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HomeMy WebLinkAbout0225 OYSTER WAY - Health 225 OYSTER A OSTERVILLE A = 071 U11 005 i i o i Commonwealth of Massachusetts 071' 01/- 00,5— 4- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ra, 225 Oyster Way r"r� Property Address Janet R Matthews 139 Ellsion Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. City/Town State Zip Code Date of Inspection it 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 forms J/�� ��When fillingng out o out A. General Information q ZG)Q on the computer, use only the tab 1. Inspector: key to move your cursor:-do not Jason Burnie use the return Name of Inspector key. . Jason Burnie inspector Company Name 248 Camp St Unit K4 Company Address W.Yarmouth MA 02673 City/Town State Zip Code 774-268-0857 S5011 Telephone Number License Number B. Certification I certify that 1 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 ($/12/15 Inspector's Siggat re-'' 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. t5ins•3/13 We 5 official In spection Fattn:Subsutrace Sewage Disposal System• age 1 of 17 i Commonwealth of Massachusetts — = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Oyster Way Properly Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owners Name is information for every Osterville MA 02655 11/12/15 require _ page. Crlyfrown State Zip Code Date of Inspection B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system was found to be in good working order upon inspection 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 old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of f Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts — � Title 5 Official Inspection Form tiSubsurface Sewage Disposal System form -Not for Voluntary Assessments 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Brormille NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. Cityrrown 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 approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 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 and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 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%day flow t5ins•3113 Title 5 Official trapedion Form:Subsurface Sewage Disposal System•Page 4 Of 17 Commonwealth of Massachusetts — K Title 5 Official Inspection Form P1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cunt.) 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. P P Y ❑ ® 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 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered°yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Tffle 5 official Upon Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Oyster Way Property Address Janet R Matthews 139 Ellsion Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 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? ❑ ® 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): 6 Number of bedrooms(actual): 6 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 660gpd t5ins•3113 Tille 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system consists of a septic tank, distribution box and 9 leach chambers. The plan approves of a garbage disposal. Number of current residents: 0 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 ears usage d 13-208gpd 9 ( Y 9 (gP ))= 14-241gpd Detail Customer has irrigation Sump pump? ❑ Yes ® No Last date of occupancy: Seasonal Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Tide 5 Official in spection Form:Subsuface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form =c U Subsurface Sewage Disposal System Form- Not for Voluntary Assessments -,. 