Loading...
HomeMy WebLinkAbout0191 SCUDDER ROAD - Health 191 SCUDDER ROAD, OSTERVILLE -- - - - A= 140 008 o I 0 i Commonwealth of Massachusetts Title 5 Official Inspection Form' I Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 191 SCUDDER RD Property Address u GEARIN Owner Owner's Name information on is required for OSTERVILLE MA every page. City/Town 2/27/12 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. '"'p°`ta' A. General Information. When filling out forms on the ,I computer,use 1. inspector: only the tab key p to move your DOUGLAS A BROWN cursor-do not use the return Name of Inspector key. DOUGLAS A BROWN INC Company Name ,n P.O. BOX 145 Company Address CENTERVILLE MA 02632 Cityrrown State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification s I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: i ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority •-�fL �� �..._ 2/27/12 r Inspectofs Signature Date The system inspector shall submit a copy of this inspection report to the Approving Autho*(BcSd of Health or DEP)within 30 days of completing this inspection. If the system is alshared s,yYstem has a design flow of 10,000 gpd or greater, the inspector and the system owner hall sublt`tft the report to the appropriate regional office of the DEP. The original should be sent to the sy m oer and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. I t5ins•09108 - Title 5 Official Inspection bsurface Sewage Disposal System•Page i of 17 Commonwealth of Massachusetts , Title 5 Official Inspection _Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments r 191 SCUDDER RD Property Address GEARIN Owner Owners Name information is required for OSTERVILLE MA 2/27/12 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: 3 ® 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): loins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 - I ' i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form--Not for Voluntary Assessments 't 991 SCUDDER RD Property Address GEARIN Owner Owner's Name information.is _ required for OSTERVILLE MA every page. City/Town 2/27112 State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cunt.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed. ❑ Y '❑ N ❑ ND (Explain below): distribution box is leveled or replaced ❑, Y ❑ N ' ❑ ND (Explain.below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CM 15.303(7)(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 El Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•osroa Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is OSTERVILLE required for MA 2/27/12 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: , ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "'.This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments '0 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is required for OSTERVILLE MA every page. Cily/Town State 2/27/12 Zip Code Date of Inspection B. Certification (cunt.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ® Any portion of the SAS; cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. 8 ❑ ® `The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following; in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water"supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should cont regional office of the Department. act the appropriate t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Y unta Ass essments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is OSTERVILLE required for MA 2/27/12 every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate """yes" or no as t y o 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 Y sewage disposal systems? P The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550 t5ins•09108 Ttie 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts lug _Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is OSTERVILLE required for MA /12 every page. Cityrrown Date of I State Zip Code Date of nspection D. System Information Description: ACCORDING TO SEPTIC PLAN SYSTEM CONSISTS OF 2 SEPTIC TANKS A D-BOX AND 4 CONCRETE CHAMBERS WITH 4 FT OF STONE Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings,,if available(last 2 years usage (gpd)): Detail: 2010----424 2011-----320 GALLONS PER DAY Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design,flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is OSTERVILLE required for MA 2/27/12 eve ry page. C�Y/Town State Zip Code Date of Inspection D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/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 I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): 2 SEPTIC TANKS D-BOX AND S.A.S t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner owner's Name information is required for OSTERVILLE MA 2/27/12 every page. City/Town State Zip Code Date of Inspection D. System Information (cost:) Approximate age of all components, date installed (if known)and source of information: ACCORDING TO AS-BUILT CARD SYSTEM INSTALLED IN NOV 2003 Were sewage odors detected when arriving at the site? El Yes ® No Building Sewer(locate on site plan): 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.): Septic Tank(locate on site plan): Depth below grade: 1 AND 1.25 feet Material of construction.. ® concrete ❑ metal ❑fiberglass ❑ polyethylene . . El other(explain) If tank is metal, list age: years Is age confirmed by a'Certificate of Compliance?(attach a copy of certificate) ❑ Yes '❑ No Dimensions: Sludge depth: t5ins•09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 191 SCUD DE R RD Property Address GEARIN Owner Owner's Name information is OSTERVILLE required for MA every page. City/Town 2/27/12 State Zip Code Date of Inspection D. System Information (cunt.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): BOTH TANKS LOOK FAIRLY CLEAN AT TIME OF INSPECTION RECOMMEND PUMPING EVERY 2-3 YRS Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyeth lene y ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is OSTERVILLE required for MA 2/27/12 eve page. C frown every P 9 �y State ZipCode Date of Inspection D. System Information Cont. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at.time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene y ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date t Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is OSTERVILLE required for MA 2/27/12 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 011 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.): BOX LEVEL NO SIGNS OF LEAKAGE OR SOLID CARRY OVER 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.): Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: NO RISERS FOUND TO ACCESS CHAMBERS, 15ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is required for OSTERVILLE MA 2/27/12 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type. ❑ leaching pits number: ®, leaching chambers number: 4 ❑ 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.): NO SIGNS OF FAILURE IN AREA OF S.A.S I PROBED IN THE AREA OF S.A.S AND FOUND ONLY DRY SOILS Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5i•os/ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 i • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments r~ 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is OSTERVILLE.required for MA 2/27/12 ,every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privyto on '(locate site plan): , Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 ' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name information is required for OSTERVILLE MA every page. CitylTown 2/27/12 State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 191 SCUDDER RD Property Address GEARIN Owner Owner's Name required for is OSTERVILLE required for MA 2/27/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Site Exam: ® Check Slope . ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: NONE ENCOUNTERED DURING PERC Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 3/1/12 3:00 PM 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: OFF DESIGN PLAN BY ENGINEERING WORKS DATED 10/06/03 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ms 09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form u Subsurface Sewage Disposal System Form- Not for Voluntary Assessments " 191 SCUDDER RD lg Property Address GEARIN Owner Owner's Name information is OSTERVILLE required for MA 2/27/12 every page. City/rown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TO OF BARN TABLE L(3CATIGN SEWAGE t0C SILAGE I ASSESSOR'S MAP LOT r 1NSTALLEB S _ P NO. OD I - SEPT TANK "Y LEACHING FACILITY: (type) (size NO. OF BEDROOMS BUILDER OR O iR 0 ^PERMITDATE: 1011�/163 COMPLIANCE DATE: S Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching-Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by l EAR 6F NDU55 ' 55 11 � No. `�L�[./i(.✓ FEE Board o Health geA4 �o`C f , MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION E IT Application for a Permit to Construct( ) Repair( ) Upgradeb( Abandon( ) - ❑Complete System 04 Individual Components Location /q s C� e,i of ✓Y�, Owner's Name Map/Parcel# IV14 !.k 00-AP'C.e g Address ^44com—vex 4QS*�i Lot# Telephone# /V,4 Installer's Name �( 1. Designer's Name ,5,0 /,, Address D , Address Z3 poAr Poll® iqk) - rcte Telephone# 1 o () I Telephone# 6C 8) +77— Type of Building r ✓1 �G ( 0 ���n r � ��v9'lc'! Lot Size 1741 & '� sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building A/l.4 No.of persons Showers ( ),Cafeteria( ) Other Fixtures N/A Design Flow(min.required) ® gpd Calculated design flow� Design flow provided 73 gpd Plan: Date (ab ®� Number of sheets Revision Date C Title �b f1 - 0621 ��� / �/ ✓f Description of Soil(s) ®— ft = E S G F/• ��� [/ 7 t/ s�, Soil Evaluator Form No. Name of Soil Evaluator J e--C ate of Evaluation Z-s-- ;DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to' the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not t e the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date s Inspections 94 b i FEE ) j ;, CO OF M ,SACHUSET�N. Q Board o Hedlthd /f+ ✓ `� MA. r, .f � j/ r APPLICATION FOR DISPOSAL � STFM CONSTRUCTION El IT Application for a Permit to Construct( ) Repair( ) UpgradeK) Abandon( - ❑Complete System 95Individual Components Location 14 �&AY0)�� Owner's Name J Cj!23 4'C�ft r1 Map/Parcel# mgicp /4o OiA'ree ( 9 Address-30F C4lh✓+'d&IG-if e AA Am 4`�J_ 149n Lot# &f- Telephone# 14A' 6211 ,Installer's Name Designer's Name - - �E'T� �1 ;�:� .;� g Address Address -Telephone# - ' ,13-3 3 Telephone# �,,ti� 1 '-7 7_ -3 /3 Type of Building elbki-4 A ! , ""AC y*'14/�/ Lot Size » �J `t sq.ft. Dwelling-No.of Bedrooms / Garbage grinder ( ) Other-Type of Building No. f : Showers yp g // o persons O,Cafeteria ( ) Other Fixtures /`J/A p / Design Flow(min.required /) ' gpd �lc ed design flow 45:0 Design flow provided ' to gpd Plan: Date ICJ �2 A +�J Number{of sheets r - - Fr ® Revision Date J Title /«l � � 74C �u Jiilpol l a!~ r�4040 / .fir �1 ✓ l�-d/ �u� � / to Description of Soils) d—(o q A " •L 5 G "— 20 'W'+ l .S '-�l " ��^^ 27+t C ! &V Scwd ^� Soil Evaluator Form No. Name of Soil Evaluator 1_ � MI C i7�ate of Evaluation / J� o .? ' • r s 4)ESCRIPTION OF REPAIRS OR ALTERATIONS 'Y The undersigned agrees t £all the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not t s ace the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date „f t', Inspections � 4�,' ✓ �/1 ��/ - If v L..� v V d FEE yy If _ L. Board of Health, ln S�"ri D MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System • , The un,dersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: t r°" 124 An has been installed in accordance with the provisio, s of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. 2 3` S dated 101 J 0-7 . Approved Design Flow (gpd) Installer I: Designer: Inspector: ."� ' Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. _ -••_- '`'-�--=.-�.—_.'..:-•c..�'d"'. ...L.. 4 .. �,A�..,-�—.._. .+r. ��}'-5.-'T-�.>.�..'�'Y(_"F;..r^..^:':X.•.a+�--. ,..'K,..."j �.+n•wh""Tr a«r..s- - '3' .. „V No. FEEy COMMONWEALTH OF MASSACHUSETTS Board of Health, !/ I-i'1,S D MA. ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby grand to; Construct( ) Repair( f) Upgrade( ) Abandon( ) an individual sewage disposal system at '' Sc-i e(1 y . og, V I (C as described in the application for Disposal System Construction Permit No. 2003_.506 dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health TO OF B T1. ABLE i LOCATION SEWAGE VILLAGE ASSESSOR'S MAr LOT INSTAL E S P NO. ' j A,C " SEPTIC TANK�Z (size x LEACHING FACILITY: (type) NO.OF BEDROOMS BUILDER OR O PERMIT DATE: 3 COMPLIANCE DATE: g Separation Distance Between the: Feet I Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) exist Edge of Wetland and Leaching Facility (If any Feet within 300 feet of leaching facility) i Furnished by j REAR 6F WME' A 2 / !I I DATE:_ 615195____ PROPERTY ADDRESS:_1.g1_aaudd ex- P o,-t4--_____ � d Osterville Mass . ® 02655 JV N 5 1995" o� cc On the above date, 1 Inspected the septic system at the abo ress. f4 r This system consists of the following: A. 1 -T0'0'0 gallon septic tank. I i B. 1 -dizt:_r_-bution box. C. 1 -1000 gallon leach ing pit packed in stone. Based on my Inspection, I certify the following conditions: A. mh 's is a title five septic system ( 78 Code ) B. The septic system is in proper working order at the ' I present time, i I SIGNATURE: "''� __✓_�h�� Company:_ J_P-Macomber & Son Inc. i Address: Box 66 ------------------- Centervi11e1Mass_, _0-2632 Phone: 508-775-3338 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY �- _.. JOSEPH"MOM P. NIACOMBER SON, INC. Tanks-Cesspools-Leachflelds Pumped & installed i Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775.3338 775-6412 I RONALD J. CADILLAC, PLS, RS Land Surveyor & Sani+..a.rian page 1 Box 258, W. Yarmouth, MA 0267.3 (508) 775-9700 SUBSURFACE SELVAGE DISPOSAL SYSTEM NSPECTION FORTH Address of property �- de t,` �� CAS i_F r2 U t Owner's name and/or resident w Date of Inspection Z� c PART A CHECKLIST Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Heal None of the system components have been pumped for at least 30 days and the system has. been receiving normal flow rates during that period. Large volume; of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained. 1'/ N S T446-t=a_ ne)T The facility or dwelling was inspected for signs of sewage back-up. € P g € P The site was inspected for signs of breakout. All s}'strnl C.`i111+U11enlS, excluding the SAS, have been located on the site. I/ The septic tank manholes were uncovered, opened, and the interior o -- P f the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. v � The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. page 2 SUBSURFACE SENVAGE DISPOSAL SYSTEM INSPECTION FORI\1 PART.B SYSTE.N1 NFORMATION FLOW CONDITIONS If residential 2 number of bedrooms number of current residents garbage grinder, yes or no _ laundry connected to system, yes or no seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: — Last date of occupancy t . GENERAL INFORMATION _,nping records and sourceof information: A)o System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: Type of system i/ Septic tank/distribution box/soil absorption system Single cesspool , Overf,ow cesspool ^_ Privy Shared system (yes or no) (if ;!es,,attach previous inspection records, if any) Other(explain) _ Approximate age of all components. Date installed, if known, Source of information:, Sewage odors detected when arriving at the site, yes or no i Page 3 SUBSURFACE' SEWAGE? DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK: S (locate on site plan) depth below grade:_ i material of construction: V concrete _metal FRP _other(explain) dimensions: DDO Gat r sludge depth Z,S distance from top of sludge to bottom of outlet tee or baffle n o N6 scum thickness distance from top of scum to top of outlet tee or baffle -Aild distance from bottom of scum to bottom of outlet tee or baffle Comments: (.recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc.) _ Sew/ �e 1 " sae �� e� y le�' - v, of 1 DISTRIBUTION BOX:AE�11( (locate on site plan) N41 depth of liquid level above outlet invert l iqo �4 Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc.) � - . page 4 PUMP CHAMBER: i� o ate on site plan) pumps in workin order, yes or no Comments: (note condition of pumr chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc.) r SOIL ABSORPTION SYSTEM (SAS):__� (locate on site plan, if possible; excavation not required, but may be approximated,by non-intrusive methods) If not determined to be present, explain: Type f y leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number. dimensions overflow cesspool, number Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc.) v Page 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued CESSPOOLS: 0 (locate on site plan) number and configu ation depth-top of liquid t inlet invert depth of solids layer depth of scum layer dimensions of cesspool materials of construction indication of groundwater inflow (cesspool mu t be pumped as part of _ inspection) Comments: (note condition of soil, si ns of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc.) PRIVY: (locate on site plan) materials of construe ion dimensions depth of solids Comments: (note condition of soil, igns of hydraulic failure, lc%-cl of Pending, condition of vegeution, recommendations maintenance or repairs, tc.) page 6 SUBSURFACE SENVAGE DISPOSAL SYSTEM INSPECTION FORINI - PART B SYSTEM INTOR IATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all, wells within 100' j 6 A /G o -,,c /110, DEPTH TO GROUNDWATER 30 r = U S��S �LFv v �o��r�• 15 depth to groundwater (LI,,,,,, o H-)" 2 r method of determination or approximation: 1 5 ISC,S L)/_�d IL4+ Co TUN l VIER 5 page 7 z SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not) NO Backup of sewage into facility? to Discharge or ponding of effluent to the surface of the ground or surface waters? �Q Static liquid level in the distribution box above outlet invert? }v q P P�sspauJ Liquid depth in c <6" below invert or available volume< 1/2 day flow? hJQ Pumped 4 times or more in the last year? number of times pumped _ 00 Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: �110 below the high groundwater elevation" ND within 50 feet of a surface rater? 0 a within 100 feet of a surface water supply or tributary to a surface water supply? 00 within a Zone I of a public well? Al within 50 feet of a bordering vegetated wetland or salt marsh? N<7 within 50 feet of a private water supply well? N less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. page 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector Ronald J. Cadillac Inspector Number Registered Sanitarian No. 1060 Company Narne Ronald J. Cadillac, PLS, RS Company Address Box 258, W. Yarmouth, MA 02671 (508) 775-9700 Certification Statement z I certify that I have personally inspected the sewage disposal system at this address and that the`information reported is true, accurate and complete as of the time of inspection. Check one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303. Any failure criteria not evaluated areas stated in the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15.303. The basis for this determination is rovided in the FAILURE CRITERIA section of this form. Inspector's Signature Date Original to system owner Copies to: Buyer (if applicable) _ proving authority `05/23/1995 15:15 50$-428-3508 G. -.O.MM. WATER DEFT P4GE 02 f KEY NUMBER <1560 > NAME <TOOLIN, BRENDON > B-C ` ] B-C 2 B-C 3 B-C 4 STREET 191 SCUDDER ROAD REF 1 REF 2 CITY OSTERVILLE ST MA ZIP 02655-2143 REF 3 REF 4 PHONE METER NO.