Loading...
HomeMy WebLinkAbout0140 MAIN STREET (OST.) - Health 140.Main Street l Osterville' , _ A ;=; 1 65,r 074001 t l { r� 5� .5� 0 `Y 'M- , f --�_ . .. - `y .�.. � ,,-y.�T_S .,tr. `.-.� � .. F ,.Y '!'..r-.r• ;. �,.,,.iwl...•yj.,.�..T'�• _ No. cgoo ��� � 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH'. DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplicatton for Mid oml 6p.5tem COttgtruction Permit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( Complete System ❑Individual Components Location Address or Lot No. /40 twR1 &S PEWOUL- Owner's Name,Address,and Tel.No. 3 6 Assessor's Map/Parcel _p bA(/l 6��-�— $ G 7`f l q� �'o pox P ��ovs� Installer's Name,Address,and Tel.No. �144--, 97 A3WO Designer's Name,Address and Tel.No. J 77I 7'-6 4 NO 7N 1s 1$,V 2-60 14 7k4llo/ Type of Building: W66 Dwelling No.of Bedrooms Lot Size 9S 7 7 sq.ft. Ga age G t er ( ) Other Type of Building No.of Persons Showers( ) Ca teria(. ) Other Fixtures Design Flow(min.required) S370 gpd Design flow provided 5-17 gpd Plan Date /2—Z"7--o ro Number of sheets / Revision Date Title .140 MAIAI Pe5-77E."l c Cd_ AeO e, S 8_A7'7G $yYY 7��y( Size of Septic Tank Type of S.A.S. /01-}j-5 77iff G EAtW G117"1136or— Description of Soil .S-19/Vb Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to er.sure 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.Boar . Si Date / —9 7`0 r, Application Approved y Date A 7 7 4 Application Disapproved by: Date for the following reasons Permit No. Date Issued ��—� 4- _-.-ate`S.r ,.:. ... ., r.tr � ..T,...r.:,tar "w'+�...�„e.-+.+r.,,,.,.7 k�: .w.,✓'i.� tY 4. 11� No. � {- ,7q , y� � .t. . � - Fee,/ THE COM, WEALTH OF MASSACH'USETTS: Entered.in • n Yes PUBLIC HEALTHtDIVVhSION� TOWN OF BARNSTA"/BLE MASSACHUSETTS Rpprication for �Biq. 5al *p�tem Cow5truction Permit Application for a Permit to Cmstruct,e) Repair O Upgrade O Abandon O Complete System ❑Individual Components Location Address or Lot No. t� rYl A 05:77s~�'i/�� � :`S-Ok-3 6;—t'4t'S Owner's Name,Address wand Tel.No Assessor's G 71 -Map/Parcel / 0O jb�'V/ 6 PIWk6e ^^� f�Jf l _ pdi3vX4-t'3 �3<i'12itJS1,i4-i3c � QZ.(�3 y. Installer's Name,Address,and Tel.No. fj�� /s �i?/`"��'' Designer's Name,Address and Tel.No.s©� 7 T fG 6 �tiT`EiC` 5 �,Grvbf?/i5 QA Y TE/l-.�.y� 1 Type of Building: 0— Dwelling No.of Eedrooms " Lot Size 95-7 7 / sq.ft�Ga age Grinder Other Type of Building No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) Jrsd gpd Design flow provided J-17 gpd �} Plan Date 12— 2.-7--10 6_ < ;'Number of sheets j Revision Date Title _% AlAl - f J as 7,tE.&111"6 /0/?0 p'. siFA77e S j/r 7a" t Size of'Septic Tank /+Sb 0 Type of S A:S. -r , Lf} 77i 61E/4G/L1 C/ !/36r— Description of Soil A/b , ,.. S� �� , �' /Q FSvL75► r v o 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-pcovisions of Title 5 of the Environmental Code a d not to place the system in operation until a Certificate of ;.r Compliance has been issued by this Boar eal.1f Signed // sy /. Date 1,2 a 7'0-&, Application Approved by. / / Date Application Disapproved by; Date for the following reasons / K' " Permit No. h �—�y } Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS -certificate of Compliance THIS IS TO CERTIFY,Au thcaOn-site Sew e�pisposal System Constructed ) Repaired ( ) Upgraded ( ) Abandoned( )by �t,, 1 at 140 /Y A//V QJl/� t�/G`L �, has been constructed in accordance / 1 /_ with the pr/ovi io/ns/ofitle 5 and the foD's osal Sys e Construction Permit No Q� '— y dated C /�7`p Installer r �/L ti/ Designer �A�-�� 1 #bedrooms qW Approved design flow •r gpd The issuance of this permit shall b cons Vued as a guarantee that the syste will nction as designed � C Date Inspector I;/�1/ld. �l1A/I , ------------- r ----- -------- vty-- ---- No. .m� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS XWi.5poml *p!gtem Con5truction Permit Permission is hereby granted to Construct b(, ) Repair ( ) Upgrade. ( )' Abandon. ( ) System located at IV d/GG� 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 condition's. Provided: Construction must e completed within three years of the da of of this perm` . � Date Aa- r��� / I A pprove�by�,._ t �10 No. Fee THE COMMONWEALTH OF MASSACHUSETTS ' Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2 ppricaction for Mi.5pogal *pgtem Construction Permit "Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS ar'*p!5tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at _ and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date Approved by No. s� Fee ' THE COIAM LTH OF MASSACHUSETTS" Entered in computer: PUBLIC HEALT,H'DIVISION - TOWN OF BARNSTABLE, MAStACHUSETTS Yes Zippitcattott for Mt!6po5al 14pgtem Cottgtructtott Vermtt Application for a Permit to Construct(.) Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. / ✓ 1 `r �L. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 146 7q Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. / i_'J `l, Type of Building: i Dwelling No.of Bedrooms Lot Size , 7 sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) u� gpd Design flow provided 7 gpd Plan Date /1 ? ! b Number of sheets / / Revision Date r Title ++' -i.r y ! 41 Size of Septic Tank / t5 Type of S.A.S. /"L j' SC" Description of Soil ) 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 Boarr -- Signed Date Application Approved by } -L..r.,�, �N Date Application Disapproved by: Date for the following reasons Permit No. Date Issued -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certtftcate of Comphattce THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (. ) Repaired ( ) Upgraded ( ) Abandoned( )by ? L-4. at l / (.': �.. ,K //t C & has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms j Approved design flow �- 7 gpd The issuance of this permit shall not be,const4 ied as a guarantee that the system will function as designed. Date Inspector -------------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1wtgposal 6pgtem Con5truchott Vermtt Permission is hereby granted to Construct Repair ( ) Upgrade ( ) Abandon ( ) System located at /¢L _. and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must b completed within three years of the date of this permit , Date � �"' Approved by c Commonwealth of Massachusetts 0 00� Title 5 Official Inspection Form Ia Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street r Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 -u page. City/Town . State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information 671.*%- �-1 A2 on the computer, use only the tab Adam R. Riker key to move your Name of Inspector cursor-do not Cape Dig Inc. use the return Company Name key. PO Box dd Co rab Company Address South Yarmouth MA 02664 City/Town State Zip Code 508-776-6460 S14590 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in,the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 08/10/2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional offi-,e of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form yb Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. Cityrrown 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: Inspection of 1500 gallon Septic tank, d-box and area of SAS were observed to be in working conditon with no failures observed. 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 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 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 pipes) are replaced ❑ Y ElN El ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: f ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cost.) ❑ 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 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .° 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 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 ❑ N Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form] ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town 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 aH inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ E 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? Z ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form 1° a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 GPD Description: plan design provided 557 GPD Number of current residents: unk. Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage 2019=784 GPD 9 ( Y g (gpd)) 2018=85 GPD Detail: Town water records with large irrigation system also on water meterh Sump pump? ❑ Yes ❑ No Last date of occupancy: Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form �a Subsurface Sewage Disposal -_ g� p sal System Form Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: homeowner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: not required t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town 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: 09/05/2007 per Certificartion on town record Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 4 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line- town water feet Comments (on condition of joints, venting, evidence of leakage, etc.): Dry with no leakage observed t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 r c Commonwealth of Massachusetts Title 5 Official Inspection Form 1' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street I Property Address N.A. Realty Owner Owner's Name information is required for every Osteryille MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 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: 5x5x11' 611 Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 211 Distance from top of scum to top of outlet tee or baffle 8° Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Sludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,. liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was operating at correct liquid levels with no defect observed. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form is Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osteryille MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete '❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments C� A u 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert equal to outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out'of box, etc.): no defects observed. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cost.) 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.): * If pumps or aiarms 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: 5xCultec ❑ leaching galleries number: ❑ Beaching trenches number, length: ❑ Teaching 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS is costructed of 5 cultec chambers 44'Long x12'Wide x 2' Deep 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l� 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Ostefville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of 3onstruction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Ie Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 Main Street t Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town 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 Ld a ffcieuc- - ,Tc2 >� = 36 t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 v, Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments / 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection D. System information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: no water at 144" 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: 12/27/2006 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: plan with test hole on file ❑ Checked with local excavators,.installers- (attach documentation) ❑ -Accessed USGS database-explain: You must describe how you established the high ground water elevation: Plan on file with witnessed test hole Plan date 12/27/2006 ' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �01 140 Main Street Property Address N.A. Realty Owner Owner's Name information is required for every Osterville MA 02655 08/07/2020 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed 8r Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 10/12/21,3:33 PM ShowAsbuilt(1700x2800) TOWN OFBARNSTABLE .R.I LOCATION SEWAGE k tJ jq�TG�.L!/J�J7/IL� J VILLAGE O l{./�./rT ASSESSOR'S MAP&PARCEL/ "Q INSTALLERS NAME&PHONE NO. U f ll1i SEPTIC TANK CAPACITY 1 LEACHING FACILITY:(type) $pJea(size) J NO.OF BEDROOMS 4=rEYr5'r&gq AS Q/�7 OWNER r PERNUT 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 BY 36 T-) 3 <fq https://itsqldb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=165074001&sq=1 1/1 r- A, Commonwealth of Massachusetts - Title 5 Official Ins&ctionForm F om Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M s 140 MAIN STREET Property Address DAVID PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 02655 11/14/06 ' every page. City/Town State Zip Code Date of Inspection /4 s=o7Y Inspection results must be submitted on this form. Inspection forms may not be altered in any way. /6�3 Important::When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your MICHAEL DEDECKO cursor-do not Name of Inspector use the return key. COMPASS REALTY DEV.*CORP ° Company Name P.O. BOX 2384 Company Address MASHPEE MA 02649 Cityrrown State Zip Code 508 221-5003 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this'address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by t Local Approving Authority MLDAet� 11/14/06 ` .i p or's Signatur Date y s � The system inspector shall submit a copy of this inspection report to the Approvin t Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a s ared system 4F has a design flow of 10,000 gpd or greater, the inspector and the system owner sh II submiNhe r" report to the appropriate regional office of the DEP. The.original should be sent to t e system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only''describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 1411 MAIN ST OSTERVILLE°08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 A Commonwealth of Massachusetts Title 5 Official- Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is OSTERVILLE MA 11/14/06 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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 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. 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): l ❑ broken pipe(s)are replaced ❑ obstruction is removed 140 MAIN ST OSTERVILLE•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain. 7 ❑ 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: 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 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. 140 MAIN ST OSTERVILLE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered..A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or . clogged SAS or cesspool ❑ E Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El E Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS.or cesspool ElLiquid depth in cesspool is less than 6" below invert or available volume is less E . than '/z day flow ❑ E Required pumping more than 4 times in the'last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑. ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 140 MAIN ST OSTERVILLE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 I Commonwealth of Massachusetts . Title 5 Official Inspection Form, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. City/Town State. Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.):. Yes No ❑ ® 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. ❑ EK, 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 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The , system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water 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. 140 MAIN ST OSTERVILLE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•:Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ M Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. Determined in the field (if any of the failure criteria related to Part C is at issue ® El approximation of distance is unacceptable) [310 CMR 15.302(5)] 140 MAIN ST OSTERVILLE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):. 330 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage d N/A 9 ( Y 9 (gP ))� Sump pump? ❑ Yes ® No Last date of occupancy: N/A Date Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No 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): 140 MAIN ST OSTERVILLE-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: 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: 2004 Were sewage odors detected when arriving at the site? ❑ Yes ® No 140 MAIN ST OSTERVILLE•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 1 feeett Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: TOWN WATER feet Comments (on condition of joints, venting, evidence of leakage, etc.): JOINTS TIGHT,YES VENTED,NO SIGN OF LEAKAGE Septic Tank(locate on site plan): Depth below grade: 1FTfeet 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: 1500 GAL 2' Sludge depth: Distance from,top of sludge to bottom of outlet tee or baffle 34" 0„ Scum thickness Distance from top of scum to top of outlet tee or baffle 12" Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? MEASURED 140 MAIN ST OSTERVILLE•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 L Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): INLET AND OUTLET TEES INTACT, STRUCTURALLY SOUND, LIQUID LEVEL EQUAL WITH OUTLET INVERT, NO EVIDENCE OF LEAKAGE. Grease Trap,(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 140 MAIN ST OSTERVILLE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 r Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments f 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons . Design Flow:, gallons per day Alarm present: ❑ Yes ❑, No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float.switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ® Yes ❑ No Distribution Sox(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert EQUAL WITH OULET INVERT Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-BOX IS LEVEL AND DISTRIBUTION EQUAL WITH OUTLET INVERT,NO SOLID CARRY OVER, NO EVIDENCE OF LEAKAGE. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order.: ❑ Yes ❑ No 140 MAIN ST OSTERVILLE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wa 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is required for OSTERVILLE MA 11/14/06 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (mote condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SOIL IS SANDY GRAVEL, NO SIGNS OF HYDRAULIC FAILURE, PONDING IS DRY, NO DAMP SOIL, VEGETATION IS NORMAL 140 MAIN ST OSTERVILLE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is OSTERVILLE MA 11/14/06 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 140 MAIN ST OSTERVILLE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments "( 140 MAIN STREET Property Address PARRELLA Owner Owner's Name information is OSTERVILLE' MA required for 11/14/06 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. Sal. C1 �, 3 y '62_ So R 3- Sz' 6 3• �� gl,` . 