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: None per the town Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ` ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form -Not for Voluntary Assessments „ 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Per plan on file at the Barnstable BOH system installed 2000 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2'2' feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): The inlet line has a T in place. Septic Tank(locate on site plan): Depth below grade: Inlet cover- 1'Outlet cover-6" both metal covers Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000gal Sludge depth: 311 t5ins•3113 Title 5 Official In spection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 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 31+ 1„ Scum thickness Distance from top of scum to top of outlet tee or baffle 4"+ Distance from bottom of scum to bottom of outlet tee or baffle 1"+ How were dimensions determined? tape measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was found to be at a normal level with light solids. Both T's were in place. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r , 225 Oyster Way Property Address Janet R Matthews 139 Ellsion Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. Citylrown 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 (condition 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. Cityrrown 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.): The distribution box was found to be in good condition upon inpsection.THe water level was normal and there was no signs of carryover. r Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order. ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or 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: SAS was located t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts — Title 5 Official Inspection Form z : Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ., 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxvilie NY 10708 Owner Owners Name information is required for every Osterville MA 02655 11/12/15 page. city/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 9-500gallon with stone ❑ leaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The SAS was found to be dry upon inspection. 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 s oreaai trupection Faun:SubSuAace Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts — Title 5 Official Inspection Form _ � ? Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. CityfTown State Zip Code Date of Inspedion 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 of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3113 TWO 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 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. C4frown State Zip Code Date of Inspection D. System Information (cont.) 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 i r / �- C y 40 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ti Subsurface Sewage Disposal System Form-Not for Voluntary Assessments E _* 225 Oyster Way Property Address Janet R Matthews 139 Elision Ave Bronxville NY 10708 Owner Owners Name information is required for every Osterville MA 02655 11/12/15 page. City/Town 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. 10+ per plan dated 2000 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked,date of design plan reviewed. 