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HomeMy WebLinkAbout0136 SCUDDER ROAD - Health 136 SCUDDER RD.' OSTERVILLE A = 140 031 No. t7 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLation for Bisposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No 4.0-f 1 c16 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel / j 0 I_icb&Io e Installer's Name Address an Tel.No. Designer's Name,Address and Tel.No. �prrtPs = c®d saw`Id£�y0&� 1C#,V4L C4Md 5iakvc-tylvI o �alho��h & 4,2sTns 1h. Ir A D ( 5 Type of Building: Dwelling No.of Bedrooms —3 Lot Size 1(o 0o sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 Q gpd Design flow provided gpd Plan Date Number of-sheets Revision Date Title Size of Septic Tank 15-00 Type of S.A.S. I. ­6 7 p a c cw_S . V Description of Soil Nature of Repairs or Alterations(Answer when applicable) /`/ L® //74, 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 place the system in operation until a Certificate of Compliance has been issued by this B ar of Health. Sign Date !� Application Approved by Date 70" Application Disapproved by Date for the following reasons Permit No. go(O ZQ 0 Date Issued S' / N 2 L Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes —�� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplirkion for MispoBal OpBteUt Construction Permit _ xa.{ Application for a Permit to Construct( ) Repair( .) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. LUT I C1/ Owner's Name,Address,and Tel.No. 34, 5c',Ade Os7�2u�1��Ml� Assessor's Map/Parcel � Q�Qd- US� h�5 �,q���C/�R�C � Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �AmPs DRlsr��f So& �la£�yo&� C.#,v41 CAnd SoRvey/rj, y 11 )q,4 Type of Building: Dwelling No.of Bedrooms Lot Size !1 t7jjl sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) !3 gpd Design flow provided •�. gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank SnG Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Y+► 4 , %/74 f r 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 i -o erai�on�uptil a Certificate of Compliance has`been issued by this B ar of Health. 0 Signe dloDAe``` Application Approved by Date Application Disapproved by ` Date for the following reasons Permit No.?� — 2 Q p Date Issued THE COMMONWEALTH OF MASSACHUSETTS "BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( ) Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.2�l�(—29� dated $/Z Installer .T_t0 wP c ��R o c���� � Designer CA AL Lo, J 4:r t fl��,r, #bedrooms Approved desi flow ��gpd The issuance of this permit shall not be construed as a guarantee that the system w 1 funct n,as designed. Q Date } o p Inspector 1� r f � No. O — Z9 n Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS OispoSal 6pstem Construction Permit Permission is hereby granted to Construct(yO Repair( ) Upgrade( ) Abandon( ) System located at ! ��SC'A AQ 2,04J C`r���� i�� 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. Date '� /7 I q I Approved by _ j Town of Barnstable $ Inspectional Services i , 1 .Public Health Division � I�,�' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 50&862.4644 Fax: 508-790.6304 Installer&Designer Certification Form Date: ' -a X°v Sewage Permit# 2019 0 Assessor's Map kParcel Designer. ybutaller. Address: 6Cu a Address: i On -S Zo ter3f:l" was issued a permit to install a (date) installer) septic system at - 3 Q--a- "' based on a design drawn by } / /� (address) 4f—, dated L • i ( esigner —, certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10'lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if was inspected and the soils were found satisfactory. I eertif3+that the system referenced above was constructed in compliance with the to rims of the AA ap val letters liable} .w es$1 ture AffiX,t� ) � ( Oesrgner s Stamp Here) PLEASE RETURN TO BARNWAIRLY PUBLIC HEALTH DMSION. CER CATS OF COMPLIANCE M& NOT BE LS%SIL D S FO AS. B ARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU_ ftxU PW1FALTRSEWet cam ee sEP7icjkft a catm=tion fatm Rev&14-13.00C TOWN OF BARNSTABLE,� LOCATION CC,VQV e - AC SEWAGE# VILLAGE 1�ASSESSOR'S MAP &PARCEL .� U INSTALLER'S NAME&PHONE NO.�r �� �Co SEPTIC TANK CAPACITY %,S®G CC, I j�I2C� LEACHING FACILITY.(type) C. 2 S e 4:.lez-S (size) NO.OF BEDROOMS 3 OWNER G°e— A �" PERMIT DATE: lei COMPLIANCE DATE: W 3v 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 B el 1 IS 1 - 33 r 3 _ q 0 f 76-631 Commonwealth of Massachusetts Title 5 Official Inspection Form =- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments v1 136 Scudder Road Property Address Marcia Finley Owner Owner's Name/ information is every Osterville t✓ required for eve MA 02655 11-13 18 pap. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. "OF Important;When A. Inspector Information filling out forms cS� f 8q %6QF _t- usenlyan the yttrhe tab _s�o'• .JA M ES .ms " James D.Sears key to move your Name of Inspector n cursor-do not 3 t use the return Capewide Enterprises �,°. C o key. Company Name �� � 153 Commercial Street 1>i,,,115 INSPt�00.� Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 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 was performed 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 Evaluation by the Local Approving Authority 4. ❑ Fails - 11-15-18 ctor's Signature Date The system inspector shall submit a'copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 how the system will perform In the future under the same or different conditions of use. tolnep.doc°rev.W M2018 - TiBe 6 Offidal Inspection Form:Subsurface Sewage Disposal System•page 1 cf ie i, a5ed xed dH ZI,U 81.0Z 81, AON r J . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r , 136 Scudder Road v� Property Address Marcia Finley . Owner Owner's Name information Is required for every Osterville MA 02655 11-13-18 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: ® 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: Note: Plastic Tank. The system is a 1500 Gal Tank D Box and four chamber's 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.NO)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. ❑ Y ❑ N ❑ NO(Explain below): t5imp.doc-rev.M612D18 Title,5 Official Inspection Form:Subsurface Selvage Disposal System-Page 2 of 18 2 a5ed xed dH ZL:EZ 860Z el, ^oN Commonwealth of Massachusetts Title 5 Official Inspection Form it' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name Information is required for every Osterville MA 02655 11-13.18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes(cant.): ❑ Pump Chain ber pumps/alarms not operational. System will 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 pipes)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval of Board of Health): ` -broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): distribution box is leveled or replaced ❑ Y _ ❑ N ❑ NO(Explain below): The system Elrequired pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection If(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 3) Further-Evaluation 1s 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. 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: tsirup.doc-rev.7n61201s 710 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3of 7B £ a6ed xed dH Z6:£Z 8LOZ 86 AoN Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,3y 136 Scudder Road Property Address Marcia Finley Owner Owners Name information Is required uired for every Osteryille MA 02655 11-13-18 page. City/Town State -p Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 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: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria Indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for Ell Inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or dogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ISlrtvp.aoe•rev.MUMS Title 5 Official Inspection Form:Subsuftce Sewage Disposal System•Page 4 of 18 t, a6ed xed dH Z 6:£Z 8602 8 6 ^oN c,� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal.System Form-Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name Information is requIred for every Osterville MA 02655 11-13-18 requir page. CitylTown State Zip Code Date of Inspection C. Inspection Summary(cont.) f 4) System Failure Criteria Applicable to All Systems:(cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® Liquid depth in aumaqnWris less than 6"below invert or available volume is less than%day flow A VC'NiNF ® Required pumping more than 4 times in the last year NOTdue 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.[This System passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® The system lift.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. 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 ❑ ❑ the system Is within 400 feet of a surface drinking water supply ❑ Cl the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t&nsp.doc-rev.7/26/2018 Title 5 Official Inspedlon Form:subsurfece Sewage oisposal system•page s of 18 lit 5 abed xeH dH Z I,TZ 8 60Z 8 6 AoN Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ' 136 Scudder Road Property Address Marcia Finley Owner Owner's Name requir on is requiredd for every Osterville MA 02655 11-13-18 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cunt.) 