140 MAIN ST OSTERVILLE•u8/06 Title 5 Oftal Inspection Fomr.StMwrraoe Sewage Disposal System•Pa ge 14 of 15 k Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments "< 140 MAIN STREET Property Address PARRELLA Owner Owner's Name Irequrired foration OSTERVILLE MA 11/14/06 every page. Cityrrown state. Zip Code Date of Inspection D. System Information (cunt.) Site Exam: ® Check Slope ® Surface,water ® Check cellar ® Shallow wells Estimated depth to ground water: +25' 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: ❑ Checked with local excavators, installers-(attach documentation) ® accessed USGS database-explain: HA 692 HYDROLOGIC INVESTIGATIONS You must describe how you established.the high ground water elevation: ESTABLISHED BY USGS MAPS AND SURVEYS 140 MAIN ST OSTERVILLE-0&O6 Title 5 Official Inspection Form:Subsurface Sewage Disposal Svstem-Peas 15 of 15 TRANSMITTAL BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land:Surveyors a, 78 Norti Street,P Floor;Hyannis 1VIA 02601 Tel-_(508)771=-7502 Fax:(508)771-7622 Date: 9'.1:1-07. TO:Donna Morandi Total No.Pages: e'2;m' Board of Health 200 Main St. Hyannis,MA 02601 BN Job No.: 2006-038:3 Subject: 140 Main St. Osterville,MA Phone: cc: D.Parella; file We are sending you M Attached ❑Under Separate Cover via Fax El (No.:of pages including Transmittal Sheet) ®First Class Mail/Registered#: ; ❑Overnight ❑Pick up ❑Hand Delivery The following documents: . ❑Prints/Plans ❑Order of Conditions ❑Variance Approval ❑Recording Slip❑ Septic System Permit n Notice of Intent n Determination of Applicability E Other DATE.' COPIES._ _.,.NO. PAGES_ _ DESCRIPTION Original of Installers-and-Desigrier-Certification Form-- These items are transmitted as checked below: 0 For Your Use y t zr= s AsRequeste& F.or yoiir--Files i For Review And Comment ❑For Recording_ ®As Required, i Remarks: If you have any questions or comments,please do not hesitate to contact me directly at 508-771-7502;ext 13 or via email at swilsonQbaxter-nye.com. Stephen A.Wilson,P.E. SAW/cad 0:\2006\2006-038\ADMMtransmit\2006-038 3 T21 DM Orig.installer designer cert.form 9-11-07.doc Note:, This transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible, incomplete or not intended for your use.Thank you. L\document templates/transmittal template Tpwn of Barnstable Regulatory Services r Thomas F. Geiler,Director sn>zivsrnsie. ; , M^MR $ Public Health Division . 1639 10 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 - Fax: 508-790-6304 -Installer& Designer Certification Form- Date: 21r/07 Sewage Permit# 6 6 -- -,5 Assessor's Map\Parcel its 75f—c;o1 Designer: �Ip►e. A. l-•,tsen , PC Installer: W Jf,am 17tngcv- Address: 13e,.4zt tj Address: 26 Port-►ar S+-. O'L&DI ��14Mr1a 62Lm( On O/ was issued a permit to install a date insta er septic system at I f-0 Mott raj', -Ocl rrui l(.c based on a design drawn by (address) 5+�vw-K A. (.o i t s f.. r P.: , dated 11 ,3 i Z007 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. STEPHEN Installer's At LYN ' ( Signature) � WH.SQN c�No.,3021 C AL Designer's Signature) (Affix Designers tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doe S (41020C�G�G38 Town of Barnstable P# THE l� o. Department of Regulatory Services J BARNBrABLE, : Publie.Health Division - Hate r MAse c6J •� 200 Main Street,Hyannis MA 02601 9• �AfE0 MPS Date Schedulec 0&// Time © Fee Pd. Soil Suitability Assessment for Sewage Dispa l Performed By: Witnessed By: . LOCATION & GENERAL INFORMATION Location Address . ! Owner's Name jovVtAa M�1n MQr.f itfq., l40 t r 1 olC' Atldress. C�w�Ena �alc0 /"t�/{• CX ,37 Assessor's Ma /P ccel.YM I(qslra y-Z t�� �rt En P Y CG fU/ NEW CONSTRUCTION REPAIR Telephone# T`%l "'iq- c•�c°t p Land Use Slopes(%) O —Zo y/o Surface Stones Distances from: Open Water Body IAA ft Possible Wet Area 1_0_CL_ft Drinking Water Well ft Drainage Way It Property Line ft Other tt i SI(ETCH:(Street name;,dimensions of lot,exact locations % -c tests;locate wetlands in proximity to holes) + r r r �dt�i / ire►�� � ,/ � �4.®•,'L\J r \ / 'T �!-�..-•-r� r r. rrrr lot y r/ rrr. rr rrr •d y''` .� r r r .y r r Gafc,vt \. ..r y rrr r °'t ��ytd e r r►r r r r T �.�,y�G \ r rr' Parent material(geologic) �'� Depth to Bedrock .//6cl.t/. Oo du+��6► .. .C:� Depth to Groundwater: Standing Water in Hole: f Weeping from Pit Face Estimated Seasonal High Gronndwater Cn DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs,hole: in. Depth to soil mottles: U` Depth to weeping from side of obs.hole: in. Groundwater Adjustment C It. -71 Index Well# Reading Date: Index Well level Adj.factor Adj.Grout water Levef, tU r t - PERCOLATION TEST bate 101111DIL Time Observation. Hole# � �_ Time at 9". Depth of Perc - 70 4 Time at 6" ! ;Z.m Start Pre-soak Time a 11 ,13 I/;3 Time(9"-V), End Pre-soak /'/r, W,440 Rate Min./Inch > r� �n Site Suitability Assessment: Site Passed�. Site Failed'. Additional Testing Needed(Y/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)-week prior to beginning. Q:HEALTfi/WP/P ERCFORM DEEP OBSERVATION HOLE LOG Hole# 5 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell). Mottling. (Structure,Stones,Boulders Consi en c :%Gravell �n ZQN r/C-l. AN 5�►dy t.du,� 10 2�1 7I3 m" swat 10 1�r� DEEP OBSERVATION HOLE LOG Hole# 4c Depth from Soil Horizon Soil Texture: Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel 41 Sc%�& L.oaw, 10 .I D'l-I N L/�...� _..C VhLG lUM S 4�9�. 16 Y le 4/4 DEEP OBSERVATION,HOLE LOG Hole# 7 Depth from Soil Horizon Soil Texture Soil Color Soil Other Sud'ace(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.enc 6/6r el) _ -oil . S Lop w, l `+!fz �/y If St�c.t�Fte.aP (:o /VD WQA"✓ Obi yi7-��'It=1 CR Fnt-W�eCfi �X.�nsp 1�.�. /� DEEP OBSERVATION HOLE LOG Hole# g Depth from Soil Horizon ._ Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. -Consistency.enc °o Gravel) 3`'- f 2 , A p 154.%dj I,caw. .I 0 YIC 43 Saitd t^ecr- to `fk 4/3 n a_ SD a C, rill 10 `f'(a 11/3 $0��- I-IN�� . Sim+�.f1 �f t 10 `rR NYkc! f f Flood Insurance Rate Mani Above.500 year flood boundary No Yes co Within 500 year boundary No ✓ Yes "I Within,100 year flood boundary No Yes Depth of Natrrally Occurring Pervious Material r ut-tie rn Does,at least four feet of naturally occurring pervious material exist in all areas observed t rougho area proposed for the soil absorption system? e� _ If not,what is the depth of naturally occurring pervious material? Certification I certify that on �� 14�i S (date)I have passed the soil evaluator examination approved by the : . Department of Environmental Protection and that the above analysis was performed by me consistent with .the required trainin ,expertise and experience described.in310 CMR 15.017. Signature Date Lt �o�ofj f Q:HEALTH/WP/PERCFORM ' M1 TT- Town of Barnstable P# l2� Ao Department of Regulatory Services i BArwsTABLE. Public Health Division Date MA89 %639. ��� 200 Main Street,Hyannis MA 02601 rnn� Date Scheduled lt� Time Fee Pd.— Soil Suitability Assessment for.SewageD sal Y. Witnessed BPerformed By: A L SM Qs; LOCATION & GENERAL INFORMATION Location Address f.(0 I y(� g-A �c F t.,,U %� , Owner's Name 6t to Address 02(w3 CUtm1vi Cf.svtd 11�t 7 Assessor's Mats/Parcel: M I(o S ►'mac I Engineer's Name S ker,4t,� �, LJ I�c..1 r) NEW CONSTRUCTION X REPAIR Telephone SO '7'7 l"7a°"a2 ' &.+ y^ fe d Land Use Slopes(%) Surface Stones Dista►ices from: Open Water Body /00 ft Possible Wet Area /06 1t Drinking Water Well ft Drainage Way it Property Line 1t Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximityto holes) .Aiit 96 �4, r —a m / °1 • % � Parent material(geologic) G Racjr_t 0v+"sh Depth to Bedrock �S Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal:`Iigh Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in.: Depth to soil mottles: ? m Depth to weeping from side of obs.hole: in. Groundwater Adjustment 1 Index Well Reading Date: Index Well level Adj.factor Adj.Groundwater Leven PERCOLATION TEST. Date•f1 Tirne Observation Hole# 1 _`�_ Time at 9 l8 xq i'� Depth of Perc h 2 4 BG Time at 6" /t)!3/ CD t Start Pre-soak Time @ /�.'/Z /0:3 7 Time(9"-6") 3 ym," CTt s Y7 End Pre-soak 10;2 l 0�48 Rate Min./Inch,. 7 jyyn In >Z^1 /etln Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back......-----. ***If percolation testis to be conducted within 100'.of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning:' QMEALTIMP/PERC FORM DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories,Boulders. Consistei c % avel Ag Say.cO y Loavw 1 0 `�12 3/3 /0"-2G 44. O loon _ /o ve 54 MeajtyM Savu.Q to yto S/(o 1'vMe ch"W1 5r;-cJ 2 DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling .(Structure,Stones,Boulders. Cons' to c %Gravel /9p L'azV-A 10 'jt?.-3/z . C, I'Yla NOX Sam I 0 Y,R 51b lrecilu.,,\ 5&Kd I0WR 6/ Ai wp{e. caEis.. '� DEEP OBSERVATION HOLE LOG Hole# 3 Depth from f',. Soil horizon Soil Texture Soil Color Soil Other St face(in.) (USDA) (Munsell) Mottling . .(Structure;Stories,Boulders. Consistency.%Gravel) G-5'/ �a, Q� 1ro2;pn 10 yi2 'S�«ai r Z$11-3L11 i ►m dIU&X 54nd 10.yR J�I 52'' ly1-1" S •�t—�.s _ l a y� 7z — o G✓c.� Ob,�, DEEP OBSERVATION HOLE LOG Hole# �f Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stories,Boulders. Con si tenc %Gravel) Su1 40--r» /.0 yw SIFI . 26�� 2 C t11ed«,M v`aad 16 Yt2 b14 ti 5t, td.. la .Y,2 7� :L/va. GJu�r, Ob4 C ,M'&tv'-" .54a 3 Flood Insurance Rate Mat): Above 500 year flood boundary No_ Yes ✓ i Within:500 year boundary No ✓ Yes Within 100 year flood boundary No +O Yes Death of Naturally Occurring Pervious Material znCn Does at least four feet of naturally occurring pervious material exist in all areas ob rved throughout tilie area proposed for the soil absorption system? _ If not,what is the depth of naturally occurring pervious material?. Certification trt inatio approved by the I certify that on. Aeyi f. l 9 SS (date)1 have passed the soil evaluator exam Department of:Environmental Protection and that the.above analysis Was performed by me consistent with the required training,expertise and experience described in310 CMR 15.017.:.. Signature . , Date Q:H EALTH/WP/f'ERCFORM 4; Town of Barnstable P.4 olime to „wtio� Department of Regulatory Services ' Public Health Division Da BAFW$TABL te G` i . y MASS Ie1y. 200 Main Street,Hyannis MA 02601 prF0 MP�'A r tom'' Date Scheduled ���� Time /� Fee Pd. bo Soil.Suitability Assessment for Sewage A osal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address �C� M��h utrc f: r Owner's Name T�nLC.G G, J•�a.abCtra Address. frr►.c lNl► 0 263 Assessor's Map/Parcel:.lhh a 10 1(,5 j hc.17�/-Z� !C Engineer's Name 5k_q h,,1 A. (,a,l NEW CONSTRUCTION K REPAIR Telephone#(:Sa ) `� �a 5*0 . c.,�t I; . Land Use Slopes(%) Surface Stones Distances from: Open Water Body ft .Possible Wet Area ft .Drinking Water Well ft Draina,;e Way It Property Line i Other tt SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) 4I ack�, cx,hw��h Depth to Bedrock Depth to Groundwater: Standing Water.in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed§tan,ding in obs.hole' in. Depth to soil mottles: ina �ra Depth to weeping,from side of obs.hole: in. Groundwater Adjustinent Index Well# Reading Date: index Well level Adj.factor Adj.Groundwater Level C PERCOLATION TEST Date /a likeTim : � Observation Hole# 12 Time at 9" /Z; * - u Depth of Perc (o b -?aa Tiine at 6". /� co Start Pre-soak Time a 1?;d L 12:3 0 Tinte(9"-6") ,�men r- uha6L& ko apot� Ut rn End Pre-soak Rate Min./Inch 1>2 A—. 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 1001.of wetland,you must first.notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:HEALTii/WP/PERCFORM':" : DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon -Soil Texture Soil Color Soil Other Surface(in:) (USDA) (Munsell). . Mottling (Structure,Stones,Boulders. Co isi to is %Gravel) toSuzy Lot rN I D'yn t2 2�,' Lc,u w, I O `1r to VA. I 0 qR /fs nn c.e,ur+ `3avA 10 6/6, e�eeastuwol eobh/es `1r'-Hy C Z. o woh, Oka 5. DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc' %Gravel 0_3�, N a /0" fop Sa�� 1-�sa� Ia wrz. 3/3 2�'��151`i V1t e Vwn Sc•rezQ I b y rZ 6A. /too (va Ltr o 6:+. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Suilace(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsi tent °o ra D—v•' Ad Ge'M /o Yoe '/v l2"-22 y 2 .SHn0/y Loam /O ` M 41$ M,OfiuM ScK (o YK DEEP OBSERVATION HOLE LOG Hole# /Z- Depth from Soil Ito:izon Soil Texture Soil Color Soil Other Surface(in.) - (USDA) (Munsell) Mottling. (Structure,Stones,Boulders, Consistency %Gravel) Cs-3 Sa,,dy IO .yIe Z/Z.. _ <c. p uc.1 10 Y2.S/* SO�_I y w u C iM1'I c�Qt v.� Soma I 0 Y f? ��$ — A &Wfi- ok5e ev.,p Flood Insurance Rate Man: Above`_'00 year flood boundary No Yes ✓ , 6 � No Yes Within 500 year boundary ✓ w� C Within 100 year flood boundary No ✓ Yes . rV Depth of Naturally Occurrina Pervious Material co. oti70 Does at least fear feet of naturally occurring pervious material exist in all areas observetht ro ughouthe z area proposed for the.sail absorption system? c _ -� If not,what is the depth of naturally occurring pervious material? cn 17- ui M Certification I certify that on. ri (date)I have passed the soil evaluator examination.appr ved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 310 CMR 15.0.17. Signature Date i2 Za 0 • l Q:HEA.LTHMPMERCFORid TRANSMITTAL BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors - y 78 North Street,Yd Floor,Hyannis,MA 02601 Tel:(508)771-7502 Fax:(508)771-7622 • I { >�•ice• - - i Date: 9-11-67 TO:Donna Morandi.... :_ Total No.Pages: 2 Board of Health ' 200 Main St. Hyannis,MA 02601. BN Job No.: 2006-038:3 , Subject: 140 Main St. Osterville,MA Phone: cc: D.Parella;file We are sending you ®Attached d { ❑Under Separate Cover i ❑Via Fax(Wo.of pages including Transmittal Sheet) " ®First Class Mail/Registered#: ❑Overnight ❑Pick UP ❑Hand Delivery , The following documents: ' ❑Prints/Plans ❑Order of Conditions ❑Variance Approval ❑Recording Slip❑Septic System Permit Q lilotice_of_Intent_- Determination.of rAPgliEability..-M-Otber DATE COPIES NO. PAGES DESCRIPTION , 9/5/07 1 1 Original of Installers and Designer Certification Form These items are transmitted as checkedjbelow: ❑ For Your Use ❑As Requested ®For your Files" ❑ For Review And Comment L❑For Recording ®As Required Remarks: f If you have any questions or comments,please do not hesitate to contact me directly at 508-771-7502;ext-13 or via email at. swilson(a_)baxter-nye.com Stephen A.Wilson,P.E. ; (j SAW/cad rJ. 0:\2006\2006-038\ADMIN(transmit\2006-038 3 121 DM Orig.installer designer cent.form 9-11-07.doc y Note: This transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible, incomplete or not intended for your use.Thank you. IAdocument templates/transmittal template ` Town of Barnstable M, Regulatory Services Thomas F.Geiler,Director Public Health Division i i6 e i 3 9• Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: ZVoz Sewage Permit# 6. 6 16"Assessor's Map\Parcel ins 7Y-c*1 Designer: f E. Installer: y3�(Gar., �tn5c� Address: Address: 2a Por,1:►ex- 5!F. ?B' tJor4G. Sd a 145A.V1 OL&D'i 62r- On was issued a permit to install a _.. (date (installer) septic system at_l Lto •Ds E cru i L l< based on a design drawn by , e (address) S4�tp►, A. Wit s� r P.0 dated I 3t(`2¢T07 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the .. A distribution-box'and/or septic tank. I certify that the septic system referenced`above was installed with major changes (i.e_ greater than 10' lateral relocation of the SAS or any vertical relocation of any component` of the septic systems)but in accordance'with State&Local Regulations. Plan revision or certified as-built by designer.to follow. / ZH 4F e \ STEPHEN � i (Installer's Signs. e) © 114 ALLYN -r} v Na.3021GISTE i Designer's Signature) (Affix Designers tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE ` OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc ��2�vG-G38 y. TOWN OF BARNSTABLE LOCATION AWAI 5r C57. SEWAGE# ZW& VILLAGE (J ASSESSOR'S"&PARCEL INSTALLERS NAME&PHONE NO: DWg5e,00, Q SEPTIC TANK CAPACITY 0 LEACHING FACILITY(type) //ilwi.C %jDQS (size) - NO.OF BEDROOMS T� OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: t 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 f within 300 feet of leaching facility) : Feet FURNISHED BY F&krr d - . f . 4 c Y �- B�Y �o TOWN O BARNSTA L.E--7tBuild" ing Application Ref: 20065432 j `L �� I!!', • �� !, SARNSTASLE, Issue Date: 01/11/07 Permit ! �! ` 9 MASS ''a! FEB 2 8 �� �p i639• Applicant: DAVID A.PARRELLA i rFG MAC a Per t Number: B 20070067 Proposed Use: RESIDENTIAL - � .Expiration Date: 07/11/07 E cation 140 MAIN STREET (OST.) Zoning District RC Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 165074001 Permit F.-e$ 4,100.00 Contractor DAVID A.PARRELLA Village OSTERVILLE App Fee$ 100.00 License Num. 040300 Est Construction Cost$ 1,000,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REBUILD AFTER TEARDOWN 4 BEDROOM WITH 2 CAR ATTATCHDD, THIS CARD MUST BE KEPT POSTED UNTIL FINAL GARAGE INSPECTION HAS BEEN MADE. WHERE A . CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HINKLE,DAMES G BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: BOX 68 INSPECTION HAS BEEN MADE. CUMMAQUID, MA 02637 Application Entered by: JL Building Permit Issued By: THIS PERMIT.CONVEYS NO RIGHT TO OCCUP"ANY STF EET,ALLY OR SIDEWALK ORANY,PXRTITH.ER�kVUtFIEIYTEfvfPORARILY,OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED:UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. S.T,REET,OR ALLY GRADES AS WELL AS.DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF.PUBLIC WORKS THE ISSUANCE OF,THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM,THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO EE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANC`_'. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). �—=2. igo BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICCAL INSPECTION APPROVALS 10-6ct4t Cif .s131 a-)'4&" 1 ')t 4 :: cHrn CK'�JV/0 i �D(yi,,P�` 3 1 Hea Inspection Approvals Engin eying D pt Fire Dept 2 Beard of Health L/Z/Z066 TOWN.OF BARNSTARLE 0CATION �� I,S ».SEWAGE# oU VILLAGE O� �I/�J�(�ASSESSOR'S MAP&'PARCEL� 00 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY �— LEACHING FACILITY:(type) AA (size) </-Ai /F !! NO.OF BEDROOMS OWNER wm 0 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'a&xist iwithin 300 feet of leaching facility) Feet FURNISHED BY �2 AZ- 36 3 AH � 3S �3 44 'f TOWN OF BARNSTABLE LOCATION �Y o,'„_rJ= SEWAGE # ' � V'LLAGE O 3�rv` If AJSSESSOR'S MAP & LOT I65— 2 &ot INSTALLER'S NAME&PHONE NO. �^Uvn�2r SEPTIC TANK CAPACITY 1/S77i\� LEACHING FACILITY: l(type) 2 ) , &C4-w. ✓L (size) 1.1 r—�kml NO.OF BEDROOMS o3 `;vUMDER OR OWNER ` c— he PERMIT DATE: 1 U ' p�— 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 by t � I h No. �LQ 0 ' 0 Fee U 0 i ' THE COMMONWEALTH OF MASSACHUSETTS • Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01pprication for Mfi6pool *pgtem Cow5truction Perron Application for a Permit to Construct( )Repair.O Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. J y0 qk,@)) +, 0e40j611tQ, Owner's Name ddre s 0d Tel.No. , lrie5i ncc Assessor'sMap/Parcel i �� ®Ot �1j� pj Installer's Name,Address and T No. Eg;r�gmadrss and Tel.No. rnacoMbbRf' db ri,Tnc � C1�QL bpi, cob -9l oa 73 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder t)j Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow C) gallons per day. Calculated daily flow SO gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank _C)Q •2 -/S Type of S.A.S. Qyr� Description of Soil Nature of Repairs or Alteration (Answer when applicable) I 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 Certifi- cate of Compliance has been i by s B f Health. Signed Date Application Approved by a Date Application Disapproved for the following reasons Permit.No..A Un 4— 511r Date Issued 10 t k U v "Wo ' ,. U ` J P� - �:, Fee 4. - THE COMMONWEALTH OF MASSACHUSETTS '" _ Entered in computer: Yes t� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS, Rpplication for �Digposml *pftem Con!6tructiou Permit Application for a Permit to Construct( . )Repair O Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No, Owner's Name,ppodre s d Tel.No. i 'I Q5 li►r7 X I t Assessors Map/Parcel (V3 P 7-�' 00 Q .