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0267 POND STREET - Health
267 POND STx'e OSTERVILLE A = 119 033 fill J��cvc�ow 134 NoP2 52N NA8TINGS,AWN �� � ��� Q � 0 � , � � �� �� i � �- 2� �� ti � � � � o � ° � � � � �i � � � �� \� � C��rn r Q11- 51 \tea C-�'''L '- ;t s �^ s s � J i r! / t TOWN OF BARNSTABLE Ilk- i� LOCATION Gc- is SEWAGE #96101 /I® VILLAGE, ' 66 I e r A l- ASSESSOR'S & LOT 1®� 9 f`, A i INST�►L:LER'S NAME&PHONE NO. � W -- l%U h SEPTIC; TANK CAPACITY LEACHING FACILITY: (type) 6 G4/0 C41,744-5 (size) AO—, 7 ,5L 99 NO. OF BEDROOMS ` 3 1Iw BUILDER OR OWNE l m '(D Cl� � cy'� �J PERMIT DATE:_ 1 -q ® COMPLIANCE DATE: 0 D 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 faeili � Feet Funushed by Gt,� j` . a i� t No. `� �� : Fee_� — THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppYicatfon for Digozal *pgtem Cougtruction Permit Application for a Permit to Construct( . )Repair(�6 Upgrade V)Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. b� Owner's Name,Address and Tel.No. / `Assessor's Map/Parcel J u C G�k- 4— C ra 5�'1r�— ///�j/�.3 �&-) 1-90&d / C7 T a s Installer's Name,Addre s,p4 Tel.No. Designer's Name,Address and Tel.No. C91 Type of Building: Dwelling No.of Bedrooms / �� Lot Size I L sq.ft. Garbage Grinder( ) Other Type of Building V_U5L-._ No.of Persons Showers( `) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date 1011,4 0 3 Number of`sheets 19L Revision Date Title Size of Septic Tank i5_0 Type of S.A.S. I ,tom Description of Soil 60e✓' f LM �-J 1 ���5iX� Nature of Repairs or Alterations(Answer when applicable) Ppf r YC(A Date last inspected: - Agreement: The undersigned agrees io ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee is d bffy��this d o th. Signe W Date_ 1 Application Approved by C Date Application Disapproved for the following reasons Permit No. �C�17 �n��T_ Date Issued .....; o s.., No. � _�Fee THE COMMONWEALTH OF MASSACHUSETTS`, Entered in computer: : •,y a -Yes PUBLIC HEALTH DIVISION - TOWN OF,BARNSTABLE., MASSACHUSETTS ZippYication for Migogal *pgtem Congtruction Permit Application for a Permit to Construct( . )Repair(�5 Upgrade 0<)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. L '7 7opt/ g' (— Owner's Name,Address and Tel.No. Assessor's Map/Parcel x Alll_,•,, (, 7 Qom 6r( O67- Installer's Name,Add,s, 2 Tel.No. S�o / r7` D s tr— Designer's Name,Address and Tel.No. ,t -O 8 yb-7 6 Type of Building: Dwelling No.of Bedrooms / /� Lot Size 1 45- sq.ft. Garbage Grinder( ) Other Type'of Building 1Ze `a . No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date / /4 d i Number of sheets a Revision Date Title Size of Septic Tank /5wp Type of S.A.S. Description of Soil; doe P�GM J i i i ) Y__ r, Nature of Repairs or Alterations(Answer when applicable) Date last inspected: / ,A Agreement: \ The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage`disposalsgstem in accordance with the provisions of Title of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued brry'� s and oLHealth. Signe W Date 0 )J Application Approved by o Date Application Disapproved for the followingreasons Permit No. �C��`" �n�iT_ Date Issued 1 2. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ' Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgrade ) Abandoned( )by at �( r �O1v7 �T U-4 p has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated 1 '�) Installer Designer The issuance of thi permit shall not be construed as a guarantee that the sygt m will function as designed. 