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 C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304,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 not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components,excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered,opened,and the Interior of the tank inspected for the condition of the baffles or tees,material of construction, dimensions,depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner)provided with Information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at Issue ❑ ® approximation of distance is unacceptable)(310 CMR 15.302(5)) t8irap.doc•rev.72612018 Title 8 Official Inspection Form;Subsurface -pec oe Sewage Disposal System Page 6 of 18 9 a5ed xRJ dH £I,U 8I.OZ 86 AoN Commonwealth of Massachusetts F Title 5 Official Inspection Form. : Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 136 Scudder Road property Address Marcia Finley Owner Owners Name - inform Lion Is require Osterville MA 02655 11-13.18 required for every . page. City/Town State Zip Code Date of InspecKon D. System Information 1. Residential Flaw Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 ' DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Description: The system is a 1500 Gal.Plastic Tank D Box and four chember's i - Number of current residents: ` Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ 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? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings,if available(last 2 years usage(gpd)); 2016-15,000Gal Detail- Sump pump? ❑ Yes ® No Last date of occupancy: Present Date t8insp.doc-rev.71-2B/20]8 ti - Title 5 Official Inspection Form:Subsurlace Sewage Disposal System-Page 7 of 18 abed xeJ dH £V£Z 9 602 8 L AON Commonwealth of Massachusetts r Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 136 Scudder Road Property Address Marcia.Finley ` Owner Owner's Name information is required for every Osterville MA 02655 11-13-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2, Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/personstsq.ft.,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 Tile 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancyluse: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.kc-rev.7128/2018 Title S Official inspection Form:Subsurface sewage Oispoeal S-Mem-Page 8 of fe 8 a6ed xeJ dH bI,U 8l,OZ 8l, no� e.. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments vmsar 136 Scudder Road Property Address Marcia Finley Owner Owners Name information is required for every Osterville MA 02656 - 11-13-18 ` page" CitytTown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank,distribution box,soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records,if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the UA system by system operator under-contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): - Approximate age of all components, date installed (if known)and source of information: 2001 Permit#2001 -328 Were sewage odors'detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 41" Depth below grade: feet Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet . Comments(on condition of joints,venting,evidence of leakage,etc.):. Pipeinq is 4" PVC SCH.=40. t�6 eAdoc•rov.712672056 TIUe 6 Official Inspection Form SoOsurace Sewage Disposal System•Page 9 of 18 6 a5ed x2J dH bV£Z 91,02 86 AoN Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name information is Osterville MA 02655 11-13-18 required for every State Zip Code Date of Inspection page. City/Town D. System Information (cant.) 6. Septic Tank(locate on site plan): 31" Depth below grade: feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No 1500 Gal.Plastic Tank Dimensions: 2" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 28" ^ 0„ Scum thickness Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 18" Asbuilt-Tape How were dimensions determined? Sludge Judae Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tank at working level. Tank at 31"below grade.Both covers at 8"below grade. No sign of leakage or over loading. t5insp.doc-rev.712WOU Title 6 official Inspection Form:Subsurface Sewage Disposal Syalam•Page 10 0l 16 O t a6ed Xe:1 dH b 6:£Z 9 60Z 8 6 AoI Commonwealth of Massachusetts ¢; Title 5 Official Inspection: Form r Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name Informa Is requiret;o re Osterville MA 02655 -j11-13-18 required for every page Cityaown State Zip Code Date of Inspection D. System Information (cunt:) 7. Grease Trap(locate on'site plan): Depth below grade: 7 feet Material of construction: ❑concrete E metal fiberglass ❑polyethylene ❑other(explain): Dimensions: Scum thickness r Distance from top of scum to top of outlet tee or,baffle Distance from bottom of scum to bottom,of outlet tee or baffle Date'of last pumping' Date Comments(on pumping recominendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert.evidence of leakage;etc.): ". 