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HomeMy WebLinkAbout0744 SEA VIEW AVENUE - Health 744i;Sea View Avenue Osterville 'YC}.r,�rt. A 114 _ 012- ' o2 SEWAGE PISPOSAL SYSTEM EVALUATION Inspected by: �o6ei ' PdnUY6 Date:la Property Address: 93� S!Rdwiapw AtAt Map & Lot#: Owner/Buyer: )jqQ lr U. Mailing Address: NOTE: A satisfactory evaluation does not guarantee that the system will continue to function. A sketch of the property and sewage disposal components must accompany this form. RESIDENTIAL COMMERCIAL USE Lot Size: Lot Size: No. of Bedrooms: 7 Type of Business: Garbage Disposal: Sq. Ft. of Bldg: Other Water Use (Appliances): Mp/pf Employees: Water Use Activity: Year Round: Water Source:, Water Source: Septic System Installed (Date): Title V Yes O No ( ) Component No. I Size Length Type Ft. to Well Ft. to Wetland Conditions Building Sewer Septic Tank ` { 199Q ) Effluent Pie ' - D-Box Dist. Pipe Lenh Pit r 1600 Flow Diffusers Leach Trench .- _ - Stone F3' � s o Cesol t 4)L$ r Pump/Chambercon ~� LC Evidence of Ground.Stain • Yes O No (✓S Unknown O � __•"� Evidence,of Breakout/Overload Yes O No Unknown ( ) Evidence of Overflow to Surface Yes O No Unknown O f �~ Evidence of Lush Growth around Pit/Cesspool Yes O No ( —) Unknown O # 'Stand g Liquid in Pit %Z or more full Yes O No ( � Unknown O Evidence of Excessive Pumping Required Yes.O No Unknown ( ) COMMENTS: C2%f oo 7 SEWAGE DISPOSAL SYSTEM EVALUATION Inspected by: T\O"r &Luaj Date: 7 ! 31 112 Property Address: g�t 5Rjkyuw Ak.Q. Map & Lot#: Owner/Buyer:. ft n&"I Wiga Mailing Address: NOTE: A satisfactory evaluation-does not guarantee that the system will continue to function. A sketch of the property and sewage disposal components must accompany this form. RESIDENTIAL COMMERCIAL USE Lot Size: Lot Size: No. of Bedrooms: 7 Type of Business: Garbage Disposal: Sq. Ft: of Bldg: Other Water Use (Appliances): Mp/pf Employees: Water,Use Activity: Year Round: Water Source:' Water Source: Septic System Installed(Date): Title V Yes ( No ( ) Component No. Size Length Type Ft. to Well Ft. to Wetland Conditions Building Sewer Septic Tank I (000 Effluent Pipe D-Box Dist. Pipe Leach Pit ( 1090 Flow Diffusers Leach Trench , Stone Cesspool Pump/Chamber l 1 Evidence of Ground Stain Yes O No Unknown-( ) Evidence of Breakout/Overload- Yes O No Unknown,( ) Evidence of Overflow to Surface ' '' Yes O No (rj Unknown ( ) Evidence of Lush Growth around Pit/Cesspool.1 Yes O No (/) Unknown ( ) Standing Liquid in Pit '/2 or more full Yes O No Unknown ( ) Evidence of Excessive Pumping Required Yes O No Unknown ( ) COMMENTS: C A,g?oo 1 tN k�V r1 bo �Ohr► . W 0\ SEWAGE DISPOSAL SYSTEM EVALUATION Inspected by: R abkf- "letp1 Date: . Property Address: 9.?,u -11J L-k- Map & Lot #: Owner/Buyer: t1nrm ]Et �,-.', Mailing Address: NOTE: A satisfactory evaluation does not guarantee that the system will continue to function. A sketch of the property and sewage disposal components must accompany this form. RESIDENTIAL COMMERCIAL USE Lot Size: Lot Size: No. of Bedrooms: Type of Business: Garbage Disposal: Sq. Ft. of Bldg: Other Water Use (Appliances): Mp/pf Employees: Water Use Activity: Year Round: Water Source: Water Source: Septic System Installed (Date): Title V Yes ( ) No ( ) Component No. Size Length Type Ft. to Well Ft. to Wetland Conditions Building Sewer Septic Tank Effluent Pipe D-Box Dist. Pipe Leach Pit Qpo Flow Diffusers Leach Trench Stone Cesspool Pump/Chamber Evidence of Ground Stain Yes O No �) Unknown ( ) Evidence of Breakout/Overload Yes ( } No ( /) Unknown ( ) Evidence of Overflow to Surface Yes' ( ) No Unknown ( ) Evidence of Lush Growth around Pit/Cesspool Yes O No (/) Unknown ( ) Standing Liquid in Pit '/2 or more full Yes O No Unknown ( ) Evidence of Excessive Pumping Required Yes ( ) No (/) Unknown ( ) COMMENTS: 'per ��POo l `,'Jwo 1Pti 0'f''.0j- V. w o�5 , a' bolo vd ulvo SEWAGE DISPOSAL SYSTEM EVALUATION Inspected by: Pe) 910(1 ki Date: Property Address: bPawt--fxy Map & Lot#: Owner/Buyer: nn3,j W\ Q l lg Mailing Address: 1 . NOTE: A satisfactory evaluation does not guarantee that the system will continue to function. A sketch of the property and sewage disposal components must accompany this form. RESIDENTIAL COMMERCIAL USE Lot Size: 1 Lot Size: No. of Bedrooms: Type of Business: Garbage Disposal: Sq. Ft. of Bldg: Other Water.Use (Appliances): Mp/pf Employees: Water Use Activity: Year Round: Water Source:' Water Source: Septic System Installed (Date): 'Title V Yes O No ( } Component No. Size Length Type Ft. to Well Ft. to Wetland Conditions Building Sewer Septic Tank S h�g9 Effluent Pipe D-Box Dist. Pipe Leach Pit Flow Diffusers Leach Trench Stone Cesspool Pump/Chamber Evidence of Ground Stain Yes O No (/) Unknown ( ) Evidence of Breakout/Overload Yes O No {/) Unknown ( ) Evidence of Overflow to Surface Yes O No Unknown ( ) Evidence of Lush Growth around Pit/Cesspool Yes O No (l) Unknown O ' Standing Liquid in Pit %2 or more full Yes O No (i) Unknown O -Evidence of Excessive Pumping Required i Yes O No (J) Unknown ( ) COMMENTS: CR klbf a 0_ -1 Yl , w o��- ' p Yj b,0A(9 ) tin SEWAGE DISPOSAL SYSTEM EVALUATION Inspected by: ?6f_1r i"Ttjo" j Date: �a► 7, Property Address: 954 5,eu,ymw Aw- Map & Lot#: Owner/Buyer: YYIQ V Mailing Address: NOTE: A satisfactory evaluation does not guarantee that the system will continue to function. A sketch of the property and sewage disposal components must accompany this form. RESIDENTIAL COMMERCIAL USE Lot Size: Lot Size: No. of Bedrooms: Type of Business: Garbage Disposal: Sq. Ft. of Bldg: Other Water Use (Appliances): Mp/pf Employees: Water Use Activity: Year Round: Water Source:' Water Source: Septic System Installed(Date): Title V Yes O No ( ) Component No. I Size Length Type Ft. to Well Ft. to Wetland Conditions Building Sewer Septic Tank I D00 Effluent Pipe D-Box Dist. Pipe Leach Pit (pQp Flow Diffusers Leach Trench Stone Cesspool Pump/Chamber Evidence of Ground Stain Yes O No (J) Unknown, ( ) Evidence of Breakout/Overload Yes O No Unknown ( ) Evidence of Overflow to Surface Yes. O No (/) Unknown ( ) Evidence of Lush Growth around Pit/Cesspool Yes O No (/) Unknown ( ) Standing Liquid in Pit '/2 or more full Yes O` No (/) Unknown Evidence of Excessive Pumping Required ' Yes O No Unknown ( ) COMMENTS: C,Q SS Po o l t ! vw k4S r o n 0 t'o»7 �t,,wLr j Timtk Town of Barnstable P#. 0 (06 Department of Regulatory Services s F Public Health Division �.0 Date v i6=y MAM 200 Main Strcet,Hyannis MA 02601 Date Scheduleda ' Time t Fee Pd. l 0 6 Soil Suitability Assessment for Sewage Disposal t Performed By: S�t=Pt�e�j�_�t9yVt�� Witnessed By: LOCATION& GENERAL INFORMATION Location Address -;F ck,A Xq�.� Owner's Name A -e-- Address 74 A Assessor's Map/Parcel: _ l-Z -2� Engineer's Name NEW CONSTRUCTION REPAIR. Telephone# J J p - t'> w C' Land Use Slopes(%) Z- to Surface Stones ra �-- Distances from: Open"Water Body G t oo r ft Possible Wet Area t o(� i r L_ft Drinking Water Well is o ft t r :qq -_J Drainage Way '�� ft Property Line >10 ft Other a:1 ft� x �• SKETCH:(Street name,dimensions of lot,exact locations of test holes itperc tests,locate wetlands fn proximil e to holes)W 00 o o tit VC 2665E �NEI Y✓ r SEA 359 viEw . AVE Parent material(geologic) _ Depth to Bedrock A,- Depth to groundwater. Standing Water in Hole: p Weeping from Pit Face o &-rMVLVL C)?� P-014G L4y1't-irs-v' Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE I = Method Used: V: Depth Observed standing in obs.hole: in,. Depth to loll mottles: In.tTi ,. Depth to weeping from side of obs.hole: In, Groundwater Adjustment - ft. =' Index Well# Rcading Date: Index Well level Adj.factor, Adj.Groundwat . vel,,,a tr. an; PERCOLATION TEST Date o►,-0 4 T1m to o ` Observation Hole# t 3 Time at 9" 1i t?S Depth of Pero Ga 0 Time at 6" rn Start Pre-soak Time I :D t� 1 0(� 'Time(9"41 q End Pre-soak J 1i I I : S/ 7-4ykL)1, 1'"\N PJ Rate MinJlnch L�- Site Suitability Assessment: to Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:ISEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# i Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsiste vel)- to �!•_ 3gt' �J l_S 1O'`(I� S/� o LrL�Cc fit. p- tt:pav t'L,.. t-A tG\?:, 4 n iq errs, 3 0- 2 " U SA Z•�`� &A ° ` •/ I�o DEEP OBSERVATION HOLE LOG Hole# `Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. n O iL�J1 A-S tetzA•%,e S/^ 3 1 oy lZ 's TA ID \A. emov Mr.