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0125 SEAPUIT ROAD - Health
;?5 S,--Iapuit R6ad 0sterv�iI I e AL1'18 - 121 - 001• - No. .(-/�j L t'` n Fee THE COMMONWEALTH OF MASSACHUSETTS� En'ered in computer: PUBLIC HEALTH bIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Mi5pont 6p5tem con5tructiou Vertu Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. iLS A V6 Owner's Name,Adddress,and Tel.No. if Assessor's Map/Parcel Installer's Name,Address,and Tel.No.��ASTb P� U C;Aw►r j p )Designer's Name,Address and Tel.No. 8-A.VT%fA_ a' N Yl? �• O gOx I US 1� f:0AZT TO Ltd `Z 8 r--)0V: A 3 T. iA vAta -76 17- Type of Building: Q Dwelling No.of Bedrooms Lot Size t I sq. ft. Garbage Grinder ( ) Other Type of Building SjjV& —b F')IM 11_i No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date 5—l s — 0 Number of sheets Revision Date Title C Size of Septic Tank /j 0-D q Type of S.A.S. Description of Soil tz) S 4> 1 _ 1-6 Nature of Repairs or Alterations(Answer when applicable) Z-1- Date last inspected: Agreement: The undersigned agrees to ensur�othe nstr nn a>ad- i �ftt� he afore described on-site sewage disposal system in accordance with the provisions of nmenta�C�odee he system in operation until a Certificate of Compliance has been issue this B o ne Date - � O Application Approved b Date Application Disapproved by: Date for the following reasons Of Permit No._� Date Issued 3 a Fee Enfcred in computer: T.HE_Q0MMONWEALTH OF MA°SSAC"HUSETTS ®• G —--.?. Yes PUBLIC HEALTH QIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS '"- Application for 3i5pont i§pgtem Co"tructtou Permit , Application for a Permit to Construct(�}/Repair( ) Upgrade( ) Aba d'on( ) Complete System ❑Individual Components Location Address or Lot No. IZS S 1��+\ A us Owner's Name,Address,and Tel.No. 1` Assessor's Map/.Parcel Installer's Name,Address,and Tel.No. IPA ST6(Z-b fir`r)r_Av/>'I t besigner's Name,Address and Tel.No. 9A*TV1V C-1' N YG �• 0 R,c,,x I.Lu 4 Fc>YL6STD At_ti; -71B No/ZTN S T. N"'Ata (So 1-771 ZL Type of Building: y J u j1 Dwelling No.of Bedrooms ! Lot Size (,/l V sq. ft. Garbage Grinder ( ) Other Type of Building Sl,yfiL y J—jJAAj� No.of Persons Showers( ) Cafeteria( ) Other Fixtures / / Design Flow(min.required) 'r b gpd Design flow provided ']ilk'/ gpd Plan Date 5—I S — O Number of sheets Revision Date Title Size of Septic Tank /500 91 Type of S.A.S. " G A�-tf StLS M Description of Soil ipL-jk t ) IL_ 1 b G Nature of Repairs or Alterations(Answer when applicable) QBC.%.+ Gop)X—1 R-�-- Z_ 1 15i-•' Date last inspected: Agreement: The undersigned agrees to ensure the coonstructi.on-and-maintenance of the afore described on-site sewage disposal system in accordance with the provisions of i.tle 5 of tnvir�nmental Code and not to place the system in operation until a Certificate of Compliance has been issue -b this B and of I-health./.-----^�^^ nn igned Date Y V Application Approved b Date CJ 655 _q Application Disapproved by: Date y for the following reasons 1 i _ Permit No. l Date Issued '3 0 � THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance - THIS IS TO CERTIFY,that the On-site Sewage Dispos II System Constructed ) Repaired ( ) Upgraded ( ) Abandoned( )by PAS-TOY2 �-, �;>C ca r"-1X 6 o--, at I VS SZ;A tit>l RD . (5J����i t.C_� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. no -M F dated y 3 Installer t'At,Tl M LG�r4''�60 Designer 9,, V�o *" 1,3n #bedrooms 4 Approved design flow 4 q Q gpd The issuance of this permit shall n t p:e c nstyued as a guarantee that the�sj stem wi"fun ion as designed. Date { ` Inslpector No. C/ / ! �/ Fee 50 i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Digogal + pgtem �Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at J ZS I and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction musl/be con,pleted within three years of the date of this permit. Date 9 Approved by . d n ' TOY OF BARNSTABLEt LOCATION SEWAGE # awl" I VILLAGE �tv"b ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 'tE hot iSEPTIC TANK CAPACITY I"�-00 Cam. LEACHING FACILITY: (type) (size) —r is PAC 'qd P NO.OF BEDROOMS BUILDER OR OWNER `� - ct, 9 6L ) PERMTTDATE: i COMPLIANCE DATE: -�1��L�: Separation Distance Between the: Maximum Adjusted Groundwaier Table to the Bottom of Leaching Facility i' Feet r, Private Water Supply Well.and Leaching Facility (If any wells exist ..,ion site or within 200 feerof leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by � i ; a�` �3 � ��� � ��� Gnu � q �� � � aa- e �� �rLI �� G � � � �®� � �{ � e o �0 Page 1 of 1 h , TOI OF BARNSTABLE i ` LOCATION' �2S G�.�. T pSF.� SEWAGE.# owl- l I va.LAGE ASSESSOR'S MAP&LOTaw INSTALLER'S NAME&PHONE NO. L� SEPTIC TANK CAPACITY I y4�-nu LEACHING FACU.ITY:(type) (H=M +-,IWA:S, (size) �4tOt m NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: I�'��f5� COMPLIANCE DATE: v Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Y TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ate. �u �A TOWN OF BARNSTABLE LOCATION (�� SC/aAlfT R� SEWAGE# -VILLAGE 0 Srerv,Jl� ASSESSOR'S MAP&PARCEL /o2 l D U - r INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY ( (111V LEACHING FACILITY:(type) c� Pi Tl GX(2 (size) NO.OF BEDROOMS 11� OWNER 1` IL�ArC Ja4n PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY :rn1p&VTion t'COnT � 1 3► a� 3 a 3S a8 1A . y y qq, 39 S -7o 23 r i ����<� r+s�r�e H*�w% 1 jF j r R, No. • �`' i', Fee �G D n+ r `THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE SSACHUSETTS MA Y ZIPPlication for Mi5po5al *p!gtem Construction Permit Application for a Permit to Construct Repair O Upgrade O Abandon O Complete System ❑Individual Components Location Address or Lot No. PT S�� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. ®�'�V D�y(J�Q 7 Designer's Name,Address and Tel.No. 7 7/— <�h 67/' Type of Building: p Dwelling No.of Bedrooms Lot Size I AC sq. ft. Garbage Grinder (/A} Other Type of Building No.of Persons Showers ria( ) Other Fixtures Design Flow(min requ' ed) � gpd De gn flow provided P Plan Date Z� Number of sheets Revisio ate Title J1 544 LT KD Q � Size of Septic Tank .5&V pe of S.A.S. C Description of Soil P !ti Nature of Repairs or \terations(Answer when applicIJ Date last inspected: Agreement: . The undersigned a rees to ensure the co truction and maintenance of the afore described on-site sewage disposal system in accordance with the prov' ions of Title 5 of t Environmental Code and not to place the system in operation until a Certificate of Compliance has been issu d by this Board Health. Sig ® ate Application Approved by Date tA�Application Disapproved Date for the following reasons Permit No. �" Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( V) Repaired ( ) Upgraded ( ) Abandoned( )by R/`L�� C.+ —1�0 ' `�.. at /�S L'EV[ LT go Q Jj�(�iZZI E has IV;een con truct dn' cordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer —' #bedrooms 41 proved design flow ye ) The issuance of this permit shall not be construed as a guarantee that t e system will functi n desi ed. Date I spector No. Fe -_ ; THE COMMONWEALTH F MASS CH S PUBLIC HEALTH DIVISION - BA STA E, MASSACHUS TTS Mi5po�al 6pgtem Co �tr coon Permit Permission is hereby granted to Construct ( 10� Repair ( ) Up ade ), Abandon ( ) System located at /0 1 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date Approved by vr ' No. ',yp1{��y, (r:, Fee �! V : HE�CO11MMONWEALTH OF MASSACHUSETTS Entered in computer:TBLIC: HEALTH DIVISION DOWN`OF BARNSTABLE, MASSACHUSETTS ZippYication for Bi,5poal "*p.5tem Con!5truction Permit Application for a Permit to Construct M Repair,( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. Ia S S�/ �7- 3��� Owner's Name,Address,and Tel.No. 6()`--737' J Assessor's Map/Parcel 46 /0), Q©/ C Installer's Name,Address,and Tel.No. 5wQ p -'1U�&F�7 Designer's Name,Address and Tel.No. 7 7/ — 9 S0 L Type of Building: Dwelling No.of Bedrooms, ( Lot Size /' [ ! #C sq. ft. Garbage Grinder (,Af� Other Type of Building �dt Fe-441p— No.of Persons Showers _..) Caf eria( ) Other Fixtures Design Flow(minfrequ' ed) 4qo gpd De gn flow provided gpd T Plan Date Z Number of sheets � Revis!gWDate Title ,q �� Size of Septic Tank /7 6 V 4( Ir Lod Al Fr� 4 p ype of S.A.S. Description of Soil 16,0_0 Nature of Repairs or`A1\rations(Answer when applicab e) Date last inspected: i Agreement: The undersigned agrees to ensure the coystruction and maintenance of the afore described on-site sewage disposal system in accordance with the provilsions of Title 5 of tl}e Environmental Code and not to place the system in operation until a Certificate of • Compliance has been issued by.this Board ofHealth. S at geDate Date Application Approved by / O /,Jw"9 Date vApplication Disapproved for the following reasons _ Permit No. / ""� MIn Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,-MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( V) Repaired ( ) Upgraded ( ) Abandoned( )by �i � C�/�7N U at a S �P�!T le b Q 5T (� hasAeen const cc ed i cordance t with the provisions of Title 5 and the for Disposal System Construction Permit No. ( l� dated t f Installer G Designer � #bedrooms pproved design'flow 11Z� it gpd / The issuance of this permit shall not be construed as a guarantee that t e system willfuncti n; desi ed),_,,�� Date �� "I Spector WA- N° Fees THE COMMONWEALTH 1F MASS CH E S t PUBLIC HEALTH DIVISION BA STA ' E, MASSACHUS TTS �Digool *patent (ongtr ction permit Permission is hereby granted to Construct q( Repair ( ) Up ade ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. I �' Date Approved by If -- jti. t No. -� --o -OZ( Fee- 130ARD OF OF HEALTH TOWN OF BARNSTABLE ZppCication-*rVelr Con5truct ion i3ermit Application is hereby made for a permit to Construct (P , Alter ( ), or Repair ( )an individual Well at: 7 ,— Location --Addrepss -- _ Assessors Map and Parcel 14 Owner —'— — Address ------------—----- --dress ---— -— - - Installer — Driller Address t Type of Building Dwelling Other - Type of Building-=----__--__- No. of Persons--- _--___--__—_-_ Type of Well� LAC-_-___-__—_ Capacity_____._-------------------_--_-- Purpose of Well---fir ` Lle2�aa.L_�_----. �I 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 ------ 8 D date Application Approved By AVN —_ _-__- 3 j - _ date Application Disapproved for the following reasons: 'A date Permit No. 0 2 2©� — �------- Issued�--------- ------- ------�------------ date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (l��Altered ( ), or Repaired ( ) by � staller �2 /-/1-1 - -—-------------------------- -- - --- - has been installed accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------_______Dated------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE -- - Inspector-- -------- ---- --------= VJ Zooq -oZ I - �, No.— --------- -- Fee---- -------- ` BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicat ion ifor Well Coit0ruct ion Permit Application is hereby made for a permit to Construct (G')�Alter ( ), or Repair ( )an individual Well at: r � I Location — Address Assessors Map and Parcel /L - Owner Address Installer — Driller Address i Type of Building Dwelling—�t?��r__ ✓/A _ —__ -- Other - Type of Building------------_----_ No. of Persons----.--_------------ Type of Well — )Q kl-,(- __— Capacity------------------ —_— Purpose of Well- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate.of Compliance has been issued by the Board of Health. Signed _------- _ /_ Q date Application Approved By -� - date Application Disapproved for the following reasons:-- date Permit No. �_ _— Issued---------- date f BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (d-) Altered ( ), or Repaired ( ) by ���' 111�/ / ---------- ------------- - ------- ---------- t nstaller at— '-%/ ��/ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. _—_—_____—_=__Dated—_---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE -- __ Inspector--- —-- — —;_ —_----- f - ------------------------------------------------------ --------------- BOARD BOARD OF HEALTH TOWN OF BARNSTABLE Well Congtruct ion Permit No. - 2 0':.'q- © 21 ,����� � - Fee- Permissio:'�,/ lter s hereby granted �C�` N N G to Construct ( A ( ), or Repair ( ) an Individual Well at: VZ t 'v No. 2S 4 0/7 /2/9. Street as shown on the application for a Well Construction Permit No.- V J 2 CJ G Gt — a 21 -- --- Dated ---------_— DATE 15 31 ,— Board of Health " Town of Barnstable �'THEA . Regulatory Services Thomas F. Geiler,Director MAABLE. Public Health Division 1639. nMa Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 010 .10 Sewage Permit# 10 o�("1 1/ Assessor's Map/Parcel 0 0 Installer&Designer Certification Form Designer: ChgtWeeO_ Installer: ft.swP,is N C�`1(n,04 Address: dt)R'�V'� 5%�Ab �Plv D9, Address: On 7,00 F--J 10�,/ was issued a permit to install a (date) (installer) septic system at 125- based on a design drawn by (address) � �. (Alve dated 2 0 fy)( 5/1 design ) - a I certify that the septic system'referenced above was installed substant@,y according t the design, which may include minor approved changes-such as lateral r locations thew distribution box and/or septic tank. Stripout (if required) was inspected and the-soil were found satisfactory. �--. r I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Lop Plan revision or certified as- i er to follow. Stripout(if re ted and the soils satisfactory. 