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0232 PINE LANE EXTENSION - Health
232 Pine Lane Ext Osterville A= 117-076-002 -�� �S�pt.�P (ate r eX��'1•, E. L- ��G f TOWN OF BARNSTABLE per" f\ LOCATIj r" t C SEWAGE # VILLAGE ySTevy A-e ASSESSOR'S MAP & LOT I -D CL INSTALLER'S NAME&PHONE NO. N.\,k�ey br.s� z?'? i — y 1 Zf SEPTIC TANK. CAPACITY [,nQt) s.T, \,doa .-ec..,4- 1 e 'L� LEACHING FACILITY: (type) _ l2 Z 3 ' (size) NO. OF BEDROOMS N BUILDER OWNE 1�G1 f�Fva K � PERMITDATE: COMPLIANCE DATE: �7 J Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility =� F Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1 _f o —� `— O 6 D c O �` It,,e eX;��`�1�, G � f TOWN OF BARNSTABLE F v LOCATIO x CI SEWAGE # L \~(00, / i��y��yy i VII..LAGE ASSESSOR'S MAP & LOT W "b —M2 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 000 LEACHING FACILITY: (type) (size) NO. OF BEDROOMS N ) BUILDER OWNE 146/ era u,Ja PERMITDATE: COMPLIANCE DATE:— Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by t IQ G e � • 9� cb_ r O � p P Q p G'a -, No. e VV\ �lJ� r r^ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes 2Assessor's P BLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS J"-0 cation for ig o�aY bpgte Congtructior� ern�it or a Permit to Construe )Repair( )Upgrade )Abandon( ) EJ Complete System El Individual Components ddress or Lot No. qn Sk. OSkerviQ Owner's Name,Address and Tel.No. Map/Pazcel lSm I1-7 -76 ame,Address,and Tel.No. Designer's Name,Address and Tel.No. l' Hzck2y Peke, 5u%\w4r. PC 38 � y lhne Hy�ms oZbol - W. Box c65C1, P4c .et- t�d� oskerville, Mc, I" v .� Unt C�uof�f Type of Building: IV o w�I e ��i V 5 Dwelling No.of Bedrooms Lot Size (o,5-1 O t sq.ft. Garbage Grinder(AJO d Other Type of Building 1ZE htl�- No.of Persons Showers( ) Cafeteria( Ir Other Fixtures dtZ� Design Flow Z.O O gallons per day. Calculated daily flow G9 gallons. Plan Date lrcb Z8. ZQ O 1 Number of sheets Z Revision Date Title 5IM ?LkU 'PROPo5E0 SEV10 L SySTE ut?6R1bES Size of Septic Tank 1000 6K. (Enttxwr. Type of S.A.S. x �� � �✓"M��) Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees tto ensure the construction and maintenance of the afore described on-site sewage disposal system. in accordance with the provis' Title 5 of the EnviroW tal Code and not to place the system in operation until a Certifi- cate of Compliance has bee beerAsi ue s Bo95SHea c \ o Signed ® t1`.* ��-k�-� Date b 3 d7 o Application Approved by Date �! Application Disapproved for the following reasons Permit No. Date Issued --- --- _ — -- ---------- =�—_ --- d }i �'.�?.. ��r-.,.ram'"�. +'ra ,.. ri._. a.-w -�r,.r.r -y .Fa.,,...,Mx..-.>c:,��m,_,,:% -- g,.`r•_ a .r .l�M..F :1 No. I'JUV\ •F , ny + Fee �O 'THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer: P'UBL�IC HEALTH,DIVISION -TOWWOF BARNSTABLE, MASSACHUSETTS - Yes ;�� pplicatio.n for Mggpo�a[ *p0tem Construction Permit `1,,r''An licatio or a Permit to Construct( )Repair( )Upgrade�)Abandon( ) ❑Complete System El individual Components �t Lo on Address or Lot No. R(\n Sk• C7 51s Qr v,k1\Q Owner's Name,Address and Tel.No. p $t�(0 Nolbroo�C arcel ' .0 2. Drw\, Assessor's Map/P - 7� - Z �OC 1�7 Z osq e LVY) �� S � Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ?C Type of Building: No Hf wr!e S re cad v �S t Dwelling No.of Bedrooms Lot Size (P.`I 10 sq.ft. Garbage Grinder W6) �!J �n Other , Type of Building R��A1� No.of Persons Showers( ) Cafeteria( )� Other Fixtures sty r r Design Flow z-©� gallons per day. Calculated daily flow Cool gallons. Plan Date r cY> Z8. Z.o U 1 Number of sheets Z Revision Date t.4 r Title 5Rc:. P i_A1J ?'\OP0560 5EPT)I_ y,51C-:n ut?(^bE.S Size of Septic Tank 1000 W\t� (eMC A t,Vl ) Type of S.A.S. �J� X Z1, qy s�� U✓'''1�y� Description of Soil -—Nature of Repairs or Alterations(Answer when applicable) s Date last inspected: Agreement: ; . . t The undersigned agrees,fo;tnsure the construction and maintenance of the afore described on sewage disposal system in accordance with the proves`' ¢ Title 5 of the Enviro tal Code and not to place the system in operation until a Certifi- cate of Compliance has beer(i ue y is Bo �Hea C Signed 0� 1 Date v� c) 0 (, Application Approved by Q Q , " '` t_� �- Date 1 1 l r\"I - Application Disapproved for the following reasons Permit No. `=�Cy ' �(�> 'Date Issued -------------------f' ..,.•_— �f ------. THE COMMONWEALTH OF'MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 11 i Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded) Abandoned( )by at C(, . ' c,,n � �r�� CVt» SL. has been constructed in accordance with the provisions of Title 5 and'the;for Disposal System Construction Permit No.F�) dated 9 1- y Installer aw .�- ��-- Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. E Date 9 1'K 1 n 1 Inspector U '��L C E �� 7- -- --- ---------- ----------(l-- (D Fee 6 ` THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ;Df 6poal *p5tem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade )Abandon( ) System located at `rc l(� M Ca n S� , U���e t V t V Q 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 permit. Date: I '�i U Approved by I _ i I 1 I #870 Design Flow Retail:gallons per square foot= 0.05 (50/1000) I Office:gallons per square foot= 0.075 (75/1000) Finish f5.ode I Retail space= 1370 sf 69 gpd Office Space= 0 sf 0 gpdFilter s minimum allowable gallons per day= 200 gpd Total 200.0 gpd Fabric Drle tompoefed fill ' Septic Tank 'N I/S.Ile Pea SION Sized @ 200%of design flow for retail= 400 gallons Reuse Existing 1000 gallon tank e Leaching Leach Field N chamber 3/0—11/1' Double Washed Required Area=GPD/0.74 270 sf Stone Field Size=13'Width x Length L 4—ID I Length= 21.0 If ( 9' I Use 9'x2V field with 1 (one)500 gallon leaching drywelis 't Area Provided= 309 sf All Components To Be H-20 CROSS SECTION OF CHAMBER I NOT TO SCALE 4"0 Sch.40 PVC Finished From Septic Tank Grade //J , I Conduit Thru Chamber !� Galy. For Power&Float To D-Box ` �t��+�j!)n Emerge 9 Vtcr ge Cables. Chain Qo � �. + Vol; �° Min.2'Co'ver � 4. i Alarm r€' lt"i� ` on Ell. 37 2"0 Sch.40 PVC �Ia PA" Mercury Float ¢ ' ..�~'1-1 sr� s. PumpcnEl.3t�_S' Threaded Pipe ' L1 --' I t Switchs-3Req'd Ca W.Q ;� M.9 g ? v� Pumpoff El 35 5 Check Valve CI IL Secure Pipeat Top& r— r Bottom of Chamber Bottom El 3`1.5 i s 6'Washed r ...: . >':'• " one Min. SECTION MIN YZ hP?VMP PUMP CHAMBER DETAIL TooCAePRoveb 24"0 Opening Above For M.l-t.. 8Y ENr.�NEECt- 1/2 0 Galv,Pipe For Frame&Cover. Not to Scale float Support Pump Power&Float Control _ To D-Box Cables Installed in Accordance With Local Bldg.&Elec.Codes. ( - NOTE: Engineer to Field Confirm Elevations At Time of Installation. a 4"0 From.Septic precast Pump Tank.Sch.40 PVC Chamber 0 F 20 PLAN M1N EL 3g.4' F.G. '40' Ir f cc.3 a' o i ci/t: a Ec.38.(o t:13&4' CL.'S ' e' , DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM f Not to Scale I . Shf6E'T Z�'L I 1 I t / A70 Design Flow i { Retail:gallons per square foot= »`0.05 (50/10W) Office:gallons per square foot=. 0.075 (75/1000) Finish Grade Retail space= 1370 sf 69 gpd ! Office Space= 0 sf 0 gad _ minimum allowable gallons r day200 Filter g Total 200.0 gpd 'Fabric Compacted fill Septic Tank "N . 