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �— .J dd GCl� L���1Gyl�/�f wi•��. � � S7EO�s�IO 5`f Date last inspected: a Agreement: f ` 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 b is Board of Health. s Date ?�5­ ,.,..Application Approved by / � Date/� � 0"` /S ". Application Disapproved by Date s .for the following reasons Lf Permit No. Date Issued t0— t --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(Loll Upgraded( ) Abandoned( )by at has been constructed m' ccordance with the provisions of Title 5 and the for Disposal Sy5tern Construction Permit No.0 � dated Installer '` /' -''����" Designer #bedrooms ` ApprovedDIfun "asdesi v gpd The issuance ooff�{hit Emit shall not be construed as a guarantee that the system .Date UJ I ' Inspector ^� t ---- -- - No. Fee�V� a — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3PPrmlt Permission is hereby granted to Construct( Repair(t/1/ Upgrade p/Abandon( ) System located at i \ f and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction, st be c mpe lte d within three years of the date of this permit. Date > Approved by d" d a,. oF�r R.e�ulat�liy �el�iG:es - Afeliard,V.S.eali,4Interr6D rector � BARN91'ABGEr': Y; Ex y 9 bs9P.u.bl<tc eat$�i;) 1�'151on $•°�sn nn�� Thomas McKeam=,;I}erector; s 2;00 ldia�n Sheet' I3 ann�s,M'A�02601., tl, Office."508..862-464 Fax 50$ 7�0-6304. ' 1 Installer&'Desiuer.Certfcateon.Farm, Date „02/28J2018,_ SewagewPermit#.2of __--- Assessor's lVlal�1l' rce1117146 J:M Oa;Redl &Associates,,Inc: Cape God,Septic S,ery ces,inc 0 Designer. y4_ _ Installer , Address P O `13ox`177,3 dd :3W R Aress arrte 28 r rewster,,MA.0263;1 UV,Yarmouth, MA 02670, Cape Cod Septec Services Inc I On G' � --_ was. ssueci a permit to,instal a (date) ('rrstalle) septresystern,at 945'Main Street, Osteruille based on;a design drawn by (addi ess) J.M: O_'Reilly`&Associates, lnc_ dated 6/1'8/1.5 (REV 6/23115} .. certify that the septic system referenced above°was installed substantiall Iy according to the,design ch may, whr iricltide rnrrior approved changes;such_as lateral relacatron of the N tlrstrrliiatron box and/or septrc,tah Stii out (if retlu ed) was rnspectecl and the soils " 'wereefoutrddsatisfactoryr;.. �: I certify that;the septre 5ystcrrr tefer eneed eabove was installed:;wrtli;mayor changes'(r`, gi eater;than I,Q' lateral r elocatron of the SAS or any vertical elocatron;of any-component of,the septresystem)but�n`accoidance with State &Loca1 Rcgulatipns Plan reAsiori or- certifed as bunt by:desigrie to,follow Strip ocrt(if required}was rnspected,ailcl the sorts were�ound satrsfactoiyw` - • - " I cerfiify that the system referenced above:was m6onstrulded u'orrr I rce with the:terms of..the;:I\A a r oualx letter s J°if a licable r + ' x Insfaller's ' CAVIL a� f � (De _er igr►ature) - - (Affix Desr (rr{stamp Here). PLEASE RVTMN`TO UARNSTABLE MEW HEALTR DIVISION: CEISTIFICATE' OF. COMPLIANCE WILL NOT-BE ISSUEDUNTIL BOTH THIS, FORM, AND AS BUILT CARD ARE RECEIVED>BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK:YOU. Q 1SepticWes�gnerCeiG_fipail' Enna Rcy$-lq f1doc 8- i From: Edward Carlevale 945 Main St Osterville, MA 02655 508-420-3975 To: Town of Barnstable 200 Main St J Hyannis, MA 02601 Date: June 23, 2015 Re: Bedrooms located at 945 Main St,Osterville To Whom It May Concern: My name is Edward Carlevale and I am the owner of 945 Main Street in Osterville. This property has always had a total of 5 bedrooms.These 5 bedrooms consist of a 4 bedroom house with a 1 bedroom cottage. Please contact me directly if you require any other documentation or verification. Sincerely, Edward Carlevale Town of Barnstable P# Z FINE ipw o Department of Regulatory Services BABNSTABM? Public Health Division Date.May 20,2015 MASS w v$ 039. �e0 200 M in Street,Hyannis MA 02601 ''TEBMPSP / t