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HomeMy WebLinkAbout0059 STARBOARD LANE - Health 59 JbW Starboard't-ane Osterville P yr 0 v,v, fp, A 165 .076 wt Z�7� �gg OM VI qg 11-j W, Zi 2 W71 �S kl 'Ali IRA AMM Ojmhr 44, �1,4r"v Us "i 'T' �gj c till�'�MR ri'6 Vsf r"I q- IN, 'IN "i "Wf I ffin'�' R 44 " -Flu 'R'A4;"f% M, lot, fjIfl,7 I ME IT, fo�ji v""I I "W" g� Nil I I-j I I k7MxtpYA'! Miff �§� I g - , " V" �� gg, i Pit w VT MV k 'In 4 M-M mWig%i VA fir VIO rMYS-1 Mir fit (K-qg .41 MW -111114.0 -PV �&?N Wo t,NMf ftm4 wn M3' �014� &qt XMIA pz oil u C'!�'J�p ,01, oil 0�Ct".U g so Ob 1,71. -.-w TH wi 94 4, jqjov��14� Afft a Mffli'I, -11,Rf I I mA K, (Yet T; WA A Vim JRA &—w iM A Nliffi "MR".4,g "v- F-k�u IV, MR "'M-�i '?o i no'?Akw"IK'IV�i ItV4 y V14 14 PVITf'!.�`. MA o; 4A Ow I no v L �'i A ORIUM, 11 'RAI TOWN OF BARNSTABLE r LOCATION .JTq S7��kAlrl Gene SEWAGE # 02003 ySy VMLAGE -o s—te r-u�%(L ,�j ASSESSOR'S MAP & LOT =0 7 INSTALLER'S.NAME&PHONE NO.�1J/��® /GZ ca-//`6�C�^ SEPTIC TANK CAPACITY J ® C�/� .LEACHING FACILITY: (type) 66,00 Gig/CIY4 rn,&- (size) c�5ex Is� NO. OF BEDROOMS i BUI LDER OR OWNER J' 1[,3.✓1'°�t' PERMUDATE: P— hJ— 03 COMPLL4NCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet` Private Water Supply Welland 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 i within 300 feet`of leaching facility) Feet t- Furnished by 1 ' I 8 R f • � 1 a Ad A 3 ' �3 g 3 ' ql No.. ^� LSACHUSETTQ FeeTHECOMMONWEAL ` Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., NIASSACHUSETTS 01ppitcation for Migogal *pgtem Construction Permit Application for a Permit to Construct(X )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5-9 S r�or� �,(� Owner's Name,Address and Tel.No. os Crv)"ile E'm/"/y Assessor's Map/Parcel `` y/tf lc "/ f co LT/ n-A M0.� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. —V.2 -_2 .� y I P•0 • Sax �s'% R-0 90 41A Type of Building: QCI^ t j Dwelling No.of Bedrooms _ Lot Size �• �a sq-Ft. Garbage Grinder 0%149 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ,?j� gallons per day. Calculated daily flow gallons. Plan Date �T UI kl ��ADD Number of sheets Revision Date /V A Title a D o e 0 Ll£:(1 0 wjjWh Size of Septic Tank 00 9 &41" Type of S.A.S. lC Description of Soil yin—I ,, !Un� G / Jl�pd6e /r a�nq�n�4 o'�"vJ lnu M-0-k SQ, Z J `J— /Z-0"1 Cd, h e_r — ,?.. 5 la alek• s�,n,G a„ °� can/c�va�r .e Cott Nature of Repairs or Alfe"rations n er when appltcable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainten nce of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environment de and not to place the system in operation until a Certifi- cate of Compliance has been issue y this Bo Healt Signe Date Application Approved by Dat Application Disapproved Porthefollowing reaso Permit No. ' Date Issued No. � Ll Q G�'`,� a� . Fee i I .THE COMMONWEAL QF MA SSACHUSETTS Entered in"compuien Yes r PUBLIC HEALTH DIV SION.---,TOWN/OF BARNSTABLE, MASSACHUSETTS k ZIPPrication for Migpoga[ *potent Construction Permit Application for a Permit to Construct )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.Jr g /'�iO r� �,Q/t.� Owner's Name,Address and Tel.No. ` os e-ry01a �'r�/'/y .5-ft Assessor's Map/Parcel �^' /C.I"!e/77p 64r V ,t n sa Od !;. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. L., .. t $u//i van E i l ace Yl�l F ?7w N�? , 10 U c te I I i f�r GS f u'✓i//r 4-1 t9 Oa lam' Type of Building: � Dwelling No.of Bedrooms Lot Size- 3� Garbage Grinder OVO Other Type of Building No. of Persons Showers( ) Cafeteria( ) I- • Other Fixtures �y Design FlowC�Q gallons per day. Calculated daily flow gallons. Plan Date JVA1 l�0D 3 Number of sheets ,1� Revision Date /V A _ Title 1pla,n pio,09'rP O 7>4A 1F Size of Septic Tank OD q L41 D 7l Type of S.A.S. I nGL Z)Q ad wb�,r Description of Soil 0 - /y q G /a ra� V ��+�� b�• �d� S�LR� / " "3 /'� / «-r SIT efloo,, 'h br•. P,( s.t.AVY -sores - !a5 " l er /n r . �,, e ln� rrt.