1P/ia S11orRie Sized @ 200%of design flow for retail= 400 gallons ReUse Existing 1000 gallon tank A Leaching Leach Field N Chamber 3/4"—I t/2"- k Double washed Required Area=GPD/0.74 270 sf Stone ' Field Size=13'Width x Length L 4—IO I Length= 21.0 if I 9 , Use 9 x21'field with 1 (one)509 gallon leaching drywelis 't Area Provided= 309 sl a All Components To Be H-20 CROSS SECTION OF CHAMBER NOT TO SCALE. i • 1 4"0 Sch.40 PVC Finished (( From Septic Tank Grade Conduit Thru Chamber Galy !n _ For Power&Float To D-Box r P°9 Emergency St rage Cables. Chain oa Min.2 Cover ° ` U. t£ ' Vol. Zrn C. c- Alarm cp on EI- 37 2"0 Sch.40 PVC ��ri NMI I FumpcnE1.3b"S' Mercury Float Threaded Pipe ! Switchs-3Req'd �= tfg P^ors• Pum off El 3S.5 Check Valve 4d it SecurePipeaiTaQ& �� �q � Bottom of Chamber . . I� �; ' °� ��%fie Bottom El34•S ,,.. 6"Washed u a..n ae c� �Sione Min- . a SECTION T MIN y4 hP YVMY 7 PUMP CHAMBER DETAIL TOOCA?eRovED 24"0 Opening Above For M.K.. 8Y ENtA vet:R 1/2 0 Galy.Pipe For Fro ine 8,Cover. Not to Scale Float Support Pump Power Float Control _ To D-Box Cables Installed in Accordance f With Local Bldg.a Elec:Codes. NOTE: Engineer to Field Confirm Elevations At Time of Installation. a 4"0 From.Septic Precast Pump Tank.Sch.40-PVC Chamber . 1_ Zrj PLAN M►N F1,36.4 i F.(,. 40' �. F.G.110' cc.3 2 loco 1000 GAL i000 6AL loco I EL.38.6 TKA� T KiC CMA>•1(j6A &L 3&4 D. L 3 EL-3 DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Not to Scale +66T Z/Z I OWN OF BARNSTABLE LOCATION �1l SEWAGE # �� VILLAGE 7 + G -Z � t>� ' ASSESSOR'S MAP & LOT 117 INSTALLER'S NAME & PHONE NO.:�.e w-VLct C, Lt a.?Y-9,tt®% SEPTIC TANK CAPACITYGL*-ed$e_ 4 l®no ho ®p0 vi LEACHING FACILITY:(type) to 00 gctt (size)� �'- Hal`S NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER BUILDER OR-OWNER a rs Q Y DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No c/' J r � v or No...?1_01 F E 7_�............ THE COMMONWEALTH OF MASSACHUSETTS m A F o BOARD OF HEALTH L ® '1'1 �9 Apphratiuu for Uhipos i' r�ks C�uusirur iun eruti �X)1 Application is her mad fora Per t to Constru t or Repair ( ) an Individual Sewage Disposal System at: Zia r� a_ 'C C -•---- .1 .......... ....................................................N-- .Loe ion-Address Lot. o••........................................... Ow er Address r Installer Address UType of Building Size Lot....I. �.............Sq. feet Dwelling—No. of Bedrooms................:...........................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—T e of Building No. of persons.../otal ............... Showers — Cafeteria Other fixture - � S.r.......J;M_.7'1_�2.�� �i� j�. ....so-Q.b ........................... W Design Flow. . L 1. .fT Sl.gallons per person per day. daily flow.......'?-.0 0.......................galllons. WSeptic Tank—Liquid capacityl.0.d.�...gallons Length.'9..C�1_. Width.: .' ... Diameter------..:....... Depth...... x Disposal Trench—No:.................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank '-' Percolation Test Results Performed b ._. . ). 2'3 ,1 :� iDate__. _. . .. ..� ........ Test Pit No. 1........ _._minutes per inch Depth of Test Pit... .... Depth to ground water-____------ FE Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --••........••••----------•-••............•--••--•••-•---•-•-•••-•........••••-� •-----•--......................................................... Description of Soil-------Q �' ....1-Q .... _r .. 1 l�s .� `'........M-��-._•,�?..... �--� x ----•--------------------------------------•---.._..---------------------------------._......_.._...---------- jLN V Nature of Repairs or Alterations—Answer when applicable__). _ ....r1.%x � Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL i; 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been�is t boar of health. Signed..-• -•- - -- - •-- ----------- -- -------------•--••----- ..------------- ...._..___... Date Application Approved By...............N �- . .... .... ... Date Application Disapproved for the following reasons:.............................................................................................................. ......-•-•---•-----------•-•-•---------•--•--•-::-•�-----•------- -- - ----------•-----•-•---'---•----....-•-------------------•---._.._.....-----•-•---------•-..--•..._Date .........--- an Permit No..... ......................... Issued..................... Date 7................... T 'Y 4/7 F>s THE COMMONWEALTH OF MASSACHUSETTS Nn A® t 1 1 BOARD OF HEALTH pc.L 6��75,16, 7-7 01�11.1.............OF......B .s..`.� '�:.6.L_f.-------------------- -7$ y 169 Appliration for Dispas ai e LU 6n� inn anti# Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: S __L ion- ddre ---or Lot No. ........ �?. .1"2,. I.-.F'�`x' .._.... - ---------------------------------------------- Owner Address Installer Address , ) Type of Building Size Lot...... `.. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a, Other—Type of Building ... No. of ersons......... ............V.... Showers ( ) — Cafeteria04 ( ) Oth r fixtur -- .�. ...c� .. /�I� '-[----�49Pt3...----•............................... W Design Flow.?� Z�� ..�S--gallons per person per day. otal daily flow........ 00......................gallons. WSeptic Tank—Liquid capacitylQ_.Q.gallons Length._ ..(=---- Width..5.'k... Diameter................ Depth_..°' .� x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing_t nk ) ,/ `'' Percolation Test Results Performed b ... .__ .._).�'Z_N KP_ .J1YJ9/I9rate____ _j_� � ..__.... Y 1.1 Test Pit No. I.......Z-....minutes per inch Depth of Test Pit_._a!���.... Depth to ground ater.....NOA)l- (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 . .................................... ........................................................ ........................................................ Description of Soil---••-0. 3.....LnC M..�� U�i 01 L., .3-#. ��� � —D....s4t, -----•------••--------------•----------------------------•-------- ---•-------------•--•--•--••---------•--••-••••---•------------•••-••••-••••••••-•-•••••-••-••..........--•••••--• U Nature of Repairs or Alterations—Answer whgg applicable__V. _ .PI L�. ..__.ITi iaJ- 1•G-.-�! � !'c�+o�i, -----------•..... b D..... 1.00,0__6'�:L..........s--A s Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ue(Yliy the)board of health /, Signed- - a - V7 ApplicationApproved By................` " '�..... . '....... _`" .............................. ...........-------Dat e. --..........-- Dat Application Disapproved for the following reasons:----•--------------------------•--------------------------------------------------------------............---- ....-•--------------•---.:_.....-•----.....__.....�._.._.....--- ----- - ---------.....----•-•---...---.._....---•----•-•----._.._....---•----•--------------------•-•----...Date-•-------••-^ 9 ---• Issued---------•.................•--•••-•._......---•-----... Permit No.---��-•--- ..1----- --------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........J?�VAJ......OF. A. �N .T�,QI.........------------------------ t` Trrtifirtttr of ToutphFanrr THIS I� C RT T t the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................... •-- has been installed in accordance with the provisions of TIT 5 f Xhe State Sanitary Code a descr� d ' he application for Disposal Works Construction Permit No..... � -.�........ dated... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............•--•----...-----............--•--•--•----•-•-•-----•..