8. Tight or Holding Tank.(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: } Material of construction: Q concrete EI metal ❑fiberglass` ❑polyethylene other,(explain): } Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev,7/W2018 TIUe 5 Orfloial Inspection Form:Subsurface Sewage Disposal System•Page 11 o118 6l a6ed xed dH 96:£Z 860Z' 8l, ^oN Commonwealth of Massachusetts Title 5.Official Inspection Form t, Subsurface Sewage Disposal System Form Not for Voluntary Assessments P' v 136 Scudder Road r Property Address Marcia Finley Owner Owner's Name information is Osterville MA 02655 11-13-18 required for every State Zip Code Date of Inspection page CityJTown D. System Information (cont.) 8. Tight or Holding Tank(cunt.) Alarm present: ❑ Yes ey ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date - Comments(condition of alarm and float switches,etc.). 'YAttach copy of current pumping contract(required).Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Plastic D Box at 40" below grade. No si in of over loadin or solid car over. Ibinsp.dom•rev.7/2612018 Tive 5 oflloal Inspection Form:Subsuflatc Sewage Disposal System•Page 120118 Z6 96ed Xed dH 56:£2 860Z 81• ^oP Commonwealth of Massachusetts' Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name information is required for every Osterville MA 02655 11-13-18 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 ❑ No' Alarms in working order.. ❑ Yes ❑ No' Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System(SAS)(locate on site plan,excavation not required): If SAS not located,explain why: Type: ❑ leaching pits number: q ® . leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number,length: leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: lsinsp.doc-rev.71282018 Title 5 OMdel Inspection Form:Subsurface Sewage Disposal System Pape 13 of 18 £l• a6ed xed dH S6:£Z SLO? 86 AON c, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name information is Osterville MA 02655 11-13-18 required for every City/Town Page Stets Zip Code Date of Inspection D. System Information (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.): Leaching is four cultec chamber's. CK D Box and Camera out lines. No sign of loading or solid carry over. 12. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration camera out lines. 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,oondition of vegetation, etc.): t5insp doc•rev.7126MIS Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 18 b 6 a5ed xed dH 9 I•U 81.0Z 8 6 AoN f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name information Is Osterville MA 02655 11-13-18 required for every page City/Town State 'Zip Code Date of Inspection D. System Information (coat.) 13. Privy(locate on site plan)_ f Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): ttunsp.doc•rev.7W20i8 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 15 of 18 6 abed Xe:1 dH 9V£Z 860Z 86 AON Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name information is Osterville MA 02655 11-13-18 required for every page. CitylTown 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, ❑ hand-sketch in the area below ® drawing attached separately t6lnsp.doc•rev.7/M2018 Title 5 OMclal Inspection Poem:subsurface Sewage Disposal System•Page is of is 9t abed xej dH 96:EZ 960Z el, AoN =l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 136 Scudder Road Property Address Marcia Finley Owner Owner's Name InformMquir dfortion e Osterville MA 02655 11-13-18 .required for every page. City/Tom State Zip Code Date of Inspection D. System Information (cant.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth tolhigh ground water: 11' feet' Please indicate all methods used to determine the high groundwater elevation: ❑ Obtained from system design plans on record If checked,date'of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Auger T.H.11'no G.W.. Bottom of chamber's at 5'below grade. Bottom of chambers at 6'above T.H.Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. tbinsp.doc•rev.7126/2018 Title 5 Official Inspection Form:Subs0ace Sewage Disposal System•Page 11 of 15 L6 a6ed xe:1 dH 96:£Z 8602 81• ^cN Commonwealth of Massachusetts Title 5 Official Inspection Form 4 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments s 136 Scudder Road Property Address MarciaFinley Owner Owner's Name infDrmation is Ostervflle MA 02655 11-13-18 required for every page. City/Tmm 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 in this section. ® B.Certification: Signed&Dated and 1,2,3, or 4 checked . ® C. Inspection Summary: 1,2,3,or 5 completed as approprlate. 4(Failure Criteria)and 6(Checklist)completed ® D.System Information: For 8:Tight/Holding Tank.—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included 1h 71 v I tSInsp.doo•rev.712111MA Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 1S 8 L a5ed Xe� dH g 6:EZ 8l,0Z el, AOP 'TOWN OF BARNSTABLE LOCATION • � '"S SEWAGE•#, Q rf �1 VILLAGE DS Y ev,41p-1. ASSESSOR'S MAP& LOT 0'6,7 INSTALLER'S NAME 8t PHONE NO. de 8 jplp, SEPTIC TANK CAPACITY LEACHING FACII.ITY: (type) �S�.i� ,•,Z (size)fXyO pC1 BXJLk 2 NO.OFBEDROOMS 3 BUILDER OR OWNER PERMITDATE e OMPLIANCE DATE: 1 Separation Distance Between the: MLtimum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or:within 200 feet of leaching facility) o Gc if r Feet Edge of Wetland and Leaching Facility(If any wedands exist / within 300 V leachi fa i Y Feet _ ? Furnished by La Y,��1 ` %5ao GaL .yak r is 66 abed Xe�' dH LV£Z 8l0Z 86 AoN ,� .,,-.,�, s `-�' Y .6+,.� .x r a .-.:'F j�._ t' r7 sP � g,c c ' .t. N• si ``*,- n��.. TOWN OF BARNSTABLE SEWAGE_*40 VILLAGE a5t?►^u(���. ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO: •I.*i ��, "SEPTIC TANK CAPACITY 1( 0Q l,- LEACHING FACILITY: (type) (size) fW XC7 9/.j4x 2 NO. OF BEDROOMS pp BUILDER OR OWNER la PERMITDATE S m/ COMPLIANCE DATE: Separation Distance Between the: . Maximum Adjusted Groundwater Table.and Bottom of Leaching Facility Feet Pnyate Water Supply Well and LeachingFacihty-.(If any wells exist on site or within 200 feet of leaching facility) o , �+: r Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 fe t: leach fa i Furcushed by VY Feet /Ns�-�bi10 �a V. tii � e a• 5C' , , TOWN OF BARNSTABLE LOCATION 1 � c�..���/r� 01 SEWAGE #I ®�r ` VILLAGE V��?r�+l -t ASSESSOR'S MAP & LOT 0-63 INSTALLER'S NAME&PHONE NO._ �N�/ YP vti SEPTIC TANK CAPACITY AY6-00 �c LEACHING FACILITY: (type) n2 (size),O AO K.2 k Q NO.OF BEDROOMS BUILDER OR OWNER- k 46 PERMTTDATE: S12.1 0G COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) o Uq r Feet Edge of Wetland and Leaching Facility(If any wetlands exist' �A within 300 fe t leachi fa Feet Furnished by pop Y wov POV. a r No. aeyl' w, Fee e / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ✓ 01pprication for ]Digpoar *pgtem Construction 3permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. �SLC wc���d�—�L� Owe 's Name dd ss and Tel.No. Assessor's Map/Parcel /Vd— Installer's N A re's,�ndd Tel No Designer's Name,Address and Tel.No. wy Type of Building: Dwelling No.of Bedrooms 2 Lot Size 1 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow v� � gallons per day. Calculated daily flow 3s o gallons. Plan Date Number of sheets Revision Date Title u Size of Septic Tank S`/� G T/0 Type of S.A.S. -/— C�, ec 3: 6r 4C t2-e—'r)r Description of Soil par !�, Nature of Repairs or Alterations(Answer when applicable) �tD%i: Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5A the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee ssi by thi B of Health. Signed Date r� 6. Application Approved by 4 Date LT--Z . —O Application Disapproved for the following reason/ Permit No. 7sP/!I .Z Date Issued Z Q '. `w. .. * - ,.. .. --- .,€fig • y No.'(/�V(' J Z �A ' Fee " '� Ft ., ✓ R , ` THE COMMONWEALTH OF MASSACHUSETTS--��.. Ent1-1 ered in computer: Ye s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01pprication for.-Migpogal *pztem Construction 3permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ElIndividual Components Location Address or Lot No. o er1's Name,�ddss and Tel.No. a r �ti 7,,, Assessor's Map/Parcel ., ./( ell Installer))'s N Address,and Tel.No. 'Ir ! Designer's Name,Address and Tel.No. .Svc' yd � sciys � ,4 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 33p gallons. Plan'D'ate Number of sheets Revision Date Title . Size of Septic Tank C7/1C S Type of S.A.S. Description of Soil Leu�� ,d/fix 8 X . d .3 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system!. in accordance:with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- _.. pate of Compliance has been issued�by thi Boafd of Health. Signed "P N . Date Application Approved by 4, i - Date Application Disapproved for the following reason Permit No. Date Issued Z 9 d THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance E THIS.IS TO CERTIFY, that the On,si wage Disposal System Constructed( )Repaired ( pgraded( ) Abandoned( by J"'^ at �t� ��/��Cf¢.