-1, l_oO,7 L -ll���p , Satvy- Z �`� 40A Id < si •��ItG�— O �L�A d�tL " t,U w r^ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. rr,\v r AO L eo Iv`<t, (� Irk o x LDOS�✓ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Cher W Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. S `I `t t1�C.. I.. S L D051�Gr 10 —a9d j L S i, l..OD 5 r3✓ 4e- -G b° (✓ tjA, 57>N. % •�'� b l`� 0 L /• A�JR'.rV • o �, �.... <i1.i tat Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No= Yes Within 100 year flood boundary No_ Yes z Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certifyn 3/As (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expe 'se aand experience described in 310 CNM 15.017. Signature Date Q:\.SEpnMERCFORM.DOC TOWN OF BARNSTABLE LOCATION 7�� SEWAGE#tQ��S VILLAGE ASSESSOR'S MAP&PARCJJEL// — 2 INSTALLER'S NAME&PHONE NO.,a4l,,ly; 5?4.-c�hd✓ SEPTIC TANK CAPACITY line ew /l-o%d- LEACHING FACILITY.(type).3ad (size) NO.OF BEDROOMS / OWNER / PERMIT DATE: 3-Y-o$ COMPLIANCE DATE: ( 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �f 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 71 -io fi y®, �- No. 30 —02 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for 3 9po!5aY *p 5tem Con!5truction Vernon Application for a Permit to Construct V Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. ;r�eV CA ✓/E4p; AYE Owner's Name,Address,and Tel.No. d ST�v/rLG Z cqe� Assessor's Map/parcel PO aOX y!o Ins ler's Name,Address,anjLTel.No. Designer's Name,Address and Tel.No.'�� s20 '/EASCat.�s �t3�3 I T .E'd /'lJ�b-2tS TdlL�/1Lt Type of Building: �� 9 Dwelling No.of Bedrooms / ALE- Lot Size 41V z30 sq.ft. Garbage Grinder ( ) �Srss, ,T� g�!� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) //© gpd Design flow provided ZZ-.S— gpd Plan Date 'pth,5�08 Number of sheets / Revision Date Title Size of Septic Tank /,S pO 0! Type of S.A.S. e,5 Description of Soil s-f-g W.its CGS e--& /'64-4' Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in 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 rd o h. Date l ZZ Application Approved b Date Application Disapproved by: Date for the following reasons Permit No. C: PJ© �C��.� Date Issued F No. ";r. ;, ee O THE COMMONWEALTH OF MASSACHUSETTS 'Entered�in computer: Yes PUBLIC HEALTH-DIVISION-TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplication for Migpo!gaf *p5tem Cougtruction permit Application for a Permit to Construct(X Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. ZV.1 JIF-A ✓,mow A✓5' Owner's Name,Address,and Tel.No. d iS7 /C_C� lZXg4"5' t Assessor's Map/Parcel /IS/ PO Acr / — Z Sacs rAe Z0,T7 1W , ^A DL/z Inst ler's Name,Address,an Tel.No. Designer's Name,Address and Tel.No. Leo t6&-r-r �kAIcC- 7� s 77/` 399 ao Aso, -aar ,T ,Ca., .�T3 ro:r L tc" aaG s�8' Type of Building: Dwelling No.of Bedrooms / Lot Size '/v Z30 sq. ft. Garbage Grinder ( ) c"YrS,T �ota�e y�r33/� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) //© gpd Design flow provided ZZ 5— gpd Plank Date Number of sheets / Revision Date ,..w Title T- PeA rV rr Size of Septic,Tank /J 00 9g'& Type of S.A.S. y Description of Soil t s`N c ley',c ao,e/$f # f /ZDG t5— /- DOGS orV f'r 4 4-, , d S t w a Nature of Repairs or Alterations(Answer when applicable) q Y f Date last inspected: _ r f 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 o'kd of. eaI 6 S' Date l ZZ l Application �p— Approved b Date Z y 6 Application Disapproved by: Date for the following reasons Permit No. © --C) Date Issued y G -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the //fi�n-site Sewage Disposal System Constructed ( J() Repaired ( ) Upgraded ( ) Abandoned( )byIr at ;yz/ SER d��Gr/ 4 d� , ds Tom //e-C G has been constructed in accordance > with the provisions of Title 5 and the for Disposal System Construction Permit No. ��� dated Installer Designer ✓J-, mot, WiGs©,tl ,4s o(7. /A.l 0, #bedrooms / Approved design flow/1 Z Z S-' gpd The issuance of this rmit shall not be construed as a guarantee that the system 11 fu ctio I as designed! Date 3 I O I I� Inspector - _ ————— n——¢——————————————————————————————————— No. Vo v —O?I Fee THE COMMONWEAL_TH;OYMASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS ' i5poot *p!gtemt Cow6truction Permit Permission is hereby granted to Construct ( .K) Repair( ) . Upgrade ( ) Abandon ( ) System located at 3 os i cam*✓/«e" 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: Construct io must be completed within three years of the ate of this it Date 7 /� b Approv'ed by O �F ` fL z 4 w Q � 0 �---� PROPOSED 1ST F N' FLOOR PLAN LLI W Q � , N w > OLL t� W r (3CLE O n c � L z Q 11J P Q OPEN TO BELOW a BEDROOMI � ? - MdSTER_SUITE _ ry 4 BATH 277 04TN BATH2,10 Q w . (BEDROOM-s xISTIN67 N Q • p BEDROOM 3 MASTER BATH ` OPEN TO BELOW w' W w } J z PROPOSED SECOND FLOOR Q > Q N w Q Q 4 'S Town Of.Barnstable oFtMET Regulatory Services Thomas F. Geiler,Director BARNSTABMPublic Health.Division' MASS. �pT ib39. a``� Thomas McKean, Director FD MA't 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 4/9L1 0' Sewage Permit#'2008-079 Assessor's Map/Parcel 114/012-002 Installer& Designer Certification Form Robert A. Drake, PE Designer: A. M. Wilson Associates, Inc. Installer: Bortolotti Construction Address: 20 Rascally Rabbit Road ' Address: 45 Industry Road Marstons Mill s, MA 02648 Marstons Mills, MA 02648 On was issued a permit to install a (date) (installer) septic system at 744 Seaview Ave.., osterville based on a design drawn by (address) A., M. Wilson Associates, Inc. dated 2/15/08 - s (designer) /� I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation.of the distribution box and/or septic tank. Stripout Jif required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local i dons. Plan revision or certified as-built by designer.to follow. Stripout(if requ' \ . �s. ected and the soils were found satisfactory. LPL s9 2� ROBERT A. DRAKE CIVIL (Installer's Signature) 9 No.a1saz�o • 9F • . STE ���% �S5lONAt � (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARDARE'RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. . , q:\office formsWesignercertification form.doc �= Town of Barnstable �p VE Tp� ti Regulatory Services a� g Y Thomas F. Geller Director BAANStABLE MASS- g Public Health Division i60. �0 prEo ,�s Thomas McKean;Director 200 Main Street,Hyannis,MA 02601 Office 508=862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: p Sewage Permit# Z006`i�17? Assessor's Map\P.arc.el Designer4 /A$efl /�, Installer: Address ��1� � 1� 6 Address: is OnQf'` `OU-ll�f was issued a permit to install a (date) (installer) septic system at � w� � 4),5/� based on a design drawn by . / (address) dated. (designer) I certify that the septic system referenced above was.installed substantially:according"to the:design,.which mayf include minor approved changes such as lateral relocation of the distribution box and/or'septic tank. Stripout (if required) was inspected and the soils were found satisfactory: I c;erti that the se tic system referenced above was installed with major changes i.e. fY p Y J " . g (� greater,than 10' lateral(relocation of the SAS or. any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations, 'Plan revision.or certified as-built by designer to.follow. Stripout (if required) was inspected and the soils were found satisfactory T I _� er's Signature) (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO •BARNSTABLE PUBLIC HEALTH DIVISION._L CERTIFICATE OF COMPLIANCEi WILL.rNOT BE ISSUED UNTIL BOTH THIS..FORM :AND AS- BUILT CARD ARE RECEIVED BY THE'BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:lseptic\Designer,Certification Form Rev 03-09-06.doc k` ` �OMM.ON-VlIEALTH OF--UkSSACHUSETTS / EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS. EPAR'I`IYIET�TT OF` ENVIitONMENTAL"! ROTE_TIOIV TITLE 5 , OFFICLA,L INSPECTION FORIA/1—NOT TOR VOLUNTARY ASSESSMENTS SUB SURFACE SEWAGE DISPOSAL SYSTEM FORM PART A , CE RTIFICATION L13 Property Address: A+Owner's Name: � ,* ,�� .. -• - Owner's Address J A Ad 11dT` on Date'of Inspection: f / :C)00--/ -I . Name of Inspec _ (piease- rinii ,1���`�? l2" ® O �— Company Name Mailing Address:,v e Telephone Number: . CERTIFICATIONSTA'I'EMEN T i certify-that l have personally