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0265 SEAPUIT RIVER ROAD UNIT #B - Health
ver Road 265 Seapuit Ri A 051--004 ;001 r, l Ost6wille j Y 6' ' Commonwealth of Massachusetts ug Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name ' information is required for every Osterville MA 02655 10/6/2014 page. City/Town State Zip Code. Date of Inspection Inspection results must be submitted on this form:Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information ' on the computer, use only the tab 1. Inspector: -I key to move your cursor-do not Linda J. Pinto use the return Name of Inspector key. Oceanside Septic, Inc. r� Company Name • . P.O. Box 201 Company Address Brewster _ MA 02631 City/Town State Zip Code 508-896-1513 4432 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The,-system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspe or'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 how the system will perform in the future under the same or different conditions of use. . [ • � a� �ti Z I t t5ins-3/13 Title 5 Official Inspection o Subsurface Sewage Disposal System-Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined",(Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old" or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. Citylrown 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. o 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 uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑. Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑.Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 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 ugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has-a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within`a Zone 1 of a public water supply. ❑ The system has a septic.tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for 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'/z day flow t5ins-3113 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments <" 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. City/Town 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 obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ Z The system fails. 1 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 11 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 ' L Commonwealth of Massachusetts jTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is Ostervllle required for every MA 02655° 10/6/2014 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage,disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ 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): 7. Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 800 t5in3•3113 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. Cityrrown State Zip Code Date of inspection D. System Information Description: System#1: 1000 Gallon Pump Chamber, 1000 Gallon Septic Tank, 1000 Gallon Pump Chamber, (2) D-boxes, and Leach Field. System#2: 1000 Gallon Septic Tank, 1000 Gallon Pump Chamber to D-boxes and field. Number of current residents: 2-4 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)): Detail 2013: 515,000 Gallon 2012: 633,000 Gallons Sump pump? ❑ Yes ® No Last date of occupancy: . Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15,203): Ganons 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 of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 .10/6/2014 page, Cityrrown State Zip Code Date of Inspection D. System Information-(cont.) Last date of occupancy/use-Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑. Shared system (yes or no) (if yes, attach,previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 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: Approximately 24 years per Board of Health records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Tight Yes None 3 Septic Tank(locate on site plan): Depth below grade: #1: 8" #2: 11feet Material of construction: Z concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) , ❑ Yes ❑ No Dimensions: #1: 1000 Gallon #2: 1000 gallon Sludge depth: #1: 3" #2: 3" t5ins•3113 Title 5 OlFlcial Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. Cityfrown State "Zip Code Date of Inspection ` D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle #1: 27" #2: 27" Scum thickness #1: 1" #2:2" Distance from top of scum to top of outlet tee or baffle #1: 6" #2; 6" Distance from bottom of scum to bottom of outlet tee or baffle #1: 17"' #2: 16" Tape Measure How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): #1: The structural integrity of the septic tank appears sound. The inlet has a concrete cover 8"b.g. and the top of the tank is 8"b.g. There is a concrete tee in fair condition. The outlet has a concrete cover 8"b.g. and the top of the tank is 8"b.g. There is a concrete Tee in fair to good condition. The liquid level is at the outlet invert with no sign of backup or leakage. #2: The structural integrity of the septic tank appears sound. The inlet has a concrete cover 11"b.g. and the top of the tank is 11"b.g. There is a PVC tee. The outlet has a concrete cover 11"b.g. and the top of the tank is 11"b.g. There is a PVC tee. The liquid level is at the outlet invert with no sign of backup or leakage. 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 UTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I-lag 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 " 10/6/2014 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.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: s Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 265 Seapuit Rd lug - Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): #1: The D-box appeared to be in good condition with no sign of solids carryover. The top of the D- box is 17"b.g. There are two 2"inlets and one 4"outlet. The liquid level is at the outlet invert with no sign of backup or leakage. #2: The D-box appeared to be in good condition with no sign of solids carryover. The top of the D-box is 19"b.g. There are two 2"inlets and four 4"outlets with speed levelers and flow appears equal. .The liquid level is at the outlet invert with no Sign of backup or leakage. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: 0 Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): All pump chambers are in good working condition with no sign of backup or leakage. All alarms and pumps are working and appear to be in good condition. *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): 5 I If SAS not located, explain why: t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w ' 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. City/Town State Zip Code Date of Inspection D. System Information.(cont.) Type: ❑ leaching pits number: k ❑ leaching chambers number: ❑ leaching galleries, number: ❑ leaching trenches number, length: ® leaching fields p number, dimensions: 20'x 40' ❑ overflow cesspool 'number: k ❑ 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.): The leach field appears to be in good working condition. There is no sign of ponding or damp soil in the area of the SAS. Stone appears clean and damp and there is no sign of hydraulic failure in the area of the SAS. 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•3113 - • Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 .. r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. Cityfrown State ' Zip Code Date of Inspection D. System Information (cost.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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 Inspection Form A Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 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 SYSTEM�1 • I 29i c- 0 Y_ 22' Qv rAp E/t ST-I"iG c 1k,.)E LEI ry G10 SI / y , vR// 40 032- OEPIL A,-6 1LT NoTlv SLAL.E / OSFOnL 'TRN IL SySTIEM ** 2 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 IL ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is required for every Osterville MA 02655 10/6/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >4' below the bottom of the SASfeet 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: May 14, 1990 and Rev. July 15, 1990 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: According to the plan of record dated May 14, 1990 and Rev. July 15, 1990, the elevation of the site is EL=9.03+/-, groundwater is at EL=1.78 +/-, and the bottom of the leach field is at EL=6.28 +/-so there is a 4.5' separation to groundwater below the bottom of the SAS. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 265 Seapuit Rd Property Address Harrison Owner Owner's Name information is Osterville MA 02655 10/6/2014 required for every page. City(rown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 'Titie 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 a The exercise room does not qualify for a bedroom. Therefore, there is a total of seven bedrooms including the game room and the card room in the second building. The sitting room is partially open and has non-permanent rollup screens as a wall, thus, it is not counted as a bedroom. The barn is 30' x 20' with no bedrooms, only electricity. Upon a motion duly made by Mr. Sawayanagi, seconded by Dr. Canniff, the Board voted for approval of seven bedrooms with the condition: 1) a second tank will be installed coming from the pool house and gravity fed to the other tank. (Unanimously voted in favor.) C. Stephen Wilson, Baxter, Nye Engineering, representing Frank Wilkins — 265 Seapuit River Road, Osterville, 4.88 acre lot. Stephen Wilson presented the plan. The existing house has eight bedrooms, the cottage has two existing bedrooms, and the proposed garage building will have,,-.-- two bedrooms for a total of twelve bedrooms on a 4.88 parcel lot. v Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to approve a twelve bedroom with the condition of revised plans for no second kitchen.-(Unanimou�sl voted ir}.f� ; r VI. Food Establishment Variance Requests: A. Jack Thomson, (a) Wianno Club, 107 Sea View Avenue, Osterville, and (b) Wianno Golf Club, 379 Parker Road, Osterville, requesting a toilet facilities variances for touchless faucets. Determined a variance is not required for the bathrooms used only by the public. B. Louis Capolino, Caffe "E" Dolci, 430 Main Street, Hyannis, requesting a change in menu, grease trap.variance. Louis Capolino had an original permit with a limited menu of coffee and Danish. For the last fourteen years, the menu was increased without approval. He has 38 seats. Mr. Capolino is submitting his menu to be dated October 11, 2007, and he installed a Big Dipper, grease recovery device, on October 27, 2007. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to approve the new menu with use of the grease recovery device with the condition that a test be made after the first month to see whether 90% of the grease is being removed, otherwise a second and subsequent test(s) will be required. (Unanimously voted in favor.) VII. Old Business/New Business: Ed Pesce, Pesce Engineering, and John Kenney, Attorney, representing 381 Old Falmouth Road, Marstons Mills—septic system discussion regarding failure (continued from BOH January and June 2007 Meeting). -- Town of Barnstable Barnstable THE y Board of Health MAmwllcaMy w BAMSTAatE, 200 Main Street,Hyannis MA 02601 y MASS. $ 039. AtFD MA'S A 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi BOARD OF HEALTH MEETING MINUTES Tuesday, November 13, 2007 at 3:00 PM Town Hall, Hearing Room 367 Main Street, Hyannis, MA I. Hearings: A. John Norton, Attorney, representing Andrew Hatch, owner— 110 Annabelle Point Road, Centerville, requesting extension on tight tank use awaiting town sewer to Wequaquet Lake. John Norton was present. The tight tank was inspected and was not leaking. The property is being sold. The Board wanted the new owner to provide the Board with an projected occupancy report and scheduled pumping. A Person representing the new owner, Mr. MacNamara, stated Mr. MacNamara will be using it as a seasonal dwelling. There are audio and visual alarms which go off at 60% capacity. It is difficult to estimate when it will need to be pumped as the use will be different. The Board requested as a condition that the Health Division be notified each time it is pumped and the owner submit an annual reporting done in the Fall of each year. The variance will go to the property and not to the owner only. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayangi, the Board voted to grant a variance to be attached to the property (not specific to the owner) with the condition that an annual report be filed in the Fall of each year stating when pumping was conducted. (Unanimously voted in favor.) B. Kathleen Pouser, owner— 22 Marion Way, Osterville, status on removal of two of five existing bedrooms. The owner is in Florida this time of year. Mrs. Pouser's attorney was not present. Mr. McKean stated the Zoning Division has a court date of December 5, 2007 on this property. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to continue to Dec 18, 2007, Board of Health Meeting as which time two bedrooms must be removed. ,2(aj �4Pea-"a No. Fee----F-ie---,- ----- BOARD OF HEALTH TOWN OF BARNSTABLE Zipplicat ion Ar Well Cootruct ion Permit Application is hereby made for a�p it to Construct (►,�, Alter ( ), or Repair ( )an individual Well at: _ �� Location — Addre"s6"�.-O---F'-��'e_ ° -----.—_�✓—�-1----SLRAssesso r'Map el — and Owner Address zV--���-�c, ✓ eLl__ ,� - --- -------------------------------___- — ---------------- Installer — Driller Address Type of Building Dwelling—� _------ -- Other - Type of Building—= --_—__—____— No. of Persons--- -------.-_—_ Type of Well Purpose of Well. —l-trim ------_ 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. Signe ' / -f Q �J date Application Approved By - _- date Application Disapproved for the following reasons:-----------------_-_—___—._____—__—_—_—___ date Permit No. )L(j 10 Issued--- a -�`�--------------------- d to BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate Of Compliance THIS IS TO CERTIFY, That t Individual ell Constructed Altered ( ), or Repaired ( ) by .v 1 -- ld/� � // ------ ——— --- -- — _____-- Insta at- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protect*on Regulation as described in the application for Well Construction Permit No. IM 0 —'_g(kated-����6 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector--------- --------__---- 1 No. �)0 =-G 13 BOARD OF HEALTH ' w...= TOWN OF BARNSTABLE � -- r _ ZipplicationArl0ell Con!5truction Permit Application is hereby made for a permit to Construct ", ter ter ( ), or Repair ( )an individual Well at: Location.- Address Assessors Map and Parcel /Owner / Address O - — --- — -- — -Address _-- —_ Installer - Driller Type of Building Dwelling Other - Type of Building-=---------__-__ No. of Persons---_-------------_ 1 -'Type of Well Purpose of Well-- oa _-- 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 't �X; - ----- -- � � D date Application Approved By �� �_ �kt —-— tj-- date Application Disapproved for the following reasons: date Permit No. f� 0/0 U�-----_____— Issued �- l v__--- -------- ---- . ----------- - T -- d to BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed Q/j Altered ( ), or Repaire� ) by Installe at— �1�v4 . % �< C� l /G�i' has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protect' n� Regulation as described in the application for Well Construction Permit No. !N) -(3/3Dated- j THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE - - - Inspector--- ------ - --_----------- BOARD OF HEALTH d L TOWN OF BARNSTABLE Vell CootructionVermit No. � ='o - G F Fee- Y Permission is hereby granted 4"-?, l/��F'j( B`%`rL� to Construct (*- ), Alter ( ), or Repair ( ) an Individual Well at: Street as shown on the application for a Well Construction Permit No. Dated __ -- —__- - ----------------------- -- - _1------------------. ------- Board of Health DATE—. d 7 V�—_ 1 Town of Barnstable P# / R?o FiHe rqk ~o Department of Regulatory Services BARNBTABLIC Public Health Division Date S- 28-- zro7 03q `m8 200 Main Street,Hyannis MA 02601 ArFt)MAy�' Date Scheduled 0 CT-m >err 12 F'2 00 7 Time 11�3o f4 Fee Pd. 100-070 ro . Soil Suitability Assessment for Sewage Disposal Performed By: S+r,d he✓1 W I scn e Witnessed By: anr'12 Yl 10T-r.,ItQ r LOCATION & GENERAL INFORMATION Location Address. 2G S S�QPvif k,,ecr �� Owner's Name .A. W,/ki45 Oys��- ilerdd�s Address (�9�+q-✓i/Ce Assessor's Map/Pt:rcel:Map 51 ; PC Is Y-3 ]'v-j Engineer's Name /1;S refit NAG NEW CONSTRUCTION X REPAIR Telephone ti y-OG' -77/-7507_ ,eaef 13 Land Use G j_r s hw, Y1CSt CIA Ith Slopes Surface Stones /LO .1 , Distances from: Open Water Body ft Possible Wet Area It Drinking Water Well ft Drainage Way It Property Line ft Other tt SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) J` 101 ik 1,4 ,11 `I 11 t 6 w -r •. 1 11 ,�.,w Ya, � • JIN,n� ,E ,`, Ili; j 1 '� Parent material(geologic) 1e clal ��11-r.rqg Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estiated Seasonal High Groundwater a m '' 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>y Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST MOON./ . Time - Observation Holed L^ _ Time it 9" Depth of Pere 5,111 4013 � Time at 6" Start Pre-soak Time a 1 1 •SO Time(9"-6") End Pre-soak 12!02 //-34 V h e lo(,t, 4-0 So&le Rate Min./Inch 7 S►naw nCIA Site Suitability Assessment: Site Passed_X Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is 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/W P/PERCFORM C�zCl�-7—c33cJ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,o U4— ZZt Son.�y 1,.,e�w+ 75 �Q w�tL 22''w s.y„ C� �'�+�. S�� to �1►C s/g SH�� I32� CL W1c.41. sm.j 10ate 6/4 — DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) z2'= v8' Ci /�;'.0 S'i�.� /0 y'e S/I f — zo DEEP OBSERVATION HOLE LOG Hole # 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Suii'ace(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Conslstencv.° Gravel) I Alt ll L,04 AWP /0 Y 9 Z/7- 7r — DEEP OBSERVATION HOLE LOG Hole# `/ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. CO i ci c % v 0 - 8 u c�A �o•M `d Vie ZI2 y'7 Lo Z. G rYJs c1 c en•.P �n y� b Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes X _ Within 500 year boundary No -Y- Yes Within 100 year flood boundary No>,- Yes Denth'of Naturally Occorring 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? �cs If not,what is the depth of naturally occurring pervious material? Certification I certify that on jkp6l 1 jS (date)1 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 and experience described in 310 CMR 15.017. • �D•l 6�G 7 Signature Date Q:H EA.LTH/W P/PERCFORM f 'THE Town of. Barnstable Barnstable Board of Health AS-AmericaCN 1 nARIN'TABLE). v� MASS. m 200 Main Street,Hyannis MA 02601 039-- 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi December 12, 2007 Mr. Stephen Wilson, P.E. Baxter, Nye, and Holmgren 812 Main Street Osterville, MA 02655 RE: 265 Seapuit River Road, Osterville A= 051-004-001 and A = 051-004-003 Dear Mr. Wilson, You are granted permission, on behalf of your client, Frank Wilkins, to construct a third onsite sewage.disposal system on the property. This sewage disposal system will be designed to be connected to two proposed bedrooms in a garage building for a total of twelve (12) bedrooms at the property of 265'Seapuit River Road, Osterville. This permission is granted with the condition that if the Building Division does not approve of the second kitchen, a revised plan shall be submitted without a second kitchen. The septic system shall be constructed in accordance with the submitted plans dated October 17, 2007. Sinc ely yours, Wayne iller, M.D. Chair an BOARD OF HEALTH TOWN OF BARNSTABLE Q:\WPFILES\Wilson Wilkins Six Bdrm 265 Seapuit Rd 2007.doc Ik DATE: D Town of Barnstable REC.BY MAS .'� Board _of Health ' h scxED: DATE: -�- 1- 1 200 Maui Street,Hyannis MA 0260I . Office: 508-862-4644 Susan G.Rask,R-S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. Application to Construct or'Expand to Sig (6) or More Bedrooms LOCATION Property Address: lf,,ri RCO . 6s&-,bcr Ala r'-4ers Assessor's Map and Parcel Number:_i9 CS ij pc( Y-1 rf-3 Size of Lot: yC.k , Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NAME: Fra&,-c W I(cj rs Phone Did the owner of the property authorize you to represent him or her? Yes x No PROPERTY OWNER'S NAME CONTACT PERSON Name: Frc.k l,(I kjas Name: ;_ ,)1 0a�� Nye Address: Pc. 13" ZOssc) nSFrr ),IJ4 .. 02 Address:Z o,�y, H!Jet.r,rn,s &Z,661 Phone: Phone:6_ 68 )-7]A- SDP '. cx I- 13 x.< 4 Checklist Please submit copies in 4 separate completed sets. Cr } Four(4)copies of this application form fv to Four 4 copies of engineered plan submitted a septic s stemplans), `' ' Four(4)copies of labeled dimensional floor plans submitted-(e.g.house plans) Q:\Application Forms\SixBedroomForm.doc No.- 4 - .Ll.. LOT 1 <.j Fss. . .......-...J..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliratiou for Dhipmtal Works Towitrurtiun Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ,> an Individual Sewage Disposal System at ..Z�S �r AQ!�.�..1.... .i..�l. ... o - S`ti.l4L `i115��Z �lQ(30 `�, L`oca�tti�on-Address or Lot No. '200, nez ress nstaller Address UType of Building Size Lot..5.:�? ............. Expansion Attic (i Garbage Grinder (46)> . p-I Ot erin Typeoof Building ms........................ No. of persons............................ Showers ( ) — Cafeteria ( ) 1 Dwelling —No. Ot er fixtures Design Flow....... a-Z ______ ....................gallons per person per day. Total daily flow.:'*4.-il� _ lons. WSeptic Tank—Liquid capactt .gallons Length. ,�.`_1._.__ tiVidth__(_L6 ss... Diameter________________ Depth.,.6_------ Disposal Trench—No..................... Width---LZ............. Total Length�L4:........... Total leaching area...................sq. ft. Seepage Pit No--------------------- Diameter.......8......... Depth below inlet...A! Total leaching area� _..sq. ft. Z Other Distribution box Dosin tank (�c� Percolation Test Results Performed by-_ f?t -�s1_l _G._` _________________ Date__: ................. ,aa Test Pit No. 1..ZZ......minutes per inch Depth of Test Pit____ ............ Depth to ground water... o�. 4s�U1 LCF t=t Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --- ------------------------------------- .............. ••........... ------ -------------- -••-------=------•---.----- Description of Soil...... Q !�1 _S�_G SU�.0_.. ^.�_.