__..._...... Inspector........... = ....................................................... i f �� THE COMMONWEALTH OF MASSACHUSETTS BOARD gF HE/A�TH�Q /� ........ "!,,�....OF....... / 1. (.. ..� /.1. `" .............. NoS-1-.��(--1 FEE. ......... Disposal Works Tonstrion "permit Per ii�wir Y granted.............................................................................................................................................. to Constri'ictr ''j ) a}�I ivi`ual i Pal Sy -r-�� at No................ --....... --- o...---,[!1 lU...--• ...... .! •-• Street p r� Q /.. as shown on the application for Disposal Works Construction...Permit--Nou--=I-_--07 Dated..11K __�9� ..c_'._• •------- /U / r `7 .oard of Health DATEr.,�. �E��.......................•--.....----•------••------• �...� ---•--=----.._:...-•-----=--B ............ ----........------------••---......---._ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS o „ ! 0 iie�W�m.'igUQa F .140,0Fi Legend '' °'a � � � �. ry � •� �� �' air• � x��`� _ a • fr � • # � i s �_ a ,, ° � � �� Parcel " Town Boundary Railroad Tracks € 6 '� �- _ + � �•� �" Buildings fainted Lines m« •� d ^ �• mn A ro i Parking Lots l 3. 9i5 Q� .. � � 500M- 4�, Paved -2 ;. `Unpaved Ar �ro'�ni �, m.� t�,� FF� Driveways t � 3�2 ...a� m„� C�" � C] Paved ,M,.� _..,d�� �r n r.1 FF . Unpaved rm wlwui � m ,.,_. _ Roads '� ... *'y :o-; �'''�. n f' �C 1 �a'.�#00" ." 1� 13 Paved Road r _f/ r 5,9 Chi Unpaved Road .Y .. F 1f Gk7L.t, Bridge 3 #830 ® F,' 8 Paved Median " F _ Streams �� Marsh _ ", f��- ^ Z�i g ° Water Bodies ✓� #S6 r .y , IWI �{ � `ftV T 7 'A 64 , a62 � a a g5 a s� .,� � s 1 �f15 a a , w" �^ . *c ,, °a`'4 t _ �`+• rcv...r a �n+" P ,c garyr�g;, r` 11 ,may v a a 8,5 Map printed on: 4/28/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi 0 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx. Scale: 1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367 Main Street, Hyannis, MA 02601 (Town Hall). Y DATE: - Fill in please: APPLICANT'S YOUR NAME/S: i hr 'rv` BUSINESS YOUR HOME.ADDRESS: r' TELEPHONE.x# Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS S .��C�.. Uf1S�NC ' �'l TYPE OF BUSINESS,,(,W:- V1v C IS THIS A HOME OCCUPATION? YES NO y ©O IZ_ ADDRESS OF BUSINESS , ,� Gy b O MAP/PARCEL NUMBER__ [ `D7r0 Assessing). n e When starting a new business there are several things you,must do in order.to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you.in obtaining the information you may need. You.MUST GO TO 200 Main St. -'(corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this.town. f 1. BUILDING CO ISSI NER'S OF IC . This individ al en i m fof a yp rmit req irements that pertain.to this type of business. Au orized Sign CPYM .D 2. BOARD OF HEAL H This individual has been. rme of the permit requirements that pertain to this type of business. ^MUST COMPLY WITH ALL L �`rV I WAZARDOUS MATERIALS REGULATIONS AutliorizedSignature* COMMENTS: l Vl D 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 40 i 1HE Town of Barnstable Inspectional Services Department e MASS. Public Health Division y 8' .q i63 �0 200 Main Street, Hyannis MA 02601 Office: 508-862-4644_ FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001.4988 0411 April 2, 2021 OSTERKENT LLC C/O MAYNARD K DAVIS, MANAGER 5357.RAVEN STONE ROAD CROZET, VA 22932 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 232 Pine Lane Extension, Osterville, MA was inspected on 03/14/2021 by James Ford, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • H-10 distribution box is in driveway. Need'H-20 distribution box installed. You are ordered to repair or replace the distribution box within one (1) year from the date you receive this notification. Failure to repair/replace the distribution box within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH om cKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mai ling\Conditionally Passes Letters\232 Pine Lane Extension Osterville.doc THE Tp� Town of Barnstable BARNSfABM M^9 Inspectional Services Department Atfp�,�A Public Health Division 200 Main Street, Hyannis MA 02601 011 ice: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CIIO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the d is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA o Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA o Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone ]-to a public well ❑ A portion of the cesspool is.located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems'' (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) ER —(� (��1✓fdX IH di^�1r��c� �IP.Q� �— � d U�dcj� r�J�jl��/ Repair deadline: e cam( Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc 5 - �SNo. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:L/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Misposal bpstem Construction 3offmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No.Z,3 t �� G t=xr^eaw;6 n Owner's Name,Address,and Tel.No. �-t,�-✓��vim. Assessor's Map/Parcel --o ?6 —Oo c 3 L- Installer's Name,Address&Tel.No— �j(,�.�� lS-,V@ L. Designer's Nalne,Address,and Tel.No. • 7 ,y WA Type of Building: r Dwelling No.of Bedrooms a�� Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations Answer when applicable) —t a Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this WBoarealth. Si Date Application Approved by Ile Date Application Disapproved by Date for the following reasons Permit No. a 7 Date Issued p Ad Fee 14 THE COMMONWEALTH OF MASSACHUSETTS THE in co pater: Yes . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETT6S Yes application for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividualjComponents Location Address or Lot No.].�L �;,�G Ln 1 x r c,v Owner's Name,Address,and Tel.No. y' S+•Cc-,/,��� s7 e4-4- Assessor's Map/Parcel a rC 1V-& L --� o L Installer's Name Address and Tel.No.lb Lll Designer's Na6e,Address,and Tel.No. Type of Building-. ti _ Dwelling No.of Bedrooms )/} Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) '� c ni .. / �a r9 n :�2 { ►. .. e� Or a � �. 11— �o Lin os-r�G 1 �. Dot.r, Cp, at: Date last inspected: Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar of Health. - Sign Date An I A 10r _ t— ApplicationApproved by g l Date Application Disapproved by �. ; Date for the following reasons Permit No. Q I -( Date Issued s ---------------I----------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS ° d ®� BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( Repaired( ) Upgraded( ) Abandoned( )by at 2 � [.� Yfa has been constructe in accordance with the provisions�o}f Title 5 and the for Disposal System Construction Permit No.9-o 2/- dated r t°�o Installer ( ^� .