inspected the sewage disposal system at this address and:that the'informat�r reported below is true,accurate and.conplete as of the time of the inspection.The inspection was pert_j--ed oase�d'on mjl' . training and e�perience.in the proper function and maintenance of on:site sewage disposal systems.I am-aDEP -approved system inspector pursuant to Section 15.340 of Title 5(3IO QMR15:000): :The system: , �3 ✓ Passes �' r Conditionally Passes Needs Further Evaluation by the.Local Approving Aun ority ai Inspector's Sig�atL e.; Date:.0� The system inspector shall sub: a copy of this inspection report to the Approving Authority(Board of Health or. DEP)witrin 30 days of completing this.inspection.Ifthe system is-a shared system or has a design flow of 101000 gpd or g eater,the inspector and the systen owner shall submit the.report to the appropriate regional office-of the DEP.The original shouid'be sent to the system owner and-cop ies;sent to the buyer, if applicable, and the approving authority. Notes and-Comments ****This report only.describes conditions at the time of•inspection.'and under.the conditions�of use at that time.,This inspection does not nddress'how the system will perform in the future under the same or different conditions of use. Title:5 Inspection Fore 6%15%2000 page 1 - Page 2 of 11 . OFFICIAL INS.PECTION:FORM-NOT FOR VOLUNTARY ASSESSMENTS' . SUBSURFACE SEWAGE'DISPOSAL SYSTEM INSPECTION FORM PART A_ CERTIFICATION (continued) Property Ad ress: R.; Own.er:. Date of Inspection: 7ej - ( 7 irspection�Summary: Check, A,B',C,D orE/ALWAYS complete.all of Section D A. System Passes: I have not found any information which.indicates that any ofthe failure criteria described in 310:CMR 15.303 or in 310 CNiR 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. r Answer yes,no or not determined (Y,N;ND)in the for the following statements, If"not determined"please explain. The septic;tank is metal and'over 2.0 years,old or the septic tank(whether metal or not):is structurally unsound, exhibits substantial infrlttation or exfiItratiori or.iank failure is imminent:Systern will pass inspection,if the existing tank is replaced with-a.complying septic'taril:as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20.years old is available. . ND explain: . Observation of sewage.backup-or break out or high static- water level in,the distribution box due to broken or obstruciedpipe('s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board.of Health): broken pipe(s)are,replaced obstruction is-removed distribution.,box is leveled or replaced , ND explain: The system required pumping more than.4 times a year due to broken or obstructed pipe(s).Tne system will pass inspection if(with.approval.of the.Board of.Health): broken pipe(s),are replaced obstruction is:.removed . ND explain: Page_ of 11; OFFICIAL INSPECTION FORS -.NOT FOR VOLUNTARY ASSESSMENTS SUBSIJR�'ACE SE-WAGE.DISPOSAL SYSTEMINSPECTION'FORM PART:A CERTIFI CATI Oi�i•(continues) Property Address: -Owner: Date oflnspectiff % 7 C. Further.Evaluation is Required by the Board:of Health: Conditions exist which require further evaluation by the.Board,ofHealth.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 31b CMR 15.303(1)(b) that the system is not`fuhctionirg:in a manner 3vhich will pro tect:pubI c health;safety and th''e-e ironment; Cesspool or privy is within 5.0 feet of a'surface.water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt°rr arSh. 2_ System will faff unless the Board of_Health Viand Public,Water.Supplier, if any).determines that the system is'functioning in a manner that.protects the public-health �safetv,and environment: The system has a septic tank and soil,absorption system (SAS)and-the SAS!is-within 100 feet of a, surface water'sunply.ortributary to a surice water:supply: The system has a septic tank and SAS and the SAS is within a Zone,]--of a:public water supply. ` The system has a septic,tank.and SAS and the.SAS fs.within'50 fe t of a privatewater supply welL _ The system.has aseptic tank and SAS and the SAS is less than 100-feet but 50 feet or more from a private water suppl_y.well".Method used to determine.distance *This system passes if the tiueil viater analysis;performed at a DEP certified laboratory;for coliform bacteria and volatile organic compounds indicates that the well is.free from pollution from that facility and the presence of a morua'nitrogen and ni_rata nitrogen is equal to'or less than'5 ppm,provided thatno other failure criteria are triggered. A copy of the analysis_must_be.attached to this.form.' 3. Other: s - I ' Page 4 of. 11 OFFICIAL INS.PECTIOIV FORM--..,NOT FOR VOLUia TARDY.ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM-INSPECTION.FORM PART A CERTIFICATION(continued) Property Add ess: Owner: Date of Inspection:. D. System Failure Criteria applicable to all systems: You must indicate "yes"or"no"to each.of the.following for all inspections: Yes N 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-l!evel:in the distribution box above..outlet.invert due to an overloaded or.clogged SAS or J cesspool _ B✓ Liquid.depth in cesspool is*less.than 6"below invert or available volume is less than %day flow . Required pumping more:'than 4-times in.the last year NOT due to clogged ero'ostructed pipe(s).Number of times pumpedy _ Any portion of the.SAS,cesspool or privy i.s.below high Around water elevation. Any:portion.of cesspool-or privy is within 100,feet of a surface.water supply or tributary.to.a.surface water.supply. _ V 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 oft-private water supply well, _ Any portion of a cesspool or-privyisAess than 1.00 feet but.greater.han.50 feet.from a private water supply well with no acceptable.-water quality analysis..[This system passes-if.the.weII water analysis, performed at..a DEP certified laboratory, for,colifor.m bacteria and:volatile organic compounds indicates that the.well.is free from pollution from that.facility and the..presence.of ammonia nitrogen and;nitra.te nitrogen is equal:to or less than 5 ppm,.provided that no other failure criteria �f are triggered..A..copy of the analysis.must,be attached to this forrh.] " (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 510 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:p.facility-with a design flow of 10,000 gpd to.1.5,000 SPd. You must indicate either":yes" or"no"to each of the followihz (The following criteria apply to large systems.in addition to the criteria above) yes no the system is within 4.00 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.3..10 CMR 1 .304.The system owner:should contact the appropriate regional office of the Department. %Page 5 of I OFFICIAL.IN:SPECTION..FORM- =NOT FOR:VOLVNTARY ASSESSMENTS SUBSURFACE'SEW-AGE DISPOSALS-YS-TEM INSPECTION FORM h PART CHECKLIST '.. Property Address Owner , Date of fn_sp`ectioP.-_1Ztj , (J Check if the followine have.been done'..You must indicate"yes"or"no"as to each of the followinz Yes. — 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 we,.k 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 hot available' 'note as N/A) (C Was the facility or dwelling inspected for si&ns.of sewage backup Was the site inspected for signs of break out? Were all system components,excluding the SAS,. located on site.? a V M.-Were the septic tank manholes uncovered; opened, and the interior of the tank inspected for the condition oft affles or tees,material of construction, dimensions, depth of liquid,.depth of sludgeland depth ofscum 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,A.bsorption•System'(SAS) on the site has been'determined'based on Yes no Existing information. For example, a plan at the Board of Health; Determined in the feel - c `� d.(if any of the failure`criteriz'related to Part C i., at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)J Page 6 of 11 OFFICIAL.INSPECTION FO.RIY% VOLUNTARY ASSESSMENTS SUBSURFACE-SEWAGE DISPOSAL SYSTEM INSPECTION FORIM PAR -C SYSTEM:INF.ORtMATI O Property Address: Owner: Date I of Inspection: / FL,O CONDITIONS RESIDENTIAL t� Number of bedrooms..(design)._/_ Number of bedrooms(actual).; DESIGN flow based on`310 C R 15.203 (for example.- 11:0 apd x of bedrooms): v Number.of current residents:. Does residence have a Garbage grinder(yes or no): . Is laundry on.a separate:sewage systemz(yor no):. .