�--"-...... "t7_. IX-'�--"------------------------------------------- x U w UNature of Repairs or Alterations—Answer when applicable......................................... . -"------------------------•--"---------•-------""--""----"-•--"-----"---•"--"-"----"._........-"--------""---"------""--------"----•---•----•-----•-"""-"-"-----------------............•••••••••....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage:Disposal System in accordance with the provisions of TITLE 5 of the State Environmental de—The undersigned further agrees not to place the system in operation until a Certificate of Complia een iss d b t ealth. Signed --- ---- - --- ------------ .........- - ................................---- �1 -------------- -............. re ApplicationApproved BY � -e v ----------------------------------------------------------------------- ---- J V Date Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------=----------------- Date PermitNo. .....f — �---.. ------------------ ---- ----- Issued.------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .I--a. -.( .. OF 1sJ. iZiV ..............:.................------ `i THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) orRepaired ( ) by ---------------- ---- Installer r i i - - at ....------2.� ' `�. .( P.S .�.. ... . .t>..c - O. ;C....-- 1���.��1L111� � � (c)-ts.1�L-7F-K: S) has been installed in accordance with the provisions-of TITLE-5 f.The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..... __Q... .�j._L�.. .-:...--- dated....---............................... . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. zDATE--------------------------------- ------------------------------------------------------------- -- Inspector -:---------- ------------------------......................................................... . f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH : No.....A 0 ..._.. FEE........................ - � Permissionis hereby granted...................----------"-"--"-"---••-•-".-----._._._._._-_..._._._......------""---"""-•"-.....----.........---•--.................._••- to Construct ( ) or Repair ( `) an Individual Sewage Disposal- System at No - . �. i t Street ; shown on the application for Disposal Works Construction Permit No.____;_____.t_______ D d________________________ g - � - ............•---.._.- -•-•• . --- !�^I! --._._.. .. Boa Y/YJ / rd of Health `........... J. 1 1255 HOBBS & WARREN. INC.. PUBLISHERS ASSESSORS MAP NO: T 4- 1 c� PARCEL NO: Ficz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c TOWN OF BARNSTABLE t. AppiirFatilan for Disvia,iFai Works Tonou uailan Errant Application is hereby made for a Permit to Construct ( K) or Repair ( ) an Individual Sewage Disposal System at-' 2 C,S t=A?U t t �1 v EEC COP,� _�.Y:�.►��,..��� �S No. ..............................------•• -- .... ........._-�.._-- -....- - -. .....-------•--- -•---•--.... Location-Address or Lot 1t y—E► !1.�=..........-•---•----...--.............................................. ..... Owne .... .W�S. Add¢fssw� Installer Address h!C Type of Building Size Lot_3:v-- --- Dwelling—No. of Bedrooms............mot-................................Expansion Attic (Mc) Garbage Grinder ( ) Other—T e of Building ... No, of persons............................ Showers ( ) — Cafeteria ( ) C4Other fixtures -----•-------------------------------------------------•••---••-------•---------•--------•-------••---•-•---...----••------------•----.._.._....•----- Design Flow.........5 S___________________________gallons per person per day. Total daily flow------2Z_......._..:_____.___._.__gallon`. WSeptic Tank—Liquid*capacity..l��.gallons Length._6..- _-_- Width.`i_r-4b _ Diameter---------------- Depth... x Disposal Trench—No. --__-••----•---••-- W' th- :_._... Total Length ....... Total leachingarea...... 7 s ft. �, g :..-_-. Total leaching area..peb-------sq. ft. Seepage Pit No.........I----------- Diameter .�. Depth below inlet____. z Other Distribution box (�6� Dosing tank (Qq) ii,, AG,- Lot' Percolation Test Results Performed by... !}x. ?1_.l4`(G_� 5-_ c� Date_.-712 �._E ______________ aTest Pit No. 1...�z -_--minutes per inch , Depth of Test Pit__: -_1K ._...--... Depth to ground water._E��`7-..... Test Pit No. 2...............minutes per inch Depth of Test Pit.................... Depth to ground water.................._._... P4 -------------••----------------•-••-•---••-•--------••----------------.....--•---..........--•••-•-•......................................................... O Description of Soil.....Q.... _5 �G � ..��_v e ..} =5 ------M D....3M\J-1►4---_ram_ h: --------------- U --•-----•--------•--------•--•------------------•-----•----.....---...----------......-----------•--••------••------.................................................................................. --------------------------------------------------------------------------------------•-•-----------_...-------------------------------------------------------------------•--------------------------- UNature of Repairs or Alterations—Answer when applicable....................................................................................:........... •-------•----------------------•----•-------------------•------••---•--------------------------•-••--•-•--•--------=•---...---------•-------•-••--•---••.......................................e....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental C e The undersi ned further agrees not to place the system in operation until a Certificate of Com lia een issued h. C// _ Signed... ..... -------------- ---- ...-------- /,e .� i Application Approved BD.-. _ 94 PP PP Y ------------ ------- .�..'v'^' �� Date Application_Disapproved for the following reasons: ----•------------------------------------------------------------------------------------------------------------------------------ ...................................................— _.........._............. _....._._.........._..........................__......._..................-----_...._._......................._,......---___.... ....._........ �[e................. PermitNo. J� " � / Issued ------------------------------------------------------------------- ..._. .. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fertifirate,of (faraylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( X. or Repaired ( ) by_ --------------------------------------------------------------------------------------------------------------`----------.....---------------------------------------- Ins[alter at :..... .....5�J L).0 . -v Ee- QoeQ a......--�Ys 12 -4 .e, a(z- .................................--------------------------------------- has been installed in accordance with the provisions of TITLE 5 of—The State Environmental Code as described in the application for Disposal Works Construction Permit No. ....... dated ......... .. 6 ------�/�. . . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE"S A GUARANI ETHAT THE SYSTEM WILL FUNCTION SATISFACTORY. f -J� r !!: % DATE- "a ... ------------------------------------------------------------------- Inspector L, ._.... ... . - �;_�- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �(J TOWN OF BARNSTABLE No. FEE..... ..... Disposal Worko Tunstrurtinn "prrutit Permissionis,hereby granted.............................................................................................................................................. to Construct �Q or Repair ( )-,an Individual Sewage Disposal System at No .......... ?t 1!j_t CT" !it 'l . .;� , .L .....f..... ................................................... --•-.... Street K `y � ' as shown on the application for Disposal Works Construction P It No.f/.:...____ Dat .. ....................- y� -••• Board of Health ` DATE----.. /........-• •-••-..... 1 ................................. FORM 36508 HOBBS&WARREN,INC..PUBLISHERS - Town of Barnstable Regulatory Services s�wvsrns Thomas F.Geiler,Director 'gyp %6.19. .e$ Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE I(We);the undersigned,being the owners)of property situated at ;6 SC=AI2EJ 1 j PiGlbgl� P, in 0,5-r&-k✓/t-(; MA,holding title under a deed recorded.with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book * ,Page Z ,or as Document No. -509069 , being shown on Assessors' Map 15-1 as Parcel -/ , hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory building to the resider located on the same parcel as above-described, and shown on plans drawn by � dated which contains living quarters, is not intended for and shall not be used as a{permanent, separate separate apartment for year-round or summer occupancy,for rent in any fashion. / and/or caretakers The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not be used for a"Family Apartment" (as defined in Zoning Ordinances)which would require application and approval of a special permit.and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as-an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. Lot 163, Land Court Plan 15354-120 Certificate of Title No. 120894. WITNESS our hands and seals this 11 th day of October 200 7 . TOWN OF BARNSTABLE OWNERS) By: r Frank.Wilkens - i Building Commissioner - Maureen P. Wilkens _ 4 THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY;SS Date i p/i 1 In 7 Then personally appeared the above-named (owner), Frank Wilkens and Maureen Wilkens and made oath as to the truth of the foregoing instrument,before me. Notary Public Albert Schulz ,�. My Commission Expires: 8/11/2011 o�Ya�c'i 65 09.11�2011-: - { Crocker, Sharon From: Crocker, Sharon Sent: Thursday, November 08, 2007 3:50 PM To: McKean, Thomas; Miorandi, Donna Subject: 265 Seapuit River Road, Osterville Stephen Wilson, Baxter Nye, called. The bedroom count is as the permits have it listed: Main House 8 Cottage 2 Proposed 2 additional Total Proposed will be 12 Bedrooms 1 w � , D AT ,': PROPERTY ADDRESS: .265 -Se-a uit Road OstervH' le #I-4Rs 2 4 1998 row, OF Cn pool House Nsi(84 pjrAelf On the above date, I Inspected the s-eptic system at the above accress TnIs system conslsts of the following: 1 . 1 -1000 gallon septic tank. 2 . 1 -Pump Chamber. 3 . 1 -sewage pum pump. 4 . 1 2��� d eacor�r�y �r}Pc�acttPon hpC�MfpjWe �1S�Shwil Pi 5 . This is a title five septic system 6 . The Septic system is in proper working order at the present time. 51GNATUR7 Name : J . P . Mecomber Jr., r -------.--------------- Company: J • P_ Macomber- &- Son 'Inc - ---- __Cence- -rvi 1 Le `Mess__02632 - -- --- JIB Pnone :-- -SJ_5�338------- ! y THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY MEN R MACOMBER & SON, INC. T nki-C#upooI -LsachlleIdi Pump*d L IniUllyd Town Sower Connoctlons P.O. Box 66 ' Centerville. MA 02632.0066 775-3336 77S5b 12 J ' • 4 V COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 WILLIA�1 F.WELD TRUDY CO' Govcrnor SCCrCC ARGEO PAUL CELLUCCI DAVID B STRUI Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissiol PART A CERTIFICATION Property Address: 265 Seapuit Road Osterville,Magddress of Owner: Date of Inspection:3/11 /9 8 (if different) Name of Inspector: Joseph P.Macomber Jr. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.Macomber & Son Inc. Mailing Address: BOX 66 Centerville,Mass . 