< 1501> DATE READING CONS STREET <SCUDDER RD NO. 191> 12/31/94 76 49 CITY OST T ST ' LOC 06/30/94 27 3 PHONE ( ) - 12/31/93 24 43 07/16/93 0 0 ROUTE NUMBER 13 07/16/93 1823 19 SERVICE DATE 12/17/53 06/30/93 1804 42 METER DATE 07/16/93 12/31/92 1762 79 CAPACITY 7 06/30/92 1683 40 STYLE T10 - RATE SCHEDULE SIZE 1 KEY PIT PLASTIC ADDITIONAL CONS 0 NOTE RR FRONT RIGHT ALTERNATE MIN 0 4a TOWN OF BARNSTABL E IjOCATIONJ/ -�� Y�rY SEWAGE # VILLAGE_-0-4k-dj ASSESSOR'S MAP & LOT�NO- INSTALLER'S NAME & PHONE NO. e —� SEPTIC TANK CAPACITY_ 0 LEACHING FACILITY:(type)_ Q,. NO. OF BEDROOMS_ 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: � VARIANCE GRANTED: LF✓ `�� .y _ { �� _=__ i 4� � ti � /� �.� �� 1 i �, (N / � lU� l , ' / /� _ J/ � � G No..---.1?IZZP7_5✓ Fps..........$._..2 0..0 0 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ---------Town....................OF.......B.a•rn s t ab l e Allp irFa#ion for Disposal Murky Tonstrurtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair )(XN an Individual Sewage Disposal System at: ],��,_,•�-�u �l r___Road ostervi1le Location-Address or Lot No. ..............Bmjandan...Saolin............................................ ............................................__._.................................................. Owner Address WZ._P-..-Ma-cnmhex.................................................. Installer Address UType of Building Size Lot----------------------------Sq. feet Dwellir —No. of Bedrooms..............3...........................Expansion Attic ( ) Garbage Grinder ( ) 'k Other—T e of Building Pk Other—Type g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ---------------------------------------••--•---------.....----------------------------.....-------------------•-----•------------•••-----•-••---•--•--- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ff. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_--_------_------__-_--. G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----_.--__--___--..---- P4 I •---------•--------------------------•------•--•---•-------------•--------------------------..--._.------------------------------------------- •-------------- 0 Description of Soil..................................................................................---................................................................................... x Sand & Gravel U •-••••••••----•--••--•-•-•---••----•--------------•--•--------•--•-------•---•--••--•••••••-•-••-••-••••---•-••---•••----------•-•-••---------••••••----•-----••-••--••-••...._--------•••-----------•-. W x ••--••••---•------------------------•-•••--•------•-------••-•-••-•-•-•-•--------...••••-•-------••-•---••-•----••--•••-••----------•--•---••---------••••-••--------------••-......-•--------••..-•-•-- U Nature of Repairs or Alterations—Answer when applicable........................................ .._...__....__..__________._.__..............__. ................1-1.0.0_0...ga-11_an---p .t.�------------------.....---------•-----•----1-1000 galoon Tank Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L T t s 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued . , t bo of heat Sign . • ...... .._ Date Application Approved By................. . ............ Date Application Disapproved for the following reasons_________________________________________________________________________________•-•---------------.....__...._.. .................•--••......•---•--••---...----•-----•-•-------•-•••------••--•-------•--•-•---•••------•-------------•--•-••••-•-•----------------•------•----•--------•-•----•-•------•••-•--••------- ff Date PermitNo............ ----.._..--•_... Issued_....................................................... No.......Q..v_.:.s .7..5� Fims..........1__.. ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH To-w-n._................_OF.......Ba.rn �T�1 1 AllpfirFation for Uispvii of Works To itrurtijan rautit Application is hereby made for a Permit to Construct ( ) or Repair 'XXy,) an Individual Sewage Disposal System at: Q1 C.,•,r?R„.. ---•----.....--•-----------------------------------••-----------......._----•---•-- Location-Address or Lot No. ...............�: .......'��... .r _ a......._................................... .........._____________..._----------•.._...------..........-^--_.._.....__._._.._._..----••------ Owner Address W r a; M Installer Address Type of Building Size Lot____________________________Sq. feet aDwellings No. of Bedrooms...............3...........................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------------••... •- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_-__________-____..____- fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depti to ground water........................ a •---•••---•--•-------------•---------•--•••••------•--------•••._...-------•-•-••----------•---------•---------------------------------•- --------------- 0�/ Description of Soil............................................................................................... ............... -------------- ----------------------------------_---•--- W wand & urave.1 U .________________________________________________________________________________________________________________________________________________________________________________________________________ W U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ .............................................. .............................................. .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T`:I :p of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued t Wboarof health. Signed . �_..... 1�_!i %/_ 7 Date Application Approved By................. �� c.��< �k === ----------- Date Application Disapproved for the following reasons:............................................................................................................... .........