[if yes separate inspection required] Laundry system inspected(y s.or no): Seasonal use: (yes orno) Water meter.readings; if a'lable (last 2 years usage.(apd)): lj qT3,�c�D e6—&274D0 Sump.pump (yes or.no) Last date of occupancy:occupancy:&D I COMMERCIAL/INDUSTRIAL Type of.establishment:. Design flow(based on 310 CMR'I5.203): gpd' Basis ofdesian flow(seats/persons/sgft,etc.): Grease trap present(yes orno).- _ Industrial_waste holding tank present(yes or no):— Non-sanitary tivaste discharged to the.Title 5 system(yes or no): .Water meter readings, if available: Last date of occupancAse: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part ofthe.in pecfi es or no): U If yes,volume pumped: gallons--How was quantity pumped determined? Reason.for pumping: TYP OF SYSTEM ptic tank, distribution box,soil absorption,system _Sinale cesspool _Overflow cesspool , Privy - _Shared system (yes;or no)(if yes, attach previous inspection records,,if any) _Innovative/Alternative techno.l.ogy.Attach a copy of the current operation and maintenance contract(to be obtained from system'owner) _Tight tank _Attach a copyof the DEP approval _.Other(describe): p roximate age of all comp ents, dat install d(i kno ) and source of information: • Were sewage odo.rs:detected when.arriving at the site (yes or no 6 Pase 7 of l l OFFICIAL INSP ECTION FOPUM—NOT FOR'V.OLUNTARY ASSESSMENTS SUBSURFACE SEWAGE:.DISPOSA.L SYSTEM INSPECTION F:OR3YI. PART .0 SYS`I'EM.I;NiFORMATION(continued) Property A ress: Owner: l Date of Inspection J ', 7 BUILDING SEWER(Iocafe on site plan) n Depth below grade: Materials of construction:_cast iron 40 PVC- other(explain): R Distance-from private water supply well or suction Iine: Comments (on,condition'ofjoints,venting, evidence of leakage etc.): . .3�. SEPTIC TANK:Zoocate on site Ian plan) Depth below grade: C)Q Material of construction:. concrete -Inetal fiberglass . Polyethylene other(explain) — — If tank is metal Iistaae:_ .Is age:cor!fn-med by a Certificate of Compliance(yes or"no) (attach..a copy of certificate) K - Dimensions: Zo .5 k eo�.)c Sludge depth: —� Distance from top of sludge to bottom of outlet tee or.baffle:: 3,6 Scum thickness: Distance from top of scum to for:of outlet tee or baffle: 'Distance from bottom of scup to:bottom of outlet tee.or baffle:'. l�/ -a� hZ g How weredimensions deterriired: k4Q1 Comments (on pumping recorrimer dations(inlet and outlet tee or baffle condition, structural integrity, liquid levels re ated to outlet invert, evidence of leakage,etc,): GREASE TRAP/!(locate on site plan) Depth below graae: Material of construction:_concrete.` metal fiber-Pass Polyethylene_other (explain): Dimensions: Scum thickness: e .. Distance from top of scurf,_to top of outlet tee or baffle: . Distance from bottom of scum to bottom•of outlet tee of baffle: Date of last pumping: Comments (on pumping recomrnendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,-evidence,of leakage,:etc.):. Page 8 of 1.1 .'OFFICIAL INSPECTION FORM-N0T:TOR:.V0LUN-TARP-ASSESSMENTS SUBSURFACE-SEWACE DISPOSAL SYSTEM INSPECTION YORNI PART C. SYSTEM It lFORNIATION(continued) Property Add ess: Owner-r o Date of Inspection: TIGHT or HOLDING TANK-f (tank must be pumped at time of inspection)(locat.0 on.site plan)- Depth,below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain);. Dimensions:' Czpacity: gallons Design Flow: gallons/day. Alarn present.(yes or no):. Alarm level: Alarm in working order(yes'or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site.plan) Depth of liquid level above outlet invert:/ ? 'JZ,�1j Comments(note if box is.level and distribution-to outlets r1quaI;.any evidence of solids carryover, any evidence of ale into or out of box,.rte. : PUMP CHAMBER::�U(locate on site plan): ° Pumps in working.order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): . a f Page 9 of 1 1 OFFICIAL IINSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE-SEV-AGE:DISPOSA.L SYSTEM INSPECTION FOR11r1 PART C SYSTEM 1INFO'RMATIO>,V'(continued) Property A ress: &/ Owner: Date of Inspection: SOIL ABSORP,TIONI SYSTEM (SAS):, ' (locate on site plan, excavation not required) If SAwhy:' :.. �, � • Snot located explain why: r N A eType aching pits,number:. -leaching chambers,number: deachina-galleries,-number: leaching trenches, number, length: Ieaching flelds,:number, dimensions: overflow cesspool;number: .innovative/alternafi.ve system. Type/name of technology: Comments (note condition of soil,signs`hydraulic failure, level of ponding, damp soil,`condition of vegetation; et44-IL - r CESSPOOLS (cesspool must be pumped as part of inspectio�cate on"polan) Number and configuration: Depth'—top of liquid to inlet invert: z Depth of solids layer: Depth of scum Iayer: Dimensions of Cesspool: g Materials of construction Indication of groundwater inflow(yes or no): . Continents (note condition:ofsoil;.sians of hydraulic failure,.level of,ponding, condition of.,vegetation,,etc.')' Y . PRIVY'}J-o (locate or_site plan) Materials of construction: Dimensions: Depth of solids: - f Comments (note condition of soil_,.signs ofhydraulic failure; level of ponding, condition of vegetation, etc,): s 9 Page 10 of 11 OFFICIALIINSPECTIO.N FOR1Y1=. i T FORYOLUNTARY AS.SESSMENT.S . SUBSURFACE SYWAGE DISPOSAL SYSTEM-INSPECTION FORiY1. PART,C' SYSTEM INFORMATION(continued). Property Add ess: Owner: �. c� Date of Inspection.:. / J-00 / SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the;sewage disposal system including ties to at Ieast two permanent reference landmarks or benchmarks.Locate all:wells within 1'00 feet:Locatz.where public water supply enters the building. 8 I.1.01n IV46 . 5 �n Page,11 of 1 1 OFFICIAL INSPECTION FOR214 —NOT FOR VOLUNTARY ASSESSMENTS SUBSURRACE'SEWAOF DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM-INFORMATION(continued) Property Address: Owner: — h V Date of Inspection: . � „ SITE EXAM Slope Surface water Check cellar 4' Shallow wells Estimated depth'to-ground_water feet` Please.indicate (check):all methods used'to determine the high,ground water elevation: Obtained'fron-system design plans on record-If checked, date of design plan eviewed: Observed site abutting roe /observation hole within 150 feet of SAS � P P � ) Checked with local Board of Health-explain: ` Checked with.local excavators, installers- (attach-documentation). i Accessed USGS database-e;;plain:. You must describe how you established the high groundwater elevation:. „ Z<0 LeW . Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: / (. Vy d t�'✓ � � Lot No. Owner: !C/��� ,//(�. 'j' J/. Address: Contractor: Address:__el J r� y� Y Zell- Notes: STEP I Measure depth to water table to nearest 1/'10 ft ......... ._....... .Date month/day/year STEP 2 Using Water:Level Range Zone > and Index Well Map locate site and determine: ' OA Appropriate index well.....:...... OB 'Water-level range zone ....................... .............................. STEP 3 Using monthl.yxeport"Current Water Resources Conditions -determine current depth to Z �7 ~ d7. water.aevel for index well .................. • month/year 'STEP 4. Using:Table of Water=level Adjustments for index welt°:(STEP,2A),.current depth to water.levevfor index well.(STEP 3), and water-level zone (STEP 28) determine water-level adjustment ......:...........: .................. �• _7 ......... .. ......... STEP 5 Estimate depth to high water by:subtracting the water level.adjustment(STEP 4) from measured depth to water N level at'site,(STEP ,1) ......:................... :... ....:::.. ..-.:....................................... ~ Iue13.--Reproducible r oducible computation form.m. '15 n - y 0. d `jy9JJ 1FO 0 46� '' a- Town of Barnstable ,LIME Regulatory Services STAB Thomas F. Geiler, Director BMW9� 63MASS9. �•� Public Health Division ArFD��p Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts,Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report;this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. S l TOW OF BARNSTA$.LE LOC T10 MJ I V6 SEWAGE # VILLAGE 0,5�yryllle ASSESSOR'S--: MAP & LOT ; INSTALLER'S NAME & PHONE NO. ��� 41�1/i/f q2- SEPTIC TANK CAPACITY �� yam/ LEACHING FACILITY:(type) >C8 �l j�/r50�S (size) - >z NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER ~: II BUILDER OR OWNER . F. DATE PERMIT ISSUED.: DATE COMPLIANCE ISSUED: 7 VARIANCE GRANTED: Yes No �� a ©: . o ���� _ , 6 .,, . . ' 4}. ^* .. .