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HomeMy WebLinkAbout0233 SEAPUIT RIVER ROAD - Health 233.:Seapuit:River.:Road Osterville A = 051 =001 0 a I ti Commonwealth of Massachusetts 061 -L901 Title 5 ' Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 233 Seapuit River rd Property Address _ bob Steven Haley Owner Owner's Name information is required for every Osterville Ma 02655 2/8/16 page. City/Town State Zip Code Date of Inspection m W Inspection results must be submitted on this form. Inspection forms may not be altered in ant, way. Please see-completeness checklist at the end_ofthe form. Important:When. .A. General Information filling out forms - � y - -' -' on the computer, =` //��� use only the tab key to move your 1. Inspector: � - �•— � __ —____�' cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain-r reb Company Name 8 Johns path _ Company Address S Yarmouth Ma 02664 City/Town State Zip Code 508-364-9587 S103522 Telephone Number License Number B. Certification - I certify that I have personally Jnspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation bylthe-L:ocal Ap r ving Authority 2/9/16 Inspector'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 is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address Kow the system will perform in the future under the same or different conditions of use. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 �O� Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 233 Seapuit River rd Property Address Steven Haley Owner Owners Name information is required for every Osterville Ma 02655 2/8/16 pagelo City/Town _- . _ State - Zip Code Date of Inspection B. Certification (coat.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any_information which.indicatessthafiany of ther failure criteria described }' in-310`CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. .Comments: System-contains a 1,500 gallon tank Dbox, and'twofloew diffusers. System'is new and in new condition. Installed in 2013 E) System Conditionally Passes: El 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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 _ Commonwealth of Massachusetts W Title 5 Official Inspection Form IA _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 233 Seapuit River rd Property Address Steven Haley Owner Owner's Name information is Osterville Ma 02655 Z/8 required for every /16. ' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or unevendistribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ �ND (Explain below):, ❑ obstruction is removed ❑ Y - ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5, Official Inspection Form ' . Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 233 Seapuit River rd Property Address Steven Haley - Owner Owner's Name rn information is required for every Osterville Ma 02655 2/8/16 page. _._..__ _ CitylTown _ 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'erivfroriment: _ - ❑ The system,has raseptic 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. - El 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 than100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ® Backup of sewage,into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 'h day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 <LIN , Commonwealth of Massachusetts. W Title 5 Official Inspection Form Subsurface Sewage Disposal System Foram -Not for Voluntary Assessments 233 Seapuit River rd Property Address. Steven Haley Owner Owner's Name information is Osterville Ma 02655 2/8/16 required for every ° page. Cityrrown State Zip Code Date of Inspection B: Certification (cont.)-. Yes No Required pumping more than 4 times in the last year NOT due to clogged or El ® 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 E] ® 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. ❑ ❑ 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 contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts , °Title '5 official Inspection Fora Subsurface Sewage Disposal System Form - Not.for Voluntary Assessments 233 Seapuit River rd Property Address Steven Haley Owner Owners Name information is OSterville required for every Ma 02655 2/8/16 -.page. City/Town _.. .-. State Zip Code Date of Inspection C. Checklist . .M. Check if the following have been done.-You must indicate-"yes" or`'no" as to each of the following: - Yes.. No.,.. - ❑ ® Pumping information was provided by the owner, occupant,,or.-Board of Health - ❑ ® 'Were any of the system components pumped out in the previous two weeks? ❑ ❑ Has the system received normal'flows.ifithe previous two week period? r ' ❑ ® Have large volumes of water:been introduced to the sysfem recently or as part of this inspection? ❑ ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes_uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 1 Number of bedrooms (actual): 1 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd z#of bedrooms): 160 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments wM .' 233 Seapuit River rd Property Address - Steven Haley Owner Owner's Name - - information is required for eve Osterville Ma 02655 2/8/16 q every page. CitylTown State Zip Code Date of Inspection - D. System Information _ _ Description: System contains a.1,500 gallon tank Dbox,,and two floew diffusers.j System is new and in new condition. Installed in 2013 Number of current residents: - , . . , Unoccupied Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected?. ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): NA Detail: Sump pump?. El 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth ®f.Massachusetts . Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M ,•'°� 233 Seapuit River rd - Property Address Steven Haley - Owner Owners Name information is required for every OSterville Ma 02655 2/8/16 ' page. —City/T-own.._..._. — State Zip Code Date of Inspection D. System Information (cont.) "'Last date of occupancy/use: ' vDate Other(describe below): General Information Pumping Records: Source of information: New system yet to be pumped Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons T How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool r' y ❑ 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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Com�rnonwealth of Massachusetts z , W Title 5 official Inspection Form- 7 Subsurface Sewage Disposal System Form.- Not for Vol untary.Assessments w 233 Seapuit River rd Property Address Steven Haley Owner Owner's Name information is 2/8/16 Osterville Ma 0265'S" ' -`required for every �_. .... page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and-source of information: 2.5 Years Were sewage odors detected when arriving at the site? ❑ Yes -❑ No Building Sewer(locate on site plan): Depth below grade: 18"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 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene.. ❑ other(explain) 1500 GIL 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 17 Commonwealth of Massachusetts .. W Title 5 Official lns�pection Form- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 233 Seapuit River rd Property Address Steven-Haley _ Owner Owner's Name information is required for every Osterville Ma 02655 2/8/16 page._.. CityTrown — -State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.). - 2411 + µ- 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 1"Sludge stick Distance from bottom of scum to bottom of outlet tee or baffle H6�v were dimensions determined? " " Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): No evidence of Ieaking,Tees and or baffles in place at time of inspection. Grease Trap-(locate on site plan): Depth below grade: feet Material of construction: - ❑ concrete ❑ metal '❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Irasec#i®n . ®rrn Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c . . �M 233 Sp ea uit Rive r rd Property Address Steven Haley Owner Owners Name information is required for every Osterville Ma--­-..­, 02655"""" .. 2/8/16` page. City/Town State Zip Code Date of Inspection D. System information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tees are in place and levels are normal 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 El other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No (Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Y s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 233 Seapuit River rd Property Address Steven Haley Owner Owner's Name information is I - I required for every Osterville Ma 02655 2/8/16 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"I'evel above outlet invert _- Comments (note,if box is level and distribution to--outlets equal;'any evidence of solids carryover, any evidence of leakage into or out of box, etc.): New, levels are normal PumpChamber locate on site plan): ( P ) Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located explain why: p Y t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 233 Seapuit River rd Property Address _..... . ._. . . __ .. _ Steven Haley - -•'v_ Owner Owners Name information is required for every Osterville- Ma' 02655`° 2/8/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits _ number: ❑ -leaching chambers" -. number: i ,• � .) ti,t .t�t{r)hi ca{3r3:+t �3i iC .. ., 1 ® leaching galleries number: -:_,. 2 ❑ 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.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official ' Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M •'"F 233 Seapuit River rd Property Address Steven Haley - Owner Owners Name information is required for every Osterville Ma 02655 2/8/16 page. __ City/Town - State- Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs'of hydraulic failure, level:of ponding, condition of vegetation, etc.):: No ponding no break out.... i I Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official: Insci®n ®ram = p Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 233 Seapuit River rd Property Address . Steven Haley Owner Owners Name information is required for every Osterville Ma" - '0205'S 218/16" page. City/Town 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts , Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 233 Seapuit River rd Property Address Steven Haley Owner Owner's.Name �- information is required for every Osterville Ma 02655 2/8/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) _ Site Exam: ❑' Chcick Slope Surface water. �,. .Check cellar, . . ...... ._. - • . ❑ Shallow wells Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 7/7/2013 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: site plan indicates NGE at El 13.3 3 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Assessing As-Built Cards 'Pace 1 of 2 T/". OF BARNSTABLE LOCATION SEWAGE �� VILLAGE OSgle JA AS SOR'S MAP Dp 1EL O�l INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY kroo LEACHNG FACHM:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facilitf Private Water Supply Well and Leaching Facility Qf 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 leachingcility) -Feet FURNISHED BY7d rie t cas'3 3 B Y00 I I„-71 a 1 � http://�v�vw.townofb,arnstable.us/Assessing/HMdisplay.asp?mappar=051001&seq=2 2/5/2016 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for VoluntaryAssessments s °M •''t 233 Seapuit River rd Property Address _ Steven Haley Owner Owners Name information is required for every Osterville Ma 02655' 2/8/16 page. City7fown State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to"All"Systems) completed ❑ System Information— Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION 5ee iea6t A1i,1eP RO C5"1L6t-U1/X'- SEWAGE# C;2J*0 ��ll VILLAGE j f uv v ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. e-Id `�Ply SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 1!5� �+ D1 ff(2 5 y_ (size) Q, _a NO.OF BEDROOMS J . OWNtR PERMIT DATE: I�JJ ��J to COMPLIANCE DATE: Jlec� j 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 � f O � 3 d I 1 39 c) 'Ll i 3 `I �r 80 ' y No. � 1 lJ✓ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for Disposal *pstrm Construction Hermit Application for a Permit to Construct( -Repair( ) Upgrade( ) Abandon( ) omplete System ❑Individual Components Location Address or Lot No. 2 5 5 Se4r/1`[' R000r Owner's Name,Address,and Tel.No Assessor's Map/Parcel 097/00, 1 d st 3 &,5 'C Installer's Name,Address,and Tel.No. signer's Name, ddress,and Tel.No. �D �/�vcr<r &4 fwI tjO�'�ZS'-33y� '7 Parker Type of Building: Dwelling No.of Bedrooms f Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re aired [[ gpd Design flow provided ZZ- G gpd Plan Date �� �7 2of G Number of sheets l Revision Date p Title 1 ropoS ,S2e4.,C /4 h Size of Septic Tank °osf GaJ(or, Type of S.A.S. 2— uu Ja Y o F S-�a� Description of Soil `T - 0" �! �D (o'f 2 Y�c� q fk Q�wh �� fgh_,,e t3 2 S�` /j Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the cZh. ' intenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the and not to place the system in operation until a Certificate of Compliance has been issued by this Board of e Signed Date 1 1e .. Application Approved by ___==Date Application Disapproved by Date for the following reasons Permit No. Date Issued ic ,E No. �vl Fee ' . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .+` PUBLIC HEALTH DIVISION - TOWN OF•BARNSTABLE, MASSACHUSETTS Yes 01ppiication for posal fpstem Construction Permit Application for a Permit to Construct(<Repair( ) Upgrade O Abandon( ) omplete System' ❑Individual Components Location Address or Lot No. Z —5 S IP4 Ra'v pr Owner's Name,Address,and Tel.No t Assessor'sMap/Parcel O S/ 0C, dS 3 env t,�,C f Sltud� �4'Ft Installer's Name,Address,and Tel.No. i .Designer's ame,Address,and Tel.No. � - � fv(1'va.v �ng./'rE°Pf."ns f(r�so (�:�SrTri /1 7cc >ic�.F y Type of Building: Dwelling No.of Bedrooms ! ! Lot Size sq.ft. Garbage Grinder( ) Other 4 Type of Building Fp No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.req fired) 110 gpd Design flow provided 2 gpd Plan Date fir/l /Z��G Number of sheets I Revision Date �Q r Title Iry/�o ace S -� C P/o Size of Septic Tank /5` 4 C 5//,✓' Type of S.A.S. F/� Di �f`'i r r 4' 'y -- Description of Soil —-q-- D— ()i. A�110 (U(� l�� t7 c(f �t c+�/n �oy,,k y .5�. J, 13- 2 5 V .0< C LG ti/-e/ YP/(.W /leal, L/owl SsA 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 S :accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal-h. /j Signed ,� Date /�"`/{ \ Application Approved by -- l o Date Application Disapproved by Date for the following reasons Permit No. �OI �j Date Issued f '-6 1 b ------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( Repaired( ) Upgraded( ) Abandoned has been constructed in accordance ' with the provisions of Title 5 and the for Disposal System Construction Permit No.A16' ��� dated I j :'Installer �. .{t L z > Designer S�»i �4ar l�"Iih Cal.'h #bedrooms / J U Approved design flow\ (G G t' gpd The issuance of this permit shall not b' cop'strued as a guarantee that the system will Enc'( as designed. Date // ( c '� Ins ector p ul n/ I ----- -----------------�-- -------------• ---------------------------------------- No. Fee-- G�6 �I THE COMMONWEALTH OF14ASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS. Misposal 6pstem Construction Permit Permission.is fieieby.granted to Construct( L<_ Re air( ) Upgra e( ) Abandon( ) System located at. 2 T c�cT t, i W t V Or v o J S 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. Q Date fr Approved by +� Town of Barnstable pFIKE , Regulatory Services Richard V.Scak Interim Director • BARN6TABI�. • Mom. Public Health Division t639• AIFo +" Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form n _ Date: L9 20 17 Sewage Permit# 20 A V/ •. Assessor's Map\Parcel 0 Designer: Juff'u'ak F ;i►%wraInstallers Ai,V< Qs ar$ Address: PPArlh tot 3,'X Address Iq Tan .SQ scE;4o h a✓ yl On !� l9 Zo/� k,Ck . P4S+ore was issue a permi to install a (date) (installer) septic system at based on a design drawn by (address) l�'v� �h rgecr;,, 4- dated /�/®v: r7� .2o!(, designer) sv11,'nSs„ce �I 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 required)was inspected and the soils. were found satisfactory. Af I that the system referenced above was constru �°k OF with the terms f the approval letters (if applicable) i{F:f rl, �yG - 5 LIM u' � Ca�IL ffis gnature) o NA (Designer's(Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Fonn.Rev 8-14-13.doc { I N xa ea �'s tzs 1Ds A P5 g P5 k B B e 105 DN. N h 1 M 4 i © BUILT•N 4 1 CABINETS a 7 S•10 VERIFY DETAIL6 ON�BOTIS as LIVING DOORS LIVING W INTEWOR HURRICANE rn 9� DESIGNER ROOM - FRENCH DOOR I 3788 O ABOVE b rl 2G1 PELLA INSWINO HURRICANE HALF WALLS 9 , SHIELDSTT.SS' ATIANTIS IS 4 4_ C D Za.$ FRENCH DOOR S.S (VAULTED COUND �� RAILINGS BOARD A BATTEN) INSTAL ABOVE MEDICINE E98Ep SCRE RETRACTABLE 14 CABINET DOORS ROOF CABINET DECK I, LIN. i❑i HPELLA UPACAIEo HURRICANE I I _ SHIELD d1'.SB' BATH FRENCH DOOR 3182 Hn3 ze'.67 5 h 202 SLIDING h H SHELF DOOR p CABINETS y, EO OIAFW WALL BUILT-IN NO U 6DOOR VERIFY BETA" W/INTERIOR DESIGNER 6 B B 17 B b b PS g P5 6.6' 108 108 ss 4B ua es SECOND FLOOR PLAN WINDOW SCHEDULE -. AP MANUFACTURER'S UNIT ROUGH OPENING REMARKS IECC2009 RESIDENTIAL ENERGY EFFICIENCY DI A PELLA 2955 2-5 3/4"x V-5 3/4" DOUBLEHUNG CLIMATE ZONE SA(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CA g PELLA 2929 2'-5 314"x 2'-5 31W AWNING TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION RE( FENESTRATION C PELLA 4141 3'-5 3/4"x3'-5 3/4" DOUBLEHUNG U•FA= U-FFACTIO WAGE nVALUE DWA�RVALUUE a-°E°�wau eRA�s TSLAa D PELLA 38 30 3/4"X 3'-0 3/4" CIRCLE 0.35 Gw ae fi 70 Tat] 10 R FT.DEEP) 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS NOTES: WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS 1.R•vu UEG ARE MINIMUMS a U FACTORS ARE Mg)aMUMs• 2.PELLA HURRICANESHIELD ARCHITECT SERIES IMPACT GLAZING WHITE EXTERIOR 2 10I13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOI &ALDER INTERIOR,SUNDEFENSE LOW E GLASS W/ARGON OF THE HOME OR R-13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION$ENERGY REQUIREMENTS ®Q� 4COTUIT3BRW BAY DESIGN LLC NEW POOL HOUSE FOR: 43 BREWSTER ROAD M .(508U)E,4-1 02649 HALEY RESIDENCE FAX(508)539-9402 233 SEAPUIT RIVER ROAD OSTERVILLE A UTUTT CONNECTION FROM STREET TO BE INSTALLED W TRENCHES 43'C' PER CODE REQUIREMENTS . _----�--- -------- ---------�1 YHIOH FENCE I BLACKANODIZED SQUARETVBE ALUMINUM U COLUMN N =•r 68 I J'•2 11'41• 5 I � I A I SHOWER WTERIOR B TOBE1•t13W p k k k k cE°-DRIZO AP1nDWHIT P PATIO I 1 J4•SPACINO OUTUNE OFPORCH --- — -- 1 — ROOFASOVE OIL — — ----- 2a DOOR STORAGE 0Uf000 ZB MOOR PORCH PANWZFLOW SHOWER BENIN A // HARM 6 DONS L OUK r-11 OR6 2-0 I I IMPACT GIAONS NANAWALL000B (n WNTTE Ex,EmOW -- w l I W TA IW 1 R g 74•xsw H P oD00R�� CI I �RVCRHFD I ® aWALLNFKIUSE ygtBB 2P MEDICINE I I PCASCADI LUSO M FORBW R COVERED PKT DOOR ¢ CABINET PORCH WSt 218TEEl BEAMABOVE B C Y•2 58 rS 1BF OLA567RE 11I STE 4 q p5 WOOD FUMING DOOR VM oAs FIREPLACE W/WATER f7ATURE ©® W1 1"*HARDWARE VERIFY MFR.6ALL (BED SPED 888@@@OK 4 6 (VE DETAILS OWNERS 'TALL OET IB m I; Z4, Wfl VENT W STLBLOUGH r-r LIVING FLOORAOISTSTO rs I THEWESTSIOE PATIO i ZBaFE 10 1 S'•1r J6'SINK M7NG VUU.S TO ABASE 2Y?�BSFtevEprrwATER INK OW—It I 7 L 0 EL a4 I I SPLASH IWOI C BASE i i i g�l I 15 REF KITCHEN T 102 ro��PUW w�l I aoRc11ED I II I rrutiawnL mod6 �¢ a•s s �. Js J6'LNOIF >P n�•q BASE BASE COOKTOP CDOKTOP RECESSEDODOR RECESSEODOOR I I W/ALDERER WIEgO itr. ZTRASH O —— C SHAMING SYSTEM ————6NAD�NO srSTEM (SEE OETAAS) / a9HElF PELLA HURRICANE PELLA HURRICANE / �• ® 2A PROVIDE OUROCK SHIELDFRENCH SHIELD FRENCH \ I / SAFE BASE BASE SNSN NSOARO. SUDNODOOR7798 9WNO DOORTES \\ / WIU BACKER AT OUTDOOR / BASE OUTDOOR OWLu'!NX 1ye�IGEE KRCXEN COVERED \\ I —— IOTCHEFI— PORCH ——— — _ —�N�Au6;=n1arEFbs�—�--- ----- — ------ COMMERCIAL VENFX000 OUTLINE OF PORCH --- OVER GRill BVENTUP ROOF ABOVE THROUGH PORCH ROOF g 4t 4tYY TI59 POST W/AMCASING PARKING A ATIO a (FEE DETAW P5 P5 wa ra sd• s 30'd 4•Ar Asa i PLANTING BED Ara FIRST FLOOR PLAN ®SMOKE DETECTOR Q CARBON MONOXIDE DETECTOR Y HIGH FENCE ®HEAT DETECTOR SLACKANCOM SaLWLE USE ALUMINUM FENCE �{ 4GOTUIT3BREW BAY RROAD GN, LLC NEW POOL HOUSE FOR. 43 BREWSTER ROAD MASH 49 PH.(58)274-1166 FA (508)539-9402 HALEY RESIDENCE 233 SEAPUIT RIVER ROAD OSTERVII '' x3•d INSTALL BARRIER BETWEEN A WOODRIMJOISTS FRAMING B 'e xT P5 (THE CONCRETEPATIO ps PATIO 3•d z< (VERIFY ALL DETAILS IN THE FIELD) EL 21.0 ------— _ —NOPCFI IrI II mOMATEDFw. Y TO OF FOUND. a I i 4 I I SET INT2'LIFTS--• I EL21S I I I1 L__—____---- I I _ _______ ________ R I I m f I I I jl L J I N } DE I I L—J I I SLOTT OR I I I I I NANAWAL I I I I e DOoa I m I I INSTALL BARRIER BETWEEN I i INSTALL ARRIERB WOOD RIMIOISTI FRAMING WOOD p MJOIST(FRAIANP (THE(VERIFl CONCRETE DETAILS I I (THEE NCRETE PATIO I THE FIELD) (VERIFYU.L DETAILS IN T, — I WBx 21 STEEL BEAM _ I J ' f T 1-� TO FOUN N WALL ATION TYP. I TO FOUNDATION WALL J L I _ BEWt I I TOP(BOTTOM 4 4 P5 PRT' SHELF FOR STONE POOL Typ-1A I BEAM W/ x 4r x IS EEP I 4 -T", W/AT x A7x IS DEEP �E I BfNA CONCRETE FOOTING I WATER EL.O f I I PHL BBOOT1 Of ECTITIONS I I FOR oo�nArHHME e 1n wolsTs®1s•ar. I NT PATIOL 4- I I J Tl I I FULL BASEMENT �" ueEP I C I I (x Gan.SIAe SLOT FOR SEAL&PAINT LPOLYUNEPDXY FINISH) DOOR INTERIOR WALLS I I II I I INSTALL BARRIER BETWEEN § I I b WOODRIM.101ST(FRAMING (THECONCRETE PATIO I I TYP.IP CONCRETE FOUNDATIONNERIFY ALL DETAILS IN WALLS WIIBVERTICALBARS THE FIELD) I I L J AT41raz•ST'FRDMOUTSIDE FACE OF WALL,GRADE ED WE L J d 3'd A P5 TYP.TOx20'CONCRETE FOOTINGS B 3.0` 2' IYP.rCONCRETE FOUND. Wf2x4KEY PATIO Ps woP1oTLl o3roave Cv� GRADE d'6 y..0 A•.a PATIO FOUNDATION/FRAMING PLAN NOTE: ALL MECHANICAL,ELECTRICAL,CENTRAL VACUUM &POOL EQUIPMENT TO BE LOCATED IN THE BASEMENT.DUE TO LACK OF WINDOWS,THIS SPACE TO BE MECHANICALLY CONDITIONED PER THE BUILDING CODE REQUIREMENTS ' —INSTALLTWO PULL HEIGHT STUDS&TWO JACK STUD AT EACH 81DE OF ALL ROUGH OPENINGS WINDOW 2x8WALL (ROUGH OPENING) JACH STUD ROUGH OPENING DETAIL Q COTUIT BAY DESIGN, LLC NEW POOL HOUSE FOR. 43 BREWSTER ROAD M .((508)E,M-102649 HALEY RESIDENCE F��(508$)5399-9402 233 SEAPUIT RIVER ROAD OSTERVILL TRANS.NO.: CITY/TOWN: APPLICANT: ADDRESS: 2-33 DESIGN FLOW: gpd REVIEWED BY: C.'/�w�ka(� P. DATE: N/A OK NO GENERAL Legal boundaries denoted[310 CMR 15.220(4)(a)] Street,Lot,tax parcel number and lot number noted on plan[310 l/ CMR 15.220(4)(u Locus Provided 310 CMR 15.2204(t)] Plan proper scale?(1"=40' for plot plans, 1"=20' or fewer for components) [310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b) System located totally on lot served[310 CMR 15.405(1)(a) for upgrades]-if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] , Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations 310 CMR 15.220(4)(f)] daily flow y septic tank capacity(required andprovided) Y- soil absorption system(required andprovided) Y whether system designed for garbage grinder North arrow 310 CMR 15.220(4)(g)] t/ Existing and proposed contours [310 CMR 15.220(4)(g)] t/ Location and log of deep observation holes(existing grade el. on ✓ each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and i ] Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading rate? 310 CMR 15.242 Certification statement by Soil Evaluator[310 CMR 15.220(4)0)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3)and 310 CNM 15.220(4)(n)] Address y -f K&V-er- (20J Sheet 1 of 7 N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case �- of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. 310 CMR 15.220(4)(1)] — Water lines and other subsurface utilities located[310 CMR 15.220 4 m if waterline cross see 310 CMR 15.211(l)[1]) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] Stamp of designer 310 CMR 15.220 1 and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate(two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405 1 k ] Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? 