=7 -- Designer #bedrooms �j Approved design flow and The issuance of this permit sha not be onstrued as a guarantee that the syste'w�lh nctiorras esigned. Date ;rj {� �� Inspecto - -- - ------------------------------------------- ---------------------_---------------------------------------------------- No. [1 Fee / THE COMMONWEALTH OF MASSACHUSETTS j PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal._6pstrm Construction 3permit G Permission is hereby anted to Construct Repair ' Upgrade / Abandon System located at. 3 1',n n 4 v!V-1 o 11- �- and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. ,� r Date �'1 2 / / Approved by l " ►7� Commonwealth of Massachusetts 117� 07( oo� Title 5 Official Inspection Form ` Subsurface Sewage Disposal System,Form Not for Voluntary Assessments w 232 Pine Lane Extension ` Property Address Osterk en t LL C Owner Owner's Name information is required for every Osterville MA 02655 3/14/2021 page. CitylTown - 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 f A. Inspector'Information f •• on the computer, i . use only the tab James Ford key to move your Name of Inspector cursor- return use the return Ford Septic Services, LLC • key. Company Name P.O Bo x 4 me Company pan Address Osterville MA 02655 City/Town State Zip Code 508-862-9400 S12482 Telephone Number. License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of.the time of my inspection; and the inspection wasperformed based on:my training and experience in the proper function. and maintenance of on-site sewage disposal systems.After conducting this inspection I have,determined that the system: 1. ❑ Passes 2. ® Conditionally Passes 3. ❑ Needs Further Ev'alllation by,the Local App' rovin Authorit 4. Fails .. 3/19/2021 Inspecto ignature Date The sy to inspector s all submit a copy of this inspection report to the Approving Authority(Board of Health r DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd''or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP, The original form should be.sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the ' conditions of use at that time. This inspection does not address howthe system will perform in the future under the same or different conditions of use. t5insp.doc•rev,7126/2018 Title 5 Official Inspection Form:Subsurface Sewage i _: _, 9 D sposal'System'•Page t of 18 Commonwealth of Massachusetts Title 5 Official inspection Form. Subsurface Sewage Disposal System Form -'Not for,Voluntary Assessments 232 Pine Lane Extension Property Address Osterkent, LLC Owner Owner's Name information is OSterVllle required for every MA 02655 3/14/2021 page. City/Town State 'Zip Code Date of Inspection C. Inspection-Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and'6. 1) System Passes: . have not found any information.which indicates that any of the,failure criterio described in 310 CMR 16.303 or in'310 CMR 15.30-4 exist. Any failure criteria not,evaluated are indicated below. Comments: 2) 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 olds'or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass . inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not.leaking and if a Certificate of ` Compliance indicating that the tank is less than 20 years old.is available. ❑ Y N ❑'ND(Explain below): f I ��;• I _ 15insp.doc•rev.7/26/2018 Ti de 5 Official Inspecti on For m:Subsurtace Sewage Disposal System•page 2 of 18 Commonwealth of Massachusetts Title 5 Official Ins'pecti®n Form Subsurface osal Sewage Dis 9 p System Form Not for Voluntary Assessments. 232 Pine Lan u e Extension, Property Address Osterkent, LLC Owner Owner's Name information.is required for every Osterville MA 02655 .3/14/2021 page. CitylTown State Zip Code Date ofanspection ' C. Inspection Summary (cont.)- 2) System Conditionally Passes (cont.). ❑ Pump Chamber pumps/alarms`not operational: Systemilwill pass,with Board of Health approval if pumps/alarms are repaired. ® 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 i e s'are re laced p�p O P ❑ Y� ..❑ N .❑ ND(Explain,below). obstruction is removed ❑ Y ❑ N , ❑ ND(Explain below ® distribution box is'leveletl or replaced ❑e'Y ❑ N, ❑ ND (Explain below): Ty em has;a l=1!'= 0 �x,in he°ast�a ,part�fng area-Alt=nesds�to-be�replacedTwith-a H-26-D=box ar�d stee r g-and cover ❑ 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 pipes)are replaced ❑ Y. ,❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y . ❑ N ❑ ND (Explain below): 3) -Further Evaluation is Required'by the Board of Health. ❑ Conditions exist which require further evaluation by the Board of Health in order to deter mine if the system is failing to protect,public health, safety or.the.environment. a. System will pass unless Board of Health determines in accordance with 310 CMR ' 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety,and the environment: l t5lnsp,doc rev:7l26f2018 Title 5 Official Ihspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts p Title 5 Offi i c al s t pec o ®n Farm I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. 232 Pine Lane Extension Property Address Osterkenf LLC t, Owner Owner's Name information is required for every Osterville MA' �02655 3114/2021 page. CitylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) . ❑ Cesspool or privy is within 50 feet of asurface water ❑ Cesspool or privy is within 50 feet,of a.bordering vegetated wetland or`a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that.the system is functioning in a.manner that protects the public health, safety and environment:El ' The system has,a septic tank and soil absorption system (SAS)and'. SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water.supply,`. ❑ The system has a septic tank and SAS and the SAS is within.a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS'-and the SAS is less than 100 feet but 50 feet or more from a private water supply well".. Method used to determine distance: *"This system passes if the well water analysis;performed'at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. , c. Other: 4) ,System Failure Criteria Applicable'to All Systems:'' You must indicate"Yes" or."No"to each of the following for alLinspections: Yes No Backup of sewage into facility or system component due to overloaded or ET clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters El due to an overloaded or clogged SAS or cesspool t5insp.ddc•'rev,7l26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of is r Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface _Sewage e age Disposal System Form Not for Voluntary Asses , Y Assessments Y ry. 232 Pine Lane Extension Property Address Osterkent, LLC Owner Owner's Name i require tiorr,is Osterville MA 02655 3/14/2021 l required for.every I page, City/Town State Zip_Code Date of Inspection C. Inspection Summarya(cont.) I 4) System Failure Criteria Applicable to.AII Systems:( ont.) ' Yes No Static liquid level in the distribution box above outlet invertAue to an overloaded or,clogged SAS or cesspool: Liquid depth in cesspool is-less than 6" below invert or availablevolume is less than 1/2 day flow ❑ ® 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 isbelow 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. El ® Anyportion of a cesspool or privy is within a Zone 1 of a public water supply well. z Any portion of a cesspool or privy is within 50 feet of a private:water supply well. ❑ ® Any portioni of.a cesspool or`privy is less than 106 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 t of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody,must be.attached to this form.] The system is a cesspool serving a facility with a design flow of 2000 gpd 10000 gpd;' ® The system fails..I have determined that one or rriore 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. 5) 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 CA.