�; � ` r �: / '. .,� ' - r e �sS .♦ �i"f: r �i�. - .� �' No.. ...__ Fs �.�a THE COMMONWEALTH OF MASSACHUSETTS �.' BOAR® OF HEALTH TOWN OF BARNSTABLE Apphratiuii for Dilipui�il �i urk,5 Toastrurtitun rrutit Application is hereby made for a Permit to.Coristruct ( X) or Repair ( ) an Individual Sewage Disposal System at: 741 Seo_vlt,� a.uz U� O�6 #2 Garrison LaneI . _.Map.-114, Parcel.:12 Location-Address or Lot No. David---Temple.............................................................. ... 489---Fore_st__0ak...Court----•----•----------•--•-•-••••.............. Opener Address a � � .. Ci nci nnati 4511.4 -• Installer Address Q Type of Building Size Lot 5-5.,7 5 7+ ....Sq. feet Dwelling—No. of Bedrooms.........4_______ _________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons....................._._... Showers ( ) — Cafeteria ( ) a Other fixtures ............................... . . W Design Flow......U ------------------------------gallons per �0 �QVr day- Total daily flow.......440-----------------------------gallons. WSeptic Tank—Liquid 5apacity..150Q-gallons Length--.__.J.-0..___ Width__..5.......... Diameter................ Depth_._.4_........ x Disposal y'gjq-- No. ..���l���orS Widtl{l•-' &_.8'._StoribotalLength4Q'__.&_8'..Staraal leaching area..576............sq. ft.(bottom) 3 Other Seepage Pit No----box -- Iameter-------------------- Dosing tank Depth below inlet.................... Total leaching area..................sq. ft. Distri z Percolation Test Results ) Performed by----•-----------j�!_qPPY...................................................... Date---4/6193.......................... a Test Pit No. I-----z---------minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a , P-8039 •----------------------------------- •---------- •....... •------..-----------------..-----------------------------..... -.........•..... .._...•-•-:......... 0 Description of Soil...0'-3'..top soil__and subsoil;..3'-12'-.clean•mediw.sand................................................................. x W ---•-----•-------------------------------------•------..._.....----------------------•----------•-----••-•-•••--------•-....-•----•----------------••---•-•-----•-••---•-•---•---...............-•-•-- UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complian as een is ed b the board of health. Dace ApplicationApproved By .............. -------------- -------- .._.:............ ..................................................... ... ���C� Dace Application Disapproved for the following reasons: ................................... .............. .. ............................................................................ ................ ..................... ...... ................... .. . ......................... ................................... .......... ........................................ Permit No. l B........................... Issued --------- `. D Dace THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m ^�C(L'J C DATA �} -mow �:t ,:� =., •'i � '�w...._ THE'COMMONWEALTH OF MASSACHUSETTS ` �PJ BBOARD OF HEALTH TOWN OF BARNSTABLE Appliratinit for Diripwiai Wnrk,i Tomitrur#inn Verutit Application is hereby made for. a Permit to Const�"_uct ( X ) or Repair ( ) an Individual Sewage Disposal System at: 7 `/ ._.,PG #2 Garrison Lae vlGve�i �NF 114, Parcel 12 .... ... w ._ .. p. .-_.. .. .••... --•-------------••-• ---...--•---_.... Location-Address or Lot No. .......David TemPIp_________________________________________________•______.____ 3489 Forest Oak Court, - ------ -- ---------- -------------------- .................................... Owner Address W �?-ate•- P - Cincinnati ,.-OH..._45214 e Installer Address 5 757+ U Type of Building Size Lot-5.___�...____......_....Sq. feet � Dwelling— No. of Bedrooms.-----_-4---------------------__-_--_--_Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------•-----..........._..---..........--•---......---- ----------...........-- ..................................... W Design Flow....... ..............................gallons per g> n �er day. Total daily flow-------440_..___..._..___......_•.....gallons. WSeptic Tank—Liquid capacity..)- gallons Length___-__1.(i'.... Width....5..._____. Diameter................ Depth....4'........ x Disposal 'F fgi*V—NoS..a St7l... WidtH�__..& R.._stoli�otal Length401Q+�_�__..SltTatal leaching area_576.•_•--_•.__.sq. ft(bottortli) 3 Seepage Pit No..-___.-----_-.._--. iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box (X ) Dosin tank ( ) k f, Joll a Percolation Test Results Performed by___M! y....................................................... Date...4[61 ..__.........._..____.- Test Pit No. 1..........__.___minutes per inch Depth of Test Pit._.fin.............. Depth to ground water........................ f= Test Pit No�2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W P-8039 .......... ------------------------------------------------------------ -...------•....... ---.........---••---._....................................-•--•...... 0 Description of Soi�:O'-3'- tor) soilsubsoil_e_3'-12'clean.median-_sand................................................................. v .........---•------•-••-�--•------- --------- ------ ----------- ------ ------ - -----------------••. --•-_.... -----•-- •----•-- ................................... W UNature of Repairs or Alterations—Answer when applicable................................................................................................ •----------------------•----...----••----...----•--•-----....----....-_--------------...........-----------------------------....---------------.....---------------------------------•--....-•-......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place•the system in operation until a Certificate of Compliance''as been iss- ed bbyytthe board of health. G/% �� // . Dace -� Application Approved By .. :_;....,.� 1` .-=Z 'L'2.... ... ''. _ ! Llare Application Disapproved for the following reasons: .................................... ............................................... . .. .................................... ....................................................................... ................................... . . ....... .-- ..... ............---......... . -- ........................--------------- "I., �,� �j e Permit No. .............. Q. � Issued . ' 2 � Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate of (gomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (/f� or Repaired by............................V?a__cA_1 ,1df: ................................................................................................................................................................................. ,. Installer at ..?...5orrison Lane. t4aD 114,Parcel- ------------------------------- -------------------------------------------------------------------------------------------------------- has ............ J?.............. has been installed in accordance with the provisions of TITI.E_5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------.........I.......1­11,....... ........­........................ Inspector ............. --- -- - ---------------- ——————————————————---—————————————————————————————————————--— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.............. Bis;iosal Workii Tonotrurtiatt "permit Permissionis hereby granted.............................................................................................................................................. to Construct Q ) or Repair- an Individual Sewage Disposal System at No...2.�G rrI.son..Lane....�lap-.I.14.�..Parcel---12........................................I................................................................................ ...... ........ ...... ..... ........... Street F as shown on the application for Disposal Works Construction Permit Ng" �<<ated--- . . ............................................................................... DATE------------- ------------------------------------ V Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS (�d12f vA � 7,j it „ b .. ..NN..I..HNt.N�.t................ ...N...INN.. .IHNNN....H .............N ... .......I.N N.NN.�........N. 1 ' NH1 1l.\N.H.1N ...IY..�11.HIlIH.11HHN..�NN11/IN.IIl N.I1.INN.111 N1INHNNNNNH.INIH.\ ..........N.1N I.l../.,N.. NhNNNN H.IN Gq P1w Ol•a, ' ."F' Ye.nh/rhaw 00 Jr .. .raw tw iiis� lreoaoo►+9 � ICI �01 n\N.NNNHfNnq. H.IN INNN/NNN • .N11.I .NN\U. N. ,......../11. NN ..N.I.H.....f..M NN�IH1H I111.INN.NNIH HIl!/IN UNI.N.11. •. N.. I.lIN.11 .../ . • . � 1B Gglns iR j /t./'Nil'..iNHs.t.M.H N/IpNI1N ra S PROPOSED 18T FLOOR PLAN WN o MA 144 sea view Ave, Prop o l M=& Daniel wid Su"n mac" Renov+atiora and Addition 0wnars ��5c31* I CERTIFY THAT THE FLOOR AREA OF AT71C IS LESS. THAN 2810 OF THE TOTAL FLOOR : REA OF THE SECOND FLOOR AND DOES NOT OJALIFY AS A THIRD STORY. y �� ,e ua rj 1 _ DAM Apm* 2M �R av r• sr• w rv� +r ram• .i "Fir w .r^.w aw ow sw 61"Wa n+d ARM o"tire ,�+�/ irss - a:aaen Hasa;sa:a¢:u:;ess;:aa arnsaass:aausassaas;ae r , GATW s1.q�dpt To AMC . � tyr - r..+ � i'>� � �1xrp Rano•Aaioe rpalal rz Jr am ro AMLOW 1 I" Wrt a 'Ate• �wYNt � ' qA i4 Gross floor Dale 200% eq, tt. E AR SECOND FLOOR N MA ' 144 Seat View Ave. Proposod Bruce Da mfel wxs 3u"n pac*y Py Or'MA`S P CERTIFY THAT THE FLOOR AREA OF --PE A"TIC IS LESS T�!rN 26"" OF THE Renovations and r4C�C" (tioM OW�lem TOTAL FLOOR AREA OF TPE SECOND FLOOR AND DOES NOT QUALIFY AS A T1+1. STORY. y� i , oArs, r� aen f AMU OWAa cnCh a»►w - *p1NlAltll Attic Floor Pla ED A�Cy . IN.F c I v 144 Seas View Ave. Propo seem Dsni®i and $uaam paceg MA �� Renovations and Addition owrISM I CERTIFY 'HAT THE FLOOR AREA OF THE ATTIC IS LESS THAN 28k 'OF T=1E OF� �`�' TOTAL FLOOR AREA OF THE SECOND FLOOR AND DOES NOT QUALIFY AS A THIRD STGR*'. OATS 1 6 a.r 1,/r aN.TIWEMEp 8f[G a00-T➢. NOIE9: JOIM BIDCN 1: - 1, ualteroa uWi vener a t/r.,a/e•NA - maauE wtnr raEJET 12, —0' P I °a 1 + + i in011 V+gm�M00Iga ro 1�/'"C OPt➢° 3+/r 1M MY .2 � � •, eTAa IM TO "m wv OY481lH �gp�p12. 0 0e x e._e. � �y�� I°'� r�oor�Ma,E 011 0 3a ----PLAN a Z x a fn' AT fNo a snug i ,1/Y Tm. I,o saaw N e•ro'ou maaAr / -0?m�AND ... _ Itmusos Tw aEln `�`� �• ,� eruN"A» �: �,o,1/a•Yul.cYem. ,�.at I�a• E�"CNM�FIf lao� :y � •� _f,/a•.TNKuo aro Aml e,w-e]Auor. roa enxotc °amulaB Tao 00t3Y 'moo a'a IMT.Naz Nur s,-,,//x•• NM a eEE DETNE r T %B[TA101M MST aASI�� 1/"e/O W.13 CA e TYPICAL TREAD PLAN 11Ilef 1 RAIL DETAIL TYP 0 5'-5" & 6'-0" STAIR N•Ts, D RAIL & SPINDLE CONNECTION 10 H N ^ - e a-a a-0 , �`�a( SEL DETAa of LTIY ID9 J/NaEl. • gtNe-aR,tlMA,A�iB 0 ,'I NOIe yy rsr.OFAD aF1aR xJ0 l89 aee Ia99 I SCaEaL ��1 '1 a im - ' x 1/a••1 a/°'m a ur..1 3/e b �q a EST.lAE tJ7b LMa tBa MaD te9 3�\1A`p I Ww e-rla.�a'etQ,a�, GIY OT tm INOLIA)IINIp11ML - ' ""'T�\OKOSa sEC110N SECTION B-B TYPE sw TYPE0R 1 MT G// 0 eCKEW(ryP) `� _ �' Ytyg •'4WgNW CIEWANCe(lYP) 9 9 C - pJ,_ SPINDLE WOOD BASE COVER N.T.s. C� cwn Taue ron e-o•A a•_e• «m"oAn onaw ELEVATION °yy, N�aeN osAY f/2•�+,_0• 1\cP / e,eear;o a.s'ro ENwrts e- NOonooY Mn 7I+N',,ov eAse PUTE wz swpoNr Wn� 1,/�e x Vr WaN 810/vY v,oN A'eiq/a'."e.e�"Tli es ro ENJDIR ITrP 1.1 . e•-r or IrawnooY TYPE D aBDLa i-i"i`ti.e n� • _ . LANDING PLAN N.Ts• 2 HANDRAIL DETAIL + =+'-o Eul°oJwnuer°Rlaam a). — rAY2 m 1YNDIYJt ;s"�NmKc+e,�/�. ,e - .. ,1 Y ,i/i',IIItEAaD 6rzEt ROD-lYP EN31 BTNw' � ° maE 0.0D INIFPYEgArz iR'F/D se IIN. nPaate D aNER I •-e/fev N rodur ww moea Q I A000fmno �J n ro sTAn TnTAD atvvatlen eLOCN 0 NtTrG aJPMRI yr n My�e COLUMN BASE ON CONCRETE N.T. A��aN a, J dd II{I + IP 14 11 Rilly02 -a OF I III I 1061uPONf. - agR°lo'wa,E°a bf,,/a•.I Ile atl ti - TA9 ANr)L� eTnMx° AT uc11 nrsEn �� w1P ro laW NLLY war aum ase roroW� ° aEum,wrrx waoo �__ �-�a-a/a w mme'a WTulvi oI1AaE - ' r3eMGiLD W WN4RA:TUNEn5 1W rpP a'-°••Y-0'S]NRW» W19 ice- �YM.0/am. pry ppgl I G - sIIOP I I a,/a')l f/r (Trl•. +I IP. __ _______ . slar P.'AT war END m— ° - i�sQ Wr�Tli�ropr e�PAr�m�PENrniAnNo wx. b L, �� � ae....//1♦+6ene1»PER [Ol4YLY ewem POBRGneo Y)1. 9EE aEIML 3-e10.e 1 SCRM na W-C•OM MI4 LL77 6D)0'WIq TM nRN i0a a-a'oM Sgal. I 3-HO v J'IA 9CRCN9 F011 a•-a'OY afNe I -,. I �Wp1�U AWOLT®di -L OWO�—FM 1- a11B 0RA0[ HANDRAIL CROSS SECTION DETAIL N.Ts C TYPICAL TREAD SECTION N.T.S. A TYPICAL SPINDLE & TREAD CONNECTION N.rs• F COLUMN BASE ON CONCRETE N.T.S. I( amumaLAMES ,'to ,. wN,nActan eNru vo+¢r Au ooNanaNs ua asuanNs AT TNe+oe erri � - aN01 stun q swvmwm a AN °teliyre t T'u"env wlm - . z say ennlND vuuel I,aoD tea PEP so,rt.an tcrtssi R� ,rood cotuwa �"sunl�"rtma ro� 3e� ¢°°hT/a u I I �, u Oi&oN� ra ePEOFlC COLUMN �IlL Pe0iT8(,GYP) J. lANGaiE fai HEM i001ai9 91MLL IX 9TSNwa Yq,?0 dY SMk]Ia1N.x2W P51. S I I lND fOn elnll AigaLr. PImMDE wN. 1 � _ ABwO-0O NOSrW Be�WIR 6Y�WQ. A 8laMiUltK Ats PN1F4 SNul W W9nY m A9.T.N.A-Je aPECMG1gN. �a' 1' ,� 4 ALL BaLTg SIgLL CONipW ro AS.T.w A-JO]. ie ' °""` IN AN FN3—roas"s""m""°"s° "'A"o"°`� TYPICAL LANDING SECTION'MIN DONt EtEL1a0aFS APPPMEa SNCP. aooD BtDCN 1--..1 uuWW (Of51vBYBmom A1Hf ]. ALL i•81a..ATNH ro Bf DONE IN iNE sNro 01 A tcEirseD IADMGAIOe M n1E C11Y SL1�ld ' aI l03 MN6p. a eNwasuecallonNroraawasomaNaPNEuaasErnoNface o"qA I . "p" " TYPICAL LANDING SECTION Na.s. G COLUMN BASE ON WOOD JOIST N•T.s. L a. F Pa000E Ywwn xe•uY M. rmE aMMNo MtEA vnmt aorta M.a swroM eoEuwl ro a•-s Sx,/r a 1/s,, ,i is a, W ID 1 D' x t 1, r )e/ f• a/e• a]•fw. I.vw.la nwsxEa n.aon . mfd OC Nw0NT IL6®1W"/E"'6 inFM _ •+mDuaer,wNlw e-e•NEM e'-°• x• a 1H 1 fry t, nImfiv X WVI"•19 1/e 3 1 1/91 x•I r r 1,/2-1 Jo•N. ,q SPDUL BTAawA»WY�a6MUEq CNIY M OPOIPR OMSwN J OCq�Na a• 0 a - N RwArz srAwW»wnfat wavmuri uNns a Onn1P 0.aM31oN,oozrAlv.�. - —_ —. RbG TDCDiTeY Aca. TyjfT - Such BIMRaA»YPr ae usEn roN aEauam IXm rxEn ra ANu serrvEa a,nano "I R(pp•P�136[f)DF'�]t/.WIIBI�!-�h1� wood on ' ro•ao saunE iFET. ,,. woo sruu ee Nmrtlanx un oAN-3ElECr 41mKrunAL TM LaadIq Mmuf=II—W SP.1 Stab ION eoao fx. AOIR9•E m eE tam uwa ItE reuaa Auwux N-w]YArtwAefulgv er - rraeowsl ANo Yms ra PeNronst•Nc[scwoum As sET rpTnr n Asn o-aaa NM.P.... onYr aa.•o•m/w'•1•Nov" ,z TI®mAWrm r Nm efoa ra AsnuL oaEYTATON ANo AOTi1pN oP ra srua rm:� 98074 ___ � � IlEouaEp 56042 n''eto w°M�lmrtlmo�sane srAws w+u la Darweo ro PnOPOgv wmN AND M Aenw �„�'simi� 56042 PtAs1Ot edtw an raw TI•M +•. eTNl�antADDenaasEa«er,aAY�,DEow�,aonaa�aaE,�J,wEe�tP, '"'""""'—"" 53 LANDING TO FINSIHED FLOOR CONNECTION N•T•s. M rlroN 1HE neouwww,e aE xoox ta,aa.sccnoN,am., . „ ulaArz ro aom tAee At aA+ rAe ,-i PRJSCT - s PrtaEm xo.300I2f � m to ularz ro,an uec Ta w rAE to-l-ae OAK STAIRWAYS S'-a"s o•-D•DIAI)ETEa uun a BOCK ENGINEERING,INC e rtAN axEa COenit10N9 INfL)PoM1La alu rtaA PAa a-41-ar Q]S�y @�pKp®� .o.•o..1.• ...:... NOTED nta Nq SB043r/1 veer va m• i1m.4 a urdrz m tnN lac tr aN w ,o-)-ee �ii�riLV a7eb8 SSRIS RAL EIECTMU-u[OsuNl• ea awD.n3oea rox raxvlatla t¢velaNs xN ao rAe a-,e-ae _ O°"rntE STAIRWAY PLAN et ELEVATIONS.DETAILS LOS ANGELES LICENSED FABRICATOR N 1 1 BO nEv Dssomnox own Erro clam drz IIEV RSCaP,NN a» FNo eqa q,,TE It GENERAL NOTES LOS ANGELES CITY STANDARD PLAN NO. T 23 -ae•A•eeo :]m x t oc oraama " t t t NOTES: , 24" DIA. CAST IR N COVER B 1. CONCRETE - 5000 PSI MIN. (� Revisions AND FRAME �TYP) l A_ �� A STRENGTH A 28 SAYS P# 12065 GRD• EL 13.50 TEST BY: STEVE DOYLE 11'-0" "` ` \ N 2. STEEL REINFORCEMENT - L� TEST PIT #1 GW. EL. N A WITNESSED By: DONNA MIORANDI I- 10'-0" I I cove"R' s" ~ ASTM A-615, GRADE 60 (U M 1 7 12 7 0 T MO TLING EL. CERTIFIED BY- DATE: CE EDB . A. .- 3. COVER T 1„ : :•:3• of AIR •' cEnP. - OVE 0 STEEL MIN. TOP OF SILL=48.2 ' 24" DIA. MANHOLE COVER ` ELEV. SURFACE SOIL SOIL SOIL SOIL 6" FLOW-TOP OF TE e ,,o Qa ZABEL FILTER B-•r-1 INLET & OUTLET COVERS TO BE BROUGHT TO 13.50 DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER 19 FINISH GRADE 2% MINIMUM FINISHED GRADE Q a 00) WI (A1 , THIN 6" OF FINISH GRADE �� .. I , OUTLET TEE W/EXTE SIGN I L=18' OVER LEACHING AREA 7 Drive Asphalt & _ _ _ - U' t° °' INLET 4•-1^ n 1c PLAN W 4" PVC SCH. 40 0"-5" Fill Peastone 'd TEE LIQUID DEPTH (TYP.) _ = FIRST TWO FEET TO 3' MAX. 13.Q8 6" MIN. 3 4" TO 1-1 2"STONE L-24 S .015 :_::•:::- ' / / 5 DIA. KNOCKOUT 5" DIA. KNOCKOUT I BE LAID LEVEL L=21 lS� Friable :•:•: ::;r: ::;::;; ; >:::::;:.:_:::;:•; (TYP) TYP 11.25 5"-38" B L. SAND 10YR 5/8 No / 1500 GAL. 10.64 10.47 11.18 WEST BAY 10 33 < 5% Gravel PRECAST CONCRETE SEPTIC TANK BOTTOM ON LEVEL STABLE BASE o:' 2"---I I-•- �3" 11.5 � o ' "" SAND 5 6 Loose REINFORCED WITH STEEL �� �� w - Q �- SEPTIC TANK 11.00 'A 38 -126 C MED. S N 2. Y /4 No 01 < 5% Gravel CROSS�SECTION VIEW / LEACHING \ $.35 3.00 PLAN VIEW - (� 10.35 :� BOTTOM 3) INLET AND OUTLET TEES TO BE CAST IRON -I- 1' 2" n� FOUNDATION Z WATER OBSERVED ® PERC RATE: NOTES OR SCHEDULE 40 PVC. $" _ TO BE INSTALLED ON A 5' MIN. CLEARENCE "" TOP PERC HOLE 1) SEPTIC TANK TO WITHSTAND H-20 LOADING TEES TO BE CENTERED UNDER MANHOLE COVERS. 