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Home My WebLink About0269 SEAPUIT ROAD - Health 269 Seapuit Road Osterville A= 095-005-002 r c ' y I _I TOWN OF BARNSTABLE LOCATION�69 SeADv�T�o! SEWAGE# ,2Q/O VILLAGE O�5%ewi/�(' ASSESSOR'S MAP&PARCEL 9� 005-00,2 INSTALLER'S NAME&PHONE NO. �. /,t 11'CLCCl1 S/r S08-y98 ssa9 SEPTIC TANK CAPACITY IP06,91 h(--RO LEACHING FACILITY:(type) Cv(TccCWD r,%1,.,7, /`s(size) /5a(S�/! NO.OF BEDROOMS y �(�cS�rr1 F/oc✓ �'�f ' ' `nr r�S�M u„ .�o �r, OWNER oii V W z I tl N PERMIT DATE: Mok-'S-'20/0 COMPLIANCE DATE: v-o20/0 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 I ^ Ce(IA T 3 � 1 e2, S'=1.rcl,SPrc i io�r./ two r-T _ 5-9 6 i9 - 3 _ ys I-C-Ar C14d 0'/'o No. a � � � >!� �N y � Fee O U ' THP'COMMON /WEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOVVN OF-BARNSTABLE, MASSACHUSETTS Applicotiou for Moont *p!tem Cougtruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(K Abandon( ) ❑.Complete System ❑Individual Components - 6q S eA ,;-,Rol Location Address or Lot No. Owner's Nome,Address,and Tel.No. O STe►-u* e ? o AS Gve/y, Assessor's M.ap/Parcel Cjs/dvS� AA�C K C_-� Installer's Name,A?r�Idress,an{1T�el.No. 1 Designer' Name,Ad/dress and Tel.No. �(8�-y+�' y�rtrc.e_ 1.`Q.CCt�`�S1.1 W/1• IW SO/j RSJOC. *9 8►��o Si- os�. ga8-6Sd. Ro Ascc./I AAA/' Aal, -n.rQ/s Type of Building: Dwelling No.of Bedrooms Y . l�,.n Lot Size sq. ft. Garbage Grinder (r�JA Other Type of Building y, No.of Persons Showers( ) Cafeteria( ) Other Fixtures 01 Design Flow(min.required) 17y6 gpd Design flow provided gpd Plan Date 6VG-2a, oZ C) l0 Number of sheets Revision Date Title Size of Septic Tank /SDO G/3 Type of S.A.S. Cy/TC C lly(P - Description of Soil &S,_ Nature of Repairs or Alterations(Answer when applicable) lAs�,[� Ho20/SDI GHl S�/�T c�,gr� — lrl r%BI( A/� nh CHAMI r2 i-rad H-ao -,D-?oJc - z-,,_raff rW,9-,g//XV Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date -XYvfi_ RO D, Application Approved by . Date o Application Disapproved by Date for the following reasons Permit No. 2o V Tq7 Date Issued / 0 ` No. 1 j 1 O [`t? (/ . �f l . '" �/� /� Fee / 0 U THePCCO'�'M""7 M0NWEALTHi/ OF MASSACHUSETTS Enteted in computer:' Yes Y� Y PUBLIC HEALTH DIVISION TOVVN,OR,BARN STABLE, MASSACHUSETTS ,r t Application for �Bigbgal *- r5tem-C,ongtruction permit Application for a Permit to Construct O Repair(^) Upgrade(K Abandon(- `0 Complete System ❑Individual Components ^ Location Address or Lot No. `+}l Owner's Name;;Add.ress,and Tel.No. JC G/ (� �`'� ° _ � v 1.�iP�t 1 e T GIOr�A L Assessor's Map/Parcel g6'/ pC- i— , Gr,ct-. C i;, CT. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �� v— "'' �•/7• fill So,/ SSG at1 oa�1 R�� asp. 14S s�� O a�'.aseC-ll, t. W Type of Building: ,Dwelling No.of Bedrooms s1,Pn Lot Size sq. ft. Garbage Grinder Other Type of Building ueti No.of Persons 4,P Showers( ) Cafeteria Other Fixtures I oy ' Design Flow(min.required) gpd Design flow provided' y?C� gpd - f Plan Date 6e,c. 2 : 0 t C-> Number of sheets / Revision Date gfa,5 Title Size of Septic Tank /SOC Grj� Type of S.A.S. rI., CG C zllld Description of Soil /a Nature of Repairs orAlteriations(Answer when applicable) %,IV1—)/1 f/'.2 0 /j CG.C4� r)✓I {/' )C� �i/�U , i 7'�/i-1,l)h�l? - i,;%,al�H fir; /� U�x - 7,,,174// Date last inspected: Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of . Compliance has been issued by this Board of Health. /17 Signed ;, , eG ^/GU. .9010 ^ Date r Application Approved by Date AVV Application Disapproved by: Date for the following reasons r Permit No. 2u q'7 7 Date Issued // v # Wwe �—sr+ fauss�ax c _, its r�rf a:,�iae — ——— —— —'— ——'— F►�4�&.i<t�c�i�a, ,F�.:W.c 5��.4sica�#et �.i �iai THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded Abandoned( )by S e��' c S/. at ��9 5 ec rr9�1 1 7,0, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. D Q/u - W-7 dated 141j.110 Installer T(' C-Uc 1 IC Mt(�S I cr Designer /,,,� /U,/1, 5 SO C, #bedrooms �/ Approved design flow A 4150 gpd The issuance ofi1glij his pelrmit shall not be construed as a guarantee that the system will fdnn 'on/as designe Date Inspector / S No. 7 U/J 14 L/7 - Fee'-JQ(/ THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC\HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS �Di!gpoal *p!9tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (4-- � Abandon ( ) System located at c,),/9 , CCZ P I e u.J Au r. 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: Constructio must be completed within three years of the date of thi rp. iOt Date � /v Approved by f�' K 1- Do•_- 1 s 152,P41J6 11-03-2010 9:05 BARNS.TABLE LAND COURT REGISTRY DEED RESTRICTION WHEREAS, Thomas Weld, and Nina Weld of 59 Ridgeview Avenue, Greenwich Connecticut are the owner of residential home located at 269 Seapuit Road, Osterville Massachusetts, as shown as Lot 78 on Land Court Plan Number 5725 --32 and also shown as Map 95 Parcel 005 - - 002 On the Town of Barnstable Assessors Map. Title obtained through Fiduciary Deed dated 6- 11-2010 Certificate of Title# 191658 WHEREAS, Thomas Weld and Nina Weld , are the owner of said Lot and have agreed with the Town of Barnstable Board of Health to a voluntary restriction as to the number of bedrooms which may be included in any addition, modification or replacement of the dwelling on said lot as a precondition to obtaining a disposal works construction permit in compliance with 310 CMR 15, 000 State Environmental Code, Title V, Minimum Requirements for the Subsurface-Disposal of Sanitary Sewage; acknowledging that said.restriction was agreed upon in lieu of a denitrification unit approved by the Town of Barnstable Board of Health and installed on said lot. Further acknowledging that said restriction may be removed provided at such time of removal the site is connected to a municipal sewer system or the site is provided with onsite advanced wastewater treatment, approved by the Barnstable Board of Health or the restriction is otherwise determined unnecessary by the Barnstable Board of Health. NOW, THEREFORE, Thomas Weld and Nina Weld do hereby place the follo'Aring restriction on the above referenced land in accordance with his agreement with the town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: The existing dwelling located on 269 Seapuit Road;Osterville, Massachusetts may not be enlarged or modified nor a replacement dwelling constructed such that there would be more than &J"'7 rooms on the property qualifying as bedrooms under definitions of 310 CMR 15 (Title 5) until such time that the site is connected to a municipal sewer system or the site is provided with onsite advanced wastewater treatment approved by the Barnstable Board of Health or it is otherwise determined by the Barnstable Board of health that said restriction is unnecessary. i Thomas eld Nina Weld Date: (`0 12-�fo r T r * ntaA S Then personally appeared the above named,Thomas Weld and Nina Weld known to me to be the persons who executed foregoing instrument and acknowledged the same to be his free act and deed before me. �tiitiittn�rr>> - � L""'1�. � ( �✓�� ...... �o Notary public -� ''NQrA'`•• '9� - o� My commission expires: .` , cr._ o ` . '' G Town of Barnstgble RegWatory Seises a Thomas F.Geller,Director MAK lPubfac HeWth D1vbgDn _ 'Thomas McKean,Director 200 Malt,Street,HyaJuns,i L-t 02601 s Office-, 50&862-4644 Fate: 509-790=.630,1 Ttts€ali�er e><.GertM rloa Forma Date: / /0 Sewage Permit# 070/0—Z/�,�? Assessor's N'TOPTarcel 9-T' oo:s-eoa Des per: �i/0✓t �5 sti r 7= t Address: C3 S T Address:On 8"c�orn of S`i �ay t Was issued a permit to install a (date) (installeri septic system at� ..6e� based on a design dm Aqi by A. ;address 1703c i J dated LG as o (designer) I certify that the septic sysrem referenced above was insmIled sutistantialiy according to r the design. which may include minor approved changes such as lnteml relocation of the. distribution box andior septic tank.. I certify rhat.rhe septic system referenced above was .installed with major changes (t:e. _enter than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State&Local Regaiations. Pisan revision or certified as-built by designer to tallow. ' SN OF 444S, p=� ROBERT A. (Iastaller's Signature) � DRA LE y 1 No.41042 9� O ` J . (D.esigsier's Signature) (Affix De. ner Stamp Here( Affix R I u r+ r� _AWST LE TB ? ..: At,TH DIVISION: cEl Tt 1cAr oP ►i c PluiAAlC1 VvgLl, ;Yd §g I E UNTIL" -H THI S F 1 N�� l� I�, �tl�,�� ED AND AS- lLT C�R13:.A i! REt:EYVFJh :Y T&f R.�iSl B PUBLIC�f�;�lLll`H l�Cl'>3CO1^F. 'Y'f$�,�fL YOU. Q:i-tcaWSepicMcsigna Cenifica:ion Foam 3-26 doc I•� .tISl3I.S'1't)S iVIAi\' 11l�iVtt)�'�ll� (:.0. • I\T(�. 929 State. Road, Plymouth, MA 02360 Phon-.e 508.224-5500 Fax 508-224-8883 License No, AC00342 Mr. Thomas McKean Barnstable Health Department 200 Main Street Hyannis, MA 02601 Dear Mr. McKean: `1Ve are notifying you about an asbestos removal job to be done at . The start up date is �� 6 and the end date is Enclosed please find a copy of the Asbestos Notification Form (ANF-001) for your files. If you have any questions, please contact us at (508) 224-5500. s Sincerely, Paul Ilacqua n 1✓nC: Air7F-00UU 1 TOrm .' v Q -� CO 1O .9 Commonwealth of Massachusetts 100115474 Asbestos Notification Form ANF-001 Decal Number a Important'When filling out p A. Asbestos Abatement Description forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied only the tab key residence of four units or less? ❑✓ Yes ❑No to move your cursor-do not b. Provide blanket decal number if applicable' Blanket Decal Number use the return key. 2. Facility Location: _ NINA WELD 269 SEAPUIT RD. ` a.Name of Facility b.Street Address MA (02655 C2036226330 c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Worksite Location: 1.All sections of this RESIDENCE form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room completed in order to comply with 4. Is the facility occupied? [✓]Yes ❑No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of Occupational ASBESTOS MAN REMOVAL 929 STATE ROAD Safety(DOS) a.Name b.Address notification PLYMOUTH 02360 5082245500 _� requirements of 453 CMR 6.12 c.City/Town d ode e.Telephone Number JAC000342 f.DOS License Number g. Contract Type: ❑Written ❑✓ Verbal h.Facility Contact Person i.Contact Person's Title 6' PAUL A ILACQUA I JAS050350 a.Name of On-Site Supervisor/Foreman b.Supervisor/Foreman DOS Certification Number 7' N/A a.Name of Project Monitor b.Project Monitor DOS Certification Number N/A 8' a.Name of Asbestos Analytical Lab b.Asbestos Analytical Lab DOS Certification Number �0 9 11/6/2010 111/6/2010 _ a.Project Start Date mm/dd/ b.E nd Date mm/dd/ 0 17AM -2PM 7AM-2PM N c.Work hours Mon-Fri. d.Work hours Sat-Sun. 0 10. a. What type of project is this? O ❑ Demolition ✓❑ Renovation ❑ Repair ❑ Other, please specify: b.Describe 11. a. Check abatement procedures: o ❑✓ Glove bag ❑ Encapsulation o ❑ Enclosure ❑ Disposal only LL ❑Cleanup ❑Other, specify: ❑ Full containment b.Describe Z Q 12. Is the job being conducted: ❑✓ Indoors? ❑Outdoors? ® anf001ap.doc• 10/02 Asbestos Notification Form•Page 1 of 3 f Commonwealth of Massachusetts _ _■ �` 100115474 _� Asbestos Notification Form ANF-001 Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed,or encapsulated: - a.Total—pipes or ducts(linear ft b.—"Y'o(al other su aces square c.Boiler,breaching,duct,tank d.Insulating cement surface coatings Lin.ft. S ft. (rLin.ft. (Sgq..ft. e.Corrugated or layered paper 100 L_. L 1 f.Trowel/Sprayer coatings pipe insulation Lin.ft. S ft. Lin.ft'.