- Yes No 4 ❑ 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„ ❑ iz 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 t5insp.doc•rev.7/26/2b18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Insp ection Form f Subsurface'Sewage Disposal System Form -Not for Voluntary Assessments 232 Pine Lane Extension Property Address _ Osterkent, LLC „4 -.. Owner Owner's Name information is required for every Osterville MA 02655 3/14/2021 page. City/Town State Zip CoderDate of Inspection �. C. Inspection Summary (cont.) If you have answered"yes"to any question in Section`C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system'has.failed. The owner or operator of any large system considered a'significant threat under Section 0.5'or failed under Section CA shall upgrade the system in accordance with 310 CMR 16.304..The`system owner should contact the appropriate regional office of the Department. 6. You must indicate,."yes"or`.`no"for each of.the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner,occupant, or'Board`of Health ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period Have large volumes of water been introduced to the system recently or as part of this inspection? ` ® Were as built`plans of the system`obtained and examined? (If they were note available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of'sewage backup? El Was the site inspected for signs of breakout? 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,;depthxofliquict,,depth of sludge and depth of.scum? wi the facility owner(and,occupants if different from owner) provided with information onahe 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 7 distance is unacceptable) [310 CMR 15.302(5)] rt t , i t6insp doc•rev;7/26/2018 Title 5 Officlal Inspection Fonn:Subsurface Sewage Disposal System Page 6 of 18 Commonwealth of Massachusetts. _ Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form Not for Voluntary Assessments 232 Pine Lane Extension Property Address Osterkent, LLC Owner Owner's Name information is required for every Osterville MA 02655" 3/14/2021 page. City/Town State Zip Code bate of Inspection D. System Information 1. Residential Flow Conditions: . Number of bedrooms(design)': 'n1a n/a Number of bedrooms (actual): DESIGN flow based on 31.0 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a. Description: Y ✓ Number of current residents: .2 :Does residence have a garbage grinder? ❑ Yes, Z No , Does residence have a water treatment unit? v ❑ Yes ® 'No If yes, discharges to: } Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? El Yes'® No Seasonal use? ❑ Yes .® No Water meter readings, if available(last 2°years usage:,(gpd)): Detail: unavailable Sump pump? Yes .® No Last date of occupancy: ,currently. Date t51ns .doc•re v.ev.7/26/201 B Title 5 Official lihspection Form:Subsurface Sewage Disposal System•Page 7 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection F®rry I e Subsurface Sewage Disposal System Form --.Not for Voluntary Assessments 232 Pine Lane Extension. Property Address Osterkent, LLC Owner Owner's Name Information is Osterville v required for every MA 02655- 3/14/2021 page. City/Town State Zip Code Date of Inspection D. System `Information (cent.) 2. Commercial/Industrial Flow Conditions j Type of Establishment: ' 'office/retail Design flow(based on310 CMR 15.203): n/a 00ons;per day(gpd) Basis of design flow(seats n/a/ ersons/s .f., etc Grease trap present? ® `Yes,.,❑ No Water treatment unit present ❑ Yes '® No If yes, discharges to. Industrial waste holding tank present? ❑ Yes,® No: Non-sanitary waste discharged to the Title:'5 system? ❑ Yes ® No Water meter readings, if available:, n/a. Last date of occupancy/use curre— ntl - Date Other(describe below): 3. Pumping Records: .; ' Source of information: unknown Was system pumped as part of the inspection? ® Yes ❑ No If yes;.volume pumped: . 1000 - gallons How was quantity pumped determined? Reason for pumping maintenance t5insp.doc-rev.7f26%21118 Title 5 OfAdal Inspection Form:Subsurface Sewage Disposal System•Page a of I r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments - 232 Pine Lane Extension Property Address Osterkent, LLC Owner Owners Name information,is required for, OSterville ,every MA .02655 3/14/2021 page. City/Town State Zip Code Date of Inspection` D. System Information-(cont ) r 4. Type of System: Z Septic tank, distribution box, soil absorption system ❑ Single cesspool,,. El Overflow cesspool ❑ Privy Shared system (yes or no) (if yes;attach'previous inspection records, if any ❑ Innovative/Alternative technology. Attachb6 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 El Tight tank.Attach,a copy of the`DEP approval: . ❑ Other(describe): r Approximate age of all components, date,installed (if known)and sourc&of information: installed 9/18/01F. - .F Were sewage odors detected when arriving at the site7- Yes: ® No 5. Building.Sewer(locate on site plan): Depth below grade: - feet Material of construction: ❑ cast'iron. 040;PVC. ❑ other(explain):. Distance from-private water,supply well or suction line:. feet Comments (on condition of joints;"venting;`evidence of leakage, etc.): tSlnsp.doc•rev.Il26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection For'rin Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 232 Pine Lane Extension Property Address Osterkent, LLC Owner Owner's Name information is required for;every Osterville MA 02655 3/14I2021 page. City/Town State Zip Code Date.of Inspection D. System Information (cost.) 6. Septic Tank(locate on site..plan):- « d 1011 Depth below.grade: 3. . : feet Material of construction: ®concrete ❑.metal _]fiberglass ❑ polyeth lene y <❑ other(explain) 4 If tank is metal, list age: yearn Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal. A . Sludge depth: 3 Distance from top of sludge.to bottom of outlet tee or baffle 23 3 Scum thickness Distance from top of scum to top'of outlet tee or baffle 5, Distance from bottom of scum to 6 torn of outlet tee or baffle 12 ` How were dimensions determined? 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 tee's were present and the liquid was level with the outlet;The tank was.pumped for maintenance. I t5insp.doa•rev.-7/26/2018 Titles Official Inspection Form:Subsurface.Sewage Disposal System•Page 10 of 18 y Commonwealth of Massachusetts Title 5 Official Inspection Form` Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 232 Pine Lane Extension x Property Address Osterkent, LLC Owner Owner's Name information is required forevery OSterVllle MA 02655 3/14/2021 .` page. City/Town state' Zip Code Date of Inspection D. System Information (cont) 7. Grease Trap (locate on site plan): Depth below grade: .10 feet Material of construction.. ® concrete ❑ metal ❑ fiberglass` ❑ pol' �lene eth y y ❑ other(explain):. Dimensions: 10. gal: 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. unknown Date Comments(on pumping recommen'datio'ns, inlet and outlet tee or baffle condition, tructural integrity, liquid levels as related to outlet invert; evidence:of leakage, etc.): Tank has been disconected years ago when building was remodeled from a'candy store. 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade:° Material ofconstruction: ;❑ concrete ❑ metal t ❑fiberglass : , ❑ polyethylene ❑other(explain): Wa Dimensions:'; Capacity k gallons Design Flow: gallons per day t5insp.doc•rewYi2612018 Title 5 Official Ins action Form:Subsurface surface Sewage Disposal System Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Ins ` ection Form Subsurface Sewage Disposal System,Form - Not for.:Voluntary Assessments 232 Pine Lane Extension ' Property Address Osterkent LLC Owner Owner's Name information is required for every Osterville _ MA.:. 