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HomeMy WebLinkAbout0260 NORTH BAY ROAD - Health 260 North,MayRoad Ostervlle P .t" A = "072 ,008 r a -0 TOWN OF BAJRNSTABLE 343107 do 40t 1605-57Z LOTO VILLAGE '� ASSE SOR'S MAP & LOT o2 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY t``LEACHING FACILITY: (type) 7 (size) ��o 1. NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE; 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 lea hing facility) Feet Furnished by cddJ t ig 5-35 ` '7;13'6" 7-55' 'T'63, "six (q-15 I&T S7No. �_, Fee (o0 THE COMMONWEALTH OF MASSACHUS � Entered in computer: ', PUBLIC HEALTH-DLVIStON -TOWN OF BARNSTABLE., MASSACHUSETTS Ye Zipplication for Ziopozal *pgtem Construction Person Application for a Permit to Construct(-TRepair( )Upgrade( )Abandon( ) Btomplete System O Individual Components Location Address or Lot No.VP0 N of i� k3+y gjno-ek Owner's Name,Address and Tel.No. 016 eervihe 'Tht-vvs R7-,r Assessor's Map/Parcel 24 rh 3 \S_/jo � ``7 No-,Cl 7Z e H OSI�C J�I1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Cnyr,�er��� (C 5 R 05ker\f eke Type of Building:. Dwelling No.of Bedrooms _ Lot Size IaSZ /1K, sq-fc Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 7 8 1 gallons per day. Calculated d ily flow 770 gallons. Plan Date 8/Z 5 03 Number of sheets i 5J ele Fd� Revision Date 414103 — /p.IZ4103 Title SITE PLAQ eot�Scb Sy�1?�COGMt S Size of Septic Tank 2M bArL Type of S.A.S. 7-Soo 0AL. (H>bnbCkS rN A#x Iix631 i;icg7 Description of Soil;(5C& P*10,W)B) 0-10' 0 L&\jef, Q)Lr1�( SNN t>. 10-16" At1 LP,-It;k amp SA,%- J w/ so,nE 16-Z3" AZ LMC P, gleD. SAND .:.-/SOMS:: BP55 swne Fwcs 3s-rZe" C. LA-1eP, me\>.5NPD�— Ne eea�s�ua�� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees t ure the cons n maintenance o he afore described on-site sewage disposal system in accordance with the pr sions of Title 5 E it a no place the system in operation until a Certifi- cate of Compliance has ee s Bo f ®s Si e _ Date Application Approved by ® Date Application Disapproved for the following re o s Permit No. Date Issued dr• ".N h 0 ° Fee THE COMMONWEALTH OF MASSACHU 5- Enteied in computer: Yet PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS { 2aprication for Mzpooal *pztem Cow4ruction 'Permit Application;for a Permit to Construct(—f Repair( )Upgrade( )Abandon( ) ©Complete System O Individual Components Location Address or Lot No.2do 0 N Or\�\ Owner's Name,Address and Tel.No. Assessor's Map/Parcel 245 NO`"{'-` h°^ 7Z._Q � Cs�erJ�lie., Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. o. 3ax, ��q C>Saer«r-kte. Type of Building: Dwelling No.of Bedrooms 7 Lot Size l,5 Z -I(- ; sq-£t Garbage Grinder( ) Other Type of Building No.of Persons ( Showers( ) Cafeteria( ) Other Fixtures Design Flow 8 gallons per day. Calculated d 'ly flow 770 gallons. Plan Date Number of sheets l (Sheer Revision Date /6116 03 - /O/Z41C)3 Title 51TE PLA N "?90?taSC 1) tJ6 mG/VTS Size of Septic Tank 200 toA k- Type of S.A.S. 7-500 oAl. KS 1 N A IZ r6�� i-taD Description of Soil,(5e P -to,tab$) 0-10" 0 LPOCK CO(Novy `NNia 10-l6" P�t tPr-ItR :iC D SAv�> V31 54<-Nc C=r UGS ((�-Z �Z- cm P, al,Cr), SAND Ut soegC- Fw65 23-3S" P, C+>,terK �►r�.sAN,Z" vj 5GOE E N6S 35-(Z6' C. LA It P, 0f0. .,AtN'D - NO t ZQOWWNZGe,_ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the constructibn a maintenance of/the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro/nment'-'odd- in not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board-of�Health. Signed ' ADate 3 - 1- 7k, , Application Approved by ; ,fir J=f `c A. / r! ' Date Application Disapproved for the following reasons _ > r L/ Permit No. �T Date Issued -------------------------- ------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS QCertif icate 'of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(�'")Repaired( )Upgraded( ) Abandoned( )by _ at. z(oa Aor `n h, RomA A h been constructed in accordance with the provisions of Title 5,and the for Disposal System Construction Permit No J' ated Installer Designer The issuance of this permit shall not be construed as a guarantee that th se ystegwill nction as designed. Date Z11A5 Inspectors .