Date Scheduled Time Fee Pd. ��a Soil Suitability Assessment for Se ge Ili os,al Performed By: �� T� T. Fe1 r L \(�,Nks .Witnessed By: `fir �...:' - . LOCATION&GENERAL INFORMATION` ,, Location Address Owner's Name Edward&Lois Carlevale 945 Main Street,Osterville, MA Address 945 Main Street y Assessor's Map/Parcel: 117/046 Engineer's Name Keith FerrlarldeS Marc' t 7 NEW CONSTRUCTION REPAIR X Telephone# 508-896-6601 Land Use R� IC CO ACI \ Slopes(%) �-3 _ Surface Stones Distances from: Open Water Body 71UC1 ft ?ossibleWet'Area ��('� ft Drinking Water Weil7lco ft /- Drainage Way Property Line: >G d ft Other ft - SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) -V777/ . � tR 1, : ' �•, /� - Parent material(geologic) Q 5 ..` 6'�� Depth to Bedrock �R/",'1�a .• Depth to Groundwater: Standing Water in Hole: j / Weeping from Pit Face Estimated Seasonal High Groundwater ff- DETERMINATION FOR SEASONAL HIGH WATER TABLE Nu &T J FaC�A kc✓J Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. - Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date/Time ^-ZO Observation Hole# Time at 9" Depth of Perc - � t .. Time at 6' Start Pre-soak Time @ d•GU F E Time(9"-6".) - End Pre-soak 1 3• - ^ RateMin./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original:Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) ' 6-12- LS loyey3 f7-3 _ C_5 44 5/1(11 7 Slf—Wb DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,°°Gravel U 13 � LS I U-1 3 Ls s16 C�-�U G c � 7, . U6 M tud`', Sad 7/ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) f DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil . Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.,%Gravel) Flood Insurance Rate Mai): Above 500 year flood boundary No .�y Yes ff, Within 500 year boundary No I/V Yes Within 100 year flood boundary Nl.k Yes g Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? L_ / If not,what is the depth of naturally occurring pervious material? S('C' SUt, I UG1 J Certification ��✓ J I certify that on 0 Z U7 (date)I have passed the soil evaluator examination approved by the Department of Enviro ental Protection and that the above analysis,was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017.Signature Date 62 Q:\SEPTIC\PERCFORM.DOC A r TOWN OF BARNSTABLE CATION SEWAGE # ecU VILLAGE ASSESSOR'S MAP & LOT —0 I INSTALLER'S NAME PHONE NO. kA�Y-C`�' Cpu1S�• CG., "t1 1 'V lZ� SEPTIC TANK CAPACITY 140aa LEACHING FACILITY:(type) (size) N_,O'h O NO. OF BEDROOMS PRIVATE WELL R:PU�:BLICATE BUILDER OR OWNER DATE PERMIT ISSUED: S DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r A/aC, w e, K-� R No....Z6-_..1.2. THE COMMONWEALTH OF MASSACHUSETTS 9 `�'k w BOARD OF HEALTH .9 TOWN OF BARNSTABLE Appliration for Disposal Iforks Cfonstrnrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair Y y an Individual Sewage Disposal System at: • -9 y _ 1�!�V � .......................................................... S` CLy.tom\`..................................................... --- Locati n-Address or Lot No. Owner Address .:_ ....................................' `..© .�......._ ......0 N'�!'..... nstaller Address Type of Building Size Lot............................Sq. feet ., Dwelling—No. of. Bedrooms............ Expansion Attic ( ) Garbage Grinder ( ) ---------------- '� Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ------------------------------- -- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit..................... Depth to ground water........................ fit Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ . ----------•--------------------------------•------------------------..........•. ---...•---_--- O Description of Soil - ---- - ....................... ...............••-- _.......:�-�................ .................................................... x -- -- -- - - - v -••----•-------------------•--•-----------•----•---•--•----------------------------------•-•-----------------------------------------------------------.....-•--•--•-----------------------•-•---------- W UNature of Re airs or Alterations—Answer when applicable....XVW. `!S`�...--\A-146 :_ '--sm ........ •-_S3 ---------------------- ca. W ' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compl' nce has been issued by the board of health. Signed '' �i�"' "" �s .e.�► � Dace Application Approved BY ) U-1� ----�--------------------------------------------------------------------------- -------------- ---- v Date Application Disapproved for the following reasons: ... -------_-.---------------------------------------------------- ---------------------------------------------- --------------------------- ---- --------------- --------------------------------------....----------------------------------------------------------------------------.--------------------- ----................................... Date PermitNo. ...........�1'0........ .l--U--s ------------------------ Issued ------------------------ j Date �q,E. l � .y IT No.... 6.._:�!.©..� y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF -HEALTH +TOWN,OF BARNSTABLE A 1p iration fur' Dtupuual Work.5 Tonutrur#iun 11amit Application is hereby made for Fa Permit to Construct ( ) or Repair (X)•an Individual Sewage Disposal System at: ......��y J_....M �:'J.........I ' CET .OST�c Q �u-�- - ..........: .... ................ Location-Address or Lot No. ................................................... �`S- E e eWSE......t" owner Address w ' �'L........................... P _---B6X--- ...... _ �2Tc!Zv6LL ....................... nstaller Address � feet Type of Building � Size Lot...........................S q. U Dwelling—No. of Bedrooms............ Expansion Attic ( ) Garbage Grinder ( ) UI p,I Other—Type of Building ---------------------------- No. of persons............................. Showers ( ) — Cafeteria ( ) P4Other fixtures ---------------------------•-••--- --•--- ---------------------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity------------gallons Length................ Width................ Diameter................ Depth................ xDisposal 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_-______-.______-____-_. (TA Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------- ----------------•-.......-•---•---•----.•.•-•-....----- ----•----•----------- . - Description of Soil S- i ------- --------------------------------- ------- U ----------------•------•--•--------------------------------•-------•---------•---------------:_----------•------------------------ -------------------- ------------------------------------------------ W VNature of Re airs or Alterations—Answer when applicable___-Mv§& hS�%--------4.04 S• l C +v�.. fib....---l_��N NET `�� Z�... ��,•74!�4 �C�`N�'P � �'s�`� �X\,ZT RrJ, Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compl' nce has been issued by the board of health. � Q Signed en ^'� - -- ------------------------------------ Date Application Approved B �- +^ PP PP y --......... , .-1_....:...�.. , ............ /, Date Application Disapproved for e following reaslo�ns:' -------------=--------' = .....------------------..................-----------...----------------------.---..... ----.. ---------------------------------------------------------------------------------------------------- ------------------------------------------------------------------ ---------------------------------- " ....------....-..------------------. Date PermitNo. .......---.5�0..-...� ....................... Issued ------------------------------------.------------------------------. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifiratr of C ompliattre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (I') b �A ......61�.s4.... ..q.. G----------------------- Installer at ...... 1,\k 5...... r`^ �rl S C 5' �c QV 1*S.sz--------W . _------ ---- ------------------ --- --------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -----9e--- .../-A--�.:............ dated .----.-.---..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUJED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... Inspecto / !. I THE COMMONWEALTH OF MASSACHUSETTS BOARD 'OF HEALTH l TOWN OF BARNSTABLE No. ��...r.l.� FEE—'... .......... Disposal Work.6 Taunufr ion nutit Permission is hereby granted...�NNI Y4....-M.V�0.&T- CQ- ..............•--------------.....---.............................-- to Construct ( ) or Repair (,)C) an Individual Sewage Disposal System at No.......-`-LT....... !�U►...L V Street C� �— as shown on the application for Disposal Works Construction Permit No,. .�-_ Dated.....................................•.... .................................... L-- --------------------------•-....-•------•--•-•--••--....._ Board of Health DATE................................................................................ 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'&' y,... .,......-.� �.._"„ x, :_K;em, _:..._ ..`_ ,..,;.----`�:...,�_. , •-.rya _ �°,--.. ry,F......- "°t.a,• .w ..+-••_.t._•.-�"A.;-.., . . ,•,..,_,. ,,,,,,.r g,, N�?5'..•.. ,,... .....:»m^�.:,.r.::.+�,a. .:....�;�:rw :..,.,- ..,,.e„v.�".".s�,srv-�e-.,�,�., s ='' �r ' '., ..q� K-ya."T #�c•- w'-:'� �--"�-"—`�, - 4 tiZ� � � ��`••"'y=- _a - +-.ram'. -.:+._ Eli= yr l #" RN 10, Lo ram-^ UJ LE- ..•...• a..• l� T LU Lu .m s,R j m F t i` ,�, .�� .yam v •�,'��'9`-r?.+c f�"g: .-,,,'"t,-:t., �. .tmkc.- a��� � "-•S � a:+.:,-, � .r 4- L e ; r«,;-. _..,w ._.� h : 1 -uyy;• � ap�r��_,Y` µ ,�� .-a .�.4 F^'�y-:�t. , RENOVATION . - SEr SSM DATES - - 6VE S%E l v ME MSCFFMN 945 MAIN STREET r„� s �"`�'� •MA(DSTERVILLE, °� aI COVER FFORrra iew DATE: 9/1/16 FINELINE Design FSWt2o-]M r-.fir; .._,......_...._'"__._.._.___..._.__,_..._..._..... BYNyT&'lRp+D 1EiYllE.AM1102655 2�-1L. ._......-_..._-.._._.--....._..._..-_....___.._.__...___._.. '— - -- - _ __ DE51GN DEVELOPMENT .. ...._ .. _ ....._ s ..__....._.—..__._....__..._._..___..._._....... _.._..._..._.__._.._ crsy:._._,...,.,_....._._.,...._............._ .............._..._..._.__............._. TL a � o�o � oo � oo � o a oo oa oo a FRI] _ � _ • L uj ADDITON 0'I Q Q LU) FRONT.ELEVATION Q Q nrNN W w NENI DORMER U) O .. ...__-.._-- _.__....__,_.... _ _ _ _ ._._..._. ..._..__..'-..._.........-._- _-......-------..._.. -- — --------------------------..._ RENOVATION _._......_.. _......__..._._........ __.._.....___.__ E ss E FEMM = —_ . : — 01111111 .... ELEVATIONS RgJECT#1810 mmommmm RIGHT ELEVATION ADOITON NEA PECK / `2 L SCALE:W 7'-0" FINELINE Design ....___._ ..__.........._._.___._..._.......__ PSOE[?6�R6 ........_ ......,......_.___...................... '•vmv.FrwllrNYtM1lxNellks+d^.can _ _ B'pFSi PhYPp+p O5fE1nM1lE.M1020ai NOTES: ..:.::.... DESIGN DEVELOPMENT Ffll HUM L "J Lo .� LL.. Lo Wo Q � � REAR ELEVATION z' Q cMc LL - - W LO w U - NEW DORM O ..: ...._..... RENOVOON , - ._......__....--....._........__..__............ _..._. :- _.._........_. _.._.__................_...... ._._..__........................._....._....._....... _..._..............._........_..........._...._.....-...._-...._.._. __.__...._._.._.._..______.._...._..._...._.-.---..__.._...___.......__...___._.._._......_....._.._._.__.._......_................_.._...____... - -0o m00�� 00 m00�00 REMM - �E IB o o= ELEVATIONS I � ,d PPOJwra�eio NE1N DECK ADDfiTON LEFT ELEVATION A3 - DATE, 9/1/18 20'-41/2" - 2'-,1/2" 4'-101/2" -0" 4-6" 3-0' FINELINE Design 10' 1/2" 10• FIR5T FLOOR-1,gl4 50 y vie<roi2ee SECOND.FLOOR-13q FT. THIRD FLOOR-455 50 f T. - e'-6" 20'-1° n'-5" iv BATH#4 fi vaa» TOTAL-5,111 50 FT. 18`�'• n 4•-10 1/2" DESIGN DEVELOPMENT ...._ _ ...... _ o. 3 / . N ...._.. ...... ..............._........,. ..,."