0 STEPHEN T, MATSON CIVIL H r re) 0 No.46345 a �� �GIST(ca� 0NA6.EM�'\ ( esigner's Signature) (Affix Designer's Stamp Here) ' PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office forms\designercertification form.doc ;�� $ u .. - � �� 5 ' .. r i..s .� _ � �* �ti r t ^ � �Y _� 1 _ � y�.. .. ter;' N f P` �, � , a5rk. 3 �l.u. a u:G {�"-� .f ti�... V �; 1 +..��,.. - 4.r, ! - e. gar+ � �, 3 � r ...� ` i t. s� ✓ ,. � - �� a- r ` ' °w _ ; ' � ^� Y�'ti I;4, p .. ! E� � .� � r' -.. `. . � x � , ` Town of Barnstable P# I a 5_3� �FIKE 1p� Department of Regulatory Services � 1AENSfABI.E, + Public Health Division Date VA 3 01 v� ib 9. ,0�' 200 Main Street,Hyannis MA 02601 i Date Scheduled A Time l I M Fee Pd.! S 'l 1Suitd ility Assessment for Sewage D'sposal Performed BY `� 1 Witnessed BY t0,M,t, LOCATION & GENERAL INFORMATION Location Address 25fh P U t; F3 Owner's Name DJ �U f✓t Address 11 �eG-�Lit�" iR�T►'�� Assessor's Map/Parcel:U1(z)l l2-f`'©� Engineer's Name NEW CONSTRUCTION 1 REPAIR Telephone# o 3 ( C,2 Land Use �k(l Y` Slopes(%) '© �� Surface Stones t Distances from: Open Water Body ft Possible Wet Area ft Drinking Water,Well ft Drainage Way ft Property Line ft Other ft SKETCH:( treet-name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) -- 005,012001. 095025 N 140 - N'94 118136 N 170 N 80 -. .... 11s12,i60.1 •N 125 11811900;1;NW Soy � -095013005 - - 09501�00.1;3"' N 149: - N,.109 t i - - N S5 �(% l ' N,9, 14S Fee ti } t f.--me Parent material(geologic) "(Ou 1i1r1 Depth to Bedrock Deptti to Groundwater: Standing Water in-Hole: - - Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: q : Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwate vel_ :D PERCOLATION TEST Date Y/Z Tim ,'r�� > Observation ► a Hole# _C'/ Time at 9" Depth of Perc ) q Time at 6" 21 !/0 2,� r- 0 C7► fT�"1 Start Pre-soak Time a 1i 1 2 1?0 " Time(9"-6") a ill,M 4�. 1 End Pre-soak J/'r I2,V� Rate Min./Inch J Site Suitability Assessment: Site Passed 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:HEALTH/W P/PERCFORM � f. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 1 to 1^i \ o v, ,0� K 2 I �Q &4OY f nlA►3Gef f l O (0 ^I ( 6 l V1 tD ��IY fl r 2 Ll ff DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel v o"W srjr4 10 t4p, 0 37" Mg-0 yp LD 5 v�. 6Q' tti oJSL_ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 2 11 e � n DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc .%Gravel f� to v3 La H o s G D" Y20— Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No l Yes Within 1.00.year flood boundary No Yes ti Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ious material? Certification v I certify that on (ate)I have passed the soil evaluator examination approved by the Department of nviro a tal Protection and that the above analysis was performed by me consistent with the required trjig, ertise and xper nce described in 310 CMR 15.017. ' % Q Signature f �-�-- Date u j Q:HEALTH/WP/PERCFORM r li .,I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 125 Seapuit Road Osterville, MA 02655 Owner's Name: Richard&Jacqueline Jean Own er's•Address: ^ Date of Inspection: October 1. 2008 rQ ter. Name of Inspector: (Please Print) Janes M. Ford _ Company Name: James M.-Ford Mailing Address: P.O.Box 49 ' Osterville,MA 02655-0049 Telephone Number: (508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the 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(316 CMR 15.000). The system: ✓ Passes Conditionally Passes Nee Further Evaluation by the Local Approving Authority Fail Inspector's Signature: Date: - October 6.-2008 The system inspector shall sumi a copy of this ns ection report to the Approvin Authority Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system.or has a design flow of 10,000. gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP: The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments - ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address hdw the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A . CERTIFICATION (continued) Property Address: 125 Seaguit Road Osterville, MA Owner: Richard&Jacqueline Jean Date of Inspection: October 1. 2008 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not detennined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance. indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 125 Seapuit Road Osterville, MA Owner: Richard&Jacqueline Jean Date of Inspection: October 1. 2008 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to detennine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within.50 feet of.a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and.soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has.a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has aseptic 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 colifonn bacteria and volatile.organic compounds indicates that the well is free from pollution from that facility and, the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided-that no other failure criteria are triggered. A copy of the analysis must be,attached to this form.. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 125 Seapuit.Road - Osterville, MA Owner: Richard&Jacqueline Jean Date of Inspection: October 1. 2008 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _ ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s): Number . of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water'supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of.a public well: ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water.quality analysis. [This system passes if the well water analysis, performed at a DEP certified.laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The.system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility.with a design flow of 10,000 gpd to 15,000 gpd You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above). Yes No the system is within400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered, "yes" in Section D above the large system has failed. The owner or operator of any large system.considered a significant threat under Section.E or failed under Section D shall upgrade the system in accordce with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 125 Seapuit Road Osterville. MA Owner: Richard&Jacqueline Jean Date of Inspection: October 1. 2008 . 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 availabfe note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage backup? ✓ _ 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 detennined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field.(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]: 5 { Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 125 Seapuit Road Osterville, MA Owner: Richard&Jacqueline Jean Date of Inspection: October 1, 2008 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped after inspection Was system pumped as part of the inspection(yes or no):. Yes If yes,volume pumped: gallons-=How was quantity pumped determined? Reason for pumping: Maintenance TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool. Privy Shared system(yes or no) (if yes;attach previous inspection records, if any)` Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to.be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Date of installation unknown Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 125 Seapuit Road Osterville, MA Owner: Richard&Jacqueline Jean Date of Inspection: October 1, 2008 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments (on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan). Depth below grade: 11,11 Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 Qal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30 Scum thickness: 3" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to.bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Cornrnents(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage;.etc.). Cement tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. The tank was Pumped for maintenance. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Cornrnents(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,.etc.): 7 Page 8 of 11 - OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 125 Seapuit Road Osterville, MA Owner: Richard&Jacgueline Jean Date of Inspection: October 1, 2008 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material.of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarn level: Alarn in working order(yes or no): Date of last pumping: Comments (condition of alarri and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and.distribution to outlets equal,any evidence of solids carryover, any evidence_of y leakage into or out of box,etc.): The D-box was normal. No solids were present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no):, Alarms in working order(yes or no): Conunents(note condition of pump chamber,condition of pumps and appurtenances,etc.): • 8 r ' e Page 9 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 125 SeUuit Road Osterville, MA Owner: Richard&Jacqueline Jean Date of Inspection, October 1 2008 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Y . Type ✓ leaching pits,number: 2- 6'x 61 0000 ag l.J leaching chambers,number: leaching galleries,number: w leaching trenches,number,. ength: ' leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation;etc.): T/1e original pit was not dug up. The newer pit(iAich is an overflow to the older-pit)had 2'ofliguid on the bottom. The sctun line was ai the sanze level. There did not appear to be.any signs of failure. A riser was installed to.bring the cover to 8"below grade. CESSPOOLS: None (cesspool must b.e'pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: - Depth of solids.layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure;level of ponding condition of vegetation, etc.): PRIVY:' None (locate on site plan) . Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 ' Page 10 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 125 Seapuit Road Oste)ville, MA Owner: Richard&Jacqueline Jean Date of Inspection: October 1,2008 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the.building. a' 131 �S 3 a 3S SFr b � 3 29 33 pry s of Ea 10 . Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 125 Seapuit Road Osterville,MA Owner: Richard&Jameline Jean Date of Inspection: October 1, 2008 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25 +/- feet Please indicate(check)all methods used to detennine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: . Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: { You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours nZaps the neaps were showing approximately 25 +/-to ground water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection. This report is not a warranty or,guarantee that the system will function properly in the future. There have been no warranties or guarantees; either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. { 11 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ' TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 125 Seapuit Road Osterville, MA 02655 Owner's Name: Richard Jean Owner's Address: Date of Inspection: September 18. 2006 Name of Inspector: (Please Print) Janes M. Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 r CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the infolmation to orted- below is true,accurate and complete as of the time of the inspection. The inspection was perform 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 sys ✓ Passes CD Conditionally Passes e1 Needs Further Evaluation by the Local Approving Auth it Ln Fai s Inspector's Signature: Date: _ September 27. 2006. The system inspector shall subViay 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 1.0,000 gpd or greater,the inspector and the.system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 f Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 125 Sea uit Road Osterville. MA Owner: Richard Jean Date of Inspection: September 18, 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure"criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. st. Any failure criteria not evaluated are indicated below.. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for-the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed ' distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 I Page 3 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 125 Seapuit Road Osterville, MA Owner: Richard Jean Date of Inspection: September 18, 2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to detennine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for colifonn bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this forn. 3. Other: 3 Page 4 of 11. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 125 Seanuit Road Osterville. MA Owner: Richard Jean Date of Inspection: September 18. 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructedpipe(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 1.00 feet of a surface water supply or tributary to a surface ' water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 I Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 125 Seapuit Road Osterville, MA Owner: Richard Jean Date of Inspection: September 18, 2006 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 nonnal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ _ 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 infornation on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been detennined based on: Yes No ✓ _ Existing information. For example,'a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)). 5 r Page 6 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 125 SegRuit Road Osterville. MA Owner: Richard Jean Date of Inspection: September 18, 2006 I FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): . 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 3 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required) Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd ' Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): . Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of infonnation: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system.(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Date of installation unknown Were sewage odors detected when arriving at the site(yes or no): No 6 r - Page 7 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C SYSTEM INFORMATION(continued) Property Address: 125 Seapuit Road Osterville. MA Owner: Richard Jean Date of Inspection: September 18, 2006 BUILDING SEWER(locate on site plan) I Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line- Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 11" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: . Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Connnents(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.). Cement tees were present. The liquid level was even with the outlet invert There did not appear to be any suns of leakaze. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bo ttom of outlet tee or baffle:. Date of last pumping: Cornnents.(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 l Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _ 125 Seapuit Road _ Osterville. MA Owner: Richard Jean Date of Inspection: September 18, 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons x Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Coimnents(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was normal. No solids were present. PUMP CHAMBER: None (locate on site plan) " Pumps in working order(yes or no): Alarns in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 r s Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGEDISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 125 Seanuit Road Osterville. MA Owner: Richard Jean Date of Inspection: Senteinber 18, 2006 SOIL ABSORPTION SYSTEM(SAS): . ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 2-6'x 6'(1000 gal leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Commments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): The original nit was not dug up. The newer,nit(which is an overflow to the older nit)had 2'ofliauid on the bottom The scum line was at the same level. There did not avnear to be any signs offailure A riser was installed to bring the cover to 8"below zrade. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 125 SeQuit Road Osterville, MA Owner: Richard Jean Date of Inspection: September 18, 2006 SKETCH OF SEWAGE DISPOSAL SYSTEM. Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. k i . A Q a 3S ag 339`' 33t� y 6 y yy 39 -70 83 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 125 Seapuit Road Osterville. MA Owner: Richard Jean Date of Inspection: September 18 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) . ✓ Checked with local Board of Health-explain: topographic and water contours maw_ Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain; You must describe how you established the high ground water elevation: _Using Barnstable topographic and water contours mans the mans were showing approximately 25 +/ to.¢round water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection.This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 No. -------------- Fee BOARD OF HEAL.TH TOWN OF BARNSTABLE Application furVell Congtruction,30ermit Application is hereby ma(le for a permit to Construct (!,,,r, Alter or Repair )an individual Well at: Location Address Assessors Map and Parcel Owner Address ----—----------—-------------—------------—- Installer Driller Address Type of Building Dwelling Other - Type of Building No. of Persons rr Type of Well Purpose of Well--- Agreement: The undersigned agrees to install the aforidescribed 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. Sign- r, d t Application Approved ByQ'�� date Application Disapproved for the following reasons: date Permit No. Issued date BOARD OF HEALTH TOWN OF BARNSTABLE Certi irate (Of COMPURIC THIS IS TO CERTIFY, That t e Individual Well Constructed WT Altered or Repaired by -�r ------------------ 61 Installer at f 4�4 LIJ C has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------- Inspector ——- - - - - - - - - - - - - - - - - - - - - 'ace s a'a3 Fee------ - ---���-- r BOARD OF HEALTH TOWN OF BARNSTABLE 2pp[icationArWei[ Con0tructionPermit Application is hereby made for a permit to Construct (er, Alter ( ) or Repair ( )an individual Well at: Location Address Assessors Map and Parcel Owner _ Address -------fi J. t( ' /( ' Installer — Driller Address Type of Building Dwelling — c��r..tr�.v i,c�I — — I I Other - Type of BuildingNo. of Persons---- --------- ------------ -------------- Type of Well��— --- ----- — Capacity---— - ------ -- --— Purpose of Well----1vr/ K' iv_�✓---_---�__ 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. f / 75 Application Approved By --—— -- date �3 I -a- Application Disapproved for the following reasons: --------------- ------- date h� t , 'I C - Permit No. Issued-----------------------} date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of ComPfiance THIS IS TO CERTIFY, That t e Individual Well Constructed (PT Altered ( ), or Repaired ( ) Installer at ------- - - -- - ----- -----___-- '! has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------- ----Dated---- ------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------- ------- — -- Inspector-- - — - - - -- —------- BOARD OF HEALTH TOWN OF BARNSTABLE Well Con5tructionPermit No.1O G Fee— f---- �- Permission is hereby granted �.� ---- ---- ----------------- to Construct ( Alter ( ), or Repair ( ) an In ividual Well at: No. -- L��` �7- �� ���t' Street as shown` own the application for a Well Construction Permit No._w ���j C) .� Board of Health DATE -- CommonweCIM of Massachusetts" b! f Executive Office of Environmental Affairs Department of Environmental Protection OCT 1 �t;3 William F.Weld TXI Governor Trudy l:oxe -AE7}fq� � Secretary, EA David B.Struhs _ is r Commissioner V t 3 t i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM '" ., 9 PART A y0`�c�shs�)AVti CERTIFICATION gas S ea v;T Cant— Uslervi.l' Property Address: Address of Owner: e Date of Inspection: SCPT. a6�����_, ..(If different) Name of Inspector OS/Bi a i l�Cj �4• OdbSc� Company Name, Address and Telephone Number: 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 oLthe 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: Passes . I Conditionally Passes _ Needs Further Evaluation By the local Approving Authority _ Fails {' { Inspector's Signatu Dater;. .3.0� /956 The System Inspector'shall submit'a copy of this`inspection reportao 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 origreater; 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 owner and copies sent to the buyer, if applicable and the approving authoriiy. INSPECTION.SUMMARY: Check A, B, C, or D: u 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. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,• passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined",explain why.not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, 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 8/15/95) 1 One lttAV"sue" • Boston,M"Sachusetts 021,08 a FAX(Gin SWI049 Telephone(617)292-UW J Printed on Recyckd Paper - s SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION`(continued) Property Address: Owner: Date of Inspection: tC66 B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed i (s) or due to a broken settled or uneven distribution box. The system will s inspection if with approval of h P Pe � Y P� P� ( app the Board of Health): 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 pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed 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 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: NF^.`.... .. 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 IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The cvstem has a septic tank and soli absorption system and is within 100 feel lu a surface walei supply or tributary io a surface water supply. The systen, has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and 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 equal to or less than 5 PPm• D] SYSTEM FAILS: 1 have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or dogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. (revised 6/15/95) 2 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ,�, CERTIFICATION (continued) Property Address: t as S "•1 S p�v��`C. Owner: O`bt-oc+��Av cS Date of Inspection: ScpT ah,tqq 6 D) SYSTEM FAILS (continued): 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation... Any portion of a 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 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: The following criteria apply to large systems in addition to the criteria above: The design flog-.- of system is 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: 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. (revised 6/15/95) 3 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: \ oLS _Se,, ,�v �°'' �S erv.�`e Owner: \�V`\jcwc���(i•,�J Date of Inspection: sE� olfoj`C LCOZ Check if the following have been done: V Pumping information was requested of the owner, occupant, and 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. ZAs built plans have been obtained and examined. Note if they are not available with N/A. jzlfhe facility or dwelling was inspected for signs of sewage back-up. jZ-The system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. I system components, 0*e4#dirjg the Soil Absorption System, have been located on the site. %,L'—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. Z—The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. Z—The facility o%\ner (and occupants, if differe^t from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. M. (revised 8/15/95) 4 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: \aS S egpv.\ ��• �ew ��G Owner: KC►�ocoo �Av.J Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: _3;0 gallons Number of bedrooms: Number of current residents: Garbage grinder (yes or no): Laundry connected to system (yes or no):H Nvi/;T 7*:., Tire-o ,( Seasonal use (yes or no): Alo Water meter readings, if available: Q\ 6 6 Last date of occupancy:,\SQEi COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: Rallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title S system: (yes or no)= Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection: (yes or no)—VS . If yes, volume pumped: \1 me) Rallons t Reason for pumping: �t.,h:neC, Sfa&_K_Anh• Ro��" 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) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: S-X,$l em Ua cf, oco \aR 3 Sewage odors detected when arriving at the site: (yes or no) 6:O (revised 8/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued), Property Address: Owner: �u\bcvo�i�A�cJ Date of Inspection: Sc,�Z= a6���sC' SEPTIC TANK: �oaoGA� (locate on site plan) Depth below grade: Material of construction: concrete _metal _FRP _other(explain) Dimensions: S:017k9irr x �3FT61i7 Sludge depth: 10;12. Distance from top of sludge to bottom of outlet tee or baffle: Lrs';7., Scum thickness: 10117. Distance from top of scum to top of outlet tee or baffle: /o?