•M. No. �J j '" ----------------------Fee _ f,90 / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS W6po,ol 6potem Con0truction Permit Permission is hereby granted to Construct(Q/)Repair( )Upgrade( )Abandon( ) System located at 2GO MorlNN PaA o�- ,V.'k 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 thi p ' �j tfi Date: Approved by /,C Town of Blarnstable 1'# /0, (C'O g Department of health,Safety,and Environmental Services o�I"F Public IIealth Division Date/ /Oz, Qn 367 Main Street,Hyannis MA 02601 enrwerAOM rASI lEvnv�+" Date Scheduled- 'Tillie 11'00 Fee 1 d. too— Soil Suitability Assessment for Sewage Dispo' salr Performed[3y: .i t or\ Witnessed Uy:_Sam W yA f+ ' . J ` ON & ENYORVLO AIION Location Address Z60 North L,7 Ra Owner's Namc Thomns F l'y, Os}ervllle•� Ml'�, Address Z-45 North Q,,/ Ro,cl Assessor's Map/Parcel: 77-_8', Engineer's Namc NEW CONSTRUCTION _,� REPAIR Tele phone N t 1 sob_ IZ8-33y Land Use RQSIdPn�;�1 Slopes` I O_O- —• Surface Stones None Distances from: Open Water Body 7O6 i It Possible Wet Area!Zoo t }It Drinking Water Well Soo' + It Drainage Way 500 i R Properly Line yLO n Other It SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands io proximity to holes) 10 ------------ 1 1 Parent material(geologic) OA,rf Depth to Bedrock S00 ± DeptNlo Groundwater: Standing Water in Hole: None Weeping from Pit Face 'A)A, Estimated Seasonal Iligh Groundwater EL. 2,,S TO i, i�l<JTCrt1VXYNA'1"YEN X!OIt S>✓ASONAL YrY�1Y 'VVA`� Zt'Z'AI3L�' Method Used, N,�n (see aba�t� Depth Observed sla— nding in obs hole tir Depth to soil mottles. Depth to weeping from side of obs.hole: 01 Index Well N in. Groundwater Adjustment Index _._. .-.•. RradinR 17atc:._ _ hole"Well Icvcl•.___ Adj.factor Adj.Groundwater Level I! RCOLA'I'ION TCST �>ite ro Int1E t o�. Observation lolc N- z Time at 9" Depth of Pcre fimc at 6" Start Pre-soak Time Q Z.5 �ORcw — Time(9"-6") End Pre-soak fir\ fn.S1 Rate Min.Anch Site Suitability Assessment: Site Passed i. Site Failed: y Additional Testing Needed(Y/N) Original ,Public Health Division Observation hole Data To lie Comple oil ted Back r Copy: Applicant j D.Ekel O SER.VA['tOl�f'XtOt +; L()C I1t>Io�;`" t Depth from Soil horizon Soil Texture Soil Color Soil Other Surfacc(m.) (USDA) (Munscll) Molding (Slruchtrc,Stones,Iluuldcres. 10— met). 5AAM, / —. — �(o At SorbE -C _ n mew SAND '/ i ---- mb1i. sA>rD i --- Depth from Soil Ilorizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munscll) Moulin Other g (Structure,Sloucs,lkrulderes. o-q'` -- ConsistcIII; "/o 'ra ell o rn 5 _1� � Z r MEt) sAND W/ F _I� �� SOME IO ;-/Z O --- y� I, i' meD. St�n1D ta/ � — 17 0 5 Z_ 4-34 I soMc �rties -1 0 R2A, — s u sy b1' ►T#St�VA` tbN IUL {;LUG lulc # Depth from Soil Ilori Surface(in.) zon Soil'l'cxlurc Soil Color (USDA) Soil Ulhcr ( ) (Munscll) Mottling (Slruclurc,Stones,Ilouldcres. .: _... �5211&lStC11GY�Lo Gravel) llE��' 0135 12VE11' Cl�`V ZXOL, LOG i[ulc'# Ucpth from Soil Ilorizon Soil'I'cxlurc Soil l Soil Color Surface(in.) Ulhcr (USDA) So(Munscll) Mottling�— g (Slructurc,Sloucs,Iluuldcres. Coiisi�(citcy_,LGrav_cl) �I�d lusurauc� Rate Min Above 500 year flood boundary No Yes r/ tlo�S>? 