6" LEVEL & STABLE BASE. NONE ® 60" <2 MIN./INCH 2) ALL PIPE CONNECTIONS AND CONCRETE CON- 411-d r„ TEST PIT #1: k A STRUCTION TO BE WATERTIGHT, NO. OF GALLONS: 1,500 NO GW OBSERVED AT EL. 3.00 11E .: SECTION AAA SECTION B-B NO GW ADJUSTMENT REQUIRED TEST PIT #3 GRD. EL. 13.50 TEST BY: STEVE DOYLE PROPOSED 1.500 GALLON SEPTIC TANK DETAIL DISTRIBUTION BOX DETAIL EXISTING SYSTEM PROFILE " _ �-� ���°1 LOCUS GW. EL. N/A WITNESSED BY: DONNA MIORANDI NOT TO SCALE - NOT TO SCALE - NOT TO SCALE DATE: 12 17 07 MOTTLING EL. CERTIFIED BY: ELEV. SURFACE SOIL SOIL SOIL SOIL .. i 13.50 DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER , „ 11 Drive Asphalt & ' ' "...."'". ~~ 8 LOCUS MAP off 50$-540-2534 13.08 O -5 Fill Peastone o �� NOT TO SCALE Stephen J. Doyle and Associates 5 -16 Fill L. SAND 1OYR 5/8 No Loose B M : C B FM D. N� Assessors Ma 114 Parcel 012-002 12.17 1 �, P Friable E L• 10' a 4 06 CIVIL ENGINEER 16 48 B L. SAND 1OYR 5/8 No �'_ 9.50 < 5% Gravel DATUM : N G VD 4 \\ LAND SURVEYORS 48"-126" C M. SAND 2.5Y 6/4 No Loose \ DESIGN ANALYSIS 42 CantMury Lane, East FalmoWk MA 02536 3.00 < 5% Gravel BOTTOM PERC RATE: D� (�� �`� �'`, \ �� ' P DESIGN FLOW' SUBCONTRACTED FOR: WATER OBSERVED 0 (�• \ �"`\ 110 GPD x 1 BEDROOM = 110 GPD SURVEYING TOP PERC HOLE -✓ � d � NONE ae 66" N A MIN./INCH \ �(� ; EXISTING STONE >, C. I \ SEPTIC TANK REQUIREMENTS. LANDSCAPE WALL ��• D4e ' � ` (200 %) x 110 GPD = 220 GPO Project Title TO B E RELOCATED USE 1500 GALLON TANK POOL FENCE z 0 LEACHING FACILITY REQUIREMENTS: #744 f , y,z,. m LANDSCAPE NOTES: ` ,w , 116'� ` (220 GPD) / c 0.74) = 149 S.F. plT 45't r� Sea vie w 1. REPLACE LAWN, FLOWER BEDS EXISTING SEPTIC PER z `` � EXISTING N + RUGOSA ROSE WITH fr \ r _.., _,.µ., rn WHITE CLOVER IN 4"-fi" LOAM. AS-BUNT CARD �� spy � � � -5 ,�� ORNAMENTAL venue LEACHING FACILITY PROVIDED I a.. _ ..,e ..___� �A f", � � r � � \ \ ,. NTING BEDS 2. RUGOSA ROSE IN SHRUB ' O p ` k ' , ` `` 3 TYP ' 1 1 , _ \ I (8.$3 w x 21 I)+2{2 h x 21 I)+2(2 h x 8.83 w) 304 S.F. BEDS TO BE REPLACED WITH ANY OF THE FOLLOWING: OQ N' \�,. w...." u �, j 1 ( • ) (304 S.F.) x ( 0.74) = 225 GPD a. pk�s `; y k 4 \. (TO E REPLACED ) • WINTERBERRY GATE/ c � � � \ � (10 wIDE) i 03 BEARBERRY ' �,. 3 - � �' �,�' ', (0stervIllej BEACH PLUM �O� .,� �z of 4� , °� ! �:.� O Cp A- 1 D2 � SWITCH GRASS ° ,� 4. I� ., ;� O O NOTES AMERICAN BEACH GRASS SPRUCE TREE -` ''` �� o �.k:t �� Barnstable BEACH PEA �, _ FATE t ,k RED TOP GRASS �, �� 4 I 1. UNLESS OTHERWISE NOTED, ALL CONSTRUCTION HEDGEROW ,- ��� ` METHODS AND MA SHALL CONFORM T TITLE V OF THE STATE ENVIRONMENTAL CODE AND �T� �_ �, ,.� �-- TOWN OF BARNSTABLE RULES AND REGULATIONS. N� � `s : ...- '" � I ' Z I s 2. GROUT TO BE USED AT ALL POINTS WHERE PIPES ' ENTER OR LEAVE ALL CONCRETE STRUCTURES IN 'I.., \ f T w `'� _ , , ORDER TO PROVIDE A WATERTIGHT SEAL. � �` �$ `� �''D�l A I ��r ��,�, N z H JOIN IN PTI NK SHALL�- °. ALL S IPLAP JOINTS SE C TA BE t r a C� ,'. SEALED NTH NEOPRENE GASKETS OR ASPHALT Prepared For p Q z � `� CEMENT TO PROVIDE A WATERTIGHT SEAL. WITHIN AREA SHOWN, ALL UNSUITABLE MATERIAL (A & B HORIZONS) TO BE REMOVED AND REPLACED WITH SOIL �Y' w, 4. PRECAST CONCRETE SEPTIC TANK, DISTRIBUTION CONSISTING OF CLEAN GRANULAR SAND, FREE FROM ORGANIC ��J �. .y o i� `D1 BOX AND LEACHING FACILITY TO WITHSTAND H-10 BruC� Daniel MATTER AND DELETERIOUS SUBSTANCES. MIXTURES AND LAYERS ° �` ` ,' tj �, I w , y ° ` q ` LOADING UNLESS UNDER PAVEMENT, DRIVES OR f I t TRAVELLED WAYS WHEREIN H-20 LOADING SHALL SIEVE OF FANALYSISFERENT L USING AF 401SIEVEA SHALL OL BE PERFORMED T BE USED. THE FILL ^� f{ SHALL NOT CONTAIN ANY MATERIAL LARGER THAN 2 INCHES. A APPLY. a I P { ON A REPRESENTATIVE SAMPLE OF THE FILL. UP TO 45% BY WEIGHT F ? \ 5. ALL 4 PVC PIPES IN THE SYSTEM SHALL BE OF THE FILL SAMPLE MAY BE RETAINED ON THE #4 SIEVE. SCHEDULE 40. 20 Rascally Rabbit Road SIEVE ANALYSES ALSO SHALL BE PERFORMED ON THE FRACTION OF j x / 1 1 Marstons Mills, MA THE FILL SAMPLE PASSING THE #4 SIEVE, SUCH ANALYSES MUST19` ' °` . �' ' °" l ''" ry `" w 1 8 DIRTH DUS CRUSHEDED AND IN TONE SHALL FREE OF ALL 02648 DEMONSTRATE THAT THE MATERIAL MEETS EACH OF ES M t � 1 THE FOLLOWING SPECIFICATIONS: SMz F /A =3 � R` k y 7. AT ALL POINTS OF INTERSECTION OF WATER LINES EFFECTIVE % THAT MUST w�Q \ ; ^©� F , `r� .` AND SEWER LINES, BOTH PIPES SHALL BE CON- SIEVE SIZE PARTICLE SIZE PASS SIEVE J • ® `� i STRUCTED OF CLASS 150 PRESSURE PIPE AND ARE TO 4 0.30 MM 100% BE PRESSURE TESTED TO ASSURE WATERTIGHTNESS. A. Wilson ASSOCISk@3 Inc. ^50 0.30 MM 10% - 100% A � ifs 100 0.15 MM 0% - 20% # r 8. SEPTIC TANK DISTRIBUTION BOX ETC. SHALL BE 200 0.075 M M 0% - 5% 1 MANUFACTURED BY ROTONDO OR AN EQUIVALENT 508 420-9792 / FAX 420-9795 MANUFACTURER. •, ,I 1 CONTRACTED FOR 5 " " � 9. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING WETLANDS, LAND USE PLANNING ,.... .+ jyi 4 i I._. V ,.- �tr { �� AREA AND BACKFILL WITH MATERIAL AS DESCRIBED & PERMITTING ON PLAN. t 4 10.HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO Drawing Title INVERT ELEVATIONS: SAS '`�• �.." ; � ,_ W.."'� m,,. ,� � � OPERATE OVER THE LIMITS OF THE SEWAGE vis- i POSAL SYSTEMS DURING THE COURSE OF CON- .. STRUCTION OF THE SYSTEMS. 4" INVERT AT BUILDING 11.50 f 11. NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL I "° �''• SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN 4" INVERT AT EXIST. 1500 GAL. TANK (IN) 11.25 f w ��'' �� APPROVAL OF THE ENGINEER AND THE LOCAL ' CB �` BOARD OF HEALTH. 4" INVERT AT EXIST. 1500 GAL. TANK (OUT) 11.00 f PROP. 1 ,500 GALLON (H-20) f r J� - 12.iHISESVSTEM SHALL BE INSPECTED AS REQUIRED BY INVERT AT EXIST. DIST. BOX (IN) 10.64'f " PERMIT SEPTIC TANK � _. � - ". ",.... d .. 0,> �,.�.a � w . 10.47'f 13.A CERTIFICATE OF COMPLIANCE AS REQUIRED BY 4" INVERT AT EXIST. DIST. BOX (OUT) �STj ;, ` :? f LOT 266 /\ � TITLE V AND AN AS-BUILT PLAN 0) 1� OF THE SYSTEM MUST BE OBTAINED BY THE PLAN INVERTS AT EXIST. LEACHING FACILITY: RELOLCATE AND SLEEVE ,p `'° 44 230± SF �, C CONTRACTOR UPON COMPLETION OF THE ABOVE WORK. `�✓• V `" ..i,... ^� B 14.THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE 4" INVERT AT EXIST. PROP. WATER SERVICE PIPE '�Gr�• ,`~ � - 7., ,, I ^ ^� ; � ° LEACHING FACILITY 10.35 f >� ., j --- � DISPOSAL UNIT. " FN D. ELEVATION OF SURFACE 15.ALL UNDERGROUND UTILITIES SHOWN WERE COM- AT EXIST. LEACHING FACILITY 13.50'f PROP. 1 2.83� X 21 ' SAS FIELD f "; �\ c� PILED ACCORDING TO AVAILABLE RECORD PLANS �(N OF M •..,� °,,,`. /� � AND ARE APPROXIMATE ONLY. SEE CHAPTER 370, , 2-5 0 0 GAL. (H-2 0) CHAMBERS ��P °� ACTS OF 1963, M ASSACHUSETTS GENERAL LAWS. Scale:l = 20 ELEVATION AT TOP � o ROBERTA, y WE ASSUME NO RESPONSIBILITY FOR DAMAGES OF EXIST. LEACHING FACILITY 11.18f WITH 2 STONE o DRAKE co m � / INCURRED AS A RESULT OF UTILITIES OMMITTED OR No.41642 =' ' INACCURATELY SHOWN. THE APPROPRIATE PUBLIC 0 10 20 30 40 50 FEET ELEVATION AT BOTTOM 'S w� ``�•...,,,,, ENGINEERING DEPARTMENT SHALL BE CONTACTED AS OF EXIST. LEACHING FACILITY Date: Feb. 15 20n8 CB WELL AS DIG SAFE (PH. NUMBER 1-$00-322-4844) � Drawing No. f'�1 Design: A.M.W. OBSERVED GROUND WATER EL. (MOTTLES) N/A a FND. 16.EXISTING RETAINING WALL TO BE DESIGNED BY OTHERS. Check: A.M.W. 1 Drawn BY:R.Q. 1 Job. NO.: 2.1587.00 Last Rev.: of 1 Daniel Salt �1 I we �o Revisions: \ jo Marsh -� N DAW DE111 Little a "^ March 1, 1993 Relocate House, Tank, 1 Island Remove Retain Wall I Map 114 Parcel 11 ,,II, Neck Pond Changee To 1"=20' N�F 00, 1 j west bay N 30 / o Clinton R. & Eleanor j Parker March 29,1993 Add Edge Of Lown,Const. Ferguson Pond Notes,Septic Notes (L.C.Cert. C72726) $� Lot 218 L.C. Plan 2664-3 i o o, 60.55 E ` April 6,1993 Add Test Pits, Leaching 0� 0 N 11.11'� geaGr ` u Pver�e 3O5 Preo / • / \ eawew end LOCUS So cke�• References: Scale:1 =2083' Locus Mao Assessors Map 114 Parcel 12 F.E.M.A. Flood Zone A14 (EI.