_ ._...._.._......................... 2668 \ 2668 / ....... .. ... ...,._. ........................... \ -----------....._.... ._............. r r ._.__'-_-.._...___.._...----.._.__....____._......._.__.....__..__._._-_._.._...._.. I I OFFICE v - .. _ - Q .... .. Q m .._._......_,.._._..._.................._.........._............._...___................_...._.....__..........._..__....._ I. I...........................__.___. ....._........_._......._.__...___...___..__.__._.__._._-....__.........._._,_.._-.....__......�.._ .__..,,._..-_......_.._..._..__,._...___._...._,... 2668 -4 n odn- 4 ------ -..-._-_—.------- - - - -----� N __._.__..___.____.._._._...__._____..________._.-..__________.. MECHANICAL ROOM \ 3050 3 0 3050 ._..... ..-- ..._. - .._,.__.. __. _. \ i \ \ Q N _ --- - - p - -- ----- ------- --- ------� ------------------- - to 10 20'-4 1/2" ��N i0 Lo W co LLi Roots THIRD FLOOR PLAN Q U j . ry I J SCALE 1/4" _ ,•-0" Q w - - z Z —j n ry REF ry 1 0 co � W 26 " KITCHEN I' ❑ Q N O "... _.. O m / BATH tt3 in r 1 3/4' _ PWDR MASTER BATH. �- It - rvALL RENOVATION 2668 ry _ -, � .. O a06 m BEDROOM#3 'A X1 OL7 0 •_4•.� _4•• _a iv w BATH#2 - Q ENTRY HALL C HISWALK-I N1ALK IN 4 e ;p. SEI6SUEMES m 1q'-10.3/4" 6'-4 1/2" 5'-B 1/ 3'-10 1/2r 1'-1 3/4" Q 017E 65LE _ LAUNDRY 0 WI ry 40611II m i0 2668 .. 3068 TT 1- -: ... n O I N n -. mom 1 1 1 1 1 N MTE NSGFFnpS 0 L1-Ll-L - Y ol& ry c v mI BEDROOM#2 m 4' - m m MASTER m Q .o m m ;p 4? STUDY FOYER BEDROOM v uP o- v Y ? 2668 LOFT Q o _ g _ H 14'-8 3/4" a'-6 1/ 12'-5 3/4" q'-10 3/4" � Q � FLOOR PLANS CU. v 21 44 21 2 4 2 4 f I 4 4 f� ��" � 13fi50, � 3'-6 3/8" 6'-10 1/8" 6'-1 1/2" 6•-O•• 9•_6" RipffCTa 1810 . 4 tl a it-, m .I� !� _-____�___ A4 FIRST FLOOR PLAN SECOND FLOOR PLAN SCALE:1/4" V-- - - - L SCALE:1/4" - 1 - . DATE: -112 FINELINE Design P5p 2612% - � I.xv+.FlwUraYrh lxdiaDa+b^.com . .....____._...___..._.._._...�..__..._..._...�___._.___._._._..__-.._._..._._.,...._ GSTFRYl1E M1026.i^ NOTE& - DESIGN DEVELOPMENT � � I -- (3)9 1/2 LVL HDR 1L}t �. 12 F 5®16"O.G.. Q RIGID WMD WASH BARRIER REI211RED —' - y I_ d _ J /3 AT E%TFRIOR EDGE OF EXTERIOR IW�LL ____.._...._ 4.1-/_ __ TOP PLATE 4^ \a m SIMPSON H2.5 1 1311 pJ FRAFTER/STOP PLATE - ___...... ... (mV _ _ R J NCTION5 T . _ ...__.... _ _..._._ ....... __._.._. _.. .._.-_.__ -' - RIDGE VENT _.__ nz-ROOF (21 1 3/4 14 LVL RmGE I N 2x I.".W C.C. .. _. I .. _ _ 0 PST DN w O R30 F.G.INSJV 1 5/6"PLYYV�D SHEATHING/ - ASPHALT SHII ._ui2g®\b"O G Ih O 16 PC bxb FOST - � r 1.6 FASCIA/1x4 SECOND MEMBER R49 INSUL. - Q 1 1L a - 1L j p O CONTiN1A0U5 VENTING SOFFIT O 16"O.G. I C ix6 FRII BD.W/BED MOVLDNG (� Dt M L 3x8 HD !�/) a16Oc 6' 0 1/2'FLYviroD SHEATHING/ 10 RA TYVEK WRAP/W.G.5HINGLE5fl -- TYP.FOUNDATION WALL - • P.T.SILL ANCHORED 32"O.G.. - - .......rrvs...u.,� - 1. m B"xT-9"LONGRETE 31/2-LALLYCOLUMN I _ _. ... _ _ .. RFIVOVAIION (2).5 REHAR TOP.BOTTOM DPMP PROOF BELOW 10'x16'GONTNLIOV FOOTING. - 4"LONGRETE SLAB 10 MIL VAPOR RETARDER SET ME DATE' 1/ ; I I.. L1iTE 4 FEMIM OS1E DESCRIIIpJ - ❑ ,• �uvm�uiuvnu�--•-----�-rvurvavuv �- �-- SECTION&ROOF PLAN MWECTi1B10 SECTION ROOF FRAMING PLAN . Sl 16-7 p'-0 B" FINELINE Design 6„ 6•-4„ 6,-4„ T�l PM 202122E bx6 P.T.POST 616 P.T.P05T rrvm.FrelvaYcnlxMaBzs+gtam GALV.METAL POST ANCHOR GALV.METAL POST ANCHOR 10'5 NO TUBE'PIER W/ 10,S0 o TUBE"PIER W/ aYEST PA'I HO1O 38"BIG FOOT'FOOTING TYP. 38'BIG FOOT'FOOTNG TYP. (3)3x10 PT GIRT OSIEIi11E.N ME65 4 q NOTES', DESIGN DEVELOPMENT _ D G Q �o c } Q O OBL IT-10 RIM—15T TYP. • J .T5 HUNG ON LEDGER FASTENED TO RM J05T W/(2)51W • LAC BOLTS STAG !S`EO IN EACH BAY FKT :i.:.: .. I � ,. e•xT-9'caNCRFrE-- n5 REo—COUNT TOP 0 BOTTOM ,P I 16 x10'CONTINUOUS FOOTING ^ NEW FOUNDATION_ —__- - 5 y 4' VVV I I 3 LOLUMN I %'XE 3 Dw6k12 LON STEEL GREIE PPD TYF' IL VAPOR _. I I - %S. r:4r 1Lo Lo :n l�; II 1;1 1' K I/���: I .:_;.. -I� /.,;;.'I+. 