---•----------------------------•---•---------------........------------.......-----•-••-----._.._......_...----•-------•----------------•---•••-•••---••••------•--•--•......---•--•-•--------- Date PermitNo............. 7 f................... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........I.......T. Wan.....I.......OF. ..............�arTI.....a�.................... ......................... .......-..._-.. vlertifiratr of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �X`) by..............LI= =z,r c nI�t7 r Installer at.•---------•-.�-qd S.cn�^ .F_ ?a a� 0 S.t n r V 11 1` has been installed in accordance with the provisions of TI T E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---------2� _�__ r_7_;�_____ dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL kUNCTION SATISFACTORY. DATE.................. `-- �CI. A&C.................................. Inspector-----------.--- ............................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Bar.nhta:lle ................................ OF..................................................................................... $ 20.00 g = ✓•-- FEE........................ �i��ro��tf ork� �on��riion rroti� Permission is hereby granted................ J•n•Ma comb er to Construct ( ) or Repair ( X)Ya�n Individual, vage Disposal System at No.________-191_--Scuddc� r 'Road Ostervi e 1e ----------•--•---•-••------------•-•------------- ------------------------__-__-----------------=- --� Street as shown on the application for Disposal Works Construction Permit NoALZIZ�___ Dated.......................................... •................................•- ..............\%-...................................- • '� DATE....................................................................:........... Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - j i v --- c�onr ! r�x v s"4 ) ail CMU ouaty -r toN\VAU- oN I I Aua-[ra2 ca I 4 y 24m x lA° a h_al+0ar f { [+_ r — .- � I i �Glul- W.,Xt 1 A bpi if. ( I - -!}" _ �'•1}n LO \Y 24D r 4. (o'I LeG GNtU IEP G w- Ay P n eo --- Amve aao MA 0 S v Ts12 -----I P u L L 01 a s M t� PA-rA n ( Zg ri _ a ( oU t GAI�IiJA'�`PAt-L- I I I I q, 1700E '(RY uet-fAr- ILI-A uu 6 �itiir u P 4�. . `r"J y G e- A \V L Z p A b G U ' - __ -_ _- - ---- •�Oh a>, Nate orruI N G At2AC-tom I ! -51 I - � I I ( Wr:xw QDue.Gp G~-izp-rC 4;,� 3 aP CMU nQ ps>t,acw OoFrG. a ul - - ---- ---- - - - RECEIVED SEP 10 Z003 NORTHERN HEWAGE 1NC u ��� { z I IVI ' II Prl�ttY6ph�!~tETd olA�s4dj��' itiGdwG' go 1 - - N � rar i I i - vI 1 XtSj ttitcf - oul -a-- LEc f H 1 Ht 1+! h'316.00 _ S ( t 't cy ILIT�wIr _ caw nFp� 1 � , f - -- -- - L I146 �p psu� yx15-rLu ) �ASOA-ir r $�ou tin 1_po i�i rJ► RECEIVED up r- v. �v,t�l,�.:F I 1 �1� L im ��1opq =-.Lope P-Ao •- —_.: e��� of T COPYRIGHT NOTICE Imo?! A n_►_ tl R$V: DATE:�.2�b's�cx�s:.l��.-1 o �.lt:•va c,�.1 -- HEM 7hs3o dmign3 are pro edy of take dwper.D.Nall t'arosr. 31 Old South Rued 459Mala Sttm _Ti.a"d t h�e,�rma�teneaho,l�n. D. I� M Pi N`�' ASSOCIATES �a���8 �o.Dox29� D,&N,Y.� - /� ��}} AllappuoabloaopytlghtlawsoanaedMBbeoMorcmL NentucWhlacdtMA02504 Hanrlchftt%MAM646 /\ / .A RESIDENTIAL&COMMERCIAL DESIGN CORPORATION "(590226-M Td,(5D8)43"VU D1ZA,VP7NG ` 1 FOOFS)228a904 F-8(508)430-1345 r>QN1[BE)!c � 'U.� 1 r`o�.J �' �/• i r I I I .. i•`, it � r l , • _ . �' III ► �i � II t J;'en _ t Sr-alr 1 I' r ' oil /(ova=► Q+r12 pLLJ�l2 t- � I 7 LJ 5I +r ' tl bFi;. G e7ao coo pbors5 tnp£rHsav��mUZF\V_ ses s nerJ N Id'-au 8 2 i 3! a Wowg 9448 Hitt. E17 M .5 pZ i h G✓i II�IG� 4-1-row �} u t' 1 ' ii t�=s �9 4Etlo8 r Au hjJ!' ' I _ — CIE A ex Fe✓�hN _ Pew •t�t� --- —l�I •G/v - 8x1 •to/b rail a!A -- 1' _ RECEIVE© �jEa+aIN.L.F�It�Gurrcb • {�j{.'xi.I1�pE�.��C•pQ�iletd-l.E.'t il�•`I �©sc-� AL �•'Ipf4fa S oKn �LoOl_-�aa l io2ool COPYRIGHT NOTICE NAIMCIMT. DATE: /t�/o3 SCAM W—I'-�"- ��tz���l l - _ - "SHEET These deaTg am rrooppmmttyy of r doot8nay D-Ne0 Patsnl, 508.228.5722 Bar 508 228.3904{PO Box 2458.Nantucket,MCI 6084 andzynotbsuaedpwllhouthraexpresawrdtsnaWho�kega4 _ �. N6A Parent DR►NBY:QQ ---- ANeppitaebtseopydgl�tlawseanaadvn114a.Mhpa d HARWICH PORT �.2,2 A S S O C I A T E S 509.432 G722 ft.508.430,1345 I PO Box,398,Harwids Pon,AM 02646 DRAWING N-04O 3 I I Co& u3Gra l Rcuda,nol d Cemmerent Deugn Cmpsnaan towrn�dnp.,goelotef tole DTifMBBR A��``II •IMF 016- UGSiON I 23Bu ASPIW.T DdFREa4w 5HUVGLT'.5 ON 151111 A9HALTiMmaJAiWFEL1BWERL0=ON 3/4"19650CUFAL PLYWOOD SFCAMIG ON lVANGU[At;105595 a 24"O.C.W/ In FP m VENtoVell 1 _ 9-18 PALYD F1090 A55;INSUI.WU-I PERM - %a"GYi'5Wd W UP0ARD aI J9Q '1 2'2 X A WALL FLAKE CON!'005 W/ r I $110ON 5=6-M W7 HURRICAN3 aw.5 a ONE FERTRU95 NAVe C009?UCiION Cf0 MUCH EXl 110) — x 6 FAX100M OR OPiTONAL aMK ON I X IV?VWRACERS � X650PFtfviamow/VENaNGCONiWU0ll5 1 X FROZE 90ARD - WALL CONSR UGIN HIw CEDAR5HM05 ON - - I l - -•�, .; f=OROHMMWA110MBAR MON - r/a"ex8?RlOR am 51RUCf m KwooD 510=6 ON - �_--.- —_ - l�l Pj121A. I I'I'A L N LL'UZ.-w. 2 X 4 wvaD 505(CON51BICTION GRAD$09 aEf W 016"Of- - --- R-i9 FACED snv/LI,FIBERG%INSILATION CI PERM) 1 a o to Y� en+en CW PA04 OVERSIM fO FORM CORiIN M WORAJFa '/a"OLUMOARD W/GYPSUM PLAST '3l aeR 1'1 .T`I.tl �j -r - (OFQONALI'/a"GYPSIIMWALI,0OAW1APEDANVCOMPOLWW) � GRACED CORNERS-2 X A iN E FLAP FOR EXOMP FRAMING 1 ` C r KP-Ur Or511e111[tlNG NO(PO551 W � `fl'ti "T� 1 j "`Y 4 i A X A A7DED PLAB:t0 RAtSeCELUdG HEIGHT(0)TOM) -L F�-- -{' ( 1 �� i 4 M,OOR CONStRU LION 1 11' 1 1 � i 1 - 1 1 I�� � I I X MU ROORM ONI*ROSIN PAPER ON i - 1►' -�.1 -� - 1� °/°10 551MCAUFN.PLYWOOD SUBFLOORWO ON - _ ` tJl•FRO 150 X 9 I/Z"W/!t{5 FRIERGA55 OAff INSULATION I i - `- USES SIMPSON 51RONGlflE WA24 51M 17 a 48"(U'HN.F-I.AP + • OF SNeANGIG:NDFFOSSIBLe) - � -1i. I � . 1 EXISTING:WALL C00=014 VERIFYA L Ex�TING GONDIHONS BEFORE G0'hMeNCING iw WOR& �F _ --1 L }�-4 E FSJIINDATtON WAJ L CONSTRUGIION �' G Q I.I - h 2 X 6 P1II;SSIIRE 1II w SILL IAF ��'v ANCIM 91A.15.1/2"X 18"GALYA UP 5fEELJ•80Lf5 @ 6'-0"MAX.SPAANG - r PLL CORE SOLD)a OMS AWMAc5 im We HOR)ZONK REUdroRCUlG 8"CMU WALL C"1511NG AND FOR NEW C#JIYTI.SPACO) PERIMETER FOOTING•POURED CONCREiTs 2A"X 10" WIWORCEPW/2#4REOARSCONIRU1OIi5 1�E11-WALL t?TAll. ' 1/2" 1'-0" 6Q12IN Pam:ICI S�tlp��'.:A�.CX�Ttp-a/I�-�,�f�p�p-�G�E� �,LTI r2/�"rIC7l�J -- - 1�-IC�N At�x3 . PICAr...1V,e1i.L i�E✓TaI�-- -:-.