310 CMR 15.103(3)] Benchmark within 50-75'of system[310 CMR 15.220(4)( ] Materials specifications noted? [various sections of 310 CMR 15.0001 System components not>36" deep (unless Local Upgrade Approval or LUA requested) 310 CMR 15.405 1 b Address—P 3 3 SCW W 4 fz c,Y Q d nc�R Oil Sheet 2 of 7 y� N/A _.OK NO SEPTIC TANK' Size OK? 310 CMR 15.223 1 ] F Inlet tee located ten inches below flow line 310 CMR 15.227(6)] v Outlet tee 14" or 14" +5"per foot for increase ft depth[310 CMR 15.227(6)] v ` Outlet tee with gas baffle or approved filter 310 CMR 15.227(4)] +/ Note regarding installation on stable compacted base [310 CMR 15.228(1)] - Separation between inlet and outlet tees(no less than liquid f depth) 310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5))or permitted for upgrades under LUA[310 CMR 15.405(1)(k)] Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box 310 CMR 15.2228 1 ) [ ( ) and 310 CMR 15.232(3)(f)] Three access covers(inlet and outlet must be 20"or greater) - middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade -one port for systems<1000gpd, two for systems>1000 gpd 310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR , 15.228(2)] > 10 ft from building foundation 310 CMR 15.211 1 Buoyancy calculation Required/Done 310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.2111 Multi-Compartment Tanks Required when other than single-family dwelling or flow>1000. p' d [310 CMR 15.223(1)(b)] First compartment 200% daily flow;.Second compartment 100% daily flow 310 CNM 15.224(2) and 3 "U"pipe through or over baffle,outlet of each compartment with gas baffle or approved filter[310 CMR 15.224(4)] Address m, Sheet 3 of 7 N/A OK NO BUILDING SEWER-AND`OTHER PIPING,"--p 4�,roA O't"IAR.14. Located at least ten feet from any water line? [310 CMR 15.222(2 Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.211(1)[1]) Cleanouts re uired/ rovided? 310 CMR 15.222(8) ✓� Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9)and 310 CMR 15.252(2)(c)] Siphonproblem/ leachfield below pump chamber) e� Endca s or vent manifoldspecified? �- Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310. CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe �- types allowed) DISTRIBUTION BOX ate. say ;w ti Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 d� CMR 15.323(3)(a)] Riser if deeper than 9 [310 CMR 15.232(3)(0] Inside minimum dimension 12" 310 CMR 15.232(2)(b)] Minimum sum 6" 310 CMR15.232 3 e Watertight cover if<2000gpd);waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] PUMP CHAMBERS. Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] Proper setbacks 310 CMR 15.211 same as septic tanks Watertight 20-in minium access manhole at least 20"MUST BE TO GRADE 310 CMR 15.231(5)] Service components accessible(not too deep with piping, disconnects accessible Alarm floats-alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and(8)] Stable Compacted Base [310 CMR 15.221(2)] Buoyancy calculations needed?Provided? 310 CMR 15.221(8)] Address ?33 i4yo f C_pr IZ04a Sheet 4 of 7 N/A OK NO SOIL ABSORPTION SYSTEMS(�AS);'GENERAL Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 1� 15.240(1)] Required separation to groundwater? [310 CMR 15.212)] Aggregate specified as double washed 310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless.barrier) [310 CMR 15.211(1)[4] and ✓� , Guidance Document] GALLERIES PITS,CHAMBERS r310 CMR 15253 Chambers and Gal. in trench configuration supplied with inlet ✓r every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate I'minimum-4'maximum. [310 CMR 15.253 1 (b 2' sidewall credit maximum 310 CMR 15.253 1 a In bed configuration, inlet eveEy 40 s . ft. [310 CMR 15.253(6)] TRENCHES 310 CMR 15.251, ,. Width 2' minimum T maximum 310 CMR 15.251 1 b 100 feet-maximum length 310 CMR 15.251 1 a Minimum separation 2x effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours 310 CMR 15.251(2)] Breakout OK? 310 CMR 15.211 l 4 and Guidance Document BED SAS (Maximum size of bed or field'5000 ) y � minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [310 CM R15.252 2 d Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6"minimum, 12" maximum. 310 CMR 15.252 2 Separation between beds 10'minimum. 310 CMR 15.252(2)(f)] Bottom area used in calculations only[310 CMR 15.252(2)(i)] Address233 ,yTf Sheet 5 of 7 N/A OK NO DIDTHE`PLAN"INVOLVE ,�, ,� m ,m� ,.�� � �� Y. . ,, Pressure Dosed System ? Provided pump and piping calculations as required 310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system-make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year(systems<2000 gpd)or quarterly e/ (>2000 d)good to note on plan[310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255 3 ? Impervious barrier and/or retaining wall? Guidance Document] Impervious barrier installation must be supervised by r/ designer 310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer[310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] i/ At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 2 (e)] Ctravelless S stcm[IlA 4 rd val LeftersJ oi, Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge (/ to scour soil interface Alternative Septi&S tune 1I1A Ap rvval Utters Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a c22y of a maintenance Variances, Are the variances listed on the plan? [310 CMR 15.220 4 4 RLS Stamp necessary on plan if a component is within five feet of property line[310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.414] Address 233 5ewu d A d-ev Roa/ Sheet 6 of 7 N/A OK NO 1Vitrc� en Sensitive Areas . ., Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well? � 310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] Miscellaneous, Yr a . Pumping to septic tank? [ 310 CMR 15.229 Shared System[310 CMR 15.290] Address ZD Sew d,4 P,ver kc& 4 Sheet 7 of 7 WET OF BARNSTABLE LOCATION 433 54.aloc v ! i/rL rq SEWAGE#03 7� .VILLAGE AS SSOR'$,,MAP&PARCEL OS'/ —z>01 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 1S Oc) LEACHING FACILITY:(type) A (size) NO.OF BEDROOMS, L �� � OWNER PERMIT DATE: 3 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachingcility) Feet FURNISHED BY ,�7DY� O\ r r AN ------------------ a O t, G � � TOWN OF BARNSTABLE TION QI ScA pU+ rt Ubt' R�• SEWAGE# I 1GE OSTttV,llsL ASSESSOR'S MAP&PARCEL d �� INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY g6upp I LEACHING FACILITY:(type) c1 (size) UW NO. OF BEDROOMS OWNER G A 4 PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 20.0 feet of leaching facility) Feet Edge of Wetland and.Leaching Facility(If any wetlands exist within 300 feet of._leaching facility) Feet FURNISHED BY�l1ST%un J ' �arC i o 0 'n 1 I W Q ♦loco 1 � Fee { THE COMMONWEALTH OF M SSAC USETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipprtcation for 33topoal 6pgtem Cow9tructton Verna Application for a Permit to Construct N Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 233 Se V(,kt'f Owner's Name,Address,and Tel.No. S+eVe.0-t K-oAkNeki fza Assessor's Map/Pazce� f L/Y 4-j" �ePT Sf', Ycx,fie 343 Installer's Name,Address,and Tel.No. Paa�r� Designer's Name,Address and Tel.No. �9. Jar\ a5j1 to", A- N. Type of Building: Dwelling No.of Bedrooms Lot Size 77. %oA sq. ft. Garbage Grinder (/Jo Other Type of Building No.of Persons Showers Cafeteria Other Fixtures /Jc� Design Flow(min.required) gpd Design flow provided Q D gpd Plan Date r] Sc) 13 Number of sheets 2 Revision Date N11A Title (A 4 tZ,ve Size of Septic Tank /5-00 Type of S.A.S. d �,&,2 t , Description of Soil l P 1,16 --It n rs(-L. -71 Nature of Repairs or Alterations(Answer when applicable) fJ(Ot I1K IC ) 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 e Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o alth. Sig Date Application Approved by Date Application Disapproved y: Date for the following reasons Aft A Permit No. : Date Issued No. a� 301 Fee �a � v TH t COMMONWEALTH OF MASSAC b USETTS. Entered in computer: PUBLIC-HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes t 2pprtcatton for atg-ogal Opgtemc Con.5tructton Permit Application fora Permit to Construct X) Repair( Upgrade(,) Abandon( ❑Complete System ❑Individual Components Location Address or Lot No. f viev CCA. Owner's Name,Address,and Tel.No. S 3 F✓<✓ 1 V f`44-f v t!e l( s,J y Assessor's Map/Parce ! j„1c I i a41 Installer's Name,Address,and Tel.No. ee'c��GY E CXC.vcr. Designer's Name,Address and Tel.No. �c x 1�f- 4�av1 In�A� \aror�t./rrG'i lry�r�. /'� ``i! . T `mil f � nW�.SMA e`2(nnI Type of Building: w� rc Dwelling No.of Bedrooms Lot Size Z Z0 sq. ft. Garbage Grinder (/JC.) Other Type of Building I,,)("Od —(Ir-61 _44 No.of Persons Showers V 5) Cafeteria(14c). Other Fixtures., No, Design Flow(min.required) gpd . Design flow provided 0 gpd Plan Date (���3 Number of sheets Revision Date N +. Title 06 ' i Size of Septic Tank Type of S.A.S. 21 -3 r t`W C t<<�+ r s1 W�41 v:) Description of Soil 1 - x l Nature of Repairs or Alterations(Answer when applicable) C' x '�{ ! �`r-�. ,.� �U i._4\ last inspected: 1/dF___rnk_ Agreement: i The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of-the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f alth. .� Signed /' .--�% ,�1i � —~ Date I Application Approved by ,q� J rsY.� .1�7 > Date , Application Disapproved by: for the following reasons r Permit No. Date Issued —————————— ——————— ——————f—T————————————— THE COMMONWEALTH OF MASSACHUSETTS , 1 BARNSTABLE, MASSACHUSETTS Certificate of Compliance �/ / • THIS IS TO CERTIFY,�that�the On-site Sewage Disposal System Constructed ( ) Repaired ( ' )„ 'Upgraded ( ) z Abandoned( )by I at 93 �� o y c c-c ' �u r ti J­0- — haps�been/constructe acc rdance with the provisions of Title 5 and the for Disposal System Co struction Permit No. -/�/ �j "~ 7n I dated CA Installeresigner #bedrooms Approved d( i.%nflow / ,y� gpd The issuance f f this permit shall not be construed as a guarantee that the system d+' c ' n s designed. Date % Inspector 11 � Yl/f1x--: ,� Y --- - No. ` ------ Fee THE COMMONWEALTH OF MASSACHUSETTS 1 PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwigogal *pgtem Congtructton Permit Permission is hereby ranted to�onstruct (�-) spair. ( )n grade ( ) Abandon ( ) •System located at �,)2 3 �� v 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 rust be completed within three years of the date of this permit. Date Approved by AUG-07-2013 15:17 From:BRYSIDE BUILDING 508 775 0155 To:15087906304 P.1/2 �.k 276o3 P9302 045981 } �'rO--�O�^2Ox3 QI iD9 s � 1u . i i DEED>O TRIM9 j i SAS,Steven R.Haley and Kathleen P.Haley,Trustees of the Russell Powers Nominee Trust,u/d/t dated November 27,2001 and recorded with the Barnstable Registry of Deeds in Book 14488,Page 270,having a mailing address of t48 Linden,Street,Smite 303, Wellesley,Massachusetts 02482,are the owners of 233 Seapuit Lover dead,Oyster Harbors (Oeterville),Barnstable County,1HCassachusetts,and being shown on a plan entitled"Plan of Land in Block 16 At Oyster Harbors,Osterville,in the Town of Bmwuble,lV am, Scale 100 feet to an inch. August 6, 1929. T.H.Stegmaier,Civil Engineer,Osterville.Mass.",which said plan is duly recorded with Barnstable Registry of Deeds in Plan 119*39,Page 23. Bala and Kathleen P.Hale Trustcos of the Russell Powers Nominee W,�REAS, Stover R y Y, � Trust,as the owners of said.lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any buildings built on said lot as a pre-condition to containing a disposal works construction permit in compliance with 310 CMR 15.00 State Environmental Code,Title'V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and authorizing the issuance of building permits for the h construction of a pool cabana and a single family home on this property,is requiring that the V agreement for the restriction on the number of bedrooms in the buildings constructed on the lot r� be put on record with the Barnstable County Registry of Dads by recording this doaurnent. j NOW,THERl~FORE,Steven R.Haley and Kathleen P.Haley,Trustees of the Russell Powers Nominee Trust,do hereby place the following restriction on the above-referenced land in accordance with their agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in.title: 1. 