11 Date �� 1(? Inspector /k-Q- �` . �-Y` l( t c ^ '�- \ No. ���V`' ��� I Fee �V - - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpogar *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade )Abandon( ) System located at QS,6 VI 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 pe completed within three years of the date of this permit. I �� t a +� A rovedb Sato: rr Y c l TO RK VAN OFBARNS'I'AB�.E 4 6 LOCATION '67- a . ..: S SEWAGE VII GE. 5 R I-t Q 'ASSESSOR'S &.LOT INSTALLER'S NAME&PHONE NO... •_ `! �� , lam'✓ /7 1 �° SEPTIC.TANK CAPACITY /� �O ': : ( c,L, - LEACHING FACILITY. '(type) S lc�t - t.�y�n�1i�6 (size) -! NO.OF BEDROOMS !( ! BUILDER OR OWNER lea t e PERMITDATE: . © COMPLIANCE DATE: IV f/�'�l'/ i 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) /,04_/JA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facili ) k Feet I . f Furnished by tv ;.G I I i r- s 'T V 4 1r 10/19/2001 04:45 5084775313 ENGINEERING WORKS PAGE 01 Engineering Works ct� nz 23 Deer Moww Road, Fwesume,MA 02644 (506)477.6313 Email: EngrWorkWOLCOM Mr. Thomas McKean-Director October 18,2001 Barnstable Board of Health 367 Main Street Hyannis, MA 02601 Re: 267 Pond Street, Osterville Dear Mr_ McKean This letter is to certify that John Whiteley has installed the septic system at 267 Pond Street in substantial Compliance with the design plan- Plastic septic tank and d-box were substituted for oonrete. If you have any questions, please call. Sincerely, Peter T. McEntee P.E. Ito 1'health, Safety,rurtI EIIVirunnlertfal services fz �� !'unlit Health Division talc. 767 ntaitt.Strcel.)iyminis n•!n 0260I 4Z401 j\M+rrtAnr,F Date Schclitlle(I inlc .._ d'Ud hce 1'd. .... . Sod Suilabilitp Assess»>eut f v Selvage Ditsposal I'rl fill nlc+l Ill': / 'fir✓ 54kez ----------------1,UCA'I'lUN .fir C>ii�,Nl;IzAL IN��UItI1'IA7'1UN — _— I,ocation Address ��� �r` /1/r Q�fe te Owncr'sNanlc Ch,grlej (_eve/l Address 2G7 Po�1al 5t, iCSscssor s Ito{,rl'arccl Ifneiuccr's Nnmc f/)v)10eer(R K,&rU NI:%Y CONS IltI1Cl1ON "Ile �e�r�MCCy�N E� i c{c)Iho 1r Land lase I)islttlle s ('mill t)pcn Waterilndy) p It I'ns.cihlc Wct Arta /QJ_._tl Utini iue't','alcr (Nell ;> it 1Jrainauc Wny_ N A Il. 1'tnprity l,inc lRhct It 'SKETCH: (Slrce(nnnlc,tlinlensions of lot,exncl lacalions of lest holes R pert Icstc,locale+aellan!Is in prnsin+i(}'In hutec) U 4 Patent material(geologic) ( /a cr 4/ Gd rrN°tS h Depth In llcdrock a UcpUl to Ground+valcr. standing Water in hole: %N/l} N telling f}ont N(lace /0�14 fatin+aled Scnsonnl 1 figh Urourtdtvatcr ----'— 1,)t!;TrltMINATION FOR SEASONAL I11G'11 NVA'1'I;I(TA13LE . hicthod Uscd Dep111 Obscmd slanding in nbs.Ilolc: llcplh In soil nulltics' in Ueplh to weeping from side ofobs.bolt ___--------in Groundwater Adjtulntcnl — lndc.e (Nett N Rnndinx Dale: _ — holes IVc(I 1CVC1 ---— Atli. fhctor ---- Adj.liroundcvnler S.cvcl+ i.PERCOLATION 'CII;S't'— ifntc�?° r►nit L�� (lbservntion I tole N ¢A n^ Dept It of i erc OS 4 t Blatt I'rc snnk 1'irtc( — O — I role(9"G") L Z �. fnd Prc-sank RMc wain./bleb Sj1c;uifabilily Assessntatt: Silt:Pnssed -- Site Nniled: Additionnl'I'cMine Necded(YIN) Originnl; Pobtic IIcnIIh Ujvisitn+ Ohscrl"rttult Iltrlc I)nta 7 U Ist C(}InplClcll calf 13acic Copy! Applicant d . - n II BEEP JSERVATION.IIQLEi LOG' hole # TP— Uepth From Soil hloeizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling. (Strnetnre,Stones,liouldcres. __ _ _ ansistencv.%GravclL�_ LA— Y►2 q2,' 8S" c; — oG SaHa1 Zrsy GAG LveS-t. ----- — Bd DEEP:OBSERVATION HOLE LOG Hole # Depth from Soil tlorizon Soil Texture Soil Color .Soil Other Surrace.(in.)—�-- — --(USD/1) (Munsell) Mottling (Structure•Stones,t)culderes. i�istencv.%Gravel) ULEI' (�BSCZtVA'I'[ON HOLE LUG Hole# . Depth from Soil horizon Soil Texture Soil Color Soil other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouldcres. i c r cl b>;;EP OBSMO ATIOIN HOLE LOG Hole # Depth from Soil llori'on Soil Texture Soil Color Soil Other surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,1)oulderes. 