2000 on file at Barnstable BOH Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: MIW-29 Zone A water level 9.4 2.5x12=2'6"adjustment You must describe how you established the high ground water elevation: From grade to bottom of the SAS you have a depth of 4'. Per test hole done on plan dated 2000, no . water was found at 10'. This gives you a proven seperation of at least 6'from bottom of the SAS to where groundwater is known not to be. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 OfficW tnspection Forth:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Oyster Way Property Address Janet R Matthews 139 Ellsion Ave Bronxville NY 10708 Owner Owner's Name information is required for every Osterville MA 02655 11/12/15 page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 l_ --�^�--A Fee------=---=- ---- BOARD OF HEALTH TOWN OF BARNSTABLE Appticat ion fforVell Con.5truction Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: P Location — Address Assessors Map and Parcel caner Address —— '�'. —� — —----- --- ---- ---------—--------------—---------------—_—_— ---------------- Installer — Driller Address Type of Building p Dwelling -- — --- -- Other - Type of 1Building-- ------ No. of Persons------------------_--- Type of Well -� on ------- Capacity-------------------- Purpose of Well--- )— - -G-�--�— — 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. s Signed- 'dam ,--- _— _ —-- date Application Approved BygL-- date Application Disapproved for the following reasons: -------------------------------------- . _ _------- -----J------ --date------ Permit No. �ac� )\- � -- Issued date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (�), Altered ( ), or Repaired ( ) by-- :D--N !�� c_r��\� Installer at— C�sS�� l-.�`�.� C&"P-C V kQ_—__ --------has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well rotection Regulation as described in the application for Well Construction Permit N0---- 59 Dated S. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL UNCTION SATISFACTORY. DATE Inspector---------------\�\ - - - 03 No.------------ -- Fee--- ------------- BOARD OF HEALTH TOWN OF BARNSTABLE Application forlVell Con0ruct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel ------- _ — -- —----- —---- -- ---— —-------- y� �wnerr (� Address Installer r�^— Driller-------- --_—____-------------------Address --_-------.-------- i Type of Building Dwelling _ Other - Type of Building - No. of Persons- ------ Type of Well R Capacity---—--------- -- Purpose of Well- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Privahe 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 �� ,u eL-—--- -- - — ---- date Application Approved By � e_x C`. `` \�� <\ �L �k date -- Application Disapproved for the following reasons: -------- ---- -- date —_---- Permit No. �` �� — Issued ---------- date BOARD OF HEALTH TOWN DF-BARNSTABLE, C ertif irate & Compliance THIS IS TO CERTIFY, That the Individual Well Constructed X), Altered ( ), or Repairedby ( ) Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. - --�6 Dated ��)U THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE_-- � �-:\______ —___ Inspector------C- --�,-\ _` <\ -----— BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Congtructionpertnit No. `S c ' Fee Permission is hereby granted to Construct.), Alter ( ), or Repair ( ) an Individual Well at: No. —street as shown on the application for a Well Construction Permit I No.- —___ -- Dated— ----------------------------- Board of Health DATE — Y D Xv �t v U) \N` 4F lr \ t 4904 del N 3 D -15 ca Ir ty 16 ip y w� 32 w�� /E 00 4:S' LT a t e - -7 - 0 ) r � Z24 . . N g —P993; JJT' ` Apr-26-00 09:03 BARNSTABLE HEALTH DEPT 5087906304 P.02 DATE: �J' t7 a FEE: � I3A�NS!