-----•----- , �__ " COPYRIGHT NOTICE NANTUCK13Y DA'l�B:�13/.ct3_ sCA i RECEIVED SHEET. These doollneanPM e1U►OfthedeeTgne,D NedPseenS � a 5011-Ue 5722 Fnx SUB 228 39"1 P.CL 8ax2458.Nnruneketi MA 03584 - b i Neg Parent DRAWN BY; a AA- '- SEP 1020Da-- endAp ads r Ightbrarsc nandmgbeono timed � � � a HARWICH PORTi A S S O C I A T E S SOBA32.6722 Fax:5U8.430 13451 P O Box 298,f/erwaeli Port.MA 02646 _ •Residential cP Commercial Dmrpe CagwnNoa DRAWING d�`1 p��. p I I RTH�RN HERITAGE ICJ town,dupauoeaores rnm DRA BM `�--� sm LEGEND - o _ J 138 PROPOSED CONTOUR 3 f - move Va:e Ho Bn. s R'vnr Rug • r 1378 PROPOSED SPOT GRADE u ............ EXISTING CONTOUR ,<•� • ad Benchmark no,2EXISTING SPOT GRADE l PK Nail Set in pvt. PL. BK, 46 PG, 11 EXISTING SEPTIC TANK ® TEST PIT ` El,= 100.00 (Assumed) Top of Tank: 99.27} k° y rr- Outlet Invert: 979t rl EXISTING WATER SERVICE ' EXISTING S.A.S. e Pump & fill w/sand _ r t 9.• c75 . l 4 2'CD e LET 9 PROPD`�ED' SA y N Map 140 F- 40,• I o o ' O o Parcel 8 `_,rll,__i_ --- - -----j \ 17,818f S.F. q c. .�i 0.41+ Ac. I= 0p.•\ B-BOX LOCUS MAP N.T.S. o I p q 0 . \` L TP o } o o J ' o GENERAL NOTES: cr� ,' Q PRNP, EL 99,5 r~ ti LL O �� j' PROP. �' I Q 21' U� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL vs Ip a ti� SEPTIC` ; SEPTI �� I W . �� R. !f I a TANK TANK �� I rY I BOARD OF HEALTH AND THE DESIGN ENGINEER. , s y ! o I C� _ I c. (� '� ! I Q I 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS I I �1 r � � OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE t! g _� • I W' I LOCAL RULES AND REGULATIONS. C-Jl q Ul �.0 T l 30, r .�..n1 G L �Q 1. I I J 3, THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR (� � cZi 20.E ; °y W I TO INSPECTION AND APPROVAL BY THE BOARD, OF HEALTH AND THE I W DESIGN ENGINEER W I . 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 'FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN �\ I c, �, N Qq O� N0 i I ENGINEER BEFORE CONSTRUCTION CONTINUES. Imo' PiZoPRgtsla 7 I I ' � - 7 �q DOOR 1(�`7�3Cd TN6�uN `J� 5.. ALL ELEVATIONS BASED ON ASSUMED. DATUM. !' L Q Sww�►MW6 Pool- L__ 10 6. THE DESIGN ENGINEER IS 'NOT .RESPONSIBLE- FOR THE FAILURE OF U; THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF \ _ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 'H R I CONST CT ^ m u Cl) WATER SUPPLY PROVIDED BY TOWN WATER. C,ptT►_• c�' 1 N r'• '8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 100' OF THE S.A.S. ~ In 00 :r 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL 8E RESTORED ! `S TO A CONDITION AGREED UPON BETWEEN- OWNER AND CONTRACTOR. I 177r68' i 10. IT SHALL BE THE,RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. rJ• -�= PLtNOFSo, 1 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS j Benchmark no,1 ���` 1r c� IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. L t corner brick ado TERRYs �f p �" p>&D PD$�'p y� �� Nlgf AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310. CMR 255(3). El,= 100,67 (Assumed) o ANN r9, " WARNER � `�E C E W NTH =�� 9 No.38721 8 -7wn Sw m (0 M�ENTEE' = . PROPOSED' SEPTIC SYSTEM/SITE PLAN . � CbU``C,GF�T�S � CIVIL N _ - I FLOOD ZONE DESIGN FROM ZONING CLASSIFICATION RB u"0 MESS No. 35109 1-91__SCUDDER ROAD, OSTERVILLE, MA DESIGNATIONS F NO COMMUNITY PANEL N0.250001 0016 D q jDoO9'S F�w-\ RFC/S1F��� �`� Prepared for: James Georin, 308 Commonwealth Avenue, Boston, MA 02115 Aquifer Protection District \��5 y � ��� tC FSS Engineering by: Surveying by: SCALE DRAWN' JOB. N0. _ �u Revised: July 2, 1992 Building Setbacks: J�J — N Engineering Works Terry A. Warner P.L.S. 1"=20' P.T.M. 77-03 30' Front, 1 `,' SidejReor 4�r.7 f: t 23 Leer Ho:ic� Rood . 27_' Long Rood Forestdole, MA .,C-2644 Harwich, MA 02645 DATE CHECKED SHEET NO, (508) 477-5313 (508) 432-8309 10/6/03 P.T.M. 1 of 2 A �I Route 28 rc° ;tl LEGEND - o a • i o a �38 PROPOSED CONTOUR 3 a' Brooke.Vone Rd' c Burr,s R;ver Rouu A - • 138 PROPOSED SPOT GRADE 1 M --110—.�' EXISTING CONTOUR afx 110 - EXISTING SPOT GRADE R Benchmark no,2 �"XISTING SEPTIC. TANK PK Nail Set .in pvt,. PL, BK. 46 PG, 11 Top of Tank: 9927t ' El.= 100.00 (Assurled) TEST PIT 5e°it Rd Outlet Invert; 979t — fir— EXISTING WATER SERVICE o EXISTING'S.A.Sr U Main Street fill w/sand ` r° O-ZCD - ' q+o Qi ' p ) I Co o b cu • 4 2' 2 3' ,° °,6 e,,C-is 0. 4 N ,\ pSwas�, z o ORdPgSEa 0 Q LOT 9 -- _ o xnMQ 140 F - 40' Lill, 0 ° �° ° i cYi- 1 1 x ,\ \Pare! 8 I 11'-- -- ----- � .___ 17,s1st S,F. I p p , � i B-BOX LOCUS MAP N.T.S. O m C� 0.41 t AC. = Q —1 / O // Q iocr, q ^ O ^ 18, TP` r--- o GENERAL NOTES: PROP, PROP, x EL 99,5 +, Q 21 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL o L� (v a SEPTIC SEPTIC 1 W 06 BOARD OF HEALTH AND THE DESIGN ENGINEER. 1 �, zs Q3 n, TANK HANK o . r I o,_x 1 Z .�, E { I Q I i 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 0 1 � � Ou � rL { I I q OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE kD I LJ I LOCAL RULES AND REGULATIONS. ,1 x `t'' I ti W O �Q o it ��• 1 I U 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 30, ~ Q L, q C'� Cr t w v 1- 1 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE (/� O 2 '~ \LLj \ v I W I 4 DESIGN ENGINEER. C. ��� o x j L�J j I 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING L W p I� o s 1 1 a FROM THOSE SHOWN HEREON SHALL BE REPORTED To THE DESIGN o Q, 0_ - �> pti x �' 'CIQ - , I I 2s ! ENGINEER BEFORE CONSTRUCTION CONTINUES. Qr)l a Q' �'` x \ I. I ° 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. , ' L ky� �q \ # I, I u I �a q v L Q \ L__ O 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF \ THE, CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF .r 93,g' ' HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. o \ _. m 7. WATER SUPPLY PROVIDED BY TOWN WATER. CL �. ON C) CD �^ ®` o �p 1 x r, m S. THERE ARE NO PRIVATE WELLS LOCATED WITHIN -100' OF THE S.A.S. 00 x �i 9: ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED { - x ' U i. TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. { W 177,68' ��' 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR .TO VERIFY THE PalTHE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING { J' CONSTRUCTION. ,. �`��"Of M4s�k 11. INERE THE ARQEAIRB BENEATH TANDTOFORS5ALL FT. ON REMOVE ALL SIDES OFTABLE THE S AOILS S. Benchmark no.l a ti pF AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). v L t corner brick patio ��° TERRY Gs,� �� NJ's EL= 10,67 (Assumed) ANN PROPOSED