�..�- sa�� "- /z.U'' C a� �r' - . 5` � / � n� �fir• I?i.�C.•s2it.,G /�p'� � ���G Na or nAnture of Repairs A'lt'e'ratios er 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 C.1de and not to place the system in operation until a Certifi- cate of Compliance has been issued`by this Boar AHealthy T Signe �� Date Application Approved by Dat hAPPlication Disapproved forte followin-gg reaso s Permit No. Date Issued ———---—————— ;—————— —— �————— ——— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( )Upgraded( ) Abandoned )by at .5� Sf d6oa.ro� ,/V Or )We, khasbetn constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N . dated Installer Designer The issuance'of this permit shall not be construed as a guarantee that the s tem 111 unction as esign d. Date 3�-��� Inspector ——�---_,—G-- — ----�— No. v/5 Fee /// THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migo�af 6potem (Construction permit Permission is hereby granted to Construct X.)Repair( )Upgrade( )Abandon( ) System located at .� ..0 �60�/� LCC ILe O'rka 1/j 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:ConstructIM3 t be completed within three years of the date of this pe t Date:_ 1 f Approved by .D2 N1 TOWN OF BARNSTABLE C LOCATION S -57, �o,4111 �Ane SEWAGE # CLO 3 Z SVS4/ VILLAGE ®1cC'U%<�� ASSESSOR'S MAP & LOT r �0-7 b - INSTALLER'S NAME&PHONE NO. +0 /Gt M/hb7C/z'— yet �S52 Q SEPTIC TANK CAPACITY �500 C 9 Z ' 7-2 0 ����1 C (size) � �x f LEACHING FACILITY: (type) ,� � NO,OF BEDROOMS 3 BUILDER.OR OWNER E � i da/)5: I ® - PERMITDATE: �J— ' 0'3 COMPLIANCE DATE: Separation Distance Between the- Maximum Adjusted Groundwater Tablet the Bottom of Leaching Facility Feet Private Water Supply Welf i rid Leaching Facility (If any wells exist on site or witlihi.200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within.�00 feet of leaching facility) Feet Furnished by 7— .�. e or J� � � -,I;> .3> � Town of Bdarustable 1,11 10,S5S Department of Ilealth,Safety,and Environmental Services ofIm Public Health Division Date 8/II10- 0 367 Main Street,I lyannis MA 02601 ' MRNRI'ABI,E, MA93 pr4nrntc+" Date Scheduled 9I/F- 03 Time IoAM Fee Pd. /00= Soil Suitability Assessment.for Sewage Disposal I'crfiinncd 13y: S,Ij'%Van t�nain of n Witnessed BY: LOCATION &GENERAL INI+OIZMATION Location Address-5- Owner's q St0.r c Nalnc Y)' y I�d_l nn2c�,r► Sk OskC���l`e y4 Cjuiremon� Ra-d _ - Address 3elman� , mq• cz q7g Assessor's Map/Parcel: I(o S- 07(p 1 ngineer's Narnc p2�t <��►N� NEW CONSTRUCTION ✓ R1 PAIR 'I'cicphoncH Svl�lvan En�r\ceo�n� . Land Use �S�c(Pn� cvl Slopes(%) 0-Lc) Surface Stones N& Distances from: Open Water Body 3�l + Il Possible We(Area 306 + n Drinking Water Well E-001 + It Drains a Way 1 + t g Y �� n property Line n Other it SKETCH:(Street name,dimensions of lot,exact locations or lest holes&pert tests,locale wetlands in proximity to holes) �V \/ 9 Tr , ,l r � ( -- r J (71 p l j rr 11 J � r74- xx POOL 3C . ------------- RECEIV S E P 16 2003 TOWN OF BARNSTABLE HEALTH DEPT. 1 + 1'arenl malclial(geologic) 0t 4S -PI 5(� Depth to Bedrock 'JL�O Depth to Groundwalcr. Standing Water in Ilole: NA Weeping from 11il Facc NA Estimated Seasonal I ligh Groundwalcr CL, Z. - (90tA 7 p(2- 6Rov WRTC-R M11�) D TrltmrYivATION X"OIZ s1'ASOl AL YTIGII '�'VAT ,Xt trn LY, Method Used: vg,veF -.- 11OtlE Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Index R'cll N in. Groundwater AdjusUncnl n. - _ Reading Date: _- Index Wcll Icvcl .._.__ Adj.factor Adj.Groundwater Level _ .. 