1 i\1,OvG 500 YCAEZ Ftoop N a Within 500 year boundary No Yes ✓ — t3� A PoR�1oN o� �tt� (,oT tS wr�lttnt TrIC, Within 100 year flood boundary No_ Ycs ✓ ��� Ve A�fu,-p BwNogRy ` ems._.ti_f �1h of Natur ,llv C)ccurrinv Pr►•yious Material Does at least four feet of ualurally occurra�p"vious afiropose8 for the soil absorption system? YES * If not,what is the depth of naturally occurring pervious material? Ccrlif►cali m I certify that on ;\ Igg7 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by the consistent with the require 'ling,expertise and experience described in 310 CM It 15.017. Signature_ o Date C:)G 1 zfg� Zoo 3 TOWN OF BAFNSTABLE _ LOCA TION SEWAGE # VILLAGE '� ASSE SOR'S MAP & LOT 5167 INSTALLER'S'NAME&PHONE NO. f' &Y SEPTIC TANK CAPACITY ' LEACHING FACILITY: (type) 7 (size) �� gpp NO.OF BEDROOMS BUILDER OR OWNER 1,jarLs PERMIT DATE; COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of lea hing facility) Feet Furnished by 7_55' 9-3a'G 11 MID A u Town of Barnstable Board of Health P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. November 20, 2003 Mr. Peter Sullivan,P.E. Box 659 7 Parker Road Osterville, MA 02655 RE: 260 North Bay Road, Osterville A=072-008 Dear Mr. Sullivan, You are granted approval to construct an onsite sewage disposal system designed to be connected to a five bedroom home and a two bedroom guest house at 260 North Bay Road Osterville, Massachusetts. The approval is granted with the following conditions: 1) The septic system shall be constructed in accordance with the submitted plans. 2) The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans. Sin rely yo Way i ler, M.D. Chat an BOARD OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP/Su117Beds tNE - DATS: FEE: RAIDWA RUC. MAs& 9� 1639. � REC. BY Town of Barnstable SCHED. DATS: Board of Health 367 Main Street, Hyannis MA 02601 y Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION _ Property Address: 2(00 )Vnr)Ar. Assessor's Map and Parcel Number: 077— NO8 Size of Lot: 1•SZ ACK�S Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: Phone 508 - y? 2)- 33'f->`f q Did the owner of the property authorize you to represen-Mim or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON _ Name: 1 1�ar,a F_ R ,on -7r. Name: Address: Address: n r tr v�e, (Y)AA Phone: Phone: SDB-928-3-SL4� VARIANCE FROM REGULATION(t.ist Reg) REASON FOR VARIANCE(May attach if more space needed) NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System ❑ Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same ownerAcasee only],outside dining variance renewals(same owner/lessee only],and variances to repair failed sewage disposal systems (only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VAR -'uNCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.ST.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ 4_� 17 F; jACK, _UhdPIOR 61�: 7.3 yi�.J i 1c'�^11= P.02 THO IMAM F— RYANe JR. October 28, 2003 E Board of Health Town of Barnstable 2,00 Main Street Hyannis,MA 02601 , Dear Beard: This letter is my permission for PETER SULLI—VAN to represent me before the Board of Health of the Town of Barnstable on the matter of a seven(7)bedroom septic at 260 North Bay Road. Yours truly, Thomas F. Ryan, Jr.- 4 { :: TCT FA, E.C2 TOWN OF BARNSTABLE L ATION c�LQ O /t/r t L �ion o� SEWAGE# VILLAGE( /�c>���� ASSESS R'S MAP&LOT GUB- �ys,�G�To,��s Prae�ar �NAME&PHONE NO�/4/� SEPTIC TANK CAPACITY LEACHING FACILITY: (type)_/ d ^ 0 (size NO.OF BEDROOMS BUILDER OWNS - PERMITDATE: COMPLIANCE,DATE:. Separation Distance Between the: Maximum Adjusted Groundwater Table and 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) /Sl� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin fa ' ' ) Feet Furnished bya�/Y M/.2 '1'eGP/�/J /�C g/,g/,gv r Y GILASs�--)O(Qc# 3�Y x , o:r BORTOLOTTI CONSTRUCTION,INC. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM '. -- 'Address Prop � Date of Inspec}' w � M�07 arcel Ow ------ _ - -- --- --------- _----------- PART A — CHECKLIST CHECK IF THE FOLLOWING HAVE BEEN DONE: @�n , / II(cf�i v' V PUMPING INFORMATION WAS REQUESTED OF THE OWNER,OCCUPANT,AND BOARD OF HEALTH +— NONE OFTHE SYSTEM COMPONENTS HAVE BEEN PUMPED FOR AT LEAST TWO WEEKS AND THE TEM H BEEN 19,� )4i� RECEIVINGWORMAL FLOW RATES DURING THAT PERIOD, LARGE COLUMES OF WATER HAVE NO C N INT INTO THE SYSTEM.RECENTLY OR AS PART OF THIS INSPECTION. qB,l AS—BUILT PLANS:HAVE BEEN OBTAINED AND EXAMINED: NOTE IF THEY ARE NOT AVAILABLE WITH N/ THE FACILITYOR DWELLING WAS INSPECTED FOR SIGNS OF SEWAGE BACK—UP. S b . THE SITE WAS INSPECTED FOR SIGNS OF BREAKOUT. ALL SYSTEM-COMPONENTS,EXCLUDING THE SAS,HAVE BEEN LOCATED ON THE SITE. THE,SEPTIC=TANK MANHOLES WERE UNCOVERED,OPENED,AND THE INTERIOR OF THE SEPTIC TANK WAS INSPECTED FOR CONDITION OF.BAFFLES OR TEES,MATERIAL OF CONSTRUCTION,DIMENSIONS,DEPTH OF LIQUID;DEPTH OF SLUDGE, DEPTH.OF SCUM." t THE SIZE AND LOCATION OF THE SAS ON THE SITE HAS BEEN DETERMINED BASED ON EXISTING INFORMATION OR APPROXIMATED BY NON-INTRUSIVE METHODS. f/THE FACILITY OWNER(AND.OCCUPANTS,IF DIFFERENT FROM OWNER)WERE PROVIDED WITH INFORMATION ON THE PROPER M I E NCE OF SSDS. PART B — SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL. .. _ No of Bedrooms No of Current Residents Q Garbage Grinder t Laundry Connected to System �✓ Seasonal Use NON-RESIDENTIAL. , ` :.Calculated-flow "' WATER METER READINGS,iF AVAILABLE: } i GALLONS Pumping,Records and;Source of information: .. Rio �ec®rG� o r0W 4 �, c SYSTEM PUMPED AS PART.OF INSPECTION? IF YES,VOLUME PUMPED = GALS Reason for Pumping ,a TYPE OF SYSTEM ti l "Septic tank%dlstributlon box/soil absorption system I �Singlen Cesspool Overflow Cesspool Privy w ° ° Sha, d s stem (If (es,attach:previous inspection records,,if any). k * Q�(�..V00 , Ly /approximate age,�afe�ijcomponents ' s Date installed,if,known. Source of informatlon: p , j ar.yii'' '�` .•fit i,h 'iy 4 .. Q4 AV 8EWAGE ODORS DETECTED WHEN ARRIVING AT THE SITE? ¢ F �� 7 - � , M.� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' • FF PART B — SYSTEM INFORMATION (Continued) SEPTIC ' A K �= . Depth below grade.; Dimensions: Material.of construction: Concrete Metal FRP Other} Sludge Depth Distance from top of sludge to bottom of outlet tee or baffle Scum Thickness Distance from Top of Scum to top of outlet tee or baffle Distance from bottom of Scum to bottom of outlet tee or baffle Comments: DISTRIBUTI N;B X: DEPTH OF LIQUID LEVEL ABOVE OUTLET INVERT Comments: P B R:IV Q Pumps in working order? Comments f SOIL°AB RPTI Y TEM SAS IF NOT PRESENT,EXPLAIN: -TYPE. Comments: . CESSPOOL'S 'Number and configuration �$ Depth top af,lig4hd inlet invert Depth of solids layer Depth of scum layer s yl{'Dimenskmxof case;^ % -p' Materials of construction ;; r'(S' Indk:atlon�of groundwater Inflow,(cesspool must be pumped) mmentm /lv it / / L� VQ3Wa �7�'� •L��• PRIVYt y , Materials of,constructlon >' -,y Dimensions 3 _ Depth of solids k z Commerts r > 3 r- � t tit' .�. � ,r �'k 2 f r �. - _ • F,rr. }', ,stkr ti t f' �F # 3':''� ` r ate'tYr t ',"�. x'3j4�.f f. :. '� �r � �.1.� .��t'F; fM fit✓#� Yt ,.. .'� rc ¢ x } �4,�2 ._ram �f .�xF 7}4�t�.� e ;r>M.�� .. a �, ; , ; ..• a s z v SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B = SYSTEM INFORMATION (Continued SKETCH O RSEINAGWDISPOSAL SYSTEM: INCLUDE'TiEB-TKO A'CtWT;TWO PERMANENT REFERENCES,LANDMARKS OR BENCHMARKS. LACATE ALLLL$rWEyWl1 HIN'100' 1 4' F 4+, s�'��i x T'c__��t�pyr°y r ,, �kr �` �fl+� *.h' P�ty 11"�zY `� h kj.;, 1 �A }{f xEPETy Y Q p _ DEPTH TO GROUNDWATER T Na 4 Moo oR PAo)OMAnoN tt ter; 3 75113, + r;�¢" �,.. . ��T -_ z ,; t x fnr a�•� 9`'''d a p k� �-EA-+rx✓ � ap X �..�t 1 4t r a'z32 i, e '.� � �� �� ✓.� t-.1 '}Y'`t'Y`�' F a � �¢5 3•rg"+�.�r +T""y`JrA a,t T+���. t �x t � y t r � i � t - b r -',SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C — FAILURE CRITERIA - (Indicate Y-yes N—no ND—not determined.Describe basis of determination.If"not determined",explain why not.) Backup of Sewage into Facility? Discharge or ponding of effluent to the surface of the ground or surface waters? Static liquid level in the districution box above outlet invert? Liquid depth in cesspool, 6"below invert or available volume,. 