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SEWAGE#• ASSESSQRS ItifAF D"G L - SBPTi�TANK�At;TfX ` �/ �' INSTALL Ab% I,EACF-IENG FACII.�'D'� (type) � NO.E3FBEd3 00Mi5. 13t1II:DER OWi�ER pEEi1 ITDA' E CUWL: * NM DATio' Separation Distance getwesn Ehe •. ,: ` Feee Max'cmum AdUasted CaounwaterTable to the Bottom of Leaching Facitity Pn�ratdaterSupplye11 andLeacitmg Facih ► 4 �Y uretls exist` Feet. on seta or wittun ZOff feet of lesa hang f ey) Edge ofTapd and°beaching 1tty(Ff ariY�retlaiids exist within 300:tit H hind facahty) Fundshed f rq�j 1 Z " Coo T,71 TOWN OF BARNSTABLE v4o� 'LOCATION J0. A 14( SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. 9 4k_A l I 1 S�eC 5ZA- q?e — 52'aq SEPTIC TANK CAPACITY �j��-I 6_1(4-t4a�11 J- J, Cs'tr tinyo Lip�� LEACHING FACILITY: (type) & JL\l size z NO.OF BEDROOMS20 _/ OWNER 1)�i�9 .Ioi�C�. Z�,ial�l�!'� t �Iel' PERMIT DATE:_ d� 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 ii within 300 feet of leaching facility) 1 d Feet FURNISHED BY L a .� � F 1 ' . S �� 0 S� va � i ' � � � � �_r �� � ..� � � � 0 - - - - -,- �� ?� TOWN OF BARNSTABLE LOCATION ,/l� SEWAGE #- ,.� / _ k' VILLAGESPs��`/� ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO.,6Qf SEPTIC TANK CAPACITY LEACHING FACILITY:(type)6 ' NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: JcS 4: DATE COMPLIANCE ISSUED: "� d 19 � f VARIANCE GRANTED: Yes No c L� I i No. Fee, — _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for Disposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair(4pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1 o 0. e o a/1 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ' 1 / o �-Sr Ps✓! C �- / Installer's Name,Address,and Tel.No. P.O l3 s 7 3 Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms A 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 AAt gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil UU Nature of Repairs or Alterations(Answer when applicable) C avt .9 Cc-ce — z y, 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 Enviro d not to place the system in operation until a Certificate of Compliance has been issued by this Board of gned Date Application Approved by Date ® Application Disapproved by Date for the following reasons Permit No. ��(y- 25 5 Date Issued I lot?o rt _ L.r � «- 3 ..-. .w.,r'^.�,�. ... - -� .-,�s^ ' -. f".^ -..✓\.,s.+F.. � rc..•'ri. .t.-, .,�ri...,. r t'�.•-a.s.,.,.+,�.-.- _ —- f i�. 3 f"a4IL No. / `,'' >s , Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in compufer: —L/ PUBLIC-HEALTH DIVISION - TOWN-OF BARNSTABLE," MASSACHUSETTS Yes ftplication for Misposal *pstem Construction Permit Application for a Permit to Construct( )' Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /®O A t u Owner's Name,Address,and Tel.No. ; Assessor's Map/Parcel 1' 7 R ©tP O) d-51e,,a'' ,_^1 / < . Installer's Name,Address,and Tel.No. P,o B p X -7 3 Designer's Name,Address,and Tel.No. �hGl1.✓/1 ✓�.. L Ir'� � �� f'Q�v►4 I Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft.' Garbage Grinder) Other Type of Building No.of Persons Showers( ) "Cafeteria( ) Other Fixtures f Design Flow(min.required) JQ— 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) .J���? 7 C -�le /C 0,D/GZ -ce -L C't 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 Environnn enU? ,oC d an—not to place the system in operation until a Certificate of Compliance has been issued by;his Board of He M ed Date Application Approved by Date (� 9 Application Disapproved by Date / for the following reasons M "Permit No. Date Issued L THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS CErtlfitate of Compliance THIS IS TO CERTIFY,that the On-site Sewage wage Disposal system Constructed( ) Repaired((� Upgraded( ) Abandoned( )by �. W An—� /D at- 16 e-Q �Lu-I .. AO/ -0 . . e1Vl1 s'b&n constructed in accordance--_ C with the provisions of Title 5 and the for Disposal System Construction Permit No. q 25S dated ''d Installer •... Designer #bedrooms Approved designs^fll^oww A A)4 gpd The issuance of this perm i shall not a construed as a guarantee that the system will Lcaoln designe . Date �/ Inspector / � p , - - - - - ----- --- No. . ' 5�. .. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstentZonstrUCtion Permit Permission is hereby granted to Construct( )f Repair(1r) Upgrade( )c� Abandon( ) System located at l00 /VI d•a/o 1-j lei� {< L�. � � l_ST G✓a e and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:C--•on tructiion must be completed within three years of the date of this permi. Date T ��1 �.1�g q Approved by _`-- TOWN OF BARNSTABLE I LOCATION /00 &A t�w � --LAI SEWAGE# � � 3 VILLAGE 0SJMtV Jk ASSESSOR'S MAP&PARCEL 1/7 D � INSTALLERS NAME&PHONE NO. 4. SEPTIC TANK CAPACITY / &I LEACHING FACILITY:(type) (size) (size) I NO.OF BEDROOMS OWNER l)��� Ge- ��►� --�--- PERMIT DATE: COMPLIANCE DATE: / Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welland Leaching Facility(If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist i a Feet within 300 feet of leaching facility) t FURNISHED BY a A,q s o g g,5- Town of Barnstable Barnstable ` Regulatory Services Department AgAmeficaCity 9q� MASS.: s�� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas A.McKean,CHO FAX: 508-790-6304 CERTIFIED MAIL#7015 1730 0001 4987 9347 November 14, 2018 STIEN, ERIK M & ESPOSITO, PAMELA 25 BOURNE'S POND ROAD EAST FALMOUTH, MA 02536. ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located-at 100 Meadowlark Lane, Osterville, MA was inspected on 10/14/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Conditionally Passes" under the guidelines of 1995 TITLE V(310 CMR 15.00) due to the following: . • The septic tank needs to be replaced. You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future. enforcement action. PER ORDER OF THE BOARD OF HEALTH r Y Tho as McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\100 Meadowlark Lane Osterville.doc ���THE l�ti Town of Barnstable BA-M-WABLE, .' 9�pT"6;& Regulatory Services Department fD MA'S Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free fr 40�f (2) YE DEADLINE CRITERIA gle Cesspool "conditionally passed systems" (broken cover, relocation of a pipe,relocation driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) . OTHER El Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc r Commonwealth of Massachusetts a Title 5 Official Inspection-Ford I;i Subsurface Sewage Disposal System Form-Not for.Voluntary Assessments'. + ' 100 Meadowlark Ln ' Property Address Erik Stien &Pamela Esposito , Owner Owner's Name information is required for every Osterville t�' MA 02655 10-14-18 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. A. Inspector.Information c / 1,3yl Shawn Mcelroy Name of Inspector `Upper Cape Septic Services { ' i ` ' :; Company Name P.O. Box 73 Company Address E. Falmouth r rMA t 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);l have personally inspected the sewage disposal'system at tlieproper y 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 inspectionI have determined that the system: ' 1. ❑ Passes 2: .