` �f 14Q 17 l Gj Q g40 11L I U 6 , Ins le Name, ddre�s and T No. `V►� Designer's Name,Addr ss and Tel.No. 9 , ;ST,,,7t� a j.�iru e1� �r]G R�a�al i Cr�rt,tl�alr i �P»�. cod , ►. ` �xa� Type of Building: Dwelling No.of Bedrooms 1 Lot Size sq.ft. Garbage Grinder L) Other Type,of Building No. of Persons Showers( ) Cafeteria( Other Fixtures Design Flow 3 Q gallons per day.-Calculated daily flow 30 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. oZ 5`�E �d� Lno, r t J Description of Soil r yam. Nature"of�Repairs or Alterations(Answer when applicable) C V If � � ! J� _J i Date 1 st inspected: Agreement: tr 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 Certifi- Cate of Compliance has been issued y ��is Boar <f Health. Signed Date Application-Approved by I VZ Date /u/;, FA c/ Application Disa proved r proved for the following reasons' w Permit No. Date Issued ro THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CE_R IFY;that the On-s}}'^t_e Sewage isposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by , CYl� u M a Zn C. at 1449 tJ 1. Xw _ a 9 Z E - has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated /U-)j`r, y Installer Designer The issuance of this permit shall not be construed as a guarantee that the yste w,t I lfunction Is desig(jad. Date Inspector I 1 - No. SOU L/ ---------.----------------.—Fee �1jU THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwi.gool *pgtem Con!6truction Permit Permission is hereby granted to Construct(j )Re air(),)LJ I grade( )Abandon System located at t: and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of eim"! Date:_ ate' y 7 Approved bye-- Link t . 3 . TOWN OF BARNSTABLE LOCATION S ,&.- Cj SEWAGE # 2.w0 VILLAGE O 3 r"= Ile ASSESSOR'S MAP & LOT 16 5-1-07S-coo l INSTALLER'S NAME&PHONE NO. r"t o^& SEPTIC TANK CAPACITY_._1 S7i� o LEACHING FACILITY: (type) `2) (size) a x2 —�A-a � NO.OF BEDROOMS BUILDER OR OWNER I' PERIvIITDATE: U COMPLIANCE DATE: Id 2 G 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 jEdge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i 11 � l � � I r ,�6r 03/0411994 20:151 508-790-1578 J.P.MACOMBER & SON PAGE 01 OCT-26-04 04 :33 PM R. J. CADILLAC, PLS. RS 5eS T73 ?TOO P. 0i Town of Barnstable Regihtbry Servim i } Tkomaa F.Cela,Dt ider PubSc Health Dtvlsion Them=McKean,Director Z00 Mgm Street,$ysanh,MA 0201 C> SOa-162�6� Fu: $08-790-6304 lRal ar&Winer CM=AdDU I+'ortm Data: 0 04 Designer: 4Z , . Cacil-I Inswusr: J.-P hC-6n!� e r- Address: P U.T OX Z48 Address: l� d• —. d2673 on was ismed a permit to iaatall a (date) C �' aptk eyacm st 4-U Y11 ` 'S-1-� j!'r.y` based on a design draws by• �a�cros3 .,J CA Cie f dated 2 �+ I eoltidY 4 arthe septic system referenced above was installed substantially a=rdiag to tLe deems, which may inclada minor approved ogee such as Lteral relocation of the distribution boat and/or septic teak. I certify go the septic g*am mfateooed above was kotamod with myor ebmum (i.e. greater than 10' lataat relocation of the SAS or any vertical relocation of any camposeent of the septic system)but in=mdaaoe with State at Local Regulations. Plan revision or atified udtt y '�to follow. A OF S� G� A()NALO c� ,LAMES (hiftneeimpatum) Q CAaILAC ti F� a f1�1 S4v�raPN" Fmr s W' HWs p s§WW cre D LIM YAM, Q.8..MMA&Dadgarr csretdasaoa form TOWN OF BARNSTABLE LOCATION HO A-fAIAI ST SEWAGE # /r,5� !>74/ VILLAGE o s Te R y l G 1- e ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY I:EACHING FACILITY:(type) (size) NO. OF BEDROOMS .3 PRIVATE WELL OR PUBLIC WATER AwAmlt OR OWNER a,�a Z,- rc-kr Q DATE PERMIT ISSUED: ...... DATE COMPLIANCE ISSUED: �' � �t` VARIANCE GRANTED: Yes No �/ F WK �m a ; FIcs.......$.....30�4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE AVV iratiuu for Uivji.puittl Norkii Tunitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair)(X)� an Individual Sewage Disposal System at: 140 Main Street Csterville,Mass ..-•.......................................•---...-----.....--------------------................• -------------------------------•-•--............................................................. James :tinkle Location-Address or Lot No. Owner Address a ---...j.aPAMacQMtLeX A----------------------------------•-----------•- ---------------....------------------.........--•---------------.......--------------•----••------ Installer Address VType of Building Size Lot............................Sq. feet .� Dwelling_X_No. of Bedrooms-----------3-------------------------------Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g ---------------------------- P ( ) — Cafeteria � ) dOther 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 ( ) 0­4 Percolation Test Results Performed bY-------------------------------------------------------------------------- Date........................................ 0 ,.� Test Pit No. 1----------------minutes per inch Depth of Test Pit.---.--------------- Depth to ground water..................... f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.--.----- .............. a -----------------------------------------------------------------------------------------••-•-------......................................................... 0 Description of Soil.........................................Sand......_...Grayel--------------------------........--------------------------------------------•---....---- x U w _ x Jinif cesspools: Irista7Y U Naiurg f,) epair gr A1te atio Is 1 AII$w r �l}en Lapplicab e.............. as tb� 11 ga on an is ri u ✓n ox an -1 �00 gallon , ach pit -----------------------------------••-- --------------------------------------------•---------------------------------------------------....--------------------------------------------............---- Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be tn is WI& d b the boar of alth. Signed ..... .......... . . ... ........ ..... ... --------------- -----1.1../.2-al.9-1------ °�jce 7/ Application Approved BY --' - ----------------- .... ................. ....... ............._...... ..a4��-�-'--�� h Application Disapproved for the following reasons: ................ . .........................---................... . ...................... .. . . .G�.................•.r�.. ....... .......................................................................... . .......... ---------------------------------------- Permit No. ....../..... ............./..-��-------------.-- Issued � � — Dace No.2_`!'._:�� FRs......`....;f ,it) THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A6 — 1-21 e�7� TOWN OF BARNSTABLE Ap.Vliratiou for Div nnttl Mnrkii Cnunitrur#inn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair y(XX) an Individual Sewage Disposal System at: 140 Main Street Osterville,Mass. ..--•....................................•--•-•----•----•--••------------------....•-•-•••---•-••• .....-............................................................................................ James Hinkle Location-Address or Lot No. Owner Address a ___ J.P e Macomber J.r ................................................. Installer Address -.4 Type of Building Size Lot----------------------------Sq. feet Dwelling x No. of Bedrooms........... _______________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) A4Other 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. I................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 -----------------------------------------------------------------------------------•-------._...---......................................................... 0 Description of Soil________________________________________Sand & Gravel -------------------------------------•----------------------•--•------•-•----•--------........_...---- x W ------------------------------------------ --------------- ......................-------•-----•----------------•----•- x emit cesspools; Tri�tal l•------------------------ U Naturef of Repair. or Alterations—Answer when applicable.___________________ T_____._______. - g0u gallon tank 1 -cxisrcrioution box anu T=1 CIUU gallon :ieacli pit Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar of he"alth. SiV .............. _u6. �/�r '� ...... h�I---------------- ....1.1..� $/g ------ �J Date Application Approved By ------- - IY�1�1 -----------U���� �/1 :/ -Zf-., p Date Application Disapproved for the;ollowing.rearonr: :...... ------------------------------------------------------------------------------------------------ i l J ~/ ! ........ /�,�„• Date Permit No. - - Issued .........1/... ....... .. f Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�elrtifir x#e of Qlampliance THIS IAR ��S TO CERTIFY, That the Individual-Sewage Disposal System constructed ( ) or Repaired,(XX ) by ._.F+.w. ..e.l_!� -Al .._11,r.n......... _......__.-.-.._...-........ '...............__..._..................------------__..._-------------..._-....-..----------.-----------------.._..------ jIneta11e, 140 Plain Street Osterville,Maas. at --------- --------------------------_- ---------------------------- --------_------------------------------------------------------------------------------------------------------------------------------------.------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in application for Disposal Works Construction Permit No. _..._. PP dated/ P � ���--�'�.�3. .. 1^ � the a ✓�-�..T�..-S'' THE ISSUANCE OF THIS CERTIFICATE SHALL IS 9E/CONSTRUEA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO SA kSFACTORY. DATE. ....... .- -------- Inspector- J-? .�..... ------------- , THE COMMONWEALTH OF MASSACHUSETTS -BOARD OF HEALTH TOWN OF BARNSTABLE No.f--.%---•- -�'�- l (/ FEE.$....30......'..06... Uinpoiial Workii Tunutrurtinn rrntit Permission is hereby granted....J.P b.Mac --omer Jr it to Construct ( ) or Repair (XX) an Individual Sewage Disposal System . . sterville Mass/-••--.