/il. Distance from bottom of scum to bottom of outlet tee or baffle: i% Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) J aTe ,'c,,7- 7 00,0 . c' r CC 7 - GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Scum thickness. Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum in bottom of outlet tee or battle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, et(.) (revised 8/15/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INF1ORMATION (continued) Property Address: 01� S ec�pv.� 1` �Q�v•\1e Owner: �tv��iroo��Avus Date of Inspection: S� e-t,a6�lgC't� 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. r leaching pits, number: Lr P. //000 leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: �^ l J Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) No ,SI6Als eY ran,. o c1 on cc/d Alp� c rs noTrome CESSPOOLS: _ (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 groundwateo. inflow (cesspool must be pumped as part of inspection) 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.) (revised 8/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C I SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection: ace,kc�q� SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' SO(ZOGE t7 -T A'T nn 0 0„� i 31' ��5►.fir, �$� O uT\e\ as '�..'l a 70 k i DEPTH TO GROUNDWATER Depth to groundwater: a a feet �IJ�rO x method of determination or approximation: U S G S- .5yt (revised 6/15/95) 9 'TOWN,OF BARNSTABLE LOCATION ` S_ e- (�i� .r '1��1. SEWAGE # 1115P-1 "T%o.5/ VIL LAGS o 0 t° ASSESSOR'S MAP& LOT ►f- r, INSTALMIR'S NAME&PHONE NO. wCC hO Mk SEPTI TANK CAPACITY /f®D o 6 A�• LEACHING FACILITY: (type) _ ° l. J/o o® (size) NO.OF BEDROOMS —� BUILDER OR OWNER �—�� be e�►'c u`� PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished byac A . i 3s a� aB >� 17,Ta- -� TOWN OF BARNSTABLE LOCATION/GS � I�Dy� /Q��_ SEWAGE# Lz VILLAGFFOS7k4A A/ 6 ASSESSOR'S MAP & LOT L g /:1J- 10/ INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY SOC7 LEACHING FACILITY:(type)aZ I oo u (size) �X6 NO. OF BEDROOMS-9--PRIVATE WELL OR P BLIC WAT Ir BUILDER OR OWNER Ae/4'1?e o e4. -'Pw Y S DATE PERMIT ISSUED: .DATE COMPLIANCE ISSUED: 77• / '' 5?J VARIANCE GRANTED: Yes No (� 1 Act •� f 3r � � O No......r• 41t Fps.......3 ....:�...... THE COMMONWEALTH OF MASSACHUSETTS APPROVFD BOAR® OF HEALTH Conservation Depat TOWN OF BARNSTABLE - , rird 6 r- i��pnttlorl; C�a�gtrnr#inn rrnti Application is hereby made for a Permit to Construct ( ) or Repair ( L-151-an Individual Sewage Disposal System at .....1. ...�'� .�� -.....��s - ...........P.s ------ ••••-••--•----•---••................................. - ..... Loc:uinn-Address 3S No. --- $ � ��c��r',..-•--- •A! v,--5••-------------•---•••-•••••••--•--•--•-- --'Y•?-----`Se4��v- ...1 Ost Ad AtJ3 A res �/ a .-...CAmc.>...•.......O encr-----.-...••••••-•••-••••••••-•••••- ••--�-��?--.- !.1�....t"i... :••-.1'�l�/Ytr1-€�.�.�.. Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms---.-..--.. -Expansion Attic Garbage Grinder aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------------------------------------- ------------------ ------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow........•...................................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width--------.....--- Diameter-----.-.--.---.. Depth................ x Disposal Trench--No. .................... Width-.-..----.-.--.-.-.. Total Length--.....-............ Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter...----.----.---..-- Depth below inlet--...--.---.-.--.... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------•--------.-----•-----------.---•-.-.-•---.. Date--..•-.. ,a Test Pit No. 1................minutes per inch Depth of Test Pit-.----...-----...... Depth to ground water..-.--...-.............. 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.--...-.-....--..-.----. 9 ..-.....••-•----------------•..-.•..--.-.--.-.-..--.......-..-.--.....-..-...-...----•------...-----........................................................ ODescription of Soil........................................................................................................................................................................ V W U Nate of Re`?a irs or Alterations—Answer when applicable.--..X_tl.Sfi�/l-----. � .---..-j14.&q- -... 5V .. ----- ......7-i6lQ 2•••••••••••••••----------------------••-•----••••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant b n is d by the board of health. q Signed ................ . . .... ...... -+ -�......_.....-............. ....... -. -...:.. .' .'-..1..3-:...... Dare Application Approved By ......................C ... .. ..........�...P... . . Dace Application Disapproved for the following rearonf: . ................................. -- ........ ...-- . ......... ........................................ .......................................................q..........-.....................................................:....................................-................................................. ...................-.................... PermitNo. ........../.... ....... .. ........... Issued....... ..........................................................ate.. Dace el � No...---i ���1 FIB t 3U............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �t5for Diripaiial Wurk!i (nomitrnrthin Permit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: O-- i------� . ------------------- ----------------------------- *....------- Location;.Address � s Y9 _ C7st , o. Owner � Ad C w t C,U Cs>.......•-----------. :Sc�_.. C �c'>"` ��f.: ..b... �R ............. Installer Address d Type of Building Size Lot................ q. feet Dwelling— No. of Bedrooms-..........3--__-----------------_.-----Expansion Attic `( ) Garbage Grinder ( ) II aOther—Type of Building ---------------------------- No. of persons----------------__.c._:..... Showers ( ) — Cafeteria ( ) 04 Other fixtures . -t"-------------- -------------------••--••-•-•---•--•-•-•------........_------ W Design Flow............................................gallons per person per days Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length________________ Width................ Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... .rotal'Length.................... Total leaching area....................sq. ft. I' Seepage Pit No............ ........ Diameter-------------------- Depth; below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ! a Percolation Test Results Performed b .................................................. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....................._.. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a 0 Description of Soil.......................... --•-------••------------------------------------•-------------------------------------------------•-----•---•--..................---------••- UW ............... ....................................................................................................................................................................................... Nature of Repairs or Alterations—Answer when applicable.-----n.54AY......1....... Z. &I..... ........ i Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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. q Signed .....................f..... ........G�.,..-- ....... ..'.. .'...{. .:...... tt ii �� Dace ApplicationApproved BY ..................... W . ....-.-. ............................................................ G....... ... ....... Dew Application Disapproved for the following reasons: ...................................... . . ..........................................................------................... ...........................................................................................`... . ................................... .................................................. ........................................ cyDare PermitNo. ........../....71.......;"�' _---------------- Issued ....................,............................................... Date 1 THE COMMONWEALTH OF MASSACHUSETTS I BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance � THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ✓T 'I t C, /U c o -------------- ---------------------------------------------------------.........- by ----------J.t.l?_.._---------------------------------------_.. --........._..... _........... .... nstdier '-1 at ---1..c�.-r.........� .P.r...�..ti✓.. ...........1�..�- ------------ � � _....._....-.................................................................._ 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. ----..�73------ ....... dated _...... ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE. CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......:.......... / .- .. . ........_ ----_..-------- .__------------------------- ------------------------ Ins ector i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 99 TOWN OF BARNSTABLE No... FEE---.3v... Disposal Works Tonstrurtion Vverntit Permissionis hereby granted-------- .t---L3------•- C 0................................ ............................................................. to Construct ( or Repair (✓f an Individual Sewage Disposal.System atNo.../o?S_..`ke_i..:?., ------Rc-Q---------.. -------------------------------------------------------------------------------------------- Street > as shown on the application for Disposal Works Construction Permit No. Dated........................................... --.... ------ C ) Boar1 of Health DATE............ .. ... -•- .---•----------•------------- FORM 365oa HOBBS 6 WARREN.INC..PUBLISHERS W93 SEWAGE PERMIT NO• e -'VILLAGE /J INST LER'S N i ADDRESS { SUILDER OR ANER rjDATE PERMITISSUE-0 - . �, � DATE COMPLIANCE ISSUED _may • � Z� 4 S \\ t. No. Fxs. .... .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH w0................OF... i � ........... Apliliratilau for Disposal Works Toustrurtilan Vantit Application is hereby made for a Permit to Construct A) or Repair ( ) an Individual Sewage Disposal System at• _ �c.lt��l l IGG�' ocation-Address k......,1 � .. ir .......................................... Owner Address a ,C�.------ ------- . =r ,� ,�-------------------------------•---•--•------ --------------------.........................---------•-----------------... ...Installer Address U Type of Building Size Lot...._._t.................. t Dwelling—No. of Bedrooms..............................__......Expansion Attic (�5)6 Garbage Grinder a'4 Other—T e of Building No, of persons............................ Showers - YP g -•----••-------------------- P ( ) — Cafeteria ( ) Other fixture ---------------------- •-------------------•••------- --------------------- W Design Flow...................... ..`�?_............gallons per person per dV. Total dai)y fipw__._............�_-3o.......... Ions. WSeptic Tank—Liquid'capacity... .gallons Length.. ...'-&._. Width._- -._�4.. Diameter................ Depth.._..::-._-- x Disposal Trench—No..................... Width.......1............ Total Length.....................Total leaching area....................sq. ft. Seepage Pit No........ ----------- Diameter......... ....... Depth below inlet......_( /.. Total leaching area--<�(3.....sq. ft. Z Other Distribution box ( Dosin tank ( '~ Percolation Test Results Performed by.... 4 r_..'_._. /.(. , (................. Date....-<5--• .3-Test Pit No. 1_..._._..!n.minutes per inch Depth of Test -__-_�: -.__... Depth to ground water. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.......`..`........... Depth to ground water.......fit.............. x44 ..........-- ..........................�.....................C............. . 4 _ j . ,O Description of Soil..... Z-- ---- � \ ..._--------------------. .... �J c.� ••--•--•-------------------- w VNature 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 TITI M 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate o Compliance has been issued by the board of health. Sig --- h�aAlia----------------------------------- ---- ----- e Application Approved B . .. . ---•-----•-•••-•----•-------••--------••----------•-•-............................... ....... .z'. - Da e Application Disappr e or a following reasons---------------------------------------------------------------------••-•. ...................................... ----------------------•....... .... '..•• --------•••-----.......•-•--....-••-•----•---••---...-------•-----------••......-•••---•-••--•-•--••--•----•••......•-----•----•.......................... Date PermitNo..................................................._.... Issued....................................................... Date No.- l-.'z V-m Fxs.. ._............ T41E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Cd �' ...............oF...... /��f .J ?