233 Seapuit River Road,Osterville,MA may have constructed upon the lot buildings containing a Cowl of seven(7)bedrooms(currently proposed is a pool cabana containing no more than one(1)bedroom and a house containing no more than six(6)bedrooms). Steven R. Haley and Kathleen P.Haley,Trustees of the Russell Powers Nominee Trust, agree that this shall be a permanent deed restriction affecting the buildings located.on 233 Seapuit River Road,Ostervilic,MA,and being shown on the plan recorded in Plan Boole 39.Page 23. Property Address: 233 Seapult River Road,Oyster Harbors(Oaterville),MA AUG-07-2013 15:17 From:BAYSIDE BUILDING 508 775 0155 To:15087906304 P.2/2 511 - i Far title of Steven R.Haley and Kathleen P.Maley,Trustees of the Russell Powers Nominee Trust,see Deed recorded with the Barnstable Registry Of NOds in Book 22442,Page 197. ExECUTED as a sealed instrument this day of August,2013, Russell Powers No a Trust By: - StMER.Haley,Trustee By., tCa hleen P.Haley,Trustee COMMONWEALI I Of MASSACHUSETTS County of On this 0- day of August,2013,before me,the undersigned notary public,personally appeared.Steven Re Haley,Trustee,as above- 'd,and proved to me through satisfactory evide of identification,whiahwas a_ MA hrio4ov to be the person whose uamess signed on the preceding or attached document,anti acknowledged to% �'ar,,;�! signed it voluntarily for its stated purpose. Mu o -. Notary Public' ?ti a W.x~ my commission expires:A 1 Si COMMONWEA T14 OF MASSACHUSI;TTS County of . On this U .day of August,2013,before ime,the undersigned notary public,personally appeared Kathleen X'.11Iaiey,Trustee,asg-sa'd,and proved to me throughsatisfactory evidence of idmt1Fieation,which was a to be the person whose name is signed on the preceding or attached document,and acknowledged to me that she signed it voluntarily for its stated purpose. .tea '."'q 1i Q Notary.P ligi� :, ' My commission o /fo 4. b441 N* BARNSTABLE REGISTRY OF Town of Barnstable Regulatory Services t Richard V. Scali,Interim Director * BARNMBLE, • - 9 MAC g Public Health Division 1639. �0 A'Eo ° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: q-Zo-/3 Sewage Permit# 20(3- 3 0 l Assessor's Map\Parcel E151 Oo Designer: r3ex.6�: Nv Installer: . go3l6r:: 4 xcr�JaF:oy+ Address: '?$ 0,0-44 Z -- Address: I ct. ,,,, . l-E.-ra.n„ea 024011440erJ44 C)251e3 On $-S - Za(3 was issued a permit to install a (date) (installer) septic system at 2 33 5eapy } t2we►. 2 , based.on a design drawn by (address) l3 dated ((designer) sooO I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic.tank. . Strip out (if required) was inspected and the,soils were found satisfactory. I certify that the.septic system referenced above was installed with major changes (i.e. greater than 10' lateral.relocation of the SAS.or any vertical relocation of any.component. of the septic system) but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow_ Strip out (if required)was inspected and the soils were found satisfactory. I certify,that the system referenced above was constructed i e with the terms �H M of the IAA approval letters if applicable) �, q pP ( Pp ) �P ss 9 O STEPHEN ti G AL u' m -i o WIISON — sta er's Sign a U No.30216 Cn G/STER�C���k`r ss/� LNG esigner's Signa e) (Affix Desg Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Form Rev 8-14-13.doc 27-02.G-a;o( Ing Cianb lon \\ ,. . 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LOCUS MAP BAXTER NYE ENGINEERING.& SURVEYING Town of Barnstable P# LIT of*IHE,Tpk o Department of Regulatory Services BAMSTABLE, i Public Health Division Date 019. �e 200 Main Street,Hyannis MA 02601 �rED MPI Date Scheduled / Time v Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: Sr toe_ (.) SQ t1 Witnessed By: LOCATION & GENERAL INFORMATION Location Address 233 StCi{w�� R�KCtr ROaoO Owner's Name rjltvtiv, Hat C�c�9�er arbe�-s Address lq& �.iHateN y t &Ilea►e-� / M/+ Assessor's Map/Parcel: 0$//00 1 Engineer's Name A. CJi l s* Per_13 4r iLlc�s NEW CONSTRUCTION �_ REPAIR Telephone N Land Use t-cS t C_e sgkne.1 Slopes(%) Surface Stones t* � Distances from: Open Water Body '" 2 O ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SEE TCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Pia rent material(geologic) r_ctol cpu wash Depth to Bedrock Depth to.Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs,hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level— PERCOLATION TEST Date] Time Obsee Vation Holgif �-- Time at 9" r. Depth of Perc 56 a Lo0 Time at 6" 10'.2 . Start Pre-sonk.Time a 10!0 a 101,33 Time(9"-6") 2mod, End Pre-soak t O .2 3 �b ScaP ,. Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:HEALTH/WP/PERCFORM DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel) 0^ 10 Y yQ 13Y- 25n �p �„pcmcl SA�d(' 10 Yrz s�£r 25"� 12d� G vti1«IwVm SoncQ 10 �1� 6/� — Wole, 06,9ee"j. DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture.. Soil Color Soil Other Surface(in.) (USDA) (Munsell). Mottling (Structure,Stones,Boulders. Consistency.%Gravel) Z 25 '� �L kC4Pi 50V":Q 10 Y re 3/8 — Z$�-`132�' G Yvl o(ivwl S" I O YI? tD�3 — Alb woher o6serya DEEP OBSERVATION HOLE LOG Hole# �3 Depth from . Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,° a el 0.-12 10q ne — G 4M.y S OL Y V '1 MCA. �TaJ. �o `art G/3 — /vo wa okwyrd DEEP'OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.°°Gravel) A la 10 ,* 313 u� � vn� ► 10 are 5/r k114 rp 7/G Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No J,/ Yes Within 100 year flood boundary No Yes Depth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the . area proposed for the soil absorption.system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on A&r . 1".T (date)I have passed the soil evaluator examination approved by the Department-of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise an.d experience described in 310 CMR 15.017. Signature Date Q:HEALTH/WMERCFORM Town of Barnstable P 4 oFitte►owe Department of Regulatory Services. - Public Heahth Division Date y MA8.9. ie59 200 Main Street,Hyannis MA 0260 k Prf0 MPt Scheduled th)_ Time v Fee Pd.)ate Sch — Soil Suitability Assessment for SewAge,,Disposal . Perfonned By: Qt g (.)i V.SQt1 Witnessed By: LOCATION & GENERAL INFORMATION - Location Address 2 Owner's Name ,. 2 3:3 SG•C�t(J v�'�' 2„�.w laoaa4 �L5'i"CV'Cv� �.��g T-c.l^. _ L!d`t®.CPS I-1 C7 �wlh6tGH 45+ - �- Address elteesie- / M/ CZ 1/8 Z En i ' me tt„ A• CJt( Assessor's Map/Parcel: .Cy SI/GQ 2 gneersNa 'Q so+9 w�her c�z IN EW CONSTRUCTION )( REPAIR Telephone N 5c -7 1=7 SO 2;:ex4..13 Land Use i"ee tG�rt_�she. . i _ Slopes(%) . Surface.Stones Distances from: Open Water Body'" 2 O ft Possible Wet Area ft5' Drinking Water Well ti Drainage Way ft Property Line ft, Other. ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes). T� ' t- � � �i rvt P vvl , NO --9 Y Parent material(geologic) e1I6-GGI 4�h�wask\ Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face ' I stintated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: - Depth Observed standing in obs.hole in. Depth to soil mottles: Depth to weeping front side of obs.hole in. Groundwater Adjustment Index Well a Reading Date: Index Well level Adj.factor Adj.Groundwater Level— PERCOLATION'TEST Date' Ie / Tame Obs�m tlon z, Time at 9" cal -2 6 Depth of Pere 5� / Q u Time at 6 IU ,2 8' Start Pre-sonk;Titie a 1-0 1 O b /D; 3 Tinle(9 61) 2wt�4 End Pre-soak ., 10':23 :. VN G.( to h :SculA... Rate Min./Inch >5VKn/,M Site Suitability'Assessmeitt: Site Passed I� Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed•on Back----- -- ***If percolation testis to be conducted within 100' of wetland,you must first notify the - Barnstable Conservation Division at least one (1)week prior to beginning. Q:FIEALTH/WP/PGRCFORM C 2007^U Zr.- I c98) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders. i t ° Gravell 13'- 2 5 �ocmy Sc�dQ to Y K $13,. 25"= 12d� C. Vti1�o)wm :$oncQ : l p `It12 6�(, /ik (,yoke, 06,Ct/v-r� DEEP OBSERVATION MOLE LOG Hole# 2 Depth from Soil Horizon, : Soil Texture... Soil Color Soil Other . Surface(in.) (USDA), (Munsell) Mottibig (Structure,Stones,Boulders. - Cotisisteiicy.%Gravel) . ( oa►•+ Io YID rQ Y'Atdhywi Sow i v Yt2. t'0�3 , — A1d WG6e.- ®63crde�,o DEE P OBSERVATION HOLE LOG Hole# 2 Depth from' Soil Horizon. Soil Texture Soil Color Soil Other Surface(in.) - (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency yi gravel), 0-12" i�sp" �a��� Sore 1O Yi2 `1q 12 1f 30° 'B.: I,,.Ge,My..�GncaC {v ire sly C DEEP OBSERVATION HOLE.LOG ' Hole# Depth from :Boll Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mimsell) Mottling (Structure,Stones,Boulders. Colisiste6cy.°°Qrpvch h,0 an �GVm+t 0 `1'i� �� A' `9-, "1dtk114 SERA' (b fQ ��t�i F�0 t�� / Ob Flood Insurance Rate Man Above 500 year flood boundary. No Yes �✓ Within:500 year boundary No Yes Within 100 year flood boundary No V Yes Death of Naturally Occurring Pervious Material '. Does at least foul feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Aj��If not,what.is the depth of naturally occurring al? Certification I certify that on �1 i(L ITS (date)I have passed the soil evaluator examination'approved by the Depattment'of Envirorunental Protection and that the above an was performed by me consistent with the rewired training,ex ertise and experience described in 310 CMR 15.017. Signature - ®-- Date 8= ®�� Q:HEALTt-I/W P/PERCFORM No. Fee- ------------ BOAR&'OF HEALTH /^ S TOWN OF BARNSTABLE C� ZipplicationforlVell Comitruction ermit Application is hereby made for a rmit to_.Constr t ( ), Alter ( ), or Repair ( )an individual Well at: — .A __ -.� --0v3 Location Address Assess3s and Parcel y n p Owner Address 69�n' ten__ OQ� 3_ Installer — Driller Address Type of Building Dwelling -------—__---__—__-_-__-- Other - Type of Building—=---_--___— No. of Persons------ ———------ Type of Wel ---- Purpose of Well. Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate.of Compliance has been issued by the Board of Health. Signe14 d -- —--- -- � -- d e Application Approved By —__--__—___— o ate Application Disapproved for the following reasons: —___—.---_—_--.----date Permit No. Issued-- ------_--------__�_.__-------___ --_-__-- date ----------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the jndividual Well ConstructedAltered ( ), or Repaired ( ) by_JQZZ ----- a. —------- - __—-_-__-----_-- --- i staller i at_ ---- -- — — --- — --- -- -- —---has been installed in accord ce with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------------Dated—-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector �0 No._�.�----- ------ D Fee-- ------------- BOARS'W H`V,4LTH TOWN OF 'BARNSTABLE - zipplicat ion-for lbell Conotruction ermit Application is hereby, made for a permit to Construct ( ;), Alter ( ), or Repair ( )an individual Well at: Location Address Assessors MW and Parcel IT Owner -__--Address _—�- Installer — Driller Address Type of Building Dwelling Other - Type of Building---- --__--____ No. of Persons_-.---- Type of Wel -- Capacity------------_-------_ --_— Purpose of Well-- ----- -----_ Agreement: ' The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to' place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed --- — ---- - —�L1 -- d e Application Approved By. --_ __--_— 1 i a U date Application Disapproved for the following reasons: -- .—_ _____.___,__--- ---------- — date - II Permit No. — — -- Issued----- --- - ---- ---—-- ------- date F --------------------------------------------------------------„------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the jndividual Well Constructed (v�Altered ( ), or Repaired ( ) Installer athas been installed in accord Ace with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------------_____Dated—-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY.- DATE - - _ Inspector - ----------------------------------------------------------------------------------------- -- BOARD OF HEALTH TOWN OF BARNSTABLE Veil Conotruction3permit No. 1,d1 0/4 _ ylo Fee- --_'_-- Permission is hereby granted —_____.._._____.__ _ to Construct ( c.)/A ter ( ), or Repair ( ) an Ind' 'dual Well at: No. - - A04 1 A sd -- --- - -----— ------------------------------------ Istreet as shown on the application for a Well Construction Permit No.- _—_____ Date --- -- _- -------------- --------------------- Board of Health DATE 1 _ — COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 233 Seapuit.River Road (J O J Osterville MA 02 U5 Owner's Name: Joan Corby Owner's Address: Date of Inspection: September 13 2006 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: PRO..Box`49 Osterviiie,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the infonntion rep'oi ed �� below is true, accurate and complete as of the time of the inspection. The inspection was performed I don training and experience in the proper function and maintenance of on site sewage disposal systems. , a DEyP- approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system ✓ Passes ; Conditionally Passes to �- Nee Further Evaluation by the Local Approving AuthoriMT Fai Inspector's Signature: Date: September 20 2006 The system inspector shall sub t a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 233 Seapuit River Road Osterville MA Owner: Joan Corby Date of Inspection: September 13 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 time's 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 obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 233 SeUuit River Road Osterville MA Owner: Joan Corby Date of Inspection: September 13 2006 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 CAM 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water — Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS.and the SAS is within a Zone 1 of a public water supply. The.system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliforn bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 ' 3 OFFICIAL INSP� ',CTION FORM-NOT FOR'V )LUNTARy ASSESSMENTS SI'BSURFAC�'l SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: _233 Seavuit River Road Osterville MA Owner: _Joan Corby Date of Inspection: September 13 2006 D. System Failure Criteria applicable to all systems: You must indicate either"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 ''/z day flow, ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface , water supply. ✓ Any portion of a cesspool or privy is within a,Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. J ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as ' described in 310 CMR 15.303,therefore the system-fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure: E. Large System: To be considered a large system rthe system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No ,. the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located'in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone 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 contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 233 Seaouit River Road Osterville MA Owner: Joan Corby Date of Inspection: September .3 2006 Check if the following have been done: You must indicate"yes"or"no"as to each of the followin 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 nonnal flows in the previous two week period? _✓ Have large volumes of water been introduced to the system recently or as part of this inspection? n/a Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ _ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ — Were all system components,excluding the SAS, located on site? ✓ — Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. � e , 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 233 Seanuit River Road Osterville MA Owner: _ Joan Corbv Date of Inspection: September 13 2006 RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): n/a Number of bedrooms(actual): 7 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 770 . Number of current residents: I Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes:or no): Yes [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently Occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): Pumping Records GENERAL INFORMATION Source of information: The cesspool was pumped after the inspection for maintenance Was system pumped as part of the inspection(yes or 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) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Date ofinstallation unknown Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 233 Sea uit River Road Osterville MA Owner: _ Joan Corbv Date of Inspection: September 13 2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) (Cesspool acting as a septic tank) Depth below grade: 8" Material of construction: concrete _metal _fiberglass _polyethylene ✓ other(explain) Cesspool block If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 6'W x 6'T x 8'bottom to grade Sludge depth: 15" Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 4" 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: Measuring stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity; liquid levels as related to outlet invert, evidence of leakage, etc.): The cess ool had 3'o li uid on the bottom. The steel cover was 8"below zrade. The cesspool was oriQfinal. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition;structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.); 7 Page 8 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 233 Segpuit River Road Osterville MA Owner: _Joan Corbv Date of Inspection: Senteinber 13 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: --___gallons Design Flow: allons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alann and float switches,etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments (note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: None (locate on site plan) . Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): 8 '• Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 233 Seapuit River Road Osterville MA Owner: _Joan Corbv Date of Inspection: September 13, 2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 2-6'x 6'(1000 gal) leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Conumnts(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): Both nits were dry and clean. Steel covers were to zrade. The bottom to rade was 12'. The its were added in a roximatel 1976(per owner) There did not appear to be anv signs of failure in either pit CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Commments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 9 F ti Page 10 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 233 Seapuit River Road Osterville M,4 Owner: _Joan Corbv Date of Inspection: _September 13 2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the.sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. n a 31 a� a O arwc w� 3 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 233 Seapuit River Road Osterville MA Owner: Joan Corbv Date of Inspection: September 13 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25+/_ feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain:_ topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: -Usinz Barnstable to o ra hic and water contours ma s the ma s were showinga roximatel 25'site. +/-to round water at this This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic system, the inspection,.this report and/or any components of the septic system which have not been located and inspected. 11 r � TOWN OF BARNSTABLE LOCATION: --33 SEWAGE# i VILLAGES v ASSESSOR'S MAP&PARCEL 0 —0D/ INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) 4 . NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY � J � P► I A A S 3 y to y(o a- 3. SENCHMAKK: \ L__IJU.14 - - NAIL SET IN U/P #21 1.2' ABOVE GRADE ��� �; L=168.30' .R-317.02' .53" E Gvo) \s. S ESA PU O T _N f ,��'' 32 W _ ?t 93.66; -�'" �w — PRIV�ITE WAY w �w w w w w w w W w ?3. CB/DH (H . 17/P'21 /l U/P 134/2 �•31 5�i =18.00• (jam L=189.53' R--357:02' ' S -7 � ., L=144.18. WATER i �gq.2� IP/FD l I SHUT=OFF l I INMAP 051, PARCEL 001 AREA TO MHW I 1 u7 � all 79,803t SF 1 r') 1.83t ACRES TP #9 LO Z 1 Np o J - d O` � n Tp. 0 CD ;b TP # N L O T I: H. N/F JOHN P. 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CONSENT OF THE RE DESIGNER E UNDER - : CONSENT OF THE DE&CHEER UlIDEfl THE ....._`- .. ACT OFlCTURACO GHf PROTECTION .. - ... .. ..... ACT OF 1>H8. ...... .. 1 ......, .._..... .. �... NAILING SCHEDULE 10 MPH EXPOSURE C WIND ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING - .. .. .. .. ..ROOF FRAMING 4•.y - n's .. 1D•s s.-� .. .. .. .. :BLOCKING TO RAFTER(TOE.NAILED) 2_gd 2-lOd EACH END :RIM BOARD TO RAFTER(END NAILED) 2-16 d 3-16d EACH END WALL FRAMING:: PS PS - TOP PLATES AT.INTERSECTIONS(FACE NAILED) - 4-16d 5-16d AT JOINTS - - - STUD TO STUD(FACE NAILED) 2-16 d 2-16d 24"o.c. HEADER TO HEADER(FACE NAILED): 16d 16d 16"o.c.ALONG EDGES _ - :FLOOR FRAMING: ' JOIST TO SILL,'TOP PLATE OR GIRDER(TOE NAILED 4-8d 4-1Od PER JOIST BLOCKING TO JOISTS(TOE NAILED) . " 2-8d 2-10tl EACH END ... ... .. TOP PLATE BLOCKING TO SILL OR 0 (TOE NAILED): 3-16d - 4-16d EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED)- 3-16d 4-16d EACH JOIST -JOIST ON LEDGER TO BEAM(TOE:NAILED) 3-8d 3-1Od PER JOIST :BAND JOIST TO JOIST(END NAILED). 3-16d - 4-16d - - PER JOIST --- -- —- :BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16 d 3 t6d .PER FOOT ©. BUILT-IN b - . raswETs ROOFSHEATHING:: : - 4 HURICAN WOOD STRUCTURAL PANELS(PLYWOOD) LASS .. ..- ... I b) SHELVES-GDOORS LIVING SMELD31Ex 6ff - 3'$ b ON BOTH SIDES - FRENCH DOOR RAFTERS OR TRUSSES SPACED UP TO 16'o.c. 8d 10d 6"EDGE16"FIELD ROOM 3TB: RAFTERS OR TRUSSES SPACED OVER 16"o.c. ,: 8d 10d 4"EDGE/4"FIELD PELLA INSWING. GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG, 2D7 - HURRICANE TRUSS 6 E DGE/6"FIELD ABOW 5:$._ 2rZ ... FRENCH cwOOO WASTRUCT,URAL OUTIOOKEBLE END WALL RAKE OR RS E .. R RAILINGS c . .. GABLE END WALL RAKE OR RAKE TRUSS W!LOOKOUT BLOCKS 8d. 10d: 4 EDGEI4".FIELD 4 4 C - .. .. IVAULTED'CENNG INSTALL :. ❑D ABOVE : &+ 4 .... ..... .. .. - B .. BOARD&BATTEN) RETRACTABLE g _ i9 - CEILING SHEATHING: _ . ... SCREEN AT .... ..... . .. .. .. .. 24'RECESSED .. ROOF - - .. MEDIGNE DOORS - - GYPSUM WALLBOARD- 5d COOLERS 7"EDGE/10"FIELD CABINETS,, DECK b - PELLA FD(ED :WALL SHEATHING: .. HURRICANE D STRUCTURAL PANELS(PLYWOOD) - .. .. .. ! I I I SHIELD 3'1'z&'B' v .. - ❑II❑I - - �10d: - 6"EDGE/12"FIELD FRENCHDOOR : STUDS SPACED UP TO 24"o.c. 8d .L .. .. . '- - �� -�� � 3Taz � -�� � �� � 1/2"&25/32"FIBERBOARD PAN Sd 3"EDGE/6"FIELD - BATH 5 -N -.... 1%2"GYPSUM WALLBOARD.. .. ...... .. 5d COOLERS ..... .. - -- - - ... .. .. 71.EDGE/10"FIELD . .. ..CABINETS a .: :FLOOR SHEATHING: .. .. .... DOOR ..... .b EL (PLYWOOD) .. BUILT-IN ... .. :: .. :WOOD STRUCTURAL PANELS - - - ... GLASS WALL �w 1"ORLESS THICKNESS :' :8d- 10d. 6"EDGE/12"FIELD GREATER THAN T'THICKNESS : ::10d - 16d: - 6"EDGE/6"FIELD N NOTES: e -: : 1 J.CONTRACTOR IS TO VERIFY-ALL EXISTING CONDITIONS - - &DIMENSIONS IN THE FIELD 2.) CONTRACTORTO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, ' - :. DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT 4. .. FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR �B - 4.):ALL CONSTRUCTION TO CONFORM T0.780 CMR MASSACHUSETTS.:. PS : STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 - 5.) ALL WINDOWS&DOORS TO HAVE SILL PANS&ICE/WATER SHIELD FLASHING 6.) 1 MPH EXPOSURE C.WIND ZONE .. - .. 10 7.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, - -OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING r - B.).ALL LVL LUMBER/BEAMS TO.BE 1.9e U480 LOAD - - - 9.) :SEE CERTIFIED PLOT PLAN DEVELOPED BY BARTER NYE ENGINEERING&SURVEYING .. .. .. - .. FOR ALL PROPOSED&EXISTING DETAILS :. . .. : .. :: .. ': .. .. .. .. 