----------- ----------------------------------------------------------------------------------- 14Q Main Street 0. stre at No.--• - --•- -- - ---=-••- - C/� �' as shown on the application for Disposal Works Construction Permit N�o _ _____ DJated. __.._._.. ..... Board of Health DATE......... FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS ----------- — — -;,j' T - r .I I-(- f I ELI j �!I j .- - J. Eli I I I I , it � T t .. I m- r t1 YI "M .. I - , ` ------'— -'-- l' — -- - ----- - , - - --- ._... — .----_ ....-'----- ----- — -- -------- - -- - -- -------- Y_ -'-- -- -- —__ —_. ------------— - -------- --- ..---------- pill __ -'-- ----- '--- -' ._... --..._ —'-- ------- — -- --- -- - FRONT ELEVATION SCALE I/4" = I'—O° t.. - _ �'T„_ —r ) --- a .J — -41 - -- --- I _ wo LEFT SIDE ELEVATION- NEW RE5IDENCE SCALE I/4" = I'-0" 140 MAIN 5TKEET, 05TERVILLE,MA. . _ XAyp AS NDTED APPROVED DRAWN BY D.O. DATE DEC. 18.2000 REVISED OLSON DESIGN ASSMAT6 b BARN5TA5LP HARBOR BUILDERS SS ELM AVENUE..NYANNIB,MA.02GOI rev 508-775 DRAWING NUMBER ELEVATIONS A_ �J, - . „ Y.� T .,_,�. T it I �-. 4 I _'._i _' YII I _i ! I: _ �I T _,J'.� 1- i I `w I - - ®_ --- - 1. ,� :.. _ _._ ._._._ _..._...._ -- - '---- -'.I_::.... _- 4.,..N� 1 -- --------- .. .._—.....--'...... ....._...._.__ .__ - r rrt �� TI , I. LEM ....... . - r _ -- I REAR ELEVATION 5CALE 1/4" = 1'-0" i - , T TT I, ' _ ....... ..................... ___ — — _.....--_... — _ _-- - i .. ®®® ®®® _ - ®®® .... ._-_____-:--___-_- -----_:----- -''--' -------'-_----- -----_--- ----- ---:_=.._..:---- ---- NEW RESIDENCE 140 MAIN 5TREET, 05TERVILLE,MA. . 5CAp A5 NOTED AM'ROVM DRAWN BY D.O. RIGHT 51DE ELEVATION DATE °�- Ib.2006 RPVIS® oLSON oEUr,N A550CIATM BARN.`-TABLE HARBOK BUIUJERS 55 aM AVENUE.NYANN5.MA02r.01 SCALE I/4" = I' s0b7754300 O" .� ELEVATION5 DRAWING NUMBER A-2 e9-lo Ivor ns Iqp led loa , ra w 1 I szd r-io Isar 'nr /� a D I sue„ I I? IPO ,PQ 4'-0 Ire• 4,e' R2 lvsr I 10 I 5y IW vCd 54 IW+CQ Si IWaC4 2Wv3b - 4 a I I. r�•s.P _ 4 7 H I MASTER BATH sl'-I• �.ab. ° (TRAY CIEL) I I HIS- W.I.C. N I UBRARY = BREAKFAST . a UVING ROOM OPEN TO ABOVE K x ------------ -- ----- ----------- - ----- --- Iw• sNs sow xv.rmr a e,o saw V I I � � �e.emrs naal INL c ro Ix sear ' 'I __ ______________________ ___ I - ! __ __________ pm®lye ; ________ COATS MASTER s ouz sir Iz.I ve ________ KrrCHEN -"0 8 BEDROOM _ N ________ C� e b. (TRAYLIEL) �' -_ __-_----- - % ----- - - ap !l V a I Fcm5t '-DINING OPEN TO ABOVE -Y a. - ENTRY I N MMl ^ - I 1 la-r ve• I IRI ne• - ='a �� �V F I IT-I• zrvS,C 4 I M �� �"'B�I� g` � 9•C 2K`v9r _ ___ 4K•v S'r t,C+9r +9�, y,'L - 4 c Ba - zr+sr zr+s+c RT C-IP S'-T 9a S'd NC 5'J' Yi' TS -Y3 4'r w h ' ICd ICQ t iq � `A lad Loa ,so• .;. � h a FIR5T FLOOR PLAN ` 4 SCALE 1/4" = P-0II Ca - 2,732 S.F. LIV 5PACE a I j yS 577 5.F. GARAGE h "mot 0d b I�[...VISED NEW RESIDENCE 140 MAIN 5TREET, 05TERVIUf,MA. DEC. 19, 2006 �DEC. 1 NOTED D�Np RE pggpgA sD.O. DATE . I B.20D6 REVISED BARN5TABLE HARBOR BUILDERS 55 aM AVE WC•"ANN6,MA02601 500-775-4300 °n®I,ret DRAWINGNUMBER FIR5T FLOOR PLAN A-3 ICr IOO ,�_IO ISOS . SPO - T-lO lSr92' " J Te I? IPO IOO ♦V I? . or�rr ri a, R N� 911• IIM' �� 7I'p - - OPEN TO LIVING e ROOM BELOW 9 uz• ''n a ATTIC Iw• r - . . oN BALCONY § h `}•• . 'ATTIC •I _________ ____ h - y _____________ --------- ---- OPEN TO - BED BATH 1 -------- ---- FOYER BELOW - - - ° ROOM w • a b. h IBO Iola ,�: 2a I " ° - N sh rap y sU SECOND FLOOR PLAN- a 4° H4 SCALE 1/4" = I'-0" �9 1 ,440 5.F. LIV SPACE �a ca NEW RE51DENCE 140 MAIN 5TREET,05TERVILIE,MA. - 5cALE A5 NOfED APPROV® DRAWN BY D.O. DATE DEC.18.2000 REVISED OL• N DMGN A5WOATB 1 BARNSTABLE F1AItBOR BUILDERS 55 EM AVENUE.,NYANN6.MA02GD1 506T75490D .mt , 5ECOND FLOOR PLAN DRAWING NUMBER A-4 RETAIN , WALL 1 t ON ( {S i Y'w••_�- f, p— f i 4 A +'_ ` ,.t }'' 1 I 2 y t 1 7 1 Y T IL (s — ., - ( I { e �Y I •S" J•_^,. .a--!J �.. r I j� �-'. � ,s i t�s I r � !1„fe-- s 1...'' � I l OF i PATIO- � 's RETAIN UP' y a 1 s P 17 WALL A- I �i .I. I �[ - !w - - r - ..� .v-r_.. r ,l [ - CRAWL SPACEtf -i 1� a `il l qI -! ------------ • '� � � rw LK I0IL A"OJ[ x�� - l"L M0.0 aCC`.1mD - i r ._______- PREFAB o FAMILY/C,AME RDOM �I MRE PLACE CRAWL SPACE rd• rr ______ _ _ . .. O BASEMENT " sroRnre ' - , O X e IffILITY RDOM BATH MEAT/ -------- MOT WATER - .. v P CRAWL SPACE El O G BASEMENT PLAN SCALE 1/4" = 1'-0" NEW RESIDENCE 140 MAIN STREET, OSTERVILLE,MA. SCALE AS N= APPROVED DRAWN BY D.O. DATE DEC.I8,2L REVISED oLsON o6ieR A55oanTe . BARNSTABLE HARBOR BUfLDER$ g 35 EW1 AVEWt,Mra[m5,w.02601 . S067754300 "nm-t AWINy NU!r BASEMENT FLOOR PLAN DRA . IrHo ,� 39-I I Inc ♦' zo uo FULL FOUNDATION DROP *-C FR05T WALL L - lag Inc a b e --• CRAWL 5PACE - roac - ' I I ' wnrur I . y I I •------------------------------------------------------- a wall q angle-345.0001 angle-255.000G I I _-- _ q s Ito.sn_a°Is. � I , I I n I colt rlvs. - _ I : I I r ; }___. „__}___. •.-- __ FULL HEIGHT - CRAWLSP BA.SEMENf r oax. j q 3Iff— - I I ' �♦ asrw � �a Yo I I I I za•I I Isr I 1 No I q - I - I I A , lY' i Bi I __ _ — K]3M• A112• SO I/4 SO IIY � — D ' M9H• MI r<SM' i ', ° eC W.Y lre.mNf.OM. rI IIe 3DD. , - ' _- ,. W IIII s♦ IIII._..I i•••_.__�_�. ___ , _ e°1N/2L9 r.I9C•fL.C9 T 1 ---- --------- --------------- -------- to J ;a P1 1xC9 TRf 9PI1JLl.w OY:. e. - J_—_—__ - - - - - -_----- — _ __ , - � - - - _ - ------------- � a / 3N - I • I I I I I a r , I I "Iurar I - PULL HEIGHT \N I I ' _ I - _ BASEM . • CRAWL SPACE ENf I ____________ _ : I i___—_�_____---------------------------___----- angle-345.000 spa ra � /:/ `\•. _ mce�mxc.ron.wwu .. ' � - RYID IRA.-E-A IOf .�• - �e011afpf. - zw lew' No szlo =300.00 fai'•' b I o • FOUNDATION PLAN SCALE 1/4" = 1'-On TYP.-ALL FDN. WALL5-8"THK. Wan tt USE 1/2I' DIAM. ANCHOR NOTE; ENGINEER TO '"gl`-3O°°° ( HEIGHT VARIE5)W/245 MBAR BOLTS (OR APPROVED s CONT.-TOP*BOTTOM -ON 16"W. EQUAL) Q 6'-0" MAX. VERIFY FDN. FT'G. v o X 8"D.X CONT.KEYED CONC. FTG'5. ELEVATIONS PRIOR �r TO CONSTRUCTION ALL 5TEEL KE-BAR: h I Wau ALL CONC. SHALL BE: Fy = 40,000 P.S.I. MIN. c 000l z Fy= 3,000 P.S.I. MIN. Zaa @ 28 DAY5 ALL FOOTING'S SHALL BEAR NOTE; VERIFY ALL FDN. NOTE; ENGINEER TO c NEW RESIDENCE ON MATERIAL CAPABLE OF HEIGHTS AND VERIFY FDN. ANGLES DROPS AT SITE- MIN. 8° 140 MAIN STREET OSTERVILLE MA. SUPPORTING 1 1/2 TON5/5.F. PRIOR TO CON5TRUCTION 5CALE A Norm APPROVED DRawN BT D.O. MIN. TOP OF-FDN. TO GRADE DATE Dec. IB.2ooG oLSm+O�I�GNAssoan� TYPICAL 55 ELM AVEWF-.MAKING,MA02GOI ABLP HARBOR BUILDERS 505-775-43oo no�.� .. DRAWING NBER FOUNDATION PLAN S_ IUM I 194 Yi-1191AT • SO Isd IOd 11-1191AP LVL BEAMS FOP SECOND ODOR BEAM 0 BALC. 9 POINT LOAD5� b lo-r �d 2XG W T.J.I. R J I I LVL HEADER BEAM BEIDW " D1 IG 11 B 3 2X 2 RT .J I.P1 Da JOI �d E5 SN .J. o in t q rnir. J. - - E51 N J.I FLC OR 0155 Elit^ _ - 1 �� 1 - 2% V G GI 2 G G x-2x,. a .. 3a � 3 2)121 1. Ri .. - `• .J LP Of JO ac. E5 N 'CMEI .J. Jot T5 ES N T.J.I. R D IGJ B 3� Owl x¢ IMQ l . IYd tOd ud .Cr ' pp FIRST FLOOR FRAMING PLAN 5CALE 1/4" = I I-0" NEW RE5IDENCE 140 MAIN STREET, 05TERVII I F,MA. 5CALE A5 NOTED APPROVED I DRAWN BY D.O. DATE DEC. 18.2000 OL5ON PM"A55MATM i- BARNSTABLE HARBOR BUILDERS 55 UM AVENUE,WANN5,MA0260I 50�&T/S43OD nee FIR5T FLOOR FRAMING PLAN WING NUMBER S-2 I60 100 "-low 0 0 d N 2 10 OI 4 ®I G' .0 A ati A P-2P 10 6 2 / a 2'-4 12F CANT. _ L OI 2x 01 1152 10 O ® G. .C. IGO.c R 0 9 3 ca IE-0 IAp - R1I 9B 920 ♦� . SECOND FLOOR FRAMING PLAN Z ° h 5CALF 1/4" = 1'-0" REVISED DEC. 19, 2000 NEW RESIDENCE 140 MAIN STREET OSTERVILLE MA. SCALr A5 NOTED L AppRpyEp DRAWN BY D.O. DATE DEC.18.2— REVISED 012%N VENGN ASBOCIAT6 BO BARN5TABLE HARR BUILDERS 55 BM AMM,NYANNIS•Mk02GO 505_77 900 .� - DRAWING NUMBER 5ECOND FLOOR FRAMING PLAN S-M lew lao ' »-Ip 1432 , p i0 N 2 2 lc'® 1G. .C. 2 / .0 - O O p O p N f� O O O xO X K N p� tV N m m -___ ___ _ N N N N N N- N N xxO f-my I 1 I EA cv x x = _ -- x I RI E i R1 E x 12 a X g - iFF =_ l: . N N` N iR b �Y P }],� O N O =_= 2 O 2 O 2 2X 0 N p ei N a Z ` I DORMER R0015- 2X I85@ IG'O.C. - i I I 2 X 8 RIDGE BD5. `O va ao yM� _ • iao 10� 9PO - F� b. - yr' ROOF FRAMING PLAN SCALE 1/4" r , �I qn NEW RESIDENCE 140 MAIN STREET OSTERVILLE MA. 5GVP A5 NOTED APFFOVED DRAWN BY D.O. DATE DEC. 18,2k REVEiED OL50N D61 AWOCIAT6 BARN5TA5LE MARBOR BUILDERSIS GN 55 ELM AV@IUE..M•ANN15.MA02GOI 5O ZM;t500 mt DRAWING NUMBER ROOF FRAMING PLAN 5-4 1. • Gi ma TYPICAL-ALL aCa l a'a IaW RJDGE5-CONT. 19'a 15a RIDGE VENT W/ * BUG FILTER ------------ _ ---' I -------------- _—_ . . I TYPICAL-ALL I ROOFS-I/2' CDX 5HT'G. 1 2 aao • 12 W/RED CEDAR 112 ROOF SHINGLE 112 _ irGL-I)ts - 9a ea Irw Iza m5oar oc i TPICAL-ALL SOFFITS 1X8 R-30 MIN. FASCIA BD.- R-30 MIN. LU —�-- �_ AM.DRIP. - ----_—_— - I -ALUM.GUTTER Lim 12. - ------- ---- - IllREMARK -1 X850FFTf BD. 2 - - W/CONT.VENT. . YncN,auaas.� nnlnx aao n.o. I XB FREEZE BD. 12 12 cx.m.oa II®IL B au y� i,o®aa•oc 1 p,xwlr 4 BATH 1I Q 4 - B®.ROOM 30 MIN. ° BALC: Z loa sa c-1 ala• AAAAMAARr30 MIN. sa Irr Ira • _ _ _ TINY�GING g Y1.91Et - a �• Em R°PIa YI3fatM - 1 • _ 1 .EG..°11� TYPICAL ALL 12161@ Irs q za•oc EXTERIOR WALLS s MASTER W.I.C./HALL LIVING ROOM DINING/FaYER -�, 2X6 STUDS®I 6' BREAKFAST KTTGTIEN T MASTER BED ROOM q O.G.