� ---------------------------.._-.---------..- .:u Appliration for lliipoiital Works Tomi rn.rfiort ramit I Application is hereby made for a Permit to Construct (A) or Repair ( ) an Individual Sewage Disposal ` System at: ......._ - --- -- ocation-Address r Lo _.... Ow er Address r- WG. /.. '.e -----------------------------------•--•------ ------------------------------•-----.......--.........--------..-.------ ....... ---- Installer Address dType of Building/ �-2 Size Lot.... .__ ...........84._feet V Dwelling No. of Bedrooms_______________ __. ................... Attic ( ire Garbage Grinder (06) Other—Type T e of Building No. of persons............................ Showers — G� YP g ---------------------------- P ( ) Cafeteria ( ) al Other fixture ...!..................... W Design Flow....................... __...........gallons per person,-pqr day. Total daily f1pw............... _._ :0......_.....Olons. 04 Septic Tank—Liquid capacity_..�1-1-0....)gallons Length_Y_—��-_- Width.. _ Q.. Diameter................ Depth_4..4/...t W Disposal Trench—No..................... Width.......j..__..._._.. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.........4........_.. iameter.........gr____-__ Depth below inlet.......�?........ Total leaching area..2-.0�O.......sq. ft. Z Other Distribution box ( `)� DosingAank ( r - Percolation Test Resul Performed by..__,./, _�'`�.._._�. ............. Date.... ,� ! ��� a Test Pit No. I................minutes per inch Depth of Test it------1.,�....... Depth to ground water..--.•-:-_.y........1. LT, Test Pit No. 2................minutes per inch Depth of Test Pit......-............... Depth to ground water......."............... . ............. - 1 D Descri Description of Soil..---� I? -••-� --•---. �'-t�. 1-�,�J<.-•• �' r ` ^? -� 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 TiTIS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate o Compliance has been issued by the board of health. ................................... ,1 � e Application Approved B .... . .. <.'.... .:--.-----•-----•..................................................•..-- .ate: '-- D —_. Application Disappr a or a following reasons----------------•------------•------•-------------------------------------------------------- --._........... ........•-•...................... ...• --•-----•••-•-•-.........--••-.........----••-•----•-••-•--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE T 71 R.41.........................OF..... ....................................... (In if iratr of ToanpliFanrr S T C r IFY, That the Individual Sewage Disposal System constructed (�r Repaired ( ) by...- ....... r ......... ••-••-......--•---•• ......... ------------------------------------------------------•-•••......-•-•--... ..--•--.....--•--••-•-- at..� _.(...........5.. .............. '.:� -------I'll -------... ............................... has been installed in accordawith the provisions of TITLE of The State Sanitary Cod as d cribed in the application for Disposal Works Construction Permit Noll/_'--_0 dated Z��-----------•------- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................................!LZJ.. Inspector _ t THE COMMONWEALTH OF MASSACHUSETTS BOA OF HEU OF. ..................................... FEJ.t.................. mm Permission ereb ranted. 1/ 1 .�2;� = Y g / ........ to Construct ) or epaar ( n Individual Sev age Dis sal Syst at No..h�.�O. ........._,,, 'z.. --------•....... -• -•--- Street d as shown on the application for Dispos Works Construction PPUmit,NoP/......P... Dated, .....r................ M DATE................ ll._:, , , •-------.--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r „1^�'Tit: `r�,.a►z = 33C>J Ir�G % • (� �. �r, 111111�411j AC-EA = (gip 5.�. • ��lNf3k{ Q , i (��c•? SF � 2.S : _ �1S G.P.p. blcT (3vX Lam? TUTAL i . / -T`C>-(”rJ L- pF�►t �f Ft�w 33D 6r�• /+ C'�!�Gt7LQT10�1 SZI�TL- "tIJ 2.1v(tt.1. 02 LASS. r ff bF ~ t _�. f,.._., — �. ;-►titi' - r let/ .ik ram:, :• l+��{ •a� � N fr+�'t `"�a y+ i ' + t t !. ' a JO i'' Vol 7AL- i I000 E Gp L . 2�rZ v6,4 , FIT WAISWED -To"E AV! LAP Ti A T T t-l75 �a�.1't._z51� Cc�,.tr>t_�<S u/ !-r'� "F►�4: �{b�.l..{1-1� l WC> TWHS LlD-r L Ad"CL7 Apr t— t-)c_I't_ vMtI 4G LOT t_Lhl��'� .- - � �rC vg�'ti11 r ' Z 2 & �4we OA�e ol *vmx4 9e1Aax&ew11 ol (ffm wlmi oLa",G V w1,r rLGP/KL1n7 ANTHONY D. CORTESE Sc. D AT CommissionerO PAUL T. ANDERSON �L aL ✓LL Regional Environmental Engineer November 30, 1981 _Carl F. Riedell & Son, Inc. RE: BARNSTABLE--Subsurface Sewage Disposal-- 791 Main Street Pumping Prior to Septic Tank, Lot 3, Osterville, Massachusetts 02655 Seaduit Road, Osterville Dear Sirs: In accordance with Regulation 9.1 of Title 5 of The State Environmental Code, .the Department of Environmental Quality Engineering has had an engineer review your request for prior approval to install a sewage ejector at the subject location. The Department of Environmental Quality Engineering does not recommend pumping into the septic tank, but whereas the sewage flow being pumped is a small percentage of the total daily flow, and should not cause a major disturbance, the Department hereby approves the proposal with the provision that the installation meet the requirements of all other State and local agencies. Special attention must be made to insure that tees are supplied for the septic tank in accordance with 310 CMR 15.06(9) to provide for velocity reduction of the pumped sewage. Very truly yours, For the Commissioner � 4 6 tr Paul T. Anderson, P.E. Regional Environmental Engineer A/kd/JH cc: Board of Health Town Hall Hyannis, Mass. 02601 N Plumbing Inspector Town Hall Hyannis, Mass. 02601 ` LO-CkT ON SEWA G � PERMIT NO. Seapuit Road 4-86 VILLAGE Osterville I'NSTA LLER'S NAME i ADDRESS Al frPd Fuller BUILDER OR OWNER Holbrook Davis DATE PERMIT ISSUED 3-12-74 DAT E COMPLIANCE ISSUED � � .�: ��: ,.� �� _ t _ �� � �� � __ _ I \ . � , Ymn No............... ...... THE COMMONWEALTH OF�MyASS/ACHUSETTS BOARD Z.jj5j H EAil--:- "m 010 L_.O F............ .......... Allp ratio t for Uwvviial Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal- System at: ..... ------------------------------------- ---------------------------------C -- ----------- ................ ------- - -- - - - -------- -- q tion-A uld ss or . f 7Y '.... a..--Wf - �.'�.•�. ---.-... ... e .................................... ................. Ad s ............ .. -- ------------ Installer Address Type of Building Size Lot............................Sq. feet Dwelling 1L No. of Bedrooms....................jc:;z�................Expansion Attic ( ) Garbage Grinder (✓f 4 pa Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixture --------------------------------------------------------------------------------------------------------------------------------- W Design Flow...................... .............. gallons per person-per day. Total daily flow..............`d/ ..................gallons. WSeptic Tank 4-Liquid capacity.1 .gallons Length________________ Width................ Diameter........_....... Depth................ x Disposal Trench—No................... �'Vi ...... otal leaching area....................sq. ft. Seepage Pit No...... ' Diam to __ Dept o v nl t.................... Total leaching area..................sq. ft. _:. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date............................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.....--- _-______- ri Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' ........................... • -- fir..........-•..... -• -------------------- Description of Soil............................... -� • .. • ......•---•••---• -- • -._... ,........ �.�e-�. ... x W h-4- - ••----------------------• --•••--•-••••• •• A�... ---- . -----�- - - �+ UNature of Repairs or Iterations—Answer when ap licab a ..... kL• L -----••----•-••---. , •---..� -......... ------� �--------------------------------------------- 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 isslued by the board of health. Sig �'! -•--- . ............................. Application Approved B �/ Date Application Disapproved for the following reasons:................................................................................----•---•----•----•----------- `,----•---------------------- Date Permit No. .. Issued - . . Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M -A. DATA YV� - �t 9 w.. Ae. p T r :,tip.. i......ew.•,.y_��q '4. r r 'ti.., f. - . r - No......... ....... Fxx......�...................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD ® . HEALTH " -------------- OF............ Appliration for Dispagat Worko Towitrudian Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .... j I9ocation Add ess �` •or•--o ............................ a t, : ,.................................... ............. -. ' . ':.....:.. (3wn3er f y�� � 2�.y...�.1.Addres� t a ............................ ...... .!� !1!)G1 tt:4 "`"' - -••...... ................... ....... .................. ----------•-•----••.. Installer Address Q Type of Building Size Lot......................_.....Sq. feet aDwelling L No. of Bedrooms.................... .................Expansion Attic ( ) Garbage-Grindei ( e- a Other—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) Q Other fixtures W Design Flow_ ___________________ ______________ gallons per person per day. Total daily flow------------- ' _____.____..._____gallons. WSeptic Tank-1-Liquid capacity_ ... _gallons n Length................ Width____________..__ Diameter_------------- Depth................ x Disposal Trench No_____________________ Width___ �.t,_______Total Length------_-- Total leaching area....................sq. ft. Seepage Pit No !::__________ Diameter _ Depth below inlet........::.. ...... Total leaching area___ ......sq. ft. Z Other Distribution box ( ) Dosing .tank ( ) Percolation Test Results Performed by---------------------------------------------------------------------------- Date------------............................ a Test Pit No. 1___.............minutes per inch Depth of,Test Pit..................... Depth to ground water_-____°.________=_____. r3;q Test Pit No. 2................minutes per inch Depth of Test.Pit__.__._..__________•Depth to ground water........................ .... w .�. - Description of Soil........................ ---- --- " w�!..........- - ---------------- � � s-= �•''f ' O ------ x - I._. x eK V Nature of Repairs or Alterations—Answer when applicable.,- _._._.__�» .�- ..............................14/t/...1n�........./. ...... I...................... 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. �t� Application Approved BY-----..W ... h. ' ........--------•- , f'Date Application Disapproved for the following reasons------------------------- f -•-•--•------------------------------------------------------•------------•--•----------•---....-•----_..._ Date Permit No......................................................... Issued___.:.:: - -.............. .:. . ' ................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / ......... -7 . ...........OF..... ... .... -^ , .... /�...........`........ r TVtifiratr of (lomptianrr THIS..IS T CE,+ TIF ha 1.,b?el Individual Sewage Disposal System constructed ( or Repaired ( ) � V I -M --- ------I stall, has been installed in accordance with the provisions of Article aI of he State Sanitary Cole as described inIthe application for Disposal Works Construction Permit No_________________________________________ dated______ ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. I ` DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH 1....... � �.........OF........1��Ss!� �6 ��Mw ' A � - " .................... No..... FEE.�" ..: ........ Dispir,ial i `rtri Seri# Permission is hereby rante . !"- .__:: -.:__ f l to Construe ( ) or Repair an Individual S wage Disposal+System at No... "' ---=- -'�+. j,8_`"�'......!°- ` br a •-r=lr=r f r a---:...._.. " J✓. 4r% P. fJ--C;; /. � . --•------ �, _ Street`r . -•-•••....... as shown on the application for Disposal Works Construction Perml No ,'--___ 4 ))ated___� ........... Board of Health DATE--- �. ... ............................................ . FORM 1255;-H111S & WARREN, INC., PUBL'ISHER\S 'tiJ G&••� '" , - 4. ,.,�„ ...�-_.., ��a q C .r__- 1Wi'i r�)iR%. :;).A^A..n� .i-.. rr'�g; �.. . . « r A .t t rl ` � p P 1 � � � `r y �� �.....r+..� � . � � ' � � � ` _ � � � '� 3 � � YI �. r � -�'' .,..� . ' q• ^^rr '- - 3'-O• 4'-G' 9'-0' 9'-6' if,LIP W-91/2' 4'-91/2' 14'-0' G'-G' 6'-O' 4'-6° 4'-6° 6'-O' v `MV l'1 z N A ¢ LI) 1 t e PATIO RAmsyme OVER 1 }M 0 P - . ' PATIO BLUENrcm OVER F W Z ----- -------� I Fl_ =. p �-------------( IF i V R 2 iSORN TO II W AD WE iL --J L---J L--- 1I I I MM L ING M1I- I I MASTER SUITE ( ) g' ICOPPERED 13 I I i I 'r. 22 i (uar+eT) I III iN II i r Vry ..,7 HAI 13�I�� (auc) I I N I KWAA STL an ABOVE FUNN t.26 (2�V4'LVL'S___ -W ---J L---J L--- I(� ---------------------- - 1 - �- ---------�3 `-- --- --- " STORAGE m �I�M S`1— r r--� �� ---� r--- I I-6• a '- OD O I I I I I I I I III CATHEDRAL i II ❑ L} b Q *THI - - �V 12 ,� =' I FAMILY ROOM - J L---J L J L- J L--- KAM>ICOf' - - - W .. _ BA -------� G J L - O _ FIRE - .. lIOBF ----- -. --- - - z, 1'I 01 (TI - I'a F]r aTRtJCiVRAI.RIDGE _. _., RATED z - - -------------- - --- ABOVE 2a . .. 