® Conditionally Passes r t a , 1 , ✓^ ® k '`l ,, . . �• 3. ❑ Needs�Further,Evaluation by the,Local Approving Authority . -r , 4. ❑ Fails i F • 10-14-18 Inspector's Signature Date The system ins ector shall submit a copy of this ins ection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18, z, c Commonwealth of Massachusetts Title 5 Official Inspection Form i -i Subsurface Sewage Disposal System Form -Not for Vol u ntary�Assessments T, >°J 100 Meadowlark Ln Property Address Erik Stien &Pamela Esposito Owner Owner's Name information is required for every Osterville MA 02655 10-14-18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System is in good working order with no sign of failure. 2) System Conditionally*Passes: ® One or more system components as described in the "Co nditionalPass" 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. G 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): Septic tank is broken and has a crack that runs the length of the tank. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form -,Not for Voluntary.Assessments r U R�r 100 Meadowlark Ln Property Address Erik Stien & Pamela Esposito Owner Owner's Name information is required for every Osteryille . MA 02655 10-14-18: page. City/Town r' 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: , - - � 1. , s •~'e' • . . !,a!' a tF e { � • , ❑ 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 El- t '❑ ND (Explain below): '❑ f distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑Y El ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): 3) Further Evaluation is Required by the.Board of.Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing'to protect public health,safety or the eriviroriment. 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_ Commonwealth of Massachusetts TO ,� Title 5 Official Inspection Form ;.11 �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments >" 100 Meadowlark Ln Property Address Erik Stien & Pamela Esposito Owner Owner's Name information is required for every Osterville MA 02655 10-14-18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for,all inspections: Yes ' No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts .. k. •. , • z Title 5 Official : Inspectionfo.rm- ibt Subsurface Sewage Disposal System Form =Not for Voluntary Assessments s •� KIC• 100 Meadowlark Ln t Property Address , Erik Stien &Pamela Esposito tkr: +,.• r Owner Owner's Name information is required for every Osterville MA 02655 10-14-18.- page. Cityrrown i State Zip Code Date of Inspection C. Inspection Summary (cont.) :r 4), System Failure Criteria Applicable,to All Systems: (cont.) Yes -No ❑ ® Static liquid level in the distributiontbox`above outlet invert due to an overloaded or clogged SAS or cesspool - •r ` ' � I?, - Liquid depth in cesspool® is less than 6" below invert or available volume is less than Y/2 day flow , , . 'f , ❑ ® 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." J 4 Any portion of a cesspool or privy is within a Zone 1 of a public water supply ❑ ® + i well: ❑" ® ' 'Any'portion'•of a cesspool or privy is within 50 feet of a private water supply well. El '® ° 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- gp ® ` ; The system fails. I have determined that one or more of the above failure ' criteria exist as described in 310'61VIR 15.303,therefore the system fails. The - r system,owner should contact the Board of Health to determine what will be <<. a ,• ,.a ' ,_ 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 g'pd 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. k, 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.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts r Title 5 Official Inspection Form t .•11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ��dl s. ? 100 Meadowlark Ln Property Address Erik Stien & Pamela Esposito - Owner Owner's Name information is required for every Osterville MA 02655 10-14-18 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 GA 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 ❑ ® 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? ® ❑ l 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? `® ❑' Wasthe 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: E ❑ Existing information. For example, a plan at'the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts , - Eli ,P Title 5 Official Inspection Forrn - C�i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments, t 100 Meadowlark Ln Property Address Erik Stien &Pamela Esposito .. Owner Owner's Name information is Ostefville MA 02655 10-14-18 required for every - page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Description: '. Number of current residents: is 0 - Does residence have a garbage grinder? F ❑ 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 El Yes ® No information in this report.) ' Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: .r Sump pump? ® Yes ❑ No ' F Last date of occupancy: 2018 Date • t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts _ Title 5 Official Inspection Form ;gip Subsurface Sewage Disposal System Form -Not for Voluntary Assessments JSk'' 100 Meadowlark Ln Property Address Erik Stien &Pamela Esposito Owner Owner's Name information is required for every Osterville MA 02655 10-14-18 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): canons 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: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 c Commonwealth of Massachusetts r� y Title 5 Official. Inspection .Form: • ? wi Subsurface Sewage Disposal System Form -:Not for Voluntary Assessments • . 100 Meadowlark Ln Property Address Erik Stien & Pamela Esposito -: ^ Owner Owner's Name - information is required for every Ostefville i MA 02655 10-14-18 v. . page. " City/Town Jr, State Zip Code Date of Inspection ; D. System Information (cont.) ,' r 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: 2006 Were sewage odors detected when arriving at the site? , tit _, t❑ Yes ® No 5. Building Sewer(locate on site plan):• t , 22" Depth below grade: feet''` a• , St. ,, s 1'; r. ,. - :,�;y1•e .k � ,a{+r.p. .. i. z �a Material of construction: ' ❑ cast iron ® 40 PVC 'El 6&r(explain): - Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. t5insp.doc•rev.7/26/2018 t Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts . 3 Title 5 Official Inspection Form i� wa ri Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Meadowlark Ln Property Address Erik Stien & Pamela Esposito Owner Owner's Name information is required for every Osterville MA 02655 10-14-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 16"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal 12" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape 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 is broken and has a crack that runs the length of the tank. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 • :i • cam' Commonwealth of Massachusetts Title 5 Official Irnspection Form a� f Klcl Subsurface Sewage Disposal.System Form :Not foraVoluntary,Assessments 100 Meadowlark Ln Property Address Erik Stien & Pamela Esposito Owner Owner's Name II, information is required for every Osterville MA 02655 10-14=18. page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet a 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: , ;, ., ,F f �• Dates ,. . Comments (on pumping recommendations, inlet and outlet tee or baffle_ condition, structural integrity, liquid levels as related to outlet nvert;`evidence of leakage,*'etc):` '`'' " ' ''• "°` It w ._ V, 8. Tight or Holding Tank (tank must be pumped at time of Inspectlon)(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 f Commonwealth of Massachusetts3 ,w, Title 5 Official Inspection Form p Subsurface Sewage Disposal System Form -'Not for Voluntary Assessments ' 100 Meadowlark Ln Property Address Erik Stien &Pamela Esposito i Owner Owner's Name information is required for every Osterville MA 02655 10-14-18 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 0 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.): Good condition with water at working level and no sign of back-up from field. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 1 Commonwealth of Massachusetts Title 5 Official Inspection Form ` r�I Subsurface Sewage Disposal System,Form -Not,for Voluntary Assessments 100 Meadowlark Ln Property Address ; Erik Stien &Pamela Esposito , c Owner Owner's Name information is Osteryille MA 02655 10-14-18 required for every page. CitylTown State Zip Code Date of Inspection D. System Information(cont.) 10. Pump Chamber(locate on site plan): - Pumps in working order: f. ' - `'' ' Z' Yes` ❑ No- Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber in good condition with pump and alarm tested. * If pumps or alarms are not in working order, system is,a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan,-excavation not required):: If SAS not located,explain why: ;�• ;_ , _ Type: .., " ' ❑ leaching pits' ° number' ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1-15x40 ❑ 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 Commonwealth of Massachusetts y Title 5 Official Inspection Form 01 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Meadowlark Ln Property Address Erik Stien &Pamela Esposito Owner Owner's Name information is required for every Ostefville MA 02655 10-14-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil SAS stem Absorption S cont. p Y (SAS) ) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach Feld in good working order with no sign of back-up into d-box or surrounding stone. 9 9 9 p 9 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 V f Commonwealth of Massachusetts Title 5 Official Inspection Forn - - ''I i-ll Subsurface Sewage Disposal System Form -Not for Voluntary Assessments! 100 Meadowlark Ln r Property Address Erik Stien &Pamela Esposito Owner Owner's Name information is Otill required serve for every MA 02655 10-14-18. page. Cityfrown +,; State Zip Code Date of Inspection D. System Information (cont.) t' 13. Privy (locate on site plan): ' + - Materials of construction:`" Dimensions Depth of solids 4 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t . R t5insp.doc-rev.7/26/2018 Title 5 Official Inspectlon Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form <�"I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 100 Meadowlark Ln Property Address Erik Stien &Pamela Esposito Owner Owner's Name information is required for every Osterville MA 02655 10-14-18 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 p , i /• 9­6 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts m� ;w Title 5 Official - I nspectiori Fora 'M Subsurface Sewage Disposal System Forme Not for-Voluntary Assessments 100 Meadowlark Ln I�- •y r Property Address h Erik Stien &Pamela Esposito Owner Owner's Name a information is t , required for every Osterville MA 02655 10-14-18, page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water >c > ❑ Check cellar ❑ Shallow wells<• ti _: A is>.e t. - . Estimated depth to high ground water.. 5' , 'feet Please indicate all methods used to determine the high groundwater 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: You must describe how you established the high ground water elevation: Original design plans show groundwater at 5'. Leach field was elevated to accommodate high water. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev..7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts , y Title 5 Official Inspection Form VZ; al Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �_ 100 Meadowlark Ln Property Address Erik Stien & Pamela Esposito Owner Owner's Name information is required for every Osterville MA 02655 10-14-18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ' ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 / . �_Town`of Barnstable -- P ° ti PITNEY BOWES •.Pablic Health Division ,��� � � U.S.POSTAGE�� „Ass 200 Main Street / Y TEOMa+^• Hyannis,MA 02601 a IL _ ZIP 02601 $ 006.670 7015 1730 `0001 4987 9347 {. 00003.36455NOV. 16. 201$. ��j NET C /� !l !� l 7( _ - - - � - / • —��—.._ i t �-1 1 y)p—h.