�^-'� Sq.ft. g.Spray-on fireproofing Lin Sq.ft h.Transite board,wall board Lint. 1 6--J i.Cloths,woven fabrics C___j j.Other,please specify: Lin S Lin.ft. Sq.ft. k.Thermal,solid core pipe insulation Lin.ft. Sq.ft. I.Specify 14. Describe the decontamination system(s)to be used: REMOVE ASBESTOS USING THE GLOVEBAG METHOD 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): WET DOWN ASBESTOS AND DOUBLE BAG USING 6 MIL MARKED AND LABELED BAGS 16. For Emergency Asbestos Operations, the DEP and'DOS officials who evaluated the emergency: a.Name of DEP Official b.Title c.Date(mm/dd/y yy)of Authorization d.DEP Waiver# e.Name of DOS Official f.DOS Officia itle g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver# N 0 17. Do prevailing wage rates as per M.G.L. c. 149, § 26, 27 or 27A—F apply to this project? ❑Yes 2]No ° B. Facility Description N o 1. Current or prior use of facility: RESIDENCE . �° 2. Is the facility owner-occupied residential with 4 units or less? R71 Yes Q No NINA WELD 269 SEAPUIT RD. 3' a.Facility Owner Name b.Address ° OSTERVILLE -� 12036229118 o c.Cit /Town d.Zie Code e.Telephone Number area code and extension 771 4' a.Name of Facility Owner's On-Site Manager b.On-Site Manager Address Q c.City/Town d.Zipd.Zip Code e.Telephone Number(area code and extension) ■ anf001ap.doc•10102 Asbestos Notification Form•Page 2 of 3■ i Commonwealth of Massachusetts I 100115474 Asbestos Notification Form ANF-001 Decal Number i 1 B. Facility Description (cont.) 5. a.Name of General Contractor b.Address c.City/Town d.Zip Code e.Telephone Number area code an�nsion f.Contractor's Worker's Comp.Insurer g.Policy Number h.Exp.Date mm/dd/ 6. What is the size of this facility? 2500 _ �__1 a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site (if necessary): ASBESTOS MAN REMOVAL CO 929 STATE RD a.Name of Transporter Note:Transfer b.Address Stations must JPLYMOUTH � 023601 15082245500 comply with the c.City/Town d.Zip Code e.Telephone Number Solid Waste Division Regulations 310 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site: CMR 19.000 JOB ROLLOFF ROB 6037 a.Name of Transporter b.Address CHELSEA 02150 � 5082245500 c.City/Town d.Zip Code e.Telephone Number 3. a.Refuse Transfer Station and Owner _ b.Address c.City/Town d.Zip Code e.Telephone Number 4. ITURNKEY LANDFILL(WASTE MGT NH) a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name 7 ROCHESTER NECK ROAD ROCHESTER c.Final Disposal Site Address d.Cit /Town NH _ 03839 C - Y - e.State f.Zip Code g.Telephone Number�- m , ®o D. Certification .��N _ -- The undersigned hereby states, under the PAUL ILACQUA PAUL ILACQUA �o penalties of perjury, that he/she has read the a.Name b.Authorized Signature o Commonwealth of Massachusetts regulations F? ESIDENT 1 110/2512010 for the Removal, Containment or .- c.Position/Title d.Date(mm/dd/yyyy)� Encapsulation of Asbestos,453 CMR 6.00 and 5082245500 AMR CO 310 CMR 7.15,and that the information — contained in this notification is true and correct e.Telephone Number f.Representing o to the best of his/her knowledge and belief. 1929 STATE RD. O g.Address emu_ PLYMOUTH 02360 Z h.City/Town I.Zip Code anf001ap.doc•10/02 Asbestos Notification Form•Page 3 of 3• t � �rq oFI KKET Town of Barnstable i N BAR %-TABLE, HA ` - - 9� S. - Board of Health re i6gq. ,0 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. • September 9,"2010 Ms. Arlene Wilson A.M. Wilson Associates, Inc. 20 Rascally Rabbit Road Marstons Mills, MA 02648 Y RE: 269 Seapuit Road, Osterville A = 095 — 005 Dear Ms. Wilson: You are granted a conditional variance on behalf of your client, Thomas and Nina Weld, to construct an onsite sewage disposal system at ,269 Seapuit Road, Osterville. The variance granted is as follows: 310 CMR 15. 405: To install the soil absorption system ten feet away from the foundation wall, in lieu of the minimum twenty,feet separation distance required. Section 360-1 of the Town of Barnstable Code To install the septic tank system 36.1 feet away from a bordering vegetation wetland; in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install the pump chamber 43.5 feet away from a bordering vegetation wetland,.in lieu of the minimum 100 feet separation distance required. " Section 360-1 of the Town of Barnstable Code: To install the D-Box 51.8 feet away from a bordering vegetation wetland,,in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install the soil absorption system 50.1 feet away from a bordering vegetation wetland, in lieu of the minimum 100 feet separation distance required. Q:\WPFILES\269 Seapuit Rd Ost AM Wilson Aug20IO.doc These variances are granted with the following conditions: (1) No more than seven (7) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to seven bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system with innovative technology components shall be installed in strict accordance with the revised engineered plans dated August 25, 2010. (4) The designing engineer shall supervise the construction of.the onsite sewage disposal system with innovative technology components and shall - certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans dated August 25, 2010. (5) ' Septic tank and pump chamber shall be reinforced precast .concrete watertight and waterproof, inlet is to be equipped with neoprene boot or equal, all other inlets and outlets are to be sealed. The mid-seam is to be sealed either at the factory or onsite to insure water tightness. This variance is granted because the proposed plan appears to meet the design standards contained within the State Environmental Code, Title 5 and local ,Health Regulations.. In addition, the plan does not. reflect any additional wastewater discharge compared to the existing approved system. Sincgerpely your , Wayne iller, M.D. Chair an Q:\WPFILES\269 Seapuit Rd Ost AM Wilson Aug20IO.doc a A.M.Wilson Associates Inc. LETTER OF ` TRANSMITTAL TO: s� �t�i �l _ /T DATE: lst�ac�� © erg oj=. FILE NO: RE: E We are sending you the following items(s): Copies Date Description , o / E a �3 PR-, ' -1-5 g v�9- /o /��l S 67� o -n Cn z o0 m COMMENTS: RS Please do not hesitate to call us with any questions. If enclosures are not as noted, kindly notify us at once. Signed �C. L 20 Rascally_Rabbit Road Unit 3 508 420-9792 Marstons Mills, MA 02648 FAX 508 420-9795 ICI Skip Navigation MassUEP Borne Nlass.Gov Home State Agencies State Online Services site map contacts search: dep home>water>wastewater&septic systems>septic systems/title 5>title 5 innovative/alternative technology approvals aPA 7 Ataaut MassDp g __..__ ... ...... .. Cultec Field Drain Schematics C'uiic l�arttl;patcnNetsf ....... .............. . .... It,s Cl)mat e Cultec Field Drain schematics. Click on images below for larger versions. Water,Wastewater aWetlands - priorities&results SPEsigcanoras as Contactgi�Field'DrairiTm C 1 Section.Viewi ,- drinking water I'?'tli 'r Scale 'N:T S.: water resources&wetlands lim:;.turxge,nii's.5liiie±;°2":' ' GENERAL NOTES r 04„ T wastewater&septic system igY1xY:&FleFi Uran"`.i'I Q/JJiEC;I!ic a'LfOCrJk?dii;. PJ.Giti'ftiCta®Ftly Ortvi'G1 d;bn LH'sm-16e1relu0sC.N'' . 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And Recharge* PWi t,80C 8nd:;$tornnv@to Chambers r VAU as 1Mk l Calendar Tr,ws FD=c i My Community Online Services ; Regional Offices 'i Report Pollution F'Etwcanafs 'fYW lmssN' 9.tt- �n,- }- C ontactor®Field Dram's C 2 Section View Seale:N.T.S.,: pn,sir:aae:vdn 5lau et77fi �&dERALNDTE3' - oNxi;YFIeUa C24l LUtTECI ferwJtlt19 CT. :I,. a.�,__ .0 CIX118'1d'^iMa L'rah C-7 c`� 46sina�pd ' E rich 6a�F We!tL`�GpF tlfwl dl r<u pmazuiae2ura cutTEc INcaroaxn en3?C k�:ydt{pEC5N14 �. . .O ContttlmT9eM Srpor";G�W^.UW ySMY.':4p_pto mats RA p'4 otp�Yre.j ltie Fp 7L dthp d�a A>, 24+, 12' I Model FD-C2:R ' T INSPECTICN PORT- Model FD:C2.E Sm�I R�, lxgo RII- .+ ,�, p e ♦ - o o '♦ a a- e e o 0 0 o a p p T � T n.. ♦ .. a ♦ .e _ .. TRANSFER TUNNEL(TYP.)u �M CULTIC;Mar. PH(:Q;i)T7b 4Is PA:Box 280 F1f:(sq..4tX1LTEa M Federal Road FX:(203)77!1UW Bro knWd.CT OBE!<1d USA. wwwakec CULTIIIC oom. CULTEC-Contactordt and Rechar . PUaskSpptIcvnd StommwatwChomWs. oi7a: eoug'. Ttne ;tame tip FD G2, ECIFICAT04 - igri sx� Contaetor&Field Drain Tm C4.Seetion View. ram as ro as Scale:N.TS wiwls,w� mom netma nstart7.rw:ft. a:5 .. .. ENERAL N NOTES Y�WctaQ9.RNd LYan'w CJtp.1JLIEC 1k,W 6,Ck!f-d CI', . .. I Cm(octnrtE field Grain-m f'1;fnrrbas nras ba Ust.6ed_n •. •. zcrdenee:vl>n♦IIaD�Icabls stalesr9flH7E>,.i! i Nertor,ao NPadm.GJLTEC.3tcCs arcot8mtrded, - I CcnMectpriD Ae)a OrsJr c-3 Nm Heavy 7unts eye p 2; -ModelFC MR 'G dRb. L-p�. _ .ItdSPECTiOtlIPCRT 8Y - p p e F e e o. 8.¢• NrodelFC-C3E t aO'. p p p: o p . e p o ; �Rbkjbt ;I. ...: \-7RkN^oFESiTUNNEeL(TYPj' - .) 11 clliu Cp b= pFC(m3)TMMW PA:Box230 M(NO)44XULTEC $76 Fedele!Road FX:(203)775-i482CULTEC . Bccdmd CTOM UM: MMlwstli@M=fl CULTEC.Conbtor®and."rgwO Ptas�'SepUc ark Stormaata CtlarriD9r6. w�. eavF. Tttle 71IN3 ws, FD C-3 contactotg Field DminTM-C 4 Section View. SPECIFICATIONS.Lwo Scale:.N:T.S.: Lay-.gyp LenoMth O,Or ri-Qrt :nre' x Cramber SYonr�r.--- 139af sz.T'. :. c ...M e.. . Mir Storage a'halone 2"a5G.11-:j MM GENERALNOTES.. .. csrdatlor fKfcl aiaAi"'C4 4TtTEc,Ix of& .View CT:. hltontactoi�3'I�d Dra3n'"r c-J uiarrta:s rrwsl be'6istalled in. e : ac:zrdar w.h Oapyi o:e Fxat,sta{a and fides. AK Reter.1.irenufamrer.cULTEC 6c.'s recrmir�arideil • :nhdlatidn{widHnea- MC;aU=,bFeWDrti C4 F.MH pa., rraideii vdih a S'4rpe...alp�p t1a?uniRPa of ttietldRdkf� _ - a l iT1�E6TION FORT':. ....:.... ...:....._........�..... MadelEO Ci:R ' . o DY �tRM15F;ERYLtaMf:.,(ryF, 'r Model'FO C-4 E Td - �:•.avm —eMb CULMInz. .PH: )T7B4t1B P.Q.0ac260 PFI:(B00)44MLTEC;. UB Federal ROW FX:(24D},Z961482 BrWMdd.CT OM USA VAVWAdb=M VULTIC COLTEC Contacwre"d Rsch"IrO Plastic So*Md S"Wtt wdw Chart em 27 [7TWC* FD: 4 d f r Contacts•Feedback•Related Sites•Site Policies®Help 'y y' Mass.Gov•Energy&Environmental Affairs•Department of Environmental Protection COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner MODIFIED CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: CULTEC, Inc. P.O. Box 280 878 Federal Road Brookfield, CT 06.804 Trade name of technology and model: CULTEC Chamber models: Field Drain Contactors C4; Contactor EZ-24, 100, and 125; and Recharger 180, 280, and 330XL(hereinafter the "System"). Schematic drawings of each model are attached and made a part of this Certification. Transmittal Number: W037676 Date of Issuance: December 17, 2003, revised April 18, 2006, revised July 24, 2006, July 19, 2007, November 2, 2007, August 29, 2008, Modified February 22, 2010 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: CULTEC, hie., P.O. Box 280, 878 Federal Road, Brookfield, CT 06804 (hereinafter "the Company"), for General Use of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. February 22, 2010 Glenn Haas, Acting Assistant Commissioner Date Bureau of Resource Protection. This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. MassDEP on the World Wide Web: http://www.mass.gov/dep �� Printed on Recycled Paper CULTEC Modified Certification for General Use Page 2 of 7 I. Purpose 1. The purpose of this Certification is to allow use of the System in Massachusetts, on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by .the'local approving authority, or by DEP if DEP approval is required by 310 CMR 15.000. R. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1. Chamber Dimensions Dimensions Invert Model* W x L x H Height Inches Inches Field Drain Contactor C4 48 x 96* x 8.5 3 Contactor EZ-24 16 x 96* x 12.5 6 Contactor 100 36 x 89* x 12.5 6 Contactor 125 30 x 75* x 18 12 Recharger 180 36 x 76* x 20.5 14 , Recharger 280 47 x 84* x26.5 20.5 Recharger 330XL 52 84* x 30.5 '24 *Denotes Cultec chamber installed length 2. The System is an open-bottom leaching unit molded, from high density, high molecular weight polyethylene (HDPE), with a 3.5 to 4.5 ` ounce non-woven geosynthetic filter fabric cover (CULTEC No. 410TM). It can be installed without _ aggregate or distribution pipe as an absorption trench in accordance with the requirements in 310 CMR 15.251 or as a bed 'or field in accordance. with the requirements in 310 CMR 15.252. 3. The use of aggregate as specified in 310 CMR 15.247 is not necessary with the System when installed as a trench, bed or field. When designed with aggregate in accordance with 310 CMR 15.253, the System shall be designed,in accordance with Section R item 10. " All models also include a Heavy Duty(HD)model for H2O loading. CULTEC Modified Certification for General Use Page 3 of 7 4. The minimum separation between any two trenches shall be as specified in 310 CMR 15.251. 5. The requirement that the Chamber installed in trench configuration as specified in 310 CMR 15.253(6) be provided with inlets at intervals not to exceed 20 feet is not applicable to the System. In .accordance with 310 CMR 15.240 (13) a minimum of one inspection inlet shall be installed per system. The inlet shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. For new construction, the applicant can size the System in a trench configuration without aggregate, using the effective leaching areas presented in Table 2. No System shall be designed and constructed with a soil absorption system area of less than 400 square feet of effective area. Table 2. Effective Leaching Area for Trench Configuration for New Construction And Remedial Sites' Effective Effective Model Leaching? Leaching Area Area SF/LF SF/LF Field Drain Contactor C4 NA 3.54 Contactor EZ-24 3.9 NA Contactor 100 6.7 NA Contactor 125 7.5 NA Recharger 180 8.9 NA Recharger 280 NA 6.44 Recharger 330XL NA 7 1. Effective April 21, 2006, 310 CMR 15.251(1)(b)maximum trench width is 3 feet. 2. Effective leaching area is equal to 1.67 (bottom width+(2x invert height)) for Systems 3 feet or less in width. 3. Effective leaching area is equal to 1.00 (3 +(2x invert height)) for Systems with a width greater then 3 feet. 4. The maximum trench width allowed to calculate effective leaching area is 3 feet. ?. Systems installed on remedial sites shall be allowed to utilize'the effective leaching areas presented in Table 2 above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. d I l' y1 d- x -yqf '. 6r ltr7yf j t� 36 Y.oF&fP (23L� XG• ? s� "= �?Y,/fly J I`A,74e"j c..tc pc CULTEC Modified Certification for General Use Page 4 of 7 8. In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR 15.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 3 No system shall be designed and constructed with a leaching area of less than 400 square feet of effective area. Table 3% Effective Leaching Area for Bed or Field Configuration Effective Model Leachingl Area SF/LF in Conta for C4 Contactor EZ-24 2:2 Contactor 100 5.0 Contactor 125 4.2 Recharger 180 5.0 Recharger 280 6.5 Recharger 330 7.2 1. Effective Leaching area is equal to 1.67 times bottom width only. 9. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 3 above or additional reductions in soil absorption system a J authority in accordance with 310 CMR 15.284. In �/� ` ,+ ,n �^��' I `. > in the soil absorption system area required in maximum reduction allowed for alternative system_ 310-CMR 15.284. p-lc� 10. The System, when installed as specified in 310 C ✓ �v - x ��-P��k << 8 , Chambers, shall have an aggregate base and/or b c lcs pC shall be sized as specified in 310 CMR 15.253 (1 rI`Y� c�, �ci 7`1 b�fM r/'0 C�� f area is equal to 1.0 times a conventional aggregate n 4-'e V'V- J increased up to two feet with the corresponding C J base aggregate for the Field Drain Contactors, up " P 710 2 100, up to 12 inches for the Contactor 125, up to and up to 3.5 inches with the Recharger 280. T f P f required for the Recharger 330. Bottom width c 6u �. ^°�`^ �C ? j SF/LF with the corresponding addition of one to four tees of ag8lv6aL%,P— CULTEC Modified Certification for General Use Page 4 of 7 8. In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR 15.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 3 No system shall be designed and constructed with a leaching area of less than 400 square feet of effective area. Table 3:. Effective Leaching Area for Bed or Field Configuration Effective Model Leaching' Area SF/LF in Contactor C4 Contactor EZ-24 2.2 Contactor 100 5.0 Contactor 125 4.2 Recharger 180 5.0 Recharger 280. 6.5 Recharger 330 7.2 1. Effective Leaching area is equal to 1.67 times bottom width only. 9. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 3 above or additional reductions in soil absorption system area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system area required in 310 CMR 1.5.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310-CMR 15.284. 10. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or Chambers, shall have an aggregate base and/or be surrounded by aggregate and shall be sized as specified in-310 CMR 15.253 (1) (a) and (b), effective leaching area is equal to 1.0 times a conventional aggregate system. Effective depth can be increased up to two feet with the corresponding addition of up to 21 inches of base aggregate for the Field Drain Contactors, up to 18 inches with the Contactor 100, up to 12 inches for the Contactor 125, up to 8 inches with the Recharger 180, and up to.3.5 inches with the Recharger 280. No additional aggregate base is required for the Recharger 330. Bottom width can be increased by two to eight SF/LF with the corresponding addition of one to four feet of aggregate per side. i CULTEC Modified Certification for General Use Page 5 of 7 11. When the System is installed as specified in 310 CMR 15.255: Construction in Fill, the finished 15 foot.horizontal separation distance; item (2), shall be measured from the top of the chamber. Ill. General Conditions 1. The provisions of 310 CMR 15.000 are applicabie to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, thee Department and the local approving authority may require the owner of the System to cease use of the System and/or. to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed, and.no System shall- be upgraded or expanded, if it is feasible to connect the facility to a sanitary, sewer, unless allowed pursuant to 310 CMR 15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for the treatment and'disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. G 2. For new construction, the owner initially shall size a soil absorption system in accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil adsorption system using aggregate, including a reserve area, can be installed on the site. The owner may than size the soil absorption system for the System. The total area required for" the aggregate system, which may include the area designated for the System, and a reserve area shall be preserved and the owner shall ensure that no permanent structures'or other structures are constructed on that area and that the area is not disturbed in any manner 'that will render it unusable for future installation of a conventional Title 5 soil absorption system. 3. The owner of the System shall at all times properly operate and maintain the on- site sewage disposal system. 1 CULTEC Modified Certification for General Use Page 6 of 7 4. The owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. . 5. No owner shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. V. Conditions Applicable to the Company 1. By January 31 st of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner, or Company owner that contains information on the System for the previous calendar year. The report shall state known failures, malfunctions, and corrective actions taken for the System as well as the date and address of each event. 2. The Company shall notify the Department's Director of Watershed Permitting at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System,prior to any sale of the System, with a copy of this Certification. 5. The Company shall prepare and provide the Department. with an installation manual specifically detailing procedures for installation of its System. The Company shall institute and maintain a training program in the proper installation of its System in accordance with the manual and provide a training course at least annually for prospective installers. The Company shall certify that installers have passed the Company's training qualifications, maintain a list of certified installers, submit a copy to the Department, and update the list annually. Updated lists shall be forwarded to the Department. 6. The Company shall not sell the System to installers unless they are trained to install these Systems by the Company. f CULTEC Modified Certification for General Use Page 7 of 7 VI. Conditions Applicable to Installers of the System 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. VH. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director ' Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, 'welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect,to this Certification, the System, the owner, or operator of the System and the Company. t a Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: Lot No. Owner: Address: Contractor: Address: Notes: STEP 1 Measure depth to water table / b �® to nearest 1/10 ft. .............................................................................. .Date (!� month/da /year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OA Appropriate index well............................:.....:................. OBWater level range zone ..................................................... STEP 3 Using monthly report"Current Water Resources'Conditions", determine current depth to water level for index well ....................:...... onth/ ear STEP .4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment ............................................:............................................ /Q STEP 5 Estimate depth to high water by subtracting the water level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) .............................................................................:................................ Table 1. Potential water-level rise,in feet,for use with index Table 1. Potential water-level rise,in feet,for use with index well Barnstable Al W 230 well Barnstable Al W-230-Continued. WATER ZONE A ZONE B ZONE C ZONE D ZONE E WATER ZONE A ZONE B ZONE Ci $ONE D ZONE E LEVEL LEVEL. 20.5 0.0 0.0 0.0 0.0 0.0 26.0 2.8 3.7 5.5 7.3 8.3 .20.6 0.1 0.1 0.1 0.1 0.2 26.1 2.8 3.7 5.6 7.5 8.4 20.7 0.1 0.1 0.2 0.3 0.3 26.2 2.9 3.8 5.7 7.6' 8.6 20.8 0.2 . 0.2 0.3 0.4 • 0.5 26.3 . 2.9 3.9 5.8 7.7 8.7 20.9 0.2 0.3 0.4 0.5 0.6 26.4 3.0 3.9 5.9 7.9 8.9 21.0 0.3 0.3 0.5 0.7 0.8 26.5 3.0 4.0 6.0 8.0 90 21.1 0.3 0.4 0.6 0.8 0.9 26.6 ' 3.1 4.1 6.1 8.1 9,2 21.2 0.4 0.5 0.7 0.9 1.1 _ 26.7 3.1 4.1 6.2 8.3 9.3 ` 21.3 0.4 0.5 0.8 1.1 1.2 26.8 3.2 4.2 6.3 8.4 9.5 21.4 .0.5 0.6 0.9 1.2 1.4 26.9 3.2 4.3 6.4 8:5 9.6 21.5 0.5 0.7 1.0 1.3 1.5 27.0 3.3 4.3 6.5 8.7 9..8 21.6 0.6 0.7 1.1 1.5 1.7 27.1 3.3 4.4 6.6 8.8 9.9 21.7 0.6 0.8 1.2 1.6 1.8 27.2 3.4 4.5 6.7' 8.9 . 10.1 21.8 0.7 0.9 1.3 1.7 2.0 27.3 3.4 4.5 6.8 9.1 10.2 21.9 0.7 -0.9 1.4 1.9 2..1 .27.4 3.5 4.6 6.9 9.2 10.4 22.0 0.8 1.0 1.5 2.0 2.3 27.5 3.5 4.7 7.0 9.3 10.5 22.1 0.8 1.1 1.6 2.1 2.4 27:6 3.6 4.7 7.1 9.5 10.7 22.2 0.9 1.1 1.7 2.3 2.6 27.7 3.6 _ 4.8 7.2 9.6 10.8 22.3 0.9 1.2. 1.8 2.4 2':7 27.8 3.7 4.9 7.3 9.7 11.0 22.4 1.0 1.3 1.9 2.5 2.9 27.9 3.7 4.9 7.4 9.9 11.1 22.5 1.0 1.3 2.0 2.7 3.0 28.0 3.8. 5.0 7.5, 10.0 11.3 22.6 1.1 1.4' 2.1 2.8 3.2 28.1 3.8 5.1 7.6 10.1 11.4 22.7 1.1 1.5 2.2 2.9. 3.3 28.2 3.9 5.1 7.7 10.3 11.6 22.8 1.2 1.5 2.3 3.1 3.5 28.3 3.9 5:.2 7.8 10.4 .11.7 22.9 1.2 1.6. 2.4 3.2. 3.6 28.4 9.0 5.3 7.9 10.5 11.9 23.0 1.3 1..7 2.5 3.3 3.8 28.5 4.0 5.3 8.0 10.7 12.0 23.1 1.3 1.7 2.6 3.5 1.9 28.6 4.1 5.4 8.1 10.8 12.2 23.2 1.4 1.8 2.7 3.6 4.1 28.7 4.1 5.5 8.2 10.9 12.3 23.3 1.4 1.9 2.8 3.7 4.2 28.8 4.2 5.5 8.3 11.1 12.5 23.4 1.5 1.9 2.9 3.9 4.4 28.9 4.2 5.6 8.4 11.2 1246 23.5 1.5 2.0 3.0 4.0 4.5 29.0 4.3 5.7 8.5 11.3 12r8 23.6 1.6 2.1 3.1 4.1 4.7 29.1 4.3 5.7 8.6• 11.5 12.9 23.7 1.6 2.1 3.2 4.3 4.8 29.2 4.4 5.8 8.7 11.6 13.1 23.8 1.7 2.2 3.3 4.4 5.0 29.3 4..4 5.9 8.8 •11.7 13.2 23.9 1.7 2.3 3.4 4.5 5:1 29.4 4.5 5.9 8.9 11.9 13.4 24.0 1.8 2.3 3.5 4.7 5.3 29.5 4.5 6.0 9.0 12.0 13.5 24.1 1.8 2.4 3.6 4.8 5.4 29.6 4.6 6.1 9.1 , 12.1 13.7 24.2 1.9 2.5 3.7 4.9 5.6 29.7 4.6 6.1 9:2 12.3 13.8 24.3 1.9 2.5 3.8 5.1 5.7 29.8 4+7 6.2 9.3 12.4 14:0 24.4 2.0 2.6 3.9 5.2 5.9 29.9 4.7 6.3 9.4 ` 12:5 19.1 24.5 2.0 2.7 4.0 5.3 _ 6.0 30.0 4.8 6.3 9.5 12.7 14.3 24.6 2.1 2.7 4.1 5.5 6.2 30.1 4.8 6.4 9.6 , '12.8 14.4 24.7 2.1 2.8 4.2 5.6 6.3 30.2 4.9 6.5 9.7 12.9 14.6 24.8 2.2 2.9 4.3 5.7 6.5 30.3 4.9, 6.5 9.8 13.1 14.7 24.9 2.2 2.9 4.4 5.9 6.6 30.4 5.0 6.6 9.9 13.2 14.9 25.0 2.3 3.0 4.5 ; '. 6.0 6.6 30.5 5.0 6.7 10.0 13.3 15.0 25.1 2.3 3.1 4.6 6.1 4 6.9 30.6 5.1 6.7 4 10.1 13.5 15.2 25.2 2.4 3:1 4.7 6.3 7.1 30.7 5.1 6.8 10.2 13.6 15.3 25.3 2.4 3.2 4.8 6.4 7.2 30.8 5.2 6.9 10.3 13.7 15.5 25.4 2.5 3.3 4.9 6.5 7.4 30.9 5.2 6.9 10.4 13.9 15.6 25.5 2.5 3-.3 5.0 6.7 7.5 31.0, 5.3 7.0 10.5 14.0 15.8 25.6 2.6 3.4 5.1 6.8 1.7 31.1 5.3 7.1 10'.6 14.1 15.9 25.7 2.6 3.5 5.2 6.9 7.8 31.2 5.4 7.1 10.7 14.3 16.1 25.8 2.7 3.5 5.3 7.1 8.0 31.3 5.4 7.2 10..8 14.4 16.2 25.9 2.7 3.6 5.4 7.2 8:1 31.4 5.5 7.3 10.9 14.5 16.4 ' S' .Table 2. Potential water-level rise,in feet,for use with' Table 2. Potential water-level rise,in feet,for use with index well Barnstable AIW-247 index well Barnstable Al W-247-Continued WATER ZONE A ZONE B ZONE C ZONE D WATER ZONE A ZONE B ZONE C ZONE D LEVEL LEVEL 20.7 0.0 0.0 0.0 0.0 25.7 3.3 5.0 6.7 8.3 20.8 0.1 0.1 0.1 0.2 25.8 3.4 5.1 6.8 8.5 20.9 0.1 0.2 0.3 . 0.3 25.9 3.5 5.2 6.9 8.7 21.0 0.2 0.3 0.4 0.5 26.0 3.5 5.3 7.1 8.8 21.1 0.3 0.4 0.5 0.7 26.1 3.6 5.4 7.2 9.0 21.2 0.3 0.'5 0.7 0.8 26.2 3.7 5.5 7.3 9.2 21.3 0.4 0.6 0.8 1.0 26.3 3.7 5.6 7.5 9..3 21.4 0.5 0.7 0.9 1.2 26.4 3.8 5.7 7.6 9.5 21.5 0.5 0.8 1.1 1.3 26.5 3.9 5.8 7.7 9.7 21.6 0.6 0.9 1.2 1.5 26.6 3.9 5.9 7.9 9.8 21.7 0.7 1.0 1.3 1.7 26.7 4.0 6.0 8.0 10.0 21.8 0.7 1.1 1.5 1.8 26.8 4.1 6.1 8.1 10.2 21.9 0.8 1.2 1.6 2:0 26.9 4.1 6.2 8.3 10.3 22.0 0.9 1.3 1.7 2.2 27.0 4.2 6.3 8.4 10.5 22.1 0.9 1.4 1.9 2.3 27.1 4.3 6.4 8.5 10.7 22.2 1.0 1.5 2.0 2.5 27.2 4.3 6.5 8.7 10.8 22.3 1.1 1.6 2.1 2.7 27.3 4.4 6.6 8.8 .11.0 22.4 1.1 1.7 2.3 2.8 27.4 4.5 6.7 8.9 11.2 22.5. 1.2 1.8 2.4 3.0 27..5 4.5 6.8 9.1 11.3 22..6 1.3 1.9 2.5 3.2 27.6 4.6 6.9 9.2 11.5 22.7 1.3 2.0 2.7 3.3 27.7 4.7 7.0 9.3 11.7 22.8 1.4 2.1 2.8 3.5 27.8 4.7 7.1 9.5 11.8 22.9 1.5 2.2 2.9 3.7, 27.9 4.8 7.2 9.6 12.0 23.0 1.5 2.3 3.1 3.8 28.0 4.9 7.3 9.7 12..2 23.1 1.6 2.4 3.2 4.0 28.1 4.9 7.4 9.9 12.3 23.2 1.7 2.5 3.3 4.2 28.2 5.0 7.5 10.0 12.5 23.3 1.7 2.6 3.5 4.3 28.3 5.1 7.6 10.1 12.7 23.4 .1.8 2.7 3.6 4.5 28.4 5.1 7.7 10.3 12.8 23.5 1.9* 2,8 3.7 4.7 28.5 5.2 7.8 10.4 13.0 23.6 1.9 2.9 3.9 4.8 28.6 5.3 7,9 10.5 13.2 23.7 2.0 3.0 4.0 5.0 28.7 5.3 8.0 10.7 13.3 23.8 2.1 3.1 4.1 5.2 . 28.8 5.4 8.1 10.8 13.5 23.9 2.1 3.2 4.3 5.3 28.9 5.5 8.2 10.9 13.7 24.0 2.2 3.3 4A 5.5 29.0 5.5 8.3 11.1 13.8 24.1 2.3 3.4 4.5 5.7 29.1 5.6 8.4 11.2 14.0 24.2 2.3 3.5 4.7 5.8 29.2 5.7 8.5 11.3 14.2 24.3 2.4 3.6 4.8 6.0 29.3 5.7 8.6 11.5 14A 24.4 2.5 3.7 4.9 6.2 29 4 5.8 8.7 11.6 14.5 24.5 2.5 3.8 5.1 6.3 29.5 5.9 8.8 11.7 14.7 24.6 2.6 3.9 5.2 6.5 29.6 5.9 8.9 11.9 14.8 24.7 2.7 4.0 5.3 6.7 29.7 6.0 9.0 12.a 15.0 247.8 2.7 4.1 5.5 6.8 29.8 6.1 9.1 12.1 15.2 24.9 2.8 4.2 5.6 7.0 29.9 6.1 9..2 12.3 15.3 25.0 2.9 4.3 5.7 7.2 30.0 6.2 9.3 12.4 15.5 25.1 2.9 4.4 5.9 7.3 30.1 6.3 9.4 12.5 15.7 25.2 3.0 4.5 6.0 7.5 30.2 6.3 9.5 12.7 15.8 25.3 3.1 4.6 6.1 7.7 30.3 6.4 9.6 .12.8 16.0 25.4 3.1 4.7 6.3 7.8 30.4 6.5 9.7 12.9 16.2 25.5 3.2 4.8 6.4 8.0 30.5 6.5 9.8 13.1 16.3 25.6 3.3 4.9 6.5 8.2 30.6 6.6 9.9 13.2 16.5 1 _ _ i Table 2. Potential water-level rise,in feet,.for use with + index well BarnstableAYW-?47-Continued WATER ZONE A ZONE B ZONE C ZONE D LEVEL 30.7 6.7 10.0 13:3 16.7 - 30.8 6.7 10.1 .13.5 16.8 30.9 6.8 10.2 13.6 17.0 31.0 6.9 10.3 13.7 17.2 31.1 6.9 10.4 13.9 17.3 31.2 7:0 10.5 14.0 17.5 31.3 7.1 10.6 14.1 17.7 31.4 7.1 10.7 14.3 17.8 31.5 7.2. 10.8 14.4 18.0 31.6 7.3 10.9 14.5 18.2 31.7 7.3 11.0 14.7 18.3 31.8 7.4 11.1 14.8 18.5 31.9 7.5 11.2 14.9 18.7 32.0 7.5 11.3 15.1 18.8 32.1 7.6 11.4. 15.2 19.0 32.2 7.7 11.5 15.3 19.2 32.3 7.7 11.6 15.5 19.3 32.4 7.8 11.•7 15.6 19.5 32.5 7.9 11.8 15.7 19.7 32.6 7.9 11.9 15.9 19.8 y Q 32.7 8.0 12.0 16.0 20.0 32.8 8.1 12.1 16.1 20.2 - 32.9 8.1 12.2 16.3 20.3 33.0 8.'2 12.3 16.4 20.5 33.1 8.3 12.4 16.5 20.7 . 33.2 8.3 12.5 16.7 20.8 33.3 8.4 12.6 16.8 21.0 33.4 8.5 12.7 16.9 21.2 33.5 8.5 12.8 17.1 21.3 33.6 8.6 12.9 17.2 21.5 J t Supplement Table 5., Potential water-level rise,in feet,for use•with index well Mashpee MIW-29 WATER ZONE A ZONE B ZONE C ZONE D LEVEL ' 5.7 0.0 0.0 0.0 0.0 5.8 0.1 .0.1 0.1 0.2 5.9 0.1 0.2 0.3 0.3 6.0 0.2 0.3 0.4 0.5 6.1 0.3 0.4 0.5 0.7 6.2 0.3 0.5 0.7 0.8 6.3 0:4 0.6 0.8 1.0 6.4 0.5 0.7 0.*9 1 .2 6.5 0.5 0.8 1 .1 1.3 6.6 0.6 0.9 6.7 0.7 1 ..0 1 .3 .1 .7 6.8 0.7 1 .1 .1 .5 1.8 6 A 0.8 1 .2 1 .6 2.0 7.0 0.9 1 .3 1 .7 2.2 7A 0.9 1 .4 1•.9 2.3 1 .0 1 .5 .2.0 2.5 • 1 - 1 .6. 2.1 2.7 7.4 1.1 1 .7 2.3 2.8 .7:5 1 .2 1 .8 2.4 3.0 7.6 1.3 1 .9 2.5 3.2 7.7 1.3 2.0. 2.7 3.3 7.8 .1..4 2.1 2.8 3.5 7.9 1.5 2.2 2.9 3.7 8.0 1 .5 '2.3 3.1 3.8 8.1 1 .6 '2.4 3.2 ' 4.0 8.2 1 .7 2.5 3.3 4.2 8.3 1 .7 2.6 3.5 4.2 8.4 1 .8 2.7 3.6 4.5 8.5 1 .9 2.8' 3.7 4.7 8.6 1 :9 2.9 3.9 4.8 8.7 2.0 3.0 4.0 5.0 8.8 1 2. 3.1 4.1 5.2 8.9 2.1 3.2 4.3 5.3 9.0 2.2 3.3 4:4 5.5 ( , L • Supplement Table 5.- Potential water-level rise, in feet, for' use with.index well Mashpee MIW-29 WATER ZONE A ZONE B ZONE C ZONE D LEVEL 9.1 2.3 3.4 4'.5- 5.7 9.2 2.3 3.5 4.7 5.8 9.3 2.4 3.6 4':8 6.0 9.4 25 3.7 4.9 6.2 9.5 2.5 3.8 5.1 6.3 9.6 2.6 3.9 5.2 6.5 - 9.7 2.7' 4.0 5.3 . 6:7 9.8 2.7 4.1 5.5 6.8 9..9 2.8 4.2 5.6 7.0 , 10.0 2.9 4.3 5.7 7.2 10.1 2.9 4.4 5-.9 7.3 10.2 3.0 4.5 6.0 7.5 10.3 3.1 4.6 6.1 7.7 10.4 3.1 4.7.- 6.3 7.8 10.5 3.•2 4.8 6'.4 8.0 10.6 3.3 4.9 6.5 8.2 10.7 3.3 5.0 6.7 8.3 10.8 3.4 5.1 . 6.8 8..5 10.9 3.5 5.2 6.9 8.7, 11 .0 3.5 5.3 7.1 # 8.8 11:1 3:6 5.4 --7.2 -9:0 11 .2 3.7 5.5 7.3 9:2 11 :3 3.7 5.6 7.5 9.3 11 .4 3.8 5.7 '7.6 9.5 11 .5 3.9 5.8 7;7 - 9.7 1.1 .6 3.9 5:9 7:9 9.8 11 .7 4.0 6.0 8.0 10.0 1.1 .8 4.1 .6.1 8.1 10.2 11 .9 4.1 6.2 8.3 10.3` 12.0 4.2. 6.3 8.4 10.5 12.1 4.3 6:4 8.5 10.7 1.2.2 4.3 6.5 8.7 - 10.8 12.3 4.4 6.6 8.8 11 .6 .12.4 4.5 6.7 8.9 1 1 .2 vl( Supplement Table S. Potential water-level rise, m feet,for use with index well Mashpee MIW-29 � WATER ZONE A ZONE B ZONE C ZONE D LEVEL 12.5 4.5 6.8 9.1 11-3 t 12.6 4.6 6.9 9..2 11 .5 12.7 4.7 7.0 9.3. 11'.7 12.8 4.7 7.1 9.5 11 :$ 12.9 4.8 7.2 9.6 12.0 13.0 4.9 7.3 9.7 12:2 13.1 4.9 7.4 9.9 12.3 13.2 5.0 7.5 10.0 12..5 13.3 5.1 7.6 10.1 12.7 13.4 5.1 7.7. 10.3 12.8 13.5 .5.2 7.8 10.4 13.0 13.6 5.3 7.9 10.5 13.2 13:7 5.3 8:0 .10.7 13,3 13.8 5.4 8.1 10.8 13..5 13.9 5.5 8.2 10.9 13.7 14.0 5:5 8.3 11 .1 13.8 14.1 .5,6 8.4 11 .2 14.0 U.2 5.7 8.5 . 11 .3 14.2 14.3 5.7 8.6 11 .5 14.3 14.4 5.8 8.7 11 .6 14.5 14.5 5.9 . 8.8 11 .7 14.7 14.6 5.9 8.9 11 .9 14.8 14.7 6.0 9.0 12.0 15.0 14.8, 6.1 9.1 12.1 15.2 14.9 6..1 9.2 12.3 15.3 1'5.0. 6.2 9.3 12.4 15.5 15.1 . 6.3 9.4 12.5 15.7. :A SupplementTable,6. Potential*water-level rise, in-feet; for use with index well Sandwich-252 WATER ZONE A ZONE B ZONE C 'ZONE D LEVEL 45.9 0.0 0.0 0.0 0.0 46.0 0.1 0.2 0.2 0.3 46.1 0.2 0.3 0.4 -0.5 46.2 0.3 0.5 0.6 0.8 46.3 0.4 0.6 0.8 1.0 46.4 0.5 0.8 1 .0 1 .3 4.6.5 0.6 0.9 A .:.2 .1 .5 46.6 0.7 1 .1. 1 .4 1.8 46.7 0.8 1 .2 1 .6 2.0 , 46.8 0.9 - 1 .4 " 1 .8 .2.3 46.9 1 .0 1 .5 '2.0 2.5 47.0 1 .1 1 .7 2.2 2.8 47.1 1.2 1 .8 2.4 3.0 47.2' 1 .3 2.0 2.6 3.3 47.3 1 .4 2.1 2.8 3..5 47.4 1 .5 2.3 3.0 3.8 47.5 1 .6 2.4 3.2 4.0 47.6 1 .7 2.6 3.4 4.3 47.7 1 .8 2.7 - 3.6 4.5 47.8 1 .9 2.9. 3.8 4.8 47.9 -2.0 3.0 4:0 48.0 . 2.1 3.2 4.2 5.3 .48.1 2.2 . 3.3 4.4 5.5 48..2 2.3 3.5 ' 4.6 5.8 48.3 2.4 3>.6 4.8 8.0 48.4 2.5 3:8 5.0 6.3 48.5 2.6 5.2 6.5 48..6 2.7 4.1 5.4 6.8 '48.7 2.8 4.2 5.6 7.0 48.8 2.9 4.:4 5.8 7.3 48.9 3.0 4.5 , 6.0 7.5 49.0 3.1 4.7 6.2 7.8 49.1 3.2 4:8 6.4 8.0 y . Supplement Table 6. Potential water-level rise,in feet,.for use with index well Sandwich-252 WATER ZONE A ZONE B ZONE C ZONE D LEVEL 49.2 3.3 5.0 6.6 8.3 49.3 3.4 5:1 6.8 8.5 49.4 3.5 5.3. 7.0 8.8 49.5 3.6 5.4 7.2- . 9.0 .49.6 3.7 5.6 . • 7.4 9.3 49.7 3.8 "' 5.7 7.6 9.5 49.8 3.9 F.9 7.8. 9.8 - 49.9 4.0 6.0 8.6 1.0:0 50.0 4.1 6.2 8.2 10.3• 50.1 4.2 6.3 8.4 10.5 50.2. 4.3 6.5 8.6 10.8 •50.3 4.4 6.6 8.8 11 .0 50.4 4.5 6.8 9.0• 11 :3 50.5 4.6 6.9 9.2 11..5 50.6 4.7 7.1 9.4 1 1 .8 . 50.7 4.8 7.2 9.6 12.0 50.8 4.9 7.4 9.8 12.3 50.9 5.0 7.5 10.0 12.5. 51 .0 5.1 7.7 10.2 12.8 . 51 .1 5.2 7.8• 10.4 13.0 51 .2 .5.3 8.0 10.6 13.3 51 .3 5.4 8.1 10.8 13.5 51 .4 5.5 8.3 11 .0 13.8 51 .5 5.6 8.4 11 .2 14..0 51 .6 5.7 8.6 11 .4 14.3 51 .7 5.8 8.7 1 1 .6 14.5 51 .8 5.9 8.9 11 .8 14.8 51 .9 6.0 9.0 12.0 15.0 .52.0 6.1 9.2 12.2 15:3 52A 6.2 9.3 12.4 15.5 52.2 6.3 9.5. 12.6 15.8 52.3' 6.4 9.6 12.8 16.0 52.4 6.5 9.8 13.0 16.3 - Supplement Table 6. Potential water-level rise, in•feet, for use with index well Sandwich-252 WATER ZONE A ZONE B ZONE C. ZONE D LEVEL 52.5 6.6 9.9 13.2 1.6.5 52.6 6.7 10.1 13.4' 16.8 52.7 6.8 10.2 13.6 17.0 -' 52.8 6.9 10.4 13.8 17.3 52.9 7.0 10.5 14.0 17.5 53.0 7.1 10.7 14.2 17.8 Y 53.1 7.2' 1.0.8 14.4 18.0 53.2 7.3 11 .0 1:4.6 18.3 } _, 3 Table 7. Potential water-level rise,in feet,for use Table 7. Potential water-level rise,in feet,for use with index well Sandwich SDW-253 with index well Sandwich SDW-253-Continued WATER ZONE A ZONE B ZONE C WATER ZONE A ZONE B ZONE C LEVEL LEVEL 45.8 0.0 0.0 0.0 50.8 3..3 5.0 6.7 45.9 0.1 0.1 0.1 50.9 3.4 5.1 6.8 46.0 0.1 0.2 0.3 51.0 3.5 5.2 6.9 46.1 0.2 0.3 0.4 51.1 3.5 5.3 7.1 46.2 , 0.3 0.4 0.5 51.2 3.6 5.4 7.2 46.3 0.3 0.5 0.7 51.3 3.7 5.5 7.3 46.4 0.4 0.6 0.8 51.4 3.7 5..6 7.5 46.5 0.5 0.7 0.9 51.5 3.8 5.7 7.6 46.6 0.5 0.8 1.1 51.6. 3.9 5.8 7.7 46.7 0.6 0.9 1.2 51.7 3.9 5.9 7.9 46.8 0.7 1.0 1.3 51.8 4.0 6.0 8.0 46.9 0.7 1.1 1.5 51.9 4.1 6.1 8.1 47.0 0.8 1.2 1.6 52.0 4.1 6.2 8.3 47.1 0.9 1.3 1.7 52.1 4.2 6.3 8.4 47:2 0.9 1.4 1.9 52.2 4.3 6.4 8.5 .47.3 1.0 1.5 2.0 52.3 4.3 6.5 8.7 47.4 1.1 1.6 2.1 52.4 4.4 6.6 8.8 47.5 1.1 1.7 2.3 52.5 4.5 6.7 8.9 47.6 1.2 1.8 2.4 52.6 4.5 6.8 9.1 47.7 1.3 1.9 2.5 52.7 4.6 6.9 9.2 47.8 1.3 2.0 2.7 52.8 4.7 7.0 9.3 47.9 1.4 2.1 2.8 52.9 4.7 7.1 9.5 4'8.0 1.5 2.2 2.9 53.0 4.8 7.2 9.6 48.1 1.5 2.3 3.1 53.1 4.9 7.3 9.7 48.2 1.6 2.4 3.2 53.2 4.9 7.4 9.9 48.3 1.7 2.5 3.3 53.3 5.0 7.5 10.0' 48.4 1.7 2.6 3.5 53.4 5.1 7.6 10.1 48.5 1.8 2.7 3.6 53:5 5.1 7.7 10.3 48.6 1.9 2.8 3.7 53.6 5.2 7.8 10.4 48.7 1.9 2.9 3.9 53.7 5.3 7.9 10.5 48.8 2.0 3.0 4.0 53.8 5.3 8.0 10.7 48.9 2.1 3.1 4.1 53.9 5.4 8.1 10.8 49.0 2.1 3:2 4.3 54.0 5.5 8.2 10.9 49.1 2.2 3:3 4.4 54.1 5.5 8.3 11.1 49.2 2.3 3.4 4.5 54.2 5.6 8.4 11.2 49.3 2.3 3.5 4.7 54.3 5.7 8.5 11.3 49.4 2.4 3.6 4.8 54.4 5.7 8.6 11.5 49.5 2.5 3.7 4.9 54.5 5.8 8.7 11.6 49.6 2.5 3.8 5.1 54.6 5.9 8.8 11.7 49.7 2.6 3.9 5.2 54.7 5.9 8..9 11.9 49.8 2.7 4.0 5.3 54.8 6.0 9.0 12.0 49.9 2.7 4.1 5.5 54.9 6.1 9.1 12.1 50.0 2.8, 4.2 5.6 55.0 6.1 9.2 12.3 50.1 2.9 4.3 5.7 55.1 6.2 9.3 12.4 50.2 2.9 4.4 5.9 55.2 6.3 9.4 12.5 50.3 3.0 4.5 6.0 55.3 6.3 9.5 12.7 50.4 3.1 4.6 6.1 55.4 6.4 9.6 12.8 50.5 3.1 4.7 6.3 55.5 6.5 9.7 12.9 50.6 3.2 .9.8 6.4 55.6 6.5 9.8 13.1 50.7 3.3 4.9 6.5 55.7 - 6.6 9.9 13.2 YO Table 7. Potential water-level rise,in feet,for use with index well Sandwich SDW-253-Continued a WATER ZONE A ZONE B ZONE C LEVEL 55.8 6.7 10.0 13.3 55.9 6.7 .10.1 13.5 56-.0 6.8 10.2 13.6 56.1 6.9 10.3 13.7 56.2 6.9 10.4 13.9 ^ 56.3 7.0 10.5 14.0 56.4 7.1 10.6 14.1 56.5 7.1 10.7 14.3 56.6 7.2 10.8 14.4 56.7 7.3 10.9 14.5 - 56.8 7.3 11.0 14.7 56.9 7.4 11.1 14.8 57.0 7.5 11.2 14.9 57.1 7.5 11.3 15.1 57.2 .7.6 11.4 15.2 57.3 7.7 11.5 . 15.3 57.4 7.7 11.6 15.5 57.5 7.8 11.1 15.6 57.6 7.9 11.8 15.7 57.7 7.9 11.9 15.9 57.8 8.0 12.0 16.0 57,9 8.1 12.1 16.1 58.0 8.1 12.2 16.3 58.1 8.2 12.3 16.4 58.2 8.3 12.4 16.5 58.3 8.3 12.5 16.7 58.4 8.4 12.6 16.8 58.5 8.5 12.7 16.9 58.6 8.5 12.8 17.1 58.7 8.6 12.9 17.2 58.8 8.7 13.0 17.3 58.9 8.7 13.1 17.5 59.0 8.8 13.2 17.6 59.1 8.9 13.3 17.7 59.2 8.9 13.4 17.9 59.3 9.0 13.5 18.0 .. 59.4 9.1 13.6 18.1 ' 59.5- 9.1 13.7 18.3 59.6 9.2 13.8 18.4 59.7 9.3 13.9 18.5 Commonwealth of Massachusetts 'Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °wM 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. I Important: A. General Information When filling out forms on the V ) TV) computer, use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide enterprises,LLC. Company Name r� P.O.box 763 Company Address " Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to._,Section 1r5340 0 Title 5 (310 CMR 15.000).The system: _ ❑ Passes ❑ Conditionally Passes ® Falls kAj ,. ❑ Needs Further Evaluation by the Local Approving Authority 3 4/15/2010 I n s p 4 6 t—6rY Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the systen Downer and copies sent t6 the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t t5ins•09108 Title 5 Official Inspection Form:Subsurface 4Dispostem•Pag 1 0ji7b Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 269 Seapuit Rd. (Front Left System) - Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (Front Left System) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 I t_ i i Commonwealth of Massachusetts Title 5 Official Inspection Foam Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 269 Seapuit Rd. (Front Left System) Property Address I Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. CityfFown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 1. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 269 Seapuit Rd. (Front Left System) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. r For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ ® Was the facility or dwelling inspected for signs of sewage back up? ❑ ® Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ❑ ® Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 7 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 269 Seapuit Rd. (Front Left System) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osteryllle Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (g.P ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM , 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 269 Seapuit Rd. (Front Left System) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 50+years Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2'feet Material of construction: ❑ cast iron ❑ 40 PVC Orangeberg ® other(explain): Distance from private water supply well or suction line: 104 feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.Systen vented through the house vents. Septic Tank (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (Front Left System) Property Address Thomas.& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal; any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 ' 1 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Main and 1 Overflow Depth—top of liquid to inlet invert dry Depth of solids layer 0 Depth of scum layer 6" Dimensions of cesspool 6'x6' Materials of construction Concrete Block Indication of groundwater inflow ❑ Yes ® No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 , Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): System shows signs of hydraulic failure.Both cesspool were dry at time of inspection.Stain lines show both cesspools have been full. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal p gSystem•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town. State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to - at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately 41 j _L �?n1- 0 4 4• G v ? AB t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of CP 4' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 269 Seapuit Rd. (Front Left System) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 E ' t d i — Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M a 269 Seapuit Rd. (System Front Right) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osteryille Ma. 02655 4/15/2010 every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out I forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name rQ P.O.Box 763 Company Address Centerville Ma. 02632 rerun City(rown State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ,a a CD ® Passes ❑ Conditionally Passes ❑ Falls - ❑ Needs Further Evaluation by the Local Approving Authority Uj 4/15/2010 r Inspe or's Signatur Date l i rD r The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Di osal System•/agell of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M a 269 Seapuit Rd. (System Front Right) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper working order at the present time. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Ia Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N. ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: " This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® 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 Y2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (System Front Right) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Cisterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ® ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 468gpd t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 269 Seapuit Rd. (System Front Right) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City[Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): NA Detail: Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (System Front Right) Property Address Thomas& Nina Weld Owner Owner's Name information, required for Osteryille Ma. 02655 4/15/201'0 every,page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: _ gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is' required for Osteryllle Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1979 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2' feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10'+feet Comments (on condition of joints, venting, evidence of leakage, etc.): joints appear tight.No evidence of leakage.system vented through the house vents. Septic Tank (locate on site plan): Depth below grade: 1411 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 gallon Sludge depth: 5" t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Fora o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (System Front Right) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osteryille Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every two years.Inlet and outlet tees are in place.No evidence of leakage.tank appears structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld . Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box is Ievel.Box has one outlet lateral.no evidence of solids carryover.No evidence of leakage. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2-Flowdiffusors ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy dry soil.No signs of hydraulic failure.Flowdiffusors were dry at time of inspection. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for.Voluntary Assessments 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to . - at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately {r i J) " t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 269 Seapuit Rd. (System Front Right) Property Address Thomas& Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of leaching 4.6' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 1979 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 269 Seapuit Rd. (System Front Right) Property Address Thomas & Nina Weld Owner Owner's Name information is required for Osterville Ma. 02655 4/15/2010 � every page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 N :. TOWN OF BARNSTABLE N ►may � . UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS ASSESSORS MAP N0. 0 PARCEL N0. ADDRESS; py;T" VILLAGE: oSf 10 tr7 G �p/Fo CONTACT PERSON PHONE NUMBER LOCATION OF TANKS: . CAPACITY: .TYPE-OF- FUEL AGE: TYPE: LEAK _ OR CHEMICAL: DETECTION SYSTEM! DATE OF PURCHASE OF EACH: 1. 2. , 3.• n , .4. 5., r E DATE' OF FIRE DEPARTMENT' PERMIT: ` TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS. CARD. �• 1 LO C.TION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S N ME, ,i ADDRESS r � BZU+FW" OR OWNER DATE PERMIT ISSU E D DAT E COMPLIANCE ISSUED L i �7F, \ V'� •V I a t , .. .. GENERAL NOTES: - These drawings and specifications - - - - - shall remain the sole and exclusiv property of D.Michael Colllns - - Architects as Instruments of Fservice.All drawings,sections of YI - drawings,details,and design _ concepts.shall be used only for . .. - - the purpose Intended by the 4D Architect and.shall not be copied ,. - f` amended or reused another � site without the expressed written consent of the Architect. It Is the responsibility of the - - - - - - _ Contractor to review these drawings and report any errors or discrepancies on the drawings, - shop drawings;details,or - associated sketches to the - - - - , Architect before construction has - .. commenced:Do not scale �. . - .. drawings. - LNE OF ROOF ABOVE - .. Ll EXISTING - An LANDRJG-- I EXISTNG �O_ COVERED EXPERCH .. EXISTING - I .. EXISTRJG� - � � 'EXISTING.� . . - �C]. MASH I REVISIONS: IF " � XISTING �EXISTM UDY ISSUE DATES: . .. .. FAMILIYTROCh1 - .. - - KITOHEN. . .. .. .. .. 9,1920171SSUED FOR PERMIT -- .EXISTING . . - . . . . . . _ _ EXISTNG - _ - - ?EfdS. - TRELLIS" - - 21 ELIOT STREET NATICK,MA 01760 - . DMCARCH.COM P+F'508.651 J099. WELD RESIDENCE .2693EAPUIT ROAD OSTERVILLE:MA. . .. - .. . . . . . . - .DRAWN BY:, - - .DATE: 9.19.2017, " DESCRIPTION: .. �Existing .. .. .. .. First Floor Plan - . . . .. ". DWG.# Ex 1 - - These drawings and specifications - - - - - - - - - shall remain the sole and exclusive .. .. .. - - _ property of D.Michael Collins _ - - - - - Architects os Instruments of - - service:All drawings,sections of ' - -- drawings,details,and design - - - - - - concepts shall be used only for .. .. .. .. .. .. }he,purpose Intended by the Architect and shall not be copied - - - - - - amended or reused at another site without the expressed written - - consent of the Architect. It Is The responsibility of the. Contractor to review these - - - - - - drawings and report any errors or - r� EXISTING FLOOR - aedrawings; pr nc es o wings.. _. :. - _ .. .. .. discrepancies n the drawings, - .. .. .FRAMING TO REMAIN.. - - shop awings;details,or _ .. associated sketches to the.' Architect before construction has - - - commenced.Do not scale - drawings. E DEMO AND.REMOVS - .. EXISTING DOORS AND - - - WALL '. - _ EXISTNG � I DEMO DETO AND REMOVE EXISTING. MG REMOVE EXISTING caBrETsL J CABINETS _ -- A h n^ /. ay;tEgi�c, V �/ "V. .�/ .y I I EXISTING n EXISTNG -EXISTING . . .. .. ROOM OR DEMO AND .. \ � � F'OC.KE�IS L TWALRNG ..REM - - — - .. - .. .EXISTING POST DEMO AND - . . . . SEE BLFOR . . R£MOVE'EXISTMG - NEW . - . . ,STAIR Of REQUIREMENTS - 77= . . EXISTING WALL DEMO AND REMOVE . I i . lIj cErlo AND — --—1. TOILET SHOWER .. . . . . I . — - - - - - - I_ I AND 81PBG I. I REVISIONS: I I. .. r 1 .EXI$TRJG STUDY DEMOAND I I REMOVE I. EXISTING EXISTING II. _CAB .. . .EXISTING. - DEMO AND DEMO AND - LS'AND .r. .FAMILY RO019-.. I'I - i5lISd�F.M - .�I'1OVE EXISTING i .REMOVE EXISTNG METB� I I . CABINETS � '. .I. .WINDOW. '—=-----7. .I -I _ ISSUE DATES: 19,19.20171SSUED FOR PERMIT I I _ - 'EXISTMG DOORB J - .. REMAIN,F'ROTECT.AS . .. -. `REQUIRED .EXISTING.. .. - 2FM DEMO AND REM �EXIBTING El WINDOWS - - . CAJT NEW .. .. 0 ❑ UALLWINDOW FOR RWa .. -21 ELIOT STREET NATICK,MA 01760 .. .. .. DMCARCH.COM P4FS08.651.7099.. .. .. WE LD LD -RESIDENCE . . 269 SEAPUR ROAD- - OSTERVILLE;MA . . . . . . - -. .DRAWN BY:. . .. -DATE: 9.19.2017. .DESCRIPTION:.. .. .. .. .. - - _ FIRST FLOOR DEMO PLAN .. _ .. - . . .' - .. .. . . .. _ DWG # . .. D 1 .0 .. .. _ _ GENERAL NOTES: - These drawings and specifications " - - - - - - - - - - shall remain the sole and exclusive .. - - .. property of D.Michael Collins Architects as Instruments of - .. .. .. service:All drawings,sections of .-' - - drawings,details,anddesign - - - concepts shall be used onty for - .. the purpose Intended by the . - - Architect and shall not be copied - - - - - - - - - - - - - - amended or reused at another " - - -- - - - - - - site without the expressed written . . consent of the Architect It Is the responsibility of the Contractor to review these drawings and.report any errors or . - - - - - discrepancies on the drawings, shop drawings;details,or - - - associated sketchesto the Architect tiefore construction has - - " commenced:Do not scale . - drawings. . ... :.. EpED ARC OG No.SWQ Of . . ' EXISTING -EXISTING UP .. .. _ .. .. .. .. - GNIMNE7 .. . 'CHIMNEY . . . _ NEW NSS-35 x NEW 35xI GOL.� •� - ' F � GPL .fd U - REVISIONS: BASEMENT ._ _ - SPACE SPACE SHALLOW SPCE nuL J .. - .. .. . . NEW 3'_0"X.31_01„X' - - - . .. I'-O"WA4 CONCRETE .. ..- _ .. .FOOTING REINFORCED W ". .. CNIMNE7. . . _ .. (4)'-4'BAR$E.W. . . TO BE - . . . . REMOVED. VERIFY FOOTING MDER .. _ - .. - .. .. .. - - .. .. EXISTING - - - 1SSUEBDATES: " - 9.79.20171SSUED FOR PERMIT NEW NEW COL: COL Up UP. o. r I. . .. .. - 21 ELIO7 STREET NATICK,MA 01760 DMCARCH.COM P+F'S08651.7099 EJ WELD RESIDENCE 269-SEAPUIT ROAD' OSTERVILLE:fv1ADFtAWN BY: .. - .. .. .. .. - - - " DATE: 9.19.2017. . . .. .. . . DESCRIPTION: . .. FOUNDATION PLAN . - � DWG. - .. Al 0 - -GENERAL NOTES: - - These drawings and specifications - - - - shall remain the sole and exclusiv property of D.Michael Collins Architects as Instruments of - _ service.All drawings,sections of -- . drawings,details,and design. concepts shall be used only for - the purpose Intended by the Architect and shall not be copied ' - - - - - amended or reused at another .site without the expressed written consent of the Architect. - .. .It is the responsibility of the .. .. Contractor to review these - drawings and report any errors or discrepancies on the drawings, shop drawings,.details,or - - - - -associated sketches to the. . .. .. - . 'Architect before construction has - - commenced. Do not scale . .. ., drawings.. .. .. rWOOD STEPS .- - .. .. - .. .. - AND LANDING - .. E - _ XISTING I "- - NEW CABINETS BY DINING _ OTHERS .. NEW.CABINETRY .. .. .iv. .TRASH NEW FLOORING .. ."-O�t 1UE�C B�d1 .ri I EkST I ti PANTRY . LAUND I W No;SW4 9. T NEW T D � .. NEW-FMCT- I�D _ _ -Of .. .O NEW HARDWOOD O FLOORING NEW STAIR - - .. .. .. � ., EXISTING FLOOR TO FVkMAIN NEW BEAM ABOVE- - . .. .. . . _ REVISIONS. REFNEW ANITY,LIGHT NCs. � .. . - .. .II. IN IL; a ee m .�: AExisTi G I _. .. .. .. LOCATION XISTING- Pp II pl ni " FAMILY ROOM - I '. .-_ _ L.�. EXISTING.- E .. ., e � :EXISTING - - _ �� ISSUE � � - .. —JL .. .. BASE CARNET, .. _ _ - ._ PERMIT. .. .. - .. .. � .1(-•. .. KIT CABINETRY CI•IEN ®� NEW .. .. WITH TV ABOVE BEE ' DRAW _ �� O o' � � NE 9 19.2017 ISSUED FOR I" JL' .. .. .. - UPPER FOR EXISTING` - EXISTING EXISTING .. - .. _ GLIDER "' .. .. '. . 'SLIDER � .. ' SLIDER , GLASSES-TBO _ .NEW WINDOW 3-3.' EXISTING } GEf�S 10D IDI IID2 . . - .NEW WINDOW NEW WINDOW - - - - 21 ELIOT STREET NATICK.MA 01760 'DM RCH.COM P+F 508651.7099.. W-iindow:Schedule. WELD._ Number Description Manufactures' R.O. Remarks U-Eactor "Location " 100, [CAP 4147.- Marvin Integrity. T-5"X T41.5/8 fixed Casement Kitchen " RESIDENCE 101 ICAP 2547 MarGimintegrity 2'-5"X 3'-115/8 single lite Casement Kitchen .102 .. ICAP.5747. Marvin-integrity. 4'9"X 3'-115[8"" fixed Casement Kitchen 269 SEAPUIT ROAD 102 ICAP 5747.' Marvin Integrity' 4'-9"X 3'-115/8"__ Fixed Casement "_ Kitchen OSTERVILLE;MA ,. '104, ICA 25352W, Marvin Integrity W-1"x T-115/8" .2-1 lite Casements Bath - - . ,DRAWN BY: . . DATE 9.19.2017. .Exterior Door Schedule �.. DESCRIPTION: �..- - - - - Number Description Manufacturer Unit Size Remarks U-Factor Proposed First Floor Plan - 4lites over 1 panel;narrow OG;"b""scoop panel,paint D1. PL-304 Trustile or equal g Blass' " ". - � �grade,clear - � .. -DWG.#� .. Al . l GENERAL NOTES: These drawings and specifications - - - shall remain the sole and exclusiv - . - - 'property of D.Michael Collins Architects as Instruments of service.All drawings,sections of - - - - �drawings,details,and design '- -- - .concepts shall be used only for the Purpose Intended by the - Architect and shall not be copied amended or reused at another site without the expressed written .. .. _ consent.of the Architect. It Is the responsibility of the .. .. Contractor to review these drawings and report any errors or discrepancies on the drawings, . - - - shop drawings,details.or associated sketches tothe 'Architect before construction has - commenced.Do not scale - drawings. 0 AR NEW ❑ lWoorr P . FULL OL:" .. .CRALL _ .BASEMENT - - _ " U .. SPACE .. .. .. .' .SPACE . .REVISIONS: NEW NEW O COL.COL: COL UP 04JP:. UP . ❑ ❑UC.Po L. "� - �� ..ISSUE-DATES: " 9.19.20171SSUED FOR PERMIT J 0 0 � oaa0 ® a Aft woo go .. .. -21 ELIOT STREET NATICK.MA 01760 'DMCARCH.COM PtF508.651.7099.. .. WELD RESIDENCE .269 SEAPUrT ROAD . . - . . - - � OSTERVILLE:MA DRAWN BY:, - - � DATE: 9.19.2017 - .. - - - .DESCRIPTION:- ... .. .. D .. -FOUNDATION - - - - - - PLAN' .. .. "DWG.:d c 1 . - - GENERA[NOTES: -- - These drawings and specifications - - - - - - - shall remain the sole and exclusiv " - property of D.Michael Collins .. .. .. Architects as Instruments of ;ervlce:Alt drawings,sections of drawings,details,and design conceptsshall be used only for . - . the purpose Intended by the � � � - � Architect and shall not be copied amendedor reused at another .. .. - - - - - - .site without the expressed written - consent of the Architect. XIS R.ICi�tLA7 ffg - It is the responsibility of the �lN;S1� Contractor toreview these LAUNDRY drawings and report any errors or discrepancies on the drawings. .. - - PANNTTRY r shop associated sketches details,or associated sketches to the. XIS ING 2X D J IST - - Architect before canstruction has - - - .. .. VIF .- -" (2)2 X I - .(2).3 X ID _ commenced.Do not scale_ .. .. _ _ L - � drawings. NEW H 35 x .- NS 35 . - 35 x.} 9TL L.. i I I .. 0x""5F VERIFY E3EARMG ON t �_ELcISTMG_IUALI� " tE��EAC/ylAcl c O - -. EXISTING.JO$T$ i<. . ROOM E,4LQ .. x- .. "I EXISTING AM ASSUMEDEXIS o D NG PAM - . ., . . . . .VERIFY IN FIELD OO STUD . - NEW N 35 z. .. .. "NEW NSS 35.x - - 3 x} 9TL L.. . . - - 3 x.} STL L.. - - REVISIONS: >P EXIST - . ,ISSUE DATES: "- -�9,19.2017,ISSUED FOR PERMIT - ❑ - o De 41�USWAft ao ® fl USE 2 x-NAILER IF 4QGa104C�GQ�3 STUD WALL OCCURS ABOVE 15EAM STEEL BEAM.. 21 ELIOT STREET NATICK.MA 01760 -SEE STRUCT.PLAN . }6 GAF �DMCARCH.COM P+F509 651.7099 - 2 X 10.LEDGER ANDWELD GIST HANGERS J EXISTING X m 'RESIDENCE" 2 x BLOCKING ATTACHED .. .. ' JOISTS. W/2 ROWS}"0 THRU BOLTS (STAGGERED) _ � _ 469 SEiAPUR ROAD - . . OSTERVILLE;MA . - .. .. .. - . . . .DRAWN BY:. - - ,. DATE: 9.1"9.2017, DESCRIPTION:' .. - .. - s TYf- r-LUSI-I BEAM DETAIL Proposed �� - � _ - SECOND FLOOR .. -. - SCALE:P a P 0" .. ._ .. _ FRAMING PLAN "� .. . .. DWG.#' t _ _ 7•U _ f ; 1.3 t O / R,¢ 7'' T Lw Nt • /Srb� GAL F�►a =ync J1. I19NX • V i3Eve6 N s t �. or { r Ica t, i _ I r` 1Yy 3 R "'� Cv y / f OL 4 L 4� �.. �jvM Cv/tStl'va�7d. /vc � fit.... � ►�� - sr�wc icy � /Z4S svB �,t., IN ►�.rt ► 0 AWx rav �•qT. �" 4-- &fro Di t/A - 'S►�.�,t.� L\ L: T-5E4 .e-) OBI5 l v,t ree w s T ez CP t7W k L4--' ' �2 'G�4 - ! `i � , b. �'aTC� l-�1,JG .. `{C► 14 r f rp 4 � .� - 2%' �`� •L &VU ?d° ��-�V�.Ti�a�.J S SA 5� � ti-t 5 � = o. o =��4�--,�` '��►r crJ C3�{ /�� W �v�..�r��, "ems�" w `2'-6 1/2" 20" DIA. CAST IRONOVER I 2'-2 1/2"� NOES' r Revisions: AND FRAME TYP� 8 1. CONCRETE - 5000 PSI MIN. l C� VA g•D 1 A STRENGTH 0 28 DAYS VENT REQUIRED TOF=11.3 �� , LLE 10: ADDED CHAMBER k ,, oa f22 f 1 111-0" I I 9" MIN. 6" 2. STEEL REINFORCEMENT - COVER TO BE BROUGHT TO _ DISPLACEMENT CALCS. t- 10'-0" COVER ASTM A-615, GRADE 60 INLET & OUTLET COVERS IS BE BROUGHT TO . . Et 0- , M WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE FINISH GRADE 29b MINIMUM FINISHED GRADE OVER LEACHING AREA L-6 s z " I L 1 S .02 C R TO STEEL 1 MIN. MODIFIED CULTEC C4HD 3 COVE S EL 'Y • ..•• 24"••DIA.••MANHOLE..COVER.•, 0` :�:� 4" PVC SCH. � � ( 6" 'FLOW-TOP ��:.:..:.:. .:.:. .. FIRST TWO FEET TO 3' MAX. n4 : 0 ZABEL FITTER t4" '' B +�1 4. (6") MIN. SUMP REQUIRED (TY ) _ f- L 41 '� CHAMBER SECTIONAL _ b AtOO} 8E LAID LEVEL T. °'' OUTLET TEE w XTENSION i' i 5. TEE REQUIRED ON INLET 5.25' 4. ' 08 25 10: ADDED D--B INLEr io PLAN VFW 88 7.50 7.33 V. END r�1 f / E OX TEE :r TEE 5.57' 1500 GAL. 4 x6 PUMP INV. IN 7.15' M. BASE ADDED GEOGRID UOUID DEP SEPTIC TANK #1 ; 5•00' CHAMBER 4.63' TEE BIOAXIAL GEOGRID TITLE 5 5" DIA. KNOCKOUT 5" DIA. KNOCKOUT �....-•- •:.. J_t_ TYP BX TYPE APPROVED SAND (TYP) ( ) TANK •�'BOTTOM.ONLEVE7STA811 qB .rp F UNDA11ON 0.75 CULTEC {C4HD HEAVY DUTY 5.2 LOCUS .PRECAST CONCRETE SEPTIC a 3'l l-_ -� 0 7- ) TJITREINFORCED WITH STEEL 20• LEACHING CHAMBERSSF�A/TO BE INSTALLED ON A TO BE INSTALLED ON A " w P PLAN VFW 8" MIN. 3/4" To 1-1/2"STONE LEVEL & STABLE BASE. LEVEL & STABLE BASE. 1 -3" 6" MIN. 3/4" TO 1-1/2-STONE 6" MIN. 3/4" TO 1-1/2"STONE HGW AT EL. 1.50 NORTH ` NOTES: CROSS SECTION VEW s" BAY 1) SEPTIC TANK TO WITHSTAND H-20 LOADING 6 `• 7 j/2 2) ALL PIPE CONNECTIONS AND CONCRETE CON- SYSTEM PROFILE WF GROUND WATER AD 1 l,TM NT STRUCTION TO BE WATERTIGHT. 4" I-- �" 3) INLET AND OUTLET TEES TO BE CAST IRON NOT TO SCALE WELL NO.: M1W-29 EXISTING GROUND ELEVATION: 6.50 SECTION A-A '�(�'� B-B WELL WATER RANGE: A DEPTH TO'GROUNDWATER OBSERVED AT: '72" OR SCHEDULE 40 PVC. �p� WATER RESOURCE - DEPTH TO WATER 7.2 EXISTING GROUNDWATER ELEVATION: 0.50' TEES TO BE CENTERED UNDER MANHOLE COVERS. DISTRBL 1ION BOX DETAL WATER RESOURCE DATE: 6/2010 GROUNDWATER ADJUSTMENT: 1.00' 1,500 GALLON SEPTIC TALC DETAL DB-5 W/ BAFFLE WATER LEVEL ADJUSTMENT: 1.00' ADJUSTED HIGH GROUNDWATER ELEVATION: 1.So' LOCUS MAP - NOT TO SCALE - NOT TO SCALE Existing Conditions Survey By: t� GENERAL NOTES WF11 t E ICAL CON IT PH N J. Y AND ASSOCIATES - P# 12985 ��, ;f a 10 4 REQUIRED) C ^,. :, RELOCATED EL U �' � STE E DO LE GRD. EL TEST BY: STEPHEN DOYLE �,,. � � W = / WF IFUNLESS OTHERWISE NOTED, ALL CONSTRUCTION TEST PIT #1I itl43a , tY``V >.., •., , l GW. EL. WITNESSED BY:�AVIO STANTON,_ R.S. ~~' •..: ' ��`fi METHODS AND A SHALL CONFORM T W ME DS MATERIALS H L C 0 M 0 42 CANTERBURY LANE ""° ' EAST FALMOUTH, MASSACHUSETTS 0253 ., ,,r �+.. ._,.r,.__ A`M ' ° `; ..,� .. ' ? _ _ F D �c ;. • :.... TITLE V OF THE STATE ENVIRONMENTAL CODE AND DATE: 6 30 10 MOTTLING EL. CERTIFIED BY: - TOWN OF BARNSTABLE RULES AND REGULATIONS. W._ TELEPHONE: 508 540-2534 sjdsurvey® ELEV. SURFACE SOIL SOIL SOIL SOIL ) sury y®AOL COM DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER c " # 5 ,,, � yh ` ,.. f _,t� 4yti s d e s.s DE PROPOSED D-BOX <' ,, s 2. GROUT TO BE USED AT ALL POINTS WHERE PIPES R _ ENTER OR LEAVE ALL CONCRETE STRUCTURES IN Gravel Gravel Drive �' `` � , NONE ti yy ,,, r " Drive = '� `` ^ p9/ `""`" '"' WF $ H(2 ) LOADING ` '• '� tip' ORDER TO PROVIDE A WATERTIGHT SEAL. 6.2 0' Pea Stone Cover ry,,. >Usy HEDGES TO RE HE S BE MOVE o „„,.. ,... i o , , .:.: �...� .... w. `... .. 3. ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL BE 4' Old SL 10YR 3/2 NONE Grade - Mod. N w r b t1 � _ = N {� „ WF 7 .. i. �� SEALED WITH NEOPRENE GASKETS OR ASPHALT 5 8 A Horiz. to Strong '!` 1 CEMENT TO PROVIDE A WATERTIGHT SEAL. Grade - Mod. '" .,.� f ...., '�' p Lm X1 a `. p ,sFM„ ,4 k^,,.w .� t 8"-26° Bw LS 10YR 5/6 NONE a f �� `-' Shape 9r I,". 4d `. 4. PRECAST CONCRETE SEPTIC TANK, DISTRIBUTION 4`4' _ , p ' _- tii Project Title: 4.3 .� ., h 6 61 � � � BOX AND LEACHING FACILITY TO WITHSTAND H-20 � 26"-120" C Med. Sand 2.5 Y 6/4 NONE Med.- LOOSE 4 I f ` ~.•„, , c..,...4 y `• PROPOSED 1500 GALLON LOADING. w., I 4 t r BOTTOM :. I I t I s : � ,� SEP TI C TK 4 _ 5 ALL PIPES IN THE SYSTEM SHALL BE CL150 w. `x DUCTILE IRON (DI) OR AS SHOWN ON THE {I I M w � � _ WATER OBSERVED ® TOP PERC HOLE PERC RATE: 4,a GARAGE 4 ,M EXISTIN CESS POOLS DRAWING. ® < MIN./INCH S O I �. L PR `�. ED ,..., ., o wF,. 5,r TOE FILLED IN-, AB NDONED I I� ;I I I ;� s �'` R � �° ��gi �'' � •�:; '� ._� �`� 6. WASHED CRUSHED STONE SHALL FREE OF ALL #269 A „w .R 4. i1i 41 15 ) LIEC � � I �I�� ,ti C H(2O DIRT, DUST AND FINES. BOA �I G �" 4 �?�. .,»,.......,..,-..„ d f � G �� f c f' � T P# 12985 ., f � ES GRD. EL. 6.5 TEST BY: STEPHEN DOYLE �` d _.,,__ _... ;€* ��,:,... `, e ,a ut TEST PIT #2 0.5' oAvlo STANTr7N R.s- _,.. a, _ d l M` tt `,' .. AND SEWER NL LINES, BOTH PIPESSHALL CONK ea 7 GW. EL. WITNESSED BY. r, r .,_,,.... C., � 4 r , 6 30 1 MOTTLING EL.�_ CERTIFIED BY: !, `° '"°� F '' �' � �" �' � r `� STRUCTED OF CLASS 150 PRESSURE PIPE AND ARE DATE: / / 0 N A "'` - W, `' 4 TO BE PRESSURE TESTED TO ASSURE ELEV. SURFACE SOIL SOIL SOIL SOIL "µTo. T L LINE # WATERTIGHTNESS.� � "° TIGH DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER z ., - ��,M, r .,bRuad _., m' e 1) "w. EXISTING SHRUB BE REMOVED 8. SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE Gravel Gravel Drive bXIST SEPTIC " 6 4 t 0" 4" NONE S SYSTEM 6f y �� _ #' r r.�`, - MANUFACTURED BY ROTONDO OR AN EQUIVALENT - Drive ----- -'--- Pea Stone Cove t � T6 REM IN �_•. �. � O f 6.5 � �, �,t�,�OD ` 4'i 1° ` ., �' ;`` �;a s O:: '° '. t,... ,. ` MANUFACTURER. Old Grade - Mod. }i`° '' 1 ✓ 3 c ! ..... FJ^,�' i{ ``.,..,,,uk.11 M1,Sf�.`�re rv..k. 4 \ j WF 4"-8 SL 10YR 3/2 NONE Slat 1 � ;. w,.. ' ``';~Iµ, t4IP t , A 9 � 9. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING Os ter ville A Horiz. to Strong o t� t : 1 h° 4 , ., I N � � ; o Yj ,� � 4y �t �:�tg� °� �' ' , �� w� � ,,� ,.•` `°.�. AREA AND BACKFILL WITH MATERIAL AS DESCRIBED " Grade - Mod. APPROX` @ATION�.- �,� "' �1l 11q1t! '.i ""� 44' 3', 1 to t' R 8 r ON PLAN. 8"-26 Bw LS 10YR 5/6 NONE zONg `4't i l � o s dt` ,j t, 1 4y,, E• .F' �M.� f f 1 t 1t �F"i c 1 r j Shape 9r �I IRRAGATIQN "BOX A211. :� ; , t �f4i�, t "„ tt"t j i = j0 11 � �, �� v M ►'Y7 F4 � ;,��,t��`::• EXISTI 41,�;:��;"�,�t� ��,` � '�� _��,,� _�_��;� � , •� .. � '� �:: ;,�""�,.�l �. _ � 10.HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO 26"-120 C Med. Sand 2.5 Y 6/4 NONE Med.- LOOSE JF B . , t t �_ G �/ t : ; s ','�� Orp � „ } . OPERATE OVER THE LIMITS OF THE SEWAGE DIS- N �, �� k �L.t�lj \� 1 � it�i4 POSAL SYSTEMS DURING THE COURSE OF CON- 4.3k4o�` � :,14 y S �41 �� 11tt� 1 �� 4 4 tins '"t ,��ti ,. . BOTTOM PATH `; -- ;q 1i4 It =t �,"'�t7 � a 1 t�i 41 S ,�. 9 „ ,•�� t �� t �' �� '�w�� _ �� _ � �= �� y� p� WF 2;� STRUCTION OF THE SYSTEMS. WATER OBSERVED ® TOP PERC HOLE �; �e ;HEDGES1`, ;'�� } 9 3 � � k4'i { ks -3.5 __�.. , ... w� ' k ,1 � �, . , k °,1 !., `So IIJM `� f�M=." 11. NO FIELD MODIFICATIONS TO THE SEWAGE MPOSAL 72" 0 52" < 2 a. '0 BE REMOVED � ,� ' , 4 MIN NCH w WF C W.,,, . '*. M 1s ! li ` 'k: a.c� SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN 4 DECK , ' APPROVAL OF THE ENGINEER AND THE LOCAL OFea° t , `: BOARD OF HEALTH. �IR5�f Ill IJi�r -- o el 12.THIS SYSTEM SHALL BE INSPECTED AS REQUIRED WITHIN AREA SHOWN, ALL UNSUITABLE MATERIAL (A & B HORIZONS) -I l '4�' " r f 4 y Prepared For: 't• . "m,...,.. ,..., h _,.. s DECK ,.. BY TITLE V. TO BE REMOVED AND REPLACED WITH SOIL CONSISTING OF CLEAN `" G � EC ' T '' MLW GRANULAR SAND, FREE FROM ORGANIC MATTER AND DELETERIOUS 3 REQUIRED BY AN LAYERS OF DIFFERENT CLASSES OF ;. ``` •,, " o {r ?':XX ST;?" G I._�al��'`I�i 4 /� � ^ f 1 A CERTIFICATE OF COMPLIANCE AS TOM AND NINA SUBSTANCES. MIXTURES a SOIL SHALL NOT BE USED. THE FILL SHALL NOT CONTAIN ~' t «• �, i 4N - ? - TITLE V AND AN AS BUILT PLAN Ct ,. 1 w, ... ", , ,• �µ,. '! ; '` OF THE SYSTEM MUST BE OBTAINED BY THE ANY MATERIAL LARGER THAN 2 INCHES. A SIEVE ANALYSIS, USING ., fib,E „� M'n N �`y i f ��y+M ry A 4 SIEVE SHALL BE PERFORMED ON A REPRESENTATIVE SAMPLE r'} , I ' - CONTRACTOR UPON COMPLETION OF THE ABOVE WELD # WF E wr .w .. '. , ' OP OF BANK s WORK. OF THE FILL. UP TO 45% BY WEIGHT OF THE FILL SAMPLE MAY BE ,� � _ T �= RETAINED ON THE #4 SIEVE. SIEVE ANALYSIS ALSO SHALL BE . PERFORMED ON THE FRACTION OF THE FILL SAMPLE PASSING THE NOT DESIGNED FOR A GARBAGE 14 THIS SYSTEM IS #4 SIEVE, SUCH ANALYSES MUST DEMONSTRATE THAT THE MATERIAL _ \ . -• DISPOSAL UNIT. d 20 Rascally Rabbit Road MEETS EACH OF THE FOLLOWING SPECIFICATIONS: ' " "'; " ' ' """' _'. ____"`` '" + Morstons Mills, MA EFFECTIVE % THAT MUST 15.ALL UNDERGROUND UTILITIES SHOWN WERE COM- 02648 SIEVE SIZE PARTICLE SIZE PASS SIEVE PILED ACCORDING TO AVAILABLE RECORD PLANS T/� AND ARE APPROXIMATE ONLY. SEE CHAPTER 37fl, 4 4.75 MM 100% REMOVE BITTER SWEET # 100% ACTS OF 1963, MASSACHUSETTS GENERAL LAWS. 50 0.30 MM 10% - 100 0.15 MM 0% - 20% # 200 OA75 MM 0% - 5% WE ASSUME NO RESPONSIBILITY FOR DAMAGES INCURRED AS A RESULT OF UTILITIES OMMITTED OR DOSING & STORAGE REQUIREMENTS INACCURATELY SHOWN. THE APPROPRIATE PUBLIC A" M. Maw Assoaates Inc. PROVIDE WATERTIGHT CONCRETE RISER ULTECT (C4HD) CHAMBER ENGINEERING DEPARTMENT SHALL BE CONTACTED DAILY FLOW: 440 GPD /-INEMA WITH SECURED COVER TO GRADE. AS WELL AS DIG SAFE W8 420 9M 1 FAX � 9M INVERT ELEVATIONS. DOSING REQUIRED: 4 CYCLES/DAY (SAND) INSTALL 1" PVC CONDUIT TO HOUSE FOR WIRING CULTECT NO. 410 FILTER FABRIC (PH. NUMBER 1 800-322-4844) ELEV. WITH WATER TIGHT JOINTS. WIRE HIGH WATER ALARM LI4 JUNCTION BOX CORROSION REUSTENT DISTANCE REQUIRED BETWEEN PUMP FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON & LIQUID TIGHT. CABS F� CONNECTORS SUPPORTED ON TOP AND SIDES OF STONE ON AND PUMP OFF FLOATS: CIRCUIT SEPARATE FROM CIRCUIT TO 171E PUMP. SUPPOETED BY 1-1/4 PVC CONDUIT. JOINTS 16. SEPTIC TANK AND PUMP CHAMBER SHALL BE TO BE MADE WATER TIGHT. 4" PERFORATED PVC PIPE 4" INVERT AT BUILDING 5.57 f 110 GAL/CYCLE / 180 GAL/FT = 0.61 FT/CYCLE EXISTING STONE DRIVEWAY REINFORCED PRECAST CONCRETE WATERTIGHT AND STORAGE REQUIRED ABOVE WORKING LEVEL: 440 GALLONS HOISTING CABLES 7x19 STAINLESS STEEL 14" MIN. WATERPROOF. INLET IS TO BE EQUIPPED WITH NEOPRENE 1/8" DIA 1,750 LBS. STRENGTH " 5.25't STORAGE PROVIDED: 95% COMPACTED FILL BOOT OR EQUAL. ALL OTHER INLETS AND OUTLETS ARE 4 INVERT AT 1500 GAL. TANK (IN) INV.(IN) EL: 4.88' - PUMP ON EL. 2.44' = 2.44' 2" BALL VALVE W/ UNIONS SCH 80 PVC STORAGE PROVIDED = 2.44' x 180 GAL/FT = 440 GALLONS 4" PVC FROM TANK GEORGE FISHEER CO. MODEL NO. 560 TO BE SEALED. THE MID-SEAM IS TO BE SEALED EITHER Drawing Tltle CULTEC (C4HD) CHAMBER AT THE FACTORY OR ONSITE TO INSURE WATERTIGHTNESS. 4" INVERT AT 1500 GAL, TANK (OUT) 5.00't INV. (IN) EL = 4.88' ----2" SCH 40 DISCHARGE TO D-BOX 6" MIN. APPROVED RUBBER BOOTS ON ALL CONNECTIONS 4' TITLE 5 SAND 17. ANY ALTERATIONS TO THIS PLAN MUST BE APPROVED AND TEES BELOW GROUNDWATER. 2" SCH 40 TEE W/ CLEANOUT 1' INVERT AT PUMP STATION (IN) 4.88'f DESIGN ANALYSIS ALARM ON EL.: 3.05 RUBBER BOOTS ON ALL CONNECTIONS BIOAXIAL GEOGRID TITLE 5 APPROVED SAND BY DESIGN ENGINEER AND HEALTH DEPARTMENT PRIOR AND TEES BELOW GROUNDWATER. BX TYPE TO EXECUTION OF CHANGE. Y BIOAXIAL GEOGRID BX TYPE 4" INVERT AT PUMP STATION OUT 4.63't DESIGN FLOW: PUMP ON EL.: 2.44' PROVIDE 1�4" WEEP HOLE IN DISCHARGE (OUT) DISCHARG PIPE FOR SELF DRAINING 18. IF REQUIRED, CONTRACTOR SHALL BE REQUIRED TO (4 bedrooms) x (110 GPD/br) = 440 GPD PUMP OFF EL.: 1.83' �" 1. CULTEC SEPTIC SYSTEM TO BE INSTALLED PER �O � � 9 00'f 2" BALL CHECK VALVE SCH 80 PVC � SUBMIT DEWATERING PLAN TO ENGINEER AND TOWN FOR SURFACE ELEV. AT D-BOX SEPTIC TANK REQUIREMENTS: 12" 100 PSI FLOWMATIC MODEL NO. 208S MANUFACTURERS STANDARD SPECIFICATIONS. APPROVAL. NO WORK IS TO COMMENCE PRIOR TO 2 SCH. 40 PVC DISCHARGE PIPE (440 GPD) x 200% = 880 GPD 2. CONTRACTOR SHALL BE REQUIRED TO INSTALL RECEIVING APPROVAL OF DEWATERING PLAN FROM THE INVERT AT D-BOX IN 7.50'f PROVIDE 2 NARROW ANGLE FLOAT SWITCHES: BARNES SE411 PUMP .4HP 115V OR EQUAL TOWN. ( ) 1,500 GPD MINIMUM REQUIREMENT EL. = 0.33' 2" DISCHARGE PASSING 2" SOLIDS INSPECTION PORT HOLES IN ACCORDANCE TO FLOAT NO. 1: PUMP ON OF IMPELLER SIZE (4.25). RATE 50 GPM MANUFACTURER'S STANDARD SPECIFICATIONS AND ' Septic 4" INVERT AT D-BOX (OUT) 7.33 f FLOAT NO. 2: ALARM ACTIVATION TO THE TOWN'S REQUIREMENTS. 19. ALL ELECTRICAL COMPONENTS AND WIRING ARE LEACHING FACILITY REQUIREMENTS: NOT TO SCALE RESPONSIBILITY OF THE CONTRACTOR. INVERTS AT LEACHING FACILITY: (440) / (0.74) = 595 S.F. of M CUTEC SEPTIC SYSTEM 4 x6 PUMP CHAMBER AVAILABLE AS A UNIT THROUGH ��tN '�ssy� . 20. CONTRACTOR SHALL BE REQUIRED TO VERIFY THE ROTONDO PRECAST, REHOBOTH MA. 508 336-7600 LOCATION OF THE EXISTING ELECTRICAL CONDUIT AND SURFACE ELEVATION AT PUMP & ACESS. THROUGH WILLIAMSON LE TRIC (781) 444-6800 ROBERTA• G NOT TO SCALELEACHING FACILITY 9.00'f LEACHING FACILITY PROVIDED: (3RAKE RELOCATE A5 REQUIRED. De5ign „ CULTEC (C4HD) EFFECTIVE LEACHING FT2/FT = 4.94 0 9 clvl� o 21. CONTRACTOR SHALL BE REUIRED TO VERIFY THE 4 INVERT (IN) AT No.41642 7 15'f LENGTH OF TRENCH PROVIDED = 123 L.F. LIST OF VARIANCES LOCATION OF THE EXISTING 2-INCH PLASTIC WATER LEACHING FACILITY aF LEACHING FIELD PROVIDED: (123 L.F.) x (4.94) = 608 S.F. � SERVICE AND IF NECESSARY, RELOCATE AND SLEEVE 4" INVERT (END) AT 608 S.F. PROVIDED > 595 S.F. REQUIRED TITLE 5 LOCAL PROVIDED THE WATER SERVICE IN ACCORDANCE WITH THE TOWN Scale: 1 =20' LEACHING FACILITY 6.95't OF BARNSTABLE AND TITLE 5 REQUIREMENTS. PUMP CHAMBER: SEPTIC TANK TO BVW 25' 100' 36.1't ELEVATION AT BOTTOM1 ,500 PUMP CHAMBER TO BVW Z5' 100' 43.5' 22• SEE SHEET 1 OF 2 FOR LANDSCAPE MODIFICATIONS. GALLON (H-20) SEPTIC TANK. 0 10 2Q 30 40 50 FEET OF CHAMBER 8.70't DISPLACEMENT 5.0'x7.0'x1.17'x62.4 Ibs/ft3: = 2,555 Ibs , D-Box To BVW 25 100 51.8 Date: AUGUST 22, 2010 DISPLACEMENT: 11.0'x6.0'x0.75'x62.4 Ibsfft3: - 3,089 Ibs Drawing No. ELEVATION AT BOTTOM APPROX. MANUFACTURED WEIGHT OF CHAMBER: = 13,500 Ibs SAS TO BVW 50 100 50.1 t Design: R.D. OF LEACHING FACILITY 6.20'f APPROX. MANUFACTURED WEIGHT OF TANK: = 21,600 Ibs SAS TO FOUNDATION 20' 20' 1o'f Check: A.W. NO BALLAST REQUIRED: CHAMBER IS HEAVIER Drawn: R.D. ESTIMATED ADJ. GROUND WATER EL. 1.5' NGVD NO BALLAST REQUIRED: TANK IS HEAVIER WEIGHT OF DISPLACEMENT OF WATER D /� (� WEIGHT OF DISPLACEMENT OF WATER - PLAN A I V F O R PERMITTING PURPOSE ONLY ' Job. Rev 2.1520.2 Last Rev.: 8/25/10 Weld '�' r 2'-6 1/2- -- I Revisions �2'-21/2" I NOTES: C�, 2W DI1HD CAST TYP 1 -"*� I 1. CONCRETE - 5000 PSI MIN. 1 A- A STRENGTH o 2e DAYS TOF=11.37' VENT REQUIRED 7 NE 08/22/10: ADDED CHAMBER 11'-0 9" MIN. � 'N � 2. STEEL REINFORCEMENT - COVER TO BE BROUGHT TO � INLET & OUTLET COVERS To BE BROUGHT To DISPLACEMENT CAL , COVER M ASTM A-615, GRADE 60 WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE FINISH GRADE 2% MINIMUM FINISHED GRADE OVER LEACHING AREA ` Er 1•-0�., .� 3. COVER TO STEEL 1" MIN. L-16 s=A2 L=6 S=.Oz �` "" MODIFIED CULTEC (C4HD) 24 DIA. MANHOLE COVER _ 4 PVC SCH. 40 10e PVC « 4. (6«) MIN. SUMP REQUIRED (1 '•) . FIRST TWO FEET TO L-41' 3 MAX. _ CHA (Al1��TER 14 8 BE LAID LEVEL -� �, oUU.ET TEE w 5. TEE REQUIRED ON INLET 5.25' 4.88' 08/25/10: ADDED D-BOX TEE 1, PLAN VEW 7.50 7.33 V. E1`6 { •_ , 5.57' 1500 GAL. 4'x6' PUMP INV. IN 7.15' M. BASE ADDED GEOGRID uauo 0" SEPTIC TANK #1 5.00` CHAMBER 4.63' TEE BIOAXIAL GEOGRID 11ILE 5 6-20 5 DIA. KNOCKOUT 5 DIA. KNOCKOUT 1 �LL (TYP) (TYP) BX TYPE APPROVED SAND .L-LL .a a,p " FOUNDATION 0.75' 6• CULTEC (C4HD) HEAVY DUTY 5.2' LOCUS PRECAST CONCRETE SEPTIC TANK BOTTOM ON rLE STATE �1S 3 �.» _ �? ' 7 LEACHING CHAMBERS E � REINFORCED WITH STEEL /To BE INSTALLED ON A TO BE INSTALLED pN A �7�w 8" MIN. 3/4" To 1-.1/2«StroNE � LEVEL do STABLE BASE. LEVEL do STABLE BASE. 6" MIN. 3/4" TO 1-1/2-STONE 6" MIN. 3/4" TO 1-1/2"STONE HGW AT EL. 1.50 NORTH CROW �J » 1) SEPTIC TANK TO WITHSTAND H-20 LOADING SECT 6« 7 1/2" I3 p► HAY 2) ALL PIPE CONNECTIONS AND CONCRETE CON- 5.L.Si.t EM 1l L WEI I GROUND WAT_E13 ADJUSTMENT 4 -� NOT TO SCALE VYEU. WATER RANGE: A DEPTH TO GROUNDWATER OBSERVED AT: 50' 5 UCTION TO BE WATERTIGHT. " WELL NO.: M1W-29 EXISTING GROUND ELEVATION: 6 3) INLET AND OUTLET TEES TO BE CAST IRON SECTION A A SECTION B�$ 72. OR SCHEDULE 40 PVC. �y Q ^ WATER RESOURCE - DEPTH TO WATER 7.2 EXISTING GROUNDWATER ELEVATION: 0.501 TEES TO BE CENTERED UNDER MANHOLE COVERS. ENST ITIM BOX MTAL WATER RESOURCE DATE: 6/2010 GROUNDWATER ADJUSTMENT: 1.00 DB 5 W/ BAFFLE WATER LEVEL ADJUSTMENT: 1.00' ADJUSTED HIGH GROUNDWATER ELEVATION: 1.50' t-1..JV e ! 5t10 ONION 8EPTIC TANG MTAL» 'L.' - NOT TO SCALE -- 'NOT TO SCALE Existing Conditions Survey By: WF'11 1 RELO ATED ELECT'-RICAL CON UIT f ��g= STEPHEN J. DOYLE AND ASSOCIATES < < ` 1. UNLESS OTHERWISE NOTED, ALL CONSTRUCTION P 12985 �-.,� WF 10 (IF REQUIRED) METHODS AND MATERIALS SHALL CONFORM TO cRD. EL. TEST BY: STEPHEN DoYLE EXISTING LAWN 6 ``� � 42 CANTERBURY LANE TEST PIT #1 GW. EL. WITNESSED BY:.QAViD STANTON.-R.S. . \ �.�. - �'• `'�- / , TITLE V OF THE STATE ENVIRONMENTAL CODE AND DATE: 6 30 10 MOTTLING EL. CERTIFIED BY: '` v WF 9 r� ` '� TOWN OF BARNSTABLE RULES AND REGULATIONS. EAST FALMOUTH, MASSACHUSETTS 0253 / / TELEPHONE: 508 540--2534 sJdsurve ELEV. SURFACE SOIL SOIL SOIL SOIL 7, b 7.5' ,` ~ s dsurve AOL.COM £X�ST� �,,� `�' ti� 2. GROUT TO BE USED AT ALL POINTS WHERE PIPES j � 6.5 DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER PROPOSED D-BOX ENTER OR LEAVE ALL CONCRETE STRUCTURES IN z WF 8 H 2 LOADING ORDER TO PROVIDE A WATERTIGHT SEAL. �� Gravel ----- ----- Grovel Drive � �� S j- 7.2` p � ( � � e� 6.2 0 _4 Drive NONE Pea Stone Cav 9.0, � ENE p 6 °Sr fi,�� HEDGES TO BE REMOVE Old Grade - Mod. 3. ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL BE " A Ftorix. to Strong ` <_ � SEALED WITH NEOPRENE GASKETS OR ASPHALT 4 -8 SL iOYR 3/2 NONE 5.8 9 7,8 WF 7 CEMENT TO PROVIDE A WATERTIGHT SEAL. Grade - Mod. EXISTING LAWN x / W 6" Bw LS tOYR 5 6 NONE + 7.1' l /_ 4. PRECAST CONCRETE_SEPTIC TANK,' DISTRIBUTION •, 2 /� Shape 9r 5.4 ,! ` � \ BOX AND LEACHING FACILITY TO WITHSTAND H-20 Project Title: 4.3 r<ti ° 6.9' 6.6 6.3 ! WF 6 c PROPOSED 150C? GALLON LOADING. 26 -120 C Med. Sand 2.5 Y 6/4 NONE Med.- LOOSE 5` -� Q c - 6 BOTTOM 8 y SEPTIC T I�fK E 5. ALL DUCTILES IN THE SYSTEM IRON D) OR A5 SHOALL BE WN ON THE 0 nm PERC RATE: GARA E `� v °a 5 EXISTIN LESS POOLS DRAWING. WATER OBSERVED ® ®P PERC HOLE < O ) a 19 4 TO E FILLED IN ND AB NDONED MIN./INCH �q �g SS PR ED p v b ho• / \ 6. WASHED CRUSHED STONE SHALL FREE OF ALL #269 A\ -(15 ) LTEC (C H S ~ r h DIRT, OUST AND FINES. o o H(2{� OA 1 G c 6.6` T �, f 7. AT ALL POINTS OF INTERSECTION OF WATER LINES Seaput P# 12985 GRD. EL. 6.5 � TEST BY: STEPHEN DO YLE �~ a X AND SEWER LINES, BOTH PIPES SHALL BE CON- TEST GW. EL. WITNESSED BY: �- STRUCTED OF CLASS 150 PRESSURE PIPE AND ARE TEST PIT 2 0.5' nAvin.STaNrnN.,� \ �---� �-- � O O d r<,• DATE: 6 30 10 MOTTLING EL. N/A CERTIFIED BY: (/y�. 6 . 0 � Y � ,k � WF � � TO BE PRESSURE TESTED TO ASSURE ELEV. SURFACE SOIL SOIL SOIL SOIL �y' L LINE �� # WATERTIGHTNESS. Ru� DEPTH HORIZON TEXTURE COLOR MOTTUNG OTHER IQ � 8.6• s ` uBBE! � 4 �os� EXISTING HRUB BE REMOVED 8. SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE " Gravel NONE Gravel Drive IST. SEPTI SYS EM w SkR(1 O t MANUFACTURED BY ROTONDO OR AN EQUIVALENT 0 -4 Drive -`_-_ Pea Stone Cove { T REM IN O• � � MANUFACTURER, Q 6.5 WOODED Ci Fro "- „ OldHo Grade trMod. - S RUagE�y 37 EX SI LAWN , WF` 3 9. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING 4 8 SL tOYR 3/2 NONE 6.2 A Horiz. to Strong / o - „� AREA AND BACKFILL WITH MATERIAL AS DESCRIBED Grade -.Mod. / APPROX. `Q ATION '"z "� 6.3 6 ON PLAN. 0.5tervIlle 5.8 8 26 Bw LS 10YR 5/6 NONE Shape 9r IRRAGAT 10 BOX s o Sri ��✓� �' vz7 �X�ST1N� 10.HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO iF 8 DWELL! " Med. Sand 2.5 Y 6 4 NONE Med.- LOOSE . -- 20 C �J 7 �-G'� A OPERATE OVER "R�IE.LIMITS Or THE SEWAGE D!S- 4.3 26 1 / G #2s9 POSAL SYSTEMS DURING THE COURSE OF CON-- BOTTOM am PATH �• Jam` , WF 2.- STRUCTION OF THE SYSTEMS. r WATER OBSERVED a TOP PERC HOLE 4 EDGE ,S 11.NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL \ r Od, 10 _ SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN -3.5 72" +aj 52" < 2 MIN./iNCH 6 0 B MOVED / ` APPROVAL OF THE ENGINEER -AND THE LOCAL rop o DEC W BOARD OF HEALTH. F < 2 ___1 F�'�Nk V / WF 1 EXISTING L N ' 12.THIS SYSTEM SHALL BE INSPECTED AS REQUIRED Prepared For: SALT MARSI-1 P YNTHIN AREA SHOWN, ALL UNSUITABLE MATERIAL (A at B HORIZONS) 4 ` DECk p�,F'o MLW BY TITLE V. TO BE REMOVED AND REPLACED WITH SOIL CONSISTING OF'CLEAN GRANULAR SAND, FREE FROM ORGANIC MATTER AND DELETERIOUS C C , , ,� EXISTING LAWN �pG SUBSTANCES. MIXTURES AND LAYERS OF DIFFERENT CLASSES OF 13.A CERTIFICATE OF COMPLIANCE AS REQUIRED BY TOM AND NINA SOIL SHALL NOT BE USED. THE FILL SHALL NOT CONTAIN Q �� `'`�• 'r� 1 � TITLE V AND AN AS-BUILT PLAN ANY MATERIAL LARGER THAN 2 INCHES. A SIEVE ANALYSIS, USING F �Q o o ff/' OF THE SYSTEM MUST BE OBTAINED 8Y THE WELD A #4 SIEVE, SHALL BE PERFORMED ON A REPRESENTATIVE SAMPLE < WF E CONTRACTOR UPON COMPLETION OF THE ABOVE T OF THE FILL. UP TO 45X BY WEIGHT OF THE FILL SAMPLE MAY BE - ., 70P OF BANK WORK. RETAINED ON THE #4 SIEVE. SIEVE ANALYSIS ALSO SHALL BE WF F PERFORMED ON THE FRACTION OF THE FILL.SAMPLE PASSING THE ,..�. 14.THIS SYSTEM IS NOT DESIGNED FOR. A GARBAGE #4 SIEVE, SUCH ANALYSES MUST DEMONSTRATE THAT THE MATERIAL _'�` A F THE FOLLOWING SPECIFICATIONS: l F { DISPOSAL UNIT. CJ 20 Rascally Rabbit Road MEETS EACH 0 15.ALL UNDERGROUND UTILITIES SHOWN WERE COM- 2�ae Mills, MA EFFECTIVE X THAT MUST TH PILED ACCORDING TO AVAILABLE RECORD PLANSSIEVE SIZE PARTICLE SIZE PASS SIEVE 4 4.75 MM 100x REMOVE BITTER SWEET AND ARE APPROXIMATE ONLY. SEE CHAPTER 370, .•,."' 50 0.30 MM 1OX - 10036 ACTS OF 1963 MASSACHUSETTS GENERAL LAWS. 0.15 MM o 2036 ,: •, ' ` . ;, ` ,. 100 . WE ASSUME NO RESPONSIBILITY FOR DAMAGES t•. ti • '. _ _ '. _ t' :'• '. s ' 200 0.075 MM 0% -- 57: INCURRED AS A RESULT OF UTILITIES OMIMITTEO OR •' f • "t •'+ •�V DOSING & , TORAG REQUIREMENTS INACCURATELY-SHOWN.- THE APPROPRIATE PUBLIC & �, �V 1 A88AQat88_M]G. PROVIDE WATERTIGHT CONCRETE RISER ULTECT (C4HD) CHAMBER ENGINEERING DEPARTMENT SHALL BE CONTACTED DAILY FLOW: 440 GPD WITH SECURED COVER TO GRADE. AS WELL AS DIG SAFE ! /FAX 87�8 DOSING REQUIRED: 4 CYCLES/DAY (SAND) INSTALL 1" PVC CONDUIT TO HOUSE FOR WIRING CULTECT NO. 410 FILTER FABRIC (PH. NUMBER 1--800-322-4844) we 4W INVERT ELEVATIONS: ELEV, WITH WATER TIGHT JOINT'S. WIRE HIGH WATER ALARM LIQ 4 JUNCTION BOX CORROSION RESISTENT -- - DISTANCE REQUIRED BETWEEN PUMP FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON dt LIQUID TIGHT. CAB4� CONNECTORS SUPPORTED ON TOP AND SIDES OF STONE ON AND PUMP OFF'FLOATS: CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. �� SUPPOET1r0 BY1-1/4 PVC CONDUIT. JOINTS i. 16. SEPTIC TANK AND PUMP CHAMBER SHALL BE TO BE MADE WATER TIGHT. 4" PERFORATED PVC PIPE 5.57 f 110 GAL/CYCLE / 180 GAL/FT - 0.61 FT/CYCLE HOISTING CABLES 7xl9 STAINLESS STEEL EXISTING STONE DRIVEWAY REINFORCED PRECAST CONCRETE WATERTIGHT AND 4" INVERT AT BUILDING STORAGE REQUIRED ABOVE WORKING LEVEL. 440 GALLONS 1/8 DIA 1,750 LBS. STRENGTH 14" MIN. WATERPROOF. INLET IS TO BE EQUIPPED WITH NEOPRENE 959. COMPACTED FILL BOOT OR EQUAL. ALL OTHER INLETS AND OUTLETS ARE �� 5.25'f STORAGE PROVIDED: 2" BALL VALVE W/ UNIONS SCH 80 PVC 4 INVERT AT 1500 GAL. TANK (IN) INV.(IN) EL: 4.88 PUMP ON EL. 2.44 = 2.44 4" PVC FROM TANK GEORGE FlSHEER CO. MODEL No, 560 TO BE SEALED. THE Mib-sEAM IS TO BE SEALED EITHER. Drawing Title STORAGE PROVIDED " 2.44 x 180 GAL/FT - 440 GALLONS CULTEC (C4HD CHAMBER AT THE FACTORY OR ONSITE TO INSURE WATERTIGHTNESS. 4 INVERT AT 1500 GAL. TANK {OUT) 5.00't � INV. (IN) EL. +� 4.88 '• 2" SCH 40 DISCHARGE TO D-Box 6 MIN. APPROVED RUBBER BOOTS ON ALL CONNECTIONS 4' TITLE 5 SAND 17. ANY ALTERATIONS TO THIS PLAN MUST BE APPROVED ANp iFMSFLEQW GROUNDWATER. 2" SCH 40 TEE W/ CLEANOUT 1� BY DESIGN ENGINEER AND HEALTH DEPARTMENT PRIOR INVERT AT PUMP STATION IN 4.88'f 0 SI �N ANALYSIS ALA L.: 3.05 RUBBER BOOTS ON ALL CONNECTIONS SIOAXIAL GEOGRID TITLE 5 APPROVED SAND { ) D... AND TEES BELOW GROUNDWATER. BX TYPE RtOAXIAL GEOGRID BX TYPE TO EXECUTION OF CHANGE. 4.63'f DESIGN FLOW: PUMP ON EL.: 2.44' �" PROVIDE 1/4" WEEP HOLE IN DISCHARGE 4" INVERT AT PUMP STATION (OUT) - , DISCHARGEPIPE FOR SELF DRAINING 18. IF REQUIRED, CONTRACTOR SHALL BE REQUIRED TO (4 bedrooms) x I`110 GPD/br) 440 GPD � 1. CULTEC SEPTIC SYSTEM TO BE INSTALLED PER PUMP OFF El.: 1.83 2" BALL CHECK VALVE SCH 80 PVC SUBMIT DEWATERING PLAN TO ENGINEER AND TOWN FOR SURFACE ELEV. AT Q-80X 9.00'f SEPTIC TANK REQUIREMENTS: t2" 100 PSI FLOWMATIC MODEL NO. 2085 MANUFACTURER'S STANDARD SPECIFICATIONS. APPROVAL. NO WORK IS TO COMMENCE PRIOR TO Proposed (440 GPD) x 200� = 880 GPD 2 SCH. 40 PVC DISCHARGE PIPE 7.50'f PROVIDE 2 NARROW AN FLOAT SWITCHES: 2. CONTRACTOR SHALL 13E REQUIRED TO INSTALL RECEIVING APPROVAL OF DEWAIERING PLAN FROM THE INVERT AT D-BOX (IN) 2 DISCHARGE SE411 PUMP .4HP 115V S EQUAL INSPECTION PORT HOLES IN ACCORDANCE TO TOWN. eptic 1,500 GPD MINIMUM REQUIREMENT_ _ EL = 0,3g 2 DISCHARGE PASSING 2 SOLIDS , OAT . 1: IMPELLER SIZE (4.25), RATE 50 GPM MANUFACTURERS STANDARD SPECIFICATIONS AND 19. ALL ELECTRICAL COMPONENTS AND WIRING ARE 4" INVERT AT D-BOX (OUT) 7.33't FLOAT N0. 2: ALARM A TIVATION LEACHING FACILITY REQUIREMENTS: NOT TO SCALE TO THE TOWN'S REQUIREMENTS. �/ RESPONSIBILITY OF THE CONTRACTOR. INVERTS AT LEACHING FACILITY: (440) / (0.74) -= 'i595 S.F. Vx6' PUMP CHAMBER AVAILABLE AS A UNIT THROUGH 1 1 C.M ROTONDO PRECAST, REHOBOTH MA. 508)336-7600 1H OFQUTEC 20. CONTRACTOR SHALL BE.REQUIRED TO VERIFY THE SURFACE ELEVATION AT PUMP do ACESS. THROUGH WILLIAMSON �LECTRIC (781) 444-6800 NOT TO SCALE LOCATION OF THE EXISTING ELECTRICAL CONDUIT AND LEACHING FACILITY 9.00't LEACHING FACILITY PROVIDED: RELOCATE AS REQUIRED.CULTEC C4HD EFFECTIVE LEACHING FT2 T = 4.94 ETA. Design (C4HD) /F 1JiIIVItE 4" INVERT (IN) AT LENGTH OF TRENCH !PROVIDED = 123 L.F. � a 21. CONTRACTOR SHALL BE REUIREO TO VERIFY THE tL LOCATION OF THE EXISTING 2--INCH PLASTIC WATER �,.41wz � 7.15 t SERVICE AND IF NECESSARY z RELOCATE AND SLEEVE LEACHING FACILITY � LEACHING FIELD PROVIDED- �23 L.F.)�4.94) = 1308 S.F. �rsT � 4" INVERT END AT TITLE 5 LOCAL PROVIDED THE WATER SERVICE IN ACCORDANCE WITH THE TOWN » ' (END) 6 8 S.F. PROVIDED > 595 F. R UIRED t OF BARNSTABLE AND TITLE 5 REQUIREMENTS. SCQIe: 1 =20 LEACHING FACILITY 6.95'f E!UME CHAMBER:- ._ ;� "t ~`!a SEPTIC TANK TO BVW 25' 100' 36.1'3: . 22. SEE SHEET 1 OF 2 FOR LANDSCAPE MODIFICATIONS. 0 10 20 30 40 50 FEET. • 1111111111110 PUMP CHAMBER TO BVW 25' l0O` 43.5' ELEVATION AT BOTTOM 1»5"�� SEPTJQ ,, (8-20)�-*�-•--� �+-�� DISPLACEMENT 5.0 x7.0 x1.17 x62.4 lbs/ft3: = 2,555 ibs , OF CHAMBER 6.70 D-BOX To BVW 25 1o0 51.8 DISPLACEMENT: 11.O'x6.O'xO.75'x62.4 Ibs/ft3: = 3,089 Ibs MANUFACTURED WEIGHT OF CHAMBER: = 13 500 Ibs SAS TO BVW 50, 100, 501't Date: AUGUST 22, 2010 Crowing No. ELEVATION AT BOTTOM APPROX. Desi n: R.D. OF LEACHING FACILITY 6.20't APPROX. MANUFACTURED WEIGHT OF TANK: = 21,600 'lbs SAS TO FOUNDATION 20' 20' 10'± NO BALLAST REQUIRED: CHAMBER IS HEAVIER Check: A.W. ESTIMATED ADJ. GROUND WATER EL. 1.5' NGVD TANK IS HEAVIER WEIGHT OF DISPLACEMENT OF WATER Drawn: R.D. 2 NO BALLAST REQUIRED TER PLAN FOR PERMITTING PURPOSE ONLY Job` No.: z.1620.2 WEIGHT OF DISPLACEMENT OF WA Last Re i 25 10 Weld