-R-191N5UL - 7-I• _ & PCWDER ROOM a TYVEb I/2'GYP. a znr BO.INTER Isa arl•' - Isa rya• Nub 61 "•� dw CRAWL SPACE .Ico lrr--m sc aw sc l¢ r<ala• CRAWL SPACE Izi• Iz� s coxc mer w ( y FAMILY ROOM - zao zcw 5ECTION @ MA5TER BED ROOM 5ECTION @ MA5TER CL05ET A C5ECTION @ MAIN HOUSE D 5ECTION @ KITCHEN SCALE I/4" -O° B SCAM I/4" I'-O° SCALE I/4° = -O" SCALE I/4" = I'-O" FOR, ALL STRUCTURAL! FLOOR t ROOF FRAMING 5EE FLOOR ROOF FRAMING PLAN5, 5-2,5-3,5-4 FOR ALL FOUNDATION5 DETAILS 5EE FOUNDATION PLAN 5- 1 REVISED NEW RESIDENCE 140 MAIN STREET, 05TERVILLE,MA. D E C. 19, 2 0O G DATTEE DEC. 18.2006 AS NOTED I APP�� �rD D.D. BARNSTABIE HARBOR BUILDERS 1119oN OBIGN A5- AT6 55 MM AV[NJr-HYANNI5.MA02601 500-7n-4= ,vaal.nee - DRAWING NUMBER FRAMING SECTIONS ALWAYS DIG SAFE PRIOR TO CONSTRUCTION--UTILITY LOCATIONS SHOWN INCOMPLETE. JOB NO. B04-16 NOTES Hinkle.dwg 0 1. LOCUS IS A.M. 165, PARCEL 74-1. J N 8619'20" W N/F 2. ELEVATIONS SHOWN ARE TOWN GIS t0.3'. o 306'f TO SHORE `n 3. LOCUS IS IN FLOOD ZONES C & B ON FIRM DATED JULY 2, 1992. o DAMES G. HINKLE 6 4. ALL PIPES TO BE 4„ SCH 40, AND PITCHED AT 1/4 PER FOOT. (UNLESS NOTED) � a 5. MUNICIPAL WATER IS AVAILABLE. PROPOSED LEACHING IS OVER 200' AWAY FROM CHILDS PROPERTY. M 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. r`i 7. INLET TEE TO PROJECT DOWN 13„, OUTLET TEE DOWN 14„. S(. 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW MP�� 0° D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. n 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. NOT TO COVERS: BUILD UP COVERS TO 6" BELOW GRADE--2 ON TANK, 1 ON D-BOX, 1 ON LEACHING SCALE REDUCE GRADE SLIGHTLY 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. LOCATION MAP IF NEEDED TO PROVIDE 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, 3' MAX. COVER. CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING LOT 1 IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE 1 �N 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN 2. '/�T ACRES SOME STONE IN THIS ,, LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet) AREA, BUT NO LONGER 45.5 ; 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. APPEARS TO BE USED // \ 0 45.8 FOR ARKING /' �� a.e A layer 7.5yr 3/2 BENCH MARK--TOP SPIKE SET sand loam 46.° TH 1 FLUSH = 45.47 TOWN GIS f0.3' TEST HOLE DATE: September 1, 2004 9" Y 450 (SET 6Y-9' OFF HOUSE CORNER ON RANGE LINE) PERFORMED BY: Ron Cadillac, Soil Evaluator 45.3 / ----t\.3 WITNESSED BY: B layer 7 5/6 408 �\ o// �' \ BENCH MARK-TOP, BACK & CENTER PERC RATE: <2'-00"/inch (C layer) 36„ sandy loam oam O. 45.0 \\*7 OF TANK= 44.36 TOWN GIS t0.3' SOIL SURVEY(1993): Carver coarse sand C1 layer 2.5y 7/4 439 0. ��\ GEOLOGIC MAP(1986): Nantucket Sound ice- „ sandy loam co \tee 46 contact deposits 42.0 to 455 455 � Invert 43.02 ti p 0 C2 layer 2.5y 6/6 O \cam �� STONE & �,. �'s Use Gas Baffle 2 DRY WELLS „n C 1 p i�o DIRT \ a+ Existing Invert 41.93 H-20 72 loamy coarse sand QC ' H-20 Proposed 42.6=Top Conc. 90„ 38.3 Fo\ �,z.� 3 PARKING - ---- -- „ 41.3=Top Peastone c s s �, J'<:. _____-------� / / C3 la ye 2.5 7 3 45.3 Existing S=1 4 ft+ w ___ g S=1/4"/ft+ Y Y / 21, .:. y::->;._. __-- '� I 1500 Gal. \ .:::a:::.::. a......... `45.2 I -Septic Tank I ---------- coarse sand \C9 .;:� ��:�...G� �.;.. ,� �\ `� I Septic Tank I 1 / z \\ 36. 43, "44.5 \� `\ L u 24�� 144,. no water 33.8 �0 5 ...:.20 ::.. T \ '\ �45.3 \\ 36.4 37. 45 e \ \ 39.8 :7 Invert 42.10 Invert 41.80 33.6 6'54 `� ` 46 6" Stone Or Compact Proposed Proposed i Bottom . \ 32.6 \ 14 \ 45.0 I I I I I �l 0 ;440 Ly 46.1 6' Bottom TH1=33.8 DESIGN DATA O 426.7\ POND WATER 9/1/04 'L o \\ ` BEDROOMS: 3 lzf \ ` EXISTING GARBAGE GRINDER: DISC �I�CT <�n \� LEACH AREA REQUIRED CAPACITY: 330 GPD 8.5 EXISTING SEPTIC TANK: 1500 GAL. USE 2 DRY WELLS WITH 4' OF STONE O EDGE OF POND TAKEN �2 479 \\ \\ BOTTOM LEACHING AREA: 320.7 SF ALL AROUND FOR A 25' LONG BY FROM [(25' X 12.83')] 12'-10" WIDE BY 2' DEEP LEACH AREA. PLAN BK. 353, PG.51 lye I � � SIDE LEACHING AREA: 151.3 SF \� I [2(12.83'+ 25') X 2' DEEP)] \ �, DESIGN CAPACITY: 349 GPD f [(320.7 SF + 151.3 SF) X .74 GPD/SF] 2o1" S 16ro 0 SNORE s9�90 ✓ �70 t BOARD OF HEALTH REQUIRES R.J. CADILLAC o ` TO INSPECT SEPTIC SYSTEM PRIOR TO BACKFILL. N F �k P CHILDS C2 SITE PLAN DISCONNECT GARBAGE GRINDER FOR THIS PLAN IS A VALID COPY ONLY IF IT BEARS JAMES G. HINKLE AN ORIGINAL RED STAMP AND SIGNATURE. �ZHOFp44SS N OF A44 LOT 19 140 MAIN STREET, OSTERVILLE, MA ° RO °� ILEGEND JA �s SEPTEMBER 21 , 2004 SCALE: 1 "=40' . D I C `� # 1060 #35779 TH 1 TEST HOLE LOCATION, NUMBER �� �o Ox -�✓-- WATER LINE FROM TIE CARD �isTER �q Ess�° 0� -E OVERHEAD ELECTRIC WIRES (IF SHOWN) SgNITAR�PN Zj o SURVEY RONALD J. CADILLAC, PLS, RS - t 9.J x 8.7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) ) PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN �-6 EXISTING CONTOUR P.O. BOX 258 ____8 PROPOSED CONTOUR WEST YARMOUTH, MA 02673 � UTILITY POLE (IF SHOWN) (508) 775-9700 EDGE OF WOODS HEALTH AGENT APPROVAL DATE ©2004 BY R.J. CADILLAC PAGE 1 OF 1 BAY BARNSTABLE G BOARD BAY 1 APPROVAL UNDER THE SUBDIVISION s� CONTROL LAW NOT REQUIRED A, lqN �� o �o F DATE: NO �9ti �� 1An PONDF COLENAN'S >W1t POND � J NOTE NO DETERMMNATION AS TO COMPLWVCE MRH THE ZONING ORDNANCE REQUIREMENTS HAS BEEN MADE OR INTENDED BY THE ABOVE ENDORSEMENT. CENTERVILLE HARBOR 1 Locus MAP NORTH POND Scale: 1" = MW MAP 165 PA76 N/F EMILY J. S�TANGLE 1 GENEML NWS / CERTIFICATE OF TITLE 149,046 245't _ g . � N �,29.,�-E 241.1� E � �' �. _ a 1. THE INTENT' OF THIS PLAN IS TO RE-DIVIDE PARCELS 1 & 2 O PLAN BOOK 353 PAGE 51 / 4.T' .� �pUTA�� � �. �9. E � I _ � � INTO 3 APPROVAL N07 REQUIRED LOTS SFIOMM AS LOTS 1, 2, dr 3 HEREON. :H WATERLINE DIG�I�D FR0=8 353 G 51 WF wF-t 3 �` AL ,LS �' W 2.) LOCUS AREA IS COMPRISED OF CB DH FWD AL AL ,L ,►IE WF-9 AL J4 A AL �• S d EXCLUDED FROM SHAPE o _ _ ASSESSORS MAP. 165 PARCELS: 74-001 & 74-002 WF-11 wF-in A I ?y FACTOR CALCULATIONS N AIL AILAk ,L .� 12,27Bt SF '49 . E � LOTS 1 A: 2 O PLAN BOOK 353 PAGE 51 ,� DEED BOOK 9,972 PAGE 162 � p WF-12 6pRO� .l- � � �Ic � � WF-2 ��i• mot► � 0.21'It ACRES 197.4'�10 �D N 7 45'•01 4�� �`'`ra +t WF-8NC LEGIT s N 4901 E 1 197 ��'.�d ,� P. DEED BOOK 3,307 PAGE 035 N TA µ,ET AND ,►I4 WF-3 ��p��• g, °a+,a°• OWNER: JAMES G. HINKLE APPLICJWT: BARNSTABLE HARBOR VENTURES INC. N WF-7 ' 4i wF-s �• yt•37 DEIeII. P.O. BOX 68 P.O. BOX 438 SB FND N.T.S. CUMMAQUID, MA 02637 BARNSTABLE, MA 02634 `ro. R 1 4.) ZONING INFORMATION MAP 165 PARCEL 54 = ' • ,o ��, ?� ZONING DISTRICTS: RC a• RF-1 N/F OK 7. 84 PAGE OVERLAY DISTRICTS: RPOD RESOURCE PROTECTION OVERLAY DISTRICT DEED BOOK 7,664 PAGE 174 = <19A O �� AP AQUIFER PROTECTION OVERLAY DISTRICT CB DH FND / • . 4 J I MMIMUM ZONING REQUIREIMENTS - RC WF-o . sFT F -� to �� , N UM. LOT AREA - 87,120 S.F. (RPOD) LOT 3 td �� d^ MM. LOT FROPRAGE = 20' e-t AL AL I� �� ' '�T"9ti �� MM. LOT WIDTH = 100' A` DROFRr F�q 2. _OOt ACRES 2 1 FRONT YARD - 20' SIDE & REAR YARD = 10' ti WF-2 C AL ALc SHAPE FACTOR - 20.93 MINIMUM ZONING REQUIREMENTS - RF-1 \ �cr ��� MM. LOT AREA = 87120 S.F. RPOD 9TFp IL e'p . 26.79 t SF (RPOD) AL 0.615t ACRES � MM. LOT FRONTAGE = 20' 'jL AltAL � O wF-3 PLAN BOOK�3 3 PAGE 51 MM. LOT WIDTH 125' CFO 1 _ �I[ IZ 2 ACMES CALCULATED UPLAND AREA 185,410t SF - 4.26t ACRES FRONT YARD - 30' SIDE & REAR YARD = 15' AL FROM -� WF-4 TOTAL 001�1� PAmI AREA PB. `� -C.O.M.M. FIRE DISTRICT r 126,192t SF 353 Pc. s�� LINE of PB 353 PG 51 ` 2.si0t ACRES �� MAP 165 PARCEL 75 5.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR T}11$ SITE. IF DETERMINED 27't yyF_5 N 86'19 20" W ~ \ '�` WF-6 278.90' _ _ o� N/F ROSA G. ANTHONY TO BE NECESSARY A TMLE SEARCH SHALL BE PERFORII.OEG VY CTHERS. 1�e3\ CO OH F?i0 CERTIFICATE OF TITLE 139,247 AL AIL THE PROPERTY LINE INFORMATION SHONN IS BASED ON CURRENT AVAILABLE RECORD AIL A` AL , r ►,�, S r INFORMATION CONSISTING OF PANS AND DEEDS F AL Ak lik AL AL THE E)QSTMG MOMIMENTS AND METUND FAGS .9 MN HEREON MERE OBTAINED FROM AN AL Ak -8 o LOT 1 ON THE GROM FIELD SURVEY PERFORMED BY BAXTER NYE ENGINEERING & SURVEYING - I WF \ TOTAL PARCEL �A FROM SEPTEMBER 19 THROUGH SEPTEMBER 28 2006. e7,120t SF A` Ak Z \ 2.00t ACRES 7.) WETLAND FLAGGING PERFORMED BY LYNN HAMLYN ON SEPTEMBER 25 & 26, 2006. �L AIL SHAPE FACTOR - 17.30 jL A� AL AIL B.) COMMUMTY PANEL NUMBER: 250001 0016 D Ak �` & LOT 1 THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES wF-9 \ 1 \ AL Ak AL PLAN BOOK 353 PAGE 51 C & B. AL CALCULATED UPLAND AREA 88,228t - 2.03t ACRES \ V Ak SITE LOCATION Ak Ak Ak 140 Afaln St. AIL �L AIL AL AL \ \ ' �. �. I %ripIle MA 02M \ � Bomstable County �M� WF-10 I AL o� ' ` \ �Np `��'• / PREPARED FOR Barnstable Harbor Ventures, Inc. ` ,4 A`,I, wF-„ o -,.,� \ P.O. SOT[ c , so lot@ MA Ak 9 •o `\p�� 1 20 WF-129j>0 ,� � \ \ \ \Am�J, i i TITLE \ i ZAL9A <y v� \ `\ s Plan of Land f � ,►Ic c��, 5O \ \ 1 COLEMAN S POND all• BAXTER NYE ENGINEERING & SURVEYING \ w ILLs ` \ `� d°'al• �' Registered Professional Engineers and Land Surveyors WF-,4 LOT 2 p. �� �.._. 78 North Strut-3rd Floor,Hyannis,Massachusetts 02601 l � \ 1 Z ` AL ; ,oo'- TOTAL PARCEL AREA .Jb• Phone-(S08) 771-750Z Fax - (S08) 771-7622 1 L 1>►srn t SF � � � � r'n1 C5 AL AL wF-D 2.20t ACRES I Ile 40010 EXISTING / AL INVISIBLE FENCE. 120t / , 40 0 40 80 FOR REGISTRY USE ONLY �►��J 2.00t ACRES Y o� SHAPE FACTOR- 20.53 / / ' 1 SCALE IN FEET ' Ak %CDAM AREA / �i SCALE. 10- 40' 1 tip/ WF-C 6.651t SF AL 0.20t ACRES WF-B b'y C$ `� / �/ CS DH FWD 00, I� ►Ic - 140 W AT3'f H d !� /WF 0, �It S Tg 0 / �/ t ce H FRD .• elfDATE. 10/06/06 CB DH FN 1 SIP/ / I HEREBY CERTIFY THAT THIS PLAN CONFORMS 69 / TO THE RULES AND REGULATIONS OF THE O / � REGISTRARS OF DEEDS. M1Sea y ' / "T 4 ^'`� / o . (e, /1 MAP 165 PARCEL 73 / / / / G✓nr2t T �T d-1^7�5 ANR N0. BY ANTE REMARKS DATE. N/F CATHERINE M. CHILDS, YR. / DEED BOOK 9.595 PAGE 308 / / .4 1DRAwN__Ery-,_mcL IDID BY: mcLlcHEcKED BY. JRE DRAINING MJMBEE1t c.. lemce 0: 2006 06-038 su worksht 2006-038ANR.dw JO N R. EWS, RPLS / 2006-038 GENERAL NOTES : CONSTRUCTION NOTES: 1•) LOCUS AREA IS 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE y _ �• - - • • ASSESSOR'S MAP- 165 PARCELS: 74-001 a 74-M WITH TITLE V OF THE STATE SANITARY CODE DATED MARCH 31. . 