•A8I& � >%►9. REC. SY Town of Barnstable BCHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508.790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: Assessor's Map and Parcel Number:`77XV 7/ //--6' Size of Lot: '/34 61-3� S� Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her) Yes _J�' No PROPERTY OWNER'S NAME CONTACT PERSON ^ Name: W1,1//AIM 17-A, Name: Address: /39 (r/l/dOh /9 yP�X v/7/rvl%/r Address: t�'U• /jeX is�O:.CrY,'Ile- j/� 4d L-Y^ _ N '70e Phone: C J'a— 95 �i 7 0 _. Phone: VARIANCE FROM REGULATION(List Rex.) REASON FOR VARIANCE(May attach if more space needed) Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of floor plan submitted(e house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(Ao fee for fireguard modtncauanrenewde.yrea:e«aprerinn«repewal.(Sam$—nerneaaeeony6 uuide dining variance renewals lsarne ownetlleasea OrM.attd variShon to repair failed sewage ditpoul systems Iunly if no upandon to the building proposedl) , _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DIS RO Ralph A. Murphy,M.D. Q:/wP/vaxtAE TOWN OF BARNSTABLE LOCATION SEWAGE# — VILLAGE oS4erta ASSESSOR'S MAP&LOTIJ INSTALLER'S NAME&PHONE NO. 9yR�•�fty�2ff t SY>t'o g.11 SEPTIC TANK CAPACITY l oo 0 D LEACHING FACILITY: (type) S60 Gt AL #-l0 (size) 4 u R 7 5- NO.OF BEDROOMS 6 BUILDER OR OWNER G rGe Ln _ tts f PERMIT DATE: 1 C Q COMPLIANCE DATE: I D II N IO O 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 fee_t_oQVaching facility) Feet Furnished by � n c a� ra I�'P� . . 6 • �� � �� �� �b No. Afro�fiw.v- Fee t co THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pphratiou. for Miopozaf *pgtem Conztructtou Permit Application for a Permit to Construct( DQ Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 2Z S Owner's Name,Address and Tel.No. 1-2-vZ-495-62Z0 0BI5,rZZ2 VAO'e-e oPS W i%_t_LraM M q T7VkGW5 Assessor's Map/Parcel r.i / i 39 t t—► ©e.a w G J / o-5 eV XVIL G - 107 -2l2$ Installer's Name,Address,and Tel.No. Des er's Name,Address and Tel.N . S %;- - oq 11 TE-P_ ` ULL\,Qr� 'Kc A2Z--SS44 I�Type of Building: Dwelling No.of Bedrooms S Lot Size q3 Sb0 sq. ft. Garbage Grinder(4 o) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 650 gallons per day. Calculated daily flow gallons. Plan Date 3f e5 J9 Number of sheets Z Revision Date Title '-►Tr--?L."�,\j Peo PCe>QD 6 r-Z P 1 Cr 6�1(STF_I Size of Septic Tank l 5D© &A-L W t-AS Type of S.A.S. lZ X Ay l E tit��tC C.N t-tt�c� Description ofof Soil 3`�-D k ° ZO r� �► E I.l�c1JC 5 V-4, MA rca�e CSC`~9" � t� 6 CS `J✓ 9 " -er-LLO-�J i ',S�4c�t O 39 ` l2(5'` �'. L--`IGLc caw 912 C. ��ti.� 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 is this BoaLdaLUealth. Signed Date ! Application Approved by Date_'_ f f 277 Application Disapproved for Ye fol owing reasons Permit No. _ /3'- J`�,1 t I Date Issued k THE COMMONWEALTH OF MASSACHUSETTS _Eniered iri computer: 4. i y PUBLIC HEALTH..DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pprication for Oigpogar *potent Congtru°ition Permit` 3. I Application'for a Permit'to Construct(K)Repair( )Upgrade( )Abandon( ) []Complete System O Individual Components Location Address or Lot No. 'Z Z 5 0`(S TT_--2\/Jr4�( Owner's Name,Address and Te1.;No. 1-%212-495-G 2?0 Assessor'sMap/Parcel r-1.1 V' 9 1^Lt_150e.a �vG\ 107UE,-1Z2$ Installer's Name,Address,and Tel.No. O I Des er's Name Address and Tel No. Type of Building: Dwelling No.of Bedrooms J�-- Lot Size q3 S_,Q sq. ft. Garbage Grinder 0) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures ` Design Flow gallons per day. Calculated daily flow 55G gallons. Plan Date 3I8 99 Number of sheets Z Revision Date 1J t>>y t y Title G 1 T�--_?WN Pi_000f:: E® J t-::Pi1 C.. 