1'ErtCULATiON TcsT (a lr,lle: lO DO Obscrvalion lole N Time at 9" Depth of Pere JOS 'fimc at G' Start Pre-soak Timc a 1 Time(9"-G") End Pre-soak Iy 61,1Al. Rate hlin_/Inch < Z MINil tj Site Suitability Assessment: Site Passed f Site Failed: Additional Tcsting Needed(Y/N) original: Public Ilcalth Division Observation Ilole Data To Be Completed on Back j Copy: Applicant _ PER 1' ±dBSL+;RUAi'lON 1tO1 L`LQG Depth froth Soil horizon Soil 1'cxlure Soil Color Soil Surface(ill.) USDA Other (USDA) (Munscll) Mottling (Structure,Shmcs,noulderes. '0� 0 L-OAMY SAND I m Z/ Ill —3 p l —� Sores r-rNU JQJK 5 8 DCI' 013SL1tvA' ION MOLL LOG Deplh from Soil llorizon Soil Tex lure Soil Color Sit Surface(in.) (USDA) Other (USDA) (Munscll) Mottling (Structurc,Stoncs,Ilouldcres. tsisl nc °o _ravel) llLCI' C 3S�it'VA` 1.0 1 t�L;+ Ucplh from Soil l loMon Soil"I'cxlurc Soil Color Soil Surface(in.) Other (USDA) (Multsell) Molding (Structure,Stones,Ilouldcres. ' n "°Siravcl) 'I ll t013S��tYAT�ON ZIOLE�CjG Xlole#> Depth from Soil llorizon Soil'1'cxlorc Soil Color Surface(in.) Soil Mier (USDA) (Munscll) Mottling (Structure,Stones,lluuldeics. on i tcticy _Gravcl) l it Clood Insurance Rate Mai): Above 500 year flood boundary No Yes ✓ Within 500 year boundary No Yes Within 100 year flood boundary No ✓ Yes J1CPlh of Natural) ccur•'ng 1'ery ions 5,1, Iterial Does at least four feel of naturally occurring pervious material exist in all areas observed throughout file area proposed for the soil absorption systelO \1 S If not,what is the depth of naturally occurring pervious ntateri,117 �crlificaliun I certify that oil ftj-Lc; (date)I have passed the soil evaluator examination approved by fhc Department of Environmental protection and that the above analysis was performed by me consistent wifll the requirTmn c described in 310 CM it 15.017. Signature hate c��QT`l Z!{�3 , DA N: 3/ /98> �;":r PROPERTY ADDRESS : 59 Starboard Lane MAR 2 .� 4 1998 Osterville,Mass . roi^�rdntr -, �E 02655 ( Main Hous ,e ) On the above date, I Inspected the septic system at the above acdre55 Trnls system consists of the following: 1 . 1 -1000 gallon septic tank. 2 . 1 -6 'x8 ' block cesspool . 3 . 1 -1000 gallon precast leaching pit. Based on my Inrc�ectlon, I certify the following conditions: 4 . This is a title five septic system. ( 78 Code ) 5 . The septic system is in proper working order at the present time. 6 . The cesspool and leaching pit are dry. 7 . Cesspool and leaching pit are in series. SIGNQTUR!- �!� N.nme : _J _P . Macomber Jr.. Company: J_ P_Macoclber Son-Inc., , __Cencervi Ile `Mass:_02632 Phone :---SAS-,3338------- i THIS CERTIFICATION DOES NOT CONSTfTUTE A GUARANTY OR WARRA,,� T'r SOSERH P. MACOMBER & SON, INC. • T+nk�-C�upool�l.�.thllald� Pump+d G In►ullyd Town Sower Connectlont P.O. Box 60 ' Centerville. MA 02632.0066 77533,8 775-6412 r COMMONWEALTH OF MASSACHUSETTS ID EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS i Uq - DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 WILLIAM F.WELD TRI;DY C Govcmor Sc; ARGEO PAUL CELLUCCI DAVID B STF Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commis, PART A CERTIFICATION Steve Birmingham Property Address: 59 Starboard Lane Osterville Address of Owner: 774 Norfolf Street Date of Inspection: 3/9/98 (If different) Mansf ield,Mass . Name of Inspector:Joseph P.Macomber Jr. 02048 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.Macomber & Son Inc. Mailing Address: BOX 66 Centerville,Mass . 02632 Telephone Number: 508-775-333A CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accu i and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function an. maintenance of on-site sewage disposal systems. The system: asses _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fail Inspector's Signature: 4 1/4 �r2�� Date: '' The System Inspector all submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall subrr the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to d-w system ow and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, Or D: AJ YSTEM PASSES: 