02655 3/14/2021 page. City/Town State :;Zip Code Date'of Inspection D. System Information (cont.) . . i s 8. Tight or Holding Tank(cont.) Alarm present: . . ❑ Yes ❑ No Alarm level: Alarm in working"order: El 'Yes ❑ No Date`of last pumping, Date Comments (condition of alarm and float`switches, etc.):: N7a *Attach copy of current pumping contract(required). Is copy attached ❑ Yes ❑ No 9. Distribution Box(if present must be.opened),(locate on site:plan): "Even Depth of liquid level above outlet Invert 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 D-box is a H-10 in the parking lot needs to be replaced with a 1-1-20 77 F. t5insp.doc-rev:7/26M18 Title 6 Official Inspection Form:Subsurtace Sewage Disposal System Page 12 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 232 Pine Lane Extension , Property Address Osterkent, LLC Owner Owner's Name information,is required for every Osterville MA I,, 02655 3/14/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan)' Pumps in working order: ® Yes ElNo Alarms in working.order: ® Yes No ❑ "' Comments(note condition of pump chamber, condition of pumps and appurtenances, etc:): Icycled pump and the alarm it worked fine If pumps or alarms are not in working order,`system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required) If SAS not located, explain why: ; Type' t ❑ leaching pits number: A. ® leaching chambers number „ 2 -dr 12,x2yw ll s s.❑ leaching galleries ntamber , ❑ leaching trenches number, length- leaching fields number dimensions t µ ❑ -'overflow cesspool t number: ❑ innovative/alternative system Type/name of technology' t5insp doc•rev:7/26/2018 Title 5 Official.lnspectfon Form:'Subsutface Sewage Disposal System•Page i3 of 18 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not.for.Voluntary Assessments, u 232 Pine Lane Extension Property Address Osterkent, LLC Owner Owner's Name information is OS tefVille re quire uire or df v M ee A 02 q 655 every 3/14/2021 page. City/Town State Zip Code Date of Inspection D. System InformatioW(cont.) 11. Soil Absorption System (SAS) (cont.) _ Comments (note condition of soil, signs.of,hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The Drywells were dry and clean. A steel cover was to grade in the parking:area, pes'ign plan confirms drywells are H-20 ` 1 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration, Depth—top of liquid to inlet invert` . Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of'soil,'signs of hydraulic failure,-level of ponding,«,condition�of vegetation, etc.):. n/a 4 l5insp.doc rev.7/28/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of.18 .� Commonwealth of Massachusetts F Title 5 Official Inspection .Form J Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . u. 232 Pine Lane Extension Property Address OSterkent, LLC Owner .Owner's Name information is , required for every Osterville MA 02655 3/14/202.1 page. City/Town State ZipCode Date,of Inspection D. System Information. (cont.) 13. Privy (locate oh site plan): Materials of construction. Nla ` x" Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure,,level of ponding'condition of vegetation, etc.). , Y t5msp.do6•rev.7/26)2018 Title 5 Official ihspeotion Form:Subsurface Sewage Disposal spiam, Page 15 of 18 • Commonwealth of Massachusetts' Title 5 Official Inspection Fora 'R t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 232 Pine Lane Extension Property Address Osterkent, LLC Owner Owner's Name . information;is OStervllle required for every MA 02655 3/1412021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal'System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters. the building. Check one of the boxes below: r ® hand-sketch in the area below ❑ drawing attached separately , o,0— O Aug, l ; A red g TAAk C 4/ 31 P. S Ao, 31 } 3 g a.� t5insp.doc reu;7126l2418 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form=Not for Voluntary Assessments -"� 232 Pine Lane Extension Property Address r' Osterkent LLC Owner Owner's Name information.is Osterville required for every MA 02655 3/14/2021 page. Citylrown State Zip Code Date.of Inspection D. System Information (cont.) 15. Site Exam: { Check Slope ❑ Surface water G ❑ Check cellar ❑ ,Shallow wells a Estimated depth to high ground water: 35' +/- ` - feet Please indicate all methods.used to determine the high groundwater elevation: Obtained from system design plans on fecord 1f checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole wAthinr 150 feet of SAS) z Checked with'local Board of Health. " -explain: 'To po and water contours maps ❑ Checked with local excavators, installers- (attach'documentation) f ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation; see above Before filing this Inspection Report, please see ReportlCompleteness Checklist on next page. . t5insp.doc rev.7126/201$ Title Official Ihspection Form:Subsurface Sewage Disposal System,•Page 17.oil a Commonwealth of Massachusetts Title 5 Official .Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments Y� 232 Pine Lane Extension Property Address Osterkent, LLC Owner Owner's Name informatiomis OSterville F required forevery MA 02655, 3/14/2021 page. City/Town State Zip Code Date of inspection E. Report.Completeness-Checklist Complete all applicable sections of.this form inclusive of: ®_A. Inspector information: Complete all.fields,mahis section.. ® B. Certification:,Sig ned &_Dated and 1, 2, 3; or checked': ® C. Inspection Summary 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and,6 (Checklist).completed: ® D. System Information: For 8: Tight/Holding Tank=Pumping contract attached r For 14: Sketch of Sewage Disposal'System.drawn on pg. 16,6r attached For 15: Explanation of,estimated depth to high groundwater included a t5lnsp.doc•rev;7@6/2018 Title 5 Official lbspection Forth:Subsurface Sewage Disposal Systeiii page 18,of 18 y i r-r- , i r 99 8 _ mo - 13 LbGS Sf3A 1Z. L�3:T�b1•1S Gtz�5P0o L.3 Z> Cv1J'7�1z RGTd�2, S H) .LL Goyim CT vS LTA � 846 MAI S-f io' �R6� wATelz vm�-v���s 6 ALL S%M UC TD7AtE3 S f3F1t-G %e p11, Z-b uS>� w 1-` e Cosi C: 1_l sl;L W_3 'C6 ERS To r t-rN'1..) 1� OF P�VIE PIT GO S , : r :P oborp 1300 Tt�,A l 1ooio_LAW �- f <. 13o6 SF DP—N( Goo SL 100 t 60 O 14 157/)0 0 Ste' 1 C)V V7 Vgo lvp LOAM a „ -'1 OOc�6�4 1.... L 7, 5E1�`f1c �, -Pl 12G `Z, 11���tJ�?-.: . ._.:.. TA to Y. LL-�_ArCj F'-AC1 L )YY` t $�� j xtiY►�5�. tXISTI?JC f WA710Z. IB U I LV ) 0T-ro AA 5 cL - FULL 13ASEm1:N77 44 4- INY : GU fa3f- TZ`;r 16o8 G 91 L. 9 , g 9 ,9 - )oa 6�tr Gin a PROPM -0 SEPTIC. TS`' EM �JI�C�xq"vF boo v r,c , �,<bv -7 A^ �uY INV T"A�L� T�ttH 3' 6 O ," 1A) Q .� 94Z 9�c 95.g )t 4v �`�" ...: 1�1 LLB. , N\&\elf egyI zllft nq .1„ni yiOYAI last y t�_15 S ry �. 14 lo -az- 57 MOT z l j $ r s N07E3 Finish Grade #846 I.Water SupplyF►rThis Lot is Municipal Water � � � ; ,� '�� •" Filter 2 Location of Uh";ties Shown on This Plan Are Approx. 11f Fabric Compacted Fill- Design Flow At Least 72 hours Prior to Any Excavation ForThis Retailt gallons per square foot= 0.05 (50/1000) Project The Cc ntroctorSholl Make The Required • LOC[7S - j ' r Notificationt OigSafe(1-888-344-7233) Offict#;gallons per square foot= 0.075 (75/1000) 1/8=1/2e �'• �=-� - 3 The Contractor is Required to Secure A Pea Stone ` Retail space= 10020 sf 501 gpd q ppropriats _ .