'G�(S rl r Size of Septic Tank &AL LQ r.1 S Type of S.A.S. 1 z x AA a; Des criP "tion of Soil 3 -O l i ti E Al �L�S ��tZ6• K r 7� � ct.G—rU 'i(aL�� cJrs.c1! Nature of Repairs or Alterations(Answerlwhen applicable) I Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system' in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is y this BogdgLHealth. Signed Date v i Application Approved by Date' 1 r 5' Application Disapproved for Vie fol owing reasons r I Permit No. Date Issued ---------------------=----------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance e THIS IS TO CERXIFY, th t t e O - ' e S age Dis osal System Constructed( JO Repaired ( )Upgraded( ) Abandoned( )by at . 2ZS 0 VS 1 ,v has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - /a-c dated Installer A I Designer a The issuance o s e t o no a construed as a guarantee that the s m ill functio as e r e Date Inspector i —————=————————————————————————————————— No. A— I a V, Fee too'0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH'DIVISION - BARNSTABLE., MASSACHUSETTS &.5poat *pgtem Con%truction permit Permission is hereby granted to Construct( 1C)Repair( )Upgrade( )Abandon( ) System located at Z 2 S DYS� � R-�(�� -_-.-_._,_and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this pe Date: AV�_ - Approved by I Oct 23 00 03: 10p franciscoTavaresinc 5084579717 p, 2 -4 r*,�, (G AV �} r s TOWN OF BARNSTABLE LOCATION -S� EtL_ SEWAGE # VILLAGE o54 erts 41 ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. C� �ThvA lZf-S 5"Y�-o T 1l SEPTIC TANK CAPACITY .9000 LEACHING FACILITY: (type) S00 G &t /f-(O (size) 4 u N 1 f5 NO.OF BEDROOMS BUILDER OR OWNER i4 o YPLOL _ a a,-4 PERMIT DATE: //b/ /A 100 COMPLIANCE DATE: f 0/i y Jd 0 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 Welland and leaching Faciliry(If any wetlands exist — within 300 fee ching facility) Feet Furnished by''% + K�— Town of Barnstable P# 5 2 b7 [/ Department of Health,Safety,and Environmental Services 't"'b' Public Health Division Date Q, 367 Main Street,Hyannis MA 02601 BAANaTAaI$ rEo t, t� Date Scheduled (g _:1 9 Time t Fee Pd. 142 C:2 Soil Suitability Assessment for Sewage Disposal Performed By: t"E'fE•2 .SUG L/l//-1 Y1i Witnessed By: QU1v/11w:gi Ii0�vA111 �iwlrQl '"ATJQI\ ...... Location Address Z Z s a v S-re lz ���� Owner's Name p0i1,0c® 12. o s>3vfn_ r1lI LLe /In, Address 125 13raO7) S-t p NEW yarA4-� NV Assessor'sMap/Parcel: -7�/ -$ Engineer's Name NEW CONSTRUCTION X REPAIR ! Telephone# .�a�_ 412,A-,- 3 3 y q Land Use U AI Slopes(%) 0- ;9- Surface Stones ' c>KI Distances from: Open Water Body SQ R Possible Wet AreaG_ ft Drinking Water Well mil/ R Drainage Way. ft 'Property Line /D ft• Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) 217097 �. y� dip N 0 • 1/ :,�� i 4010 NO �j oy5�-� s� 1�► �Q .4auk aim way t Parent material(geologic)p4lt#1,ax11 I A'`- Depth to Bedrock 21.0 e, Depth to Groundwater: Standing Water in Hole:Naives EA11ra,v1P1 b Weeping from Pit Face /1[� Estimated Seasonal High Groundwater �G=SS 'f/��/V LPL• j.0 ��r V/D .... .. :<`: >< ...... :<:><riETEIIMNA IONFO LHEIrG I:'VVATEILA LA . » v�fMethod L Gr��N ca1t t Depth Observed standing in obs.hole: /VaI✓E in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: &Z2VE in. Groundwater Adjustment AV11-16 ft. .-index Well#___. ._ -Reading Date: Index Well level.-.--- Adj.factor Adj.Groundwater Level ::;::<><>:;:>:::;:<:>::. . ERC >>:Tint� :n »:..:....::.:::.::::::.;:::,:::::::::::. .:.::::.:::.;:::.:.. ....:.::.... .......:: :.:..: .. . ..... 2 tO-A[�>;7ys LEss flr�/y /s'/yJi Observation Hole# Time at 9" Depth of Perc 7 O Time at 6" Start Pre-soak Time® P Time(9"-V) End Pre-soak Rate Min./inch Site Suitability Assessment: Site Passed yES Site Failed: k10 Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant .. .. .. .. DEEP bV.SERVAT. O.