'f. �;� I m l:� L.I r `rl ' f/i'I .I;%f I;;%Z/ll ice, ].. ..._, ,, / ;. .. � - ,:/,�: //�. t" ,. , - �•- co L .I 1i%'-!J L:-_ 11 L/./J L// //,1 Y/i n. .m _% J N 6-6 -6 6'-2 L H, o. B H I1 i/,' DROP vaa�L o ve�a e 4 o w w O ALIGNED :: c (3)a5 RESAR COUNT TOP G BOTT �� -36 36"x12 PAD TYP V, I' 16'x10",CONTINUOUS FOOTNG I O® � Q Q Q J 1 ` " ---- n _.I III r I1[2)u5 REBAR COUNT TOP G BOTTOM 17!.Ili i I ♦< .++ L t '.�li Iy 4#!�i 8 T P'CONCRETE WALL L tO,CONTNUYOU'+ICOTMG}. 10'18 C TI N0005 FOOTING: �I�r T11 I 1 �# qi T iI Eir riIt Itn� 1� i!"'li Hr`I u ,iilII lid t I�hr is I ` O I -;� I 8r 11 :,>s.. ,�a.71T ,.:1.IM -+.e. I+1, 41�• t' h:y�:: :I JL O r%i p U !1 uit fi T UE `. �I I I JOISTS HUNG ON LEDGER U FASTENED TO EXISTNG 516, 1 ll J EAGDLT E . � LAG BOLH BAGERED I: i r t Ijn llq. �lsll t' fI I 'rt r 1� n7 tl II Irr I(. I a�,11 I n I.+ uNExcAVATEOI w �# 1#t I I In.£I1 1 s/B ANCHOR BOLTS m RENOVATION EMOEDDED,' a117I #lL�I # ! I#iil�ll SPACED 32 'o.c. ��IfUNE%GAVATED '.:I.I..�� tY.FROM CORNERS N . � � 77_iF rl �.I#I i Nw51iER53'x311/4' Q tI •:.I SET ISSUE DATES _ _ I wr< ssuE EXISTING FOUNDATION T-O' EXISTING FOUNDATION T-0 FE11SON5 . - DATE DESCFEP➢ON I FOUNDATION&FLOOR FRAMING . PFQIECTIIEIO FOUNDATION PLAN FIRST FLOOR FRAMING PLAN 1'-0" y S2 I DATE: 9/l/18 05TERVI LLE, GENERAL NOTES: SOIL TEST LOGS: SYSTEM DESIGN CALCULATIONS: MA TEST HOLE 1: EL=39.5t A.)NEITHER DRIVEWAYS NOR PARKING AREAS ARE ALLOWED OVER SEPTIC SYSTEM DEPTH FROM SOIL SOIL SOIL SOIL OTHER SEWAGE DESIGN FLOW: UNLESS H-20 COMPONENTS ARE USED. SURFACE HORIZON TEXTURE COLOR MOTTLING EXISTING 4 BEDROOM MAIN HOUSE + I BEDROOM COTTAGE @ 110 GPD= 550 GPD B.)THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UN- (INCHE5) (USDA) (MUNSt91) LEACHING CAPACITY REQUIRED: LESS CONSTRUCTED AS SHOWN- ANY CHANGES SHALL BE APPROVED IN WRITING. 0-12" A LOAMY SAND 10YR 43 NONE 5 BEDROOMS(MAX.)@ t 10 GPD = 550 GPD REQUIRED �� Pond 5 C.)CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION Of ALL 1 2-34" B LOAMY SAND 1 OYR 5 8 NONE PERC 30" 34-G3" C I COARSE SAND 7.5YR G18 NONE SEPTIC TANK CAPACITY REQUIRED: UNDERGROUND AND OVERHEADUTILITIES PRIOR T'O(COMMENCEMENT OF WORK. G3-I44" C2 C R5E/CAND SAND 10YR 7 3 NONE RE-U5E EXISTING 1,000 SEPTIC TANK PER 310 CMR 15.404(MAXIMUM FEASIBLE COMPLIANCE) CONSTRUCTION i V O 1 ES: (SEE NOTE# I G) TEST HOLE 2: EL=39.5i- SEPTIC TANK CAPACITY PROVIDED: DEPTH FROM SOIL 501L SOIL SOIL OTHER EXISTING 1,000 GALLON SEPTIC TANK SURFACE HORIZON TEXTURE COLOR MOTTLING 1.)ALL CONSTRUCTION SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, (INCHES) (USDA) (MUN5EM LEACHING CAPACITY PROVIDED: LOCUS B` TITLE 5,AND THE REQUIREMENTS OF THE LOCAL BOARD OF HEALTH- 0-13" A LOAMY SAND 10YR 4/3 NONE ONE(1)42'X 12.83'X 2.0'LEACHING CHAMBER CAN LEACH: Vt=I(42 X 12.83) +(42 X 2.0)2 + (12.83 X 2.0)21 X 0.74 GPD/Sf=5G 1.05 GPD 2.)SEPTIC TAWS), GREASE TRAP(S),DOSING CHAMBERS)AND DISTRIBUTION 13-3G" B LOAMY SAND L OYR 5/5,NONE 5G I GPD>550 GPD REQUIRED gtreet 5YR G NONE bay Main Street BOXES)SNAIL BE SET ON A LEVEL STAB[ 3G-70" GI COARSE SAND 7. E-BASE HAS BEEN.MECHANICALLY NOTE: A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN_ 70-145" C2 MEDIU COARSE SAND I OYR 713 NONE COMPACTED,OR ON A G INCH CRUSHED STONE BASE. INSTALL: - 3.)SEPTIC TANKS)SHALL MEET A5TM STANDARD C 1 127-93 AND SHALL HAVE DATE OF TESTING: G118/15 ONE(1)-G OUTLET DISTRIBUTION BOX(H-20 Rated) CO �o AT LEAST THREE 20'DIAMETER MANHOLES. THE MINIMUM DEPTH FROM THE BOT- PERCOLATION RATE: 1 P55 THAN 2 MIWINCH IN'B'#C'LAYERS. THREE(3)-500 GALLON LEACH CHAMBERS WITH 4'OF STONE ALL AROUND %) WITNESSED