SEPTIC SYSTEM SITE PLAN oA38 2R1 o PETER T. �� / $ McENTEE U" CIVIL IL N 191 SCUDDER ROAD, OSTERVILLE, MA ZONING CLASSIFICATION RB LAW ZONE DESIGNATIONS FROM � No �o Prepared for: James GeOrin, 308 Commonwealth Avenue, Boston, MA 02115 COMMUNITY PANEL NO.250001 0016 D Aquifer Protection District ��FFREc�SA-�G\`���� Engineering by: Surveying by: SCALE DRAWN JOB. NO. Revised: July 2, 1992 Building Setbacks: I b3 NA Engineering Works Terry A. Warner P.L.S. 1"=20' P.T.M. 77-03 J 30' Front, 15' Side/Rear 23 Deer Hollow Road 22 Long Road DATE CHECKED SHEET N0. VI/ ��i Forestdole, MA 02644 Harwich, MA 02645 I 0 6 03 �[ 7 (508) 477-5313 (508) 432-8309 P.T.M. 1 O f 2 1 , t t ' NOTE: TO PREVENT BREAKOUT, THE PROPOSED F.G. EL: 99.6t F.G. EL: 99.5t FINISH GRADE SHALL NOT. BE < EL:97.3 TOP OF FOUNDATION FOR A DISTANCE OF 15' AROUND THE EL:101.11 PERIMETER OF THE S.A.S. F.G. EL: 100.6t F.G. EL: 100.3t F.G. EL: 100.3f (EXISTING) �- (EXISTING) EXISTING MAINTAIN 2� MIN SLOPE OVER 5.A.S. INSTALL RISERS W/COVERS OVER INLET INSTALL RISERS W/COVERS OVER INLET 4-500 GALLON LEACHING CHAMBERS INSTALL RISER OVER ONE CHAMBER OUTLET TO WITHIN 6" OF FINISH GRADE & OUTLET TO WITHIN 6" OF FINISH GRADE IN SERIES WITH 4' STONE-ALL SIDES WITH HEAVY DUTY FRAME & COVER T❑ FINISH GRADE a L =8' L =25' SET I IS DE N :.: ,. . - 4' SCH 40 PVC '••" 4' SCH 40 PVC L =22'(MAX) g 4" SCH 40 PVC .r---2° LAYER OF 1/8' TO 1/2' 1U' - @ S= 1% (MIN,) - aa ®® DOUBLE WASHED STONE 14. io' 2 S= 1% (MIN,) s, ®a®�a®a . EXISTING e, 14' @ S= -1% (MIN.) 2' EFF�rFFECT ®aa®aaa EXISTING EXISTING 1000 GAL. DEPTH ®®®®®®® �_ PROPOSED 1500 GAL. ®®® ®®® 3/4'-1 1/2'. SEPTIC TANK 5,2' `4' D❑UBLE WASHED SEPTIC TANK " STONEINV.-- IVE WIDTH 13,2' INSTALL INLET & OUTLET .08 INV=97.9A INV.=97:50 TEES GAS BAFFLE TO, BE, INSTALLED ON INV.=97.75 • - INV.=97.25 INV. •ELEV.=96.80 . OUTLET TEE AS MANUFACTURED BY INSTALL 'INLET & OUTLET TEES TOP CONC. ELEV.=97.6 -BREAKOUT ELEV.=97.3 TUF-TITS, ZABEL,OR EQUAL GAS BAFFLE TO BE INSTALLED ON [83 OUTLET TEE AS MANUFACTURED BYINV. ELEV.=96.80TUF-TITE, ZABEL, OR EQUAL ®aaaaa ®ease®aaaa BOTTOM ELEV.=94.80 ji 4 4 x 8.5' = 34.0' 4' SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE TO 5' MIN. ABOVE MAX, SEASONAL EFFECTIVE LENGTH = 42' GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED ' HIGH GROUNDWATER ELEVATION �P�ti� �F M�`rf�_y STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). LEACHING SYSTEM SECTION �� G (3) 5" DIA.OUTLETS NO G,W, ENCOUNTERED PETER T, �--��=� z" SEPTIC SYSTEM PROFILE McEVIL BOTTOM OF TP, EL, 88.9 Et CIVIL No. 35109 y 1 cis� N.T.S. r- - k •. , DESIGN CRITERIA fs� ��°��:� t5,5 6' I l 66' Q T I NUMBER OF BEDROOMS: 5 BEDROOMS I � 2' I I: SOIL TYPE: CLASS I �67 -BOX Mj o' DESIGN PERCOLATION RATE: <2 MIN./IN. �s. SOIL LOG I C DAILY FLOW: 550 G.P.D. Kr.:. M j DESIGN FLOW: 550 G.P.D. DATE: SEPTEMBER 25, 2003 I a I 4 SOIL EVALUATOR: 'PETER T. MCENTEE P.E. I �O I GARBAGE GRINDER: NO INSPECTOR: SAM WHITE, BARNSTABLE B.O.H. ` L---� .o LEACHING AREA 'REQUIRED: (550) 743.2 S.F. . � � .74 Elev.' TP- 1 Depth INVERT rE - 24.1 ® ® ®®®® SEPTIC TANK PROVIDED: 1t000 GALLON .(EXISTING) + ®®®®®®®® 33" 99.5 0 ®®®®®E3ERER A LOAMY SAND 1500 GALLON (PROPOSED) ®®®®®®®® tOYR 3/2 0 99 0 B LOAMY SAND 6' 6,� USE 4-500 GALLON LEACHING CHAMBERS IN SERIES 102" 10YR 5/6 f SECTION 97.2 C 28" SIDEWALL AREA: 2(13.2' + 42.0') X 2 220.8 S.F. { BOTTOM AREA: 13.2' x 42.0' = 554.4 S.F. 4" KNOCKOUT TOTAL AREA: 775.2 S,F, 20" DIA, COVER1Q$jf3 MED. SANO' DESIGN' FLOW PROVIDED: 0.74(775.2) 573.6 G.P.D. 4" KNOCKOUT O 4" KNOCKOUT 62" 2.5Y 6/4 ` 4" KNOCKOUT - EXISTING 2-BEDRDOM HOUSE (#191) - PROPOSED SEPTIC SYSTEM SITE PLAN - (PRDPSED 2nd FLOOR FOR 191 SCUDDER ROAD, OSTERVILLE, MA PLAN 5 BEDRDDMS TOTAL) 88.9 127" TDF=101,11 Prepared for: James Georin, 308 Commonwealth Avenue, Boston, MA 02115 (Assumed) 500 GALLON CAPACITY, H-10 LOADING NO G.W. ENCOUNTERED °e^e....... P.T.M. 77-03 Garnge Engineering' by: Surveying by- SCALE DRAWN JOB. N0. PERC RATES < 2 MIN/IN. Engineering Works . Te?7yA. WarnerP.L.,S'. N.T.S. CHAMBERS 23 Deer Hollow Road 22 Long Road MS. • S.A.S. LAYOUT Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET N0. y N.Ts (508) 477-5313 (508) 432-8309 10/6/03 P.T.M. 2 of 2 LEGENDRoute 28 138 PROPOSED CONTOUR 3 ao ke Vnney Hu Bvm s RPoer Rudd oa 138 PROPOSED SPOT GRADE l Rd m ( EXISTING CONTOUR e 3c 1 _ Benchmark no.2 i to EXISTING SPOT GRADE G PK Nai( Set in pvt. PL BK, 46 PG, I t EXISTING SEPTIC TANK TEST PIT ` EL= 100,00 (Assumed) Top of Tanks 99,27t Gu t(e t Invert. 97 9t r,.___.. bti EXISTING WATER SERVICE �. EXISTING S,A.S, F t _ Pump & fill w/sand uo, scree, go x', v 178,67, - Qy � CD <r r+� �l � r C:s i-, n N C-- 4 2 ®-.. �, '� %• ':� LOCUS o.. PROPOSE SiA;S, p, R' LOT 9 i O O O O i N Map , 140 - 4o I M - IF S ; Parcel 8 On,.. \ 17,818t S.F, i p p G ` ,� �%,' B-BOX LOCUS MAP N.T.S. m t C 0.41 t AC. `� y <, J \ lbs. p TP 1 o GENERAL NOTES: 0� ,I Q ,' » E L:9 9 5 it PR❑P, j RR❑P. f, - Q le o I I ~a SEPTIC I 21 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL r �� O (v a ti .� �) i SEPTIC I W 1 co BOARD OF HEALTH AND THE DESIGN ENGINEER. - I�' Q ' X t 4 i CL_ TANK `t 2� T DNK i C I Q I 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS I t I I OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE Li { u, I LL) I LOCAL RULES AND REGULATIONS. q In `0 r, I I I`- ail �Q o 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR u? 30' Q a` y b TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE I ; (L ' ti Z W 20' �. cr1 DESIGN ENGINEER. - ^` Z o �^ 1 W 1 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING { �0 j �O , X "'c�;� I I t, FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 1, { C5 3� �� I 1 3 ENGINEER BEFORE CONSTRUCTION CONTINUES. h t n , Imp x 1 I I Y 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. L__ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF \ k' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF r 93,8' HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER. ( { C," 6 R ` _ N 0 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 100' OF THE S.A.S. CO 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. ey- f 177,68 f J 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND'UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. y, p SNOFss AjA 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS w Benchmark no•1Ll ���` ��' IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. m ; L t corner brick patio �° TERRY Mqf AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). El.