1 RER S SPECIFI INSTALLATION OF AL - .. ..' 0.)FOLLOW�ALL MANUFACTU CAT.IONS.FOR INS C�. .. SIMPSON COMPONENTS 11.)-ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS.. T - .. .. .. .. O BE 3000 PSI - 12,):VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE SECOND. FLOOR PLAN. - � 'DURING FRAMING CONSTRUCTION - - 11)THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,.EXPOSURE"C" -- :..:. &WITHIN ONE MILE OF NANTUCKET SOUND PER.STATE OF MASSACHUSETTS WIND SPEED MAPS VYINDOVV SCHEDULE .. :: .. :. NGPROTECTION .7.0 . 5301.2.1.2. TO IMPACT -.14:)GLAZING PER 8 'CMR BE MPAC GLAZING IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS . � �� :.VERIFY ALL WIND BORNE rDEBRIS PROTECTION REQUIREMENTS . TYPE :MANUFACTURER'S UNIT. ROUGH OPENING REMARKS r: - CONSTRUCTION - CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION :TIMBER FRAMING ING TO B START OF CONS I A PELLA 2865 :. 2'-5 3/4"x 5'-5 3/4" DOUBLEHUNG 15.)TIMBER FRAMING TO BE SPRUCE/PINE/FIRNO.2 GRADE TABLE:402.1.1(MINIMUM PRESCRIPTIVE 8 FENESTRATION REQUIREMENTS) 8 2'-5 314"x2'-5 3/4 :AWNING FENEsrRAnoH sxrucHr cE¢ING WOOD FRAMED WAIL.FLDOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL : 16:)VIAU DE:RGROYINSTALLATIONS FROM STREET TO NEW HOUSE PELLA2929 VIA UNDERGROUND CONNECTIONS TO COMPLY W/ALL LOCAL CODES VFACTOR U�FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE "R-VALUE: - C PELLA 4141 � � 3'-5 3/4"x'3'-5 3/4": DOUBLEHUNG '� �' D- FELLA 36 .3'0 3/4"X 3'-0 3/4" CIRCLE o3S 060 3B 20 _ 3D Vx13 10(2 FT.DEEF) IM3 .18.)ALL EXPOSED TO BE P PRODUCTS&FASTENERS TO IL MADE OF.STAINLESS STEEL - �� -� ��� � � � - � 18.):ALL AZEK TRIM TO BE PAINTED WHITE&ALL JOINTSMAIL HOLES SEALED. NOTES:, 1:CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS T - 19.)SEE SPECIFICATIONS DEVELOPED BY NED JALBERT INTERIOR DESIGNFOR ALL FINISHES WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS 1.R-VA MESAR=_MINIMUMS& US INSULATEDRS ARE MAXIMUMS.. 2.10113 MEANS R=15CONTIN000SINSULATED SHEATHING ON THE INTERIOR OR EXTERIOR DETAILS,APPLIANCE$,CABINETS,ETC. 2.PELLA HURRICANESHIELD ARCHITECT SERIES IMPACT.GLAZING WHITE EXTERIOR OF THE HOME OR:R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 20.)VERIFY ALL NANAWALL DETAILS W/THE NANAWALL REPRESENTATIVES &ALDER INTERIOR,SUNDEFENSE LOW E GLASS W/ARGON 3.REFER TO.IECC2D09CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS PRIOR TO CONSTRUCTION&PURCHASE OF THE UNITS FOR SPECIFIC :.. - .-., FRAMING.FOUNDATION&PURCHASING DETAILS' , -21.)VERIFY ALL GAS FIREPLACE DETAILS&VENTING DURING FRAMING' - �� �� CONSTRUCTION FOR PROPER INSTALLATION&PURCHASING 22:):VERIFY ALL LANDSCAPE,HARDSCAPE&SECURITY FENCING W/ -- -- - THE LANDSCAPE ARCHITECT&PLAN. - - 23.)VERIFY ALL POOL DETAILS W/THE POOL CONTRACTOR&OWNERS PRIOR TO START OF CONSTRUCTION REVISED:4/26/2013 _. . THE ALL III/ _ I \ COTUIT BAY DESIGN, LLC : ERRORS1OREa1i WOWS ARE NOTIFIED IFAN•, l� NEW POOL HOUSE FOR: ERRORS DRAWINGS PRIOR TO START F .SCALE , DRAWING NO.: 1 CHEST DRAWINGS PRIOR TO START OF 43 BREWS TER ROAD DDU.us eFIESF RMULEFOR H EC NmAtTDR 1/4"= 11-0.1 NIASHPEE,MA 02649 " INTHESE DRAWINGS FOR HALEY RESIDENCE DESIGNER OfAN EIFORS OR UCnOH PH. HPE)274-1166 eaenreEex esvnnrournoT F3TNC THE FAX(50%539-9402 OF THE OWNERNrTaROasa THMUSEO THESE DRAWINGS ARE solE1.T FOR THE USE TDATIE : :.OF THE OWNER NOTED.ANYOTHER USE OF 233 SEAPUIT RIVER ROAD OSTERVILLE, MATHESE OFNGSRE000ffSTFEWWfiEN 7/2013 P2 CONSENT OFTHE OF9GNETi UNDER THE ACT OF ECn1RALCAPYa1GHTPROTEtfgN COPPERRIDGE VENT ROOF_:STANDING COPPER - - .. ..ROOF Wf50LDERED SEAAt6 ... . 12 .. SEE EAVE .. .. OETAII . .TOP OF PLATE TOP OF PIATE- - - - � .. .. F ATLAAMS S.S. T... .. RAILINGS .. SECOND FLOOR .... .. _ .. SUBFLOOR: SUBFLOORDO ft COPPER:GUTTER6 PROVIDE J)URCCK. .. .'- .: .. .. - CEMENT BOARD OVER ... ... - - .. . .... .. :- 'SHEATHING WITILE .. .. .. ... 9x Ox 3lP M6SPOST ... �: . A BACKER AT OUTDOOR : Wl AZEKCASIND . KITCHEN. :: :. :. (SEE DETAIL) .. m .. .. -' - ;PIRSTFLOOR - - OUTDOOR _ .. .. .. ..:. - FIRSTFLOOR SUBFLOOR - UEFFLOOFL .. .. .. .. KITCHEN .. .. .. : .. - - .. �.� .. Wl .. .. .. rl - .. . .... ESEEPNPROVDEDBY RIAFE FEATURE NED JALBERT NTRIODSIGNWEVT.ELEVATION ... (VERIFY DETPJLS W FROUTOOOR KITCHEN DETAILS OWNERS) ... ... ... . - SOUTH ELEVATION .. .. .. ..CUSTOM GRILLE A2EK:1 x e'FLYINO RAKE' ..:. .. .. BOARDS W/1x3 DRIP8 12 .. - TOP OF PLATE ; ..- :: '.. :. : .. .. TOP'OFPLATE AZEK 1•8 CORNERBOAROS RIFY COLOR) - - IA BEC W.C.SHINGLE . SIDING(VE - .. .. .. .. 12 .. ... - 12 .. .. .. -.� SECOND FLOOR .. .. ... :. .. ... :... .. .... ... :'_... � : �' ... SECOND FLOOR �- .. .. ... SUBFLOOR �� ... ... .. ... ... ... .. ... .. ... .. SUBFlOOR. .. ... ... TOP OFPUITE GO Q� 0, FIRST FLODR .. .... ..... - :. I� :: : .. Fo IRST FLOOR .. 6UBFLOCR - . .. EUBROOR. :. . ...:�tRUSTILE DOOR .. iRUSTILE DOOR .PER-SCHEDULE :. :. :: SHOWER SIDING B DOORS -- ... WHITE CEDAR 1 z ST&G BO%i0" ' PER SCHEDULE .. NORTH ELEVATION - - EAST ELEVATION REVISED:4/26/2013 THE DESIGNER SHALL BE NOTIFIED IF ANY COTUIT BAY DESIGN. LLC : POOL-HOUSE �E`D OR RAWIN��ale roST�w SCALE : DRAWING-NO.: Q 43 BREWSTER ROAD NEW FOR. �I RL aE R�� TOR _ - MASHPEE,MA. 02649 IN THESE DRAWINGS IFCOHSTRUCTION 1/411 PH:(508)274-1166 DESIGNER OF�,"ER�SORoO S�SIONS. HALEY RESIDENCE FAX 6`/ THESE DRAWINGS ARE SO FORTHE,IRE 1 011 FAX(508)539-9402 .. .,. - :. - : _ OF THE OWNER NOTED.ANY OTHER USE OF DATE:, 233 SEAPUIT RIVER ROAD OSTERVILLE MA nNGGREo°' " " . .. JRAL RlGHtUNDFATNE 2/17/2013 P . .. .. 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TO FOUNDATION WALL Ci I I L— — — 1 I : BEPM I I TOP a BOTTOM. _ .`,. f I FMBEDDEDWI 6 I FDUN ElO 0.WALL NTO E ..... li - ... : .. PKT' SMELF FOPSTONE b POOL. B 1/T IJOISTS 16'nc. � - AT EACH POST .. P I 4x bx3/4"STEEL POST I b 4 4 § P5 Wja_''Z z Y DEEP I VENEER. iu ..F ry WATER EL.31.5• .. "� .. .�" Sd OEM9 - CONCRETE FOOTING :. - I .. .. .. .. ,�i - I I PKT. W/L5BARS®6o.c I FORPOOLATTACH ENT . .. BOTH DIRECTIONS .. i j : .. A.3zw I.I . I .912 IJOISTS @,6 o.c. I POST UND EACH P _ PATIO I BE, FULL':. F .4"WIDE i C I — — -- cKe� Y C I: I II BASEMENT ` 6WTFOR I. I . .. 15 I r . (q'coNc SLABWI _. 1 i 6 MIL POLY UNDER NANAW I I I I 11 ( )I DOOR.. .. .. .. .. I SEAL 8 PAINT... EPO%V FINISH) § _ - I I .. I a ... I I. FASTEN TO.SEMI WI - � INTERIOR WA143 � � � - .. ... .;I I .. .. I B" I 1 A rl JOIST GERS ... I. I 2-1 N4 x91 LVLM I I 2x8a ,�•o.n II L. I I: 1 II . 12x7 STEEL U Fif 1I I ':.. ..... 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FOUNDATION/FRAMING :PLAN SECOND FLOOR FRAMING PLAN .NOTE:. .. .. .. .. - ..ALL.MECHANICAL,ELECTRICAL,CENTRAL VACUUM - - &POOL EQUIPMENT TO BE LOCATED IN.THE - .. -- - -BASEMENT.DUE TO LACK OF WINDOWS,THIS-- o s�EeTEaosT�s - 72 xT STEEL PLATE SPACE TO BE MECHANICALLY CONDITIONED PER - - THE BUILDING CODE REQUIREMENTS .:. .. :: .. .:. .. ____ ___________ ______ SWT FOR o ... ... STEEL PLATE. .. INSTALL TWO FULL HEIGHT STUDS 8TWO JACK O D :O ... .. .. . STUD AT EACH SIDE OF ALL ROUGH OPENINGS � �� � � �� � . .. . - 6x 4x 3'd O O Has POST . PLATEWII2HARDWARE WINDOW 8%3x31� BOLT LK'S THRU STEEL 1 1 3K Y . .2z6WALL .. .. .. ... OPB BOTTOM HSS POST - �- ®,6'P.c.T TOP VIEW ..- � JacK sruo MOMENT FRAME DETAIL BEAM DETAIL . .. .. - (ROUGH OPENINry. .. - - - - ✓*' . NO SCALE '^ / NO SCALE i ROUGH.OPENING DETAIL - "u c c' 3o�i3 REVISED:4/26/2013 THE COTUIT BAY DESIGN, LLC AAA NEVI/ POOL..HOUSE��FOR: - - - THESEDRAWING CONSrRLGNER.THEBHALL EDINGGOED TRAC 1/4 1 .... NY ERRORS OROMISSIONSAREFOUNDON SCALE : DRAWING NO.: 43 BREWSTER ROAD .. -. • - WILL BE RESPONSIBLE FOR THE CONTENT MASHPEE,MA. 02649 IN N S DRAWINGS CONS RUCROACTOR O 1-OII H A L EY RESIDENCE IN THESE DRAWINGS 6CONSIRUORON 11 PH.(508)274-1166 DOMNE ESE RAWINGHOUTIWRFTINGT TI �� 8 DESIGNER OF ANY ERRDRS OR OMISSIONS. FAX(50 )539-9402 A RIVER ROAD Tp of THE o4YNEp rroTEO F,NY�aT UMEOFE DATE: 233 SEA PUT ■ �I Y ER RVi \D OS • ERVILLE MA ARCTHE ITECTURAL6REOMIGHTPRETEL N CONSENT OF THE DESIGNERUNO£RTNE 2/17/2013 ARCHITECTURAL COPY RIOM PROTECf10N ' �. .. ACT OF iAm. .. CDNT.RIDGE VENT TYP. ROOF CONST. 2112 ROOF RAFTERS®16'4c. .. .. -50 CDX PLYWOOD ROOF SHEATHING. -COPPER STANDING SEAM ROOF - -15LB.FELT PAPER 2xNH pp16'P.c. -10'HI-R BATTINSULATION - - 2 ®SLOPED CEIUNOS(RwSS)V-BATT INSULATION.®FLAT CEILINGS(R-W? 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REBAR LENGT TRIMMER STUDS vF (PER DETAI (PER PLAN) (NAIL PE 1 ) SSTB16 5/8 12 50 SSTB2 5/8 12 58' OPENING II SSTB20 5/8. 16 58 vF SSTB20 5/8 16 58 _-- ---T hl SSTB24 5/8 20 66' ' SSTB24 5/8 20 ' 66' -__ --_ CS16 STRAP SSTB28 7/8 24"T!R' : 74' - SSTB28 7/8 24 . 82, ' Ir I (PER GS .. : SSTB34 7/8 28. ,V 82' SSTB34 7/8 28_y 82' SB1x30 1 24' 96' . HDU HOLDOWN SB1x30 1 24'. 96, HDU HOEDOWN CS16 STRAP—,,, II ° NNOTE: #4 REBAR TO BE CENTERED ON HOLDOWN II ■NOTEi #4 REBAR TO BE CENTERED ON HOLDOWN (PER GSN) AND LOCATED 3' TO 5' DOWN FROM TOP OF LOCATED 3' TO 5'. DOWN FROM TOP OF THREADED ROD- AND THREADED ROD FOUNDATION WALL - - FOUNDA'TIONWALL - .. PER SIMPSON MANUFACTURER'S SPECIFICATIONS. PER SIMPSON M UFACTURER'S SPECIFICATIONS. - nn... nn LTPS :. : °11 ... LTPS nn NN nH (PER GSN) " .il , (PER GSN�11 n 45° a" #4. REBAR Nu uu uu I SSTB HOEDOWN ANCHOR e ° e -DSP (PER GSN) (PLACE SSTB ARROW #4 REBAR�r � a ON TOP OF ANCHOR .. a CNW COUPLER .. r • - SSTB NOLDOWN ANCHO EDGE-DISTANCE DIAGONAL IN CORNER POSITION IN WALL PER 1J5' FOR 2X4 W LL :3' TO 4 REBAR° - z. APPLICATION) —3' TO 5 ° a 4 REBAy2 SIMPSON MANUFACTURER'S _2.75' FOR 2X6 WALL «.'�.:CNW COUPLE ' Li SILL PLATE {/ SILL PATE /' DSO a SPECIFICATIONS. ANCHOR BOLT- "' AN BOLTJ.. (PER GS ( ER SSTB HOLDOWN'ANCHO EDGE DISTANCE (PER GSN) :q " AN. REBAR LENGTH N)'S17 275`:FOR 2X6 WALL GS a y MIN, REBAR. S$TB. HOLDLIWN ANCHOR - ... HOLD DOWN @ - PLAN VIEW HOLD DOWN :@ 5•MIN. PLAN VIEW. WINDOW ❑R:: DOOR ffPENING: EXTERIOR BUILDING CORNER _ . BUILT-UP CORNER ST_ S MODEL N0. DIA. MIN. EMBED, MIN. REBAR LENGT (PER DETAI ) �F SSTB16 5/8 12 so 2 x:6 :WALL SSTB20 5/8 16 : 58' 6x6:DOUG FIR POSY O.C. 4' O.C. SSTB24 5/8 20 66' .. ... ... I I :. ... .. -. .. ... .. .. .. .. .. SSTB28 7/8." 24 36' 74' ; SSTB34 7/8:. 28 82s + ' HDkJ HOEDOWN SB1x30 1. 24' 96'.. + + )mNOTEI #4 REBAR TO BE CENTERED ON.HOLDOWN HOLD DOWN + CS16 STRAP­,, II ° AND-LOCATED 3' TO 5' DOWN FROM TOP OF - (PER GSN) THREADED ROD .. FOUNDATION WALL - " (PER PLAN) PER SIMPSON MANUFA TURER'S SPECIFICATIONS.. x MIN. REBAR LTPS iil° #4 REBARN PLAN VIEW ELEVATION VIEW (PER GSM n ` j*4 r l NOTESDSP'(PER GSN)'" 3 L1: ATTACH STUDS AT BUILT=UP CORNER TOGETHER WITH- _ OR 3' TO (2) ROWS OF 16d (0.162 x 3.5°) NAILS AT 6° O:C. FREBA EDGE DISTANC a 2ND STORY SHEARWALLS. SILL PLATE`J° CNW.000PLE 1.75' FOR 2X4 WALL ANCHOR.BOLT "" 1.75' FOR 2X6 WA <;. 2, ATTACH STUDS AT BUILT-UP CORNER TOGETHER WITH . (PER GSN) .: SSTB-.HOLDOWN ANCHO 4 O.C. (27 ROWS OF 16d C0.162'x"3,5°) NAILS AT ' SSTB.HOLDOWN ANCHO STAGGERED FOR 1ST STORY SHEARWALLS. _ :(PLACE:SSTB ARROW _.. --- ON TOP OF-ANCHOR . .. ... .. .. HOLD DOWN @ DIAGONAL IN CORNER PLAN vIEw BUILT U:P CORNER @ INTERIOR :BUILDING CORNER. . , APPLICATION) END OF SH.EARWALL _ ... - ROOF SHEATHING NAILING'. ATHING EDGE ROOF SHE ROOF RAFTER LSTA STRAP @ 16.' O.C. .2X BLOCKING BETWEE PER PLAN CPER GSM :. : RAFTERS (NOTCH FOR. ". : .. .. .. VENTILATION IF.REGIUIR ROOF SHEATHING REFER TO-ARCHITECTURAL EDGENAILING: .. PLANS FOR MORE:INFO.) (7) - 10D NAILS @ EACH EN t: t t t t + t t DOUBLE 2X TOP PLA E ROOF. RAFTER PER PLAN. C . . REFER TO ARCHITECTURAL SEE ALTERNATE PLANS FOR _` ROOF:RAFTER PER PLAN RAFTER DIMENSIONS AND. i T H2.5A (INSTALL PRIOR . - -- __ TO BLOCKING AND : EAVE ALTERNATE> ATTACH OPPOSING DETAI t1NN��,�� PLYWOOD SHEATHING) 2X STUD RAFTERS BELOW RIDGE BEAM OR. I➢OUHLE 2X TOP PL E ALTERNATEI .. RIDGE BOARD WITH 2 :x 4:COLLAR BEAM � TSP (INSTALL PRIOR TIE AS SHOWN. RIDGE STRAPS NOT BC (INSTALL PRIOR ' (IF SHOWN ON PLA��RR TO PLYWOOD' REQUIRED WHEN USING A COLLAR N70 WALL SHEATHING SHEATHING) �_ R N 2X REQUIRED O ❑ NOTE, NOT R STRUCTURAL RIDGE BEAM RAFTER TO TOP PLATE TOP PLATES,OF,DOU P ED AT RY A TER. TOP PLATES, PROVIDE EVERY RAFTER. 