BY: KEiTH E. fERNANDES,PE,J.M.O'REIIiY ASSOCIATES,INC. FIVE(5)-BUILD-COVERS AND RISERS-SEE FLOW PROFILE FOR DETAILS � NOT TO SCALE TOM OF THE SEPT IC TANK TO THE FLOW LINE SHALL BE 48"_ DAVID R.STANTON,AGENT,BARNSTABLE HEALTH DEPARTMENT 4.)SCHEDULE 40 PVC INLET AND OUTLET TEES SHALL EXTEND A MINIMUM Of G' NO WATER ENCOUNTERED ABOVE THE FLOW LINE OF THE SEPTIC TANK AND SHALL BE INSTALLED ON THE USE A LOADING RATE Of 0.74 GPD/5f FOR SIZING of SOIL ABSORPTION SYSTEM. q� PLAN BOOK 424 PAGE 31 CENTERLINE OF THE TANK DIRECTLY UNDER THE CLEANOUT MANHOLE_ Certification: DEED 1300K 25759 PAGE 195 5.)RAISE COVERS OF THE SEPTIC TANK AND DISTRIBUTION BOX WITH PRECAST T a NO A55E5SORS' MAP 1 17 PARCEL 4G CONCRETE WATER TIGHT R15ERS OVER INLET AND OUTLET TEES TO WITHIN G OF I certify that on 10/24/05 1 (Keith E.Fernandes)passed the examination I A�✓ FINISH GRADE,OR AS APPROVED BY THE LOCAL BOARD OF HEALTH AGENT. approved by the Department of Environmental Protection and that the above �.. 47.5 G.)PIPING SHALL CONSIST OF 4'SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL analysis was performed by me consistent with the required training,expertise SCALE 1"=20' gc4 LEGEND BE LAID ON A MINIMUM CONTINUOUS GRADE Of NOT LF-55 THAN I%. and experience desenbed in 310 CMR 15.017. 4 TN15 AREA IS SEf�.�/1=D UP 4 � 42 EXISTING CONTOUR 7.)DISTRIBUTION LINES FOR 501L ABSORPTION SYSTEM(AS REQUIRED)SHALL BE 4"DIAMETER SCHEDULE 40 PVC LAID AT 0.005 FT/FT. LINE SHALL BE CAPPED �ME DATE Exi5ting 1,000 Gallon Tank BY TOWN WATER. mot, _.... .A.I. (F D) 42 PROPOSED CONTOUR AT END OR AS NOTED. NA : �T ���� (5ee Note.#I G) fl X42DO EXISTING SPOT GRADE 8_)OUTLET PIPES FROM DISTRIBUTION BOX SHALL REMAIN LEVEL FOR AT LEAST P4eket Fe :' 42xO PROPOSED SPOT GRADE 2 BEFORE PITCHING TO SOIL ABSORPTION SYSTEM. WATER TEST DISTRIBUTION Approx.Location of l 478 -W- WATER SERVICE LINE BOX TO A55UI2E EVEN DISTRIBUTION. t 1 � Ext5ttng Leach Pit (} 4 f 9.)DISTRIBUTION BOX SHALL HAVE A MINIMUM SUMP Of G'MEASURED BELOW (See Note#19) 20G V -0- OVERHEAD UTILITY SERVICE THE OUTLET INVERT. _`--- w -u•- UNDERGROUND UTILITY SERVICE I O.)BASE AGGREGATE FOR THE LEACHING FACILITY SHALL CONSIST OF 3/4 TO sr� Stockade Fence - - Off' _ 46I--`"G-�`" -G- GAS SERVICE LINE 1-112"DOUBLE WASHED STONE FREE OF IRON, FINES AND DUST AND SHAM BE c � TP TEST HOLE/BORING LOCATION Trelit5 Overhang ( INSTALLED BELOW THE CROWN OF THE DISTRIBUTION LINE TO THE BOTTOM OF THE ter_-- _-G"'x 1 rn 5 PT1C TANK SOIL ABSORPTION SYSTEM. BASE AGGREGATE SHALL BE COVERED WITH A 2" x 424 x 43 G____ G ,s � DB DISTRIBUTION BOX LAYER OF I/8"TO 112'DOUBLE WASHED STONE FREE Of IRON FINES AND DUST. ; y r-�- !V / ` y`yL�\ `\ t � C 5A5 501L ABSORPTION SYSTEM I 1.)VENT SOIL ABSORPTION SYSTEM WHEN DISTRIBUTION LINES EXCEED'S0 FEET; ` �� ,i 'r E i}1 � w:-'� WHEN LOCATED EITHER IN WHOIJ OR IN PART UNDER DRIVEWAYS,PARKING AREAS, I O x 4L1 I I �� \`� .�(^t Reserve RESERVED FOR FUTURE ,� �s �" TURNING AREAS OR OTHER IMPERVIOUS MATERIAL;OR WHEN PRESSURE DOSED. 1 `x` �iI a `� 1to0 v � t9 � to CDJ UTILITY POLE 12.)SOIL ABSORPTION SYSTEM SHALL BE COVERED WITH A MINIMUM Of 9"Of l x 2`~\ rooms D i `r )B CATCH BA51N CLEAN MEDIUM SAND(EXCLUDING TOPSOIL). `� 5t1n9 A A-7 G�• � � 6� 48.3 �m � �Or�� s -'� FIRE HYDRANT 13.)FINISH GRADE SHALL BE A MAXIMUM OF 3G"OVER THE TOP Of ALL SYSTEM M 1 x 4 x 4 J WELL x 40.7 COMPONENTS, INCLUDING THE SEPTIC TANK,DISTRIBUTION BOX,.DOSING CHAMBER �- ``� 3911 c�.