�1 HOSE LUC o1e# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 „ �� Sr'N• C'aa1P�'E yVl�� tLaa©TS D- 9 S AivD lO'YR S/? 9 YELLGty 13 r•N 2% t G r2a � - 39 CoArse ,VP oyR L.t• y6Lco44, eat, t l.� tea• <'� Iwo t o Ya 6 L oc�5 E .6e DEEP OBSERVATION HOLE LOG . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling. (Structure,Stones,Boulderes. % 3_U 0 L6V F 119s1)*e 0 9,r C s99.W y>z sr'� 39 �a� sin la R SG co,%.vt As Lr yE[.taw C31Yv '�t-t- l 39 —12,0 C Ca�rSF /0YR � OBSERVA. ........ DEEP T4NU .E I1UG dole# . Depth from Soil Fl'or izon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % DEEPP OESERVATIOI�t HOLE LaG Hale#Depth from Soil Horizon Soil Texlure Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. e Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No ^ Yes Within 100 year flood boundary No,& Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? L � If not,what is the depth of naturally occurring pervious material? Certification I certify that on A,P10-1 L 29S (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the requireML±"- ' expertise and experience described in 310 CMR 15.017. Signature Sk Date 2� �� M1 DESIGN DATA NOTES Single Family:=G Bedroom 1.Water Supply ForThis Loot is Municipal Water .` + A' ~►• t 1 With Garbage Grinder ! 2 Location of Utilities Shown on This Plan Are'Approx. ;o °• _ Daily Flow=I I O.x 6=660 GPD At Least 72 Hours Prior to Any Excavation>=orThis � NjS 1 3'44 47 1 Septic GPD x 200%=1320 Gal. Seph Projest The Contractor Shall Make The,Regqquired o ' 1 1 t� 170.27. Use 2000Goll6n Septic Tank r Notification to Dig Safe(1-800-322.4844) o >- �1 �d _ ___ty�Iltlseme � LEACHING AREA 3 The Contractor is Required to Secure.Appropriate ° L` 1 1 ------"-"'-- ---___ _ _ �I 660 GPD/O:Th=892 SF+50%=1338 Sf Req. Permits From Town Agencies For Construction s Sidewall=2(12�+802=372 S.F A Defined byThis Plan. Y . • 1 L i� z I `-BBottom 972 S.F 14InstallRisersasRequiredtoWithin12••of'". .° s4i1� Lot 224 'T 1344 SF Total Provided 43563fSF 1 # Finished Grade. 1 0, ' LEACHING CHAMBER DESIGN 3.All Structures Buried Four Feet or More of Subject' NI U 1 All Pipes to be Schedule 40.Use to Vehicular Traffic to be H-20 Loading'. ' 9 -500 Gal.Leaching Chamber s a' — 1 _ 4a,r pR�po 1 12ex'81' Washed Stone Field as Shawn. S Septic System to be Installed in Accordance With u \ _. 11 0o Sso. 1 ;. — 310 CMR 15.00 Latest Revision And The Townaf T, \ �-+ O \1 • k Barnstable Board of Health Regulations All Piping tobe Sch.40 PVC. ' 1 I a.Septic.Tank Shall be a 2000 Sol.,2 Compartments. :LOCUS PLAN 1 \ 1 \1 Nor The First Compartment Shal I Have a Volume of Not " s Gal.And T of \ , i Than 660fGa1� .Not 5 Or ap 701 1 � Via, - - • Assess s M J a m Parcel II-5 fie, ew s fo AP Zone 5�,. 1 ewe`"am � 1 ° 0 p1NE n16eDLEcs/ Zoning RF-) \ 1 3, I 3, t cE•P nne.TTER Setbacks front 30' Side 15 se Rear 1 5� s �/ cawswgo w. �aN coA E _ 0 41 �H-tm oo LT.Y6L. GRN. COARSE _ ��' C SAND 1'OYR b��I \ ; QIO ♦ O PINE NEEDLES/ `•1M1 _ �pX O L6 AC MATTER r_ i ^ 11. ' 6•Z q E 80 YR 5/3 SE SAt.1D YEL.$RN. CoAlt sw Qo-? 11 Z•5 39 O `-,ANC to Y R S/6 Vp Af �Zk C LT•`/tL [iRN �oARSE �.lJ✓ ay� t20� SAWD W c F. `Z \ �```` • ��;, I�o PflVate 4ERco<AT►oN- TEST 11 j /9` W �{de QLYasS 1 MATERIAL-pePTl1 46 LESs THAN 2 MIN IN.CFI �`tq•• \ X�\�" ♦\ �+ 5 66 — '�. �?? N O GiROMMID WATER wOF ,� o, 2629 a �� PATE: NOV.. 121Ct6 ENGINEER.` SC1NG. �s WITNGSs: 7 DUNNING T.O.B. V4r=ALTN r1 , . SUUNAO 'PLAN -VIEW j F.G.22.6 F.G. 22.0 tuft ..