1/2 day flow? Required pumping 4 times or more in the last year? Number of times pumped N Septic tank is metal?crackedl structurally unsound?substantial infiltration?substantial exfiltration? tank failure imminent? Is any portion of the SAS,cesspool or privy, below the high groundwater elevation? A/ Within 50 feet of a surface water? >V Within 100 feet of a surface water supply or tributary to a surface water supply? Within a Zone I of a public well? IV Within 50 feet of a private water supply well? Within 50 feet.of a bordering vegetated wetland or salt marsh (cesspools&privies only, not the SAS)? Al Less:than,100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform:,bacteria,volatile organic compounds,amonia nitrogen and nitrate nitrogen. PART D — CERTIFICATION INSPECTOR: ROBERT J.BORTOLOTTI ADDRESS: 765 WAKEBY ROAD,MARSTONS MILLS COMPANY BQRTOLO'TTI CONSTRUCTION INC. MA 02648 (508)771-9399 r CERTIFICATION STATI=MENT I CERTIFY THAT I HAVE'PERSONALLY INSPECTED THE SEWAGE DISPOSAL SYSTEM AT THIS ADDRESS AND THAT THE INFORMATION REPORTED;IS':TRUE;'ACCURATE AND COMPLETE AS OF THE TIME OF INSPECTION. THE INSPECTION WAS PERFORMED AND ANY RECOMMENDATION REGARDING UPGRADE,MAINTENANCE AND REPAIR ARE CONSISTENT WITH MYTRAINING AND EXPERIENCE ' IN THE PROPER FUNCWIOND.MAINTENANCE OF ON—SrrE SEWAGE DISPOSAL SYSTEMS. CHECK O ; I HAVEMT FOUND ANY INFORMATION WHICH INDICATES THAT THE SYSTEM FAILS TO ADEQUATELY PROTECT PUBLIC HEALTH;OR THE ENVIRONMENT AS DEFINED IN 310 CMF 15.303. ANY FAILURE CRITERIA NOT EVALUATED ARE AS ,STATED IN THE°FAILURE CRITERIA"SECTION OF THIS FORM. I HAVE DETERMINED THAT-THE SYSTEM FAILS TO PROTECT PUBLIC HEALTH AND THE ENVIRONMENT AS DEFINED IN 310 CfyIRs:15,303 .,THE BASIS FOR THIS DETERMINATION IS PROVIDED IN THE"FAILURE CRITERIA"SECTION OF THIS FORM INSPECTOR'S SIGNATURE DATE ORIGINAL TO.SYSTEM OWNER,COPIES:BUYER(K applicable),APPROVING AUTHORITY 6 Y A 3 Q _ r N _ E. COO —+ ��rrut NI �.U It I co 1 ` L i lei'-o � • p 'w V! Azt- - � CS COMM. N0. DATE T DRAWN BY. SHEET No., . w v a + - JL - i .. I � � - � � -- FBI W'... •. ct i k� Q�t N+ IcTLE Q c r i o~ 0. DATE DA t 3 SHEET NO. U U . i , - I : : i, �E—C�1J57�Ccx.) - I i I : I I 1 T Ue — ---- ._ o 61 : i 1 _ -- C OMM. N0. _ D�Tc DRAWN BY v SHEET NO. s Q f 1..• e { mo h ►pi ic— _-_ NI V T ai i $ j R as , , • .. d wo t ,-144, COMM. NO. F DATE -8r�-E-b3 DRAWN BY s SHEET NO. y vi .0- V U 0 �Q 3 r ct _ 3 COMM. NO., , O DATE g DRAWN BY, SHEET NO. U cn N I + w 1' h+�l I I� I I I a� , _ I-es, At -01 i — E.Y 61 v, COMM. NO. D TE <: DRAWN BY.. I y , SHEET NO. 3 - -- I �. F - jr f C1 05ET CL05Ef PECPEATION POOM aa9--6,, MECN,SPACE zo NMI5NG0 -'!N5LLAflON n 1NFINI�E7 S _ -;5HEETFOCK. o. n -CA5NG - z O CA Mf V/TNEATEP POOM o FINI5NE7 -INHLA9oN a MISC.SfOPAGE .. -LASING - 301LEI: ISINI`LED f3A5M0AW - INEINI5NEl7 CAV'Er — _-- — ---- ---- -----* c.o. II z STOPAGG - - - IAFINI5C9 - - _ - OIL OIL . EXI5f.WINE POOM EXI5f.LAV PIN15H 13A5MW PLAN U. I k - - FF ,• GAP.ALE FILLED A4eA W./Mrs, PYAN PE5112�NC� sou- -/OO 60NOPM DAY,'t2 rFDY V.K OI onre I/ 6OYSI7 NAp5 -Z. MA ZII flU: FIN15H 13A5MNT PLAN E.�,N0315&SON.Inc. ei.,c sos,Yfz-o45Y oenvm� A, ASSESSORS REF: Map 72, Parcel 08 x 1 �"� 1Q , H' '' .!' 'S/',. "• rye .�' - .�Q= -tl.. � ti •j: � y Jic OVERLAY DISTRICT: n r x AP - Aquifer Protection District Lsr As Shown on Plan Entitled .'_., "Revised Groundwater Protection {�L�OC` S ** , Overlay Districts - April, 1993 • . : Pt Gbmw 4 FLOOD ZONE; Zones A13(el=12) & C > ' t Community Panel No. L p ' 1 • #2Jr°y 2, �992 D LOCATION MAP. / Scale: 1" = 2000'f I i / t it ZONE RF-1 Area (min.) 87,120 (RPOD) i Frontage (min) 20' Width (min) 125' Setbacks: Fron t 30' Side 15' Rear 15' it it / W, ! it O) tl I Beach Grass do if I Rosa Rdgosofix / / ! vt°� Top of Coastal Bonk , (Town Definitton) l Ill :I l I ► l 1 l � l 1 I l III :•� ' •�'. - `l N, y` CU Op �I ciWkerl �� • lllllll l 11 ► ► } I I 1r X* .. �r:. I 'yr 1.