= 100.67 (Assumed) o ANNWNE e y A oA 87R cg �� PETE T. `� PROPOSED SEPTIC SYSTEM/SITE PLAN 9 = MEEN CIVIL 191 SCUDDER ROAD OSTERVILLE MA FLOOD ZONE DESIGNATIONS FROM ZONING CLASSIFICATION RB � � No. 35109 > R£G ��D Prepared for: James Georin, 308 Commonwealth Avenue, Boston, MA 02115 COMMUNITY PANEL NO.250001 0016 D Aquifer Protection District. / - �ESSNj� �� Engineering by: Surveying by: SCALE DRAWN JOe. No. Setbacks:Revised: July 2, 1992 ' BuildingSetbks: Engineering Works TerryA. Warner P.L.S. 1 "=20' P.T.M. 77-03 30' Front 15' Side/Rear- a� i � u �tl Road {a ' (�' 23 Deer Hollow Road 22 Lon V 7 Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET N0. (508) 477-5313 (508) 432-8309 10/6/03 P.T.M. 1 of 2 G 1` v 4 i t t j {r I , J NVA � eTo p art 8r GM L1 oumoA to N vA(.L oIJ r. 3 -• I • � % ( I � '� r _T I �► i � c� i7z �►, ^-� '� j CVN ZZg x Z4y.K 10' .. rLVLA 0 1 r ; /► a to a . Iwpdr, 41-10 I w JrtaLaGs 6 S-Y'I&'1►•us" t A.U w 0st \Viti117rJ\ vd2. 1G�(�l.�iGt •t ^- —� _ �{I AiJ- I 24 I je�_ ro MI O V t✓ i Efil � A c•• U• y L 0 S tom.►z •�— I Q;. �skiu 4 X n 1 M l = � C303 a�At? IJQG�1 \YAl_.1. Co li • � r � I ( ' I�-�p� • ao��t�'�� � w I Ll- AND Ormvp t?- I tb � („� � k� �-` �L,aEd3 _ Aly � � `q N � € a oo f ro He u \w !� � p . A C, Z � b pp � va tL4vloN 1 poU 4*ovU e- N I:�v �o GO1-le M -TS, L�� OW C H U cP9, t�.0 COV- �► I 71 FOUNPA TICJhJ ♦v'&L U +f-e -r DGF� � r.r r arm- _.._r —r + ram. ....—r rr• ...r+ .....r w� r �W�t 2no y9 u NORTHERN HERITAGE INN • C�A� ; �'-tau •--- - 131 p e1 - - ct• RIY ^ IwSO eIN�1 � p►Z4Y3� p ot� 4r= � f 1 rj Jr 0 t-- D.�?g•?Cofc�x it I � _� -L x I S T l t-1 C-� e I y i 8 5"�F , ce— I 7 r Zr FL ire r-1 I do � , _ I_ ve Q���� i r 1 �— I I ' �• 1 � � I —�IEIV t�etrr± I i I G1.c�,G�.• 6s�� o� I ( d v t l n I � e i G.&� Cox G per!1 .. �, gag� e. �I ®�� � � �it IOIt 1 d•I_/7n �jj ,�' �Ir.�`t I 9 ���.J, .t.... 1 r - 1 4-4 11 RECEIVED �� �..� p_r•r� r��t�:9- _nvI LLU.; I� '1�. .��i= c{�r.. l�� A ..�"- 1-c � - �_ '•� _ c�c��.. `' -- -SE COPYRIGHT NOTICE DAM: Ij ►'-c�_� SICALE:-� �� �$Ir�l"�!I �r•C7�J � �V HERI• G 7 � ET 1 Haas desl{lets are property of fire deslener.D.Nell Parent, 31 Old South Road 459 Main StrM and may not be used without hie express written authorisation. D. NEIL I f AR NT ASSOCIATES P.Q.Boa 2458 P.O.box 298 1DRAWNy. /Q- Allr applicablo oopyrlght laws can and will ho onlorood., , t '`� ___ __ .__ _._. ._.__ �nnlucicct lrilnnd ]1�h,ti?SR� I�nrwlcla Fort 11�1#OZ646 n KESIDENTIAL & COMMERCIAL DESIGN CORPORATION Tch(508)226-5722 Tel:(sob)432.6722 t Fan(.108)229-3904 Fax3(508)430.134S DRAW ' ' ' I I I � I I ' I . S I 1 , t ' i . , l 48 � l-2 u J5 1-•Zl ' I h1I-AVX1epA�s u 1 I ,,, ap' - � I, Cal \Y,�, 'r;-j� � III ► � ---_.__. 77 all z 24 � r , , ,- I J i -.�~,. ' � 1 � _ ; Stet I�r{��rJ�► r-r.� ,.ryt �� $�. 5�---nd� .9 t .2C7 8 I , rl o'� 4�•}iY' r r I u 1 l FIR'. +t ,— N �ryl•,!a- +(7 1 �•• J, — _ -TI Ls ` s T ,----. -- --- - e44 YAW i ���N �xc�: &led ----- - �`� �r� - apt ��G --� axe &/40 RECEIVED s . r1h}?�N _�I G�. + �� .�xt.l�7 i?. �. a -- �Ct� .l..t✓ r �Lr` 7 02003 COPYRIGHT NOTICE NANTUCKET. SSA E� ML T',ess designs are property of tho c3estgner,1).Nell Paront, � '11.228.1722 Fax- 508 228.3904 1 PO Box 2458. Nantucket', MA 02584 � and may not bn used 9,!'rttout his express written authorkatlon. ,~ ��� . . `.+ ,� `[�/�j v� 6,1 All �Q � r.��l��t �+1��Qa7�.�1. �i W�� �Vrji{� a�� 4 *1 ew +'�u"pill , ,�',q _ '_"_"-'—`ir ""�_.— ._._ — I�/AJ;♦1'1f ��i �� DRAW B : 6 J ' 1 .., ° S s a C A.-x 5 T A. 2, 2 t L .I� 508.432 G722 Fax- 508.430.1345 P. Box 298, lbrivich Port, MA 02616 ' A II���Intr dcul 6 Commercial Design Corpurhtwll � 11.0 ,2) ! Q3t:��, .1 ra+rurodilptIMMIttl ra»1 MMUL •. 2MO A6FHAL71MrooMW 5NINGLH5 ON 14 15# A5PMff IMPRWA9V LsUL1UNUMAYMeNr oN 3/4111'BCe 5MCtURAL Mwoon 5EUMN6 ON TRNANGtILAR fWW5 a 24" O.C.W/ ' In pRJPeR VeW OYPR {� p•38 PAG(P pnkaA55 MULMION- I PERM I X 3 SiRiWPING i I '/z" GYPSUM WALWARV MINGc s zi 2-2 X 4 WALL PLAM CONnNUOtb W/ � II SEF50N 5'fRO 641B H-7 HUMMMa CLIP5€ Oh'U pCI: - 1L��M ' 110M M1VlAtCH BXISTING) w 6 FASCIA VOAW OR OFVONAL MM9 ON I X IV z" VPNr 5PACFI5 �^•%1 !X e5 501'•Ft!'00ANZP W/VFNt1N6 CONITANOlIS c j ► �''d�'1 CEDAR 5H1AIM ON — _ __ _� j � � -•.` , f`fVPK oR Om INFIVRAVON PrARM ON GON - �`" - — . - - IL �w �'r WL FLYWOOV%TAIMIN A""' xOR a51GU -]1 2 X 4 WOOD 51UP5(CON1.SfRIlCfION 6rzAt7l;OF,01: 90 a 161,O.G. _ IL --= - 9-I5 FAC50 5199WAL4 Mr.-MA55 IN5U4.AfION 0 MJ4) , s - - (",ix•t ra e �'�' t��fv 'r � �+�a - - i��.l r✓ ease t� _ �. (LAP FACING OVER SIU95 TO FOWA COMINUOU5 WM3RANV V 2" OLMOARV W/ffAM PLASf5R - ' l t :" i`!' r t r n !�'CO POLlN17I:17 ) �1�� .� t w I �� I �12�•�S�'i`t/� ` —� I" (Opflo ALs s GYPSUM W►'I 00ARP TAK17 AN M _I. � � SPJ qP CORNFR5 -2 X-1 Mef Mf FOR RXIVIN EI7 PI',Ii141I14G ( / z ! IP NALP-Ir±AP OP SHPAVING NOf P055t8L<=) _ I �_ ._ CT�. T t / { 1 • �. I t �X�AI71P�PLAt>+�t0 RA15a CRIL,NG HI:1GHf(MOM) FLOOR CONSi�?UGa01S t%L c %. l e� - • i — j I t 1 �� 1 1 X PIN15H PORING ON - 041' ROSIN PAPM ON '/4" M 51RUUUTAI.K`YW00P WfLOORIISG ON - . fil•FRo 190 X 91/211 W/K-I5 1`10=065 4Aff MULAVOM vi 5IMF50M WONG 1V MA24 5TM 119 a 48" (IF IIALP-LAP Of 5HMN4,NOf pO5516L9) 12I590 WALL L CON 5 1CnON , f�A�� M a r.l'' .T VeRIPYALL UX1591NG COb1171T10A5 offo.1:GOMwNCING New WORK � - — j.. .4 + r .... .I. 1 CCC i�' 1 i 1 t fQ NVAn0N WACL CONZUC-TION G 1 1 2 X 6 PRI 55Uk>; MA9V � 1j ANCHOR VOL13-1/2" X 18" G11L.YANIM 51M J-00LY5 T 0 0-0" MAX.5PAGING M CORD 501,117 0 POLZ ANV I90AR5 �---- tl;it55 TWe HORIZONTAL MINFMMA 8" CMU WALL C N;M ING ANP FOR NN:W CI'AWL 5FACR3 M M R 1`00fi146-POURPt7 CONCM 2411X 10" 91WORM17 W/ 2 0411045 COM OU5 q 1/2t1 ' 11�011 11 1 b l ��-���.�...I�� ��. �� 15�.t����.: ��, c��T�.�I ;�i�,• �-;��. ��� J�.�-��,�-�Ic��.I-� . . _ �= , � �•! a�►n �- P;c.�,01A1..�.... -- ; .., NANTUCKET r DATE: C)A-) 3_ !Scmf RECEIVE � ..�. : I • Thee.destgsta are pmps►rt�of the designer,D Nail Parent, ''' . ,� ''' 508.228 5722 Fnx 508 228 3904 3 P.O. Box 2458, Nantucket, MA 02584 aiJ may not be usod wit osst hig express wrltton acsthonxollon. � � �� r��� Neil a r e r All oopllcoblo copplgltt Ian can and will bo 011101tod �°�„ � I ARWIC � PORT1 — k, _ ! 1I. �.G �„ F .ax. _1 , " ! �►„ ., . P �.41rtvic,, Port, X NORTHERN t - - t � HERITACG It — -