� .:• ,� Bs�e B Q7 Permits From Town Agencies For Construction Office Space= 630 sf 4Z 9120 Ruinimum allowable gallons per day= �gpd Defined byThi.t Plan. Install Rise �•�' }• '`� ,�' ,' Total 548.3 gpd 4 Risers rs Required to Within 12"of Leaching „v • Septic Tank Finished Grads. Chamber 3/4"-1 1/2"' �. S.All Structures Btiried Four Feet or More or Subject' N StoneDoubl Wbstsed 3' s n� Sized Q 200%of design flow for retail= 1097 gallons to Vehicular 1'raffic lobe H-20 Loading. Stall `•,.' , Existing1500 gallon tank I_ 4-10 gtrc,r> • arMt ''° • '� 6 Septic System to be Installed in Accordance With � I -:: ;;•, ' )0 Latest Revision And The Town of - __ _ __•,. Lea Barnstable 8o:rrd of Health Regulations - 310 CMR i5.1 ch Pit LOCUS PLAN Existing 1000 Gallon Leach Pit T. All Piping to b+ Sch.40 PVC. - CROSS SECTION OF CHAMBERS Scale: 1:12,000 8X8 With 2'Crushed Stone Assessors Map 117 ` Sidewall Area= 188 SF Capacity= 470 gpd HOT TO SCALE Parcel 075-1 &077 Bottom Area= - 79 SF Capacity= 79 gpd Total= 267 SF 549 gpd ZONING-GROUNDWATER PROTECTION �.. All Components To Be H-20 #862 OVERLAY DISTRICT -. Design Flow f.G.9�t FG.ql�_ Retail:gallons per square foot= 0.05 (50/1000) •�. 5�� Il" Office:gallons per square foot= 0.075 (75/1000) Retail space=, 0 sf 0 gpd 1 Office Space= 2468 sf •185 9P51 , „ ^ "- .p �t� ✓ � � minimum allowable gallons 40 g per day= �gpd 1500 Gallon - Top El. L'lO_ �•, ®f „ Septic Tank Tatar 200.o gpd rA 39.g 39.(v t ... Septic Tank Bot.El. 37 . V 39. 39.Z Sized Q 200%of design flow for retail= 400 gallons :- '��•: Bedding as V6Z i 0' A �! Use 1500 gallon tank Per Title 5 • aL ;' ! Leach Field Required Area=GPD/0.74 270 sf DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Field Size=1 T Wtdh x Length Not to Scale Length= 13.1 If �x�Str�4 Use 13'xl3'field wit!1 (one)500 gallon leaching drywells .' k rTq c. MS Area Provided 273 sf Field adjust inverts as required to meet min. pitch requirements. �.���'�a4• = = �.° , o All ComponentsTo Be H-20 Per Town of Barnstable Groundwater Map groundwater elevation is approximately 5.0 > -- - VENT SYSTEM IF REQUIRED PER TITLE 5 ~ tNa _ Therefore there is approximately 35 to 39 feet to groundwater from existing grade. VENT To BE LOCATED SO AS NOT TO t t CREATE A VISUAL IMPAIRMENT 4D #856& 858f �"` p °•.�' Y 5� ` � V J!J' ? -O�. �'oOEREw�i11 � F.G.y2� � 1'' Deslin Flow FG. 42 'Tz. RetalOfficel:gaU�ns per 3quans per rre•t 0., .0 5 (50/1000) . — I t= 0.075 (75/1000) 1000 CWA ` " i _ Vur►wr Mail space= ;,)Wo sf -300 gpd ` r Oboe Space= 900 sf §191� I , TX5; 4- \42 mtril"pum allowable,~allons per day= 200 gpd `.gig1 .,.,.,. _ 7 e. ~ - -....,.:.Total __-..-_.387.5 gM� --,__ ...,.. . 1.1 V v tv till l`tb � _ t.• Septic Tank p 313.( Bot.El. : Sized a 200%of resign kjw for retail= 735 gallons Us-',1500 gallon tank Bedding as ' SLAB \ Per Title 5 . ` Leach Field Required.Area=G00.74. 497sf OELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Field Size='1T Wirth x Le h ' Not to Scale Length= 2'.0 If _..__ . _. -- ,_�_ ... ., w;.... APPROXIMATE L0CATt _ 'OF SEPTIC TANK 000 ' Use 13'-x2T field with 2(two!500 gallon leaching drywells Field adjust inverts as required to meet min. pitch requirements. Area Provided= 511 sf Per Town of Barnstable Groundwater Map groundwater elevation is approximately 5.0 aASN ,/ All Componerts To Be H-20 Therefore there is approximately 35 to 39 feet to groundwater from existing grade. t - EXISTING SEPTIC #832 xi -�• �, REMOVEq Design Flow yr`' Retail gallons lair square foot= 0.05 (50/1000) 1:G,y l' 6 /1 Office:gallons pir square foot= 0.075 (7511000) �G•y APPRoXItAA-TC L(YJM td "^ �' � Seel��.'SAF-tK e �. � \ Retail space= 855?of 328 gpd o o f Office Spade= 3528 sf �99d ar r,:t �• "•"^ t' 1: Total' Na gpd 4-L n. r 1500 Gallon Top El. 4 3' ,✓ -""' -.' .. " `� SLAB HYD / Septic Tank, 42.8` Septic Tank y2 6 Sized(M 200%'(If design flow for retail= 1184 gallons cY�.> Bot.El. `I�` :rb n-tT � ` 4 4 Use 1 gallon tank err.' rti. ✓ 4: t 1 12. , 500 2 2 Bedding as. 6,, ��. 2ti r 44 Leach Field ! Per Title 5 Required Area=GPD/0.74 800 sf Field Size=IV�Vldth k Length ?5of Length 55.01i - DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM V •.. t �••�.. r S`'~ p Use 10,x55'field with S.(frie)500 gallon leaching drywelis 4z #832 F11:Lp AD�UST£D Area Provided = 810 sf Not to Scale_ r ' ' AROUNO WATIi.R L\NE All Components To Be H-20 yy' Field adjust inverts as required to meet min. pitch requirements. , �,�• A:, "� •.r ''� Per Town of Barnstable Groundwater Map groundwater elevation is approximately 5.0 Therefore there is approximately 35 to 39 feet to groundwater from existing grade. SITE FLAN. ►, _ �, Proposed Septic System Up r ades SCALE. 1 — 3 8329 8469 8569 8589 & 862 MAIN ST ` 1. This plan is for the repair/upgrade of the existing septic systems to OSTERVILLE, MA maxi,num feasible compliance. There is no proposed increase in flow or a FOR propmed change in use. MR. HOLBROOK DAVIS 2. All workmanship and materials not specifically mentioned on this plan shall BY For property line information see Plan of Land in Barnstable,MA Prepared for Holbrook comply with the provisions and specifications contained within SULLIVAN ENGINEERING Davis dated August 4,2000 By Canal Land Surveying in Plan Book 561 Page 68. 310CMR15.00 latest addition Relocated Septic System for 856&858 Main Date:09/06ro1 OSTERVILLE, MA St&Added Upgrade for 870 Main St. DATE: FEBRUARY 28, 2001 Revision Modifications to System Based on Additional Date:03/22/01 As Built Information ` i Finish Grade NQTES #846 I.Water Supply For-his Lot is Municipal Water 2 Location of Utiliti,ss Shown on This Plan Are Approx. Fabric Compacted Fill Filter _ vi LOCgs t Design Flow At Least 72 Hours Prior to Any Excavation ForThia , y - Retail:gallons per square foot= 0.05 (50/1000) Project The Cant-actor Shall Make The Required * �, t %� • •,: Notification to D;q Sate(I-Si38-344-7233) N ), Office:gallons per square foot= 0.075 (75/1000) I/8=Ile Retail space= 10020 sf 501 gpd 3 The,Contractor i;Required to Secure Appropriate Pea Stone 'East B 1000 Office Space= 630 sf 19e9 Permits From Tc wn Agencies For Construction Q� Defined by flan. • �• '� '.° '� ' .. , minimum allowable gallons per day= �gpd Total 548.3 gpd 4. Install Risers as 1equiredto Within 127of Leaching Septic Tank Finished Grade. 'r Chamber 3/4"-1 1/2"'• A N Double Wvstted +,3• s �• �. 5.All Structures B,iried Four Feet or More or Subject• r '•.'. • ` "I Sized®200%of design flow for retail= 1097 gallons to Vehicular Trc fit lobe H-20 Loading. Stone 4-10 I rPerker ~ Existing 1500 gallon tank fa Septic System tc.be Installed in Accordance With 310 CMR 15.0( Latest Revision And The Townof 13''0�� ° Leach Pit Barnstable Boar,!of Health Regulations LOCUS PLAN Existinq 1000 Gallon Leach Pit T. All Piping Lobe!ch.40 PVC. sx6 with 2'crushed stone CROSS SECTION OF CHAMBERS Scale: 1:12,000 Assessors Map 117 Sidewall Area= 188 SF Capacity= 470 gpd HOT TO SCALE Pap 11el 75-1 &077 Bottom Area• 79 SF Capacity= 79 gpd Total= 267 SF 549 gpd #862 ZONING-GROUNDWATER PROTECTION All Components To Be H-20 OVERLAY DISTRICT °j Design Flow t`G.91 . Retail:gallons per square foot= 0.05 (50/1000) IAI 11 - / oP03� Office:gallons per square foot= 0.075 (75/1000) 3LNtMb Retail space= 0 sf 0 gpd i Office Space= 2468 sf L g� , f 6 { .