1995. AS AMENDED THROUGH THE DATE OF THIS PLAN. do ANY - •: " .. `CB DH FND CB DH EL. = 43.98 LOT 2 O PLAN BOOK 613 PAGE 26 LOCAL RULES & REGULATIONS APPLICABLE. _ •p•. : •., M = T.O.B. EED BOOK 9,912 PAGE 162 • DATUM .O.B. GIS THE ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED '" 0' ,••• J - •, a °` \� `. i DEED BOOK 3,307 PAGE 035 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY b �4 •, -� A \\ `\ / OWNER: JAb1ES G. HINKLE WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. P.O. BOX 68 •��' a J}s ti. o ". z.. /• N • 41� `,� \ '� � CUMMAQUID. MA. 02637 • 2 `v/ j 2.) PRIMARY BENCHMARK REFS MICE POINTS FROM TOWN OF BARNSTi�BIE 3. WHEN CONSTRUCTION IS COMPLETED NOTIFY THE BOARD OF s `� YG •••"Pi,611c G.I.S. MAC 165. DATUM: NGVD 1929 ( ) HEALTH AGENT AND DESIGN ENGINEER FOR INSPECTION AT LEAST '� N.end9h6, t j -T1 39.6ni / PROJECT BENCHMARK : CONCRETE BOUND AT NORMEAST CORNER OF 48 HOURS PRIOR TO BACKFlWNG. THE SYSTEM SHALL NOT BE aa.t j' i LOT 1 SHOWN HEREON. BACKFlLLED UNTIL INSPECTED AND APPROVED. _ . �r% f • • �. d I � } ELEVATKIN 43.98 j 3.) ZONING INFORMATION 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 SCHED 40 •n " n �Z+ ZONMrG 1 PVC. UNLESS OTHERWISE NOTED HEREIN. OVERLAY DISTRICTS: RPOD Rewww Protection Overlay District S. IF UNSUITABLE MATERIAL IS ENCOUNTERED BELOW THE TOP OF 04 ilk` ;� i L ' 6 •�% d i / l 1 _ AP Aquifer Protection D'*Ict SAS PEASTONE •i" � ( ELEV). EXCAVATE AS NOTED TO THE C HORIZON y==+•s , s - N �' - / MINIMUM ZONING - RC FOR A HORIZ. DISTANCE OF 5' SURROUNDING THE LEACHING FIELD, z s ,� .. MIN. LOT AREA = 87,120 S.F. (RPOD) AND REPLACE WITH CLEAN SAND PER 310 CMR 15.255 TO THE WF- ! / ,�, TP 12 - TOP ELEVATION OF THE SAS. MIN. LOT FRONTAGE - 2W LOCUS MAP Scale: �" = Z�� ca , // TP 11 MIN. LOT WIDTH - 100` 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN / as.i p• / / LESS THAN 3' OF COVER. % ; ��-�' �'\ ! �$ FRONT YARD = 20' SIDE & REAR YARD - 10 ! ` 44.5 # 34, - ''- B6 ` ;d i`I MNVIMIAd ZONING REQUIREMENTS -'RF-1 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE /..-� ' 4 45. ; MIN. LOT AREA - 87,120 S.F. (RPOD) GRINDER DISPOSALS. alllc ? ,ry 40 V 7 MIN. LOT FRONTAGE - 20' 8. SON THE CONTRACTOR SHALL CONTACT DIG SAFE AT TP 9 1-888-DIG- '�` 44.2 4<��V�.e ��� � s � �✓/ MIN. LOT WIDTH - 125' SAFE) AND UTILITY COMPANIES TO LOCATE ALL FRONT YARD - 30' SIDE REAR YARD = 15' EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OF 46 ! ?• O• •= CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXACT 4s.o ? ��� • 4.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE IF DETERMINED LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING ! I 4.7 UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF ! , ,93 �� \ > w ,\ �+� TO BE NECESSARY A TITLE SEARCH SHALL BE PERFORMED BY OTHERS. 10 TP 10 •� EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE s i _J 7 L �' WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND 45. , i .1YlL .� � J :;� �; � `S���, � V :,.Y� 5.) THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS l `y 44.9 �� \i �.� ;��A AVAILABLE RECORD INFORMATION CONSISTING OF PLANS AND DEEDS. REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY \ \ �,\ `, J. �, THE EXISTING MONUMENTS AND WETLAND FLAGS SHOWN HEREON RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE - WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY 9.52 \ \ �z. 443 _ OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE 'i (n i' ` 'Zi PERFORMED BY BAXTER & NYE ENGINEERING & SURVEYING FROM �► 1 �% _ i UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN O SEPTEMBER 19 THROUGH SEPTTIBER 28 2006. \ ` �, . •► \ 4s O - INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER `. f N 0 IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS WF=11 �0\ 4; ` �` / ` j 4 f �� qa.e ALL OTHER FEATURES, TOPOGRAPHY AND DETAIL SHOWN IS FOR '$ < \x 45.1 ` -- REFERENCE ONLY AND IS GIS INFORMATION OBTAINED FROM THE VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC. GAS. E ' TOWN OF BARNSTABLE GIS DEPARTMENT. TELEPHONE do DATA/COMM AND RELOCATE IF CONFLICTING WITH 44.0 "�A PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE _ 6.) WETLAND FLAGGING PERFORMED BY LYNN HAMLYN ON SEPTEMBER 25 a 26. 2006. CONTRACTOR SWILL PRESERVE ALL UNDERGROUND UTILITIES AS 44 'O n r� '-r=Z• n-r, - ' LOCATION OF BVW CONFIRMED DIA `, `y \ , 39.7 w►9. �Q - f', ��� pp ,.• 8Y -06086, ISSUED NONE1r18ER 3, 2006. REQUIRED. s.o �, <� 7.) COMMUNITY PANEL. NUMBER: 2=1 0016 D �'• \' ���' 9.i 'i `�l i�� " 4 ,�.� THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES 0 us C a B. 41 4z.z 44.e�� �f 2EOQSTING HOUSE \' 8') ENVIRONMENTAL INFORNMe -� as.i (� TO BE RAZED �\ �J S •SITE IS NOT WITHIN AN AC.E.C. (AREA OF CRITICAL- ENVIRONMENTAL CONCERN). N. COLEMANSITE wF �► .� i _ _ NOT APPEAR TO BE WITHIN AN _ T OF _ �J� \\� '�`•. `� L�4a z TP� �`T' ✓ 5.8 •PER NHESP OCTOBER 2006 'ESTIMATED HABITATS OF OF ESTIMATED t AYYILDUFE• •��� POND \ \ \ \ FOR USE WITH THE MA WEWos PROTECTION ACT REGULATIONS (310 CMR 10). QOs \ . \\92 SITE DOES NOT APPEAR TO CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP \ W -1 \ _ `j46. ,61• OCTOBER i. 2008 'CERiTFTED VERNAL POOLS. r7 ` \ ,, �� • �, .1j1 •SITE DOES NOT APPEAR TO BE WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 1, 2006 \.. \, \1 �'�, ` N p�r'�N o N n °' " /� ,Og •PRIORITY HABITATS OF RARE SPECIES• FOR SPECIES UNDER -O W ` o o ''' j 1 ` .eL'� THE ENDANGERED SPECIES ACT. REGULATIONS (321 CWIO) WF' y ``y 1y i i ` I ,t -�4s.4 S r0� •SITE IS NOT WITH IN A STATE APPROVED ZONE N GROUND WATER RECHARGE 47.1 PROTECTION AREA ' , �lilc y 7 \ NI'I ROGEN LOADING UMITATIOIV /'iy LO 2 � �^ a` } WF-b ' r J' I I i 4G9 � .6 RESIDENTIAL: 5 x •BEDROOMS j t i I + TOTAL PARCEL`AREA 47 �� 1+ > .%M t SIF x 110 GPD f BEDROOM 471 47.5 - 0• 220E ACRES; � ,, y ✓4 G TOTAL DESIGN FLOW = 550 GPD . uPuwn AREA GARBAGE GRINDER (NOT INCLUDED) = N/A 87.120E SQ. FT.! l ; / / l r 200t ACRES ! '� _ r= ���- /�/� 1 'CB; DID j i ,' SHAPE FACTAOR- 2�0.53 �t1 ��, ti,,r``. '�� PERC RATE 2 MIN. f INCH (CLASS 1) t�0 / /' FND; r 5 �' LIAR - 0.74 GPD/S.F. .�1. WF-C, �� / ! i ;/% i ,� !c� '�� MIN. LEACHING AREA OF S.A.S. REQUIRED: O�G� �/ '. • 4i4 r' 0. 1A gN ti CRES ��•�1 O3 550 GPD/ 0.74 GPD/S.F. = T" S.F. MIN. WF-8 E •fD /,%'�!' ,' �% CB DH FND PROPOSED SYSTEM: .�� WF_A +. 'w 173 ` ' ; I N 00 O �' .� CONSERVATION NOTES: 5- PLASTIC LEACHING CHAMBERS _ WITH 4' OF STONE ON SIDE do 2' OF STONE AT ENDS " =' / 1. SILT FENCE/HAY BALES TO BE MAINTAINED IN GOOD CONDITION UNTIL , SITE IS REVEGETATED AND STABILIZED. _ CB';T�H--END SIDEWALL AREA: (44 + 12)2 x 2 DEPTH - 224 SF 3Q, i CP BOTTOM AREA (44' x 12') 528 SF f TOTAL EFFECTIVE LEACHING AREA = 752 SF CB DH FN .,�� V'`' / SYSTEM DESIGN CAPACITY = 752 SF x 0.74 GPD/SF = 557 GPD SEPTIC TANK SIZING: 550 GPD x 200% =1,100 GAL TOP OF FOUNDAMN TYPICAL SYSTEM PROFILE ���'` � xz,% USE 1500' GALLON TANK (MINIMUM) ELEV = 46.0 / SET ALL MANHOLE FRAME do COVERS To NOT TO SCALE PROPOSED GRADE - 45.0t WITHIN 6. OF FINISH GRADE TAW140 Main Street - �'►�° `�+°E °+� °• BOX - 45.0f °' ` °� '�' - �.°t OsterVille, MA 02655 COMPACTED FILL 3' MIN. 9• (^rn) Cover INSTALL ONE INSPECTION PORT IN PREPMM FOR • ("�`' °°"w °"` MWITH MENDA""F"C11J Barnstable Harbor Ventures Inc. 6• MAN. -• 2" uYIR i/8'to1/2• �� P.O. BOX 483 � qrN IN- 41.9 10' MIN. = W OUT- 41.6 - FIRST 2' TO BE LEVEL GEODOUBLE MINEAXSTILEHED S�ACF t TAM INN OUT- 421 ;.. .' 2• _ SOL LOOS Pe n469 DATE • 10/11/2008 Barnstable, MA 02630 • GAS BAFFLE W IN- 41.4 :. ¢_ CHAMBER W IN-41.0Li Li TTI1E n 14 6 SUMP our- 41.2 BARNSTABLE � - SOIL EVALUATOR: BOARD OF HEALTH AGENT: Proposed Septic System Plan •.'•a�`'';•�• ;Y.;. :* .'r.. `~ !'.�. -••M+' ,•� � SOT. w '� + STEPHEN A. WILSON, P.E. DON DESMARAIS N •-t•::•;,.:.,.:--• _ ::..:�._.•�.• -�, <�;:-:.:.-:.--�• c 4• TO 1-1/2 ooUBIE w 6" CRUSHED sroNE TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 (0 STONE WE # BAXTER NYE ENGINEERING & SURVEYING �600 DALLON OPE-COI�PARTIIrENT SEPTIC TANG BOX .o G.S.E. = 45.1' G.S.E. = 44.9' G.S.E. = 45.1' G.S.E. = 45.9' TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE E7OW SOILS TO BE REMOVED TO THE IC HORIZON• O" O" O" O" SEPTIC TANK TO BE INSPECTED A CLEANED ANNUALLY 5 MN - SEE CONSTRUCTION NOTE t, HEREON• AP ; 10 YR 3/3; SANDY LOAM AP ; 10 YR 3/2; SANDY LOAM AP ; 10 YR 5/3; SANDY LOAM AP ; 10 YR 3/3; SANDY LOAM Registered Professional J NO GROUNDWATER OBSERVED ELEV. 32.9 10" ELEV 44.3 16' ELEV 43.6 5" ELEV 44.7 10" ELEV 45.1 Engineers and Land Surveyors Y` �'A of � 12 SOL ABSORPTION SYSTEM (SAS) B ; 10 YR 5/6; SANDY LOAM B ; 10 YR 5/6; SANDY LOAM B ; 10 YR 5/6; SANDY LOAM B ; 10 YR 5/8, SANDY LOAM 78 North Street-3rd Floor, Hyannis, Massachusetts 02601 FINISHED GRADE Phone- (508) 771-7502 Fax - (508) 771-7622 " 36"MAX.-9"MIN ��������COMPACTED FILL�� � � NIS 26" ELEV 42.9 36" ELEV 41.9 28" ELEV 42.8 26` ELEV 43.7 >folt�s CN 2 LAYER DOUBLE WASHED �- . . x TOP OF CHAMBER C1; 10 YR 5/6, MED. SAND C1; 10 YR 5/6; MED. SAND C1; 10 YR 6/4, MED.SAND C1; 10 YR 6/6; MED. SAND 30 0 30 60 9g � STONE 1/8" TO 1/2" � ��� OVAL E N OR GEOTEXTTLE FABRIC t° PIPE INVERT `r 80" (ELEV 38.4) 90` (ELEV 37.4) 36" (EI" 42.1) 72" (ELEV 39.9) SCALE IN FEET Zy ?, a : 00 3/4" TO 1-1/2" 24" DIST. UNE IN iv C2; 10 YR 6/4 ; WED. SAND C2; 10 YR 6/4; WED. SAND C2; 10 YR 5/1 SILTY SAND C2; 10 YR 7/3; MED. SAND , DOUBLE WASHED • EFFECTIVE '� STRATIFIED SCALE:1 - 30 DATE: 12/27/06 STONE 3/4"-1-1/2" d. 144" (ELT=V 33.1) 144" (ELEV 32.9) 52" (ELEV 40.8) 144" (ELEV 33.9) o ( Aw DOUBLE WASHED STON NO WATER AT"144" (EI" 33.1) NO WATER AT 144" (ELEV 32.9) C2; 10 YR 7/2 ; MED. SAND 0 WATER AT 144" (ELEV 33.9) I--4' 4• 4'--I 4p PERC O 62 (ELEV 39.9) PERC O 80" (ELEV 45.1) SECTION 2 q 4 2 RATE- 2 MIN/IN " STRAnFl� RATE- 2 MIN/INis F) CLASS I SOIL 144 (ELEV 33.1) CLASS I SOIL NOT TO SCALE PLAN VIEW " N0. BY DATE REMARKS DRAtIANG IrUMBER Co PLASTIC LEACHING CHAMBER DETAIL No WATER AT 144 (ELEv 33.1) NOT TO SCALE 0 0: 2006 06-038 CIVIL PLO 2006-038SP2-LOT2.dw N 2006-038 (N o '