� O,s has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.7a/V I- dated �' Z7-0 Installer Designer The issuance of this permit shall no be construed as a guarantee that the syste 11 f do Ad esigne . Date (o .� �� Inspector No.� J 2� ------���-���----------------Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwtzpool *pgtem -Ongtruction Permit Permission is hereby gr /ted to Construct( ) epair �).Upgrade )Abandon( ) System located at �7 3 C, 41"It, 110, o�- if- Z, `fst 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 ra6st be ompleted within three years of the date of this t. Date: Z 9��� Approved by C_. LX,ly ll&94 NOTICE: Th.is Form Is To Be Used for the Repair Of Failed Se 'c S stems Only. - R.IM—C TI4M OF T_T� A A DTS� PQS IZI{S C tV' .-U,c �i�i I�p Ri1+IIT CWT1'H E � iYIED PL�AFS1 L hereby c that the licatio r----- c* pp n for disposal works c0n4MCd6n permit signed by me dated concerning the Property located at meets all of the following criteria: �• The failed system is Conn==to a rmdettaal dit ,n ' d only. There are no commercial or business uses associated with the dwelling, u' J, TIC soil is classified as a'ASS I Ina the percolation rate is less than or equal to 5 minutes tt ter per arch. ,/. Ttuie arc no wetlands within 100 feet of the proposed septic system J• Thece aft no prn ate welts within 150 feet of the proposed septic system + Itiere is no increase in flow and/or change in use proposed '�• There are no variances requested or needed. • The bottom of the proposed leaching facilitywar � 1ffitbe located Iess than five feet above the maximum adjusted groundwater table elevation.(A method when applicable/ djust the 1W110dwater table using the Frimptor `�• If the S.A.S.will be looted with 130 feet of any vegetated Of the leaching faeiliry.will nQ�be located less than&ucteea(s feet above the ttom m adjoposed r ,groundwater table elevation_ , ttt Please complete the tollow-ing: A) Top of(round Stufate Elevation(using GIS information) 7 B) G.W.Elevation `y:.+the IM&Y.High G.W. Adjustment X DIFFERENCE BETWE 'A and B SIGNED : DATE: (Sketch nr plan of tvitem . t a hsam folder CM i 1 l�T°ez ' Ase A�'T �; � /O� � ,�� •('r-jam_ _ I . i• Y1\ / ' -- , N C) 0 PATIO I (n p sz'_o,. E 0 Oa o m 6'-2" - 2'-4 12" 5'-4" 2'-4 1/2" T-1" 3'3" 3'6" 5'-0" _ S >_� r. S q �Qr Q ui 7 ANDERSEN C m U)w N BCUSTOM A8 �' Lu RANSOM OO ANDERSEN ANDERSEN A8 ABOVE - W d.O ANDERSE ERIFY SIZE W/ ANDERSEN y•x 1.11 ANDERSE ANDERSEN - CUSTOM TRANSOM CUSTOM TRAN OM - Lo 3'0 1/8"x 1 4' FIREPLACE MF T 1/8"x 1'4" 3'0 1I8"x 1 3'0 1/8"x 1'4'l. 6'0 3/8"x 1'4"ABOVE 6'0"z 1'4"ABOVE TRANSOM TRANSCM TRANSOM TRANSOM m ABOVE ABOVE F R EN ABOVE ABOVE O(h Q= _ ANDERSEN - FWG60611R b b 1 AR d.�C335 FRENCHWOOD ANDERS N ry ANDERSEN- C WOO ANDERSE ANDERSEN - SLIDING DOOR TW2,046 TW21046 DOOR TW21046 TW21046FEW SINK i DW- i L i i �————7 F— �iA'5-.7 F__ bi J I.I F.P. .. ANDERSEN € I .. I I I.L. I r• -I. 'TW183z KITCHEN . (VERIFY KITCHEN - L__— — ————� L_— ——_J L f -——_J ANDERSEN _ A251 -_—— i LAYOUT W/gWNER) r — ——.— r ——� r ,.,:... _ . �. _ I I I COFFERED ill LIVING - /gyp , . . dO.. hl v DINT I I ACEILING BOVE I MASTER - ANDERSEN P13 BEDROOM A25,TW1831 3'-6 -- -1 L-------- �— --� ,�3-5" '-812" 5' 3'-, 6'-8" TRANSOM " I REF2'-10" I DOj OR I I I BARNI I © I. 2'6"x6'8" ABOVE .. - L� Q _ N ! - ' .. °° BILCO"C'BULKHEAD —— � ———— — -�—— 2.4�.PKT. W/18"EXTENSION TRANSOM - TRANSOM 4'-1" 3'-61' T-5" - - ABOVE 6.0"x 6'8" L'D Y./ I ABOVE 2'4" - _ W ' FOLD a ICLOS, m ANDERSENBENC _ D I � I CABON TO ! - FOLDING .. W.I.C. I A251 ANDERSEN HOOK/ MU�- I J P T Y. I ABOVE -p'• I I TW2446HALL -3 � I PDR. 2,4„x6�8,� x n I ROOM PKT.DOOR t: 2'6"x 6'8, _m ——J .. N 4 x 6 PKT.DOOR - 6_0 LED W/TRANSO ^ I ( S ABOVE .. W - SHELVES © HALL .... Z < 0 = L 2-1"x U8" Sl�UDY U) FIRE RATED - �, MASTER O _ - DOOR - � 'o m - CUOS. _' I �. m - 0 I UP BATH M ` +ro _ ANDERSEN ANDERSEN . - ANDERSEN ANDERSEN TW2446 (�` TW2446 . . OVL2030 TW2446 <I b - - . A8 W W .. ---- COS R D. TEMPERED 5— di - �^ (Y ---- Cf. Q u�� } 10".DIA.FIBERGLAS - f A. Q ' STRUCTURAL V) N GARAGE COLUMN. O. 11J 4'-6" 4'-0" 6'-11/2" 2'-9" - 6'-112". ANDERSEN - ANDERSEN /�f� . TW2446 TW2446 _ B - .. V) A8 FIRST FLOOR PLAN zco SCALE : A A LOT AREA =9000 S.F. A8 8 20%LOT COVERAGE =1800 S.F. 1/4" _ 1 1-011 9'0"x TO"O.H.DOOR ,� QS SMOKE DETECTOR 30%GROSS FLOOR AREA =2700 S.F. Q CARBON MONOXIDE DETECTOR FIRST FLOOR =1343 S.F. DATE : . CONCRETE GARAGE = 393 S.F. 6/25/20 I9 APRON I ®HEAT DETECTOR COVERED PORCH = 57 S.F. LOT COVERAGE AREA =1793 S.F. 19.9% I 4'-6" 9'-0" 4'-6 �. FIRST FLOOR =1343 S.F. SECOND FLOOR =1353 