� �J—11�� �s'•�1 L / /"/' ( O 1J(vr ISLE__` C r��Tc�U,''AIRD N I—X`T'E 15: D C 'R E TU"R'N TO `.S'E'N'D'E"1R i8Nd_l sRTMEL-1 l �� J.a Am eA^a•L ie C `9'°� .t h:®:LB.A.fl:r :l Ll'NC 6C: 026014002:00 *0369 02792-16-39 I lollaoililia�lollol'i111,11 1iioia�i'� 3�4a`�oi�a:at6E�r6'�ir� foi � loll 9 i l : loll:1 : 1 II 1 i 1 : N Complete items 1,2,and 3. A. Signature le Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. —^—Is delivery address-different from item 1? ❑Yes If YES,enter delivery address below: ❑No STIEN, ERIK M & ESPOSITO, PAMELA�, �W5 BOURNE'S POND ROAD I AST F OUTH MA 02536 i i _ -wivice Type 0 Priority Mail Express® Iillll IIII III I II II I IIII I I III II III II I I I II IIh _ ❑Adult Signature 0Signature Restricted Delivery ❑RRegisteredegistered MMailTM ail Restricted, ?Certified Mail® ,,��ttDelivery I 9590 9402 3759 8032 3745 24 ❑Certified Mail Restricted Delivery tWRetum Receipt for I ❑Collect on Delivery 1f Merchandise 2. Article Number(transfer from service laben ❑Collect oq Delivery Restricted Delivery 0 Signatue Con irmation7M - —_ ❑Signature Confirmation ail Restdcted Delivery Restricted Delivery 7015 1730 0001 4987 9347 a I � II t „ i. PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt oFT�r� Town of Barnstable . Barnstable MWUmRegulatory Services Department '��j 9MAS& Public Health Division m rf0"" A 200 Main Street, Hyannis,MA 02601 '2007 Office: 508-862-4644 Thomas A.McKean,CHO FAX: 508-790-6304 3i CERTIFIED MAIL#7015 1730 0001 4987.9347 November 14, 2018 _ STIEN,_ERIK M&ESPOSITO, PAMELA 25 BOURNE'S POND ROAD EAST FALMOUTH, MA 02536 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system.located at 100 Meadowlark Lane, Osterville,MA was inspected on 10/14/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Conditionally Passes" under the guidelines of 19.95,TITLE V (310 CMR 15.00) due to the following: • The`septic tank needs to be replaced. You are.,ordered to repair or replace the septic system within two (2) years from the date you receive this notification, _: . Failure to repair/replace the septic system within the deadline period will result in future enforcement.action. PER ORDER OF THE BOARD OF HEALTH Tho as McKean, R.S.;CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\100 Meadowlark Lane Osterville.doc / cpUA 4z�- #100 �\ - _- 47.80 �.`o' Q - _ (EXISTING) -v 2-STORY <v = DWELLING el ED s 33.8 s4 \� 30" £ ,25 65 ' F I�.T•Nr. OlM exalo Al r C x s i i 101 a or ;Q i � n I ` + o u�. 3B N — i - �l I 4 Z Q w ol I 1, io 1 i iP 11 1, �T 1 1 P ZAP gLtyll_ �� N p 2.1n ..5 Q-� ♦] . A Q a 0 o c m - L,�� AO P-51T?beswm Drawn by Checked by oo=MEAcxaNtnlrx L4. _ - . P.C.aox Ea MRSSACNtI5ffTT4 0E770 . 'Sa6la4-0OSB �. f - o Ap ii I �4 rr T . oso.w-p.-r+aL-cE�i+oua.�a-�.• �o•ia•�s. '_�r.e' s...elewu'>' M6P.veWIAw.IG.-lA_' R[WIOA6 Dam P.O.BOX EB . ROCHEBTER 1. MMBBACMUBETT6 OZTJO i _ I i - i rL or i L P Ay ( •� _J I D z " co�nous}ai-re��rrtow.�: to ra•is_. j4".-ro_'. a...c pwu e. rTn/eTiF-+L.rcc�ioci,ac.E:- Drawn by CheckedRcliliOTU by rnotweu.mmsa.•�-•_a.. P.O,atla¢B ROCHESTER ., TEIC]OI@.:'EI.F�ATIOr�l6 M—.0 rl I.O¢TO l —783-0 8 I i • o I _ A I • i PER i I I 0 p 0 ; 1 f -1 £N £ -N1 !': N 11 Eli r 4 a i N A c I' Y c i 6 � N F or W U, - - m �_: = al r P, lk A - A N N N N - f mas e Toub4"AY-TaV.T1o�.Ls'Te•=:'-:'.. -..lo•14"A5._.-.Nv�Co- yW Cp�m�a�" . . P.O.8011 pB l TF��O¢:->=1LF 1JATtob1.$'- "RocNEerpn As l VY/rwZOOVJ-"B'CJ-IE�UL•[.=.:':.' MA65ACMUS—S 01770 ' 500-90p o Z U " E g o A o* Ud OC U To---------'----- ---- � _ - ec ,I NF z Pt 3� VQ:1 �r C,. I�• yg�I i sN N I Pi (J I � I _ 9 p LY< 4')4,t�0� .g R �LO� � $ ?pp 4 ecCv b Q �A � VY . ornvowk-A•u�r+aews�:-__ Dale... •LS - 1 Dnwn by C w-kcd by U ..MPACOW CAFIC.LA"-. Revmoy MASSACHUB MASBACHUBHTS O2TI0 � 60MJ5b0080 . f I 4' TI � zp- f I .NP 4R ay I N 3O � e P {C .4 Of � o k�.. r,. �)\ Dp PN6 U I I; • u i cp or r 3 i i i p u� L �. .I P; i - Lv wioo�riow4.wi�erc+c�.+a m= Date o,r4•i5. :�k'/�-ire' 6.uClaoun� . .r=5F sIrcV-t I-1'2.E.7IDA Am—by Checkedby ��� 3TERD)ILLG.M.4': ORi . P.O.DOk)a9 _ ROCME G ER MASS—SJ --�J'E=MCDti-9 B G ..- S09]!9-0®BElTS 0a)JO . - r i Bvg 1p �61; - _ �-fii £T� FSStCLT� FUN •� p - 4t�P _ �- � 30 °rapp F>u�TMG'DIMENStc4.f -' - - > 0£E _ i s J,_ - - ( i D P p LP1 i .� rFN Wn of wil � N ` r o ;r ; o� ®P LA scale L I �•,R C+1 :TD`C .(•. =A.AiT>aeATlo�t31oerb'•14•ISi.wTEp - UCloianow _. ....21- 6X MSS T. M.by I---by �• _M@AOOWIA<Y LA. _ Al1L ,MA. .. Revisions P.O.BOX 18 - 1� IJ ROCME6TEP Lt1�P_LATC-S�'-.---- MPfi6NCNt16ETi602]TO Extend Header ! Top Plate 6'o.c.N n 5paarg BeyoM Wall Sheathing Must •;.;;� To png Studs p /c M5TA24 5trpp Extend Oder Header '. 4-Pt.Pe—eMr Zone j Cont uous To Plate W Wo.c.Nad Sprang P ! (!!� LVL (2)1.75x1 1-�'LVL Continuous Header ,' Header ad Top Plate To F0J ! ! Header w/2 Rows Bd Common .! Header To Jack Stud Strap Each Slde !, Nails at 1 Simpson MSTA24's I. 3o.a 6Hd Wood 5tmctural 1 ` ' Mm.3-2,4 Studs. !I II`1 I !!i' KIng5 f Jacb !! ?!I'•� 2 Rows 6d'5 @ 3'o.c. Panel Sheathing Rakcr/TNs9 (Typipl) !�I - ..!!•i (Typical On Sidd) Full Blockng @ 4'o c.In Rmt 2 Ed—Bry9 Of All Hoar 4 Roof, °!'i lci:i@i;}?}! '!'I;:•:;-;;;,..i'! Main Pool Ridge 2x12 PUBe SECTION P. 2a6 Collar T. IG'o.c. P. 2-51M 12' .+'+J:.::::::Jrn �o•::::::... c Anchor Bc,10 i!:!,l;a°?:i .l:l1, iIi15'.•:i iii(il !?. Zx10 Raker@IG'— � w/3x3x 114'Washers 5Wds!'!! !!: 36" !'f-r�------��', 1 Studs@ Is' i! M)@ 3'o.c.at 5dl all !1 !f! Foundation Double P.T.5,11 Anchor Bolts 5unpson H2.5A® i Foundation -Raker to Header If FROM VIEW APA NARROW WALL DETAIL SIDE VIEW (3)1.75W.5'LVL Header (3)1.75W,5'LVL Header 4-ft,Fenmeter Zone 5CAI.E. _ (3)1,75W.5'LVL Header ru Panel FeW Nadmg `� GENERAL NOTES F SPECIFICATIONS: 1.GENERAL DATA:NO,OF STORES H 2(ROOF PITCH &12) MEAN 5'in ACES Pot to Header Ri Full BloJang @ 4'o.c. ALL STRUCNRAL DE5I6N KIND 5PEED 120 MPH,OfPOSURE B FRAMING SHALL BE INSTALLED IN ACCORDANCE WITH THEAFMA WOOD � I In first 2 Framing B A FRAME CONSTRUCTION MANUAL(WFCM4001)FOR 120-MPH WIND ZONE EXPOSURE B. 7 -Typicl For Rows 4 Roo& '(Zi 2.FLOOR,WALL 4 ROOP SHEATHING SHALL BE MIN.7/16'WT)OO STRUCNRAL SHEATHING CONFORMING TO DOC P51.DOC P52.C5A 0437 OR C5A 0325,ALL PANELS SHALL BE j IDENTIFIED 5YGRA0E MARK ISSUED BYAN APPROVED AGENCY. 3.ROORNG SHINGLES 4 SIDING SHALL BE RATED FOR 120-MPH WND ZONEAND 5WURfD L11L1 WITH FASTENERS AS SPfCIRBD BYTHe MANUPACNRER FOR HIGH WIND ZONES. 4.MAXIMUM OPENING HEIGHT FOR WNDOW'4 DOORS SHALL BE 6' 5.ALL NRY FRAMING AND ALL FLOOR WALL 4 ROOF SHEATHING SHALL HAVE CONNECTIONS IL Li 4 PA57ENM IN ACCORDANCE Kf H AWL'TABLE 3.1'GENERAL NAILING SCHEDULE'. G.BRACED WALL PANELS(BM s)SHALL BE EITHER SEGMENTED TYPE OR PERFORATED TYPE INSTALLED WHERE NOTED ON DRAWINGS.BRACED WALL PANEL55KALL HAVESHDITHING INSTALLED HORIZONFALLYON BAYWALL3 AND VERRGALLYELSEMIM WRH 6d NAILS AT EWE SPACINGS OF 3'O.C.ON FIRST FLOOR 4 4.O.L.ON 2NO FLOOR 2x'10 Joist Sim H2.5Ab Raker/Plate HORIZONTAL JOINTS SHALL Be PERMITTED ONLY WHEN FULLY BLOCKED AT EDGES. %on 7.NEW WAUS SHALL HAVE DOUBLE TOP PLATES WTH OVERIAP AT COMM,DOUBLE -Typ-I- TOP PLATES SHALL BE IAPSPUCED KM MINIMUM 447 SPACE LENGTH AND MINIMUM tl 11 II U NI NI NI NI NI NI NI NI Ni GENERAL ROOF FRAMING d SFIEATHING DETAIL NUMBER OFFA5T&M IN ACCORDANCE MTH AX TABLE GTOP PLATE SPUCP. II III II RI II II IY II H II IN II B.METAL CONNECTORS SHALL BE INSTALLED WHERE NOTED TO ACT IN CONCERT WTH NOT TO SCALP THE VERTICAL SHEATHING TO PROVIDE ACONTINUOUS LOAD PATH FROM THE ROOF TO THE FOUNDATION.METAL CONNECTORS SHALL SEAS MANUFACTURED (3)1.75k9.5'LVL Header (3)1.751,9.5-LVL Header (3)1.75W.5-LVL Header DY5IMPSONSTRONG-71EGO.,MMZ-MAr ZINCCOAnNG(I.65OZl5.F.). _ 9.WINDOWS SHALL BE DESIGNED TO RESIST THE DESIGN WND LOADS FOR 110-MPH Zx6 Or 2x4 Stud Wall 0fPO5UREC 3.5ECONO GUST KIND SPEED OR SHALL BE PROTECTED FROM WND-BORNE THERE BY REQUIREMENTS FT METHOD,PROTECTION OF AsTm D 99GAN A5TM f1 iW6. Wood Structural Pand,Upper THEW O D MEMM5 OF THEFURGELOADL5RE 1ET OPP0515 S ALL AND A77FIED 6. 