1' I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.3C Any failure criteria not evaluated are indicated below. COMMENTS: BJ SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, ut completion of the replacement or repair, as approved by the,Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Cenificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or ex-filtration, or to failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web: http:1twww.magnet.state.ma.us/oep Printed on Recycled Paper a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 59 Starboard Lane Ostervi1 le,Mass . Owner: Steve Birmingham Date of Inspection V 9/9 8 B) SYSTEM CONDITIONALLY PASSES (continued) i n 'box s due to broken or obstructed r level observed in th distribut o b � Sewage backup or breakout or high static ware e pipe(s) or due to a broken, sealed or uneven distribution box. The system wil pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: IQ6 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD Of HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 4&) Cesspool or privy is within 50 feet of a surface water /(,� Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. -CD The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance -v4 (approximation not valid). 3) OTHER (revised 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 59 Starboard Lane Osterville,Mass . Owner: Steve Birmingham Date of Inspection3/9/9 8 D) SYSTEM FAILS: You must indicate ei;•.er "Yes" or "No" as to each of the following: AJO I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The bans for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes h'o Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. ZDischarge 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 bove outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below inven or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped 1113 . Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. .L Any portion of a cesspool or privy is within 1.00 feet of a surface water supply or tributary to a surface water supply. '0 Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large-systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply /14U the system is within 200 feet of a tributary to a surface drinking water supply N the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area • IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for funher information. (revised 04/25/97) Page 3 o1 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST I Property Address: 59 Starboard Lane Osterville,Mass . Owner. Steve Birmingham Date of Inspection:3/9/9 8 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No , 1/ Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. 4 _ The site was inspected for signs of breakout. _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. _The size and location of the Soil Absorption System on the site has been determined based on: The facility owner land occupants, if djfferent from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) (r*vi&ed 04/25/97) P&9• 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 59 Starboard Lane Osterville,Mass . Owner: Steve Birmingham Date of inspection:3 9/98 BUILDING SEWER: (Locate on site plan) /1 Depth below grade: Material of construction: cast iron /�40 PVC _other (explain) Distance fromRrivate water supply well or suction line Diameter IV Com epts: (condition of joints v ting, evidence of leakage, etc.) ._ n- SEPTIC TANK:/QOO y +44�,V (locate on site plan) Depth below grade: Material of construction: concrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age&A Is age confirmed by Certificate of Compliance y�(Yes/No) Dimensions: F'`"A&�6 'V X4I'1!