02632 Telephone Number: 5 0.8-7_7 5-3.3 3.8 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _Zpasses _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: 1�1—le The System Inspector s all submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to the system owne and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, Or D: A) SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B) SYSTEM CONDITIONALLY PASSES: /&II) One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upor completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. !!!20 The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; of the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltranon, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web: httpWwww.magnet.state.ma.usroep Printed on Recyded Paper SDI ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property address: 265 Seapuit Road Osterville,Mass . AOL Owner: Kinlin & Grover Properties Date of Inspection:3/11 /98 Bj SYSTEM CONDITIONALLY PASSES (continued) jGp Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstruc.ed pipets( or due to a broken, settled or uneven distribution box. The system will pass inspection if (with approval 01 ;he Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipets). The system w-11 pass inspection if(with approval of the Board of Health): broken pipets) are replaced obstruction is removed n FURTHER EVALUATION 15 REQUIRED BY THE BOARD OF HEALTH: A)h_ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT THE SYSTEM 15 FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: x The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface -ater or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply veil. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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 eq at to of less than 5 ppm. Method used to determine distance �cO (approximation not valid). 3) OTHER A (revised 04/25/31) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 265 Seapuit Road Osterville,Mass. Owner: Kinlin & Grover Properties Date of Inspection:3/11 /98 D) SYSTEM FAILS: You must indicate ei;•.er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 Ch1R 15.303. The bans for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an 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 innn the distribution box rabove outlet invert due to an overloaded'or clogged SAS or cesspool. / ke.rAOh l;�" C� Liquid depth in*esspeaLis less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due toyclogged or obstructed pipe(s). Number of limes pumped 6 - Any portion of the S�sorpti n System, cesspool or privy is below the high groundwater elevation. 41 — ' Any portion of a FeespooF 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater'(large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No 44C1 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (rsvisod 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 265 Seapuit Road Osterville,Mass . Aw, Owner: Kinlin & Grover PropertiesDate of Inspection3/11�98 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are'not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. JZ/ _ The site was inspected for signs of breakout. _ All system components,eluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. — The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) I (revised 04/25/97) Pegs 4 of 10 2I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 265 Seapuit Road Osterville,Mass. Owner: Kinlin & Grover Properties Date of Inspection:3/1 1 /98 FLOW CONDITIONS RESIDENTIAL: Design now: //0 >;.p.d./bedroom for S.A.S. Number of bedrooms: Number of current residents: Z Garbage grinder (yes or no): Q7e Laundry connected to system (yes 6r no):ij Seasonal use (yes or no): `s f- ` Water meter readings, if available (last two (2) year usage (gpd): 11 -E �SU ;'� 0-n 'D Sump Pump (yes or no):.:�_D r' Q y�f �fJ lL$6a Last date of occupancy: T COMMERCIAUINDUSTRIAL: Type of establishment: IV4 Design flow: AJ4 gallons/day Grease trap present: (yes or nowA9 Industrial Waste Holding Tank present: (yes or no)ZJV Non-sanitary waste discharged to the Title 5 system: (yes or no)2 Water meter readings, if available: 45A AA Last date of occupancy:—A2A OTHER: (Describe) th_ N Last date of occupancy:_n) GENERAL INFORMATION PUMPING RECORDS and your a of information: 7, tll9(1 System pumped as pan of inspection: (yes or no) S If yes, volume pumped: Ilons Reasw ( r pumping: }� n ;�- , 3_ ,vu ��p i�rt,uGTo�vi:uto A U E n�roo- �41Y' �► Ts -9 c91- ,��te �p TYPE OF SYSTEM SNtlJ�4pQ �(✓L!"T Septic tank/distribution box/soil absorption system -T _ Z'' Single cesspool 00 Overflow cesspool Privy --� Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other ,[/� APPROXIMATE AGE of all components, date installed (if known) and source of information:/G� Sewage odors detected when arriving at the site: (yes or no) � (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 265 Seapuit Road Osterville,Mass. doek owner: Kinlin & Grover Properties he0a,vv Date of Inspection:3/11 /98 BUILDING SEWER: (locate on site plan) Depth below grade: Material of construction: _cast iron Z0 PVC_ other (explain) Distance from Private water supply well or suction line Diameter N' Comments: (condition of joints, ven ing, evidence of ea age, etc.) a4111v SEPTIC TANK:1040yi/t"UW5 (locate on site plan) Depth below grade: Material of construction: concrete _metal _Fiberglass _Polyethylene _other(eiplain) If tank is metal, list age jIg Is age confirmed by Certificate of Compliance &A(Yes/No) Dimensions: 4A.r; Sludge depth: 01 Distance from top of udge to bonom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle:_ Distance from bonom of scum to bo m of ou let tee or baffle: How dimensions were determined: IJr Comments: (recommendation for pumping, conditi of inlet a d outlet tees or baffl s dept of liquid level in elation to utter sues, structural integrity, evidence of leakage, etc.) �� r. i C GREASE TRAP:42M/Q, (locate on site plan) Depth below grade:/ Material of con struction:,(/AconcreteWRmetal Vt?FiberglasVV.4 Polyethylene taother(explain) A/o Dimensions: ,LIR Scum thickness:_ Distance from top of scum to top of outlet tee or baffle:10 Distance from bosom of scum to bottom of outlet tee or baffle: Nj9 Date of last pumping: _Ag Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet inven, structural integrity, evidence of leakage, etc.) Nf.°�4.�Lv 1911 i (rwia•d 04/25/97) P4g• 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 265 Seapuit Road Osterville,Mass.Owner: Kinlin & Grover Properties 0� ANO Date of Inspection: 3/1 1 /98 TIGHT OR HOLDING TANK:Alept (Tank must be pumped prrur to, or at time, of inspection) (locate on site plan) Depth below grade: 104 Material of constructionWAconcrete.VA metal,V/LFiberglass4aPoIyethylehe,other(explain) Nl� Dimensions: AM Capacity: SUM gallons Design flow: pus? gallons/day Alarm level: A)i4 Alarm in working order,4A Yes;AJR Nu Date of previous pumping: jkj 4 Comments. (condition of inlet tee condition of alarm and float switches, etc.) Tea,.f kr, A "rr Q rf wild DISTRIBUTION BOX:: (locate on site plan) Depth o: l,cu,d level above outlet invert: tic Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) iA e t PUMP CHAMBER: (locale on site plan) Pumps in working order: (Yes or No)—&iQ Alarms in working order (Yes or No)__&�V Comments: (note condition of pump chamber, conditi n ofRumps and appurtenances, etc.) q9 .� I s e (rovio-d 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propeny Address: 265 Seapuit River Road Osterville,Mass . Owner: Kinlin & Grover Properties Date of tnspectlon:3/1 1 /98 004 SKETCH OF SEWAGE DISPOSAL SYSTEM: uoe ties to at least two permanent references landmarks or benchmarks iccate all wells within 100' (Locate where public water supply comes into house) _ y 1 .0 I (I.Vis.0 ck/25/91) P.y• 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 265 Seapuit Road Osterville,Mass . Owner: Kinlin & Grover Properties. Date of Inspection:3/1 1 /98 Pool House SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number: leaching galleries, number:= leaching trenches, number,length: r l leaching fields, number, dimensions: 1- J 14��Xto�I overflow cesspool, number: Alternative system: A),4 Name of Technology: / Comments: (note condition of soil, signs of hydraulic failure level of ponding, condition of vegetation, etc.) CESSPOOLS: • (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: All) Depth of solids layer: /1/A Depth of scum layer: Dimensions of cesspool: ifJ�i Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) IQ Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: = (locate on site plan) Materials of construction: Dimensions: Depth of solids: 16 Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (r.vis.d 04/25/97) P.g. 8 of 10 SUBSURFACE SENVAGE DISP,: L SYSTEM INSPECTION FORM I., C SYSTEM INFOI;'., .!ION (continued) Property Address: 265 Seapuit Road Osterville,Mass. Owner: Kinlin & Grover Properties. Pool House Date of Inspection:3/1 1 /98 Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Flexion: Obtained from Design Plans on record Observation of Site (Abunin roe bservation hole basement'sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps heck pumping records heck local excavators, installers Use USGS Data Describe in your own words how you established the High Groundvref-Elevation. Must be completed) Hand augered test hole. 7 ' 6" . This put us 5 ' below the leaching field.Soil became damp' at this point. Used Gahrety & Miller Model Water contours map. 12/16/94 (:.vi..d 04/25/97) n.s, 100f 10 ` �nr+—n.rr--rr 'r..-mr nirnrr.rt rnrrr.�r:-.�.•r•.+•u.r:rrern�mrnu*.ar.nr.err. -. *sssr-�ra-s rr.r. r-r—r-...-. ,- I TOWN OF Barnstable LVJARD OF HEALTH SUIISURFACR SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION tII ` �••-T•�-T••-•.•.—�.ITT.�.�T.T.111'1llTITZT.4Tft7Tlr-"1.�1 FT'R�/�T1Tlef-TFT'TR1A'�1'.T1CR.t'iZTM1T . rm.n�rsrrnr.sv-rr.-...r.•.:r-rr-•TT-1• �. ^ -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 265 Seapuit Road Osterville,Mass. ' ASSESSORS MAP, BLOCK AND PARCEL # CSC y� OWNER' s NAME Cabot PART D - CERTIFICATION I NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Sotf 'Inc. COMPANY ADDRESS Box 66 Centerville,Mass . 02632 Street Town or C/ty Scat• LlP COMPANY TELEPHONE (508 I 775 - 3338 FAX (508 1 790 -1 578 N CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of .inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : System PASSEDOl�s�. The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or Ole environment as defined in 310 CMR 15 - 303 . Any failure, criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* i The inspection which I- have con Ucted has found that the system fails to Protect the ilublic health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , Inspector Signature el -"'4y/. � Date �/ One copy of this certification must be provided to the OWNER, the BUYER ( Where applicable ) and the DOARD OF H EALT1I. * If the inspection FAILED, the owner or " -Perator shall u within one year of the date of the inspection , unless allowed dortrequiredm otherwise as provided in 3.10 CFIR 16 , 305 . partd .doc U THE COMMONWEALTH OF MASSACHUSETTS DEPA.RTMEENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CER { D TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws . Issued by The Department of Environmental Protection. Acting Dircctor of the � t 1011 of Witcr Pollution Control ..r THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OE HEALTH -.L�. 