=12.0) N 40 BRICK 4 one RF_ 11 . � I IWO � :5 \ Min Lo?Area 3,so SF PATIO 6 :\ � � Min Lot Frontage 20 FT 7 \ • \ Min Lot Width 125 FT \ \ � \ Min. Setbacks: \ 8 \ — Front 30 FT -Side 15 FT \ \ Rear 15 FT Mean High Water 50 FT Project Title: 10 \ Elft&lons BOW 0/7 N.GV.D. \1 I I. 11 I I wio \ \ r� 12 2 Garrison � ,,I►, o o ,3 o �, Lane ` I I • \ \ 14 J = Osterville Barnstable , 0 - ?8�,. w X o Ma . 03. CAL 16 5 60. As '_ 5l l: 175I TO .1H.W / � •• ? V; \ o —Existing Fence 20' .:';:`• r0'' `�' � � "BOX 5 / 1 f / / 4 ••' TP T�-2 •'ram 8 7 3 �— — 13 12 1 ` ���\ �Z► �i I I PREPARED F�OID °4 David B. Temple 0 . . 0 oa0; . . \ a 3489 , Forest Oak Court S o. � � Cincinnati, OH 45214 The Contractor shall proceed with work in strict conformance e4' \ \ Previously ubmitte III I � \ � SEPTIC ` �_ — House Location with the following* o �� INK �— \ 9 $\ 911 Main Street \ �p Osterville, MA _ _ 02655 88a�SON o 3 1) clear and Grob Lot - / — e crotia : »oundation �o --- o \ A. M. Wilson Associates Inc. 2) 11KOavate/fill ter q / Q o o \,II, — 3) VQ%r lootingel/roundatioa 7`a@ �'� ,D •��e � \���;• 508 428 1450 FAX 420 1856 e) Install loots ystemA`6/,c �%4' �o . �c3` II, _ - \ � Drawing Title tAOOI ' 121110 9 8 7 6 5 5) iackkill formation/construct 1� O banknent/Finish grading ` C 4 \ 11 Plant IlImbenitient / \ Utility Pole � \ 'S PrODoaed Lot I, 11 • • \�� I 7) Erase Souses � & Guy tyres � �� 1.28 Totgi Acres f, 1 . 44,51� Upland S.F. D) C let• :eite lrork 1.02 Upland Acres Wetland °' 9, 1 - / — /— _ • . Permit Plan Legend �i 1� �� � Existing Contours — 8 — \ • . Proposed Contours 12 3 Siltation Fence do Haybales i • • 3 c., ," 13' & Above r-- — 8 - 13 — To Be Loomed 1 gallon max. - 3' o.c. ' _ + And Seeded ba roso ru osa, beach plum, yb�y g ° 4 P A)Y 4 I •�" pNfa or sarnn� depending an availability I Map 114 Parcel 13 rye grass-quick cover ev k �� ' I NOTES N/F Belle K. Taylor I 1. SEE SHEET 2 FUR SEPTIC DETAILS (L.C.Cert. C22870) �-o 11 8' & Below ` ` Lot 18A L.C. Plan 2664-48 P 10 planted switch grass �S 4111 .0 0, 10 �� "_ Pr��ea► 3 o.c. Match Existing Grade \�267.5 ;� Scale: 1 20 9 8 �+I•p I & Maintain Exi sting Vegetation a 7 _ �i 0 FEET 7 s Date: October 9, 1992 Dwg No: 5 Design: A.M.W./C.P.J. Typical Landscape Profile Check: - Not To Scale - Drawn: J.V.B. Job No: 2.0468.0 Sheet 1 of 1 SOIL TEST PIT DATA: MANHOLE COVER TO FINISH GRADE NO. OF OUTLETS:_ ,e Z—b NOTES: 2 ' SLOTS iSlOrls M 3^ 8" DATE DESCRIPTION INDICATES INDICATES OBSERVED /a - 12 MIN• q. 1. DISTRIBUTION BOX TO WITHSTAND H-/0 14'h r8'• 4" DIA. 2" PERC 7 COVER --- LOADING UNLESS UNDER PAVEMENT. DRIVES z GROUNDWATER -1 [] 1 OR TRAVELED WAYS WHEREBY H-20 LOADING77 TEST -003 1 r s _ - - _ - _ _ _ _ - - - -- - - - - - , •f. - 1 :• --- - . I r6HALL APPLY. a ;- �T- I of 4�INLET M I 1 2-6 o c I ' + -TEE I 2• PROVIDE INLET TEE AS SHOWN WHERE I I IFLOW TP NO. TP No. �— I - n SLOPE OF INLET PIPE EXCEEDS OAd FT/FT -! �2Y~ 3 L. �q- GRD.EL D GRD EL. y 5 ' _ _ I 1z 3„ / LNcE�j OR !N A PUMPED SYSTEM. LINE A PRECAST.STEEL �- ��{b` ;. 1 J. FIRST TWO FEET OF PIPE OUT'OF THE SECTION A-A SECTION B-8 GW.EL. �LI� �[_ GW.EL. REINFORCED ems' SEPTIC TANK — Lr i NLET O�ET PLAN VIEW DISTRIBUTION BOY TO BE LAID LEVEL 0 0 i — , 4-(r TEE 4-0 MIN TEE 5'� I. RECOMMENDED MANUFACTURER - I I LIQUID DEPTH ROTONDO OR APPROVED EQUAL �. 1 i L L I S' REMOVABLE COVER 6 c r I L L - r_CLEANOUT 3 INSPECTION LID BOTTOM ON LEVEL STABLE BASE gg• `r �— -rT 3 __ 0 qo b rd'':. 3 PROVKfE I �i 3 \-24"DiA. MANHOLE COVER �• 8 . r WATERTIGHT JON 4 4 CCEA1� ' 4 INLET 4"OUTLET (TYP) r�l � ` I ; Reterences (v�[-,�►J M PLAN VEW CROSS SECTION VEW 5 C.LE�+� 5 SP1rJD NOTES: 2" s"DL,L1. SEPTIC TANK TO WITHSTAND H-10 LOADING !. INLET AND OUTLET TEES TO BE CAST IRON, INLET ., E 6 UNLESS UNDER PAVEMENT. DRIVES OR TRAVELED SCHEDULE 40 PVC OR CAST-IN-PLACE CONCRETE. BOTTOM ON , , 6 Di V M �'!J 1�1 - WAYS, WHERE BY H-20 LOADING SHALL APPLY. TEES TO BE CENTERED UNDER MANHOLE COVER. !�' —'. LEVEL,STABL E f" / a,. i I I j 7 S rJ D Z J 2.-ALL PIPE CONNECTIONS AND CONCRETE CON- I. RECOMMENDED MANUFACTURER - ROTONDO OR BASE - STRUCTION TO BE WATERTIGHT. APPROVED EQUAL. CROSS SECTION VIEW 8 8 I 8 T -0" 9 9 SEPTIC TANK DETAIL NO. OF GALLONS: /Soo DISTRIBUTION BOX DETAIL PLAN VIEW LOCUS MAP NOT TO SCALE NOT TO SCALE 10 10 SCALE: t"=20a3 I �) 11 11 LEACHING CHAMBER DETAIL --- �, rvor ro SCALE fo q-x8-o DESIGN ANALYSIS 12 v 12 4' X 8� FLOW DIFFUSORS ® OR EOUAL DESIGNFLOW.- DATE: 1 h DATE: L4 I0 iC ( �= 6Dri. x i I c jr7D/gDk _ 440 !aP6 TEST BY: SG I`'� TEST BY: -- Projeo Title WITNESSED BY., WITNESSED BY. SEPTIC TANK REQUIREMENTS: PERC. RATE: PERC. RATE: 440 ap 4 �3, KIN,/INCH M!N-/INCH TPNO. TPNo. _ #2 Garrison GRD.EL. GR D.EL. SEE SHEET 1 FOR PLAN VIEW Lane GW-EL. GW.EL. 0 0 LEACHING FACILITY REQUIREMENTS: ( Osterville ) I - 1 - roK,, ,t 0 eJ 51 2 2 - � k,�Tr,, 6,4--f-b �,� Ek� � z�, Z,JcI� Barnstable , 3 3 V:�E A�''i�.l c F�`t a f ►-ATE ;� fst Ma . 4 ACE s s A A — ,75 : At, 5 /6i1 - 6_87 s 6 T T LEACHING FACILITY PROVIDED: e 8 y-e 5- Ar g� t Lot,,j©�j �y,r, ( t iD 9 9 w fi-14 4-" STC, AAE 10 10 A�PCrCI IoN f��FA rAa►Pb6b = 4��x 13`= (oS�5F 11 11 PNWAW Sole 12 - 12 - NOTES DATE: DATE: , David B. Temple I UNLESS OTHERWISE NOTED. ALL CONSTRUC- 3489 Forest Oak Court TEST BY: TEST BY: �u� sLoFF pvEk Lr A-{ t� ;1"6 STATE I METHODS A MATERIALS SHALL ON- Top Of Foundation Elsa /4.0 MI,if Cincinnati OH 45214 FORM TO TITLE V OF THE STATE ENVIRON- MENTAL CODE AND ANY APPLICABLE LOCAL i WITNESSED BY: WITNESSED BY: RULES AND REGULATIONS. 4' V� ��,P . 0 I f ft, 6'Ty 1�) - `ST bki+aE GROUT TO BE USED AT ALL POINTS WHERE PERC. RATE PERC. RATE: �� , �I PIPES ENTER OR LEAVE ALL CONCRETE E�STU IJ f (TJ h, STRUCTURES /N ORDER TO PROVIDE A WATER- MIN/INCH MIN/INCH septic - .Tank _ -- - - - _ _ _ _ _ _ _ "= �J,, 42 3 ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL Box - - - - - - - - - - - - - - - - - - - - - - - - - _--- - l.�gs�i�i SOn/E /5,00 Q - - BE SEALED WITH NEOPRENE GASKETS OR IO ASPHALT CE,4fENT TO PROVIDE A WATERTIGHT INVERT ELEVATIONS SEAL. 911 Main Strout I' INVERT AT BUILDING /�, �- -- -- PRECAST CONCRETE SEPTIC TANK, D/STR/BU- Lo�Aj Z)I,-FUSOK`� T•J q X +: b\ , ,J -r � TION BOX AND LEACHING FACILITY TO WITH- 02655lte, AID' l STAND H-IO LOADING UNLESS UNDER PAVE- 02655 4' INVERT AT SEPTIC TANK (in) l/ I 4� <F STor�E MENT, DRIVES OR TRAVELLED WAYS WHEREIN H-20 LOADING SHALL APPLY. 4'INVERT AT SEPTIC TANK (out) /D • g __ _..-__ Foundation — Tank Tank — D—Box S ALL PIPES IN THE SYSTEM SHALL BE SCHED- 4' INVERT AT D/ST. BOX (in) �D, 2}' ULE 40 OR EQUAL. A. M. Wilson Associates Inc. 6 WASHED CRUSHED STONE SHALL BE FREE OF 4" INVERT AT DIST. BOX (out) /G, ALL DIRT. DUST AND FINES. 508 428 1450 / FAX 420 1856 INVERTS AT LEACHING FACILITY. 4T ALL POINTS OF INTERSECTION OF WATER LINES AND SEWER LINES BOTH PIPES SHALL 4' INVERT AT BEGINNING OF LEACHING FACILITY �� � B CONSTRUCTED OF CLASS ISO PRESSURE PIPE AND ARE TO BE PRESSURE TESTED TO ASSURE WATERTIGHTNESS. Drawing Title: 4" INVERT AT END OF q LEACHING FACILITY / • � 8 SEPTIC TANK DISTRIBUTION BOX. ETC. SHALL BE MANUFACTURED BY ROTUNDO OR ELEVATION AT BOTTOM OF AN EQUIVALENT MANUFACTURER. SUBSURFACE r LEACHING FACILITY 9 EXCAVATE ALL UNSUITABLE MATERIAL IN �, , €� LEACHING AREA AND BACKFILL WITH CLEAN GROUGRAVEL OR COARSE SAND. OBSERVEDELEVATION ND WATER � � � SEWAGE 10 HEAVY EQC-IPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMIT'S OF THE ���u�a (� W• 3,4 SEWAGE DISPOSAL SYSTEMS DURING THE DISPOSAL DESIGN COURSE OF CONSTRUCTION Of• THE SYSTEMS. 8 oN I�`W V 2 WI LL I NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN APPROVAL OF THE. ENGINEER t /}6� 004 AND THE LOCAL BOARD OF HEALTH. 12 THIS SYSTEM SHALL BE INSPECTED AS RE- QUIRED BY SECTION 2.10 OF TITLE V. 13 A CERTIFICATE OF COMPLIANCE AS RE- QUIRED BY SECTION 2.8 OF TITLE V MUST BE OBTAINED BY THE CONTRACTOR UPON COM- 00, PLETION OF THE ABOVE WORK. IF AN 'AS 4 `N REQUIREDBUILT' PLAN IS TOR DEVIATINGFROM E ESE P�NS, WORK Scale: 1"= P. ,ALcr FOR SUCH 'AS BUILT' PLANS SHALL BE " COMPENSATED BY THE CONTRACTOR. o FEET 4 � ,4 14 THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL UNIT. pats: v �1 3 Dwg No: IS ALL ELEVATIONS ARE BASED ON Check: Design: P -77 DATUM. / �U vv Drawn: ��$I Job No: ii�7TSheet 2- of Z- W W I NGL AND REPROGRAPHICS&SUPPL Y CO o..�...