` . tpec ` \ t 4 .s DRAINAGE MANHOLE AND SOIL ABSORPTION SYSTEM:' SEPTIC TANKS SHALL HAVE A MINIMUM COVER 0 }C \ t OF 91. o a 56 � . .w 4 ■ CONCRETE BOUND, FOUND tt t 14.)FROM THE DATE OF INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL � � 1 IP � x 40.2 x 41.2 � � 4 :� �l � t £Y � ��� 46:��yr � � TOP OF BANK RECEIPT OF A CERTIFICATE OF COMPLIANCE,THE PERIMETER OF THE SOIL A135ORP- Approx.Location of l 4 w, _x .3 - -x-x- LIMIT Of WORK TION SYSTEM SHALL BE STAKED AND FLAGGED TO PREVENT THE USE OF SUCH Extsttng Sewer LtneS 2Ptltar FENCE AREA FOR ALL ACTIVITIES THAT I RIGHT DAMAGE THE SYSTEM. p ,� i (See Note#20) 4 2` -r 5"- �, 40.75 v�alk 47.3 O �^^^ EDGE OF CLEARING 15.)THE BOARD OF HEALTH SHALL REQUIRE INSPECTION OF ALL CONSTRUCTION ' 1 f <Gravei. _ ' .9 4 s 48.6 BY AN AGENT OF THE BOARD OF HEALTH(OR THE DESIGNER IF THIS SYSTEM RE- fi x rden < :: ea :. -` - 't 8 44.5'. QUIRES A VARIANCE)AND MAY REQUIRE SUCH PERSON TO CERTIFY IN WRITING Ga I e titi��� 46.0- -. THAT ALL WORK HAS BEEN COMPLETED IN ACCORDANCE WITH THE TERMS Of THE i 4:8`# _ ���` �' 44 9 Fougtat -. ,`` ; - , 58�. a o,46.4 o PERMIT AND APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. 38.8 l 20.ff} F Lti/lJ I� t Lt 1I V S 66 \ \ t ttng 18edraom 4 v >". 455 * 460 _ x,473 :'�] I G.)PER 130ARD OF HEALTH AGENT,ON51TE DURING 501L TESTING,EXISTING TANK ` �, fx 5 _ 49' CAN BE RE-USED SINCE THIS IS CONSIDERED A REPAIR WITH NO INCREASE IN FLOW. ``,L8 Cottapge A4.0' \ i 45.3 /i. :GPavero'.eway TOE yL` 5.2 47.4 o e . , o 17.)EXISTING WA5TEUNE(S): INSTALLER TO CONFIRM ALL EXISTING WA5TEUNE(5) x .> illai MAIN HOUSE - 1 5T FLOOR ARE CONNECTED TO EXISTING SEPTIC TANK BY WATER TESTING WITHIN THE DWELLING t x 41.0 /� .� \�� 44S .4 .9 ( 4 x 39.8 PRIOR TO SETTING ANY SYSTEM COMPONENTS. Parcel 46fora 45.0 x 45.5 t � 4 18.)INSTALLER SHALL VERIFY INVERT ELEVATIONS PRIOR TO INSTALLATION OF a Area=20,3GO SF-}' m 4 ' UP 17/0 7.3 ICNI 492 ANY SEPTIC 5Y5TEM COMPONENTS. 1 J 5toce Fence �/ 19.) EXISTING LEACHING PIT TO BE LOCATED,PUMPED-DRY,FILLED WITH CLEAN SAND, t, i} 2 12.541 BED LIVING AND ABANDONED IN PLACE. IF EXISTING LEACH PIT 15 WITHIN 5'OF PROPOSED 501L BED BED FAMILY ` gg ABSORPTION SYSTEM IT SHALL BE REMOVED ALONG WITH ANY CONTAMINATED 501L. Er- x 41A 4 BENCHMARK:, 20.)EXISTING WA5TEUNE(5): INSTALLER TO CONFIRM ALL WA5TELINE(5),IN THE x 40.4 Top of Foundation KITCHEN EXISTING COTTAGE AND MAIN HOUSE,ARE CONNECTED TO THE EXISTING SEPTIC TANK EL=47.G± (Assumed datum) III I# BY WATER TESTING WITHIN THE DWELLING PRIOR TO SETTING ANY SYSTEM F_ COMPONENTS. BED COTTAGE DINING. I=LO V Vj 1 RO I�I LE: INSPECTION NOTE: SAS DETAIL: BATH BATH DINING �fFp SCALE !"_1 C)' D�80X NOT TO SCALE 5 CO Y ER5 TOTAL PRIOR TO FINAL INSPECTION BY THE ENGINEER,SYSTEM LIVING NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. MAIN HOUSE- 2ND FLOOR BED ttuu 24'DIAMETER CONCRETE COVERS RAISED TO WITHIN G"OF FINISH RISER WITH COVER ca GRADE(OR AS NOTED) .: FOR ALL CHAMBERS (SEE NOTE#5) r:a Exi5tin EL=43.4t Propo5ed EL=40.2t Pra o5ed EL=40.0* CHA BERG ` / REVISED G-23-15: ADDITIONAL INFORMATION ADDED PER BOH REQUEST .\\ ` r N r i 3G"Propo5ed Cape Cod Septic 5ervice5 Inc. E (9"Min 3 G"Max) 5T0 'SEE NOTE 37.0± r v€ mot- N • � 350 Route 25, We5t Yarmouth, Ma 02G73 tA 2 LAYER OF /8 - 1 STONE . . -- .. • 4° 8.5° tOa 14 ; , �/ " " HOF k SEW D15P05AL 51tY5TEM DESIGN "E o} ✓3G.25r 3/4 - 1-I/2 STONE 15< 42, .. AGE 1° . 3" 3G.92 3G.75 ~ �,�¢ 345 Main Street, Oster�ville, Ma T C�' �1rITI 4,0, • t I INSTALLER TO REPLACE 2'DROPy r TEF5 A5 NffD FOR 34.25 CIVIL. � 0 20 40 GO J.M. O REILLY & ASSOCIATES, INC. USE(4)SHOREY PRECAST . "� 487 Professional Engineering & Land Surveying Services iCOMPLANCE WITH TITLE(5) GAS BAFFLE25 (OF,EQUAL) G-D'± , �;6 T� �`` SCALE I"=2CY 1. Exi5tin LoncJe5tkRun 500 GALLON LEACH CHAMBERS ff �i" Al 9 57'± 24± WITH 4'Of STONE AROUND Ir ---"wA" 1000 GALLON DB-G ' ` 1573 Main Street - Route $A (END VIEWI -EL=27.4* BOTTOM OF TEST PIT#2 P.O, Box 1773 SEPTIC TANK D-13O L1=AC1�1lNG Ct1AMBER (508)896-6601 Office Brewster, MA 02631 (508)896-6602 Fax DATE: EA5:Noted BY: CHECK: JOB NUMBER: H-20 42.0'x 1 2.83'x 2.0' G:V1AJob,Wakt709G\dwg1709G.sd5(REVG-23-15),dwg G/15/15 JFM KEF JMO-7 09G