� � \ • / l. / I / / / / / / / / ! l I 1 � I I } .I� \ate \�.` � I U II / /Stpirs!(f�p 150 Or i ' ij � l�l/ ll llllll l l I1 �� ` • \ E m Ill // //lllll \ I• _ � � - II �! 11 \ ` oo �10 �0ZO �Q state x �,` \ �0 Q y+ a Y Patio / Caw-r00 ` h'► �11 �l j/I// / / / / / / / 33,E - o J Illlr lot, !r I / I /,/lo/ / / / I / / / -•• __fix �: P � \ '• �\ !f // J o A4 (l�l t1 I ill f Timb /' 1 • / I 1 I I 1 ll I�l l III l Re Is / xr Q� 1 ► 4 hJ o 1 / 11/l//I/If/�I11►r t / / / �gH ' ,• �' �`�-3 M °t.rn,t :cs `Y, Z-o `I"¢ I \ , 'aQ Lawn, � � t /Ji l//I,C!/! a,� �- teF�7 r2� ° ,y�i /S� t / ll�l/ll l /lI 11 l Lawn / - �., I, 1 I/l II l� � l/1I'I I / I/ I \ Owlrass / �_- \ V c��b ` I/ `�` s /f 1 t Hit t! l!11 I I / / \•` ;Tknber x Slate ' 1 v l 11 11/I►/!t�� t/ tll/ Patio • Steps--.... / 7 ` l � \ / ' F / l l'l 11111 III/ lilt s / l / 1 l �1 I 1/ 1/ ! t l 1 I!l/ �°° •••' }j, Q. La: ,, /' -' t , 11 I 1 I t -� `. ••. . � t t / I / 1 1111 1!/I l! 1►�i/1 �ll 6r I / 1v► t r - % ,�� 0 11 Y aLawn IN, N `� / FEMA Lone Line � �'A< s� t as shown on FIRM Ponel ^ <91►�'ol, I 1250001 0018 D :� 1'��O G \ as 't.47 'L \ ` a / %r O� SSA @JS•60 ?S \ / ;• �3� a �s \ LUAC14 PIT FOR 3 voter 6) ro / moo- '�I p / ' / Q // +� _ Ptt10,608 Date:1023/2003 D / Performed SullivanEngineering ltnessed y Sam White, -B O R I 4 E. to M i / P ed By. W B . ite, 4L J i' / / l / P' a` TEST HOLE- 1 TEST HOLE-2 OGN / / / �eQr� GRASS GRASS i F.G.35.0 Vent oe ✓ / 0 / T - �� F.G.34.0 w `� �i/ / / / Cr O LAYER-10YR 22 EL 32 0" O LAYER-10YR 22 EL 32 ` 36 O / / / / _ Z29 / VERY DARK BROWN VERY DARK BROWN o� 4` LOAMY SAND LOAMY SAND / / / 10" Al LAYER-10YR 32 EL 31.2 9" Al LAYER-1OYR 3r2 EL 31.3 2.5 31.4 Lot Area i \ / / / / VERY DARK GRAYISH BROWN VERY DARK GRAYISH BROWN 2000 Gallon Top El.32.4 �.B2 AC / ` % 3�i / / / MED.SAND SOME FINES MED:SAND SOME FINES 32.3 Septic Tank 32.05 �Fj/ / / / 16" A2 LAYER-10YR 514 EL 30.7 17" A2 LAYER-10YR 5/4 EL 30.6 C•ri5• Bot.EI. 4 / / /�` / YELLOWISH BROWN YELLOWISH BROWN •cox r :_ 7,�.: 31.85 31.6 7 4 MED.SANG SOME FINES MED.SAND SOME FINES Bedding as / ;T ,/ / 23"I B LAYER-10YR 416 EL 30-1 24" B LAYER-10YR 416 EL 30 ` Bottom Test Hole EI.22.0 _ r. c --- __ .<. s . ._., »_ _. -. __ 'LLOWiSH 8RUVYN UAtiiC YtLivW can[itw'vYV r �_.-T_-_ - - P., •it No Groundwater / DARK / / MED.SAND SOME FINES MED SAND-SOME FINES / // DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM _ - t •yS� / ' 35 LIGHT OLIVE VEBR wN EL291 " LIGHT OLIVE BROWN EL29.2` Not to Scale / / MED-SAND MED.SAND / / �` PLAN VIEW 12a' NO GROUNDWATER ENCOUNTERED EL 22 41" PERC,TEST:<2 MIN/ EL 28.8 - Scale: 2O' APPROXGROUNDWATERaEL.2.5 NO GROUNDWATERENcouNrERED _ APPROX GROUNDWATER a EL 2.5 rs� NOTES tap_ Or LVB47 NCvD / _ DESIGN DATA REVISMP ANS=Mr-t'ALsHM 1. Water Supply For This Lot is Municipal Water. Guest Cottage=2 Bedroom CS _ = Filler � �^_- ;. Fri ;,Fabriccompacted Fill `:, 2.Location of Utilities Shown on This Plan Are Approx. With no Garbage Grinder / � SE3.At Least 72 Hours Prior to Any Excavation For This Single Family 5 Bedroom Ile-1/27 Project The Contractor Shall Make The Re uired W 1th no Garbage Grinder f Pea Stone Notif ication to DIG SAFE-1-888-344-7233. Daily Flow=IlOx7=770gpd `ts / ' AMCAXrSNA2%M- ThoM F AS . RYlAN, 5� - 3.TheContractor is Required to Secure Appropriate Septic Tank:770gpd x200%=1`i40gpd c}` + /:` zt,o NvRtN QA`t [ZO L.ccbtay Permits From Town Agencies For Construction Use 2000 Gallon Septic Tank / ' tIAOlECiLOGnox OS`TE R VT LLE /19ASs Chamber 3/4•-tl/2"Daal1• Defined by This Plan. ^+ Washed 4•Install Risers as Required to Within 12"of Finished . •- l - ♦-lo I LEACHING AREA � Grade. 