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HomeMy WebLinkAbout0169 OST.-W.BARN. RD - Health 169 OST-W.BARN ROAD Osterville A 120 — 002 i t SENDER: I also wish to receive the •od -Complete items 1 and/or 2 for additional services. ■Complete items 3,aa,and ab. following services(for an H ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address d permit. d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N t ■The Return Receipt will show to whom the article was delivered and the date a o delivered. Consult postmaster for fee. 0 3.Article b0dre sed to: 4a.Article Number c �v 4b.Service Type ✓' �l/�' ❑ Reistered � Certified ❑ Express crn Mail ❑ Insured N Ln cc ❑ Return Receipt for Merchandise ❑ COD i °c 7.Date of Delivery ° z p - 1/-� ° a p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested W and fee is paid) s ¢ f- 6.S oXimo�� T N PS Form 3811, Dikember 1994 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid ' USPS Permit No.G-10 Y Print your name, address, and ZIP Code in this box • Public H(,P!R",! division Town of Barnstable P.O. Box 534 Hyannis, Massachusetts 02601 1 �� fill[III III lillii Ili lilliiiii1i111di lA ld illliliii1 id l Fee Mop _ / l/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zippfiration for �Dizpos;al *p9tem Conotruction Vermtt Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( Complete System ❑Individual Components �p Location Address or Lot No. 1 41r,07 Own is Name,Address,and Tel..Nc� r J 3--Assessor's Map/Parcel Installer's Name,Address,and Tel.No. b3 O �� Designer's Name,Address and Tel.No. Type of Building: !i /� S r - 0n // 0Dwelling No.of Bedrooms. Lot Size sq.ft. Gar age Grinder ( ) Other Type of Building DD No.of Persons ?r Showers(—L) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided � 1 gpd Plan Date Number of sheets 1 Revision Date Title CA.,I car , I�c7 Tos� -Vi 1� , `.ram} `(3�c nsN-C,\,�. 'JZ — Q6-�gN&4 Size of Septic Tank 1 sc-� � Type of S.A.S. Description of Soil ®— C� tt 5� � An, — `�1�L �Ar�-�� � —lam `�' 1LI%A 1 —54,p Nature of Repairs or Alterations(Answer when applicable) • �� an n-br [ GA01 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 Environment ode a5kot to place th3jystem in operation until a Certificate of Compliance has been issued by t 's Boa d f Head . Signed 71 Date _ °�' 200 . Application Approved by - — Date ,* Application Disapproved by: Date for the following reasons Permit No. 2(IO G t 10 Date Issued V 0 No. r/._t.o1( )li>" r s , Fee F THE COMMOs�-----r� NWEALTH Of MASSACHUSETTS Entered in computer: V - ' ` PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Replication for Migogal 6p.5tem Cott.5tructton permit � Application for a Permit to Construct( Repair( Upgrade Abandon( Complete System ❑Individual Components Location Address or Lot No. PD07 P,a W'0.), QwMer's Name,Address,and Tel.No. Assessor's Map/parcel ��, �j 1 Q�4.sp��Q, �. � t>,(W* Ll, ' Installer's Name,Address,and Tel.No. 63 0 Designer's Name,Address and Tel.No. 'R tk Cc c�-,\, L ar Type of Building: p J Dwelling ' No.of Bedrooms Lot Size' g 2-Cf sq.ft. Gar age Grinder ( ) Other Type of Building D No.of Persons Z' Showers(�) Cafeteria( ) r .� �• Other.Fixtures 5 Design Flow(min.required) _�`Sw gpd ' Design flow provided ��� gpd Plan Date 1>)t0� Number of sheets Revision Date Title lvior.+A A a Sc P"k c•.r- 'QVxr nr�a� R�—, CY�-��I k Size of Septic Tank Je-0� 9%Q _ . Type of S.A.S. Description of Soil O-- C1 I t SA�.�oti l�qn, , `1Z." 1n-Q 7- ,' '} ' 1 y\� Nature of Repairs or Alterations(Answer when applicable) F_—ncjrCo_s �<< 2Vda<<� a� a b on ((a , 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 Envir ental,Code and.. w____ ystem in operation until a Certificate of s Compliance has been issued by thi Bo d f He Ith. Sig ed �.}, Date �0� 7` 2006 N"" Application Approved by Date ; v 6 Application Disapproved by: Date for the following reasons Permit No. Qp0 6 f f 0 \� Date Issued 3�(! UG s THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance m THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( )_ Upgraded ( ) Abandoned( )by at I 109 aS i. \,W QWtJ• 2&. Os�pec-��1� has been constructed in accordance ]] with the provisions of Title 5 and the for Disposal System C nstruction Permit No.2 D(6 110 dated -?" " ; Installer fik6WIAk%A4 xcAJnl6rS Designer R0-aaiz r J .((�c #bedrooms T— Approved design flow �, (') gpd The issuance of this permit shall not construed as a guarantee that the system will io del*gned. Date �Q�(p Inspector —————————————————————————————— 1'2 No: n I I(7 Fee Y THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 0i5epoal 6p5tem ConfStrUction Permit Permission is hereby granted to Construct ( ) Repair.( ) Upgrade ( ) Abandon ( ) System located at oS -v11� V, fac r1 Q.ch', Os rJ 1UQ M 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�,permitYC Date 0 ' J 00to Approved by 1UM �p� i /a//�_c� / t A v 1♦li V t Yaa<aALUP W ..aw Regulatory Services Thomas F.Geiler,Director M Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: /01S D 6 - Designer: �/ (.�417 I L Gr4�� Installer: F� �2 I f3 Q o�1 n� . Address: �, 01 Address: 0,l3ox 3/D 02.6 7,3 On ZOO l®� o � ,Broc W JZ, was issued a permit to install a ( ) - (installer)te septic system at /6? aJ-/E4/ based on a design drawn by (address) R.� C'acB.lfaG dated W(tA w, 2bO 6 (designer) I certify that-the septic system referenced above was installed substantially according to, the design,which may include minor approved changes such as lateral relocation of the distribution box and/or septic taelc. �l�vE p`� v 7J= o�C��, ,ST Z)�r, k) �- h_ � _-_.for s �nry� s -� _wel�r �. tic referenced above was installed with maJ changes (i.e. _ Ui I certify that the sep system greater than 10'lateral relocation of the SAS or any vertical-relocation of any component of the septic system)but in accordance with State&Local Regulations., Plan revision or ed as-built by designer to fOIlow. OF RONALD ,JAMES CADILLAC er's Signature) ��/5TcO �� t S�NI TA\k\ (Designer's } (A [ix Designees stamp Here) FICATE PLEASE RETURN TO$�ABLB PUBLIC H +'ACTH DIVISION CERTI OF C WjpK IANCE NULL NOT BE � BOTR THLS JLrVJKl17 AM �►•�- BUILT CARD ARE R kpUsUC SEALTH DIVISION. TB.ANK YOU. Q Heath/seocmesiper Cer0cation Form TOWN OF BARNSTABLE -,LOCATION 169 0smewia,14/, e,*r/)srx qi q R4 SEWAGE# VILLAGE 65Tp2V)LLr ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. P,67Lr-e%r SRdiv v JR, �7g�)63b�3/53 SEPTIC TANK CAPACITY ISO O 6,4i.Lq LEACHING FACILITY.(type) Zelkff JG CAU.-YS (size) %p® L-,A440A NO. OF BEDROOMS OWNER PERMIT DATE: 05 0 t COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland andFLng Fa ' 'ty(If any wetlands exist within 300 feet of city Feet FURNISHED BY i ' j3p,dw upvea-c—.< v , A 13 5Q 7® aIA EL 3 58 6$ 7 ® k8e, ��. 7 19 23 fJ 23 �.a•�'j ^1 i4 p 1 Amy E V( �V ' F 4: , orivewA-y TOWN OF BARNSTABLE�� /a /�� -G LOCATION lh q O15�l111//e. ,W, �#a'AYPAk0WAGE # 9g-00Z VILLAGE ASSESSOR'S MAP &LOT/W Oa Z INSTALLER'S NAME&PHONE NO. ®l 7��d C®�S�` 77�I✓?�� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ..N (size) 0 NO.OF BEDROOMS _ BUILDER OR OWNER PERMTTDATE: ✓�' 7 Q� COMPLIANCE DATE: "'62"e(P 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Q V7 q 3 A-1 &Zia / �+ c(s 6 Barnstable Assessing Search Results Page 1 of 2 �; , , —� , k � stet. Home: Departments: Assessors Division: Property Assessment Search Results New Search 169 0 S T I L L E- Owner: 2006 Assessed Values: SCANLAN,THOMAS M Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 130,700 $ 130,700 120 /002/ Extra Features: $0 $0 Outbuildings: $4,500 $4,500 Mailing Address Land Value: $272,300 $272,300 SCANLAN,THOMAS M Totals $407,500 $407,500 246 WILLOW AVE#2 SOMERVILLE, MA. 02144-2225 Tax Information: Tax information is currently not available for 2006 Construction Details Property Sketch Legend . Building Building value $ 130,700 Interior Floors Hardwood Style Conventional Interior Walls Plastered emltmq Model Residential Heat Fuel Gas ? I' % Grade Average Plus Heat Type Hot Water Stories 1 3/4 Stories AC Type None , Exterior Walls Wood Shingle Bedrooms 2 Bedrooms f / Roof Structure Gable/Hip Bathrooms 2 Full3 Roof Cover Asph/F GIs/Cmp living area 1160 Replacement Cost $145243 Year Built 1910 Depreciation 10 Total Rooms 5 Rooms Land Lot Size(Acres) 1.82 Map requires Plug in: http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=pa... 3/21/2006 Barnstable Assessing_S.arch Results Page 1 of 2 Home: Departments:Assessors Division: Property Assessment Search Results New Search 169 4STRV1 LLE-W. BARNSTABLE RD Owner: 2006 Assessed Values: SCANLAN,THOMAS M Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 130,700 $ 130,700 120 /002/ Extra Features: $0 $0 Outbuildings: $4,500 $4,500 Mailing Address Land Value: $272,300 $272,300 SCANLAN,THOMAS M Totals $407,500 $407,500 246 WILLOW AVE#2 SOMERVILLE, MA.02144-2225 Tax Information: Tax information is currently not available for 2006 Construction Details Property Sketch Legend Building Building value $ 130,700 Interior Floors Hardwood � � Style Conventional Interior Walls Plastered Model Residential Heat Fuel Gas ' �a 13A1 Grade Average Plus Heat Type Hot Water lo ' Stories 1 3/4 Stories AC Type None 3if�sf�� Exterior Walls Wood Shingle Bedrooms 2 Bedrooms ,f �Ow Rw Roof Structure Gable/Hip Bathrooms 2 Full Roof Cover Asph/F GIs/Cmp living area 1160 Replacement Cost $145243 Year Built 1910 Depreciation 10 Total Rooms 5 Rooms Land Lot Size(Acres) 1.82 Map requires Plug in: http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=pa... 3/21/2006 No. - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Miopogal 6petem Cow6truction permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) L`_fComplete System El Individual Components Location Address or Lot No. °'4(/ &eW,-/a'A1e wner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. /v Designer's Name,Address and Tel.No. -7 7/ 3 Type of Building: Dwelling No.of Bedrooms J7 Lot Size sq. ft. Garbage Grinder Other Type of Building KI o. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title a Size of Septic Tank /cJ�d Type of S.A.S. Description of Soil L ,9�/ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by his Bo d of Signed Date 155 Application Approved by Date %--*Z 912 Application Disapproved for We foll ing reasons Permit No. 9 Date Issued No. -I �6 �- 1 Z Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for Mtoogat *pgtem Con5tructton Vermtt Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) E:"Complete System ❑Individual Components Location Address or Lot No. lbfO� Owner's Name,Address and Tel.No. Assessor's Map/Parcel ©e! e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �O/'�`�G��i G'Drry�`• Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(_`�p Other Type of Building SJ IO No.of Persons Showers( ) Cafeteria( ) Other Fixtures . ' A.., Design Flow T gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title , Size of Septic Tank 1.5-44 Type of S.A.S. //X YIX Description of Soil _ ,j / %S�CQj� cln't`/� t�S°�`O✓S Nature of Repairs or Alterations(Answer when applicable) wow Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by hi Bo d o Signed Date Application Approved by Date ,�"'^""Z- g Application Disapproved for e follo ing reasons Permit No. a,9 7, Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTJFY,that thp On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded O� ( ) Abandoned( )by 0f / GODS at zA 3P s erv1//e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a' dated Installer Designer f V The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ' II Inspector No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS igogaYpgtertt ongtructionerrrYit Permission is hereb rant d to Construct air +� U rade Abandon yg ( ) P ( ) Pg ( ) ( ) System located at 01_5&r //l�' ��5� ✓�l�fC�'�1� /GY ©✓ yt�i 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 thhiis,permit. Date: J / o Approved by V,,� TOWN OF BARNSTABLE LOCATION 1,6 9 057�1//11e-Gi/, Beri-19; AGE# 9 9-2 QZ YII,L AGE OS7v/'1/111e ASSESSOR'S MAP &LOTZ ZO Od Z INSTALLER'S NAME&PHONE NO. . Xef/0e2`i ®ea, 77/& :SPPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) ' <NO,OF BEDROOMS_, .:..... ......._....;.. BtIRDER OR OWNER PERIVIITDATE: ✓��7�Q� COMPLIANCE DATE: G +4.2 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 ,owsite or within 200 feet of leaching facility) Feet Edge 4 Wetland and Leaching Facility(If any wetlands exist `avthin 300 feet of leaching facility) Feet Fiir*bed by l y f 8� G- 0 h h fi E a �-b' G r i -�► f� oil a O r: 10/9197 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATIONFORA DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) hereby certify.that the application forrdisposal works construction permit signed by me dated �1�19�' , concerning the - D m es'all of the . property located at l6l �S7� following criteria: r VIThere are no wetlands located within :60 feet of:he proposed leaching fatuity /raere are no private weils within !:0 e-c of-he pr000sed septic syste n P ✓ The.^_ ;s no increase in .low and/or .:apse in Ise:r000sed 1 ^ C ner a are no variants reduestea or..:eded. _ the one m a f' r � d v w .an s.el 11-f the proposed leacatng tac.ury wuI ae ;ocatec witnln :0 •e-• of..n. A proposed leaching facility ill am', :ccatea.ess:hap .aurte_n ,: ee:acove die:ntax:murt 3CIu5teC groundwater tab elevation. Please complete the following: A)To of Ground Elevation according:o the Engineering Division G.I.S. map) - P . B)Observed Groundwater Taoie Elevation(according to He31th Division well map) SIGNED: DATE: LICENSED SEPTIC SYSTEM INST�LLER 1N THE TOWN OF BARNSTABLEtlNUMBER (Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. �W¢tip' 0 � 144 -rlk P O f . I� GS -ftx lu-r- ` U T. 6s-9 988 Receipt for Certified Mail e No Insurance Cover_ge Provided Misr„E5 Do not use for International Mail POSTAL SERVICE (See Reverse) h Sant to L and No. tv 2 ate P C CPostage M E Certified Fee O U- Special Delivery Fee U j a "'s`tFi�ted7 Deg{U'ery'Fee �� �Ret�SfiP R�celplt$tiowiW 'to'Wliom&Date Delivered Return Receipt Showing to Whom, Date,and Addressee's Address TOTAL Postage &Fees Is Postmark qr atejr o a VZ' STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). m 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address 12 leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). Q) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. rn r 3. If you want a return receipt,write the certified mail number and your name and address on a U 'A return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to fhe number. co 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. € 'p 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If LL return receipt is requested,check the applicable blocks in item 1 of Form 3811. a 8. Save this receipt and present it if you make inquiry. 105803-93-B-0218 Town of Barnstable Department of Health, Safety, and Environmental Services Public Health Division y MA89. t639• ♦� �02EDMA�A 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Health February 12, 1997 Lillian Bateman P.O. Box 3605 Port Charlotte, Florida 33949 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 169 Osterville/W.Bamstable Rd., Osterville was inspected on January 27, 1997 by Joseph Macomber a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: • Hydraulic failure of cesspool. You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis)that will bring the septic system into compliance with 310 CMR 15.00, the State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF TH BOARD HEALTH omas A. McKean, R.S., 0. Agent of the Board of Health Town of Barnstable It, Department of Ilealth, Safety, and Environmental Services R'M Health Division 367 Main Street,Hyannis MA 02601 Installer Thomas A McKean \_ office:-30Zt 790-6263 Dbvdm of Public Health 1 Ax: 509-775-3344 TO: ti (Date) 7 9 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. UAL '� Rd- The septic system owned by you located at 16 64,& Avenue, Circle, Lane, Road, Street in the village of 6A z was inspected on ,—a-7- `fZ by &A r a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: You are directed to hire a licensed Town of Barnstable septic system installer to sketch a proposed system that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. The septic system must be brought into compliance within thirty (30), sixty (60), ninety (90) days of your receipt of this letter. You are also directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. An person aggrieved eved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable title 5(1) TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ewe . LEACHING FACILITY: (type) 441-4 (size) NO.OF BEDROOMS �* BUILDER OR OWNER LX)l ' 2 194 7 e -m✓1 r11 ATE: 7 G8NV999%&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). Feet Edge of Wetland and Leaching•Facility(If any wetlands exist within 300 feet of ac ' acilitY Feet Furnished b C 5 'x6' Block cess. 2� \sewage only cover-,; 14" below grade. i 3.1. X4' Red brick cess . Kitchen only a� Surface cover. 511 169 Ost. W.B. Road Osterville ,Mass Ul Commonwealth of Massachusetts RECEIVIZ txecutNe Office of Environmental Affairs FEB 7 1997 department of HF�rf;Q�PT. 2-nvironmental Protection 17t)WNOFBARNSTAjXE Trudy Co.—, David B. Struhs LL SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Adage..; 169 Ost. W.B. Road Osterville Address,of owner. Lillian Bateman Date of lospeotloo:l /27/97 (If different) P:0.B. 3605 Name of ln,pector.Joseph.P.Macomber Jr.. Port Charlotte Company Name,Address and Tel hone Number. Florida,33949 J.P.Macomber & Son hone Box 66 Centerville ,Mass , 02632 508-775-3338 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this addtees sad that the information reported below is true,accurate and complete u of the time of inspection. The inspection was performed based on my training and experienu in the proper function and maintenance of oa-site&,wage disposal systems. The system: Passes _ Conditionally Passes _ Koods Further Evaluation By the Local Approving Authority ' FaiL laspector's Signature Date: l� The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional oMoe of the Department of Enviroamental Protection. The original should be seat to the system owner.sod copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTEM PASSES: _ 0 I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair, passe inspection. iadicat,e Tee, no, or not determined,(Y, N,or ND). DescrN basis of determination in cell instances. If'bot dsterminad',explain why not) NO/VG The septic tank•is meta),cr'a:k,d, structurally unsound, shows substantial InAltration or exflltration,.or tank failure is immiaeat. The system will pass inspection if the existing septic tank is replaced with a yonforming septic tank as approved by tL. Board of Health. (revised 11/03/95) 1 One Winter Street , Boston,Massschusens 02108 , FAX(617) 556-1049 • Telephone (617) 292.$500 �� /mined on R"Ied Pipe r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) ProperVAddres,: 169 Ost. We0t Barnstable Road Osterville,Mass . Owner. Lillian Bateman Date of Inspection: 1 /2 7/9 7 Bl SYSTEM CONDITIONALLY PASSES(continued) Nt&Z Sewage backup or breakout or h0h static water level observed in the distribution box is due to broken or obstructed pipe(,) or due to a broken,settled or uneven distribution boa. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced d(Q The system required pumping more than four 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)an replaced obstruction is removed Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _Ald Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT•. ,6 Cesspool or privy is within 50 feet of a surface water GZO Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. !) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERbiTNES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Nd The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. A-V The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well• D The system has a septic tank and soil absorption system and is within 50 feet of a private water supply We The system has a septic tank and soil absorption system and is Is"than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the wall is free from pollution from that facility and'the presence of ammonia nitrogen and nitrate nitrogen is equal to or leas than 5 ppm. 3) OTHER V 1 -31x l Brick cesspool. Red Brick. Grey water. 1- 'x ' Concrete block cesspool. Sewage only. f (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) PmpbrtyAddreas: 169 Osterville West Barnstable Road Osterville ,Mass. Owner. Lillian Bateman Date of Inspection: 1 /2 7/97 D) SYSTEM FAILS: • _ I have determined that the system violates ons or more of the following failure criteria as deduad in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be neoessw7 to correct the failure. ,dg�o Backup of sewage into facility or system component due to an overloaded or dogged SAS or cesspool. 420 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. - 1 ,oWAIRiStatic liquid level in the distribution box above outlet invert due to an overloaded or dogged SAS or cesspool. Liquid depth in oesspoei"is less than 6"below invert or available volume is lass than lr2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped &0 Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ,t/P Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 60 feet of a private water supply well. �a Any portion of a oesspool or privy is less than 100 feet but greater than 60 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 aoli.form bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to large eystems in addition to the criteria above: The system served a facility with a design flow of 10,000 gpd or greater(Large System)and the systam is a significant threat to public health and safety and the environment because on•or more of the following conditions exist: JA 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 eupply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 6.00 and 6.00. Please consult the local regional office of the Department for Airther information.. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST PropertyAddrees: 169 Osterville West Barnstable Road Osterville,Mass . owner, Lillian Bateman Date of Inspection: 1 /2 7/9 7 ' Check it the '• �have been none: Ptoump _ information was requested of the owner,oxu t and Board of Health. None of the system componer}ts have been pumped for at least two weeks and the system has been receiving normal now rotas during that period. large volumes of water have not been introduced into the system recently or as part of this inspection. /}A As built pleas have been obtained and wm=iaed,`Noti it they^are neat aviilabli with N/A. z7W facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow zsite was inspected for signs of breakout. 2All.Systsm componentscludi the Soil Absorption System, have been located on the site. N'OaPG The septic taali manholss were uncovered,opened,and the interior of the septic tank was inspected for condition of bam or tees,material of construction, dimensions,depth of liquid,depth of sludge,depth of scum. , The size and location of the Soil Absorption System on the site has been determined based on eaisting information or a prozimated by non-intrusive methods. The facility owner(and occupants, if different from owner)were provided with information on the proper Per maiateaana of Sub- surface Disposal System. (revised 11/03/95) 4 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION PropertyAddreas: 169 Osterville west Barnstable Road Osterville,Mass . Owner. Lillian Bateman Date of Inspeotiow 1 /2 7/9 7 FLOW CONDITIONS RESIDENTIAL:- Design flow: allona p�r`ory Number of bedrooms:, Number of currmu residents: IIA•c441I Garbage grinder(,yes or no):. Laundry connected to system(,yes or no):2L5 Seasonal use(yes or no):-S Water muter readings, if availabls• 11919 Last date of occupancy:_ / .chtl!S �•�+ , C o M M ERC IAL/I ND U S TRIAL• Type of establishment: N/�L Design flow: tgallons/day Greasa trap present: (yea or no)QG{Q Industrial Waste Holding Tank present: (yea or no)A�y Non-sanitary waste discharged to the 9Title 5 system: (yea or noy—VL4 Water motor readings, if available: 111L Last date of occupancy: OTHER(Describe) A224— Last date of occupancy: AJIV GENERAL INFORMATION PUMPING RECORDS as so%}ve of information: System pumped as part of inspection: (yes or no)� If yes,volume pumped: ?� ¢allots Reason for pumping: 40 TYPE OF SYSTEM AAL� Septic tank/distribution bca/soil absorption system _CC Single casepool5 )Q Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source of information: &/A.P_lAy' S �i�®1• Sewage odors detected when arriving at the site: (yes or no) a 1LCI (revised 11/03/95) 6 Ck') SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C- SYSTEM INFORMATION (continued) Property Address: 169 Osterville West Barnstable Road Osterville,Mass . Owner: Lillian Bateman Date of Inspection:1 /2 7/9 7 SEPTIC TANK:'&jd1V - . (locate on site plan) Depth below grade:_,�/ti Material of construction: concrete _metal _FRP —other(explain) Dimensions:_ Sludge depth;, a Distance from top of sludge to bottom of outlet tee or baffle:AM Scum thickness: _ A�L Distance from top of scum to top of outlet tee or baffle: N _ Distance from bottom of scum to bottom of outlet tee or baffle._ /If Comments: (recommendation for pumping, condition of inlet and outlet tees or baffle,. depth of liquid IPvel in relation to outlet invert, structural ,rity, evidence of leakage, etc.) 'SA t'].S'-...tank i Q n t -PQPnt - — - - - GREASE TRAP.NONe (locate on site plan) Depth below grade:4A) Material of construnion;N zoncrete _metal _FRP _other(explain) Dimensions; Scum thickness: Distance from top v.r scum to top of outlet tee or baffle:6)' Distance from bottom nl arum in bonOm or outlet tee or bahle_d/� Comments: (recommendation for pumping, condif-ri of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etU, _„_ GrPARP trapis not nrP4Pnt 4' (revised 8/15/9$1 6 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) ProperVAddresa: 169 Osterville West Barnstable Road Osterville,Mass. Owner. Lillian Bateman Date of Inspection: 1 /27/97 TIGHT OR HOLDING TANI{:N49/ — (locate on site plan) • Depth below pade:.&d Material of construction:1400ncrete_metal_FRP_other(esplain) - A7� A9 Dimensions: AJA Capacity- 'daA OLUOUS Desi a flow: AJ aallous/day Alarm IML Com (condition of inlet too,condition of alarm and float switches,etc.) Tight or holding tank not present DISTRIBUTION BOX:_N rl/� (locate on site plan) Depth of liquid level above outlet invert: t1k Commsats: (note if level aad distribution is equal, evidence of solids carryover, evidence of Isake into or out of boat,etc.) Distribution box is not present PUMP CHAMBER-A&Ve, (locate on site plan) Pumps in working order-(yes or no)—d Comments: (note condition of pump chamber, condition of pumps and appurtenances,etc.) �le � be is not present. I (revised 11/03/95) 7 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oonUnued) p'ropertyAddsess: 169 Osterville West Barnstable Road Osterville,Mass . Owner. Lillian Bateman Date of Inspection:1 /2 7/9 7 SOIL ABSORPTION SYSTEM(SAft (locate on site plan,if possible;wAmtion not required,but may be approximated by eon-lubvsive methods) If not determined to be present,explain: e Type: loWb4►g p4 numb.:Q leaching chamber,r s:"umber: lesdin galleries,numb Ieaching trenches,numberaength. Ieaclaiag iirlds,number,dime ns: overflow cesspool,number. Comments:(note condition of soil, signs of hydraulic failure,level of poading,condition of vegetation,etc.) CESSPOOLS: (locate as site plan) Number and configuration: Depth-tap of liquid to inlet invert: Depth of solids layer Depth of sa'm layer f Dimensions of cesspool 4 Matariale of construction QTe ��oGk. Indication of groundwater: Vd inflow( 1 must be pumped a.part of inspection) v 'cm�' �i l-'�t4' #1 cesspoao�'side of driveway, 2 ' zro o-r om 01 t a 'invert pi e zo -Vle — gray waterbottom of cesspoo a rlc ce . 21 feet of solids and small pool o water. so as rootiPf�Sturi. condition of hydraulic level of ponding,condition of vegatation,etc.) medium Banc ` o" ins sandl tare black shows signs . of_h draulic eiHas aria poo o wa er. tiouse nas a �iluaYr� M . All vegetation is normal. System should e�upgraded. PRIVY. it/� ; (locate on site place) Materials of conswictima NA Dimensionc N A Depth of solids: Pi A E, Comments (note oondition of coal,48ne of 1xYOraulic failure,level of pondmg,condition of vegetation,etc.) Privy is not present (revised 11/03/95)• g SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION .FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE L:SPOSAL SYSTEM: include ties to at least two permanent references landmarks. or benchmarks locate all wells within 100 ' Centerville Osterville Marstons Mills Water Company 428-6691 51x6l � Block cess . ?V sewage only cover: 1411 below grade. 31x41 Red brick cess. Kitchen only Surface cover. 169 Ost. W.B. Road Osterville ,Mass DEPTH TO GROUNDWATER 161+. _ depth to groundwater r+pthod of determination or a proximat�o,n: Ins:ta11f0.syste4ms-at �4't Ost.r�W ' B. . Road 'permit# 89-102 No watar encoun e'red a ".�' r' •,+",...-nl'r.r.�T-,.,.rn,.•w,.+.n.-,.n.•nT.r�.a.r.�..-,...i,..*..m+,..e'n7+r.:.,Tert1.,+ .r,.TrT-,r-n,—:..-•,r-•.` TURN OF Barnstable BOARD OF IIEALTII + SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I `� �•••T^1 R••.•••,—T.1/7.�.T.TT,,1,T.1.1'.f.TTI I"TTiQT.f1f.T.T'r�'ITZtRRT\>Tl,�—`P'O1R10.1�tfA'TIT�•'A'.tt7 f�Rl ..�taT'T1.•�.. -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 169 Osterville West Barnstable Road Osterville ,Mass .' ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Lillian Bateman PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr.. COMPANY NAME J.P.Macomber & 8dii Inc. COMPANY ADDRESS Box 66 Centerville.Mass , 02632 Street Town or City State LIP COMPANY TELEPHONE (509 ) 775 - 3338 FAX ( 508 ) 790 - 1578 CERTIFICATION STATEMENT 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 recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or Lhe environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. KXXXXXXXX System FAILED* The inspection which I have con ilcted has found that the system fails to Protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature Date 1 /27/97 One copy of this rtification must be provided to the OWNER, the BUYER ( where applicable ) and the BOARD OF HBAL711. * If the inspection FAILED, the owner or."operator shall u p pgrade ' the system within one year of the date of the inspection , unless allowed or required otherwise as provided in 3.10 CMR 16 . 305 . partd .doc uwi av SbyY ��1 i THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. 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LOT LINE HOLDING DEED FRONTAGES JOB NO. 1305-02 RTE. 28 �, NOTE: THIS IS A SITE PLAN SURVEY BY THIS OFFICE, FROM BAPTIST CHURCH NOTES SCANLAN6.DWG, - ' AND NOT A COMPLETE PROPERTY LINE SURVEY. EX\s1. H°SSE LEGEND 1. LOCUS IS A.M. 120, PARCEL 2. N •. NO• ;..•::.�•••• -� 2. ELEVATIONS SHOWN ARE TOWN GISt0.4 TH 1 TEST HOLE LOCATION, NUMBER 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. W WATER LINE MARKINGS 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) & - -- E UNDERGROUND ELECTRIC WIRES (IF SHOWN) 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. eU Z N/F o 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. U' GAS LINE MARKINGSRi 7. INLET TEE TO PROJECT DOWN 13 , OUTLET TEE DOWN 14". JOYCE M. GRESH �R Rpq g 8"7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) 8, IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW _ N EXISTING CONTOUR D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. NOT TO wP P�\0 _8 PROPOSED CONTOUR 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. SCALE 0 COVERS: BUILD UP COVERS TO 6" BELOW GRADE--2 ON TANK, 1 ON D-BOX, 1 ON LEACHING ?� PPRX' 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. LOCATION MAP P TREE (IF SHOWN, NOT ALL SHOWN)C.B./D• FND, 0 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING do, PAY ATTENTION TO PROPOSED IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE 1 f ' 0 60.91 FOUNDATION HOLES AND PIPE 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN STK set t1 PITCHES--NOTE FOUNDATION LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet) HOLE AT INVERT B IS HIGH, 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. CENTER PROPOSED PIPE IS 0 A layer 10yr 3/4 60.4 >> sandy loam 14 1 /2 BELOW TOP FOUND- TEST HOLE DATE: February 9, 2005 9 1 ATION. ONE OPTION IS TO PERFORMED BY: Ron Cadillac, Soil Evaluator WITNESSED BY: Donald R. Desmarais, R.S. B layer 10yr 5/6 BENCH MARK--TOP SPIKE SET CUT GRADE BY 1 ' OVER LEACH PERC RATE: <2'-00" sand loam DOWN 1"= 61.20 TOWN GIST ' AREA AND YOU CAN LOWER 60.80 /inch (C layer) y (23-9" OFF CORN. GARAGE) CJ�D Gj6 SOIL SURVEY(1993): Carver coarse sand „ STK� t84 ROPO ,Q �� MN se' YOUR FOUNDATION HOLES AND Top Exist. & Porp. Found. GEOLOGIC MAP(1986): Harwich outwash plain deposits 42 56.9 P 00 GRADES BY 1'. THIS WILL STILL -� Invert A 58.70 , � Invert 58.00 /�ON �.-% GIVE 5.8 SEPARATION TO Invert B 59.40 3 DRY WELLS 58 a BOTTOM OF TEST HOLE 1 . Invert C 59.2f Use Gas Baffle Invert 57.40 medium sand A ,4' Proposed Existing 15% gravel COLLAPSED ''4 Proposed BUILDING 1 �+ �n 3 �,�' S=1 /4"/ft min. 58.0=Top Conc. / O :;:;;' "'''•'• BENCH MARK--TOP PK NAIL SET Existing =1/8"/ft+ 57.7=Top Peastone S 9 S-1 8" ft+ 59.7 61,3 61 ' \ I 45'+ „ : > IN PAVEMENT = 59.93 TOWN GIST Invert 58.25 1500 Gal. / / oU,c 00,2 Existing Septic Tank 24" no water Z. 144 48.4 ` 59.90 61.3 �� // �, 0 32 13, E1\s o 169 3-7.3 C i Invert 57.57 Invert 57.20 55.2 „ i 20 TO 54 Proposed 6 8 Bottom o o ,� / c-4' // 61 ::::::::: 1;. ., i 6 ' Stone or compactp Proposed 1 4 TEST HOLE 2 2 8.9 59.3 4� / SPIKE SET \ r-- --i 32' N �- 2'� / rp 14' Bottom TH1=48.4 /0� < DEPTH (inches) ELEV.(feet) BOARD OF HEALTH REQUIRES `° 61.2 N/F W �' \'� / 138 DESIGN DATA / 5 ® 59,93 R.J. CADILLAC TO INSPECT A layer 10yr 3/4 H.P. ��, ;,. K set LEACH AREA 9)) sandy loam SYSTEM PRIOR TO BACKFILL. BEDROOMS: (4 HOUSE, 1 GARA 5 MINKEL 4.3 _---- 9 ) USE 3 500 GALLON DRY WELLS SET 4' Q 13 - GARBAGE GRINDER: o B layer 10yr 5/6 <v � .° REQUIRED CAPACITY: 550 GPD APART WITH 4' OF STONE ALL AROUND sandy loam 6 BED OOM OPTION �� TO MAKE A 41 '-6" LONG BY 13' WIDE 60,3 O 'I;• x 59,F1 SEPTIC TANK: 1500 GAL. Q Q' C� \5� 36" 58.20 �Q V�Q- EX _ - BOTTOM LEACHING AREA: 539.5 SF BY 2 DEEP LEACH AREA. a Q GPRP�E.. 60.3 - 5Q [(41.5' X 13')] a SIDE LEACHING AREA: 218 SF 6 BEDROOM 0 TION medium sand 00 60 [2(13'+ 41.5') X 2' DEEP)] gravel r-'04 USE 4 500 LLON D Y WELLS SET 3 10 % ' DESIGN CAPACITY; 560 GPD APART WITH 4' TONE ON THE SIDES 4 k 10 [(218 SF + 539.5 SF) X .74 GPD/SF] , AND 3 1 /2 OF 0 ON THE ENDS FOR 60 4 �� A 50' X 13' X DEEP �CHREA. Ti 1 W 3�CB/cente nd �� �� 3 9���� (650 SF + 2 SF) X .7 no water � 77l� 124" 50.9 �0 60,3 �p TOTAL AREA = 82 , 680 ± S . F. r TH STKA 59.79 �`✓L et 0�1 60,1 60,3 � ) 1 61,9 I 60.0 � 60 31 I 0 60,0 4 SITE PLAN 60.0 0 F O R 59,5 THOMAS M . SCANLAN IS PLAN IS A VALID O EARS ORIGINAL RED STAMP SIGNATURE. AN 169 OSTER VI LLE WEST BARN STABLE R D . OSTER VI LLE , MA. 59 9 59.9 MARCH 10, 2006 SCALE: 1 " = 20' 1�q s �114 of MASS R N, [ O DI779� RONALD J. CADILLAC, PLS, RS, PC 11"NITAF ' �q FEUR 0� Drainage structures PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN SANITAR�P SURVEY not shown here. P. O. BOX 258 WEST YARMOUTH, MA 02673 C,B,/D,H, FND, (508) 775- 9700 P o @2006 BY R.J. CADILLAC PAGE 1 OF 1 R��