10.ALL WOOD MEMBERS USED FOR IGNIM NG CO PURPOSES SHALL D.O.C.DENTIFIED Simpson M9TA49 P_ mt to Po9t 7t uct 9"Wood _ BY S M SHEDIRD GSHALL MEET THE PRNG COMPLIANCE WTH .0 P52P99. U $Teen cal Panel 11.GYPSUM SHEATHING SHALL MST THE 73 SP 10N5 TI 0.5TM CGG SUM SHEATI IN Tension Splice FOR GYPSUM W SHALL E INS ASTM L S NOTED ON FOR GYPSUM SHEATHING BOARD'. /2.ANCHOR BIX75 SHALL BE INSTALLED A5 NOTED ON THEANCHOR BOLT PUN,WIH Leave>!'Space Panel 5phce Made Wth W A MINIMUM OF ONE PROVIDED WTHIN G TO 121NCHES FROM THE END OF EACH PLATE. ] PIACEMEMOFANCHOR BOLTS FOR HOID4VM ANCHORS MUST BE IN5TAUED A9 +Aje WxdSCNetilral panel A7 TAN BOT®'ALLLOTHER COMPLY BOLTS SHALL fB10..15OU AMEYBOLTDA CE OP36' BOLTSSHALL(AMFLY WTTHANSUASMEBIB.2.I5MON 1ILS BOLTSANDADSDRI (Typieal 2 Row9 13.NAILS FOR SHEATHING INSTALLATION SHALL BE COMMON NAILS WTH RILL HEADS DRIVEN Mm.3-rr Studs IJI:9�JackS 1 Bd8@4'o.c. FLUSH WITH SURFACE OF SHEATHING.NAILS SHALL LOMFLYWTH ASTM F/66757ANDARD SPECIFICATION FOR MVEN FASTENERS.NAILS.SPIKES AND STAPLfS'. Wood 51,E ral Panel,Lower 14.THEOONTR4CTOR5NALL COORDINATE THf WORK SHOWN ON THEARCHITWNRAL PUNS eNMM'ADDITIONS t ALTERATIONS TO l5PINOU/STEIL RESIDENCE'PREPARED BY SARA JOHNSTON,ARCH.DESIGNER WTH THESE 57XXTURAL DRAWNC5. L5TA2 Po9t Mi- WOOD PANEL SPLICE BLOCKING DETAIL P A II If If IY IY NI YI WI ii NI III II YI XIN. AI MA AI NI II IN III IM 11 IN II IM III NOTE:THIS 5PUCE METHOD TOOFU5EDTO TRANSFER WND LOAD TO SILL PLATES WHEN WALL HEIGHT MEEDS MAIMUM HEIGHT Of' ����a���� WOOD STRUCTURAL RAL PANEL OR OTHER CONDITIONS THAT REQUIRE M L L J J J J J 0summu um 5fe11 12,Anchor Bdt, *4N ur m CAI T CCb�n�SOC1�S,Inc. 0 Max.32'o.c. Foundation l.d[->.1 gE*n w'3,3014. ft h`n BAY FRAMING DETAIL I CERTPYTHAT THE PROPOSED ADD/TION y= flie 323 Neck Road-Rodesterr,MA 02770 AS SHOWN 4 A5 NOTED HEREON IS IN g' cf A Tel:508-763-8362 Fax:508-763-9582 SCALP:.1/2'=1'-0'± R se COMPLIANCE WITH THE STRUCTURAL LOAD Y aOo�. NOTE A.WALL SHEATHING FOR BAY WALL5 SHALL BE CUT FROM 4x10 SHEATHING REQUIRENENT5 OF THE MASS.STATE - AS NOTED AND INSTALLED HORIZONTALLY WTFH Bd NAIL5 @ EOGE NAIL 5PACING BUILDING CODE,Bth EDITION FOR 120-MPH arcx xM6F� NOVEMBER 9,2015 OF 3'O.C.ON FIR5T FLOOR AND 4'O.C.ON 2NO FLOOR. WND ZONE,nPOSURE B. $�i P Y' J � o u i -j 0 A . y 11 i Pr m o DD4T�olA34ALjLl.PATI o.M11_.TD.. pas- __.__.. TeP" LuclmenieM 1 E 6PD51T ne-t-L,mm sA 0z1, . pri"by GhedGd by 11' 3fG Ca LLO MA: Revato f P.D.BOX 18 Rocnea MnasecNUaeTra oano . . eos�escoae ,. i b+fir rn C E D x � r9l� � r Z P n o mis �� � t � f aAa 3 c tl 3 i I c ] P P 1m e a D pp � r i o® s � Jv z N a � o 4� DEL r[ i n 1 ,TD7eM M. Z.leesi- Drawn by Cheekedby u..:-.- -=xevitions ESTER pGCH6TER �_� •yp....�.ivo t:l i-�AQJ(J{L'- MASSACHUSETTS 02". 4 6o6aeam6a Q No; > Fee THE COMMONWEALTH OF MASSACFiUSETTS Entered in computer: ..PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0.ppricatiou for � gpozar 4_ p5tem Cougtructiou Permit Application for a Permit to Construct( ) Repair K Upgrade( ) Abandon( ) ❑ Complete System Y Individual Components Location Address or Lot No. fd® �� �OG� � Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 62 2. 1QD � <7BldGf}2 !,�}/✓ Installer's Name, dress,and el.No. Designer's Name,Address and Tel.No. 8 a °n"$t� 5oe-'-ld8-s53S' 9,d.9ax 244-M Type of Building: 4 tl�! 16 S4!� Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder (tb) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures AA Design Flow(min.required) �F- 6 gpd Design flow provided f44= gpd Plan Date 4x . Cyr r_zoo c, Number of sheets Z Revision Date Title c S P /✓ "Z !9`7- Size of Septic Tank LUGD Type of S.A.S. !I Description of Soil _<4E A.) Nature of Repairs or Alterations Answer when applicable) /000661 pc, too C 9lc% i S0Crer- Rr-a A.c% 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. Si12 Date eA/7. E a od Application Approved by Date b Application Disapproved by: Date for the following reasons. Permit No. QQ2 to ^-31, a Date Issued \f� Nj, )-Coo - g..ti t � Fee 0 0 ��,,,� `"" 6 �. Entered in computer: • eTHE COMMONWEALTH OF MASSACHUSETTS Yes .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS - ZIppYication for Zig ,o!6ar 6p!5tem Conotruction Permit Application for a Perm ,C Permit toonstruct( ) Repair Upgrade( ) Abandon( ) ❑ Complete System ®Individual Components .. Location Address or Lot No. wner O 's Name,Address,and Tel.No. _ /UD �1E..9�o�✓1�i2.� Lv. ''� v Jo cg �G✓7p.t1 zz1 - �� Assessor's Map/Parcel /7 Z O z 2 po f�A,�ov� rz�c �✓� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. '8r,(I fir' ,�6t-,-� j'.s`k<< M,4e- j9uvG+zz v SeV-Cy C.�:� i9�suc, Type of Building: `( $� 41`I "Io 86 Dwelling No.of Bedrooms 4- Lot Size 49 sq. ft. Garbage Grinder (vv) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow(min.required) 446 gpd Design flow provided 44. gpd Plan Date 4L'4 z-00ti Number of sheets '7 Revision Date Title 5-OP7 s�/S T�/�// �2�/✓i�/ Z Size of Septic Tank Type of S.A.S. /=1� �_C2 ( X D Description of Soil I-'/.4 A-) Nature of Repairs or Alterations Answer when applicable) ADD /i Uu G G,-)� /�� a;;9 �Im/I I ol f�'� v p Date last inspected: ' Agreement: r 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.l Si W6d ,r. ! ! ` f Date ,%—�, Od Application Approved by Date `-'1 �-' b -Application Disapproved by: Date for the following reasons Permit No.t�'�O (� ^ 3�, g Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS w Certificate of Compliance H THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (Y,) Upgraded ( ) Abandoned( .)by S(�o,? I i,t c CU 11 at 100 h P A,�o J,1 Gy vc- Q Sic ram„(r has been constructed in accordance G� / with the provisions of Title 5 and the for Disposal System Construction Permit No. QQ2 w 3! dated I t Installer,-,(Q h-(0.cd -,, '(r Designer Y`�1 U,rn i-- 14 yG d The issuance of this permit shall not bye,construed as a guarantee that the system will function as designed. I' i Date ) 2.