90'.BEND TO ' NG REVISED:4/26/2013 THE DESIGNER SHALL BE NOTIFIED IFANY ERRORS OROMISSIONSMEFOUNDON SCALE : DRAWING NO.: COTUIT BAY DESIGN, LLC NEW POOL HOUSE. FOR: IV BEREWOtOBRIORTO STARTOf CONSTRUCTION.TNEBUITDING CONTRNCTOR — T �� C TUIT A ROAD "ueEREs°°"sBEF°"T¢`°"E'" 1/4r - 1-0 a5'a. DRAWINGSTNOTIFR3UCTHE MASHPEE,MA. 02649 P N r I coMMENcesWONovrxonFrINGTHE PH.(508�2�4-1166 HALEY RESIDENCE OFTHEROF ANY ERRORSOROERLISES . le, 0 GORAWINGS ERRORS OR ONSStOUSE : DATE ' � a of THE OYJNTR NOTED.AM OTNER usEDF FAX(50 )539-9402 W TE4 �� GO„SENTO T"NDESIG�1 T� 2/17/2013 IP7 233 SEAPUIT RIVER ROAD OS�fERO/ILLE IVIA ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1ffi N r .. I / I I iII I I I 1?z Y STEEL FLITCH .. .. -. .. ._ (SEE DETALATE BETL) I 4K. I ' J I EMBEDDED WIC EPDXY INTO WE AT EACH ST71 i 3. DST I_. _. 1.. .. - END OFBEAM WCH .. I .. .. I .. I I. .. .. ST DS 2 JACK U .. 2-1 3r4.4 9 AW.LVL w/ .. I .. 1/YxWSTEELFLRCH . .. .. PLATE BETWEEN I _ I ' ...I (SEE DETAIL) t .. :. O I 3K,ZI 3K,Z 3K:7J - .. .. 77 .. _ —— — ---------------------------- --- 4T' FIRST FLOOR SHEARWALL PLAN SECOND FLOOR SHEARWALL PLAN REVISED:4/26/2013 COTUIT BAY DESIGN. LLC ... .. THEDESIGNER SHALL BE NOT6IEDIF C NEW POOL HOUSE FOR: TN 4 ERRORS CONSTRUCTION. 9DNBAREFO WDON 43 BREWSTER ROAD �%_�w� THESEDNAYYINGSPRIORTOSTMTOF SCALE : DRAWING NO. . .. 6v1t IC }. AALLBERCTIOR THE BUORmCON=OR MASHPEE,MPL 02G49 ,.4,N, , INT ESEDRA N GSIF TIB DONTEN7 1/411=.11-011 HALEY RESIDENCE IHTHESEDRAWGKSSE SOLELY FOR W PH.(508))274 1166 ���+cEswRHartwm�mcrnE FAX(508}539 3402 DESIGNER OF ANY ERRORSOR WRSSO G. 111EE DHAXAHGS ARE 60L13Y FOR T1¢USE 233 SEAPUiT RIVER ROAD OS RVILLE, MA 6.,4 fi /� CONS THE TOFTHE NOTED ANT07lB3iU5EDF DATE-: P8 THESE DIRAMANGS REOLARESIRE W BTTEN 2/17/2013 CONSENT OF THE ofSIONHLlA44>Hi TfE ARCHITECTURAL COPYRIGNTM ECRON ACT OF Iffi DIRECTIONS: _._..._ From Hyannis: Take first exit off the �� _. _.__... M 3 ' Road ,� rotary onto West Main Street; Take a�« _..-• --'t..' ' ,� � DESIGN DA TA � Fliver _-- V left onto Pine Street and continue • . s Single Family SeapUlt / } -1BedroomQa 110ORD onto South Main Street. Turn left onto No Garbage Grinder West Bay Road and another left onto Total Daily Flow GPD Bridge StreetOyster , Y r • Con Continue onto Use a 1500 Gal Septic Tank �,. Way and a slight Left onto Seopuit � ► ° LEACHINGAREA u;�d River Rd House =3 # 233 is on the Left.- Q= � � R57.0 110GPD/0.7 (L ) 6sFR eq tz �, L-144.00E / Sidewall=2(12'+2491'=72SFN. Bottom Area=(12'x 249=288 SF y Total Provided=360 SF(266.4 gpd) 1 LEACHING CHAMBER DESIGl f • a All Pipes to be Schedule 40. Use x I Lot: Block 16 t s, • ;( � 2-Flow dii3"users in a 12'x 24'of Lot Area 74,000 s f S 1� 71 S1 �4Q ,. a Lawn TP-1 TP-4 (� \ SEPTIC NOTES 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hou Water / it Prior to Any Excavation For This Project the Contractor Shall Make Location Map J' the Required Notifications to Dig Safe(1-888-344-7233)and contact \ / + Sullivan Engineering&Consulting Inc.(508-428-3344). 1"=2000'f NPerc 1 t 1 2.The Contractor is Required to Secure Appropriate Permits From Town �► (� / Agencies For Construction Defined by This Plan. T "1 3.Whenever Sewer Lines Must Crass Water Supply Lines Both Lines Sha c c (� Be Constructed of Class 150 PressunePipe and Shall be Water Tested G Aa,7V ESSORS REF. Assure Watertightness. In General,water Lines Shall be Constructed i Ma 051, Parcel 001 La Drive Drivel \ / Coordination With COMM Water,and Shall be in Accordance p Lawn With 248 CAM 1.00-7.00 8c 310 CMR 15.00. p4x5 / ° 4.A Minimum of9"ofCover is Required for All Components. + 5.All Structures Buried Three Feet or Mom or Subject O VERLA Y DISTRICT., /TP-3 to Vehicular Traffic to be H-20 Loading.It is the Engineer's ...._......_. Recommendation that H-20 Always be Used - Aquifer erProtection District \ Perc 2 + 6.Install WatertightRUsers and Covers to Within 6"ofFinished Guide / AP qu'f ' 1' RPOD - Resource Protection Oerl y District _...__..._...._._..._...._........ fallen cordon With 310 CAM 1s oo .....................:,......................._................... ..................... .. `l �� am robemaximum 1 s for cooncmde or 24"Cast Ir oa _.._..._......_.._.... i 7.Septic system to be Ins in Accordance i ! :............._._.._............_'. ........ - ........ `. on and the Town le .." 248 CAM]00-7.00 Latest Revision ofBernstab ._.. C + � Board ealth Regulahvns• ONE: . - _ 8 All to 40 PVC. FLOOD Gravel � #233 Existing - - - - - - - '" .l. � 9.D-Box Shall Have a Minimum Inside Dimension of 12,and a Minimu Drive .. _ _. _ _ ....._.. " .. . .. .: a 2 Sty w/f rP-2 ��J sumpof6. Zone VE 14, X (0.2� Annual Chance) Dwelling '�1 r 10. tic Tank Shall be a 1,500 Gallons. f-` 3-� / � &' X (Minimal Flood Hazard C n { 11.The Separation Distance Between the Septic Tank Inlets and Community Panel No. FF 24.5' r '1 ?,. -o River Rat L L C Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend y ( \ �r a Minimum of l D"Below the Flow Line.Outlet Tees Shall Extend 14" #2 5 0 0 01 0756 J -- co �. _. .. .. M July 16, 2014 ! \ Pro Septic Tank _ C it Lawn ZONE: i Pro D-Box PERC TEST. 13,059 / 2 / �y PERFORMED BY.SIEVE wILSON,PE I r SOIL EVALUATOR NO.2622 RF-1 i O '" WITNESSED BY:DONDESMARATS,R.S.-TOWN OF BARNSTABLE ° sEP1Elb1BER2o,2olo Area (rum.) 87, 120 SF RPOD N Frontage (min) 20 I �I. 20•� SITEPASSED Width (min) 125' Proposed O f Setbacks: I i Flow Diffusers C)""a0 Front 30' Proposed �' + n/{ a' of Stone y' 3' Wall "f TEST HOLE- 1 EL.24.7 TEST HOLE-2 ET.24.e , Yosmine Realty �` 1 l n ...::. .'... DYER.1vY��r�.:...:.:........... ....:_:::.:::ap:La.YBx.wa .at4.......:.....:. Side 15 , Limited / / \' .......... Driveway3 DARI IrBI.LOWISH•BROWN Rear 15 / To Be / 1g j 1 13EE LQAMI`.SAND........ ...'. 23.6 12"'........:... LL1:9MI`.SAi�ID............. 23.0 Removed I } :......B-LAYER.iOYX.SIS.......:.:.:..:.:.. .....B-LAYER.i0YR.5/9.......... . ................................. �' l :::.....YELLOWISHBRDWN .......YELLO.wISHBRDwN.. E ................................... 25" .•.-.�.-.-:.�..�.�.-.�..L.OAl4tY.�SAND........•.....• 22.6 25" .•.•.�.�.-..-.�.-.-.�.�..L.OA�flr•SAND...... .• 21.9 to Gravel C LAYER 10YR 6/6 C LAYER 10YR 613 -. ._._ Drive Z" BROWNISH YELLOW PALE BRO WN Cd `O+ \ 1-7 ) ' l MEDIUM SAND MEDIUM SAND \> - 1 `/ ^' S PERC TEST PERC TEST 19.0 25 GALLONS GONE IN 10 MINN, 25 GALLONS GONE 1N 10 MIN. 120" PERC RATE<2 MWII N(LTAR=0.74) 14.7 132" PERC RATE<2 M0M(LTAR=0.74) 13.0 LEGEND: NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED oM Electric Meter Sewer Manhole Existing System l + to Be Relocated Existing System �'J Catch Basin to Be Relocated ( i I > + TEST HOLE-3 EL.24.3 TEST HOLE-4 EL.25A b Hydrant l .. .......................... 4/a...:............ LAYER.I01'It 4/3..:...... l] CB DH ' 1 ::... ....D.�IRiCBROWN.....:..........: .....................BR01�N.-.•..:...... ` Light Post ............ LOAMY.SAi..D 23.3 14" LtL3MIr.SAi�ID 23.8 Guy r•- ' Existing Septic / Lawn As per tieCard 16 .... ....BLAYER.i0YR.518.......... BLAYERi0YB.5/.5.......... Utility Pole Septic Permit 2013-301 Wood Post p YEi LO.wISH'BRDWN.'.'.'.'.'.'.'.'. YEhLOwISH'BRDWN.'.'.'. a W �\ To Be Relocated } 1 cJ_ ............................ l i1 3010 . ..LOA ISAND............ 21.8 26" LOAibiYSANIl............ 22.8 OH Overhead Wires C LAYER 10YR 6/3 C LAYER 10YR 7/6 - l f BROWNTSITYELLOW YELLOW -25- - Elevation Contour f ". 132" MEDIUMSAND 133 132" MEDIUMSAND 14.0 ° t NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED Holly Tree l^ Lawn / I/ Deciduous Tree I 74 -.._.._.._.. / i Brous C f T Coniferous tee / 1 -too'• fter- ._..-..._` ! ,.` \ � \''\ / �\�oi P �o� E \��� i .,'.-�. ° Cedar Tree f7re Pit & Stone Patio {pc v a \ ° / v - ° v E s n Retaining -� - e) # I To Town Bank Q -.. -4645 _ 50,BUILF.. " 1t _ - _ - 1 1 i 2- :\. \, 100.0' -X_ _ n+ { ~Y5 \ \ - ........... / Lawn ........... ' \ --.' i "� i o� ��r�%" �"` � i• 'r \ '�,. .---"l � Finish Grade Zo X \ v _ Filter f -- ffecti 14E / .- r J . ,'- -€ '�������i '�� �°� Fabric -' Compacted Fill AND/OR VEL \ /\ 1 �A ea Stone r. , - 50.0' / =11221 0 0 8 i - . 3/4" - 1 1/2" `� _ ✓ N } \ 4 Double Washed \ ' Stone _r To of T w\ � �_ -- -- - -- -- - -- -�E3-4 ,__ CROSS SECTION OF FLOW DIFFUSOR er S �g �- '" ___"-- _ -- NOT TO SCALE Stal Caa 4_ � --- -`" - - __ ._ _ ._. -- _. -- - Per SE3-4645 / J r l/ Seapuit River F.F. EL. 24.50 Access Cover (typ.) F.G. EL. 23.0 (See Note 6) F,G. EL 22.Ot PROPOSED Flow Equilizers EL. 19.43 f As Required Installer To EL. 1 .13 Confirm Prior 1500 Gallon EL. 18.88 To Any Work Septic Tank EL. 1 6 H-20 H-20 D-Box EL. 18.6 Top El. 19.0 o von o . 17.50 EL. 18.5 Flow Diffusor To 8e Installed On� H-20 .H eta a ompac a Base Bedding,"T"s, & Baffels :::::.:::::::::::.:::::::;:::::.:::::::::::: :::::::::::::: as Per Title 5 ?:::::?:J',':Beni.. :_fie:?1eptnce: ";'; :::;: EL. 2 s»• ::;: alf 1fM:Stte5l{e: oltsa4iiliiii: ` [t Estimated High Groundwater :{t? QUl : Erime#4r: :(::TMe:sys#9 :. tN OF Ss T. yG o DEVELOPED PROFILE OF SEPTIC SYSTEM NOT TO SCALE Title: + PREPARED BY.• PREPARED FOR: Notes/Revision: Proposed Septic Plan • • 1.) The property line information shown was compiled Engineering & Joseph R Jenkins Tr. from available record information. Atu ivan 512 W. Main St. consulting Inc. ShrewsburMA 01545 2.) The topographic information was obtained from an 233 Seapuit River Road In on the ground survey performed on or between (508)428-3344 R.O. Box 659 • 7 Parker Road, Osterville, MA 02655' January 4, 2014 and November 11, 2016. ,may Barnstable (Oyster Harbors) Mass seci@suilivanengin.com www.suilivanenlgin.com 3.) The datum used is NGVD '29, a fixed mean .sea � Field: WHK/MLL Review: RRL 20 0 10 20 40 80 level datum. �► Date: Scale: n n r Comp.: WHK Proj. # 97016-M.Egan November 17, 2016 1 -n0 Draft: WHK/RRL/CTR Drawing # C354-7gl BAXTER NYE ENGINEERING & "" M SEPTIC SYSTEM CONSTRUCTION NOTES: SURVEYING Y:> \ L O T J 1 - LC PL No. 15354-84 SHEET 15 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE L 0 T 113 ( �" WITH TITLE V OF THE STATE SANF7ARY CODE DATED APRIL 21. Registered Professional Engineers ,��o 's N/F RICHARD P. 1AwRIE, ET ux 2006, AS AMENDED THROUGH THE CATE OF THIS PLAN, dt ANY and Land Surveyors D.E.P. File #SE S Sy�� _ LC PL No. 1 5354-1 03 ' LOCAL RULES do REGULATIONS APPLICABLE. r Order of Condition Expires: July 27, 2017 '9 F o CgA,1 D 2. ANY CHANGE TO THIS PLAN MUST' BE APPROVED IN WRITING BY 78 North Street - 3rd Floor '' 5 THE ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED Hyannis, Massachusetts 02601 L--13o. 14' WITHOUT WRITTEN PRIOR APPROVAL 13Y THE ENGINEER. Phone - (508) 771-7502 CONSERVATION NOTES: A d< B ALONG WITH REOUREO 23.59 pyi L-1rag.3o R=317.02' w 2488 3. WHEN CONSTRUCTION IS COMPLETED. PRIOR TO BACKFILUNG, Fax - 508) 771-7622 ��� SEAPU T RIVER GOAD NOTIFY THE BOARD OF HEALTH AGENT AND ENGINEER FOR . 1. No WORK f5 TO BE DONE UVTIL FORMS ( PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMIMION. c °•o°. py -x 2 7``` w w PRIVATE RAY W ----"w J-�Q �s J INSPECTION. ,_._ �� www.baxter-nyNe.com 2. LIMIT OF WORK TO BE MAINTAINED IN GOOD REPAIR UNTIL 23 -�-�3� 4.1 w w w -- w 1 4.7 2 � 2 COMPLETION OF PROJECT. -74YP 21 4.0 �f f ----x4,4 _ 4. ALL SANITARY DISPOSAL SYSTEM 131PING TO BE 4' SCHED 40 BENCHMARK: /DH FD (HELD) STAMP STAMP �-2,g 24 PROPosFD 25.o U/P 13a/2 25. t'1Z�'� PVC. UNLESS OTHERWISE NOTED HEREIN. 3. ALL ROOF LEADERS TO DISCHARGE To DRYWELLS OR DRIP TROCHES. NAIL SET IN U/P #21 0° PROP T �= oFM 1.2' ABOVE GRADE 24, �- -�` .53' R=357.02'. H qss 4. POOL DISINFECTION SWILL BE BY ANON-CHLORINE METHOD. EL.=2 5.35 (N G VD) IP/FD 'R:j L: 144. 