• minimum allowa'�le gallons per day= �gpd 4� 15 00 Gallon Top El. '10 . f Total 200.0 gpd 39.E Septic Tank 3U c,:,;: Bot.El. 37' oo ,� Septic , /`� � r'� p C Tank 39.4', 39.Z ��� �� r Sized Q 200%of design flow for retail= 400 gallons "b - �4 ✓/ ,�. �w ,Ise 1500 gallon tank Bedding as F1 �0 Per Title 5 +e '' ✓� K Leach Field Required Area-GPD10.74 270sf Field Size=13'Width (Length DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM _, -�_ &%kS'fi M(PSe'tK. Length 13.0 if Not to Scale M g.. = ` Use 13'xl3'field with,: (one)500 gallon leaching drywells 273 sf Field adjust inverts as required to meet min. pitch requirements. All Components To Be H 20 5.0 Area Provided= Per Town of Barnstable Groundwater Map groundwater elevation is approximately VENT SYSTEM IF REQUIRED PER TITLE 5 ._- '— ----------- _ �,�CHAt Therefore there is approximately 35 to 39 feet to groundwater from existing grade. ! - VENT To BE LOCATED so As NOT To 40 #856 � 858 x'f CREATE A VISUAL IMPAIRMENT Design Flow kG.42 FG. 42' Retell:gallons per s;;uare foot= 0.05 50/1000 1 _i_ I Office: allots ( ) L g per s lucre f'ot= 0.075 (75/1000) 1000 CA:. i yw r Retail space= 6000 sf 300 gpd Y2, i Office Space 900 sf II4 01s1 �� CEASE TV{ � . minlmrrm allowable gallons per day= 200,0 0 7� ( Total 3t3 $nod � � 1500 Gallon ` Top El. t Septic Tank Septic Tank a Bot.El. . r - Sized C 200%of design flow for retail= 138 gallons 1 \ Use 1500 gallon tank Bedding as SLAB Leach Field Per Title 5 > � • �Q Required Area=GP1/0.74 4gi►it DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Field Size=13'Width x Length Not to Scale /�PPRoK\MATE I:�CA1i0N. -�,/ Length• 27.) If 'Of SEPTIC TANK j o00 ' Use 13'x27'field wits 2(two)500 gallon leachlnq drywalls Field adjust inverts as required to meet min. pitch requirements. A Provided All Components To Be H-20- 511 rf Per Town of Barnstable Groundwater Map groundwater elevation is approximately 5.0 Therefore there is approximately 35 to 39 feet to groundwater from existing PP Y g g grade. , i"+ , � � EXISTING SEPTrC ��� F,r:M13VEp Design Flow z — Retail:gallons pe►square foot= 0.05 (5dM000) Office:gallons pe square foot= 0.075 oamo00) f G.y F.G.q ' APPRoxkmATE cy�p�ion --�—_,� Retail space= 655 5l 328 gpd t s of T\L-Toohl Y 1ect ° + , Office Space= 3528 at 6�t`g29 r •M., � _ �. tatMl 592.2gpd 43' tiZ' ..`....� >< HyD / Septic Tank 42 I500 Gallon — Top El. 4 3. ` , SLAB \) 1 ` 3 Sized C 200%of design flow for retail r ,` 1184 gallons a Septic Tank y2 6 ,.. t .� tl{.!� � \ use 1500 gauon tank 42.lI', 47..2' -- Leach Field 44' Bedding as •` ,` r Aa^�°"� `� �" f Required Area=GPD/0.74 800 sf Per Tit le 5 A „ n Field Size=10'V/idth x Length o+ Length= 55.01f DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Use 10'xo5'field with 5 trive)500 gallon leaching drywells s@t( *n 4Z i �' '^ S � Not to scale �- ' F1ELp A00TE1) Area Provided 610sf AROUND WATER LINE All Corv.,jonei is Tc Be H-20 Field adjust inverts as required to meet min. pitch requirements. i�L�l> 4�, 0, Per Town of Barnstable Groundwater Map groundwater elevation is approximately 5.0 Therefore there is approximately 35 to 39 feet to groundwater from existing grade. ';w SITE PLAN SCALE: 1" — 30' Proposed Septic System Upgrades 8329 8469 8569 8589 & 862 MAIN ST 1. This plan is for the repair/upgrade of the existing septic systems to OSTERVILLE, MA maximum feasible compliance. There is no proposed increase in flow or a FOR proposed change in use. MR. HOLBROOK DAVIS 2. All workmanship and materials not specifically mentioned on this plan shall BY For property line information see Plan of Land in Barnstable, MA Prepared for Holbrook comply with the provisions and specifications contained within SULLIVAN ENGINEERING Davis dated August 4,2000 By Canal Land Surveying in Plan Book 561 Page 68. 310CMR15.00 latest addition Relocated Septic System for 856&858 Main Date: 09/06/01 OSTERVILLE, MA St&Added Upgrade for 870 Main St. DATE: FEBRUARY 28, 2001 Revision Modifications to System Based on Additional Date: 03/22/01 C As Built Information SHc I�L BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WH,LIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SUIIIVAN,P.E.-Vice President-Engineering June 11 , 1986 Mr . John Sweeney Sweeney Construction Co. , Inc. 188 Sturbridge DR Osterville, MA 02655 RE: Main Street Osterville Dear Mr . Sweeney. This is to inform you that on May 19 , 1986 a deep test hole was dug on the subject lot . Based upon present regulations, the test showed that the soil is acceptable (where tested) for the in- stallation of a subsurface sewage disposal system. Ground. water was not encountered in the 13 . 5 foot , deep test hole. Attached• please find a copy of the log. Very truly yours , Peter Sullivan, P . E. Baxter & Nye, Inc. PS/fmj Attachment ���PxSN OF Mgss9c ° PETER �GN o SJLLIVAN `_ No. 29733 ST- tL MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS b OCATION M A `6-rzec I NO. ILLAGE Lc E DATE - `_ r-- PPLICANT FEE DDRESS kk N0 TELEPHONE (Non-re uundablc NGINEER �n.�, ► IJF r5��..V,. TELEPHONE N0. ATE SCHEDULED (Applicant's signature ...•..............:........ ......................................... ........... 4SSESSCR'S MAP & LOT NO. SOIL.LOG .. UB-DIVISION NAME_ DATE Ntk`( \,�), 19p)G, TIME �S?M XPANSION AREA: YES NO 7- LAVA." ENGINEER X QWN WATER Z PRIVATE WELL I.lo-t W,nlc�£,c(> BOARD OF HEALS ! �cjt r t�A i_rz7 EXCAVATOR :(ETCH: .(Strut name,etc.,dimensions of lot, exact location of test holes and [-percolation tests, locate wetlands in proximity to test holes) • NOTES: .. �c 2 G' L tiA��ES 1 Fp(Z A. 5 E.'��C ��!S TIa+,L.•f• U�C�,R.P�L, .• Ir it OF q�gsJ PETER yN L SULLIVAN ' N0.29733 " t \ � A�,•9PC�STEaE tWQ' tXZ�-DCz , NAL iRCOLATIOpI TE: LZt`l ► t PC.2 d►.t(_l-1 'ST HOLE NO:_ _T14- I ELEVATION: TEST HOLE N0: ELEVATION: ' 1 Lcw.M� �aso:L, 1 2 2 3 3 3 . 4 4 7 7 9 9 10 10 , 11 11 12 12 13*7 13 14 .. :3,5 14 15 /..�o k/a�Z .. 15 16 16 !ITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD_LEACHING PITS 5< LEACHING TRENCHES [SUITABLE FOR SUB-SURFACE SEWAGE. REASONS:__.__ (�- !TE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION tIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH )PY: RETAINED'BY APPLICANT OCATION ILLAGE —����(� t_L� DATE PPLICANT_ \ pt " �- =t= e,�,' �( FEE ' DDRESS • TELEPHONE NO. (Non-refundable NGINEER may} k 1-4F l A, L'17S" LAVA." TELEPHONE 140. ATE SCHEDULED (Applicant' s signature ASSESSOR'S MAP & LOT N0. SOIL .LOG UB-DIVISION NAME DATE_ N1,1k:( \zj, 1�Q,(o TIME XPANSION AREA: YES NO ^1 LLA\.)Ai.e ENGINEER QWN WATER _LPRIVATE WELL V/i,- E5.6ay BOARD OF HEALS #-k EXCAVATOR t KETCH: . .(Street name, etc. ,dimensions of lot, exact location of test holes and ��`percolation tests, locate wetlands in proximity to test holes) NOTES: ' A` S �'i-I jH OF Mgss 1 PETER o SULLIVAN - - No. 29733 1 ✓+�� 0 i�X�L.�C� SS/ONAL E . :RCOLATION TE: Z_ M1 ► � �P 2 •1 u ck-A �`� ° r�t3 :ST HOLE N0: ` M - ELEVATION: TEST HOLE NO: ELEVATION: • 1 2 L c.r-n 4 Sv&50t L, . 2 3 3 3 4 4 8 8 , 9 9 10 KA 10 12 12 , 13 13 14 14 15 16 16 1ITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD & LEACHING PITS • LEACHING TRENCHES [SUITABLE FOR SUB--SURFACE SEWAGE. REASONS :• t� )TE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION tIGINAL: COMPLETED INN ENTIRETY BY P . E . AND RETURNED TO BOARD OF HEALTH )PY: RETAINED* BY APPLICANT