1.)...............OF.... ------- n Appliratiuu for Disposal Norks Tonstrnrtiun ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( 9) an Individual Sewage Disposal System at: roS S -A �.(-J.• -i u. o_.----.. I_Z4L iY.5C u2 l�ttA.Ql3CUQ � ............... --+ Loca-on-Address or Lot No. ----------------------- s+ _t .----........------•------------------------------ . ------------ •Q, ner ress nstaller Address Q Type of Building Size Lot_' _:D....�- U Dwelling—No. of Bedrooms.••----.9.................................Expansion Attic (}0 Garbage Grinder )> Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures -------------------------------- W Design Flow....___7.l-z____--S S ti,,>®_._gallons per person per day. Total daily lons. WSeptic Tank—Liquid capacit _gallons Length:!t,�_l_t.__._ Width__!6-a... Diameter_.____- -s_. Depth_ _ .._. x Disposal Trench—No ____________________ Width... Total Length .:._______ Total leaching area__`____._____......sq. ft. Seepage Pit No--------------------- Diameter.......$......... Depth below inlet._____________,. Total leaching area.75G__._.sq. ft. Z Other Distribution box ()/ Dosin tank (Iio A '~ Percolation Test Results Performed by.. _Ar -- $_l _G=_�.! -________________ Date__: _.. .............__ ,aa Test Pit No. L.A-!......minutes per inch Depth of Test Pit____t`............ Depth to ground water---AaS:G-4 CO.0V. QrV Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•--------•-----------•-----•--•---•---••----------•----....••------ -----•----....-•---•--•-------•- --- ----------------------------------------------- O Description of Soil----- : .............................................. x V ----------------------- ----------------------------- •---------------------- •------------- --------------- -------------------------------------- ------------------------------------------ ••-------------- W UNature of Repairs or Alterations—Answer when applicable.____________________________________________________________________________................... ---------------------------------------------------------------------------------------•------------•-•-----•-•--------•---•--.....-•••-•••• ..................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental de—The unders ned further agrees not to place the system in operation until a Certificate of Complia een iss%.. ealth. ? �Signed .-. -...... . .. .................. ,ems• to Application Approved By .-....--- �� V ------//.—../.Ll...-Date Application Disapproved for the following reasons- ------------------------------------------------- -- ----------------- --------- --------- ----- ------- --------------- - -- ---------------- ------- ---------------------------------------------------- ------- -------------------------------- ---------------------------- ----------------- ---------------- ----------------------- ----- -- Permit No- -----4170......%57 ----------:- Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----------Lauj M---------------- OF ..- & ........ --....-- .....-- . -- C ertYf rate of Complianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( � ) by --------- Ins[alter - at ........... .ram. 1 PCB-�..� d� V - iA_Q ..... 1 IL1�-1.5 has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No- ----- -- --- --f1.. ---------- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------------------------------------------------------------- Inspector ----..........----.... -- ---....--- -------...--------.- ----....-..-------- h No.. Fps..........................._ THE COMMONWEALTH OF MASSACHUSETTS fC)U f ' BOARD OF HEALTH • j......................0................OF.-.U.:r\�..............,at�jC i� Allp iratiun for Dhip sal 19orkii Tuntrur#iun rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: -� 2 ::�� :: i• 1�I V ;;Z �C:o ►'��� •%S t%tic' iS i L !./'lSirr_�� Location-Address or Lot No. -------._._......�.....-•— . ................................................ wner -----•---•--•................ddress.. Installer Address d Type of Building Size U Dwelling No. of Bedrooms________.a________________________..........Expansion Attic Garbage Grinder > aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------•••-- _...-• . ' __.. allons per person per day. Total dailyflow.._�..{_.__ __ga_llons. W Design Flow......... ''--•------•----•--rt.-C�� g P P `vP i:� 3 r ...�-------------•----------•-•- - WSeptic Tank—Liquid capacity—.gallons _ Length__s,_e_.:�_�___. Width___..._.':_.. Diameter_______------_. Depth_=_�___- Disposal Trench—No_____________________ Width___12............ Total Length. ___,___ .._ Total leaching area............... ft. Seepage Pit No--------------------- Diameter________-_________ Depth below inlet______:............. Total leaching area.....___.__.._____sq. ft. z Other Distribution box (`1 e:.) Dosing tank (Q) _ '-' Percolation Test Results Performed by-._���..' . �_��'.`.t--__�_!`t_`____________________ Date___..................................... aTest Pit No. 1___r.Z______minutes per inch Depth of Test Pit____ ____________ Depth to ground water___ ____'_`-`?'_-_.�-� . (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water___________.___-___-___- ----------------------------------•-----•-----------•------------•------•---•---•:--......--•-------......................................................... 0 Description of Soil......U -+-Lc.'-\rKt 1 5.�. _`'al.�c...�-- --t ---•i`�1-t"--�--a-t� l) x V •-••---•-•••----•-•----------•••----•-----------•-------••-•-----••-•----•----••-•-••----••-•---••---•-------••--••-•-•-•---•-----•-•---•----•-•-----•-•----------•-••---•.................I------------ W •-••--•----•------------------------•------•--•-•-----•••-----------•---,---•------•••-•---•-----••-------•--•---------....-------•--•-•------------•-•-----------•-•--•-••-•-•--•-•--•-•----------•••- UNature of Repairs or Alterations—Answer when applicable............................................................................................... ...........................-------------------------------------------------------•--...._..----••---------------------------------------------...-----------------------•-----•------.............__. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmenta ode—The undersigned further agrees not to place the system in operation until a Certificate of Complia been is ued 'o health. Signed :..:.:- ----- ----------------- ..... --------- ...........--. ---------------------- ----. ..-..Dare -..-..----...-.. . ApplicationApproved By ...... ....... . ... .. ......................... ....:.......... ----------------------------------------------- -- ------..........--.......... Date Application Disapproved for the owi ro s: .......... -/mod ..................................... .-..--........--...-.....-..--....--..----..-..-..--..-...----..----...--...--....----..-....--....-..---...-.....--............--...-.....-..-...--......-- ---------------------------------------- Date PermitNo. ....... ---------------.............. Issued ..--------------- -- --------------------------------------- I THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ----- \^1................... OF . - �a•' IV S.1 ems- .. Ce>r#tftt•aty ti# (f ompliartre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( \ ) by _ ------ ------------------------------1-----;------------------------ ------------------------------------------------------------------------------------------------------------------------------ -!P Installer at ................................................r�\ (_,_1 t�.�_l `- .. '( � f 2-1`_----------------------- has ?`f�been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -------- ----------------------------------- dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE NIRU& AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------------------------------------------------------------------------------------------ Inspector ........................................------------------------------------------------------------ r °i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................... ...........--................................ .................................... No.. . . FEE........................ Disposal Works Talnstrurtion firrmit Permissionis hereby granted------------------------------------------------••••-•••-•••-••----•--••.....-•------•-----------•-...........-•---•--•....._......••-...... to Construct (�) or Repair (�`) an LIndiv dual Sewage Disposal�System � tl�v�4���J at No. C...._...�.t-�.l�-t...---'.=�•-•••--•-•-.._....•----___--••--•••••--.-- Street as shown on the application for Disposal Works Construction Permit No.._._______.t_______ D d----------------________ ��_�®g Board of Health DATE - V----------------- --------••-- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ASSESSORS MAP NO�f7.7 t KNEW:- . 4- Fizz. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App iratilan for Dispaiial Works Tons rnrtinn anti# ' Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - j S E APB.?1-F �t v EC 20 Pt ID - - � ,j� Location-Address --. or•Lot No. iLI N - -1�jL E►�1M_ � Owne Add ss WInstaller Address FcL� d Type of Building Size Lot..3_0�_____________; U Dwelling—No. of Bedrooms...........2................. .....Expansion Attic (Mc) Garbage Grinder ( ) pa-, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ..................... W Design Flow.........S 5...........................gallons per person per day. Total daily flow......2-_O............--------------gallons. WSeptic Tank—Liquid ca.pacity_.t __.gallons Length3_-1(,..... Width.`}---10 . Diameter_______ ______ Depth... =-&".r x Disposal Trench—No..................... W' th. ................. Total Length................... Total leaching area...... ....._ sq. ft. Seepage Pit No---------�----------- Diameter d_ __.____ Depth below inlet.—,�Cal leaching area___ q.` ----.s ft. Z Other Distribution box (yo Dosing tank NO) 1Percolation Test Results Performed by.__---ArY S. Date... �`z� .. ______________ a Test Pit No. 1-__�z-.....minutes per inch Depth of Test Pit...1?-.......... Depth to ground water__Ern 1_?_"4,1j D 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----•-•-•---------------------------------------------------------------------------------------•--.--.......---...-•-•----••--------------...._...---...---- O Description of Soil----Q- `5 �0 ` -u - ©tcr.}..6.'-5-.---12�-----M......--.. ©.l 4.--�t1 V............... W ------•----------------------------------------------------------------•--•---------------------------------------------------------------------•-•------------•------------....--•-•------......_...... UW -------------- --------------------------------------------------------------------------------------------------------------------------------........................................................ Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----•---•---------------------------------------•-•-----•-----------•------------------------.......