S.F. GROSS FLOOR AREA =2696 S.F. 29.9% A 1 t A i Z (SHED DORMER) VJ Q 2' 9'_3„ 2'-1112"7'-3" 11,_3„ 2.'9,� e,_,•• � E LlJ Q� �0N� B C S �C)C-0 TEMPERED AS EMPERED A8 . ANDERSEN ANDERSEN ANDERSEN ANDERSEN ANDERSEN ANDERSE W Q TW21042 TW21042 TW21042 TW21042 TW21042 TW21042 mH�ti U)w ---� LIN. e'Tus oo WDp 4 CLOS. I W b 5,_0„ - - O m Q v M = .4"X69' I BATH 3'6" Vv�IL .. iv TILED iv W VERIFY STORAGE BEDROOM VERIFY STORAGE - OR SHELVES m - - OR SHELVES - .. UNDER RAFTERS x UNDER RAFTERS - IN THE FIELD io IN THE FIELD Q . BEDROOM ' 'ANDERSEN ' © 2'6"X 6'8" ©© HALL ' -� ' ANDERSEN . TW2442 TW2442 ...' T-V' 3'-2" 5'-2 5'-8" 5'-0" 3%8" 3'A" 2'-0" 16'-10" - I— x - 11 ANDERSEN I I o DN. © v ANDERSEPF� TW2442 I p TW2442 K I p RAILING m a y z + LIN. CLOS. Q o +s p_8" HALL c r— --- — -- BELOW J • i o ANDERSEN AN ANDERS N - A21 A21Li I ANDERSEN ANDERSEN ANDERSEN ' W - GAME OOM I A251 A251 A251 PORCH OOF ANDERSEN BELOW "o $ - O I' ANDERSEN I .. O W Q TW2442 ACCESS 3'-6" - 2'-9" 2'•11" 3'-0" 2'-412"41 2'-3" 2'-412" _ .. � . I PANEL - vJ N ANDERSEN 12,�„ 9•_5'• 4'_O,� T,_0„ 4_0" z L.L TW2442 I - _ (SHE DORMER) (SHED DORMER) b B A8 A 4-0 10 a I a o A ¢ O W 8 = LL .D U ANDERSEN c•♦ TW2442 SCALE : 1/41' = 1 -01, DATE : 15'-0.. 6/25/2019 SECOND FLOOR PLAN A2 OF x IRON PIPE _ Id190ERS•CAULEY IM —my FOUND' S OG°37'30" E d CIVIL y o No.35101 � � ,vru a-moo_ b 10 bAL ffX15TIN TILOT COVERAGE (MAX,) - LOT AREA 91000 5Q.FT. - m 20% LOT.COVERAGE.= 1 ,800:5Q.FT. 30%.GROSS FLOOR AREA; = 2,700 5Q:FT. I PROPOSED- LOT COVERAGES LOCUS` MAP I� CI> _ w y 9, Oil+ 5Q1 N I_ O 15T FLOOR 1343 5Q.FT. NOT TO SCALE N ACR�S GARAGE 393 5Q:FT o pO DWEL�.IN N i` 1 . o o COVERED PORCH'= 57 SQ.FT. _ I OO .4':. w E TOTAL LOT COVERAGE. ._ 1 793 SQ:FT. or I'9.9 - _.. PROP. . _ U TANK . G.4' JQ.0 `/ I 34:7 / �.I p y. I ST FLOOR = 1343 SQ.FT. t O _ _ w 2ND FLOOR 'I 353 5Q.FT w N o.F Box J V) TOTAL GROSS FLOOR AREA =_ 2G9G 5Q.FT or 29.9 %. a w oh- 4 VENT I Q PIPE I o — �5ED 5T0N- , —27.0 - / 5 WIDE w o g — o—1 STRIPOUT 16Lo 35 uJ o f $ r ,. _ 3G 3G t p m P O —PROP SED GRADING �: RAVEL PARKING NOTES: 5CUDDER, ROAD . EXISTING SEPTIC SYSTEM COMPONENTS SHALL BE ABANDONED, PUMPED, 51TE BENCHMARK: THE EXISTING CONDITIONS SHOWN ON REMOVED AND DISPOSED TOP OF CONCRETE 80UND TH15 PLAN WERE'LOCATED BY AN ASSESSORS PARCEL D q 0/03 OF AT A SUITABLE LANDFILL. EL. 35.0(A55UMED) : IIN5TRUMENT SURVEY ON MARCH I G, I 2019 AND EXISTS ON THE GROUND AS PLOT .PLAN --- SHOWN. STRIP OUT ALL UNSUITABLE SHOWING PROPOSED CONDITIONS MATERIAL (102"f) AND REPLACE 0' 2C 40' 60' �yZNOF �s WITH MATERIAL THAT COMPLIES �s qc. LOT 19B, # 13G SCUDDER. ROAD. WITH TITLE 5 STANDARDS. RIC RD OSTERVILLE, MASSACHUSETT'S 01 .��( 35031 B No.: I9-020 CANAL LAND SURVEYING and PERMITTING �� 9 _ '>,' �p - land surveyors-engineers DATE. 2GAPRIL 1 DATE PR0FE5 £�- VEYOR 30G Old Plymouth Road,5agamore Beach,MA 02562 SCALE: I"=20 Ph:(508)858-5955 Email:canalsurvey@verizon.net DRAWN: PDR CHECK:rh ram,, USE RISERS TO BRING USE RISERS TO BRING USE RISERS TO BRING ( CIVIL Qo VENT PIPE F.F. f-LEV.=38.40 COVERS TO WITHIN G" COVER TO WITHIN G" ALL COVERS TO WITHIN 3" NO.35101 WITH OF FINISHED GRADE Of FINISHED,GRADE OF FINISHED GRADE ',, RODENT 20MIN. TO BE USED AS SCREEN ELEV.=36.9 1� IN PECTION PORTS ObAI 35.5 MIN a ��»' �I . rn ��' Gcn� . O(c Zd' '1"1 �.- 4"CAST IRON OR � IZ ��'� ELEV.= 35.4�~O -" CONCRETE COVERS ALL STONE IS SCHEDULE 40 P.V.C. CONCRETE COVER 5TRIPOUT AlL UNSUIT BLE AI ERIAL O� ''2 1 AND REPLACE WITH MATERIAL THAT DOUB3E�WASHED 4"CAST IRON OR 1 2 MIN. DIST.= 1 1 .3 5LP.= 0.005 COMPLIES WITH TITLE 5 STANDARDS 1/5"-1/2" SLP.=0.02 SCHEDULE 40 P•.V.C. „ INVERT I DI5T.= 14.8' 102 ± - EL. 2G.5±) WASHED STONE FLOW LINE DI5T.=34.7' SLP.=0.05 + Q"Q"Q"o"Q"Q"Q"Q"Q"0.0- 32.5 o'o-o'olololoxs v v Qv Q.. ELEV.=33.78 ELEV.=33.5G °°°o°o°oo°o°°o°°0°°090000000 000000 0 0 0Q°oQ 10"MIN. 1 4" gaga®® O ®gala® O 0 V < THE LENGTH OF ELEV.= 33.3 I ELEV.= 3 I .57 '-" ELEV:= 3 I .40 O o 0 0 0 0 OUTLET TEE Is BAFFLE O O O O O O ®®®�®®®®®®® O O O O O O O O O O O O O gaga®®a®®®®®® O O O O O O O 0 24"LAYER OF DETERMINED 5Y THE LENGTH OF O O O O O O O O o 0 0 0 LIQUID DEPTH OF LIQUID OUTLET TEE DISTRIBUTION BOX ,0000000000 00 aaa®aa®agaaa 0000000000000003/4°TOI-I/2" THE TANK usEo. DEPTH BELOW FLOW LINE (SEE CHART AT RIGHT) 0�O n O n O n O O O O O O O O O WASHED STONE 4FEET ........ 141NCHE5 O 0-0-0-0'O-O-O-O-O O O O O O O O 5 FEET ........ 191NCHE5 USE H-20 LOADING. ELEV. 3 I .33000000°00000000000000„0�0„0„0„0„0, ELEV.= 29.33 G FEET ........24 INCHES 1 500 GALLON SEPTIC TANK SEE 310 CMR TO BE WET TESTED IF 3 @ 3' x G"'LC-G" LEACHING CHAMBERS (H-20) USE H-20 LOADING. 