� (, L Inspector ro/ 4 t✓ r k c No.,1(7,0(v --3 G U Fee A6 6 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS �. li5po5a[ i§p5temt Con6truction Permit Permission is hereby granted to Construct /I( ) /Repair (,!) Upgrade ( ) Abandon ( ) System located at /66 1*iclooc� A,-X G•9�i( s Oa�r 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!pit: Date , �I Approved by r., ^� AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION �ma /rJPEt ��}(� Ld SEWAGE# VILLAGE, ' OS'66 1k ASSESSOR'S MAP&PARCEL //7 Daa INSTALLERS NAME&PHONE NO. AkA '1 i SEPTIC TANK CAPACITY / dG6Go j . Fibs h rA 6a d LEACHING FACILITY.(type) 6d -Cl L. L (size) 1S r7 NO.OF BEDROOMS I OWNER 'l ^oCam. V h r � d ,l PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: i Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 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) O o Feet FURNISHED BY p�� v 50 i� r Aq 5 gq --- -- gs http://issgl2/intranet/propdata/prebuilt.aspx?mappar=117022&seq=1 7/10/2019 Town of Barnstable P# ff 3 '� Department of Regulatory Services Public Health Division Date 1 - ,6 �6Jp 200 Main Street,Hyannis MA 02601 FD AAld�' Date Scheduled ® Time Fee Pd. ' Soil Suitability Assessment for age Disp al Performed By: �'2 vG�► de 2�f�f- �•�� Witnessed By: r LOCATION& GENERAL INFORMATION Location Address Owner's Name74 f�� 1�DcJ /_,qfL/= L/✓' of Address Assessor's Map/Parcel: jl iD Z.Z Engiineeer,'s kmee '00NEW CONSTRUCTION d / REPAIR Telep� h # v u Sv�v /N B C Land Use /y T/gL Slopes(%) /0/0 ¢ Surface Stones l/0 AID Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way 14-o t ft Property tine �± R Other ft 0 v SKETCH:(Street name,dimensions of lot,exact locations of test holes 8c tests,locate wetlands�n proximity to holes) � � I d� 141 i r'Z L.# 4 N� N S ON TPA - - ' j1j. 4— 1Z S DD _ C Parent material(geologic) V�A` Depth to Sedlock Depth to Groundwater. Standing Water in Hole: V Weeping from Pit Face Estimated Seasonal High Groundwater & 7 /9 D �41 DETER"NATION FOR SEASONAL HIGH WATER TABLE Method Used: tJ S Depth Observed standing in obs.hole: 8 ___-in. Depth to sail mottles: 1 in, Depth to weeping from side of obs.hole: in, Groundwater Adjustment 0- 2114 5mc ft. Index Well#M141-Lg Reading Date:_ ✓�_ Index Well level_AL,, Adj,factor Adj.Groundwaier level PERCOLATION TEST D41eE /v &4Tittte Observation Hole# Time at 4" .m e Depth of Pere`S Time at 6" 3® Start Pre-soak Time @ �'•V i 'Time(0-6") End Pre-soak 0 I'o e � Rate Min./Inch Site Suitability Assessment: Site Passed '� Sits 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'o wetlan on must first notify the Barnstable Conseirvation Division at least one(1)week o beginning. Q:4SEPTICkPERCFORM.DOC Depth from DEEP.OBSERVATION HOLE LOG Hole# Soil Horizon Soil Texture Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Slopes;Boulders. 91s' V rlD VA r4Z- DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Surface(in.) Soil Color Soil Other(USDA) (Munsell) Mottling (Structure,Stones,Boulders. �l iF,L- Co si qli Q 11 r, N 0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Tex Surface(in.) lure Soil Color Soil Other (USDA) (Munscll) Mottling (Structure,Stones,Boulders. C i to O 1 ------------ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones;Boulders, n-sistency, Flood Insurance Rate Map.• Above 500 year flood boundary No_ Yes Within 500 year boundary No= Yes Within 100 year flood boundary No— Yes . Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? S If not,what is the depth of naturally occurring pervious material? Certification I certify that on q (date)I have passed the soil evaluator examination approved by the Department of Environmental rotection and that the above analysis was performed by me consistent with .the required training,expertise and experienc described in�10 CMR 15.017. Signature Date �/ �0LO Q Q NSEP'17 VERCFORM.DOC Regulatory,Services Thomas F. Geiler, Director BARNSfABM MAss. g Public Health Division i i639• �0 1 10TFe Nw�' Thomas McKean, Director 200 Main Street,Hyannis, 02601 Office: 508-862-46�34 Fax: 508-790-6_04 Installer & Designer Certification Form Date: S ►s oZQ96 j Designer: JU If- Installer: rvice M r , -¢�sod', . Address: :address: On SC`L`�_, t A006 Uce M G'���V_r -- was issued a permit to install a (date) (installer) � septic system at 10o based on a design drawn by (address) tfti3�2 l6 `liP ?'S; dated.Ac�G- 3 C., (designer) t ...t I certify that the sep tic system referenced above was installed substan r iv acc ing i� ° the design, which may include minor approved changes such as latera location of t u distribution box andlor septic tank. stalled �ti°ith ma chances(i �. I certify that the septic system referenced above was to J greater-than ld' lateral relocation of the SAS or any vertical relocation off cornpoient of the septic system} but in accordance with State &Local Regulations. Pan revision oi•�t�� certified as-built by designer to folio Of BRUCE C. `-11 C MURPHY : (Installer's Signature) „Igo.743 CS (Designer'IsS e) (Affix Designer's Stamp Here) .ARNSTAB LE PUBL IC HEALTH DIVISION. CERTIFIICATE PLEASE RETURN TO B OF COMPLIANCE WILL NOT B THE B RNSTABLE PLBLICHHEALLT 1H DIVISION.AND BUILT CARD ARE RECEIVED BY THA\K YOU. Q:Health'Septic/Designer certification Foml �OF1HE Regulatory Services ( .y Thomas F. Geiler, Director { BARNStASM = MASS. Public Health Division �l'3 i639• �0 1DTFa a►p�°i Thomas McKean, Director 2no Main Street. Hyannis, IA 02601 Fax: 508-790-604 Office: 508-862-4644 Installer & Designer Certification Form Date: Designer: 'it-k- Installer: cvc� i;r :address: Yj1 �� `��,��z address: On Sc''�, t_aAa0o6 e' ce G- _ was issued a permit to install a (date) (instal(er) septic system at too Meaoo��cu� - ' U based on a design drawn by (address) v V6 ALcP 5 U F-ue qi dated 8uG . (designer) L� I certify that the septic system referenced above was installed substantially.- accord'n` to oved changes such as lateral relocation of the the design, which may include minor appr distribution box ancUor septic tank. i certify that the septic system referenced above was installed with major changes (i.e. f the SAS or any vertical relocation of any component greater-than 14' lateral relocation o of the septic system) but in accordance with State & Local Regulations. Plan revision or, certified as-built by designer to follow. .. (Installer's Signature) ti\ `a q I )--(Designer's Si e) (Affix Designer's.Stamp Here) TE PLEASE RETURN TO B.ARNSTABLE PUBLIC HEALTH DIVISION. EO�RTD`''AS OF COMPLIAi'�10E WILL NOT BE ISSUED CNTIL BOTII TH BtiII.T CARD ARE RECEIVED BY THE BARySTBLE PUBLIC HE�,LTH DItiISIOt: TI��\K YOU. Q: Heakh:'Septic/oiesianer certification Form r � `7 �► No. FiEcs.....3®..Via... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Allp iratiou for UhnVooul Worlui Tomitrurtiou Errant Application is hereby made for a Permit to Construct ( ) or Repair ( L,) an Individual Sewage Disposal System at: f --- -------------------------------- rJ,ocatioil-Address / or Lot No. 75ci-w.2..A...... e coc -------------------------------- ..... Owner, Address W Way 1 t-e ! L e`AJ-1.5------------------------------------- -------�5:-.-e r-v'--...�. '_ -°Z oZ%yG 3 0.4 PQ Installer Address UType of Building 3 Size Lot............:...............Sq. feet Dwelling—No. of Bedrooms____________________________________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons____________________________ Showers — Cafeteria Q' Other fixtures -------------------------------- d w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width-___-.-.---.--._--__ Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No..__-.-- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY..........................................-............................... Date........................................ Test Pit No. 1--- ----------minutes per inch Depth of Test Pit____________________ Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 9 ----------------------------------------------------------------------------------------------------------------------------- ............................... 0 Description of Soil........................................................................................................................................................................ w ..............------------------------------------------------------------------------------------------------------------------------------------------------ UNature of Repairs or Alterations—Answer when applicable...----L1-10--.- C42%_a..-_2--------/,_-��_.e...... =......... -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ..----------------- .. ----------------- -`� (--------J--- Application.Approved BY -------.... .� -------- - �..-.. .-.YC1�.. Dare Application Disapproved for the following reafonr: .--------------------------------------------------------------------------------------------------------------. .......... Dare Permit No. ----- ----- --- V-lP - Issued .......... c " - ...... Dace TOWN OF BARNSTABLE LO CATION_/�/0 �/f�c��cU ��/k— SEWAGE VILLAGE Q;j`p�yil ASSESSOR'S MAP & LO" INSTALLER'S NAME PHONE NO..y�f ;2�j� SEPTIC TANK CAPACITY LEACHING FACILITY:(type)r : ' , - e ��x , size'ves, (' NO. OF BEDROOMS_:Z PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER / rg c o e- DATE PERMIT ISSUED: -7 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No !� v � s No....,,�. Fr�s....._.C):.Qo THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di-nVoottl Mirlw Towitrnrtion runfit Application is hereby made for a Permit to Construct ( ) or Repair ( Wan Individual Sewage Disposal System at: t ^� Location-Address I or Lot No. J G� wt P `.------lJPC�C DC ..............----------------- Owner Address lei C e�." ; 5 Us-feiv ll y �Fr '...---- a •l 3 Itis tat Ier Address PQ UType of Building Size Lot............................Sq. feet �., Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther —Type of Building ____________________________ No. of persons_-_-__-__.----.---..._-_____ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. 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 ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit--.--_---_--_____- Depth to ground water..................... (T4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 -------------------------------------------------------------------------------------------- ------•-•------- --•-------- ------------------ D ' Description of Soil-------------------------------------------------------•-•-------------•------------------...----------...-------------------------------------•-•••--•--...---..._._.. x U .....••••••••-••---••--••-••--•--••-•--------••---- ------------•----------•-••••-------•----•---•-•••••------••------------------------••....••-•------•---••-----••--•------------...------------.... w -----------------------------------•----------.....---•-----------------------------------------------------------...----------.........---••--•------••-- --------------------�...�---------------- x V Nature of Repairs or Alterations—Answer when applicable.--.___t4_0 ���'1--�-------/,r_.,�(.-P-„_......,_•,,,,,,,•„--. I... .. ..--••--•------•--•-••--------•-•----••-•-•----------••--•••................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed - I . ���� A— ~.. ` rt 5... �} Application Approved B to t�_ -- r �--- ------�. --- ( :'�"7 .7 ` PP PP Y e Date Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------------------- ........ ......................... ..... .............. .................._..---------------------------- -------------------- ........................................Date Permit No. ....................... ----------- ...�,.....� l�.J.. Issued _-- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Q-1,Pr#tftctt#E of (ILIam fiance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( to) by ...........C/C C.\..�. {` ..� .......�}AP w.'- --------------------------------------------------_---------------._._.....----_----------------------------------------------------- Imrdlcr at ........... (�..... P.C hi r cJ-�Gi �'� L 1'------------ ---_ -....... - - -............................._ has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in . the application for Disposal Works Construction Permit No. ... ....-_ ., ......---- dated ....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY... ,. .. ................... ----------- --DATE............. � ector .. ) ----- •----- ----------Z---_----------:--_--------------------- .- -----------1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No..... FEE ....U.C.G Owposal Workii Tonotrudion Wrntit Permission is hereby granted....... /-----_---P c�!,S„_„------------------------------------ •--------------------------------- .. to Construct ( ) or Repair (�)'an Individual Sewage Disposal System at No......Z Q.... ... . -�-�� ... Street ?3 (� Y as shown on the application for Disposal Works Construction Permit No.. �___:_.._„ _ Dated..... _-_ ._. ...................... _ DATE................. '� C�'.......T ........................... Board of Health FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS f OSTERVI LLE ti JOSHUA f - OND \ 9AL O G wl \ 8 ._ram O U / •,. \ \ \ 7 9 7.7 ` " ,�1,� SEAPv17 2 w� �� WETLAND Q ROAD s AREA �� AIL NORTH LOCUS SNE�. SSBe AL A.M. 117 .