-•---•--•-------------------------------------------------------...........----......---•--•-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental C e—The undersigned further agrees not to place the system in operation until a Certificate of Com lia een issued h. Signed ----- ---- -------- ------ ------ . ---------------------------------- `- ..... - -----. /..... to Application Approved By - . ---- Dace Application Disapproved for the following reasons- ------------------------------------------------------ --------------------------------------------------------- --- -- --- --- -------------- ------------------ ----------------------------------------------------------------------------------------------------------------------------------------------------------- ........................................ Permit No. -------- ----------------------- --------------------------- Issued -----------------------------'--" ------ Date pl No. 9 - r/ Fizz THE COMMONWEALTH OF MASSACHUSETTS- BOARD OF HEALTH k. TOWN OF BARNSTABLE Appl ration for Disposal Works Tonstrnrtion thrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: cApu 1 i �� E2 �o� ..- ........__ __................. ............... ......... �?........ - - YS t t U¢,S------------------------------------------ --� Location-Address - or Lot No. 1 -•-- .... .................................................... -----•---- W Owne Installer Address d Type of Building Size Lot... _.j;�A..............S_q=few U Dwelling—No. of Bedrooms............ .............................Expansion Attic (1Jc Garbage Grinder ( ) `4 Other—Type T e of Building p� yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) y , Other fixtures ..................-................................................................................................................................... ZQ W Design Flow..........5 a..........................gallons per person per day. Total daily flow-_-_--Z...................--.._......_._gallons. V1:4 Septic Tank—Liquid'capacity__lC.gallons Length__-B:-6n-- Width_'`::t(. Diameter................ Depth.... �- _ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....... sq. ft. • �`7'T Seepage Pit No.........I----------- Diameter_v...: . ....... Depth below inlet..-- "Total leaching area:..IZ&3-------sq. ft. Z Other Distribution box (y6)i Dosing tank (00) ,1 NsxT uo-r '-' Percolation Test Results Performed by..-_ > _ ._ y �! .4.� cc.......... Date..J/ - _ ..___+______. 11T4v D t Test Pit No. 1.__4Z..____minutes per inch Depth of Test Pit._.. ?-___...____ Depth to ground water__________Ec-r___ ____ _ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... 1 Description of Soil..... ----"_eo..15MVV 1..1--•-15074tLa...-----•----- x --••------------------------•- --•----------------------•--------------•----•---------------•••--••----••----------•-----•---------••------------•-•••---------------------------•--••••......-••------- U Nature of Repairs or Alterations—Answer when applicable.....................................:........................................................ ---------•----------------------•....•-----•---------------------------•-•••---••--•--------••.....•----••------•.•-------------------------------••--------------------••----•-•------.............---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with 1 the provisions of TITLE 5 of the State Environmental Co —The undersi ned further agrees not to place the system in operation until a Certificate of Com lia c en issued h. �, G Signed ... .--- . --------------- ------ ...... .................... ---- -------- .. .... [ . .. • .�vr� ... � to Application Approved BY U.... ... t.�.,-K-e ------------------------------------------------------------------------ -----��-0---- r pD Date Application Disapproved for the following reasons- ..............------...........------------------------------------------------------------------------------------------------ ------------------------------------ -- --------------------:----------------------- . --. -----------........--- --- -...----------------------.........................-------------- ---------------------- q. D PermitNo. :......./Q..'.... ----------------------- Issued ............................................................ate------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE - C.er#tft ate of Qlampltttn.ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( XC) or Repaired ( ) by---------------------------------------- -------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------- n Installer at . 2..(5-----5EA�c�Cr---r.----CQ---...'2---- -------(7YS? 12.�- A2, oR.S. ........ has been installed in accordance with the provisions of TITLE 5 of State Environmental Code as described in the application for Disposal Works Construction Permit No. .......... .�S--... .$,�..... dated '�................�_-.-.-.-----..------ .- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS9 A GUARANTEE%THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...... -.../.7.-.. /. ......... ... Inspector ....... ..... . v...,...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.. f�...-7... FEE.....//10..... Disposal Marks Tuntrnrtion "prrmit Permissionis hereby granted............................................................................................................................................... to Construct or Repair ( ) an Individual Sewage Disposal System at No...... ..................................................o fT' Et to (aAt7 Qv -r 2 aec 2_S �. --•-•-•-•• .:.----A -•--_-.---..........--------------••---------••--•--••........ Street as shown on the application for Disposal Works Construction P it No. .: d/��Dat . ....................................... / ���� 1/ .. DATE. 1._- � Board of Health ..............• --.------•-•--------- FORM 36508 H088S♦!e WARREN,INC..PUBLISHERS TOWN OF BARNSTA�,B�LE LOf'AT10N b f�l� c1 �cSEWAGE #IC'>0-�S06 VILLAGE 0SY-eA(,ljMc ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.. e'*/ 1AP0S bwwwock /�V_ 3 ,_ 6-3 SEPTIC TANK CAPACITY" Q� QGdO C <(p�S LEACHING FACILITY:(type) 61i,,fle yl (size) Y-1 NO. OF BEDROOMS 4 imam— isOR PUBLIC WATER .MWBUILDER OR:OWNER � /1ICa�l°/tI(S I IIsL; L/dA_ &_f)k DATE PERMIT ISSUED: -DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 0 + t rt TOWN OF BARNSTA-B/LE Q LOCATION ��V G !U C�1 SEWAGE # /0 VILLAGE CAS & — ASSESSOR'S MAP & LOT 1 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 90 (—D'0��z LEACHING FACILITY:(type) e (size) 2�� 9 NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER , �lh BUILDER OR OWNER �/�Q/Ua� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ' �4 ref�� ��. � �.., � TOWN OF BARNSTABLE LOCATION l(J C� SEWAGE # `"l 81 VILLAGE ASSESSOR'S MAP & LOTI ���l 1 ' IINSTALLER'S NAME 6i PHONE NO. (tbZv-)i^�{,yCX �i SEPTIC TANK CAPACITY l CW/�-j LEACHING FACILITY:(type) g �{) (size) X NO. OF BEDROOMS VRIVATE WELL.OR PUBLIC WATER BUILDER OR OWNER&&ad1?C,5 r/9Gr1Oe 4AVAkj(aens. DATE PERMIT ISSUED: 2z2/ DATE COMPLIANCE ISSUED: CJ VARIANCE GRANTED: Yes No __ �1 � �p Cn �� � � � �� �� v � �� � � 2 ', � � �. � � � � � � � - � J \w � � ��vJJJ\\\ ti � � '` �- � g � °© S �� � ``� �` TOWN OF BARNSTABLE LOCATION Sag nu+f" RiJert Kc _ SEWAGE # VILLAGE ASSESSOR'S MAP & LOT yry5"J Q INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY 1600 o_a 110AJ LEACHING FACILITY:(Cype) _ -6QQ Lc4sr 2,15 (size) laoa 00llovs NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ;�/ � wi.�I ipNir2e DATE PERMIT.ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �►iMshJ �,r ho��aw�p� /'�� CD N r 'o w P ah ', 1 I=-OCQTION_:_ ff5EWD,C.4E PERMIT UO. 05 o �/ILLpGE � �—� IWS-TaLLER-5 ► && AE. / ,D-DRESS �It r jnbC�v S — — _---- Ar - - BUt- DER & .Q &MF- t.-ADDRESS ��__pQTE -PERt�1T_ LSSUED_ =�,�_•Z�._�� _—_— _ DATE 1 (0 A J A d-0 1 f ' rJ � Finit THE COMMONWEALTH F TS BOARD - OF O- O D - OF HEALTH .OF..................................... ................................................. Apphration -for Disposal Works Tvm4rurtion Vrroiit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or ------------------- _ .----- owner ress Installer Address Type of Building Size Lot...--- iftt U Dwelling—No. of Bedrooms.....___.Q..............................Expansion Attic (pa) Garbage Grinder (jj(.)) per, Other—Type of Building 73AK436E..._.___ No. of persons._..0141F................ Showers (1)o) — Cafeteria (U0) A' Other fixtures r-IiVA.:�OL w Design Flow__5L�_. .. ..............gallons per person per day. Total daily flow .. cap?. _ b�i(CD.cr✓1....gallons. WSeptic Tank—Liquid capacity.1no-o__gallons Length------6_f-. Width.._0-:9c_:. Diameter................ Depth-----______--. x Disposal Trench—No..................... Width............_ Total Length__________-__-_-_-- Total leaching area--------------------sq. ft. Seepage Pit No........I........... Diameter...__- Depth below inlet____________________ Total leaching area--___.-_-.--_.-_.sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date--_----------------------------._---_.. Test Pit No. 1................minutes per inch Depth of Test Pit....._.............. Depth to ground water-..-__-..____.____-_-.-- �X4 Test Pit No. 2----------------minutes per inch Depth of Test Pit.__________...-.____ Depth to ground water__-_..______.______----. 04 ----------------------------••---------------------------------------•--------------------•----------------•----------------•---•------------------------ .. ODescription of Soil------C�eR�SE---------`�--A D. -•------------------------------------------------------------------------------------------------ W -------•-------------------•------------------------------------------�-0--r-----)� .. r - -------------------•----------------------------------------------- ------ x V Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------------------.---__-.._______..... ------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. 2 l L . U Signed. x ` �"`- _,. 1 Date Application Approved By••--•-- =/(----------------------------------------------------------------------------- • Date Application Disapproved for ie following reasons----------------------------•-•-•=-----•------------------------------- -------------•------ a.t.e----.......... .....---•----•-------------------------------------------------------•--•----•••-•••. f Date PermitNo................ ..................................... Issued.------.... ............................................ Date 1 No.--- '-------.... •. Faa...... G..:. tl THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH .... .. ._ ... _...............OF..................................... ...........--.........-- ----.....----- Appliratiun -fur M.gpu ial Works Tunutriirtiun Vrrniit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. .pt v�--------w.......---La-Mows..................... ... .y. .z. ....... 1_�t��Qrc ,.. � W _� Owner Address VV.AL i-f......LCw.1. --=--------------------------•----------------- --- .......RD,....... -------------- Installer Address VType of Building Size Lot.... q- - Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) ` Other—Type of Building p.4 yp g 44RAGL----- No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fixtures- -----------------------••--------.--------------.