�� 20.6 SITE PLAN 18.8 tAlft Z" 20.4 20.2 Top El.19.8 PROPOSED SEPTIC :SYSTEM - CY . Bot.E1.16.8 225 OYSTER WAY f Is.B OSTERVILLE, MAS S. 1 ca.e. Bottom of Test Hole EI. 5 F OR 2000 Gal r2 Compartment Bedding as 11.8 No Ground Water d 1 Septic Tank See Note No. AM MATTH EWS per Title 5 W I LLI SCALE: AS-SHOWN - DATE: MAY 12,'2000 -,toss SECTION ot=CHAMBER OELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM - SULLIVAN ENGINEERING INC. �. Not to Scale OSTERVILLE, MASS. : ,: 99011 i pE�N DATA NOTES • 7BAd a-21.86' (Hcw '29) Single FamilyI .-6 Bedroom 1.Water Supply ForThis Lot is Municipal Water ;: + °o ' 4 r 1 Top o/Concrete Bound 1a - y PP I ?� With Garbasle Grinder- q ' 2 Location of Utilities Shown on This Plan Are A. rox ° ;o '" �� ''. j� 1 N 83.44'47" E Daily Flow=110 x6=660 GPD At Least 72 Hours Prior to An Excavation For This r e C81Dti Septic Tank:660 GPD x 200%=1320 Gal. Project TheRequired q ContractorSholl Make The Re •' ° }'=` :--� '' .- 11 1 17 ar 27 Fnd Use 2000 Galion Septic Tank i P Notification to Dig Safe(1-800-322-4844) 111 1 CBJH - ___________ _______________ �� LEACHING AREA 33 The Contractor is Required to Secure Appropriate o. o•_ T 1 ;-- 660 GPD/O. =892 SF+50%,=1338 SF Req. Permits From Town Agencies For Construction Defined byThis Plan. = is Sidewall =2t12'+802=372 S.F . , 3 ,\ Lot 224 Bottom Area= 12�x81' = 972 S.F 4 Install Risers as Required to Within 12!•of �D s 43,563-ESF �� 1344 S.F.Total Provided ` Finished Grade. 1 I� r- s�\ `� r LEACHING CHAMBER DESIGN 5.All Structures Buried Four Feet or More aSubject Lo1 �� � All Pipes to t•e Schedule 40..Use to Vehicular Traffic to be H-20 Loading. o ` � 1 ` 9 -500 Gal.Leaching Chamber I CJD �� 1 ��` �`� 12'>t 81� Washed Stone Field as Shown. 6 Septie System to be Installed in Accordance With p 310 CMR 15.00 Latest Revision And The Town of N� _ ,1 ��\ ( Barnstable Board of Health Regulations •, `, +„� T, All Piping to be Sch.40 PVC. N B.Septic.Tank Shall be a 2000 Gal.,2 Compartments. LOCUS PLAN The First Compartment Shol I Have a Volume of Not -1°R �� Less i320 Gal.And The Second of Not Less Scale: ( = 2000 Than 660 Gal. N Assessors M a p 71 �� \ o,yeo` �, N Parcel I I-5 o O EL. 2t.8 AP Zone a ` \ A °^+ �� - $ PINE NmeoLras/. Zoning RF-I 14R op l - - r 3„ O L cAP McTTL°R Setbacks Front 30� V!D`s! -Y-- 6 t3RFa C.OAFZSE SAND . M. 1I. O / - ,i 1oYR 5/3 Side 15 Q Z ✓( 1y - /i ` q YgL-. DFaNCOARSC Rear 15� SAND =11 ° sa d`` : LT.YEL. ORN. COA$S SF °° N 0R bl�r ``� { 120�� C -SAO 1Y 'r \ t' _ 1 Old C ath -- ��` to DN -2 LL. Z1.8 O P1tJ6 N�EOL.65/ eox `� O LEAD• MATTMR \- (3RN. GOARSB SANG ^ I o Y R. T/3 11 YC-L.BRM. COA�Z3E w� v 39 SAND tOYR S/G /DH : la•�°E _ C LT. /EL.pRN COARSE 20x2 \\ Fnd `�\ - oo'/e 0{.QF . ar,N - --- • d_\ 1 i38„ �� t ! .(40 CLASS 1 MAT6RtAl--pepTN 46'1 PETER _ P ^�t /_.,' NLLI�/A� _ j' ?ram.\ / ^\\ .\/ S 66 43 Ems+°'` �G1 f N O G•kOUND WX q� NO.29733 0629 �a �, v►� DATE: NOV. 12t4B ENGINEER; 9iatNG, O1dIL Fn t \ _ \? Aa`J / WITNESS: T OUNNItVG T.O.B. HEAI_TF1 \;0792 \ ��PEh�P°,.°"' � W/e"r✓� N o. P- 928-7 , �ci15fE� ' o/ PLAN ,VIEW Scales I � 40� r) �\ REV%S%0N to�-F�00 CHANGED HOUSE01ZIELNTATION ) F.G. 22.6 F.G_ 220 AA. SITE PLAN FdiM 18.8 Ads ve-veaos i' Top El.19.8 PROPOSED SEPTIC SYSTEM 20.4 20.2 - Bot.E1.16.8 225 OYSTER WAY L"CMM .. 19.8 19.6 OSTERVILLE, MASS. Dwble2000 Gal.-2 Compartment Beddingas I Bottom of Test Hole El. 5 FOR I `- I Septic Tank See Note No.8 11.8 No Ground Water ,mar Per Title { WILLIAM MATTHEWS CROSS SECTION OF CHAMBER SCALE: AS SHOWN DATE MAY 12,2000 CROSS S DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM SULLIVAN ENGINEERING INC. Not to Scale F OSTERVILLE, MASS. 99011 5 NOTES ©eeR DESIGN DATA ,ria_ : ° 1HAI a=21.e6• (NGW '29) Single Family.