1 _ 4011SISIettty °/GtRVe1] I Flood Insurance Rate Man_ , Above 500 year flood boundary No„ Yes Within 500 year boundary No ✓/ Yes Within 100 year flood boundary Nov Yes ..!r nrNrr,ta.!Iv �srnrritt F'-eTa�in,u5lylate..fial hges at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption systeln? if not, what is the depth of naturally occurring pervious lnaterial7 ' GertiC�tiou - reentry that on (date) 1 have passed the soil evaluator examination approved by the was erforrned b me consistent with Department of Fnvirof�m¢ntal Protection Ind that the above analysisp y the required training, expertise and experience described in 310 CMR 15.017. Signature ` Tate —� I 30 I0f one ---I *� _ a1 w �la�til /�I�tia!��tltitetit�tititititltitlt 1 �a �i�t�u����ro ��� ���t4 A! So I ,�,:�� �� t�tltltlt�t�tltltltlt�tI'll—itf�t���, w: 04 1 / f F Notes In Inches I&LUO * U of var4ailon on the i"th an owth NOMINAL Y- ORKING CAPACJTY� :. 1500 USGAL w I is k: r,• `g f4 .f A" v1.. T ,r a,�;.. - «Y .,. ,.•k-,i, .....r r �.4 a t< l• .. A t y ,v,... A k'• 1 i to g '� � .ku � :� •� i 5...«5 ,; r k 1 { Alt n F; n i•: i, •r z) G d .+ t ., 1 4 f S y I t s '� r, 1 'H• C F r � h t� } M C ....u. ,r..c,wr4. F r ^,ia� is A. s ,. .R . rw ItYr?, `•'M .; zoos it �. Alto r PAN w.' 't c ,z iK r•.�,i T J@ S' it !�� i i •t R' S 3 its; t� i VA Q— r r. ;ATM �a r t __r� { now • i +}+r -n r ;r c h • � 1 r � Ile { F r �,Y. tr :a r,r7 t�,v. r Tc ri n+ ',t. ,x-' .?• ..:�! ti , t f f 't' 4•. gr S P :.'i � w Ar,yy'; '1 in onto sit 4 I r 1 d PITY rxt !1 .e i .1 G .ti .1.. �r p "J � Sso °Y } Pit f .i- 4 "WORTlid 4 4 i X.3 a>FA Q. a fry•, 1' tt 1 i wS nj' � L Y}1Y1/ if!1 :�:. a-;>,f"^tir ,:"•!'f- .. ._ is..� .;.fr:.. i w}i.. Sf ..,, y. x ..":�.'r' 1... a,T,' .t r... .r .. `.la•,r • r+.n. ... [, • COMMONWEALTH OF-MASSACHUSETTS ^EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 267 Pond Street � ) Osterville.MA 02655 , V Owner's Name: Scott Peacock&Scott Crosby' Owner's Address:* . Date of Inspection: January 6. 2012 Name of Inspector: (Please Print) JaniesM.Ford Company Name: James M.Ford Mailing Address: P.Oi Bok 49 . Osterville:`MA 026554049 Telephone Number: (SOS)862-9400 CERTIFICATION STATEMENT - I certify that I have personally:inspected the sewage disposal system at this address and that the inf6..''ation repetrted below is true;accurate.and complete as of the time of the inspection. The inspectionwas performed bgsed on,my.� training and`experience in the proper function and maintenance.of on site sewage disposal systems ham a DEP approved system inspector pursuant to See ion 15.340,of Title 5(310 CMR 15.000); The system; a co Uu ✓. Passes e� Conditionally Passes ' Needs Further Evaluation by the Local Approving Authority rn Fails. t �. Inspector's Signature: Date. January 10,2012 The system inspector shall s b .it a co of this inspectton reporf to.;the Approving Authority.(Board of Health or DEP)within-30:days of comp.eting this inspection.:If the:system is a shared system or,has a design flow.of 10,000 gpd:or greater,the inspector an 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 tithe buyer,if applicable,and the approving authority. Notes and.Comments ****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. Title 5 Inspection Fonn 6/15/2000 page 1 l I I A f Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:. 