770 d/0.74= I. 41 s.f.Required 4 I 12-o• I r 9 D g q This project has nlm&dY been;�•11°d an Order of Conditions ❑ 5.All Structures Buried Four Feet(4)or More or Sidewalt 2(12�63)2=300 s.f. Subject to Vehicular to be H-20 Loading. Bottom Area:12 x 63= 756 s.f. I CROSS SECTION OF CHAMBER 6.Septic System to be Installed in Accordance With 1056 s.f.Total Provided on - Ma 0cm eor To SCALE '310 CMR 15.00 Latest Revision And The Town of LEACHING CHAMBER DESIGN Barnstable Board of Health Regulations. All Piping to be Schedule 40.UspT-500 order of Conditions notvet Nyuet 7 All Piping lobe Sch.40 PVC. Gul.Leaching Chambers in 12 x 63 Washed Stone Field as Shown. _ This plan wsll be eotuider+cd on • Deal y`�rr99t:r 3}g 1 3 ...% lo/24103 AsDDe3 PERC Te=ST DrkTh 3�, LLB: AOpeO CONSMRV.COMM. COMMer-t4'TS w _RBv1510N 10/It./03 1=ROM. 10/W/03 "MAR\NG . TI TL E: PREPARED BY. ��. L�;i.;t NotesRevision:D FOR: / CapuSurav Thomos F R on Jr. 1.) The property line information shown wasSullivan Engineering, Inc. y • SITE PLAN � � Parker Road 4 compiled from available record information. � PO Box 659 2 . 5 North, Bay Roar' PROPOSED IMPROVEMENTS Osterville, MA 02655 Osterville MA 02655 Oyster Harbors MA '02655 2.) The topographic information was obtained 260 NORTH BAY ROAD (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fox from an on the ground survey performed on OSTERVILLE , MASS. PSWIPEVaal.corn cap­.surv*capecod.ner or between 12/JUN/03 and 24/JUN/03.. 0 Draft: MJD Field: MC`'rl/WHK 3.) The datum used is NGVD '29, a fixed mean , -- - 0 10 2t� 40 80 sea level datum. Date, Scale: e PS Comp/Draft: MOH mot- August 25, 2003 Comp/nevi w: _ ' As Shown - __ �.- ..,.-_. ;; x t, Proj # 98002. Drawing # C•i22__1G1 _ u, �.•.�__��....��_.b. f _ ! i I ASSESSORS REF.; ` � 6 Map 72, Parcel 08 t s c t, u. OVERLAY DISTRICT: 1 �4 r _ AP - Aquifer Protection District �. As Shown on Plan Entitled a� v "Revised Groundwater Protection •- - Overlay Districts' - April, 1993 rs •r FLOOD ZONE: s ;z b / Zones A13(el=12) & C ml�- / Community Panel No. IT , p+ _ #250001 0018 D i July 2, 1992 LOCATION MAP: Scale: 1" = 2000'f ZONE: II I RF-1 Area (min.) 87,120 (RPOD) Frontage (min) 20 Width (min) 125' Setbacks: / Fron t 30 Side 15'� Rear 15 40 i 0) 'I l Beach Gross & LO Rosa Rdgosa Top of Coastal Bank (Town Definition) d� : I l l l l l l � l r 1 I r I 1 .• .� ..: \.. \ _ V ti / \- '''••.. tp- a 00 - 1 91 t . I `\I 1 t /9�*� �� ��• � /J erl ` 1 "'%� • /Stpirsl(t 150. NPQ I N � y�CP v I � Q o e Qao i T I ' 1 I I � l // stale o `. a Ptro // tor:n n Q F Co o J �' l IIII / - \: � /l /� 1/ l� k \ \�o. I� J"l ` a �, li 1 /l 'l�ll��l'l /' J / / / // / � ,/ -,�•r'a� .�:` /e �•T��t� • t EQ�,�&N -�` � � ` +f� Jr/ / of \� !'Q,,Iwe �. Tim bll' r \ \ ', � 1 I I I I I I I�l I l ' 11 I I � / �� �` I - �� � •.. V, � �/ 14 Ai / !1 I►II III 40' rJi i / //fl ltl• I Il�t� / / , ii;�'l ;,1 ' o FeHC ► \ y,� Q a ®• t 07 Il // 1/ / / �,Nam.- �` a°o,<' z ` ��f�' "�- Lawn / Q�� . Lawn §�` �� j 1 '111 /I 1 1� / '''•� :�.... �Poai ass X ,� o •: ,�f \ f 11 111 `\ :timber State v } \ \ r � Step$-•••.....• POGO I l r1 /1 r l / II�l1 ►� - tti. r rl'Illl'rllll' 11 IIII 11 :n��K. `,�` ~ , rC t �� 1 ` \ ,�� `\ Etee l 1 1 I l 11 11 I I 1 ' I Mete\ 5t� , h • i; ��: \ ` 1� � � �r► >v� QI Lawn FEMA Zone Line q p 9 \ \ h i as shown on FIRM Panel ,ry �� � �Qt \\\ ,� ` \ r , F, 1 1' '�o � 250001 0018 DLL All SSA �`�S�@ \• r¢ / O cos � \�� �• �C'li` � \I � /•�_ � '-� // /' `� ::' \ . ff ' 1-EACH P i T Fo R t 4? s t. \ lZ�`_, / / / 30� r ,n y s�\O- \ 5;?� ' / �1 rM' I / / a J / +` P#10,608 Date:10232003 ' / d+•\i Performed y SullivanEngineering rtnessed y Sam White,T.O.B.