8 6.4R?,G-E ZI $OOM� IKITCHEN I(OAR) I _ _ - 6'2 9/4' 7' 10 1/2 e'2 6/4 6' LU 4,FOY RIII e'-T' -10' ( I I rip I n LAUNDRY 11 �) LEE (OAK) 21 - 2• BREAKFAST -1 a� r LVL C1.0mr UP _ iv - Aitlet •'- (OAK) g� t/1'L v D-1 1/2'L GWMNG aII._w TTo 2e 7/p' 7/N yBBN1 (p)m00 NEADBffi y ,''. . 2a UP p -OII - 4+RRH -},. - a - PORCH- .- `• - � - .. _ , J ui - T 12' D-6' e'-G• V i Z W tt n n ~ ,C( . - �_-_-a®MU - BT- BENT ABOVE- oa. oa �K O 2-BAY G-ARAGE , SWEET FIRST FLOOR PLAN 4'-2' 4'-e' 6'-G' 7'-9• 9'-i' 6'-4' p:.vg' 4'-9• 4'_G• 4:-l. 4'-6' 7:-4' T-4' 4:_p. 4'-yi p:_G. q:_y 2'-6• SCALE: 1/4° - 1'-0' A3- J05-- oq j. 10'r-0' 1DRANN SY: KW DATE: 4/15/O9 r N N O Lr) W ph -- = s•amp Picr J S)9 V4 LVL WEAPM BATH#2 -" (CAPPer) To — -— — _ O BEDROOM#2 ... EDROOM#3 _— — _- =-- - -- —= — ,R■®61 rs _- — (unPer) — __- - d+ a ---- — — — —_ -- — — .. — — _ aaeer eLoeer -- --' Cuter) �' _ - - _ = q �'- N -- _ OD aclow lip im ----'--- - — —_ �TO FOYER i�hil I -- --- .:.--- ilil'i IIIIi IIII Ili ' ! G� - —' _ -- —_ — --_-- IIII I it I „i I'IIIII '.. ; I I III I e'-0� 4'-0• —_- _ — _ — =— = _= lis'=o�� s'-a i-e�_ I i'-a• lall�o+Ii' W 'IIII, II i � II ;III u1 � - - � '� III IIII i • I illl � ; 5 U W z IN HOME OFFICE I I I - w o D(CAfMr) I I i I ! I III I D I. ! I IL w ! ILI!IIII51f i I lilll' Ills. 0_ Q[ Q IIII] I I I IIIiIIiI Ilia W �_ I !'iI 'li I , Illlllj li � 4 III ( 1 I I IIII Iil ( ' Y O d SECOND FLOOR PLAN a iIII�I ; ; IIlji � U w SCALE: 114 Vr011III I III !I, �(1 4'-a ry SWEET 12'-0' JOB: Og08 DRAWN BY: KW DATE: 4/15/Og ° Id-b' 9'-6• il'-0' 9'-T I6'-0' I6'-0• 5'-0' t4'-0' 6'-b' 19'-d � �r - 22'-0' 6'-b' T-to- 6'-4 7'-to' M PORCH WALL — --- V .. AA b Fl�PJ.DO MOV e� 'c m. .r.•,;:...5 ate,.. L ----- -------- ------ —l '1 z _ I W ---- ir PORCH W .:asa,:,r I I M.. ..9.w: a -:v a i ,:,+, I ///■■°y�� I �+� J - BLLawro!Ovo - r'---I L----------- J I L� rI I U W 1L .. i I __ b'-9' B'-9• B'-9' b 9• I �. I Q — — I I — — 14 I I W r------- - LNOTE: I _NVFJf — " r- f _.--- v ---- 5'-9• 6'_y. 6'_y. b'_IO' ■ TS f I 6/8 ANCNOR BOL p_ s IIiI B'-wt o' C\./•')�rII%/f/y/%/b'-//i1v//i-J+;1__rL//////—/�//%T/—c'"2--1l w �r/-i///i1 B LOA�D%/ —_ — Vt crooP 3GO.G.f/ AT DOOR FfWM GORNER9FULL BASEMENT WASNERB 93'xV4' VAPOR BARRIER /ii 00 a 2 sA�%%i - L J MEMOO =wr POW 0-10• b T-0' W-10° b'-e° c to t Lo IT M L///i =%/i 06 w 1II IIII cGaA�.RL KT nu IIIII v`IIII b mm¢ W i� oZ GLOPceueTODOORSPKT v/rot eAee�/-o- L_// --- �U�iJ 180-5_V4' a'COMORC l:SLAB - ,_ rc I I sa°c IWIP TYP. 3 i 6°■7'-9°CO-MALLp b Y • I I�° I q i (2)•O NOR60NfAL BARS v '• I _ I s NN• TOP AND SO M Y I I r 20 x W COW.rOOTM •• I I I : I i ' I I " I "I A�Ma+POTR s♦.C.1P16IA i 6 I q , ILL— _ — z P T DO'►T?7 PIAT! w r 1 r/ -.1 Is mPlcr I I - .-. I Oavps 1:%ImtrlcT �%�� � — — -- — --- -------- -� I- ------ AT ODORS . I I Volv�L� /�J i f-- --- r — -- 6'-� 6-S' 14 I I I I n I ': I CCNMVM APRON ------------------ I I n ---------ram —:��� :�•�:— I PORCH LUEwrom I ` I I I J Pf°MmumlotwteooErt L —— `.. I a I j •., • � � , U W, S'x Cr.WALL .. AT DOOIR6 94'-6' I I TOP AND ORI OWAL BARS I - W O I I I WxIO'GMT.roarw I I b b I I w Z --- ----- GARAGE - -----I 4 W FOUNDATION PLAN I I GLOPS SLAB� � I >y >y a SCALE: 1/4° - I'-0° I I VAPOR MRRI@t I 4'CONCRETE 81 A® I I Y I fo°b WWP TYP. 1 NOTE' 6/6'ANCWR BOLTS DROP I& U l I, EMEDDED 7' AT DOORS SPACED W O.G. I I - I i I I1 FROM CORNERS WAS14ERS 3■x9°°A/4 �I ■ I I � 1777 rn... c.. .: _s.: .. ti . .,z. r-9• 9'-b' 2W SWEET la-B' 24'-o' IV-6- 9'_0° 24'-0' 21'-0' 177'-0' A5 JOB- 0908" DIZANT BY: KW DATE: 4/15/Oq ' � N N Q U) �j lA J h Lu V) 3T-O. - ,�:_y I V RIC"V!9 I 12 1 RI�i1p YtlND W48H OAPRI�RBOUI�D 1 _ ' _ - Q Aim, 7AY 1 RID '912 I ATE RDGR OP OfTHtiOR WALtJ1 _- L ASPHALT ell c ,RAPTRRe®IYO.G. " - - WW COX SWAlUNG ADOJE LIVING ROM '{WtRIGANE CLIP FASTENERS 12 i; 2d0 RAPTRRB a li'O.C. RAFTER/TOP FlAlT 127 8VP3[YH6aE'RE E198 JIAiCTI@IG TYP. " - ✓ r Ski, I9LQQNG 4' C. Al FIRST TRIO JOIST (S M 2no PIEF30GLAes INeUL BAre PROIT GAELR 12 p 8)TR!GTURRAAL RIDGE _ OWNM W LI„ / 6®8 N6 MAINTAIN AIR SPACE - - V4' Tp.M D I ASCU DRIP EDGE• e y _ �D4RD .f �. W OPEN OPEN I ues SECOND ne,D� FWGE OOARD AND MOULDINGS 2'-4' • ��0 k'OS 2'-'p m. W • 3 / ., c - I' ALUMINUM GUTTERS AND DOWN SPOUTH !t - a // s o i O / 0 / FINISH FLOOR 26 F.G. STUDS•T4'O.G.' 6 v / ;R PLY OUEFLOOR j W PLYWO D SWEATHMG " m --- ....... aKaa i u'oo --- Trvec wRAr we eHmcL� 4 G (gj ®, _ HO t OFFI E p ° b ". (ZOO'• (we BTAI 5 Wt I u e Kb.C. nx �iii Is-amCARRIER! i i - I (9Z 9 V4°LVL A)9 V4°LVL _ S FfOYER LIVING � urmExN DOW1et HALL UNOFR DORMBt WALL s o I �' °lMAO _ c •- 4'-4' 12'-5' OUGPL:ODR I FIORD RATED .. ., I W-2° - I m &RAGE - - ".._----.- .. P.T.2Xi SILL♦SILL ORAL a• LIVING SPACE - - -. 2d&S a IV O.C. - 2 WS a K°O.C. AHCW=AT W MAX GARAGE B�2 9-2m 6SUT Z '-O' 6'-0• - 6TAIRS GLAD DOORS 12 u�IRRe, BASEMENT - " T,� i t' a5C/'-q'COW.YA.19 - _ - (22)s 6 HORInONTAL BARB W - DAMP PROOF SELOW GRADE •- - F- CQ'fPACT FILL A� 1�1 S t/2'LALLY CCLIA'!ID _ (2)e 5 NOR=NTAL BARS - ' • - - s - e 1/Y LONG SIJD AND 00'PI,OH'I TOP 5 n lb 4 JL Z B GARAGE SECTION a w Q o A GROSS SECTION SCALE: 1/4° . 1'-0° - W w ly � U W • to ul 5NEET AG ' JOB: 090E DRAWN BY: KW ' DATE: 4/15/Oq N O in Y) O J a� OD O IA .A z ILL 2X10 JOISTS '® ® 12"O.C. H e e (3) q 1/2" LVL GIRDER — e us (3) q 1/2 LVL GIRDER a LLtl2XI0 JOISTS Fl � r 3) q 1/2" LVL GIRDER m e 3 q 1/2 LVL I G RDER e O � N � W (L 3 q 1/2" LVL GIRDER IT w - J ' w j � Q - LY U w FIRST FLOOR FRAMING PLAN GARAGE o�c SCALE: 1/4' - V-0' SWEET JOB- DRANK DRAWN BY: KW DATE: 4/15/Oq N Ln In O a W � J � —— — -- ----- O W V) 4)9 V4'WL4 MEMO W LL l4) Palo PL 2X10 JOIST ( `; - ® 16°O.G. BEA in INIS WALL �! W _-1_� W b)q v4'LVL4 I ---------- _ p m Z .o BEARING WALL (2)4 V4'LVLY - LL FL (2)1 V4'LVV* II I RI qrw L (e)q V4'LVLs UNCOt DOFFk= (a)wo WDR LILA BEAM ONAM I I J L-------------------------------------- U W W (J) To To SECOND FLOG— FPA—LING PLAN °°L e COLI O ly SCALE:'1/4' - V-O' W 2XI0 JOISTS IU Q I U) N SHEET 2 JOB: 0908 DRAWN BY: KW ' DATE: 4/15/09 t0 N ,Q to �Vpp [yj [n J � ® O W Lo W W w � 2x12 RAFTERS ' 0� o I I L 12'O.c. TIT 2xIO RAFTER6 2x10 RAFTERS rS�'Ij j j N III it ❑ � � i 11 L •L �I :Iim o lu — -- III LvLb a I I I Q III I I i Psi i� P IleI I III B'i l - P ni j n a FIFF; 2x8 F'ORGM RAFTERS _ (8)4 V4'LVL'o (a)9 V4 Lywo Z �l. 1] C D a W Q U 3 D ROOF FRAMING PLAN IM D Q a -- --- — = -.-.�._- U W. SGALE: 1/4' I'-O' -- . 9 V4'LVL4 9 V4 LVL'o V! Ln ry SHEET 33 JOB: ogo8 DRAWNT�4ZM/Og DATE: BEAM 6 STRAP - u AF y 2� - LSTA® EA. RAFTER - l�^"I END W 4 DISTANCE - I N o Ln 'RIDGE BEAM (((--- i^/ 2)1IL COMMON o l,-_.� NAILS 6° O.G. DBL TOP PLATE 'NOTE. - SIYIPSON 1 RIDGE STRAPS ARE NOT PHD (14 GA.) i^ REQUIRED WHEN COLLAR TIES OF - .' Y' I NOMINAL Ixb OR 2x4 LUMBER w Lh ARE LOCATED IN THE UPPER SIMPSON THIRD OF THE ATTIC SPACE AND TITEN CONNECTOR VERTICAL ATTACHED TO RAFTERS USING INTO CONCRETE �4s WOOD STRUCTURAL PANELS �'� 5)l0d NAILS EACH END _j 1 SILL PLATE TO TOP PLATE -=w`I t CORNER STUD HOLD DOWN ' �� O SEE NAILING SCHEDULE --' 2x STUDS®161, O.C. ^� �./ SUILE:N.T.S. 1 2 RIDGE BAND STRAP SCALE:N.T.S. .' to 2x STUDS®16"O.C. • W Ln i SP4 (20GA.) � L ' BTM PLATE • C.: d I '"fl. .� TOP PLATE + W IL SILL PLATE (S)IOdxl.1/2" NAILS - -.. W EACH SIDE OF STUD - V SIMPSON STRONG-TIE SPA p+�- SCALE:N.T.S. a 5/6" ANCHOR BOLTS 6 55" O.C. - • - - V f I`` W MIN, EMBEDMENT w/9"x5.xl/4".PLATE WASHER 2x6 DBL TOP PLATE - IXEND HDR TO GARNER _ 2x6 DBL TOP PLATE . Ln " - SIMPSON SP4(20 GA.) FULL MGT.STUDS _ � m W W - - JACK STUD - NAIL TOP PLATE 1 LL TOPLATE w/ WOOD STRUCTURAL PANELS ToBmofHDR(E�l SCALE:N.T.S. _ •W/2 ROWS OF Ibd NAILS .. ®3"O.C. STRUCTURAL PANEL _ HEADER CONTINUOUS HEADER - .. NAILED 5d COMMON 6 MULTIPLE OPENINGS - HEADER - 0 3"O.C. EDGE AND FIELD FULL MGT.STUD MDR UPLIFT STRAP - NOTE. ° SIMPSON ----JACK STUD-,,' REFER TO TABLE 9 x : DOOR TRIMMER STUDS - WNTRACTOR TO REFER - PHD (14 GA.I WINDOW SILL TO WFCM 110 X 5 AND PLATE CHECKLIST FOR ADDITIONAL - - HIGH') WIND TECHNIQUES - • - .. 5/W ANCHOR BOLTS a 2-5/5'ANCHOR W BOLTS : + y RELATED TO THIS PLAN w/5"x9' PLATE ASHERS w/3°x3� PLATE WASHERS JOINT DESCRIPTION NUMBER OF Nul,ocR OF NAIL SPACING ` 2 GA.ANCHORS TYP. �!.. COMMON NAILS BOX NAILS ROOF FRAMING II BIOCICING To RAFTER(TOE NAIL®) 2-Sd 4-IOd EAOrl-END - 4 •. RIM BOARD TO RAFTER(END NAILED 2-I6d S-Ife! EACHEND - WALL FRAMING TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-1 S-Ibd AT JOINTS STUD TO STUD(PACE NAILED) 2-Ibd 2-I6d 24'O.G. - ' U W W HEADER TO HEADER(PACE NAILED) Ibd lid 2a'O.C.ALONG EDGER - $ HEADERS _ N_ARROW WALL BRACING AT GARAGE DOOR Q (�)iTUDS SCALE:N.T.S. - O SCALE.N.T.S. FLOOR FRAMING W JOIST TO BILL, TOP PLATE OR GIRDER(TOE NAILED) 4-Sd 4-IG! PER JOIST - - - '' - Y` - ELOCKIN6 TO JOIST(TOE NAILED) 2-Sd 2-IOd EACH END BLOClKl TO BILL OR TOP PLATE(TOE NAILED) 8-lid ' 4-Ibd EACH BLOCK ,n LLLJJJLLL - LEDGER STRIP TO BEAM OR GIRDFR(PACE NAILED) 9-ifd 4-I6d EACH JOIST r - - `r W U1 JOIST ON LEDGER TO DEAM(TOa NAILED) 8-Sd S-IOd. PER JOIST - i - 2x STUDS® I6" O.G. W BAND JOIST TO JOIST(END NAILED) B-lid 4-lid PER JOIST - U BAND JOIST TO SILL OR TOP PLATE(TOE NAILED) 2-I6D S-Lid PER FOOT 0. O ROOF SHEATHING WOOD STRUCTURAL PANELS - - IY RAFTERS OR TRUSSES SPACED UP TO 16'O.C. Sd IOd 6'EDGFJ6'PIER RAFTERS OR TRUSSES SPACED OVER IV O,C. Sd IOd 4°EDGE/i°FIELD ' MT512® EA. STUD GABLE EN RAKE OR RAKE TRUSS lu/.GABIr OVERHANG Sd IOd i'EDGE/i'FIELD GABLE ENDWALL RAKE OR RAKE TRUSS w/STRUCTURAL Sd IOd i°EDGF/i'FIELD RAFTER® 16" O.G.OUTLOOKVRS II nn GABLE 04DKALL RAKE OR RAKE TRUSS w/{LOOKOUT BLOCKS Sd IOW 4'EDGE/4'FIELD U I CEILING SHEATHING GYPSUM WALLBOARD Sd COOLERS - T EDGGIO'FIELD eQe 142.5® EA. RAFTER _ I� WALL SHEATHING WOOD STRUCTURAL PANELS STUDS SPACED UP TO 24'O.C. Sd IOd i'EDGE/12'FIELD TOP PLATE V AND 2W FIBERBOARD PANELS Sd - S'EDGE/6'FIELD ! SHEET V GYPSUM WALLBOARD Sd COOLERS - 7•EDORA&FIELD LTP4®52' O.C. - FLOOR SHEATHING WOOD STRUCTURAL PANELS MIN!TN EMBEDMENT CHOR BOLTS®96"O.C. - 1'OR, LC09 0d IOW i'EDGE/I'FIELD GREATER THAN P IOd lid 6'EDGE/6'FIELD 'I" T °12" PLATE WASHER RAFTER TO PLATE CONNECTION C6" To 12" FROM END OF PLATES) FLOOR TO FOUNDATION CONNECTION JOB. 0908 SCALE:N.T.S. L/ SCALE:N.T.S. DRAWN 5Y. KW DATE. 4/15/Oq r:. i /0' .c c, TD GASPROPosEs�- N kn E -nNG SHED rf� _ I t z F 2.G. /•' r \\n \]w TER SERVICE TO BE REMOVGv t505 GRA ', D„RIVE THIS /�./�� t J TO E� REMOVED �✓ r ` ' 5� L t-SLAB E� - G7 \� -. - �, F4 8q ro DRIVEWAY =5 ; \ — i ` 320 33.0 I i > GAS - \ - '3&0 f pROPOS£D t � _ I l METER `\ x _ •" �. co �• ' - - C\i .2 4 _ a _ , ttt OWE1L G - r` (N / Np I " \ EXISTING N ?' - (b , ~' -_. r/ �OCA i i \y ', ,'\ \ -•-70 BE REM.0VED - Ul UNDERGROUND \& / EL,EC'TRI SERVICE I 1 ,! Eo -nNG SEPTIC SYSTEMANC --\ - m 1 PU OF OFFfi51. 1 \ ; DISPOSED \ , r 6 140 . `. 1. i _ - // - /' /' _ :cfl \' -\ ♦ I(A <.\ , P —.. � _ ,. _ _ - ''1'J. , Rs Ti 00 CP- /5_ 7 OAS UN ANDG w tl it , \\ /' - M \\ \\ \y 1 TP 18.5• '`''mil-LF \ ,OCITTED \ 1 DBPQ O. _. b Ss m _ \\ \\ t A� 2 ,GAL SEP1�C TANYC LF PVC O So 2,13151 40 p 2.0% Si \ ♦ \ - „_ y }fit' rx� \ \ \ \ 1 i r , {Jl T.�/ y-., „o-:"*"p"`a• :a GG 1 1 i S , b :r ..,: ` ,- t k '. _ _ .,.. .. ,. ...._ .. ..... ,. �. :ri-i ... ..n;. ..>-,• 'fie L.r ,... _ ,•--,.-.,>eH+. , .w.:,....v >. .,m.'_, 1 gat_ c .... .. _. ...,. ,. ..,...... .,, .... _.....,. ... ......... ...._ .. .. .< i , , , r : .: y t D r vewr I - ' 6 K w i I' pDK Li �GON1f�c.-�"�i1 z"Imo►, I- ' r`_ - ---___.__--------� 9*Po i-r P—P• , D v l.i fM Al A-- SCALE: j/ " APPROVED BY: DRAWN BY ► `� (� DATE: 2 f,� p, DRAWING NUMBER - `I r 1 79 _N. �`1'•�� ;*~d• �r�' rrt •L` .1 1g9 C PROJECT BENCHMARK DRIVEWAY EASEMENT _� � ARTp� ��� G1:�VERAL NOTES ,�•� � ;-�rr/� •.e� � S / Q MAG NAIL DOQ 990.083 0�` ' �+JI 5W OR MUM. •' ~ s��' (�'`�--��'t , i ``' s� ` �•� _ o ,� \\\\ ELEv.=34.85 12-30-2004 n°' o"� 1) TW N11Q�1f OF THIS PLAN IS 1D PROVIDE A S71E PUN AND SEPTIC SYSTEM DE= ` ;. / �a�'1\�{o/C-• :��- --.� .'�'• 'a ".."ram n - <O N \ N _ �•l _ N ;�cv rn «� cv G' •� AT LOCHS. 1��; - ..A� l� �Fd � •��� �- li. V t x'A �. ilis 3 '(•1 f a`�\` `�r� c�N ztti 1 \ ( i •�`_.___ cc j Z) LOCUS AREA IS COMPRISED OF T,\':..�'' � t a =r�ti,•',- f' \ t \ cv t r i ro X\ ry t - N LOT 4 /fin MAP 118 PARCEL. 121/001 LAND COURT PLAN 15055-G rl ''. 1' ;�,�l jrl �� • -j =�tl �,1 / t cv 1 ; `t %� t \ tl r r'� \G' ice) "' t 1 �. r� \ ►•� x-.--_ - - r: CERTIFICATE OF TITLE- 142425 lsi! �t r•• o\^ ors• �..� \ / yr� �1�rI p \ \ \ \ \ -y- - - I - r7 .•'�'`' 'r >s g -`� iS5' p W yW 1 x \ cv 1 `� - - -.i - "? `� o -'-'r DRNEOIY ACL'H5S 10 Wr 4 AOMS) OVER LOT 16 PER LAD CdAR PLMf 150'S5-K Y o'c� �� ;� � lii r r� \ i W 1--- (,j/ \138.00' � 141 '� \�` \\\ X - _ �\` (pEiDMI'G)AP WIMATELY AS DEFINED BY THIS PLAN. THIS AGRE>0R AND iO0F1v'I M $CMBryst ,;.° �� Y . , "o / r / 1 \ t w �� \ - •. ___- _ OF FASOM 6 rF5r. IED AT DDMIIIENT 990.083 DATED: 12 30-2001. THE INES _ _ DEW SLBT EISf11D�IT MMN ON THIS PLAN ARE AYCEN RM LW COLT island 1°oada' - n,.c '�. }•":1• °'\ r 'i `\ = \\ \ \\ ` �` �� - PL `\ '\ i \ \\ ` l'V �` , 38' 142.00' PEDLb1ER'S PUN PREFARED FOR =11FA 0K R. DAVIS BY SUM & NYE INC. DAM r \ \ - 280.00' TD MARCH 31 198,T` 4 ;�, _- [ {y-�; o, \ \ PROPOSES GAS OWNEM PAUL R. BOTELIA ET UX ASSES M ,5° O. .. \io \ w �` ui SERVICE �`. 134 BAY SHOW RIOAD A .-. i > �, *L�s>t i •�., `\ Sh�s HYANNM 02601 ,.�"j I .`. � ��"•• f �,1 �L, a. y r \` \ N/A7ER SERVICE ^ - EXISTING SHED J { ' -,• e~:� off '' ,� / / / \ \ "STING GRAVEL ►.� d TO REMOVED _ 3.) PItWtY ENCHfMARK DA1TJM APPROXMAIE - WO BASED ON GIS NFORWTTONI \ / `�- 1 ��nR ti if h�°M• v t '?• N ` 1 M 33.ZS 'n -_-- / ( ` DRVE THIS AREA \330 `� '� • •' r /' \ `� t TT+;J BE REMOVED 5��� '� _ x ------ -- 36 'L) ZONING NHFDRYI1110N ■ �. 1 i GRA L DRIVEWA �`� x ----- ZONING DiSRIC : RF-1 (RC"AT REAR FFM OF LOT) LOCUS MAP Scale: 1 - 2000 ` ` _ - _ OVERLAY DISTRiCis: WP & RPOD ® CV/ _� - ,� - �.` 11TiHEV STATE APPROVED ZONE \�,,_ ,� Mi •� `� L 0 T 4 WIITMN MASS ESTUARY PROJECT ZOC TO SALTWATER OTLARES cv x `\ ( i cn r ``�LAET >0 - x `� L. C. Pl. 7 5055-G CURRENT W�irtrtJlt �ZOMVC REINTS: Sm LOW DATE Q 4/� , t 't i tt X �`\ ` t'"� DRi�IEW Y a"C c.% o `�\ .� - _ 64,891 So. FT. f i NK LAr AREA 87,120 S.F. cv G� ' •� _1.49 ACRES_f ------ 5 MIN. LOT FRONTAGE = 20' BARNSTABLE 1 t �+ '1 it ��- `� `�` `.•` x 3?x �. i --- ------- MIN. LOT WIDTHI = 125' --- SOIL EVALUATOR: I PROPOSED GAS MN. FRONT 1�1Rfl SETBACK _ BOARD OF HEALTH AGENT: 1 `� t 1 , 33.0 330 I STEPHEN MAT$ON, P.E. + N ► , , ` MN. SIDE AND REAR YARD SETBACKS - 15' DAVID W. STANTON, R.S. i a, i i 1 `` I UGC r + METER j \\ TEST PIT 1 TEST PIT 2 TEST PiT 3 TEST PIT 4 ► ¢_; -�-- u� ' � E - UGa ' X N 5. t . r r r SLAB ELEY. ) A TITLE SEARQI HAS NOT BEDI PERFORMED FOR THIS SIiE F DETET�m #.: i i i i i °i I UGE UGE = 33.25' _FF ELEV. _ . rn :; I TO BE NECESSARY,A 711LE SUM SHALL BE PERFORMED Or OTTERS G.S.E. = 30.5 G.S.E. = 31.5 G.S.E. = 31.5 G.S.E. = 31.5 . I I I / , i I as , 1 r r / r r \t ^ mm --- x � 6.) THE FD ERIY LEE NWIRTION SIDMN HF11M 6 C WK0 FROM CLRMff AWABE,E • Ap • i OYR 4/1 LOAMY SAND Ap ; i OYR 4/1 ' LOAMY SAND °^ ' cot i � /' i � � i \ �I ( 19 33.0`` x I - PLANS DEEDS. FILL , 10YR 2/1 ; SANDY LOAM FILL ; 10YR 2/1 ; SANDY LOAM x i I + r t' RELOCATED UNDERGROUND r I '\ p •,x ,� I _------'-'--- i 6 ELEV 30.0 6 ELEV 31.0 6 (ELEV 31.0) 6 (ELEV 31.0) t i ► i ELECTRICAL SERVICE i i E i 33.0\ ) t t \ t I r I r \ ` 3 7. COAN1UMiY PANEL MH>i6E1b 250001 0016 D ,� __ _ TiE FLOW I�iSUIVAM RATE MAP DEFIES TNS AREA AS ZONE C. FILL ; iOYR 6/4 ; SANDY LOAM FILL ; 10YR 6/4 ; SANDY LOAM B ; 10YR 5/6 ; LOAMY SAND B ; 10YR 5/6 LOAMY SAND t ' i i EX1-nNG SEPTIC SYST�1 TO hE I ' , ` EXISTING DWELLING PUMPED DRY, REMOVED ANDr I r 83• ` "TO BE REMOVED ------------ - _ � ENIVIRONMEIM N 8.) 18' (ELEV 29.0) 18' (ELEV 30.0) 18' (ELEV 30.0) 18' (ELEV 30.0) i ` \` t i L ROPERLY DISPOSED OF OFLcwSiTE � `'�\ \ `� o \ _ - N ` t r \ 1 1 r e. --.__L __ co •SITE 6 NOT WRTHEV AN A.GELL (AREA OF CRITICAL. ENVIRONMENTAL CONCERN). Ap 10YR 4/1 LOAMY SAND AP lOYR 4/1 ; LOAMY SAND C1 ; 10YR 5/4 ; MED. SAND C1 ; 10YR 5/4'; MED. SAND ( i `\ ` t ` i °' I I o i �--__ \ "' --- ------------ •SITE 6 NOT MITHM AN AMEEIA OF ESTIMATED HABRIIT OF RARE MIDIEE PER t t t \ \ 0i r I I NEW M w' N / r 1` t . \ \ i'� pq x b X NLESP MAP OCIOBER 1, 2006 'ESTMMTED HAtIGTS OF RAZE WIDLI''E• • 24 ELEV 28.0 24 ELEV 29.0 \ 1 1 100' ,__ ` r `° q►y S s. -__,, FOR USE MiIH THE W WEiLAND6 PROTECTION ACT REL;U<ATiONS (310 OR 10). '� ( ) ( ) 132' ELEV 20.5 132' ELEV 20.5 C� I ' ` ` ' x -�&- \ ` ` AIRSTP �' x33o _ ( ) { ) �h \ +\ ► 1 I i .' `\ `\ `\ r t, h� F- •SITE DOES NOT COMM A CWFED VERIK POOL PER NIESP WP OCiOBER 1. ZOOS Q N 2-7--..may_ \ `\ `� r 33i0 x j�Q `---- - `z %ER7t1ED VERNAL P00t.S' B ; 10YR 5/6 ; LOAMY SAND B ; IOYR 5/6 ; LOAMY SANG ! O x r i i r N `` \� \\ �'\ `< ZC�► -- j--_- -_ - t� I r ► i -'' x ` `\ ` ` `` " \ I - _ •SITE 6 4110T WI M A PRIMLY HIM PER NEESP IMP OCTOBER 1. 2006 ' IMIY ! r cD t <a o -,� \� \ `\ . ^�' �j'` �� 0 FMBDITS OF ME SPEEET'FOR SUB LIM TLE MASSAMISE T5 ENDNI ICED 50 (ELEV 26.33) 50 (ELEV 27.33) co y rn I co1 r , �. .` �\ ` \ „ (``�Q z SPECIES ACT, REGU AIMPIS (M C M01 - i r 1 cv C1 ; IOYR 5/4 ; MED. SAND C1 ; IOYR 5/4 ; MED. SAND ►` I I " 1 s`' t a + ' 1 I' `� E)QSiING t `\ 330 x3 o •SITE 6 WL'THM A STARE APPRt)Ml:D m1E I GROUND EM iMMM PRDLEMIDN AREA 1 i i t ! '' `� OAS LINE \ `v �w \ � 132' (ELEV 19.5) 132- (ELEV 20.5) I ; �N ' ' `� ; : ,_' ------ - " --- -------_ AANQ GAS o ' - ` Y ` t 75 - ¢ 9.) UiLffy i FMVMN SHIONN FERL3►H: /^`� x� \ �` \ t 21 ��, o x330 I'll • - _ 0 .THE CWTRACMR SiWl CWTACT OIG SAFE(AT 1-88-DIG-SAFE) AND UTILITY CMPANES TO \ ► \ r 1 o, ` REL.00J�7ED \ A5' .' LOCATE ALL EXJSTNG UTIllE2: AT LEAST 72 HOURS PRIOTt TO i1E START OF THE ` a+ i ' `\ r i i c`L• ` ` ` - pgp 9 S=2Dx NLF `0 10NAPPR07EMTE MY NOT ff iJETfD 1D iH10.SE SHDMN FQEII AND fMYE BEEN -': L,u I. t ► + \ 1 r i rk / \ \ \ % :. `� TPA_ / • `t `\ i o `\ `\ i / `\\ \\ `\ `� 9/ TP#1 N cv fD BASED ON TiE/ NABLE UnUrf RE00RDS NOTED HE72E K TW COI�fLTb1LM AL;IM NO WATER TO 132 (SH 19.5) NO WATER TO 132 (ELEV 20.5) NO WATER TO 132 (ELEV 20.5) NO WATER 10 131 (ELEV 20.5) cn r r r I 1 `!T `\ ` -� ----- t ------ -''__-------------------- ------ TO BE FULLY ALE FOR Mr AW ALL DUGES VMM MIGHT BE OrSASIONED BY THE PERC O 54' (ELEV 27.0) PERC O 54' (ELL 27.0) i`�` `, t+ \` \` i ' r r 1 1 `"' ` ` 42 • TIC • i. CONiftACtORS H71IlJftE TO LOCATE SAD H>r�AMD UTIIILRS DuC.'Lr F FED t \ 1.: I GAL Si:P TANK RATE= 2 MIN/IN RATE- 2 �1dINIIN 1,\t t ` \ t ` tCO.O' r r t +' x+ �t < < \ '_ LF ••�4� PVC �' i CONIZC 6 OFFERS FROM PLAN 1Faf W7K)1, THE CQf1ia11f.= SHILL NO7F1'THE Fri AMR CLASS 1 SOIL CLASS I.SOIL `\ �` \ i i i i t \ ` O S=2• :' �' 2 YEDMTELY FOR POS'SRE REDE92L �, 16 « 4 % ,• - WMTHR LIE SNOMNI ON THIS P1AN 6 BIIgD ON SHO:TQH 0-8d7i-N PROYDED CIS tN / t `\ 1 t t '\ \` O rpi2.O G ,• w - BY C-0-W am DEPL (SEimm WE 8/B/Os). 1 CERTIFY THAT ON �yy Z0° ''(DATE) 1 HAVE PASSED THE SOIL EVALUATOR N % -' x `��` BREF.A�KOtJT \ \\ �� _ P g EXAMINATION APPRO SY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND 1 + \ t , , , \ , �2 .5cv \ , \ // CRE7E LEACHING �. . CC LW SIDMN QI THIS PLAN PER YAP RtOYDfD BY NATRWII Qtp (Rf0I1E5T GATE: THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED \ \ \ t \ _ AMBERS TRAINING, EXP SE D EXPERIENCE DESCRIBED IN 310 CUR 15.017 a ! `` \\ `\ �`� '1 \ ! i / t t -� 1 FT OVERDID. SIB: • LN0ERGRO W ELECTRIC LINE S�OWNH ON THIS PLAN PER DISAFE WiIJCOVCS �. NOTE �� LOCATED N FlEID BY BAXTER ME EHrG;i�1G & SURVDW ON 4/15/09. SIGNATURE DATE 0 57-15- Zoo `\ `\ `\ ► 1 i % ,' .'� _ � LAC AREA RE S' •SEPTIC SYc'Tf3/ LOCATION LS APPRO)DiiAT>~ PER TITLE 5 INSPECTION - �� t\ \` `\ 29---- --------------°r' MAP DATED 10/1/08 SY JMIES M. HDRD_ CONTRACTOR TO VERIFY /I FIELD \ NITROGEN LOADING LIMILATTON: 330 GPD PER ACRE (WP DISTRICT) •3T' THE AACJLW. LOCATION OF UNDERGROUND COMPONHENis` ggF.72 zD LOT AREA - 1.49 ACRES " 1.49 X 330 = 491.7 GPD CONSTRLICTlON NO'TBr `�` t\\1`` ,��% �ry�' ry N 2o•4g'o3 W N/F p�Rs, ��C ALLOWABLE FLOW = 491..7 GPO 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED N ACCORDAN IM WITH TITLE N OF THE STATE SANTAW CODE COATED APRIL 21._. c`` 2006, AS AMENDED THROUGH THE DATE OF THIS PLAN, & ANT' LOCAL RULES E REGULAiIONS APPLICABLE: ' _` - X � 4 BEDROOMS 2 ANY CHANGE: TO THIS PLAN MUST BE APPROVED N W�RITNG BY THE DONEM ELEVATION NATION MUST NOT BE CHANGMD � � x x 110 GPO/ WITHOUT WRITTEN PRIOR APPROVAL BY THE ENWJMt - TOTAL DESIGN FLOW = 440 GPD SITE LOCATT01� 3. THE CONTRA= SHALL NOTIFY THE DESIGN ENGINEER AT LEAST 48 HOURS PROR TO THE COI MDIC>]iEATT OF CONISTRUCTION. X GARBAGE GRINDER (NOT INCLUDED) = N/A ,/25 ����� ���� 4. WHEN CONSTRUCTION 6 COMPLETED. PRIOR TO BACKFRLIK NOTIFY THE BOARD OF HEALTH AGENT AND DESIGN ENGNEER FOR / ( ) .' / UISPECTON. NOTIFY 1)E5lGtd ate AT !FAST 24 HOURS PRIOR TO iNSPEL7LON PERC RATE = c5 MiN. INCH CIA$$ 1 mills AM "5 LTAR - 0.74 GPD/SF. 5• ALL SANITiAR1' DISPOSAL SYSTEM PIPING TO BE 4'-SCHED 40 PVC, UNLESS OTHERWISE NOTED HERM MIN. LEACHING AREA OF S.A. REOIIIrcr"D: 440 GPO/ 0.74 GPD/&F. = 595 SF. UfN PREPAID FOR 6 EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE 'C HORMW . FOR A HORIZ DISTANCE' OF 5' SURRO�IG THE LE4CH G Bayside Building, Inc. FIELD, AND REPLACE WITH CLEW SAND PER 310 CUR 15.255 TO THE TOP ELEVATION OF THE SAS: PROPOSED SY5TEIN: - 4 - 500 GAL PRECAST CONCRETE LEACHING CHAMBER UNITS Centerville, MA., 02632 7 INSULATE ALL PIPET AAGAN6T FREE2W AS REOUPED WHEN LESS THW 3' OF COVER WITH 14' OF STONE ON SIDE; 3' OF STONE AT ENDS._ 6" STONE BASE a THE SEPTIC M STEIII DE51GN�h[4I NiCL I DE GARBAGE GRINDER DISPOSALS. SIDEWAL L AREA (40.0' + 1012 x 2' DEPTH - 200 SF BOTTOM AREA: f40.0' x 103 = 40U sI' TITLE 9. THE CONTRACTOR SHALL CONTACT DiG SAFE (AT 1-886-DiG-SAFE) AND UTEt1Y COMPANIES TO LOCATE ALL DOSING Ui ITIO, AT LEAST 72 H10 M B FW THE START OF CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE DGACT LOCAWK _3.0' .- - 3.0' TOTAL EFFECTNE LEACHING AREA = 600 SIF BOTH HOR¢WALLY AND VERTICiLLY, W ALL MTNG UTIITES BEFORE THE START W ANY WORK. THE LOCATOR W M-TING �. ., _ SYSTEM DESIGN CAPACITY = 60O SF x 0.74 GM/SF 444 GPD �B®�SB� B �8 � ��� UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE WAY ONLY, MAY NOT BE LOOTED TO THOSE SHOWN HEREON AND HAVE wr •3/4=1.5' WASHED STaN� 24'. ,.• f SEPTIC TANK SONG:- 440 GPD x 200% = 880 GAL' !' NOT BEEN NDEPEaWXY VEIM BY THE OWNER OR ITS REPRESENTATIVE THE CONTRACTOR AGREES TO BE FULLY _ x =- •- � ..,� � � -� �' USE 1500 GALLON TANK MIN. �� RESPOE+ISHBLE FOR ANY AND ALL DAWGFS WHICH WGFTT BE OCCASIONED BY THE CONERACTOR'S FAILURE TO LOC7L7E THE Ui1IlT1E'S 10.0 8.5 4 83 4 CHAMBERS -- D64MY. IF ELEVATION INFMATTON OFFERS FROM RM INFORWM% THE CONTiWIMI SHALL NOW THE ENGINEER LMiEDIATMY B NYE ENG G & SURVEYING FOR POSE REDESIGN. AT UMfTY CROSSINGS. VERIFY N FIELD THE LOCIIT1pN / NVERiS OF ELEL`T= GIAS. TEIEPWNE � ��,� DATA/COUNT AND RELOCATE F W WITH PROPOSED NVERTS PER THE ENGINEERS OHRECTiON. THE CONTRACTOR SHALL 3 '•= ` ' Y -• .: ' - . PRF3ERVE ALL UNDERGROUND LITi1T1ES AS REOIIHRED '-24• • _ ••-• f•• y ' J%e - .• �' Registered Professional Engineers and Land Surveyors 10 THE PROPOSED UTILITY CONIEC."Tm sHf o HEREON ARE SCHdMM FINAL LAYOUT'SHALL BE AS OETERIAVED BY THE • ,-- 4 � � � �� 78 North Strrret-3rd Floor,Hyannis,Massachusetts 02601 APPROPItATE LrT1uTY coIPANr. (•� 4010 - 20- DIA �_ Phone- (508) 771-7502 Fax-(509) 771-7622 y�H OFM,�s TYPICAL SYSTEM PROFILE ®� ® ® o ® ► � ® ��� sq APPR�OJQ♦IATE TOP OF TOP OF NW TO 90"' PLAN OF am SYSTE�L IN�T1 i O I. �o STEPHEN FPW FLOOR - 3E9.0 FOUNDATION NOTES: W t3ALL ON PRECAST LEACTM CHAMBERS3' ® ® ® ® + t® ® 20 0 20 40 N 1. SEPTIC SYSTEM DESIGNED WITH OUT GARBAGE GRINDER DISPOSAL M I L � ,wrl,oLE FWrl1E _NO SCALE ® ® ® ® ® ; � ® �• 1 L oPosm txtr~oE + 33.0 SU AVERW Oil I' MEOF MCIEAOE MM At C%YER�S 9W 1 TERiIQR ® ® ® ® Qf ® _ N SCALE IN FEET �o,� A!CCIAM SIOLL BE 1119SUM a MUM GRADE OVER LEACH M SYSTE>til = 30.5 1'=20' StowAL EaG H�HIM Gwwx GIVER a 80x - 30.75 102' �;. r oq F1�ISH ED GWX INNER T71MC = 31.5 9� �mm) Cover b S- 15.- Lo OF 3i= ' OOUtWF 36 max Cover SEr WHNOLE FME s WfiRrf , $ C SM 40 F11C s . WASHED PEASLME EL EV-V.'S �� OF A NSPECM IDE� �RSERS�s CFOIIFRS 9�iNL�1NTERi1pW 3 - 11r N L• 11' 5-1m (1.m r■1 Alum) mL 16 L F#- SCH 40 PVC OS=20W F '3 er .mc 12'min. FIRST r (LID BE LEVEL) CHwHBeR� COkTRfiTE'LE CHM CHAMBERS coN,NEL:r1ON ( P Wt+IStED staE W OUr - 27.66 - 8 LF«r SSI 40 4' rWjk SCHI. 40 PVC �_ ti' MHL ..;: - r ' IN H1H- v.114- to' r+• Our-27.1si ITN N-27.o3PVC 11 r� DATE: 04-28-ZOOS t F11C . OUr-2888 T PEJrSIGE a Nv M� EiOT'TOM OF .r ` 14' •� BAFFLE i f. _ r. UNSUTABLE SOILS. F QI:LIUNiERm HIlOw THE -{: IE1ER O $TUNHE FLOW L!E 11• :• r �_ _� _` c y E'txillSHfD _ 11fr EL 24M ffFL3:liVE ; -:�:,.. =�•..�a:, � � .. .:..��''' ,'r �;Ycmi N RF]NFORCm CONLSiE1E e' - �� PEASSTONE ELEI/ ,ff SAS). SHALL RE>i10Vm 1M, 5'- MM 24• a�`,r's ti :` -,-r;�%�-•'. SDU 15-09 SEPTIC SYSTEM REV.-VIEW BLDG LOCATION z _ _ 0�1 • •.+'{�•.^;!�'i�ya•.'�-'•::.':.'r.l+-' THE � r1111aLVl. AS r�..ar�cGY .7GL ���i .�• WASHED STONE NO O 19.5 � ... 1 SiDNE � HEREON. .In BOX a�lo LOADN01 NOTE !6 + c;Irnundwater observed � � � OIATE � MWE ��������yy�a �.■,�-. J ••� - - - - }, LRV1D)r�17 IRS[ RmaDO OB-•0 OR®UAL 10 BE MSVUED ON A UYEL SVaE BASE WL ABSORP110N SYSTE+ MAST LEACL'M OW AM ITYPMU WW QIILI.ON ONE-COWARTLIBIT OEi�T�C TANG a ounEls r®ulllm 0: ZOOS ZOOS-012 CML PLO ZOOS-012-SP.dw CONCRETE LEACHING CHAMBER SYSTEM DETAIL \ 9 TO E 166M OWN A MVI1 Si11ME W& (MOM 1Rvm wmq 2009-012 _-; 9%t ,.iAt *&^tl'i�OACt YF'• Mo StO cm ID I Cnsn 6er►y' DRIVEWAY EASEMENT UIVp �q9� �' PROJECT BFNCHMP.RK °' 'SIR 1 +.nc NAIL oo� 990,083 _ r GENERAL NOTES ELE V.