//A Sludge depth:_ h Distance from top of sludge to bosom of outlet tee or baffle:_ Scum thickness:-7 — Distance from top of scum to top of outlet tee or baffle: ,-ACC Distance from bottom of scum to bolt of ouile tee or baffle:i25 L-' How dimensions were determined: Comments: (recommendation for pumping, condit n of inlet and outlet tees or baffles, pth of liquid level,in relation to outlet invert, st�ct ral integrity, ev dence of leakage, etc.) 'G a GREASE TRAP:Q�jC (locate on site plan) Depth below grade:1q Material of construction concrete,P[gmetal4,) Fiberglass4L4Polyethyleneli+4.other(explain) Dimensions: AAA Scum thickness: AzA Distance from top of scum to top of outlet tee or baffle:_I2 Distance from bottom of scum to bottom of outlet tee or baffler_ Date of last pumping: A)#_ Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (zevis*d 04/25/97) P&9. 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 59 Starboard Lane Osterville,Mass. Owner: Steve Birmingham Date of Inspection: 3/9/9 8 TIGHT OR HOLDING TANK4&LZ(Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grader Material of construction,[�concreteiG/3metaLLi4Fiberglass 1.L/�PolyethyleneNi9other(explain) Dimensions: AjO Capacity: AA gallons Design iloti.. A>,4 gallons/day Alarm level. W)4 Alarm in working order4/4 Yes;,Cg Nu Date of previous pumping. VA Comments. (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX411?/e— (locate on site plan) Depth o: liquid level above outlet invert: ItP Comments. (note if level and distribution is equal, evidence of solids carryover; evidence of leakage into or out of box, etc.) t�l \ C � PUMP CHANABER:Abt (locate on site plan) Pumps in working order: (Yes or No)A4 Alarms n working order (Yes or No)-461 Comments. (note condition of pump chamber, condition of pumps and appurtenances, etc.) Pe-1- J S .vim r �✓/�G i f tr.vis.d Pig. 7 of 10 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION (continued) Properly Address:Steve Birmingham w n r. o e 59 Starboard Lane Osterville,Mass. Date of inspection: 3/9/98 SKETCH OF SEWAGE DISPOSAL SYSTEM: ;. ae ties to at least two permanent references landmarks or benchmarks 1ccate all wells within 100' (Locate where public water supply comes into house) V Upp /lam ( �• P (r•y1f.d Ci/19/91) Page 9 of 10 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 59 Starboard Lane Osterville,Mass. Owner: Steve Birmingham Date of inspection: 3/9/9 8 SOIL ABSORPTION SYSTEM (SAS): ;locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:, leaching chambers, number: leaching galleries, number: leaching trenches, number,length: 0 leaching fields, number, dimensions: overflow cesspool, number: Alternative system: r 71 Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ondin , con ition of vegetation, etc.) l 1 7" CESSPOOL), —I/ (locate on site plan) Number and configuration: r Depth-top of liquid to inlet invert: Depth of solids layer: :7=44;Q_ Depth of scum layer:_ Dimensions of cesspool: P Materials of Construction: indication of groundwater: Ajo inflow (cesspool must be pumped as pan of inspection) _Pa' 06,5 aw Ar we dlzv J Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) 3 AMQ PRIVY: A-Vir, (locate on site plan) Materials of construction: Dimensions: /1//Y Depth of solids:_ Comments: (note condition of soil, signs of-hydraulic failure, level of ponding, condition of vegetation, etc.) _ , (r.vi..d 04/25/97) P.g. B of 10 l SUBSURFACE SEWAGE DISP(: L SYSTEM INSPECTION FORM I . C SYSTEM INFOI:' : ;iON (continued) Property Address: 59 Starboard Lane Osterville,Mass. Owner: Steve Birmingham Date of Inspection:3/9/9 8 Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater El&a:ion: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basenxnt'simp etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps 2Check pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the High Grouncjwrerlilevation. Must be completed) