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0111 OYSTER WAY - Health
OSTI+TVVI1,L A = 071 011 001 TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE©,<'%-Ca-ud ASSESSOR'S MAP&PARCEL O7 I NAME&PHONE NO. L+e a •�� 3 wS SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (size)ld K, 7CO`'r NO.OF BEDROOMS OWNER ��a c�w� ►5 �`4y` PERMIT DATE: COMPLIANCE DATE:3( Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility y Y Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) r Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) / > Feet FURNISHED BY 1/ v��tC ► r�� '�1 �6���3 3 IT ea `G ` �taB�rt - J t .,.� 1 ��a Vcc.,��•. .ta Commonwealth of Massachusetts UVTitle 5 Official Inspection Form COBYSubsurface Sewage Disposal System Form -Not for Voluntary Assessments ` 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16, 2013 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, I� Q Q use only the tab 1. Inspector: U fP I' key to move your cursor-do not Patrick T. Sullivan use the return Name of Inspector key. Ready Rooter Excavating Company Name P.O. Box 89 Company Address Forestdale MA 02644 City/Town State Zip Code 508-888-6055 SI 12843 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority October 22, 2013 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. [fi�'t A Io b` 9 t5ins-3/13 Title 5 Official Inspe n L rm:Subsurface Sewage Disposal System•Page 1 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Oyster Way Property Address -- Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16, 2013 page. CityfTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years *or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or xfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced ith a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspec on if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank' less than 20 years old is available. ❑ Y ❑ N ❑ D (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 y i Commonwealth of Massachusetts ugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Oyster Way l Property Address Michael Crissan Owner Owner's Name information is Osterville MA 02655 October 16 2013 required for every , page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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/remod oard of Health): ❑ broken pipe(s ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution boreplaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Requir/bhe and of Health: ❑ Conditions exist which require uation by the Board of Health in order to determine if the system is failing to protect h, safety or the environment. 1. System will pass unless Balth determines in accordance with 310 CMR 15.303(1)(b)that the system tioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is wi of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is Osterville MA 02655 October 16 2013 required for every , page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS a d the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS nd the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS d 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 :ate analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent an the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that o other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow t5ins•3/13 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is Osterville MA 02655 October 16 2013 required for every , page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"ye "or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 00 feet of a surface drinking water supply ❑ ❑ the system is wi in 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is cated in a nitrogen sensitive area (Interim Wellhead Protection Area—IWP or a mapped Zone II of a public water supply well If you have answered "yes"to y question in Section E the system is considered a significant threat, or answered"yes" in Section above the large system has failed. The owner or operator of any large system considered a signific nt threat under Section E or failed under Section D shall upgrade the system in accordance with 10 CMR 15.304. The system owner should contact the appropriate regional office of the Department. i t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is Osterville MA 02655 October 16 2013 required for every , page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® 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? El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms(actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550+* t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts mom Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16 2013 page. City/Town State Zip Code Date of Inspection D. System Information Description: System designed for 5 bedrooms with a garbage disposal. Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings,'if available(last 2.years usage(gpd)): 2011=254 GPD 2012=471 GPD Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15/en 203 : Gallons per day(gpd) Basis of design flow(setc.): Grease trap present? ❑ Yes ❑ No Industrial waste holdin ❑ Yes ❑ No Non-sanitary waste dise 5 system? ❑ Yes ❑ No Water meter readings, t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owners records: Pumped 2 years ago Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 2000 gallons How was quantity pumped determined? Site tube on truck Reason for pumping: Maintenance 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 l/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville I MA 02655 October 16, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all componer ts, date installed (if known) and source of information: System installed 03/28/2001. life y Certificate of Compliance on file at.Health Dept. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building di in u g Sewer(locate on site plan): 3'10" (3 inlet lines) Depth below grade: i feet I Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): I Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): i I I i i Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) i i If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 12'2"X 6'X 68" 2000 gal H-20 Sludge depth: 6" t5ins•3/13 I Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 i c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner owner's Name information is Osterville MA 02655 October 16 2013 required for every , page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 32" Scum thickness 10" 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 3" How were dimensions determined? Tape measure and dip tube. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 3 Inlet and one outlet PVC tees in place. Liquid level at outlet invert. Tank pumped and cleaned after inspection. Risers bring inlet plastic and outlet concrete 24"covers 6" below grade. Irrigation line re- routed around inlet cover. Grease Trap(locate on site plan): Depth below grade: / feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene' ❑ other(explain): Dimensions: Scum thickness Distance from top of s m to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 I_ i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (conditi of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): One inlet, one outlet. Light solids carryover. 5' below grade. No high water staining over outlet invert Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No' Comments(note condition of pump cha/r, condition of pumps and appurtenances, etc.): If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 �I Oyster Way Property Address Michael Crissan Owner Owner's Name information is Osterville MA 02655 October 16 2013 required for every , page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 11- 0 11- 33 33Recha gers ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Chambers have 4'of stone on all sides per engineered plans. SAS inspected with camera. Damp base at time of inspection with no sign of past hydraulic failure. 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 t5ins•3113 Title 5 Official N spedion Form:Subsurface Sewage Disposal System•Page 13 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16 2013 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs /hdraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16, 2013 page. Citylrown State Zip Code Date of Inspection D. System Information (cunt.) 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 3 1 3 � a ; s j 1 (� aye :• 63- 3 Y J 1 s •-b5-e_ I � t5em•9M3 Tine 5 OffidW trmped W Fam SUMMM a Sewage DbPWW sysmm•Pape 15 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every Osterville MA 02655 October 16, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: >4feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed. Daatete 2000 D ❑ 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: www.terraserver.com ma.water.usgs.gov You must describe how you established the high ground water elevation: Test hole in 2000 found no ground water at 10' below grade (elv= 12). Base of SAS at elv= 16.2 per engineered plans. Accessed local ground water contours and topo mapping. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 16 of 117 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Oyster Way Property Address Michael Crissan Owner Owner's Name information is required for every OSterVille MA 02655 October 16, 2013 page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 - o p No. __- �- ---------- — Fee-- --- BOARD OF HEALTH TOWN OF BARNSTABLE Application forlVell Con5tructionPermit Application is hereby made for a permit to Construct (✓), Alter ( ), or )an individual a t: Location -r/Address Xsses r an so s Map d Parcel Owner Address Installer — Driller Address Type of Building Dwelling ' " Other - Type of Building —--------- No. of Persons--------_---.-___-_ �r Type of Well_ q -- - — Capacity------------------__-- Purpose of Wel Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Sign -- - --_-- - -- _ o Application Approved By, �� ZI19 d Application Disapproved for the following r date Permit No. "- __ Issued date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed Vr, Altered ( ), or Repaired ( ) aller athas been install in accordance nth the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------------_____Dated---- --------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- -- _____ Inspector No.---, ------ --- - Fee-------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Appiicatton, vreir �ongtruttionermit Application is hereby made for a permit to Construct (4, Alter ( ), or gee )an individual ell t: ( U Location y Address--— -- - -- Assessors Map and Parcel — �' Owner �. Address ��. '_S� r,•t�// ---------------------------------- - ----------- ----------------- --------------- Installer - Driller _ — _ Address Type of Building Dwelling - res�.��vey •g� - Other - Type of Building--=---_—_____________ No. of Persons-----____________________—__—_________: Type of Well—y —_—____ --.__' - --------- - Capacity----------------------------------- Purpose of Well_ rry wTi_v__,,--------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed��� -- --^-.s-----_--- a �-------"-- ---- ��!� ate Application Approved By — ��� --- - ��� / da e Application Disapproved for the following r(as ns...... ----_____--________ —__-_-_______ date Permit No. � ___---___-- Issued—_ � -date _ _—_------____-- date - .___..__________________________________v.-_____________.._______________.-_____.--_________-_____.__-________ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance Z I THIS IS TO CERTIFY, That the Individual Well Constructed V"), Altered ( ), or Repaired ( ) //�----------------- - - -- - -- -- -- ------ Vialler at has been installed in accordance 4th the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ----------------------Dated----------------- 4 I THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- --- --— - --_ Inspector-- - —--------------------------=_------------ Ov � BOARD OF HEALTH TOWN OF BARNSTABLE . D Ivell Con$tructionPermit No. --- ------ Fee- ---------- Permission is hereby granted—04 � �Yl�40 160�l e-_ �i to Construct (! Alter ( ), or Repair ( ) an Individual Well at: No. — //L_�6V sr", ---------------------- Street as shoo the applicatio o a Well Construction Permit No.- A --------- Dated---- -- -_----------- -------------------------- ---------- - -- = - S----- --- ---- hoard of Health DATE TOWN OF BARNSTABLE LOCATION ,�f_OYsAke Lri SEWAGE # [�® 'r r VII:LAGE 45 � l��� ASSESSOR'S MAP& LOT -001 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ZOBB A'� LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER T . r 4w,,eZ PERMTTDATE:. COMPLIANCE DATE: '3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by `# JA I' f Qv �. '. Af- t9 10. Ay qe� 0 fl 01 0 ` ol 01 ol fl 01 —CO, 5d a $ 1 a � it 3, M T 4� i Fee i THE COMMONWEALTH OF MASSACHUSETTS Eijt ntered in computer: ` Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for �Di!5pooaY *patent Conztruction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) ❑Complete System ElIndividual Components Location Address or Lot No. /it 0 Cy" a4 Owner's Name,Address and Te No. Assessor's Map/Parcel ®J) Installer's N e,Addressss/a'd`Tel.N , DD, � Designer's Name,Address and TFel. ,o� / r / ` "'N Ste" cJ C � c!eE) -4--,i.° ` �/$K��r r`� � ( 0{'�M f L'IJ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 4e_ �;1A( No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 00 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 600 Type of S.A.S. r,!d e x �c�►a�r r Description of Soil Nature of Repairs or Alterations(Answer when applicable) J 3AZ10� 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 Environmen al Code and not to place the system in operation until a Certifi- cate of Compliance has bee ris us ed.�=Bar It Signe t Date % Application Approved by Date Application Disapproved for the following reaso Permit No. QC Q 0S I Date Issued 0 J 1 �050 .,._ o Fee /C� ) 1 THE COMMONWEALTH-OF-MASSACHUSE-TTS---- K. Entered in computer: v ^ - PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLES MASSACHUSETTS }`Yes ZIPPrtcatton for Migaal *potent Con.5tructton Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon(" ) ❑Complete System ❑Individual Components n y Location=Address or Lot No. Owner's Name,Address and Te No. P-/ 0Y51 r U ��e �- 4 C ',,Assessor's Map/Parcel a Installer's N e,AddresQs�d Tel.N Designer's Name,Address and Tel.,No. l ° h tJ Cq, U ill Designer's / Type of Building: ; Dwelling No.of Bedrooms Lot Size sq.ft:`,i Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow; O'r7 gallons per day. Calculated daily flow 7 gallons. Plan Date Number of sheets Revision Date Title w ` Size of Septic Tank 1000, ' Type of S.A.S. (d He x I r s Mo Description of Soil Nature of Repairs or Alterations(Answer when applicable) I U C p oaj /atiy 3 J 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 Environmen al Code and not to place the system in operation until a Certifi- cate of Compliance has bee 'sued is Bar . It < Signe Date J - S' Application Approved by s Date Application Disapproved for the following reaso 117 Permit No. -,,C�Q l Q Date Issued a[GAHE COMMONWEALTH OF MASSACHUSETTS j q�, � 77 Ipe- ✓Q��t� 1 _ BARNSTABLE, MASSACHUSETTS C- #- Certificate of ontprtance THIS IS TO CERTIFY�at the .1�0 -site Sewage Disposal SystenCConstructed( � )Repaired ( )Upgraded i ( ) Abandoned( )by j�l 1� r, u ew, at �// t''0&, (J.41/ SLAP✓AA✓hu rs has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 7M I OSO dated /"Z 6-d Installer Designer The issuance of this e shall not be construed as a guarantee that the sy�eillas desi ed. Date Inspector No. doo 1'O Fee kx) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mtopooai *p5tern Conotructton Permit Permission is hereby granted to Construct(k )Repair( )Upgrade( )Abandon( ) System located at f �,S�e�r A✓ 0 s A�co r An r o r f 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 M. 5t bee cog4pleted within three years of the date of this P e Date: lG' Approved by -..-• .i i —.q,-'� S^.y. _ Z'��,h {. 7 { F .�K !Y ize...il.c1.� J �� �� t � T s 6 TOWN OF BARNSTABLE LOCATION & t �" —. SEWAGE VILLAGE ... .. ASSESSOR'S MAP & LOT ,�. STALLER'S NAME'PHONE NO: _ V" , s IN SEPTIC TANK CAPACITY �O O LEACHING FACILITY: (type) ' (size). /,;2 y,10 NO. OF BEDROOMS BUILDER OR OWNER PERMIT DATE: —z G COMPLIANCE DATE: Z Separation Distance Between the; Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leachin Facili Feet : g ty (If any wells,east.. on site.or within 200'feet.of leaching facility).: Edge of Wetland and.Leaching.Facility(If any wetlands exist Feet within 300 feet of leaching facility) :.Furnished 6y . Feet i c�c�c�c�ec�c�o 00 .. T `� � � d 0 ti pJ � �C ,C Town of Barnstable P# �g Department of Health,Safety,and Environmental Services �V9 Public Health Division Date blh�� 367 Main Street,Hyannis MA 02601 aAru+Mers, Huse� jj��Date Scheduled Z/QtG. �. �00� Time / It.' CX3 Fee Pd. D FO MAt Soil Suitability Assessment for Sewage Disposal © m Performed By: i�l /T � G�/ � Witnessed By- � 21�v / / I aol) PS (JCAT Oft c4 GV RALiNE INFORM�TIQN Location Address ''--,tt __�ya11e ` , ►ar owner's Name 04el-VAte— W Address 3�D �Ad�.► 11w��►ri/ RJ,• Vero 32W$ Assessor's Map/Parcel: "'1 — „•` Engineer's Name $fey. , P14ft.jr,r( NEW CONSTRUCTION _1,-'` REPAIR - Telephone# LILS rl Land Use V 0-Gee N1:� Slopes(%) — "Surface Stones No � Y Distances from: Open Water Body ZOO ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ZO ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) • N 1 LA gIVE P1 Ot A►•?�— u•t ws li 3 L� Parent material'(ge6logic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATTOI�i FQR SEASOlAL GTi ?VATEIt TALE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well# _ -_.. ..... Reading Date: Index Well level.__._ Adj.factor.- A(Ij.Groundwater Level P+RCO AT�O;N TE T Aate { �tme , 0'• - Observation Hole# ' Time at 9" N to A - r Depth of Perc 3 Time at 6" 1A*,4 n4M Start Pre-soak Time u i 0;46 Time(9"-6")�r�® End Pre-soak 10 i SS Rate Min./Inch ze— Site Suitability Assessment: Site Passed_ o," Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant AEE P OBSETtyAT�C1N IQL, LOG Hole,#; _ .. .. Depth from .Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency. Gravel) Sa. 10 02 A -6 � �-Sari I O .4/4 Ci — 3L f3-L WI-Sa, l l0I1Rs1 -32-l1.o L yK-Sso�d Z•5YK DEEP OBSERVATIf?N HOLE LOG Hole# v S r Depth-from Soil Hon or Soil Texture Soil Color } Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consisiencv.%Gr v -� ►oYRb � VK 10 Ino ttn. DEEP OBSERVATI .N DOLE LOC Ida e# Depth from Soil Horizon Soil.te'zture Soil Color Soil' Other Surface(in.) (USDA)-. (Munsell) Mottling (Structure,Stones,Boulderes. g C eGravel) ,t ".•fir„ DEEP OBSERVATION HOLE LOG Hale# Depth from Soil Horizon Soil Texture Soil Color Soil Other Mottling (Structure,Surface(in.) (USDA) (Munsell) More,Ston'_,Boulderes. a ram. } Flood Insurance Rate Maw Above 500 year flood boundary No_ Yes y Within 500 year boundary No v' Yes Within 100 year flood boundary No V 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? '— e- If not,what is the depth of naturally occurring pervious material? Certification - I eertify that on .,r (date)-I have passed the soil evaluator examination approved by the Department of Environ ntal Protection and that th' b nalysis was performed by me consistent with . the required tra' ng, p rtise and experien e cr' d in 10 CMR 15.017. Signature Date r• I�, t Z 0 a V D VE ITnS'OVVE ITAS o engineers Ivnarative srmeausa!enq[ceetiag - - - - p o � o nigh?1.4QIta.P.E. z z � ' -. Do�K vor� stRntlaAL s,� o o m eLw DRaaa1L-s � W W a. nnl 1.0.tenlx D.E 1. 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S ALL e%Rgat)NLL9 DIWl�elAlr®a t?MA 009i10R TO IWOATnN Yal1 OR LVL BCN6 . - DRAB DVOJIre l 0.TaLm Drat`A MOrm OttW1�J. - 4 ALL 0.0LReGTMa51W1DE D%•RYYn00611®ND {.TAMM 91FP491>IWL 9�OT LVL MMVHID®WNTIC Please be advised that Veitas&Vcitas Engineers,Inc,designed and reviewed the S ALL 11Y:P 9eAlrlllb 9aN18e 19'APA e%I�JI@ 10.YYCnD SIYUCiptal beams and posts for IIIC sub•eCt L Au sttantlaAi carinate>rDLL rnrara.rvDllr,store cra Ae awutm vx PLA16 Nrawoe rtrrwD mee cLIPa xb•LK DmnAte M w®E w I sys•x s rrs•Lots J garage. 71s dated gal beams are shown on ADDr¢>Are car�reta Aw>wu ee PRVDarIPEn,win a xAnaD PwneM roR uleaere runcco,ev xuLs•D• s x-e•LK emnAT�M weal w r 9rP s r vP uts• plans S-t OU and S-101 prepared by Husker Architects dated May 15,Zgph• At0 Plta�I•maE M svelvaw w A cL%mn atrnrESR AT�.Arm Arc AT M nnasac tK>em rmrm onwree x-n•LVL DacATs M R•etee w r S•P x%w•LKa' M ALecwAree wm AG>a.9b Arm 901 STNOA,�UTgY t Ar N1 dn3rraR IpAp @ARMe ryyy MD ALL MONIOAD XC LVl amlLAlb M WT.Ot w I>N•%Y'tlD'LKS ' - 6rtn10.LOlClrele• DEyBd MP'xfLrOIi MDAY LGWIG IMLLS PIER D'Nr6Mlf.RrOIILC a2 ParlwrtlOD XY'LN.emOfatp MrYE9t 0IS•1•%M'UtY aGCK➢K AT MWElell•w SnDS. %�D'LVL OmnAtp M N!!0l w 11P%Ie•l 1 If you should'have any questions,p1ea.4e do not hesitate 20 cell. > �®/ eaD,m TD rrATreE,wD Psl I e.xe•amnAta tie x•eea w.uaa silos, e oltralDR.wvLa rooraD9,vme Alm suss oavv>Fa Dawn lugs •lox•amcwrg M ra•�L w xae snma VSincerely,itsEVe1ta4 Engineers,Inc. _ I)F! ro�*a L MM�s aeAv aa�Rs rwlse s ermAie vaeaum mLs/orov ue xAuwnnro rom Msi M z•�n•sonw es vARAww couax ADa rm Domo Psl nun stxeLsm ram voo•N..�rnrtAae Paumw tows a Au axnwaR veAwn Mwa_De a]x D un. a(L. :S - A1m 9laCe P8aP1®E%,a ICR Q IRCIrl4 a ALDOImArne Wm.R31 PSP Itae 9,[XPo3ae 4 9.ALL MTkRIaR reAOlRq e1.41 @ CU ,f / Ntll ALI 9b,utE.i mm011 rHn®Iare FA9tn SNALL enn� Dart� W+'fy et n1A.1AN14 G S COIYYEIE a4159W11 Z•GVrMKlE1MArE PNB-40r z so•ac�]>P4exPo9ae.DRav1 `xt•'!, / 4 rrA w - eu®DEc lap Pr-a taEsnL M ux w Paa sRas Ar snz� savEc seaao+Nce utr nr.c n.rRLvme r.wx stlm orl PAw sroe w KL vcuL rmu (� ftl9a mAle wetmFil Alp Are mmw CAM Aw Z i1T10 (��y� �. {O �r C >� a rrOglLTlrK r®epnlra lanr m 1em ro mlrum M taastx srre rmPnc%r.s.rn TwD>,t{Ecs cur®oTlewse.� ,5 Ytitas,P.Ji• �'^ s+mcrvRAL SYsa toieeeARDlo nAu.sntet r 34p 8 L' ♦eAes ov eRAoe sxaLL Ei vm a sRa.M AccwmA%ce Rts9pee rowlutnx P,.crew R.e w D.mavlDe Reauc..are AacrnRs Ar eAcx ee.rmn war w W UE RV;Im / amMU6t Ao ava••smATm O. va scnox AM 6Y YM PAL a4 LD. 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Qo6 a?iR raar't � - - - S�69Y334P PSR469H�3.- W N _• EAST ELEVATION WE5T ELEVATION r�auoon,n rs�saeq i SCALE I/4'=1'-0" - AW"PV OOfPi9E HR HFAOS - rl r _ W . f:1 -�, ,r +j �•E G•OVER14AW TTROAL ATPOF44M M- (41 r ir. .LL r}�"'•--, E• W E 6.OJEWfMY�TtP1OAL AT OOW Bt4 W - rl -t 2•1- �Q �.0 1 �1 _ 5��- .may 17�:�} .•}i - �'� �'7" 8 Y t 1 W GEMHt LIGM TTP. �: ` - -JJ _ A0� __,_`- '..a.y1._.:,.':"T�'?'� r��•.+L_1�'�T J-+y.,'-`-�.�-5.,,._Jlr. '- T.=-. 1 � ..•-I s I '-LJ_.tiT`__ A�,� r �T`_ 1 1:i 4 : _I._ L>,;S L_J_ ,4 _ '!iTrJ 'y AT 0' ABOVE SLAB .-. -_ 1_ T i -L-� -LN 1�•�_ --. .- - ,111•J_ 11�I r '1 r �TLJhT rr-._.-.--------------_.-.- t +I 0" .PST�' � � r T _i.'r4r�j'�l- � r .1 ��L O ru�'J�451� t• 1.-T t'r'Z7'r - I- .� 4'-5r i`-� r OOHM.gF$u'x 7b4 CEDAR Z t S'r' MArcH WHDOM .ITT- ` f-1yfI-• t' -_•+ ..1 rrsu+BA+6J w R<r�Er.tomm,ttP: I r r 91LL M•TYP. --� � . -------- ----- -----'------ —. —. _ —GRnoEroMrx.rz ...... GRADE 4 - F— FairmAnoHExPo�T+e- -'----'-- ----- --8- ------ ------ Q . DE TOFo vex t7 wnTicH ExPo2TaE taa a•Pm.Dr. � NM.8'FNI.DATIOH IXPO9,PE W J W NORTH ELEVATION SOUTH ELEVATION SCALE 1/4•=V-O" SCALE 1/4'=1'-0" A-200 I 5 1/2" 2 1/2' 2 33'-50'-50"INTERIOR ANGLE CHAMFER FRONT d BACK E17GE5 OF BRACKET— 1 �` RED CEDAR BRACKET,PAINTED Y611TE ' 1 FLAT TRIM BEHIND BRACKET ;A TYPICAL ROOF ASSEMBLY O 3' -CEDAR ROOF SHINGLES(MATCH EXISITNG) a -CEDAR BREATHER ,q -30# FELT BUILDING PAPER o -ROOF RAFTERS(REFERDTO FRAMING PLAN5) w j -PROVIDE VENTILATED 5OFFIT5, 3 1/4" RAFTER VENTS,AND RIDGE VENTS 6 c (2) 1-5/4"X IS"LVL z z s 1i2' 2 1/2' _ HANGERS AT LVL/RIDGE CONNECT. a o U /^, \ I PLASTER FINISH AT INTERIOR H ' 1 BRACKET DETAILS A300 SCALE:I'=I'-O' p y SIMP50N H25 TYP. @$ AT ALL RAFTERS S S a 12 'HORIZONTAL�•; ``� - +, -, cb 1'e-s W I TRACK I SUPPORT �ws'tpiiiu f,+ 1-3/4"X 1-1/4" LVL �- ^I_ j �% f5�smaodrs�stas"w (2) 1-5/4"X q-1/2"LVL -- ---- (2)51MP50N H25 AT -- --} , -:- :a1 LOWER END OF LVL RAFTERS (ONE AT EACH 51DE OF LVL) -___ _ ___ ____ _ _ _ _ ` K _ _Z_______ -...__-____ _ _______ �.�-•_;_____-__'I____fir____________ � F __ TYPICAL EXTERIOR HALL ASSEMBLY r - ------------- - -- ---- X -AHITE CEDAR SHINGLES(MATCH EXISTING) ---------------------1-t__,._, -'- -MATCH EXISTING FLARE AT BASE OF WALL -- - --- ---- -- -------- - w -1/5# LT BUILDING PAPER LR -----F-- ------ ---'--------------------------- ---------------------'' --------- - ---=2X65IUD�L.Ibi"_O_.CjYPJC.AL ---------._ U I j C -INTERIOR NAL FINISH REFER TO SCHEDULE Zw I w cv w ! j W� J Q I j Vertical = of p_ ^s. - X I --==---=- - -_:_-_ ------ ------ Track Z k _ - ------ Assembly O �W o tOtu { ___ I Q Ck ILLU 2 X 6 CONTINUOUS P.T.SILL !---------- - -----'_--------------- PLATE WITH I/2" DIA.GALV. , --- ANCHOR BOLTS AT 48"O.G. I". - b 12"FROM CORNERS,TYP. i • - - --- REFER TO LANDSCAPE DWGS FOR BLUE STONE APRON $ PARKING COURT DTL5. Z 12" MAX. FDN. EXP. THI5 SIDE r — --- - O N I , 5"SLAB 3000 PSI CONCRETE U REINFORCE N/6X6 W 1.4 X 1.4 s �3 gG N 2"CLEAR COVER AT TOP CONCRETE FOUNDATION WALL -------------------------------_ � WITH(2) #5 CONTINUOUS REBAR T d B y 1 -..------------------------------ PROVIDE-- 1/2AND 12" ANCHPROBOLTS RS m G. -------------- ------ ------ ------------------------------ A I j 24"W X 12"D CONTINUOUS CONCRETE FOOTING . N CONTINUOUS KEYWAY TO RECEIVE WALL 5Err10N A A-300 SCALE I/)5" = I'-0" I qIL 'x3r`__� " moo• A4fi ibad ' I I f II . • ,< • 6-a..a-s I ` it - Q !:,•Qe.Aar.(>y..a . , "� 2 .-W�iroo PovK, r .. U.. fiea I I — °-- cE o Rs ` e :.. o D MNGROM Q - Y-A M-.-Y-,AON �sJSN " a� - �k'' 8•. 3-r/' DRAWN BY e-e• '�I/"iF-w�,ca.cs !.• �f''r+�'+�S SOS i ELBYATOR e_ .I I I• D MASTERBLDROOM r1. — T I I I•c°�s• yr—— —��<ol�+••K O �' 4rw5�� � `. • G Y 5 G`'`C .� KIT iCOoJC� 1 C y C C�J .. .. ov Lt=.v -_._. ... < SEE DE AILS PAGE s� YRICIC10N�8 �x rwly T O'O 0410 twp wwr W-4 �` Ell J.AUPIDAY I 1 r RD 1 u � fl . f ` C BALL. .---_..... Guns COvi3"'FOWH 4 \ -7-7 Li 0'6 \ FIRST FLOOR FLAN � 4�• ^L�'' --. ` ' s u� 0-0 - w �a ems. lei sag nasaao — I a BEDROOM/{ ' BATH BEDROOM a _ I 0 0' srrrg cG_WADING c T1 LOFST �I. DRAWN BY BATH I J 76ta.']Fac- a. WM. I I I • �` , b ; L LEV LAUNDRY _ BEDROOM YW CLOM FbAM — - 9 —_ RATH LWARqD�ROBK �..���FAIMWAYSYIEWI' I I.t I ! - will o i; SECOND FLOOR PLAN 41 -P III it I I I I �R+�GJTofz•4G.�_ Pt M S I I 3rd FLOOR PLAN a 44-0•_ct ... DRAWN BY I .artw. F.C. I I 8 �---i ra_,a a',c M. tr 41. lip ►,V-c, -I Itn!d so' #RM...F►�eosr I 1-r sill gppe�u IS��iE'�f.�vK�K � I �4'7D-LVL r++,skt�� asmro. I I y . d _— -- —— - — .Mc. f 4 4- y(tewP faun I fb�mo t*vm-xdclN I I � I 4 rT•tyv�... I tt./q/ bMavi Fa..�o. ad j � I- � ZeP r.fye•t`Ca•1 � a -F'Puu'cot- IwVlm. 3 - FOUNDATION PLAN �+� L — GARAGE DETAIL A -a-�-*- _ .A .._ — + ss�N fwvfR. ... e'o• moo' EXISTING LEGEND PROPOSED Design Schedule ELEVATION Leaching Area Requirements Edge of Pavement TOP- OF FOUNDATION _._ 26:5 5 BEDROOMS AT 110 GPD/BEDROOM = 550 GPD Sewer Pipe s FINISHED BASEMENT FLOOR 18.5 - - `- - -- Water Pipe w - FINISHED GARAGE FLOOR 26.0 ADDITIONAL 50% FOR GARBAGE DISPOSAL --NA--GPD _-- Drain Pipe SEWER INVERT AT FOUNDATION _ 19.5 Gas Pipe -------------G Manhole Cover • SEWER INVERT INTO SEPTIC TAVKs 19.25 PERC RATE _ <2 MIN. INCH (CLASS 1 ) S' Catch Basin LIAR = 0:74 GPD/S.F. SEWER INVERT OUT OF SEPTIC TANK 19.0 Water Gate H SEWER INVERT INTO DISTRIBUTIC N BOX 18.9 Light Pole T- 9 SEWER INVERT OUT OF DISTRIBI,T!ON BOX 18.73 MIN. LEACHING AREA OF S.A.S. Utility Pole Contours 200 SEWER INVERT INTO LEACHING SYSTEM 18.2 b-00 Spot Grade BOTTOM OF LEACHING TRENCH 16.2 550 GPD/ 0.74 GPD/S.F. = 743 S.F. MIN. tr. Test Pit WATER TABLE - <9.9 PROPOSED SYSTEM 828 GPD `W/LEACHING AREA OF 1120 S.F. GENERAL NOTES `! / ./� _v coTUIT Q TILLESYSTE TH COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH :'eENCHMARK r E STA TE SANITARY CODE DATED - TOP of BAY MARCH 31, 1995 & ANY LOCAL RULES APPLICABLE. CONC. BND f 1'` �° SLgNp pR .tI � • • :' �. ANY CHANGE THIS PLAN MUST BE APPROVED IN l ti� � �o IVE , � �./•• '�..�. BY BAXTER, NYE & HOLMGREN. I r " f' GAP OYSTER .y HARBORS > Y y % /N 85'30'31" yy r LIN , ^ , � r � y o � WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFIL G c� NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT' I PROPOSED R 316.91' �^ FOR INSPECTION. ETAININ� WALL t �' I I �! TP 1 r WEST I J 24 -/' y o �o BAY FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. - _ - 24.2 LOCUS F10 CHANGED WITHOUT WRITTEN THESE ELEVATIONS APPROVAL BYI BAXTER,SNYE &BHOLMGREN. 1 =1000 f VENT RESERVE r 24.4 ` \ ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHD. 40 PVC. AREA �- t j / I - j \ r MAP 1 EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING I 70.0' O SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5 , PER PARCELS 11 ` 1 310 CMR 15 255 I { w r PROPOSED o, } I PRIMARY BENCHMARK : TOP OF CONCRETE BOUND EL = 18.18 TO '`= 26.5 \ 12' . PROJECT BENCHMARK : TOP OF CONCRETE BOUND EL = 18.18 I , ' FINISHED GRADE �� I !` •` /r 24;5 . " " \\j\\j\\j\\j\\j\\j\\j COMPACTED FILL LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND 36 MAX.- 12 MIN. //\//\//\// /\// /\ �, ,_ \ \ \ \ \ SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE I `. ,` r r.'` ! 2 °,,,.e PEASTONE UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. W I t I " d _ .3/.4" TO 1 1/2 " PROPOSE© ,' i 30.5 :�' < .a :' DOUBLE • DRIVE - I -° WASHED STONE 4 ' FROPOSED 24.1 GARAGE .` - ELEV. 6. r 2 0 s , i Y t WATER .a> SECTION , FRVICE , SCALE,NO .t -�, Hl�/�rw' / p i 139• _._ __ t ��H %1S is OF - CULTEC - RECHARGER 330 H CIVIL , KUCHINSIG ' ` 327.00 ALL PIPES TO BE SCHEDULE 40 PVC I 3'0•274 ' ! 'r : No.35862 �� L 6A' '�O,�E Q►STEP 6`�;. E -^� NAL 4.57' 6 I 1 P�r.----- r t - .'- Septic Design N 111 Oyster Way Osterville, Massachusetts PREPARED FOR Osterville L.L.C. TITLE TYPICAL SYSTEM °ROFILE BAXTER, NYE & HOLMGREN, INC. P#9886 Sanitary Disposal System FINISHED GRADE 25.2 SOII. LOGS DATE: 12/n5)ZOOF) ENGINEER: BOARD OF HEA.71�.TH AGENT TOP OF NOT To SCALE John D.Kuchinsld Donna Z.Miorand` BARTER, NYE & HOLMGUN, INC. FovlvDarloN = 25.0 TEST PIT 1 TEST PIT 2 Registered Professional Engineers and Land Surveyors e FINISHED GRADE . OVER TANK = 25t G.S.E. = 19.9 G.S.E. = 22.7 g FINISHED GRADE OVER D. BOX = 24t y � FINISHED GRADE OVER LEACHING TRENCH = 22t 0 3" 812 Main Street, Osterville,MA 02655 8 MIN. 3" (mi . A O ORGANIC 4" SLED. 40 PVC SAND " Phone- (508 428-9131 Fax- 508 428-3750 (TYPICAL) ' 4"_SCED. 40 PVC FIRST 2 (TO BE LEVEL) 9 (min) Cover 3/1 l 4 10 YR p �v l 6 (min.) OL2 min F 36" (max) Cover E E PVC Qr 6" SUMP :,. MEDIUM SAND MEDIUM SAND 10" Cl TEES GAS BAFFLE r 4" SCED. 40 PVC FINISHED CONSTRUCT ACCESS 2"Layer 1/8"to1/2" 6" IOYR 5/1 g" 10YR 6/1 20 0 20 40 BASEMENT MANHOLE OVER INLET FLOOR = 18.0 TO TANK TO AT LEAST ':is �... .•., - . .. --.�:.;.-� .. , - Peastone LEACHING CHAMBERS WITHIN 6" FINISH G .. .. . ... _ ._. ,:.. •:. ..:., ' REINFORCED CONCRETE' STONE CRUSHED Slope = 0.005 min B B SCALE IN FEET •' ' . STONE 8A ,-- ' O O O O O O O O O • co O 9" MEDIUM 5YR SAND " MEDIUM SAND FOOTING Y! 4" PVC /1 12 5 YR 5/6 SCALE:1"=20' DATE: 1/11/2001 O O • • O O • O O O O O O O O O O O O Co. O O O 62 62 REV. DATE: REMARKS MEDIUM SAND MEDIUM SAND BOTTOM ELEV. 16.2 32" 10 YR 5/8 27" 10 YR 6/8 A 2 6 2001 CHANGE-HOUSE 0 2000 GALLON SEPTIC TANK DISTRIBUTION BOX 5' MIN C C TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE I MEDIUM SAND MEDIUM SAND DRAWING NUMBER SEPTIC TANK TO BE INSPECTED do CLEANED ANNUALLY 7 OUTLETS REQUIRED i No Groundwater Observed 120" 2.5 YR 6/4 120" 2.5 YR 616 CULTEC® RECHARGER 330 NO WATER ENCOUNTERED PERC ® 43 H: 2000 2000- 103 Civil Design 2000103s .dw RATE= <2 MIN/IN JOB 2000- 1 03