267 Pond Street Osterville:MA Owner: Scott Peacock&Scott Crosby Date of Inspection: January 6, 2012 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: 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: Answer yes,no or not determined(Y,N,ND)in the, 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 Compliance indicating that the tank is less than 20 years old is available. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a yeardue to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 ... F Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 267 Pond Street = Osteryille.M4 Owner: Scott Peacock&Scott Crosby Date of Inspection: January 6 2012 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 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 coliform bacteria'and volatile organic compounds indicates that the well is free from pollution from that facility 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: 3 . 4 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 267Pond Street Osteiville.MA . Owner: Scott Peacock.&Scott Crosbv Date of Inspection: January 6. 2012 . D. System Failure Criteria applicable to all_systems: You must indicate either`Yes"or"no."to eachof the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool a. 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 _ ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS;cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within.100 feet of a,surface water supply or tributary to a surface water supply. ✓ Any portion.of a cesspool.or privy is,within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50.feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds. indicates that the well is free'from pollution from that facility 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.] No .(Yes/No)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 System: To be considered a large system the system must serve a facility with a design flow of 10;000 gpd to 15,000 gpd You must indicate either")res"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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 I1 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 leas 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 31.0 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4, r Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART B CHECKLIST Property Address: 267Pond Street Osterville.MA - Owner: Scott Peacock&Scott Crosby' Date of Inspection: January'6,2012 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 Yes No ✓ 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.(3)(b)]. 5. . Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 267 Pond Street Osteiville.MA Owner: Scott Peacock&Scott Crosby Date of Inspection: January 6, 2012 FLOW CONDITIONS_ RESIDENTIAL Number of bedrooms(design): 3-per as-built Number of bedrooms(actual): .3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: N/a Does residence have a garbage grinder(yes or no): N/a Is laundry on a separate sewage system(yes or no): .N/a [if yes separate inspection required] Laundry system inspected(yes or no): no Seasonal use(yes or no): _no Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump.Pump(yes or no):. No Last date of occupancy: N/a . COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based.on 310 CMR 15.203): _gpd Basis of design flow(seats/persons/sq/ft etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitay waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: Qallons- 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/Alternative technology. Attach a copy of the current operation and maintenance.contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval: Other(describe): Approximate age of all components,date installed(if known)and source of information: Date of installation 10118101 per as-built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION.(continued) Property Address: 267 Pond Street Osterville,MA Owner: Scott Peacock&Scott Crosby Date of Inspection. January 6,2012 BUILDING SEWER:(locate on site plan) Depth below,grade: Materials of construction: -_cast iron _40 PVC other(explain): Distance from private water supply well or suction liner Comments(on condition of joints;venting,evidence of leakage;etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade:; 24" Material:of:construction: ✓ concrete _metal _fiberglass _polyethylene other(explain) If tank is metal list age: Is age confirmed.by a Certificate of Compliance(yes or no): (attach.a copy of certificate) Dimensions: 1500 Qal. Poly Sludge depth: 1" Distance from top'of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 1" Distance.from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick 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 tees were present The liquid level was even with the outlet invert: There did not appear to be any.siens of.leakaze. The coi,eis were 2"below Qrade GREASE TRAP: 'None (locate on site plan):. Depth below.grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.)`. I 7 J Page 8 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 267 Pond Street Osterville.MA ,. Owner: Scott Peacock&Scott Crosby Date of Inspection: January 6,2012 TIGHT or HOLDING TANK: None (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/day, ' Alarm present(yes or no): Alarm level: Alarm in-working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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 was normal.No solids were present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 .t Page 9 of 11 OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 267 Pond Street Osterville.'MA Owner: Scott Peacock&Scott Crosby Date of Inspection: January 6. 2012 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 10'x 29'-per as built leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): 4&ere did not appear to be any signs of failure. CESSPOOLS: None (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 or no): Comments (note condition of soil,signs of,hydraulic failure,level of ponding,condition of vegetation;etc.): PRIVY: None.(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.): 9 f r Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 267 Pond Street Osterville,MA Owner: Scott Peacock&Scott Crosby Date of Inspection: January 6, 2012 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. A 6 _ 0 . 0 3 ae- Sob = y a aI ay 333 38� 31 y 10 Page l l of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 267 Pond Street Overville.MA Owner: Scott Peacock&Scott Crosby Date of Inspection: January 6, 21012 SITE EXAM Slope Surface water. Check cellar Shallow wells Estimated depth to ground water 30+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: Topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic aizd water contours maps the maps were showing approximately 30'+/to Around water at this site. This.report has been prepared only for the.septic system and components described herein. This septic system has been inspected and passed:as of the date of inspection. This report is not a warranty or guarantee that the system will f tnction properly.in the f tture. There have been no.warranties or guarantees,either expressed,written or implied, relating to the.septic system,the inspection,this report and/or any components of the septic system which!tame not been located and inspected. • . 11 � FORM30 H&W HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS C BOARD OF ALTH f V CITY/TOWN 01 z W c b � � DEYARTIVIENT ADDRESS M sey`0 r� TELEPHONE Address — Occupant Floor Apartment, o. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms_ No.dwelling or rooming units No Sto es Name and address of owner Rema cs Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom —Pantry Den Living Room Bedroom 1 , Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: cks, Flues,Vents,Safeties: Kitchen Facilities ink Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT/IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY. INSPECTOR TITLE DATE - 4` (f TIME V V A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or trie public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating,gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. Barnstable Assessing Search Results Page 1 of 2 Home:Departments:Assessors Division:Property Assessment Search Results New Search al�� s New Interactive Maps» s Owner: 2006 Assessed Values: PEACOCK,JAMES S& 267 POND STREET Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $84,300 $84,300 119 /033/ Extra Features: $2,400 $2,400 Outbuildings: $600 $600. Mailing Address Land Value: $253,300 $253,300 PEACOCK,JAMES S& CROSBY,SCOTT E Totals $340,600 $340,600 P O BOX 151 OSTERVILLE,MA.02655 2006 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation) Community Preservation Act Tax $45.53 Fire District Rates Town Barnstable-Residential $1.90 $6.31 Barnstable-Commercial $2.51 Commercial C.O.M.M.FD Tax(Residential) $361.04 C.O.M.M.-All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Personal Property Town Tax(Residential) $1,517.56 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial $2.50 Other Rates W Barnstable-Residential $1.60 Community Preservation Act 3%of Town Tax W Barnstable-Commercial $2.46 Total: $1,924.13 Construction Details Building Building value $84,300 Interior Floors Hardwood property Sketch Legend Style Ranch Interior Walls Drywall Model Residential Heat Fuel Oil S 14 Grade Average Minus Heat Type Hot Water Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 1 Bedroom I "GAR` BAS 13 Roof Structure Gable/Hip Bathrooms 1 Full S BMT AS p Roof Cover Asph/F Gls/Cmp living area 936 13 r7 8 3_ f1c E' Replacement Cost $105333 Year Built 1940 Depreciation 20 Total Rooms 4 Rooms Land CODE 1010 Lot Size(Acres) 0.97 Appraised Value $253,300 - -L- � _ View Interactive Maps >> Assessed Value $253,300 L Sales History: Owner: Sale Date Book/Page: Sale Price: PEACOCK,JAMES S& Aug 31 2001 12:OOAM 14197/176 $210,000 http://www.town.bamstable.md.us/assessing/assess06/displayparcelO6map.asp?mappar=119... 3/l/2007 No. `� \ r Fee�=— THE COMMONWEALTH OF MASSACHUSETTS . Entered in computer:/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for 30i!5pozar *pztem Construction Permit Application for a Permit to Construct( )Repair(4�Upgrade )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. D•ce rj/► j'y d, Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Addre s,p4 Tel.No. Designer's Name,Address and Tel.No. eley Type of Building: Dwelling No.of Bedrooms ! �3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building . No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow :5 30 gallons. Plan Date /0 /o d i Number'of sheets �2_ Revision Date Title '—' r Size of Septic Tank 15-0d Type of S.A.S. t Description of Soil 60ev- ��A-e Nature of Repairs or Alterations(Answer when applicable) Ile Date last inspected: OY.14 - 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 dts of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee is ed by and th. Signe Date Application Approved by Date 1011 Application Disapproved for the following reasons Permit No. Date Issued Barnstable Assessing Search Results Page 2 of 2 LOVELL,CHARLES W Dec 15 1988 12:OOAM 6563/260 $1 LOVELL,CHARLES W 557/53 $0 Extra Building Features Code Description Units/SO It Appraised Value Assessed Value SHED Shed 80 $600 $600 FPL1 Fireplace 1 $2,400 $2,400 Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mappar=119... 