=34.85 12-30-2004 PCµ tS_ { flf INTENT OF 1MS PLOW IS M PROVIDE A SITE PLAN AND SOW SY51EM DESIGN ROIONOO OM OR EQUAL. Al LWVJ. ry t�r3 � \ t�'`,,` °�III t �L ,•,�.. E A ° 4 ' _POM 2.) LOCUS AREA IS COMPRISED OF `,° N -=� LOT 4 ASSESSOR'S MAP 118 PARCEL 1211001 LAND COURT PLAN 15055-G •fir ./-' /' •'��' ill i• 1 . 1�U It>7- .�_ \ .a,- �� _�. _i -�1 � \ t �_ r�� -'ii � ,�• -, l _.t"_ -�� , -�: -- � •-r+r•- - r--x-� �, � _ CER'1N:1(,AlE Of ?111E 142425 Warp.+ �` = w ' . a % - _-_._ -- ' DRIVEMIY ACCESS TO LOT 4 (LOM) OVER LOT 16 PER LIMO COURT PLAN 15OW-K � �( - (PE�IaNO)APPI�MTELY AS OI�N�ED li'Y THIS PLAN. iFNS AGREEMENT AND MODIFICATION rr , + l +-'�ehcinR Hie .' l r, y i r /r 138 n' /• r OF EAZMENT 5 DESCRNIED AT DOMM NT 99Q, N DATED' 12-30-2004 TFE LINE'S 3rtMarys Island \Pend DffNN1�G SIJBEC'f EASEAENi SHDNiNI ON THINS PLAN ARE TANIE)�l FROM NANO COURT PEi1Ti0NER'S PLAN PROPARED FOR HOLE COK R. OWLS BY RVMN AW INC. DAIM P MARGIN 31. 1983. !1 Isabella - f. , •f .u. �. \ C \ (.• ��` ,�►�` ►�' A!: ,.. o'\ 1. '` , \ - ` PROPOSES GAS OWNER: PAUL R BOIELLO, ET UX (PER ASSESSORS) 7a k .a ;o SERVICE W 134 BAY SHORE ROAD 2" WATER SERVICE FIYANVNVNS. MA.. 02601 u� 4 ,,1! r��)~ •• ,x EXISTING SHED � � .•Y - ,+.- �' .. � . _ � \ pOSTiNG GRAVEL r•, \ r ,3: \� TO BE REMOVED _ 3.) FRIARY BLaNCHAIARN(: DATUM APPROXIMATE NGVD BIASED ON CANS INFORMATION •. _, `''• _ . ,° f �` •4 1 r ` ` DRIVE THIS AREA 33.25 3xo �' \' 9� TO BE REMOVED ZONING INFORMATION a -- -- p �� ZONING WT K:T RF-1 (RC AT REAR FIFTH OF LOT) LOCUS MAP Scale: 1" = 2000' - - DISTRICTS. -- OVERLAY • WP & RPOD , IMiFMV STALE APPROVED ZONE N "�' SLAB E13:'1/ 7 - `-s,----- ---� L 0 T 4' WITHIN MASS ESTUARY PROJECT ZOC TO SALTWATER ESTUARIES n I rwALww.. "_"r"'-------i �� = 3 2J `?. `f �` ` !... C. PI. 15055-G CURRENT ANON" ZONW R� 1 RiJr'dJCJJ \ �, S� , MIN. LOT AREA - 87.120 S.F. SM LOGS DATE � 0#24100 �- Y �> "' j - 9 ' �Q T. DRIVEWAY AEI. LOT FRONTAGE - 20' BARNSTABL E 325 1 - MIN. LOT WIDTH - 125' SOIL EVALUATOR: x BOARD OF HEALTH AGENT: .� ANAL FRONT YARD SETBACK = � ^; ' � �, ,�,� �`�, `. � ., �:. ) �33.0 ;PROPOSED GAS ; �`o „ �` �'`.� MIN. SIDE AND REAR YARD SETSAt2(S = 15' STEPHEN MATSON P.E. �� C; \ ' METER 1 DAVID W. STANTON, R.S. `�� I _- U GE--- -,,_ v(; x ! ' ' f \ SLAB EU:V• I 5.) A TOLE SDIRpNN HAS NOT BEEN PERIRIM FOR THIS SITE F OEiERh IED TEST PIT 1 TEST PiT 2 TEST PIT 3 TEST PIT 4 ,f t _ ----� _ FF ELEV. - 3" • - _ G.S.E. = 31.5 G.S.E. = 31.5 33.25, � `1- ro BE NESARr. A TITLE sF�IRp1 slwt BE PFRFORIHED BY onERS G.S.E. = 30.5 G.S.E. 31.5 G p -- -- FROM CURRENT MINABLE Ap ; 10YR 4/1 LOAMY SANG Ap ; 10YR 4/1 LOAMY SAND ; 1 32.25 THE PROPERLY LINE I1FMM110N SNORE lS AM Ns COMMCOIPNID i �p x REOOIO /FORINITNON ftiNSaSTNG OF PLANS AND D�Q£ FlLL ; I M 2/1 SANDY LOAM FILL ; 10YR 2/1 SANDY LOAM ' ` ii � N ';- �•', ,` RELOCATED UNDERGROUND ��I ,' � '� i 33.0''. `x , • ` i ELECTRICAL SERVICE r I I \ \ 33.0, 7.) COMMUNITY PANEL NUMBER 250001 0016 D 6 ELEV 30.0 6 ELEV 31.0 6 (ELEV 31.0) 6 (ELEV 31.0) , \ � THE FIA00 NSlA0M10E IbIiE WP DEFIES THIS AREA AS 1p�E C. FILL : 10YR 6/4 ; SANDY LOAM FILL ; 10YR 6/4 ; SANDY LOAM B ; 10YR 5/6 ; LOAMY SAND B ; 10YR 5/6 ; LOAMY SAND S ' , �' EiasTING SEPTIC SYSTEMI TO I3E , `b EXISTING DWEUJNG _ o PUMPED DRY. REMOVED AND, �' F ` ' TO 8E REMOVED I _ �" 8.) ENVIRONMENTAL w PROPERLY DISPOSED OF OFF!,'SITE t' \ �_ n� 18' (ELEV 29.0) 18 (ELEV 30.0) 18 (ELEV 30.0) 18 (ELEV 30.0) ` --- • t- , , ----_ ___.__ SITE IS NOT WVIIFIN AN AC.EC. (AREA of CRITICAL FaNVIRDNANorrAL CONCERN). • SITE 6 Nor NIM M AREA OF ESTWiED WIDAT OF RARE IIiLDUFE PER Ap ; 10YR 4/1 LOAMY SAND Ap ; 10YR 4/1 LOAMY SAND C 1 10YR 5/4 ; MED. SAND C 1 I OYR 5/4 ; MED. SAND 5 +� N 1, _ _ �-- - 1 P!F,', i- - "? MOP MAP OCTOOR 1. 2008 'ESIIAIATED NBTATS OF RATE WM.D Ir b - X 3 0 FOR USE WRH TiE WA IIEiUMOB PROiET1TION ACT REGLUMIS (310 CW 10)." 24' (ELEV 28.0) 24' (ELEV 29.0) 132' (ELEV 20.5) 132" (ELEV 20.5) �` j �, , , ' _ / i S,,��pAil._ - -1 � x \;�\` . ly w SIZE l>OtT NOT CONTAIN A CFRTFLED VERNAL POOL PER MESP WP OCTOER 1, 2008 �.\ Wit VERNAL POOLS B I OYR 5/6 LOAMY SAND B 1 OYR 5/6 LOAMY SAND y ' ' ' '' `O r -% - --- __ _ -- -- ___ SITE s NOT wiHINN A HMl9TAT PER NFESP IMP OCTOBE1tR 'p160RfTY r I J v �\ \ \ �. j r\ i __ cr PRK1ibTY 1 200D r w i cv- ' -- `� `\ , <� F HALMIS OF RARE SPETIS• FOR SPECIES UNDER THE IASSACNUSERS ENOANlGERED Co 50 ELEV 26.33 50" (ELEV 27.33) I `' ` I r �' .- ,-' _ - ' ' _ -- - -- z 4J SPECIES ACT. REGlNATpNLS (321 CYt1o). C 1 1 OYR 5/4 ; MED. SAND C 1 1 OYR 5/4 ; MED. SAND ', ;-- ` t 8 �. ,I �� , ;, `-� 001SI NG ' o � x ;� •511E S WNTF/i A sGTE APPifOVED ZDiE 16ROUIO AITETt REti7iARGE PROTEC110N AREA ` GAS UNE a N1 unmINFORMAVION SHOWN 132' (ELEV 19.5) 132 (ELEV 20.5) `i^ 1' ,+ '� �. i( - ----- i.AND GAS I MET& T-�=-- --- -- - - �5'---- 9. } 21 x33.0 / 1'''r • - _ -- - ).THE CONTRACTOR SHALL CONTACT DIG SAFE(AT t-W-DIG-SAFE)MO UMM COIPAI�LE'S TO .- _ - - �•, RELOCATED '\ 1 - .F 1�.5' T ,* �� - - - -. ) C LOCALE ALL LOOSING Ui = AT LEAST 72 HOINTS PRIOR TD TiE START OF CONSiRUC110HL TiE DBOx 11 LF 4 -PVE' L=MN OF t�aSTNG I OU= � UMLESr CONDUITS AND LINES ARE SHOWN f , d S-2.0% �-b. "+ N AN APPitO01MTE WIAY ONLY. MY NOT BE LNr>t1ED TO RNM SI�O1lN ROM AND HMVE BEDN o \ ,, BASED ON THE AMNAtNLE LIMY RETOORDS NOTED HEREL>rY. TiE CONTRACTU>tt AGREES NO WATER cR TO 132 8 19.., NO WATER TO 132 (ELEV 20.5 NO WATER TO 132 ELEV 20.5 NO WATER TO 32 ELEV 20.5 v` - -- -- - - - --- RESEARdim .... RISPONSN3LE FOR ANY AND ALL DAMAGE.T NlNCHN iNGHR lE OOdlS10NED BY IW PERC O 54' (ELEV 27.0) � e 54' ( 27.0) +` TO BE FUlY LoaTl: SAID NLF�r1RIHCTUE AND LNRREES xAcn.Y. F FfID GAL SEPTICCWMCFOFM RATE- MIN IN ; _',_ ' J- _, ,oo n`-L ; _ 4. j '- FALINtE to iiw ar �^aM �►€.^r° .w"'"^�! k!; TW K, 1500� SEP TANK RATE= 2 MIN/IN = d / - - ` I -t- ' 1 + i > ` IF "`� PVC , AMM IZY FOR ADS`�E RIDESADU CLASS I SOIL CLASS I SOIL O S-2;t �� -- -- -- - 7 16 L F'�• 4" PV0 _ -- • MPROMMTE MIER LNE SHOOWN ON THIS PLAN B BASED ON SKEICM P-6L!71-N PROVIDED r O 5+201G -'"� BY C-O-W TRITER DEPT. (SaMCE DATE 8/6/04). 1 \� \ ` I CERTIFY THAT ON /yy Z 0°(DATE) I HAVE PASSED THE SOIL EVALUATOR j 1 ; ?- - ,` LET `, - SAL. PRE�T , EXAMINATION APPRO !!Y THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND '\ ``` `� k ,, ELEVATION �� �\ % CRETE L E ACHINGGAS LINE BINDLE ON THIS PLAN PER MAP PROVDED BY N1110NA1. GRID QUEST DUE THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED \ ', ; �` �-\_ �10,_ 1 CHAMBERS ,, UNDERGROUND ELECTRIC LIE SHOWN ON THIS PLAN PER DIGSAFE MARIONGS 05 TRAINING, IXP SE D EXPERIENCE DESCRIBED IN 310 CMR 15.017 `\ `� `- r ' 1 ` `� ', `a� �� '' �� �' v NOTE OVERDIG. Sly 1 LOCATED IN HELD BY BAXTER NYE ENGINEERING & SURVEYMG ON 4/15/09. •SEPTIC SYSTEM LOCATION IS APPRO7fMNTE; PER TITLE 5 INSPECTION _ -_ 22 1 SIGNATURE DATE Q AMA FE IS �- 1 - ZO j I V \ �` 1'' `•.\ / / ''/ --2 9------ ___--_- _ -- °T- `wEA AMP DATED 10/1/08 BY JAAES M. FORD. CONIIRACTOR TO VERIFY IN FEED NITROGEN LOADING LIMITATION: 330 GPD PER ACRE WP DISTRICT) THE ACTUAL LOCATION OF UND�OUD COMPONENTS. LOT AREA = 1.49 ACRES 1.49 X 330 = 491.7 GPO CONSTRUCTION NOTES n�' N�� 4'v ALLOWABLE FLOW = 491.7 GPD 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED M ACCORDANCE WiTH TITLE V OF THE' STATE SANITARY CODE DATED ADM 21. / 2006, AS AMENDED THROUGH THE DATE OF THIS PLAN, & ANY LOCAL RUES B REGULATIONS APPLICABLE ;j, - RESIDENTIAL- 4 BEDROOMS 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE ENGNEER ELEVATION INFORMATION MUST NOT LE CHANGED k x 110 GPD/BEDROOM WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. I TOTAL DESIGN FLOW - 440 GPD SITE LOCATPW. 3. THE CONTRACTOR SHALL NOT" THE DESIGAI EW NEER AT LEAST 48 HOURS PRIOR TO THE COMMENCEMENT OF CONSTRUCTM ! x GARBAGE GRINGO? (NOT INCLUDED) = N/A j 125 Seapuit Road 4. WHEN CONSTRUCTION Ns COMPLETED, PRIOR TO BACKFLIN(>ti NOTIFY THE BOARD of HEALTH AGENT AND DESIGN ENGINEER FOR PERC RATE _ <5 MIN. / INCH (CLASS 1) (Wenrllle MA 02M INSPECTK)N. NOTIFY DESIGN ENGINEER AT LEAST 24 MOULTS PRIOR TO ►NSPECTioN- � Ii LiAR = 0.74 GPD/S.F. I 5. ALL SANITARY DISPOSAL SYSTEM PIPING TO !E 4' SCHED 40 PVC, LNrI.ESS OTHERWISE NOTED HIERE]N. I I MIN. LEACHING AREA OF SAS. REQUIRED: p�p� � 440 GPD/ 0.74 GPD/S.F. = 595 S.F. MIN. 6. EXCAVATE UNSUITAB.E MATERIAL As NOTED, TO THE 'C HORIZON• , FOR A MORIZ DISTANCE OF 5' SURROUNDING THE LEACHING ; Bayside Building, Inc. HELD, AND REPLACE WITH CLEAN SAND PER 310 CMR 15.255 TO THE TOP ELEVATION OF THE: SAS. 4 - 500 GAL PRECAST CONCRETE LEACHING CHAIM UNITS Centel'Y1IIe, MA., 02632 7. INSULATE ALL PIPES AGAINST FRMING AS REQUIRED WHEN LESS THAN T OF COVER. � WiTH 2.4' OF STONE ON SIDE; 3' OF STONE AT ENDS, 6' STONE BASE SIDENALL AREA: (40.0' + 10')2 x 2' DEPTH = 200 SF 8. THE SEPTIC SYSTEM DESIGN DM INCLUDE GARBAGE GRINDER DISPOSALS BOTTOM AREA: (40.0' x 10') _ 400 SF TITLE 9. �1� THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-aG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL OWING 3.0' 3.0 TOTAL EFFECTIVE LEACHING AREA = WO SF UMMES, AT LEAST 72 HOURS BEFORE THE START OF CONSTRUCTION. THE CONTRACTOR SHALL DErERA1 W THE E)GACT LOCATION. - :• ' ' SYSTEM DESIGN CAPACITY = 600 SF x 0.74 GPD/SF = 444 GPD PROPOSED SITE & SEPTIC PLAN BOTH HORIZONTALLY AND VERTICALLY, OF ALL IXiSW UTILITIES BEFORE THE START OF ANY WMORK. THE LOCATION OF EXISTING 3/4 -1.5 WASHED STONE '''.-2.4> : ::: UNDERGROUND UTILITIES ARE SHOWN N AN APPROXIMATE WAY ONLY. MAY NOT LE LIMITED TO THOSE SHOWN HEREON AND HAVE . NOT BEN INDEPENDENTLY VERIFIED BY THE OWNER OR Ors REPRESENrAT1VE THE COMRACIR AGNtEES TO lE FULLY SEPTIC TANK SIZING: 440 GPD x 200Z = 880 GAL ' USE 1500 GALLON TANK MIN. RESPONSItM.E FOR ANY AM ALL DAMAGES WHICH MOW BE OCCASIONED B1' THE CONTRACTOR'S FAILURE TO LOCATE THE U AIM 10.0' 8.5' 14.83' 4 CHAMBERS EOlACTLY. F ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION THE coNTRAcrDrt s44L NOTIFY THE ENGINEER IMAEDMTELY BAXTER NYE ENGINEERING & SURVEYING FOR POSSIBLE REDESIGN AT UTILITY CROSS. VERIFY N HELD THE LOCATION / INVERTS OF ELECTRIC. GAS,, TELEPHONE DATVCOMM AND RELOCATE F CONFLICTING WiTH PROPOSED EVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR SHALL ; ' - PRESERVE ALL UNDERGROUND UTLIifES AS REOt/1RED. `-2.4' `'• 100" Registered Professional Engineers and Land Sluveyors 10. THE PROPOSED UTILITY CONNECTKW SHOWN HEREON ARE SCHEMATiC. FINAL iAm f SHALL BE AS DETERMINED BY THE 4" 78 North Street-3rd Floor, Hyannis, Massachusetts 02601 APPROPRIATE LrnuTY COMPANY. 40.0' _ �I 20" DIAL-- Phone - (508) 771-7502 Fax - (508) 771-7622 TYPICAL SYSTEM PROFILE - - `"OF"'Assq APPROXIMATE TOP OF TOP of NIOT 1n0 BCAtO1+: PLAN OF am ABSOFrTM SYSTEM WITEI " moo`' STEPPHEN FiN151I FLOOR - 3s.o D. FOUNDATION NOTES: 60D GALLON PICAST LFJICF�iQ CHAIr�iS 3 1. SEPTIC SYSTEM DESIGNED WiTH OUT GARBAGE GRINDER DISPOSAL NO ® ® ® ® ® ® ® N 20' 0 20' 40' N o -+ PROPOSED GRADE - 33.0 CO TO-SEr MANHOLE�e" OF OWN 1 SET AT LEA4i ONE MANHOLE FRAIE RISERS a COVERS SHALL BE WATarnart ® ®_ ® ® ® ® ® SCALE IN FEET RISERS a COVERS SHALL 8E NAlERi16Hf AMXMRIM GRADE OVER LEACiING SY5101 - 30.5 " �- 1 =ZO' F�S'ONAL ECG � FINISHED GRADE OVER 11. BOX - 30.7'S MO ED GRADE OVER TANK • 31.5 9" min Cover 1 O2 d �_ I s`- 'ZD O 0 OF!NE= DOUBLE 36" max Cover SETT MNNIWOIF FRA E A COVER rf MAC PEA410HE ELV-27.S INSTALL ONE ILSPEL;710N POR TO TO Wl11HW! a' of FliISFi GRADE 3� - it e SCH 40 PVC 16 LFN4" SCH 40 PVC OS-102 WTTIiI 3' OF FINISH GRADE L- »' ss2ooa� (1.OX MIN At1DHIE0) .k _ r MN. RISERS a COVERS sHwL BE wATERTWafr DBE �, ;; :ti FIRST 2' lE OOMECTI0N1 INv out - 2�.ee e' MIOL a LF�•4•SCH 40 PVC Ws-2aeM t2• mtn. ill (� U CONCRETE REACHING CINIIBERS s�N y ( �+ MIAsHEn SWINE Ln r 4 ;• 4o rVC PVC 11h . DATE: 04-28-2009 ENV IN- 27.44 1 N OUT- 27.19 INN H>t-27.03 ;�'r`..: :_e.. .. :�M ' Sll1P • - N j NV W 26.Sd •.`:,'•' l� l� O t= O BOTTOM OF L M � r ., 0 14. . r• ..� -r ..� -CHiAM1BER h STONE F10W L1� Ile col o CONCFZEIE UNSUITABLE SOILS, F ENCOUNTERED SON THE . _ 1 EL 24.58 E RWM <: :�_,�: ` ' f-:'4• s>: Hs_ jj f.«+':r�, - �;:r SDM 15-09 SEPTIC SYSTEM REV.-NEW BLD(i LOCATION C) RMWORCM Asti :- . Hf• BASE 6., CRUSHED PEASIONE ELEV (TOP OF SASS SHALL BE REMOVED Tt 5' MIN NYl4N� STONE DEPIH :';_ :" +'•' ''`: \.• o ,.:r`" sTOHE BASE THE '+C HORIZON' 41 RMUIRED SEE OONSiRUCTION 2.W 4.8' L4• N0. BY DATE REMARKS �X 01p LDA�l01 NOTE /6 FERpOH NO Groundwater Observed O Elev. 19.5 �p�,,� � J IJIH7�IRR� NUMBER 1600 GALLON ONEI)GIFARIMM W 1 D TAW m BE aN A ssueLE BASE LEACI�IO CHAMEFi_tTYPICAL,! 1O �nuwtl CONCRETE LEACHING CHAMBER SYSTEM DETAIL 0:\2009\2009-012\CAL\PLOT\2009-012-SP.dwg o TO BE INSTALLED ON A LEVEL SWAIIIE BASE (NON TRAFm BEING) N ills :�la.AS.^'�Qv�L i►+a5{Io,rtiD'7iE oF►c>=/Yr- , ,� 2009-012 O N 0