-.---- -------------------------------------.._.--_..-..--.----•--••-----------------•-----.---•---- W Design Flow--------------------------------------------gallons per person per day. Total daily flow-----------------------------...........-...gallons. P4 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter----------------- Depth..-.---_-..----- xDisposal Trench—No..................... Width-------------w......Total Length_-_-_____-_-_--__-. Total leaching area......--_--_-.._____sq. ft. Seepage Pit No---------I.......... Diameter----------------- -- Depth below inlet.................... Total leaching area_--_--- -----------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by-------- -------- ----•-•--------- Date--------------------------------------- Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water...------.-_..__--._--.. riq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__.-..--._--._---_------ P4 -----------------------------•--._......-------------------------------••_---_...---------------•-•.......................................................... 0 Description of Soil-------------- --------------------------------------------•-----------------•------------- ---....---------------------_------- -------------------------------------- x _ --------------------------------- --------------------------------------------------------------------------------------------------------------------------•------------------ ................. U Nature of Repairs or Alterations—Answer when applicable.-.---_......................................................................................... -------------- -------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed-----• -----_�_J. ( -•------•-----•---_---•-•-- Date Application Approved By-------- # :f Date Application Disapproved for t to following reasons: ------------------------ ..............••---•--------•-------•-----.------•-----------------------.••-------------------•------------------------.....•-. --•------------------------------------------------------------------ Date PermitNo..........A ` ----------------------------------- Issued--------........----------------------------•----------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................t4.4�b`"..OF........... /.f t�JT d't J e e-, .. ................................................... Qtrrtifiratr of f�umplittnre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) l ,E .t.Tr sit..............f/-Lv/y by.. ------------- -.-----------------------••------------•---------•••---------------------•-------------•------.------ • Installer U T � L s /S l 1� '�dl at = --- -------------------------- -------------------------------•-----------. ----•-•-••---------- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No--------- __ f____________________ dated......!�.-_1......._7.t-........-_•--. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACT/0 DATE. , . --- Inspector- 0"..... ~' --------- r THE COMMONWEALTH OF MASSA USETTS BOARD OF HEALTH ....................../�UGc/l t,,...O F..........A..f�.4?'S.Z ..�i.e.= No.--------:.=1- ------ Du FEE..... �i��u�ttl urk� C�un�triirtiuti rrmit Permission is hereby granted............../41? ------- -I � /5-------------------•--------- to Construct or Repair ( ) an Individual .Sewage Disposal System- "/ ` s = n...• s _.�.,c r. st I , .l,4lr. I at No. {` = -------- ------------------ ^ Street as shown on the application for Disposal Works Construction Permit No......�'/_'_ ------ Dated-------�..�___I ---------•------•---•---------------------------------•-------------------------•----------------------- DATE.......... -----------e---------------------•-------------•-• Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - NTS EXISTING UNDERGROUND UTILITIES iARE:SHOWN -IN AN APPP I WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREC HAVE NOT BEEN INDEPENDENTLY VERIFIED EIY THE OWNER SQQ°�Z REPRESENTATIVE. THE CO Np ISM GWHICHEES TO E FULLY MIGFIT E RESPONSIBLE FOR ANYES \ OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE T �►�v---c� UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FRS INFORMATION, THE CONTRACTOR SHALL NOTIFY THE C ENGINE ' - IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY SSD x 17.8 X f7.4 i i VERIFY IN FIELD THE LOCATION /' INVERTS OF ELECTRIC, TELEPHONE do DATA/COMM AND RELOCATE IF CONFUC71NG J _ �E. �� �� PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE. =� x 16.9� 16 CONTRACTOR . SHALL PRESERVE ALI. UNDERGROUND I REQUIRED. .9 : /' 16.7 16.4 " 17.4 I 6.3 ' x 18 ' / 3/4'-1.5' WASHED STONE 3• 7.8' 'v 8 r 1�3.5 90KHMAW 1 . �( 18, 17./6 l 16. V.0/2 x 1 .7 � + I /18.4 �`ot,� 3 15 ._L_ D 18.6 16 � 14, - ®171 / a4 15\44. 20 9.0 8.1sx / x 7.2 �� ()V SYSIEM_�V1Tl� � .� � � � PLAN OF SOIL ABSOR PTI '19.0I \ / I / CUaC 330 LEACHING CHAMBERS OR EQUAL %49.0 �♦ 4 NO SCALE YA 15 1 \ i 14 10 /x 13.8 /17.3 \ FINISHED G14 RADE x r2,8 36'MAX.-9"MIN. �� \��COMPAC� FiLL��/ 2" LAYER DOUBLE WASHED /x� l 3�\ ► 14. STONE 1/8' TO 1/2' ... \ I -`1 \ ; \ �• OR GEOTEXTILE FABRIC 7; 3/4 TO 1-1/2 a - DOUBLE WASHED \ \\ STONE id \s r N 13.3 of81 a �_3 4' SECTION '.4. Y .. • / 0 -- - - NOT TO -- PLASTIC LEACHING CHA 1249 P (CULTEC 330 OR EQ_UI SOIL LOGS DATE : 10/12/07 FQUIREMENTS P-11980 BARNSTABLE SOIL EVALUATOR: . ' BOARD OF HEALTH-AGENT: STEVE WILSON, P.E. •. DONNA MORANDI N/A TEST PIT 1 TEST PIT 2 TEST PIT 3 - TEST PIT.4 (CUSS 1) on G.S.E. = 18.5 G.S.E. = 18.2 G.S.E. = 17.4 on G.S.E. = 17.( E� Ap ; 1oYR 2/1 ; SANDY LOAM :Ap : IOYR 2/1 ; SANDY LOAM Ap ,' 10YR 2/2 ; SANDY LOAM Ap : 10YR 2/2 ; SAN F. MIN. ' G CHAMBER UNITS OR EQUAL. B ; 7.5YR 4/6 ; SANDY LOAM B ; 1OYR 4/6 ; SANDY LOAM B 10YR 4/4 : SANDY LOAM B ; 10YR 4/6 ; SAND DNE AT ENDS. 20' DEPTH = 120 SF 22 22_ ' • 200 SF p Cl 10YR 5/8 ; FIN= 320 SF Cl 10YR 5/8 ; FINE SAND 61 10YR 5/8 ; FINE SAND C1 10YR 5/6 ; FINE SAND x 0.74 GPD/SF = 236 GPD 47' �. � 49" = 440 GAL 54' C2 ; 10YR 6/4 ; MED. SAND C2 ; I MR 6/4 MED. SAND C2 ; 1 OYR 6/6 ; MED. SAND C2 ; 10YR 6/6 ; M ON 132 (ELEV 7.5)` 132 (ELEV 7.2) 132' (ELEV. 6.4) 132' (ELEV. 6.0) 19.0 15.5 15.3 NO WATER AT 132' (ELEV 6.5) `NO WATER AT 132' (ELEV-7.2) NO WATER AT 132' (ELEV 6.4) I NO WATER AT 132' PERC O 54' (ELEV 14.0) PERC O 60 (ELEV 13.2) 15.0 RATE= <2 MIN/IN RATE. 62 MIN/IN 14.9 CLASS I SOIL CLASS I SOIL DX 14.7 14.5 12.5 )ON 6.0 V h--I u_._+J T i I 2 ,I .fin© -D+14*va9MAY • VI� � � I i .,.III I I ,.W G=¢ `&\'j \\ I. lug .41 II I 'Cl- , o c-6 �Tn' {� Al � - - � Ili �•�''__ _ _.----- � -*- I — - -- - �-- — — — — -L-- ir s o a �^ - T - -- s-_-J_..I I i._�_L�• � 1 J I II ILL I + II ; 3 t £ I 961 I<zreos=w 691 1 42r-90s a=i VW';IIIA2191S0 .Z 1;1;920 Vw'anlnaaisO (/ 'G�I`JINN iinjv35 S9z ,0-,1 =,b/I '91VDG QY 310b15N2'd0 153M-311IA213150 9£I Ij Z•" � m 1 I Sul 'NOS t 91'JNON "9 3 V ��¢ 3snou aodl�i,,�dD WJ 'c�OOIJ NOISIn3b ---- - a]SOJO'NA SNTN M 'SSW /'uW /00F`so'dIgNIAON :2LVO .9..2 [Dj 13 ° o z " a O r. - F - = s h cn. -------L ----- = u a � ------- o-— ----------- F---- I P r oen az�-aoss�=d sou ezn-eos r-i ....... VA'911INNjiS0 .z ssszo vw`anlnzaiso / tdr 0?l?13n1�11(dV19 99Z 0 b/I 31VD5 'o2 31aH15N2'tl9 1S3M-3711nb3150 4£I m - - - NOISIA3? 'Oul `NOS SI?J?JON '9 3 .;;Y�n�r��....... iSnOu ggdl�!NdD SNOII`dn919 � I a9SOdO?1d SNgN�IM 'SJW /•JW= Zooz`so�1a9w3nory alva FHH HIH- Y . am z . Z o . o � I w FP - - HIM+ w a r • W -IF II W J_ 411 r - - , tiL • UQ z m = { - U-) m N N Op LLi _ . f311-3/4'r1 I-7/8'LVL FAL5E ROOF - ROOF-ASSEMBLY -2x I O'RAFTER p 16b/c - -R-30 BAIT INSULATION - 5/6'CDX 5HEATING W i�// -30 N FELT PAPER -RED CEDAR SHINGLE5az - cl EIR.WALL A55EMBLY Q -2x6'5TUD Q I G'ac 2:0 HEADER - -R-19 BATT INSULATION q- 1/2'CDY 5YIEATINGTYVEK LL W F—-J - -WHITE CEDAR 5HINGLE5 N - 0 2.'PLATE - 3/4'TeG - ' R 30 GARAGE DOOR TRACK - O O N - U W w . - _4'151111.CON..SLAB - - n SECTION 0 O w CO w t, Oil o N / 1 t r �L 3' i ITS O W CC i f p =� U c Q( Z U V cc � � z F- \ h ��OWW00 J, W IQ Cl 'C i I H Y Q i s3 e a 2 C a PC) ;� e o ❑I w a Ali -L a f I e k C_ICI a --- I -, w • M ; i _ I - EJO EWA " HL { ; i IIi I • I � � I wj g _ n 4i r C i �u !k J N e 77 a' IT' A I o i {4i. iABLE" l t�jAR, 16 -- - _,_- a- - __ _ - • , f� Q At - co Q fo`INFAIq1 , 0.01 f r k S �y o _ l 6 r.-.. .... ... , .. ... .�. 1, afcE ., �n - - _ - iC r - T _ �r r 4 u'1 - e .,-;. :,._<...:-.v....rL_...:.ti.,........s ._ur.L,rtsY+�,. .:._.......A✓,_:.�.a,L...,, .?.'.�+a . >x-. a.... f - � e n ce a - - _ - - - - - r -.,_ .. ._ _- - - .... . . . - .r.. . - ,.. ._.. � . , _ River d, _ r rs r :Ha b P R oa to o :Lan �a so cia s - . tl c ap.e_Arc itectu---, - ri ,'T v 1 � as - - _ : w I --dated , t _ 6 4 T- a �—. 7© - � _ ,_- P J vs Qj Oe N o � ° LIO .4ERC.t(/,VG P1T ? ► ► SEPTIC. Tliude. j— -50• q �'a�1 — � L .. r 00 4w7. io Tims t i Pt Handy C-Gc) x, P `I G� I ftClU SE '"(t t� 1 AJ 16 . (-6O XC 2O© r % 3�0 6ALL C-)I� ,5 Noisy � o / yster 32 arbors F o� .� o � •o ,, L_Es-,,CAAI&AGr +Ac—iL—tr< - V5 4p � A GA ALLEYS W17-H G' C.1'7••.USVk-UP 'r✓TO ✓' RVI' LE D ISL ND� (10 ,• pl 1 I i LOT FZ e bm sons e — pck Rave r s AL \JJCTLAO"0 I 32 i Island peal r5 Beach` i S w a LL. �-Z(�2+3 2)x q x 2,5 = 880 Go?-*;> 3 2 = 3 IAA G?t' - I I TEST IAOLC NOTE:. ALL. I O 1—l�o'� 3,5-1 Z. (�t;L ►3 R A w N S'c n,A Q 3 C. n t ef.. \ r t•t?� V�1 !i_c , FY:t ,; TO r T,�1 \f't A.TW . ZL t,7 7 It C-rAe.nrw A.A I f T+F ►�.� ' � `��� �v � �I�D 2 8�:�:� t� 7LvS 2 >rx�5�I►.a �E ,xc -� 5 Lo.�...1 O—t ♦Su+3 "R'rt ��9,� L Iota p ►,r? � i "DA 1 L.1/ �"._sa�v+.,./ � ?��1Ca = 4'q � �-�► MQ •q� ��e� � _ ,, ���"� 7,"'K-x-- �-- �'` ��.Qn c..�ta.r'�►,�.. qq o x � s 1�7 /� � G�c.p C�AL���1� O b L,P-o �-' �''�\ USE 1500 �ALC C>1�1 `T'A,h.a l� _ 1 �l C� r ib.2 / (� ! ��� v, ox �b ,/► �J Y ST I G D►�4 1`c ckA I"C�c - US E:) �0 0 C.'aLLON IT 7• DNA vj (Tm �y Ov 5"i IJI Q� 0OO C A t-'ui,A FIT W t"Tl-i Z' GV U'ljfAc-O 5m►41 � 7 -- 5 7Tiow �od>r, 5 1 a Eats/A LL_ 13 s t" ,5 . Z tat s,a fi w a L L- 1 lO s F N 2,5 Z"T 5 b1b �� _. e X A� `"'(: �o 3csrra M (A 3 F Q.. t,p C.4 $O-T-M Nt -2 6 c 1 , C) 7 e� ��Poa6i� 3'4c. P x2 = Co 92 6r 3 53 G x2 To 6 6i's �.% 5,TA.y>; �.,� ���1"�'t ON ICOO G- A LLOAJ si-1oeT PIT VJ 1�-1 ' a 14 \ \4 1(�'&!hA 1��2 tr Ar`sT r�U R h� �: i AN S � T=x�,rt..t<:� ;�r.�;.,+-►�tt� T.Z��LLr�aE, o _.W. Stark S _ +.r, 140,3 �etc 7..• N,o Z 3 t i 1MTS S�, _-- i FL oo p � q `. ..%' 1 .' 1 8 crr,..p�,l 0 r L E4,' l4 c r.l r�- 0 /Sys CEI-,A A a� ?� Ir•o t5 1 ' �,E i„.Z - mo Sce*..C,gZ 1-1 k-r— s i I KJ tiV�(ZTS .���= PETER SULLIVAN t -7 `' No. 29733 y� '`_z / 4'-71'7 � Est �`�Q I 11/ I3�9 ` l ¢ '•e�w `�" l t J I `I-+' 1 I• . �7.'� [ `J• 1 1 p �`.�Yr 1' 1 111 l M H �, --• If= c� ' i © Holz er " .�. �' t>t . '•• y o r . - •. CONSTRUCTION NOTES: GENERAL NOTES : .o a 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE1•) TH MEMAT L F TW PUN IS TO SHOW A PROPOSED 6AI1SE AM SEPTID I WITH TITLE V OF THE STATE SANITARY CODE DATED MARCH 31, � • s PROPOSED CR1DE - 1&0 �� � . : r sET a LL7V8T ONE brow FRAIE 1995, AS AMENDED THROUGH THE DATE OF THIS PLAN, dt ANY Rol .y GARAGE SUB St COVER 10 1111 OF MINCRALIE LOCAL RULES 8: REGULATIONS APPLICABLE. 2.) LOCUS AREA IS COMPRISED OF • • �, ? RISERS a COVERS SWILL BE NMIERiaff ElEY. - 18.5 LOT iB!PLAN BOOK 4M�PRAM 1S,161-t20 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY �� 1ntE: 146.125 (LOT 1 ! 