�, QFS7c 2 BAY AY sT.�sz S8, PAR. 168 \ N o a A.M. 117 4p, \` » N PAR. ;0134 \ 7 ' to . LOT 9 "D `\ .` LOCUS MAP A.M. 117 / PAR. 022 »6» PLAN REF: 205/59 AREA=1'5,008f S.F. 7�>r �> DEED REF: 12329/321 .— , .,7 i ✓ ZONING: "'RC» 99 to 4. ASSESSORS :MAP: 117 PARCEL 022 OLD LEACHPIT FLOOD ZONE: "B" ABANDONED / i \.` GROUNDWATER PROT. OVERLAY DIST. (FILL WITH -SAND) �` �`�GAS , It / :::: : '> >�• _=- ASPH.AL o '° 1 Q » SEPTIC SYSTEM ! DRIVE Y / v REPAIR PLAN v tij� ,i y LOCATED AT: #100 ___- ;. #100 MEADOWLARK LANE APPROX. LOCATION / l :.;•:. .:: a / _: __ OSTER VI LLE, MA. 32. ' / %/ ♦�♦ OF CULTEC CHAMBERS Q _= T.O.F. _ j , i (TO BE REMOVED / __ EL=14.19 Flo PREPARED FOR APPLICANT: WITHIN 5' STRIPOUT l,p , ::.:..:'.' ...` off, __ (G.!I,S.f) N i ,-.� A, 5.0, 284 - - -_ DAVID & JOYCE HE ; __ T k A.M. 117 _- - — FR ^ ; • i ♦ PAR. 020 I`� / � AVE) 73 - -;=_ __ ;' ;' _ L A W T 0 N OAK BENCHMARK: i �� i »G» WETLAND —� COR. BLHD ' % / p� AREA AUGUST 15, 2006 EL=14.10' :(G.I.S.f) 13 / X : / i' �� i p S74, �\ ; 22.7' GAS 0 ; I��co 2730 72.i i SCALE: 1"=20' 4` c� sue. A 4 I LJJ OFF s�' \�25 6 ' ,'1 MacDougall 'Surveying- AL T•t?` BRUGE ���, ♦ �c o �s v � • 1 i � & Associates G. , �" ® A.M. 117 EPHEN / 1 a 1 �� P.O. Box 2428�. PAR. 021MUFPHY i ,H No.749. a �OY CB/DH Mashpee, Ma. 026 49 0p,ALE PH. (508 419-1086 fax 5083419-1087 S�,R email: macdou allsurve, omcast.net i ~ {✓ Pay , � � SHEET 1 OF 2 1 J# s.'Si a YF9� I��•®Q•� 060 s � I 4" SCHEDULE-40 P.V.C. TOP OF FOUNDATION- MIN. PITCH 1/8" PER FOOT ELEV.=14.19' Y 10' MINIMUM { r 2" LAYER OF 1/B" - 1/2" WASHED STONE -. . EL= 12.85 OR FILT ER FABRIC . . �.,...,.��..,,,,•,,,,a EL= 13.0 QUICK DISCONNECT 8" MAX.2" PVC 2" CLASS EL- 12.40 INVERT LINE TO DISBOX GE PRES URE150 PIPE END 9" MIN. CLEAN SAND FILL d� EL= 10.82 (PRESSURE TESTED) CAP LEVEL PER 310 CMR 15.255 �Q,S EXISTING FLOW LINE E FOR 2' S=.005 ,;�� INVERT EXISTING INVERT 110" 14" IN INVERT . o 0 0 ° o 0 o e o ° o 0 o e o .o 0 0 q,o°°m o o° INVERT MW• 0 0o m o o4y o 1 END EL= 11.34' ADD EL= 10.57 6" 0° ° ,pO CAP EL= 11.32 4' GAS EL= 11.07 0� °0° s•suMP INVER7io 00 0ge� S 00 09 0° o oeP o0 0 0 0 0 0 BAFFLE /4" WEEP HOLE IN y U o a o o� o 0 0 0 o EL 1 o ��o m 6" ALARM ON DISCHARGE PIPE o ° ° °°o°�o o� m o o EL=111.2' PUMP. ON 8" BASE OF CRUSHED 8" 2*!BALL CHECK VALVE EL= 9.5' "' PROPOSED DB-9 EXISTING PUMP OFF 12' DISTRIBUTION 40.0' 8" BASE OF CRUSHED STONE OR 1 ,000 GALLON TANK MECHANICALLY COMPACTED BARNES /4" TO 1-1/2" ARNES SE411 PUMP 0.4 HP 115V SOIL ABSORBTION (FIELD FORMATION) ui PROPOSED 1.,000 GAL. 2 DISCHARGE PASSING 1-1/2" SOLIDS WASHED STONE PUMP CHAMBER OR EQUAL SYSTEM (S.A.S.) 15.0' X 40.0' IPUMP SHALL BE FLOAT ACTIVATED SET PER INTERVALS SHOWN. ADJUSTED GROUNDWATER ELEV.= 6.2' if ALARM LIGHT SHALL BE LOCATED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING SAND SHALL BE POWERED BY A CIRCUIT OBSERVED GROUNDWATER ELEV.=5.5' SEPERATE FROM THE PUMP POWER SUPPLY. PROFILE OF JULY 2006 (MIW-29) INDEX "B'°. ZONE SEWAGE DISPOSAL SYSTEM ADJUSTMENT =0.7' (GW=5.5' + 0.7'= EL.6.2') GENERAL NOTES (NOT TO SCALE) I '0 1 WORKMANSHIP SHALL CONFORM D TITLE5 AND THE TOWN OF BARNSTAB ERULESAND REGULATIONS TEST PIT:;, RESULTS: FOR SUBSURFACE DISPOSAL OF SEWAGE. �� * NOTE: NOTIFY MACDOUGALL SURVEY 2. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE SOIL TEST DATE:' 08 10 06 48 HOURS PRIOR TO INSPECTION CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE B.O.H. AGENT: DONALD R. DESMARAIS, R.S. UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY SOIL EVALUATOR: BRUCE G. MURPHY, R.S. MUST WITHSTAND H-20 LOADING. 3. UTILITIES SHOWN ON PLAN ARE APPROXIMATE ONLY, EXCAVATOR: J.C. AALTO THE EXCAVATION CONTRACTOR SHALL CALL "DIG-SAFE" AT DESIGN DATA: 1-800-322-4844 AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION TEST PIT #11 EL.=13.5 TO VERIFY LOCATION 13.5 ELEV.:. DEPTH IN. HORIZON I TEXTURE COLOR MOTTL►NG OTHER NUMBER OF BEDROOMS(EXIST.)...__4____ 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. 12.92 0-7" FILL SAND FILL ---- ------ --- --- GARBAGE DISPOSAL................. NO 5. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF 12.58 -11 A LOAMY SAND 10YR5 1 ------ ------- TOTAL ESTIMATED FLOW SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE 5.5 - 9.5 11-48", B SANDY LOAM 10YR6 6 ------ ------- (110 GAL./BR./DAY X 4 BR.) __440 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND3.5 48-120" 1 C I MEDIUM SAND 10YR7 6 ------ ------- 440GPD X 200% = 880 GAL LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. = USE EXISTING 1000 GAL. SEPTIC TANK 6. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. GROUNDWATER ENCOUNTERED @ EL.=5.5 7. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS I INSTALL: 15' X 40' FIELD .5' DEEP BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. TEST PIT #21 EL.=13.5 SOIL CLASSIFICATION................ 1____ 8. LOCUS PARCEL 022 ON ASSESSORS MAP 117 IS IN FLOOD ZONE "B" PERCOLATION RATE <2 MIN./IN. TOP AT 54" DESIGN PERCOLATION RATE..... 9. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION 13.5 ELEV. DEPTH IN. HORIZON -TEXTURE COLOR MOTTLING OTHER EFFLUENT LOADING RATE.........___74___ TO MACDOUGALL SURVEYING FOR B.O.H. AND DESIGN ENGINEERS REVIEW 12.92 0-7 FILL SAND FILL ---- REQUIRED LEACHING CAPACITY.....440 GALZDAY AND APPROVAL. 12.58. - 1" O SA 1OYR5 1 _ LEACHING CAPACITY PROVIDED.....444 GAL/DAY 10. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND , ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING 5.5 9.5 11-48 B SANDY LOAM 10YR6 6 ------ ------- BOTTOM: (15 X 40 )(.74)= 444 GAL/DAY WORK ON THE SITE. 3.5 48-120" C I MEDIUM SAND 10YR7 6 ------ ------- 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE GROUNDWATER ENCOUNTERED ® EL.=5.5 WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. AUGUST 15, 2006 SHEET 2 OF 2 J# 1060 `a • 1 r • r II � � � o z:.a-dw:..PoLumc.-moo tn D as _ �� ;I,I� •:� � ��� �� s N jv tj . R � �® ,r� �� 1 y.: i -2s.�= a, � - 2-4•Zrar:x z�w�_wa;u:s - r - _. z _ I r Q S r � nc tR D WELL 0 � P z a ' oh °2 sFe- yff9 Date scwe.. .. . . . — T•:q.•f6.- fJcTa,a SARAC)OWSTON Drawn by Chec ler y q Revisions P.O.Box 2e 7i,F i u" ROCHESTER .::. MASSACHUSETTS 02770 BOB•788.0088 ' r _ 0 U➢ � � a: � @a £ Q � � �N 8 iP (� W p U N Z U Q 1 O x O r r , W N v J g �xptj N e _ i a a N ® _} ------------ - I'N Z ,01 os ��------------=--- -- , I „ 1 N, tnv zobT° L�-s�e Ftcous tea: ---- Dace Sale -15 ... KiCn-9O BAuClouneroN P�s1'R>/STf :CIZESIL�E1�kE Drawn y Check ed by jj P.O.SOX 28 _ - - WO-KC.CC'IZRI.i�F9.. - ROCHESTER - • ASSACHUSETTS 02770 . SOS•788.0038 ,