3/1/2007 1 I Date 6 2il / i I I i voluntarily grant permission to the Town (Occupants name) of Barnstable Board of Health (Agent or Health Inspector) to inspect my-dwelling unit located at a(g 7 ey?d in accordance (House#, [Apt\Unit#if applicable],street,village) { with the Town of Barnstable Code (Chapters 59 and 170) and the State Sanitary Code i (105 CMR 410.000) on I hereby authorize and tame (Date of inspection) -`� to be my tenant representative for lithe (Occupant representative) of this inspection. o purpose p .� �'GCl��-- is an adult person (Occupant representative) j i designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health for the inspection, granting access to any and all locations (including bedrooms, bathrooms, closets, etc.,) allowing the use of photographs and answering questions. This authorization is only valid for the inspection date specified i above, and must be renewed for airy future inspection(s.) i i I Occupants Signature \ Date', Occupants Representative Signature \ Datel 1 1 i Q:\Rental Ordinance\inspection permission 2.doc i � (•`� EXIST. KNOWN CESSPooLs LEGEND Route 28 -� v o (APPROX. LOCATION-SEE NOTE 13) 1 � N 1�a PROPOSED CONTOUR o 3 � 13a PROPOSED SPOT GRADE smoke oieY Rd o � RfeASSESSORS EXISTING CONTOUR Rood MAP 119 110.02 EXISTING SPOT GRADE PARCEL 33 „e R° LOCUS TEST PIT tce � a 41,818f S.F. 9��8 FLOW SURFACE WATER FLOW —W—W— EXISTING WATER SERVICE GARA E Se uit Rd P oa5c CB/dh Fnd. I EXIST. 1 BEDROOM ati LOCUS MAP N.T.S. HOUSE (##267) i T.O.F. =102.8 / I GENERAL NOTES: 1• ALL-CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. r© / PROPOSED 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS I 1500 O TLL AN w do, OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SEPTIO p LOCAL RULES AND REGULATIONS. P% 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE Q. D-Bo O, DESIGN ENGINEER. P 00 / TP 101.0 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING; �� FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN \gyp\ ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. <p� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF O \ ' •� d THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 0P Q HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 2 \` �' REMOV & RE LANT 7. WATER SUPPLY PROVIDED BY TOWN WATER MAIN. 01 ::.r.; • EXISTI G HOLL THE 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 100' OF THE S.A.S. f �0� � Q � � 9. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND Q � UNSUITABLE MATERIAL IN THE AREA BENEATH AND FOR 5 0 1 N ALL SIDES "J � �'G OF THE S.A.S AND REPLACE WITH CLEAN COARSE SAND FREE FROM CLAY, C� —1 FINES OR OTHER UNSUITABLE SOILS AS SPECIFIED IN 310 CMR 15.255(3). 9 9 <' Fla Pole ' � 10. ALL AREAS CLEARED FOR CONSTRUCTION ARE TO BE LOAMED AND 9 / �3 p� SEEDED UPON COMPLETION OF CONSTRUCTION. o / / 0F P��� M91fq 11. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 9 o PETER T, � THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING BENCHMARK ~ // cn o McENTEE CONSTRUCTION. '' STAKE/TACK SET CIVIL 12. PROPERTY LINES SHOWN HAVE BEEN COMPILED FROM EXISTNG DEED // � '� 4 No, 35109 AND MONUMENTATION AND ARE APPROXIMATE ONLY. THEY DO NOT ELEV. = 100.00 �°�� �'� Ay �'FG/STE��� REPRESENT AN ACTUAL ON THE GROUND PROPERTY LINE SURVEY. (ASSUMED DATUM) 99 �FFSS/ONAL NG\�� 13. CONTRACTOR IS RESPONSIBLE FOR LOCATING ALL EXISTING CESSPOOLS, PUMPING AND FILLING THEM WITH SAND. DEED REFERENCE BOOK 6563 PAGE 260 98 / 105 ± SEPTIC SYSTEM UPGRADE SIDEWALK ___ __ , B/dh Fnd. 267 POND STREET, OSTERVILLE, MA SIDEWALK — — Prepared for: John Whiteley, 195 Pond Street, Osterville, MA `--`-`-`---------_ ' SIDEWALK Engineering b : Surveying by: SCALE DRAWN JOB. NO. 9 9 Y Y 9 POND STREET 23 Deer Hall goo d 10chm+dHoodP.L.S. 1"=20' P.T.M. 91-01 23 Deer Hollow Road 10 Bosuns Passage OWNER 0F RECORD. CWARLES W. LOVELL Forestdole. MA 02644 E. Sandwich. MA 02537 DATE CHECKED SHEET NO. (508) 477-5313 (508) 833-4883 10/10/01 P.T.M. 1 Of 2 4 ELEV. TOP FOUNDATION NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL BE < (Existing) FOR A DISTANCE OF 5'T AROUND ETHE'50 =102.8± FINISH GRADE: 99.8 — 101.5 PERIMETER OF THE S.A.S. EL.102.25 EL.101.5f MAX. COVER OVER S.A.S. = 36" MAINTAIN 2X MIN SLOPE OVER LEACHING AREA A'. 4, INSTALL H-20 RISERS W/ HEAVY DUTY STEEL MODIFY INTERIOR : FRAMES & COVERS OVER INLET AND OUTLET PLUMBING TO ' _ �•. L 11' W/ RIMS SET TO FINISH GRADE TIE INTO OUTLET ;�' 4" SCH 40 PVC L = 2' _ INV.EL.=98.78 4' SCH 40 PVC L - 12' 4" SCH 40 PVC T7. 2 S= 2% (MINJL-ijost @ S= 1% CMIN.) sCELLAR FLO PROPOSED $= 1 % <MIN,) o " e e o 0 0 0 o e o 0 o e o 0 0 o a o 0 0 y 1500 GALLON INV. EL.= 98.31 INV. EL.=98.12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SEPTIC TANK INV. EL.=98.29 INV. EL.= 98.00 INV. EL.= 98.56 3.25' 3 INFILTRATOR 3050 UNITS= 22.5' 3.25' GAS BAFFLE TO BE INSTSALLED ON OUTLET TEE AS MANUFACTURED BY TUF—TITE, ZABEL, OR EQUAL EFFECTIVE LENGTH = 29' SEPTIC SYSTEM PROFILE BREAKOUT EL.= 98,50 4' LAYER OF 1/8'-1/2' PIPE INV. EL.= 98.00 DOUBLE WASHED STONE Mts' EFF, DEPTH = 2' T SWIM .a 3/4'-1 1/2' BOTTOM S,A.S, EL,= 96.00 DOUBLE WASHED STONE (3) 5" DIA.OUTLETS CHAMBERS ARE TO BE LAID 5 MIN. ABOVE BOTTOM ❑F 3.25 4.2�3.-25' T,P. EXCAVATI❑N OR G,W, 1I�"5�I ��` EFFECTIVE WIDTH 10,7' LEVEL ON A SAND BASE E'. 3 91.00 SOIL ABSORPTION SYSTEM SECTION 15,5' 12 Kr 2' o-BOX KT, - 10'-6" SOIL LOG DESIGN CRITERIA NUMBER OF BEDROOMS: 1 EXISTING + 2 PROPOSED = 3 TOTAL 3 - 20' Dlo. covers DATE: SEPTEMBER 20, 2001 SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: 2 MIN./IN. ur SOIL EVALUATOR: PETER T. MCENTEE P.E. Mq INSPECTOR: LEE McCONNELLDAILY FLOW=DAILY FLOW: 330 G.P.D. JJq��5'-6" 0-" I REF#P10-075 GARBAGE GRINDER: NO o PETER T. G✓ SEPTIC TANK REQUIRED: 1500 GAL. CAPACITY c McENTEE Elev. TP Depth � CIVIL LEACHING AREA REQUIRED: (330) = 445.9 S.F. 101.0 FILL 0' 74 No, 35109 1 �% RF/ 4R Q gg,8 A t4' USE 3 INFILTRATOR_3050 UNITS AS SHOWN OFFS LOAMY SAND ION E .2m N / a.s" DIA ACCESS PORT FOR INSPECTION. 6" Dia. Inlets 4" 6" Dia.i Outlets 10YR 4/3 SIDEWALL AREA: 2(29' + 10.7') X 2' = 158.8 S.F. 95' 99.5 9 t e' BOTTOM AREA: 29' X 10.7' = 310.3 S.F. " LOAMY SAND TOTAL AREA: 469.1 S.F.7. �C3I 0 10YR 5/6 INSTALLED LENGTH 97.5 C1 42" DESIGN FLOW PROVIDED: 0.74(469.1) = 347.1 G.P.D. M—C SAND 30' 5'-8" 4'-7' 48" Liquid Level 4'-4" 2.5Y 6/6 93.7 C2 88" SEPTIC SYSTEM REPAIR UPGRADE 50 INFILTRATOR 3050 INLET END M—C SAND 267 POND STREET, f OSTERVILLE MA (OPEN) NOMINAL CHAMBER SPECIFICATIONS � • � � 88"PERC 2.5Y 5/8 Prepared for: John Whiteley, 195 Pond Street, Osterville, MA SIZE 4W x H x INSTALLED L) 50" x 30" x 89.5" 91:0 120n WEIGH an.o Les. 1500 GALLON CAPACITY, H-20 LOADING Engineering by: SCALE DRAWN JOB. N0: CHAMBERS SEPTIC TANK NO G.W. ENCOUNTERED Engineering Works RkhardXoodP.LS. NTS P.T.M. 91-01 PERC RATE: 2 MIN/IN: "C1&C2" HORIZONS 23 Deer Hollow Road 10 Bosuns Passage DATE RT& LTA Forestdcle, MA 02644 E. Sandwich. MA 02537 CHECKED SHEET NO. (508) 477-5313 (508) 833-4883 10/10/01 P.T.M. 2 of 3