12q,B04 163) ~ ,r •• •q - 72 FNrs�Ep K�o1oE o�ETtlaw • tICot THE ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED OF BIRNS018LE MAP st • 4-3 (LOT 1 ! 4-1 F71Vr5FIED GR1DE • 18.Ot WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. (LOTS 163 •t . « D. 1 Ux Jr MLN -N AT TEE F1MSFIr:D GRADE BIER LFJK2IINIG TRENCH fsl8.ot ! 18) APPLOK.- FiIMrK WI WK ET • , , ;� S . 4 scW40 PVC 6• MLA 9- m 3. WHEN CONSTRUCTION IS COMPLETED, OST VIL k% r; Nv out - Ass FilST 2' TO BE IEYNEL 161ML• OM �, PORY' N PRIOR TO ION. NG OSAL3MIE, w 026s11 10• Nv Our- iSPVC ,O Y �. (�„�) p AL�CORQANCE �H NOTIFY THE BOARD OF HEALTH AGENT FOR INSPECTION. a) PRIMMtr BENCF#YRK : RIM. SET N u 134/24. 1.2'ABOVE GRMDE r LA,lat 1 t w s ymmmongm IN II'� 14f /� �" EL 17.04 } Ass own sup N our- 1b7 DOUBLE TwonExnLE FABRIC 2 N CtJNLTeCCi va PVC. UNLESS OTHERWISE NOTED HEREIN. TO BE 4 SCHED 40 r , 14• OR GEDtDKtRE FABRIC LE4CNN6 PRNQECr BDrCFBMRIK /RA�,Mw�J��Q��•�FyByLfM��1/I/P��2/s�o0�o/1tp�a�otayO� /� Yf1Jf ED SOIIIRE ON {AAti EM BASE O REIIfOaOED ooNCREfE y 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE wC naIFFic uarr AT RE cater OF BRIDGE Sr CFNIIDFR N1l LN-143 MWBADOE EL - 19-W (tOO I=) o� HORIZON- , FOR A HORIZ. DISTANCE OF 5' SURROUNDING THE d h:i :5.;, ,; •:.!r•�. . :..;-! �1QIE SSE•- �� +� �oeh s •• �-•-•_•:• :�;:.. ....-. .:. �) ZORLL116 /NFORWTDN LEACHING FIELD. AND REPLACE WITH CLEAN SAND PER 310 CMR -* DISTRIBUTION BOX Wr. 15.255 TO THE TOP ELEVATION OF THE SAS. ZON W DISTRICT : RF-1 10 K IIaGIt M ON A LEML SORE s1IE + OVERLAY 0611iICr : RPN00 t AP ! 1.500 GALLON ONE-COMPARTMENT SEPTIC TANK `v 4 ro 1-1 DOUBLE 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN AIM CIA�R1r ZOMIG REouIROrDns` TO BE ibTAILED ON A 1F11EL STAGE BASE LESS THAN 3 OF COVER. AM LOr AREA - 2 ACRES LOCUS MAP Scale: 10 = 20W 7. THE SEPTIC SYSTEM DESIGN DDES NOT INCLUDE GARBAGE � � 1-� h M r SOILS TO BE ROADVED TO TRIC � "GROW GRINDER DISPOSALS. FROM'YARD - 0 SEE CM6MUCIION WORE #5 HOOK SIDE & RM YARD - it/ 1s' ° 8. CAunQd; THE CONTRACTOR SHALL CONTACT DIG SAFE (AT ^ 1-888-DIG-SAFE) AND UTIL1 Y COMPANIES TO LOCATE ALL s) A TALE SE1%RCW MS M7r Bmr PERFORM FOR BM SAE F DETERIO ED / m \ TO BE NECESSARV A TALE SEARW SRMLL BE PERFORM BY OTNM � EXISTING UTILITIES. AT LEAST 72 HOURS BEFORE THE START OF SOIL ABSORPTION SYSTEM SASS �� CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXACT LL) ARE PROPERTY LIVE IEORIN110N SIDINI s BASED ON dIwIF)Fr ARABLE IEOORD a 1 1 *2 \ I � LEACHING CHAMBER (TYPICAL) LOCATION, BOTH HORIZONTALLY AND VERTICALLY OF ALL EXISTING IsaNMTa1F�'M�F>lARs�D� \ NLS UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF / / / \ ` EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE DE W� SNOwI F OWEIE Olmll�FIIOY F WE��IM � �/ �/ // / / \ �,�_CAN� \\ WAY ONLY, SURVEIL PF1I�OiED Br B1IIIER NYE ENCIED�t SlBVEY'NG FROM,IJfE t41MOUp1 � x 20.7 MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND ,ATTIC 2J,2D07. x 15J5 / \ \ ! \ � �,� I HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS z �/ / \ \ \ r �E ate` REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY 7) COIMMTY P0EL MAIEII: 2J0001 0011ID (7/2/N92) S G <w / / 20.0 \ 21.0 x 2�.� 1 `` CATV �GT�C"M� OCCASIONED BY THE CO19,8 RESPONSIBLE FOR ANY �NTRA:^TOR'D ALL SLIJRE TO LMAGES WHICH OIGHT BE OCATE THE B a G� WROWCE RM1E IMP DLFtIES iFBS AREA AS ZaNS A13 (EL 11) d<A13 (EL 12� aw-7 \ 1 � x u \ UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN B•) mmmamaimmemmm U,� / I \\ 21.3\\1 /� I � INFORMATION, THE SI•IALI. NOTIFY THE ENGINEER • -�• x 17.8 IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS SITE IS NOT OW AN A.EC: U� of CIMIX SAL �► � �'� �i /� � t t/2w PL WATEA� LINE \ ♦ 1\ / SEE UTILITIES NOTE) \ / - stir x 17.4 % SITE LS NOT W M1 M ARE# OF ESTWED WABIMT OF WAE MILME PER • VERIFY IN FIELD THE LOCATION INVERTS OF ELECTRIC GAS J ( \ 2112\ / aaNe� - / ��p IMP ocToefx 1 ZOOS 'ESTYAIED iMlNDATS 9 / '� -,__ + i 17 TELEPHONE & DATA/COMM AND RELOCATE IF CONFLICTING WITH FOR USE NI1FF 1FE w ti1EAAINIDS PROTECAION ACT R uLAti S J10 K2Fa to)' 20 1 0� BLEEDER/ 7 18,6 - �--- PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE / .9 \ 9\ ( x I �--/ x 16,9 e •SiTE DOES M1r OONM A CER1Lf1ED VERNAL POOL PER N ESP MAP OCTOBER 1, 2006 1 0/ / // / 20 x 1 •9 I ,/ CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UTILITIES AS �TED Vp� �• 2- *ATM \� 1 16.7 16.4 •SITE f NOT■BMA A PWORIIV FIAL W PER NESP IMP OCiOBER 1, 2006 'F�RIOMAY WMTS OF RARE SPECIES- FOR SPExES UNDER 1� 1 \ 4 J 17,4 6.3 1RE M i�S 96WGERED S ART, REGU AWLS (321 Ci/t10) 17.0 i i/ I x 2 9 / 21 1 \ * 20,�� 1 xis / •SITE LS M7r W Mi A SUITE APPROVED ZONE I GROUND WATER REgiAR6YE N I MON\ \ 5\ / PRID11r FON AREA �� VAU T ® f �\ '%i�\� 1 1 c W,3/, 4!-1.5m WASHED 3TONE 3' 1)x 18.6( / x 9.6 x 20.7 \ 21.5 i \ 1 - � ' .8 �" 8 � • •1FE OOIIiRACIOIR 9WL OQIITACr OIC SAFE(AT 1�-Op- NO UAIFY OWNIIES 10 LOG1E \/ 1ALL FRO 10 IWSSrAAR�T /\Iry \ x 2 •6 x 20. 11�� \ 20.0 \ 0 / 10, 4 I DOW II 1111OAT/�UMM CUM AW LIES OF AT9�1 N M 11PPR�MiE THE LOOM OF L 0 T 1 B X 1819 // x 1 .9 \ // 1. \ %\, I x 18, 17.6 i 16• 16.0 I MM ONLY. W NOr LE LNO TO TW0.9E SFQI FLBAEN AND NK M 18 =0 BASED ON BE PLAN BOOK 438 PAGE / / \ INLLGI1Tib(V II ON I \ 1 .7 i � •�F34/Z4 A WAKE UMY AMM WO NWK ME C0111ML70R AMR 10 K FILLY E FOR X • ANT►AND ALL WANG1ES I M IfNr BE r MR 0 El or iFE CORRw 01% FFILW iO LOM 91D 3 � 2 .0 19,4 18,4 1 � � 3 � d 8,7 / ' �P X 924 3 '_� � / ���I1\� P� x 2 .4 20.5 x 1 �� I � / /�1�l1IlE AND UI111ES F)OIL7LY. F FBD OOpI�IS�Filal PLMI /EpI1N1D1, 11E �\ 001111IICIILit SFi1f1 N04FY 11E ENLI>fDt YEDIITELY FOR POSSHE REII iS!8 -� \ 18.6 1� _�- 16 / 15 14' -1� x x 8 \ LC PL No. 15354-1 _ +. / - LPIe( 19.8 19 U ®17,1 / / 15\44 •E 115711IG SEPTIC S11SU /=N110N VM FROM iOM OF Bi WP E AS-BUILT L,s �x 1 .1 // 1 - 7� x 2 .6 0.0 �9.L x 1 / / r t4 20' GIRD /IS W-401 AND 90-608 PERI/r ISSUE DITE 1-"1. N 14,1 \ x 7.2 J • N1iER LIVE AND APPUZTDWNr WORINION B APPRONNUE AW 6 BASED ON TIE CARD 0-0-R \ \ \ / + `'_ 'J '- / (DATED 6/1/39) PROVIDED BY TIE INTER DEPVI FWff VIA FAX ON 7 AND D=4FE FLAGS 1 \ \ \ x - - 8.6 \ f 19.5 � 1 •8 \ .19.0; 18.8 l� f x 1 f x 3\ \ `--` 18.0 18.6 \ / F� .o / \ i W ` PLAN OF SOIL ABSORPTION SYSTEM WITH LOGITED N Flan BY BAXIER NYE E)IGIES= • SURVEYM ON aces, 2007. \ \ APPROX. LacA110N) 9.8 / �� '49.0 \ 1 1 \ 49 \ CULTEC 330 LEACHING CHAMBERS OR EQUAL •AS PER FAX RECEIVED FROM iISTAR ELECTRIC DATED A LY 25, 2007 ELECIMC SERVICE AT x 12,7 1 \ \ \ ``__-- � x 1 .5 19,6 / \ � \ ♦ \ / } (APPROX•,LOCATION) �� 1 8 4 Yk I NO SCALE ZM SE91PUr RIVER ROAD CRIES INDERGROU D FROM THE TRV fORIER ON TFE LOT LNE 1 x 11.4 GALLON \ _ ls�( -7. x '7 9 - - \ \ 15 BMW HALLS KRE LOCATED N FIELD Br RVM W EWGN XIM B SURVEYNG ON 70- x 1�6 C TANK �LP� _ 18.1 8 0 A-- is 4 \ -- _ x 1 \ 1 \ x 1 OCiOLER 14 2007. 17• 18.9 t P 414 AS PER IN FORMUiON KR�L'<D Br XEYSPWd L7�OW DATED 5/11/07, No GA.S LNE'Sx9•c�\ 9 `1 \ ,' / / 1 1 O' ON SE7 RW RIVER ROND ps LNEB go ON BRIDGE Sr) LEAdiNG x _ _ �B( .5 1, 9 x 8.7Pj \�/7 3 /x 13.8 k 13.0 �\ r �.8 \ x 1 N3 2 16, �/ 16.5 \ 7.0 \ \ 2 'y �7�\� / Y /� 14 FINISHED GRADE 9" ) x 10,3 \ 1 �- $ /� �\ -_ / .\ 1 1. o. �� x 2,8 i 36"MAX.-9-MININ \ \\ \\ .\ .\ \ \ x 9.0 o \ 6• 1 , --: _ ::. :::.::::.:.: X \ /\� \ • IZlel /COMP xLL\�\�\ 8.9 \ • /,��A \ 15,7 ♦ 15.3 1 8\ \\ i 2 LAYER DOUBLE WASHED / x 11.4 •�/ �,$i 15.2 15.6 \ �>\4J�317\ I 14. STONE 1/B- TO 1/2- 6\�8.2 \ 15.6 1 I U AIP \ \ ) \ OR GEOTE VILE FABRIC �N Or sy� ?� i , ♦ 4.9 i 1 � 1 / � TN �b 5 x 3 OF x 3. q / 1 6 1 66 i 7 6 x 1 .1 �4 x 1 .8 \ 1 \� \ 13 3/4- TO 1-1/2- N o�� Jo►i G 56 1 . DOUBLE WASHED s s H x 1.1 \ 2 \ \ \\ 15,0,E 5 5 5 16.7 17,1 h i p \ S STONE N 29874 \\ �'1 x�.9 / / J Z, 5,0-BOX 16. / \ N Q 12�w. � , � �• APPROX. 16. ,8 1>M�' / F ® 1 �• .0_ /\ / N iI1• 13.3 � C� C►/S'TEA 15.3 - 16. • • -�`sS' / \ I \ � x 10, � � � 1 � 16.3 16. 16.6 13.1 (p - 1 Af•p7 \ 1.9� \x�•5 \\\\ \, // \ \ \ tiC \ 1 6.5 ��� / NOT TO SCALE \ 6 \ � \ \\ \ \ \ � 9,1 / \ \ \ � 5.2 x 1 •2 x 1 ,2• 16,7 16� / . . x 1 �.4\� \ \\ \ 9/0 \� \\ x 13364 4.7 / x 1 ,o .2iB PLASTIC LEACHING CHAMBER DETAIL \ \ x 9,6 \ ` . 1 4.0 16,8 6,1 L 0 T 1 8 4 \ \ / (CULTEC 330 OR EQUAL) \ 11 \ \\ \\ x�y'\\ 1 1 I x 12.E 14.0 6.1 1 4.6 (APIPROX��31Md\ ) 1 x 16 A � LC PL No. i 5354-120 SITE LOCAl101�k \ x 84 265 Seapuit River Road LAM x .S 14.0 14, 04.1 / 18 nTOWERS W 9 114, ^ �8 x 16,1 Osterv�llle, MA \ \� \ \ \ �► 10.3 \ \ 13.s , a 2 •A // / LEACHING AREA REQUIREMENTS SOIL LOGS DATE . 10/12/07 p�pAM FOR \` ,x 2.2 y \\ \\ \\ r\ 13.9 5 / 16.6 RESIDENTIAL'MTROGEN "� 2 BEDROOMS'R" P-11980 BARNSTABLE FRANK WILKENS U UX \ ` / \ 4 7.1 \\ \ \� 1 1�19,0 V$, 1 15.1 1 4 x 110 GPD/BEDIIIOOM SOIL EVALUATOR: BOARD OF HEALTH AGENT: x 12.3` 15.1 x 1 TITLE x 13. �4• , 6, TOTAL DESK•'N Flow = 220 GPD STEVE WILSON, P.E. DONNA MORANDI o.� 10. EDGE OF L AVIN x l \1 n`'� GARBAGE GRINDER (NOT NCI.UDED) = N/A TEST PR 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 Septic Design Plan \ 115 \ g PERC RATE _ <5 MN, L (CLASS 1) \ \` 2 11 \ x 8 3 \ \ x 12.5`` / Iw LTAR = 0.74 GPD/S.F. - G.S.E = 18.5 ' G.S.E. = 18.2 w G.S.E = 17.4 w G.S.E. = 17.0 \ i 42.8\ 15.1 / TIN. LEiICHIMG AREA OF S.A.S. RENOl11FTc'D: 61.0\ \ \ \ \ � • x lo.s Xi.9-- f2•4� 1a.8 \ 1 S.o- 220 GPD/ 0.74 GPD/S.F. = 297 SF. MN. AID : 10YR 2/1 ; SANDY LOAM AP 10YR 2/1 ; SANDY LOAM Ap ; 10YR 2/2 ; SANDY LRAM AID : 10YR 2/2 ; SANDY LRAM BA►XTER NYE ENGINEERING t�L SURVEYING \ \ \ \ \ \ 6 \\ �\ ` \ 15PROPOSED - . . w `0.6 \ \ \ \ \ \ / _ 14� \ 1� = 2 N CULTEC CONTACTOR 330 LEACHING CHAMBER 11N11S OR EI?lIA1l. Registered Professional Engineers and Land Surveyors \ \ 7' �' / MRTFI 3' OF STONE ON SIDE; 3' OF STONE AT ENDS; B ; 7.5YR 4/6 ; SANDY LOAM B ; IOYR 4/6 ; SANDY LOAM B ; IOYR 4/4 ; SANDY LOAM 8 ; 10YR 4/6 ; SANDY LOAM i� \� \ \ 0 / �4.8 15.0 3� S%WALL AREA: (20' + 1012 x 2' DEPTH = 120 SF 78 North Street- 3rd Floor, Hyannis, Massachusetts 02601 �0,71 6•0�� \ `\ \ °`6 \ `\ BOTTOM AREk (20' x 103 200 SF 21 �- 22' �' Phone- (508) 771-7502 Fax - (508) 771-7622 x ,6 s \ \ \\ 10� 10,5 , 11, \ \� 14.6 6 TOTAL EFFECTIVE LEACHNG AREA = 320 SF \ \ \4. y� \ `\ 3 / �\ \,�� SYSTEM DESIGN CAPACITY = 320 SF x 0.74 GPD/SF = 236 GPD C1 ; 10YR 5/8 ; FINE SAND C1 ; 10YR 5/8 ; FINE SAND C1 ; 10YR 5/6 ; FINE SAND C1 ; 10YR 5/8 ; FINE SAND x .5 0.9 �7 SEPTIC TANK SIZW: 220 GM x 200% - 440 GAL 54- 48- 49- 47- 30 0 30 60 7 USE 1500 GAI1oN rANK MN. 0 2 10. 10.5 x 11.1DESIGN SCHEDULE ELEVATION C2 ; IOYR 6/4 ; MED. SAND C2 ; IOYR 6/4 ; MED. SAND C2 ; IOYR 6/6 ; MED. SAND C2 ; IOYR 6/6 ; MED. SAND SCALE IN FEET 0.0 SCALE: 1' = 30' E 10-8 GARAGE SLAB 19.0 1320 (ELEV 7.5) 132- (EL& 7.2) 132- (ELEV. 6.4) 132- (ELEV. 6.0) \x 10.2 9.3 ,O SEWER INVERT AT FOUNDATION 15.5 / \ x ,7 SEINER INVERT INTO SEPTIC TANK w w DATE. 10/17/07 15.3 NO WATER AT 132 ELEV 6.5) NO WATER Ar 132 (ELEV 7.2) NO WATER AT 132 (ELEV 6.4)i NO WATER AT 132 ELEV 6.0) SEWER INVERT OUT OF SEPTIC TANK 15.0 PERC O 54 (ELEV 14.0) PERC O 60 (ELEV 13.2) -0.6 SEWER INVERT INTO DISTRIBUTION BOX 14.9 RATE- <2 MIN/IN RATE- <2 MIN/IN .0 0.0 CLASS I SOIL CLASS I SOIL SEWER INVERT OUr OF DISTRIBUTION BDX 14.7 SEWER INVERT INTO LEACHING CHAMBER 14.5 SP BOTTOM OF LFACHF ING SYSTEM 12.5 N0. BY DATE REMARKS NO GROUNDWATER OBSERVED TO ELEVAi10N 6.0 DRAWN DRAWW MUMMER 0: 2007 2007-030 surve worksht 2007-030SP.dw 2007-030