15.227 Q MORE THAN,'1 OUTLET. EQUALLY SPACED IN A I I ' x 27 TRENCH G.8' USE A TANK WITH TO BE PLACED ON 6" OF WITH I' Off STONE BELOW l THREE COVERS. STONE OR MECHANICALLY -- ---------- ---- --- - -- - ---`- TO BE PLACED ON 6" OF COMPACTED 50-SOIL. BOTTOM OF TEST HOLE PROFI LE OF 1L TEST DONE BY: PETE MCENTEE STONE OR MECHANICALLY / 11 COMPACTED SOIL. . SEWAGE DISPOSAL SYSTEM WITNESSED BY: DAVID STANTON 7 - PERCOLATION RATE: 2 MIN/INCH P# TPT-19-6 � i'IF6 10 I CERTIFY THAT I AM CURRENTLY APPROVED BY THE NOT TO.SCALE / 2 DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TEST HOLE I DATE:05 03 19 ELEV. 35.0 TO 310 CMR 15.017 TO CONDUCT SOIL ELEV. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER EVALUATIONS - 31 8 AND THAT THE ANALY515 GIVEN HA5 BEEN PERFORMED I 1 h 7�- RESRVE AREA CALCULATIONS 0 -1 2 HTM FILL _ Y N I TENT WITH THE REQUIRED TRAINING 35.0 34.0 _ _B ME CO 5 S EXPERTISE,AND EXPERIENCE DESCRIBED IN 310 CMR 34.0-33.5 1 2"--1 8" Ab LOAMY SAND 1 OYR 4/2 N V. FRIABLE L _ 10.4 x 8.8 .5 = 15.017. 1 FURTHER CERTIFY THAT THE RESULTS OF 33.5-31.75 1 8"-39" B SANDY LOAM I OYR 5/3 0 FRIABLE 10.47 x 5.82 x .5 = 30.47 .MY 501L EVALUATION, A5 INDICATED ON THE ATTACHED 31.75-28.0 39"-84" CI F-M SAND 2.5Y G/4 N LOOSE 5.38 x 4.43 = 23.83 501L EVALUATION FORM, ARE ACCURATE AND IN 28.0-26.8 84"-98" C2 SILT LOAM 5Y 5/3 E FIRM .5.62 x 4.43 x .5 = 12.45 ACCORDANCE WITH 3 10 CMR 15.000 THROUGH 15.017. 26.83-22, 98"-1 50" C3 " M-C SAND 2.5Y GIG - 1-005E 5.42 x 9.87 x .5 = 26.75 GENERAL NOTES: EST HOLE 2 DAT : 0 9 ELEV.35 0 12.40 x 5.82 = 72.17 DEPTH TEXTURE COLOR MOTT. HE 3.77 x 0.88 x .5 = 1.66 35.0-34.0 0"-1 2" HTM (FILL) 1.00 x 0.38 = 0.38 1 . THI5 PLAN 15 FOR THE CONSTRUCTION OF A NEW SEWAGE DISPOSAL SYSTEM. 34.0-33.5 1 2"-1 8 Ab LOAMY SAND I OYR 412 N V. FRIABLE 26.15 x 5.70 = 149.06 2. PLAN REFERENCE LOT 1 9B BARNSTABLE REG. OF DEED5. TOP OF 33.5-31.83 1 8"-38" B SANDY LOAM I OYR 5/3 0 FRIABLE 9.62 x 8.22 .5 = 39.54 . 31.83-2 PERC 8.0 38"-84 C 1 F-M SAND 2.5Y G14 LOOSE 3. THIS PLAN IS FOR THE INSTALLATION/REPAIR OF SEPTIC SYSTEM „ „ N TOTAL = 451.01 28.0-26.5 84 -102 C2 SILT LOAM 5Y 5/3 FIRM AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. 40" _ 102"-1 50" C3 M-C SAND 2.5Y GIG E LOOSE 451.01, x .74 = 333.75 GPD 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 6.5 22.5 TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS (EL 31.672 FOR THE SUBSURFACE DISPOSAL OF SEWAGE. r 05 03 19 e DESIGN DATA: TE THOLE 3 DATE.: ELEV.35.2 T HA BE BROUGH T TO WITHIN S 5. ALL COVERS IS SANITARY UNITS SHALL DEPTH TEXTURE COLOR MOTT. OTHER NUMBER OF BEDROOMS 3 (THREE) G" OF THE FINISHED GRADE. G. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE 35.2-34.0 0"-14" HTM (FILL) GARBAGE DISPOSAL NONE D SAME, UNLESS NOTE BY FINAL CONTOURS. TOP OF 34.03-33.5 14"-20" Ab LOAMY SAND I OYR 4/2 N V. FRIABLE THE SANITARY SYSTEM SHALL BE CAPABLE 33.53-32. 20"-3G" 5 SANDY LOAM I OYR 5/3 0 FRIABLE TOTAL ESTIMATED FLOW 330 GPD 7. ALL COMPONENTS Of PERC. 32.2-28.0 30-80" C,I F-M SAND 2.5Y G/4 N L005E , OF WITHSTANDING H-1 O LOADING UNLESS THEY ARE UNDER OR 40" 28.03-26.8 .50-100" C2 51LT LOAM 5Y 5/3 FIRM ( 110GAL./BR./DAY X 3 BR. ) WITHIN I O' OF DRIVES OR PARKING AREAS. H-20 LOADING 26.87-22, 100"-1 50" C3 M-C SAND 2.5Y GIG E LOO5E I SHALL BE USED UNDER OR WITHIN I O' OF DRIVES OR PARKING (EL 31.87) SEPTIC TANK CAPACITY 1 500 AREAS UNLESS NOTED. LEACHING AREA REQUIREMENTS RN G 8. ANY MA50NARY UNITS U5ED TO BRING COVERS TO GRADE SHALL TEST HOLE 4 DATE 05 03/19 ELEV. 35.4 t ;ia LIrY TT. OTHER t i,VIL BE MORTARED IN PLACE. DEPTH TEXTURE COLOR MO SIDEWALL AREA 152.OS.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 0"-1 5" HTM'(FILL) N 35101 35.4-34.15 BOTTOM AREA 297.0 S.F. '. Q a� DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT I5 TO 345 5-3 4.15 1 5"-20" Ab LOAMY SAND I OYR 4/2 N V. FRIABLE _ $TER``' OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 33.73-30.73 20"-5G" B SANDY LOAM I OYR 5/3 0 FRIABLE LEACHING CAP.(BOT. � SIDEWALL);�,�AL. �JIVAL 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF _ 30.73-28.23 5G"-8G" C I F-M SAND 2.5Y G/4 N LOOSE .. s ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. 28.23-27.0 8G"-100" C2 SILT LOAM 5Y 5/3 FIRM RESERVE LEACHING CAPACITY 333.8 GAL.. 1 1 . UNTIL APPROVAL FROM THE BOARD OF HEALTH IS GRANTED, THIS 27.07-22. 100"-1 50" 'C3 M-C SAND 2.5Y GIG E L005E PLAN IS SUBJECT TO CHANGE. APPLICANT: JOSEPH CARIG DATE: 06/18/19 NOTE: THE TOWN OF BARNSTABLE REQUIRES THE ENGINEER TO INSPECT ALL SEPTIC 5Y5TEM COMPONENTS, ' INCLUDING INVERTS, AFTER THEY HAVE BEEN INSTALLED AND BEFORE THEY.ARE BACKFILLED. ' SHEET 2 OF 2 JOB'# CARIG