-6 Bedroom 1.Water Supply ForThis Lac is Municipal Water :;,� �° ► - cLL 1 Top Of Concrete Bound 7a� With Gnrbage�Grinder- 2 Location of Utilities Shown on This Plan Are Approx. ° ;o `•: O� „• - 1 1 Daily Flow=110 x6=660 GPD J 1 \ M 83'44'47" E At Least 72 Hours Prior to Any Excavation ForThie ystg r e , ��H Septic Tank: GPD x 200%=1320 Gal_ Project The ContractorShall Make The Required 1 I 1 17 27 Fnd Use 2000Gallon Septic Tank Notification to Dig Safe(1-800-322-4844) 11 1 , 11 one -------- "�'-�'`�°�-� LEACHING AREA 3 The Contractor is Required to Secure Appropriate �• o °•. - ----- '\ ' o Permits From Town Agencies For Construction r---------------- \ 660 GPD/0.74:=892 SF+50/o=1338 SF Req. p, 1 \ Defined byThis Plan. s \ siclewall =2(12'+81r)2=372 S.F. ,• D Lot 224 \\ Bottom Area= 12'x81' = 972 S F 4 Install Risers as Required to Within 12 of 6 43,563fSF '\ 1344 SF.Total Provided Finished Grade. °° - \ LEACHING CHAMBER DESIGN : v 1 _ 1+ \ 5.All Structures Buried Four Feet or More or Subject o D° All Pipes to be Schedule 40.Use to Vehicular Traffic lobe H-20 Loading. �1 1 p � 1 �`\ 9 -500 Gal.Leaching Chamber �"' \ IZ'x 81' Washed Stone Field as Shown. 6 Septic System to be Installed in Accordance With .� 20 \ \ 310 CMR 15.00 Latest Revision And The Townot Barnstable Board of Health Regulations N _ \` 7. All Piping to be Sch:40 PVC. �, LOCUS PLAN � S.Septic.Tank Shall be a 2000 Gat.,2 Compartments. \ \ N The First Compartment Shall Have a Volume of Not �� LessThan t320 Gal-And The Second of Not Less Scale: I = 2000 O� \\ S -Than s60 Gal. Assessors Map 71 • �� ; o*eo` ; \ N Parcel 11-5 a w� \ AP Zone O \ ; �I�fa4 \ � D N—\ EL. 21.8 \ \ \�\ ° o PINE NE6�LEs/ Zoning RF-I - \ OAR \ - L GAF IMt+.TTER Cb '� \ R Apo 3,. gR to CpAR SE' SANG Setbacks Front 30� 1 i ��.S�c / -,�-'' I e 10YR 5/3 Side 15, Z ✓'< �r �; a Y6�. oaN coAR�� Rear 1 5 n(0 l i - `\ I „ g SAND IOYR 51& -J ! ' - g� \ ! 39 LT.`/EL. 6RN. COAL S,S o W / i N``-21 0o Str C Old sANO 10Yiy 6/Y N \ ' oth \\ \o D N n \ O PE AW MATT R / 7 13Q.H, LOARSf=' SAND 10 `I F. 5-/3 Cal VCL.BR 'S N. C0Apta, SAND IOYR S/G S\< \ It h+y �ar� ��! i� 39 i T. IM ..UQN COARSE \\ nd '\\ - 007. / / - IZo" SAND to ZHOF PERCOLATION TEST 214 `\ -- `I• 1.\���_ / /e` 1a338� �' } / I. `k0� LESS TNANA2EKAX INGN�H 48�1 SULLIVAN�1E S 66 — Ems'd P°"� ` —22 Qom\\J/ ^\\ O- // NO C,{iOUND Wt►Tr=R WO.29T33ti6 Q DATE: NOV. 12I4a ENGINEER'. 9�1NG. CIVIL \ \ 9_ �20� \NITNGS9: ?GUNNING T.O.B. HEAITN _ V�t 5W N o. P- 928� .i� 'lSTE3'rc"tea'! l E ` Fa'n i G PLAN VIEW F \ "I Of 1 =40 ) � \ � � REV\S\ON ro�4�00 CHANGED NOLLS� ORIENTATION 4 F.G. 22.6 F.G. 220 fmw a.e. SITE PLAN 20.6 'a B PROPOSED SEPTIC SYSTEM �� � TopEI.19.8 20.4 20.2 Bot.El.16.8 225 OYSTER WAY 19.8 19.6 _ OSTERVILLE, MAS Ch­bw2000 Ga1-2 Compartment Bedding as Bottom of Test Hole EI. 5 FOR I •- 1 J Septic Tank See Note No.8 g 11.8 No Ground Water W I LL I AM MAT HEWS d Per Title 5 ¢ SCALES AS SHOWN ATE-- MAY 12,20OCi CROSS SECTION OF CHAMBER DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM SULLIVAN ENGIN RING INC. Not to Scale Mor to SCA�e OSTERVILLE, SS. . 1 99011 �� o z PRELIMINARY DRAWING FOR DESIGN REVIEW �b p ���6 g ggfB�ggeggppgg6ppggbg ®® 4 ®® 930 ®® REMOD. KITCHEN EXIST. EXIST. EXIST. SCREENED \o/ BAI TI4r°u O BEDROOM LIVING ,4nwu um4. PORCH EXIST. DINING II o- CL08. / - II " u4 REMOD. I ----�-® ������JJJ . CLOSE 1 - ` . -[ LAUNDRY I n I HALL 01 HALL w;un 1 ., HALL t12 - _ L_____-----J Ppyy - EX19L 4.mmRRmwTuN�u4❑ CL08 11 INC PT[ re�r�,nN I I 1 ��11�D - 4nwuuuu "wu4[n.[4v[4a EXIST. EXIST. j II [4a,uun w�u:4iie°OAe wN4m. 67LDV 1 I FOYER I II EX T. I I 1 II DINING EXIST. 2 •26 _ • `BAN _ �, II _ �� a �Q�q� _ :Q.f.l�•`T�y REMOD. 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