18' 4.7 w. R 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE "C S79PH t gcyG sH OFT HORIZON 5. AS-BUILT LOCATION OF POOL DRAW DOWN LEACH PIT SHALL BE FORWARDED 24.3 I u FOR A HORIZ. DISTANCE OF 5 SURROUNDING THE LEACHING FIELD, AND REPLACE WITH CLEAN SAND PER 310 CMR TO THE CONSERVATION O. BY THE POOL CONTRACTOR2a.0x X 25 F I 15.255 TO THE TOP ELEVATION OF THE SAS. C. 6. REPLANTING OF AREAS SOUTH OF RETAINING WALL TO BE DONE NV Lw Om CONSULTATION WITH CONSERVATION COMMISSION STAFF. � � P�IFICH_ 001 6. INSULATE ALL PIPES AGAINST FRET ING AS REQUIRED WHEN SS,oNAL AM TO �� 2a. � I � x 25,5 LESS THAN 3' OF COVER. 79� #1 ? - 1? -.. 24.6x Ac 2a.6 T'' 7. THE SEPTIC SYSTEM DESIGN �ES� INCLUDE GARBAGE Z 23.5 X X. I N GRINDER. f I CONSULTANT IL '✓ '� 24,5 y _ PROPOSED U`TILITY` HERE 23.5 ', PEPC 4.8 I f SCHEMATIC.. FINAL LAYOUTCSHALL BE AS DETERMINED ARE THE z APPROPRIATE UTILITY COMPANY. l z `,t t UTIUTY NOTES: CONSULTANT w 23.0 z 23.3 • \` 24.3 24 I TP #2- TP 1. SON: THE CONTRACTOR SHALL. CONTACT DIG SAFE (AT • PERC 2�y 2 f 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL 1 EXISTING UTILITIES, AT LEAST 72 HOURS PRIOR TO THE START 2 .1 • TP. 02 ry I OF CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE 2 4.0 : ., �. EXACT LOCATION, BOTH HORIZONTALL`I! AND VERTICALLY, OF / 0 L o T 1. H ALL EXISTING UTILITIES BEFORE THE START OF ANY WORK. THE PREPARED FOR : ;� -` r I N/F JOHN P. BIRMIN GHAM, ET AL, TRS LOCATION OF EXISTING UNDERGROUND SYSTEMS, 2?'8 •' �� .' % LC PL No. 15354=H INFRASTRUCTURE, UTILITIES, CONDUIT;') AND LINES ARE SHOWNoc Steven e/�td KBftn Haley 3,7 23.7 2 .S IN AN APPROXIMATE WAY ONLY, MAY NOT BE LIMITED TO I „o PMPOM WA7M THOSE SHOWN HEREIN AND HAVE NOT BEEN INDEPENDENTLY • 22,6 x 23.6 THE ENGINEER OR ITS �VeP Road m POa �� VERIFIED BY THE ONAVER, , R" `'2'8 REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY MA. L 0 T 1. 0. 1 K) 22.5 q U.g2" 22.6 _ -�� r 'v RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE ' N/F YASMINE REALfY LTD. �v 22.2 APPROXIMATE- Al1DN q �•v . LC PL No. 1 5354-M �' PROXIMATE- WA - SP c r-0 15' I= Ulam COMM OCCASIONED BY THE CONTRACTORS FAILURE TO LOCATE SAID 1.3 k '' o (PROPOSED wlATM SYSTEMS, INFRASTRUCTURE AND UTILITIES EXACTLY. IF 22.a• //l `, _--_--� I °W" C � ELEVATION INFORMATION DIFFERS FRCM PLAN INFORMATION, THE • _1,5 •. 01 N 1.6 I CONTRACTOR SHALL NOTIFY THE ENCNEER IMMEDIATELY FOR N �Y ... . 21.5 /• ��. �,, �, t5 woE u 21.6 �. : : 24 6 POSSIBLE REDESIGN. AT UTILITY CROSSINGS, VERIFY IN FIELD ( :.r ,. THE LOCATION AND INVERTS OF WATER. ELECTRIC, GAS, 20 5 TELEPHONE do DATA/COMM AND RELOCATE IF CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE BENCHMARK: / OIBN11ElM11Y �, « _ CONTRACTOR SHALL PRESERVE ALL UNDERGROUND SYSTEMS, ELGt AJL T SEPTIC _=- � INFRASTRUCTURE AND U11UTIES AS F,%• �JIRED. ` ) "2. 12 MINIMUM VERTICAL CLEARANCE SHALL BE MAINTAINED �i i� rpm ` BETWEEN ALL UTILITY CROSSINGS. Q,« Li 0 3. A MINIMUM 10 HORIZONTAL SEPARATION SHALL BE a,e 19.7 MAINTAINED BETWEEN WATER AND SEWER LINES. WHERE WATER LINES CROSS SEWER LINES, THE SEWER LINE SHALL BE ter N Pot oa�ER a u r '�" 31.E �y' 1. LOCATED WITH A MINIMUM 'VERTICAL 01ARANCE OF 18" BELOW APPRONEDs.E. 0 MIX 6� 15 6 THE WATER LINE. THE SEWER LINE JONTS SHALL BE LOCATED / O - _t EQUIDISTANT AND AS FAR AWAY FROM THE WATER LINE AS \�o 30w awa 19.2 -- X 1._. 16.1 MALL POSSIBLE. WHEN IT IS IMPOSSIBLE TO ACHIEVE HORIZONTAL �� x 4-r AND/OR VERTICAL SEPARATION AS S?IPULATED ABOVE. BOTH 10°r affm f ,- _ c E�rxr � P�wo , THE WATER LINE AND SEWER LINE AT THE CROSSING LOCATION 00 ' �T ���j9 19 0 EL• 6 J APPRONEn IaMT OF MOR!( PER ORUFJt OP SHALL BE CONSTRUCTED OF MECHANICAL JOINT CEMENT-LINED • x 1 a ,2w.4 "�' �1_' w 8.3 x r o0NDI7Kx�s S`� DUCTILE IRON PIPE FOR ONE FULL 2C' PIPE LENGTH OR ANOTHER EQUIVALENT THAT IS WATERTIGHT AND STRUCTURALLY NEW PROPOSED urT OF Nso�c i .o ,,17,X 1 . L- `-- - LAwN a SOUND. THE JOINTS FOR BOTH PIPE SHALL BE LOCATED AS '•" 18,8 Y 18 9 ' �'-_ 1 J oa 'DO' PUFFER To D+�E X TOP OF wAu r 20.65 �, a FAR AWAY FROM THE CROSSING AS POSSIBLE. BOTH PIPES _1 ` TOP -. 56 '/ • .3� P u 4.1 tom' SHOULD BE PRESSURE TESTED TO 150 PSI TO ENSURE THAT w �EKTEND smNE WALLpp TOP Al ?° .° • 1 THEY ARE WATERTIGHT. J co 3 X0 17,61 38 1 7 16.3 -.1 ;.7 C8/DH M (HELD) a.90 NEW PROP06m LrrT OF WOW4. THE ON-SITE WASTEWATER TREATMENT FACILITY (SEPTIC so' R1lFFtR (TONN BANk)____ _ 9 _ =- - __ __ _ -���.0 -- -- C9 SYSTEM) HAS BEEN DESIGNED, AND SHALL BE CONSTRUCTED, f- 1 g. _ 1 _�. 6.7 -•' L 5.a 15.5 �� _ r w i IN ACCORDANCE WITH 310 CMR 15.00-STATE ENVIRONMENTAL v --�, �---- - / ~'` -_ ,, MAOUlSLY APFROVM UlWT OF CODE TITLE V. w `--- wowc 70 BE r4DM)vm 50 ' PtNFTER TO DUNE --fo_ / ST6 E- TOP of WALL = 1ec1' p� �� 5. ALL WATER SERVICE lIN1E MATERIALS AND WORKMAN9I1P T17 OONFORIrII a ( 50' - ' p k TO THE RULES, REGULATIONS AND SPECIFICATIONS OF THE ?a �? / -- '�' _~ ✓ _. -/'4L / TOP of TO" TOWN OF BARNSTABLE WATER SUPPLY DIVISK)td AS AMEINDED 70 PRESENT. _----�4--- 'Ifi ____-- \ COASTAL 11ANY. DIVISION HAS AUTHORITY TO AMEND PLANS. IF ANY CONFLICTS WITH THE CONTRACT DOCUMENT OCCUR THE HIGHER STANDARD _ •_ _4 -� A E • CN�34 C, SHALL APPLY. 010 EMATICALLY HER �+sr� eANK _ TOP OFrAC e1 "aNx ENDSos A -------" �� Poot' A�ALL' �'`t4dt 6. ELECTRIC IS SHOWN SCH EON n •--------------'-- • x ACMW kW WAX B .-4&W THESE UTILITIES SHALL BE INSTALLED WITH A a MINIMUM COVER OF 3 FEET U.O.N. OR OTHERWISE DIRECTED BY V CD�4 CDV3 C x4.6 9fNrNE - __8 THE CONTROLLING UTILITY COMPANY. CONTRACTOR SHALL Q) n- 4.3 ,� r -__ 4.4 5 ` - COORDINATE FINAL LAYOUT NATH APPLICABLE UTILITY COMPANY. 5 CD11s 4,�- - 3.9 -cutlQ__._��__ 3.9- 3.9 c 4.7 CDP - _ �- r ,a 7. EXTERIOR RESIDENTIAL LIGHTING SHALL BE LOW WATTAGE 2.2 CDr7 4.2 4.2 4,0 4,0 _ 4. TYPE AND DIRECTED SO AS TO KEEP TALL LIGHTING WITHIN aw X 2 ,-' l,o _ CDJ4-- --�- - cDr SUBJECT LOT. a �` a 2.1X .- ---_ __ CDj5 2.2 � 2_ 2,1 ,/1\ i� M�RSa, �y�l�'_ MHw (5I�/07) 2.0 8. ALL UTILITY CUTS THROUGH EXISTING CONCRETE OR p x 1.5 OBSERVED -� 22 `� 1.9 2.c, 1,1 2za't - BITUMINOUS CONCRETE PAVED SURFACES SHALL BE SAW CUT. 3 3 l.g '-.o X -0.2 1.6 --- 2-� 1.7 HACK FILLING OF TRENCH SHALL INCLUDE 12" IN DEPTH � `" o 1.5 1.7 FLOWABLE FILL TO THE BASE COURSE OF .THE SURFACE a X -0.1 TREATMENT. THE SURFACE TREATMENT SHALL THEN BE z x o.a X 0'0 REPLACED IN KIND. IF THE BITUMINOUS CONCRETE SURFACE IS SHEET TITLE WITHIN THE ROADWAY THE BITUMINOUS CONCRETE TOP COURSE x 0.2 o SHALL BE FINISHED WITH INFRARED 11EATMENT TO BLEND PI�OpOsw SeptlC Plan " 'OUTHAUL " EXISTING dt NEWLY PAVED SURFACES IF REQUIRED BY THE PILING (m) MUNICIPALITY. SEAPUIT RIVER POOI HOUSO X -.2 9. SITE CONTRACTOR TO OWN ALL EXCAVATION, TRENCHING, do • 1,7 EOMPE1L RAMP. FLOAT � DRED(ING: FKOa.13 1'8 INCIDENTABACK L TO THE G FOR ASCOPE LL UOF THE PPOJECTIES C TUAND OCONTRRACT SHEET NO 1.6 1. SE 3-0012 - DOCUMENTS. CONTRACTOR SHALL REFER TO ARCHITECT AND 1,5 2 WATERWAYS APPEAL LICE#197NSE 2 LANDSCAPE PLANS BY OTHERS FOR ADDITIONAL INFORMATION Cleo 3. WATERWAYS LICFJVSE 215 4. DEPT. OF THE ARMY POW NEDOD-13-6-14A-COTU-74-59 AS APPLICABLE. 5.2 DOCK D A T E : 03/26/13 5.3 30 0 30 60 SCALE IN FEET SCALE : DRAWN/DESIGN BY: SON CHECKED BY: UWE JOB NO;_2W7-M---rAnn_o:ii_r• - 012007\20I)7-026\amPL01\2W-026-SP-PM HSEdwg 8,I6✓2W&4M Aµ U.MiM BAXTER NYE TYPICAL SYSTBA PROFU ENGINEERING & WTMW" NOES: SURVEYING a 1. SEPTIC TANK TO MEET H-20 LOADING REQUIREMENTS. FINISH FLOOR = 2Z5 7PROPOSED GRADE = 220 Registered Professional Engineers SEr MANHOLE F_ TO�6* OF � � � and Land SurveyorsCOVERS ' R AVOW FRM& �` COVERSSHALL w" A& COVER oo+��WATERTIGw 78 North Street - 3rd Floor sET 1115N7t� Cown To WnNN a`of F1#D (MADE OVER TAW 21.8 Vic;IDE. RSER & COM "L BE Hyannis, Massachusetts 02601 FMSFED GRADE OVER D. BOX = 21.8 GRADE OVER LE40MV Sn"IEU 21.8 Phone - (508) 771-7502 ;1 3' r+• 90 min Cover Fox - (508) 771-7622 W our _ 20.0 31 IF (LONGEST PIPE) 2` OF _14- Dcx u 3s max) Cover www.boxter-nye.com SEIMEER PPE WITH LESS THAN 6` III 4` SCH. 40 PVC WASIPD PEASTOlE OR FILTER FABRIC 3. OF COVER TO BE NV N= 193 10' 1�N NV OUf- 19.4 FIRST 2' (TO BE LEVEL) WStM1ED. SEE DETAIL #206 PVC 2` CIWIBER TOP CONCRETE LFM201G CIIMEERS CONNECTION HEREON ELEV� 20.1 GAS BAFFLE NV w STAMP STAMP ` SUAP • NV OIUT 19.1 ' - ' REINFORCED CONCRETE 1r r 6 CRllSFED `r NIN 19.0 ��F O O C] O o BOTTOM OF ��N OF ftq�ssq �,, STT)NE BASE r.f. :• rr . ..:. CHAMBER do STONE '� HE yG w UNSURABLE SN_% F ENCOUNTERED BELOW THE �. _ fit. EL = 18.0 L 6' PEWM E ELEV (TOP OF SAS), SHML BE RE OOED 70 5' MIN CRISHED B THE '�C HORIZON' AS REQUIRED - SEE CONSTRUCTION 9�� STSTONEe2 S NOtE /5 HEREON. �No Groundwater Observed O Elev. 13.0 t=C�41M ONE-CMAHIBM OEM TANG 00 L4iADNC� BOX ��A4 70 BE INSTALLED ON A L STABLE BASE WL ABHOf�'TION StSTBlil 1�A8�LEAC#W CK4LW fUN If'�I) TO BE INSTALLED ON A LEVEL STABLE BASE 4 OUTLETS REQUIRED SEPTIC TAN( TO BE NSPECTED a CLEM" A NLULLY � CONSULTANT CONSULTANT SURFACE TREATMENT VARIES PREPARED FOR : i 2.0' Steven and Katt9em Halley WASI0.� TONE..v,,~ 2' 233Seaput RNer' Road 0 COMMON FILL? Oetervoe, MA. 8.0' 8' 4• 4' ORDINARY BORROW .2:_ CAST-IN-PLACE 16' 2 THICK SHEET (3000 PSI CONCRETE TYPE 1) POLYURETHANE ENCASEMENT 2 2 INSULATION CUT AND MAREU IN PLACE co 20 AROUND PIPE SEWER LINE z SEE PLANS FOR O PLAN OFSOLAMOM SrSW WH COVER 70 • ' PIPE SIZE FLOW LEAICMlO CHA OiaO LOAC)1� BELOW GNaADE � � NO SCALE MIN. 'MIN. 0 9`iM 3r A X- CODER �! z Y PfilS10'wE OR 5 . x e� fIPE4S f� C01►IPACTTD 6EOIDM E FABRIC ;2 :•} }x. ':.. r: "jr:. .'. ."'I:i 1''�:P:T: r SUBIG ADEIN* DOME ' 12` :t%FS w- ii ".`••_ :r�: �? w? $� t n� t,.� ,.2... VMSNED TaE NOT SEWER LINE SHALL BE INSULATED WHEN MMUM COVER AS REQUIRED A EfFET;RYE DEPTH .E,{ s ED N s;,e E=) C=3 CANNOT BE ACHIEVED. MINIMUM COVER REQUIREMENT SHALL BE�R�:�*:y.S �::f:t•:.:� DETERMINED BY THE MORE RESTRICTIVE REGULATION, LOCAL OR STATE 2' 4' 2' co MEW ca � V WEAQW1 AFFA FE ANDIM B C- Seem 1..1E 10M ARM N.T.S. NITROGEN LOADING LIMITATION: ZONE OF CONTRIBUTION TO SALTWATER ESTUARY (BOH - SECTION 360-45) t�ETA1L ~ ALLOWABLE ROW; 1.83 ACRES x 440 GPD/ACRE = 805 GPO (7 BEDROOMS) dD POOL HOUSE : 1 x BEDROOM Wct x 110 GPD/BEDROOM 0 TOTAL DESIGN ROW = 110 GPD GARBAGE GRINDER (NOT INCLUDED) = N/A SOL L" WE: 9/20/2010 PERC RATE = <5 MIN. / INCH (CLASS 1) LIAR = 0.74 GPD/S.F. � � BARNSTABLE z MIN. LEACHING AREA OF SAS, REQUIRED: SOIL EVALUATO . BOARD .OF HEALTH AGENT: U 110 GPD/ 0.74 GPD/S.F. = 149 S.F. MIN. STEVE WILSO , P.E. (SE 12622) DON DESMARAIS, R.S. TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 PROPOSED SYSTEM 2 ROW DIFFUSOR LEACHING CHAMBERS G.S.E. = 26.4 ` G.S.E. = 24.0 on G.S.E. = 24.3 oll G.S.E. = 24.7 WITH 2' STONE ON ALL SIDES (1' EFFECTIVE DEPTH) W SIDEWALL AREA: (20' + 8')2 x V DEPTH = 56 SF Ap ; 1OYR 3/3 ; LOAMY D AP ; 10YR 4/4 ; LOAMY SAND Ap ; 10YR 4/4 ; LOAMY SAND Ap ; 1OYR 4/3; LOAMY SAND " BOTTOM AREA: l20' x 81 = 160 SF 1 25.3 12' 3.0 120 EL 23.3 14" EL 25.53 TOTAL EFFECTIVE LEACHING AREA = 216 SF CAPACITY PROVIDED = 160 GPD I B ; 10YR 5/8 ; LOAMY D B ; 1OYR 5/8 ; LOAMY SAND B ; 1OYR 5/8 ; LOAMY SAND B ; 1OYR 5/8 ; LOAMY SAND a SEPTIC TANK SIZING: SINGLE COMPARTIMEN17=110 GPD x 200% = 220 GAL USE 1500 GALLON TANK MIN 25' EL 24.32 25" EL 21.92 30" EL 20.8 26' EL 22.53 . ' C ; 1OYR 6/6 ; MED. SAND C ; 10YR 6/3 ; MED. SAND/f; C ; 10YR 6/3 ; MED. SAND C ; 10YR 7/6 ; MED. SAND � � / U 120" (EL 16.4) \132- (EL 13.0) 132" (EL 13.3) 132- (EL 13.7) DEM SCHEDULE B.eVA110N SHEET TITLE a Pro sed Se m FINISH FLOOR 22.5 Ptic m SEWER INVERT AT POOL HOUSE 20.0 SEWER INVERT INTO SEPTIC TANK 19.7 -- �- System Details SEWER INVERT OUT OF SEPTIC TANK 19.4 NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED SEWER INVERT INTO DISTRIBUTION BOX 19.3 TO EL 16.4 O EL 13.0 O EL 13.3 O EL 13.7 SHEET NO SEWER INVERT OUT OF DISTRIBUTION BOX 19.1 SEWER INVERT INTO SAS 19.0 BOTTOM OF SAS. 18.0 1 CERTIFY THAT IN APRIL, 1995 1 HAVE PASSED THE SOIL EVALUATOR EXAMINATION C2sO NO GROUNDWATER OBSERVED TO ELEVATION 13.0 APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE DATE : 04/19/13 s AND EXPERIENCE DESCRIBED IN 310 CMR 15.017 30 0 30 60 O SIGNATURE DATE -217 Z0,'1;? SCALE IN FEET ry SCALE : 1"=30' O 8 DRAWN/DESIGN BY: SDU CHECKED BY: UK r 8 JOB NO: 2007-026 C A D D FILE: 2007-W6-SP.dwq N 0