-B.O.H.i y� M ,� / / k B . W B 'te T G,E / I � h ON TEST TEST HOLE- 1 TEST HOLE-2 F.G. 35.0 Vent o� o ✓ `� ,�� / / / +' 1 p� GRASS GRASS F.G.34.0 w ` i P,� / / / o" O LAYER-10YR 22011 EL 32 O LAYER-10YR 22 EL 32 I VERY DARK BROWN VERY DARK BROWN dory `�36 LOAMY SAND LOAMY SAND { 2.5 31.4 Lot Area �o / �\ i� / / 10" Al LAYER-10YR 32 EL.31.2 9" Al LAYER-10YR 32 EL 31.3 s i / / VERY DARK GRAYISH BROWN VERY DARK GRAYISH BROWN 2000 Galion Top El.32.4 1.52 AC / ` i / 3�. / MED.SAND SOME FINES MED.SAND SOME FINES 32.3 Septic Tank 32.05 ti' / / I Bot.EI. 2 q 3� / / / 16" A2 LAYER-10YR 5/4 JEL.30.7 17" A2 LAYER-10YR 5/4 EL 30.6; / /or 31.85 / 3 .6 YELLOWISH BROWN YELLOWISH e :. � :_<: -,:• BROWN MED.SAND SOME FINES MED.SAND SOME F!NES Bottom Test Hole EI.22.0 f _ / ' �_` Y / �o 6 LNYLi(-ifim 4/O EL.3UA e4 G LAYtK-IUYR 4/0 Ei-30 Per Title 5 No Groundwater /r / / , DARK YELLOWISH BROWN DARK YELLOWISH BROWN , MED.SAND SOME FINES I MED.SAND SOME FINES DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM •yam / ' �� s CLAYER-2.SY5/6 EL.29.1 34" CLAYER-2.SY5/6 ELzs.2i /� / LIGHT OLIVE BROWN LIGHT OLIVE BROWN I Not t0 Scale PLAN VIEW MED.SAND MED.SAND 12 NO GROUNDWATER EPN,OU ITeRED E L.22 41" PERC TEST:<2 MiN EL/IN 28.6 ' APPROX.GROUNDWATER EL.2.5 NO GROUNDWATER ENCOUNTERED , sM f►=:?�.47 h vLi! Q n� .// Scale:i' = 20 red to of LYB ..---- ----- -_--._-._ _ APPROX GROUNDWATER Q EL.2.5 s..d. NOTES DESIGN DATA rh �, REVISED PLAN SUBIM rr,v,sl r I. Water Supply For This Lot is Municipal Water. L . 2 i Filter � , _ Guest Cottage=2 Bedroom � � A In Fabric Compacted Fin - .• 2.Location of Utilities Shown on This Plan Are Approx. With no Garbage Grinder �,/off At Least 72 Hours Prior to Any Excavation For This Single Family-5 Bedroom 1� Project The Contractor Shall Make The Required With no Garbage Grinder \ti Pao Stan. Notification to DIG SAFE-1-888-344-7233. Daily Flow=110 x 7=770gpd ,yQ�p /.' Th wrrLtcAMrstrAt¢ U 3.The Contractor is Required to Secure Appropriate Septic Tank:770gpd x200%=1540gpd �\ /:` MAS F• RYi4/y, 5Q Permits FromTownA enciesForConstruction Usea2000GaIlonSe tic Tank a ZI,O Nr�Rtta �AV 1Z0 + Leaching n mna� 3/4"-II/2"Doubt. Defined by This Plan. g p `� ♦ rxotEcftocAzzox: OSTER VIL•LE, /nlJ.Ss N Washed , 4.Install Risers as Required to Within 12„of Finished LEACHING AREA r I- 4'-Id I Grade. 770gpd/0.74= 1.041 s.f.Required Sidewall: 202'+63')2=300s.f. / ZbisproJ�lmmt^" Y�"issued=OcderofCondiaons ❑ 5.All Structures Buried Four Feet(4)or More or , Subject to Vehicular to beH-2-0Loading. Bottom Area:12x63= 756s.f. I. CROSS SECTION OF CHAMBER 1056 s.f. Total Provided \ Olt Check Ona 6.Septic System to be Installed in Accordance.With LEACHING CHAMBER DESIGN NOT To SCALE 310 CMR 15.00 Latest Revision And The Town of Barnstable Board of Health Regulations. All Piping to be Schedule 40.Usp 7-500 Order of Conditions notyet 1.stied Z All Piping to be Sch.40 PVC. Gal. Leaching Chambers in a 12 x 63 Washed Stone Field as Shown. This plan wilt be considered on Do" �',,i'1 Lj 15 ` ra'xsa ` to/zg103 NDDEb PERQ Te=ST 'DATk c, ADOt=o C-ONSMRV. comm. CoMMr-NTS a •� .RE_vi51oN 10/1l./03 1=RoM 10/1'-1�o3H�ARING .,,",Y;,,,,,�n• TITL rr11 PREPARED BY. PREPA 1, FOR; Notes/Revision: Sullivan En ineerin , Inc. CapeSurv : Thomas F Ryan Jr. 1.) The property line information shown was SITE PL.A PO Box 659 g 7 Parker Rood 245 North Bo Rood compiled from available record information. c?b P IMPROVEMENTS Osterville, MA 02655 Osterville MA -02E55 y i Oyster Harbors MA '02655 2.) The topographic information was obtained NORTH BAY R (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fax from an on the ground survey performed on N PSuI/PE®aol.com capesurvOcapecod.net' y OSTERVILLE , MASS. or between 121JUN103 and 24/JUN/03.. 0 3. The datum used is NGVD '29, a fixed mean Draft: MJD Field: MDH/WHK ,,. 0 10 20 40 80 sea level datum. Date: Scale: Comp/Review: PS Comp/Draft: MDH _ August 25 2003 As Shown - ' Pro). 98002. Drawing # C522_1131 }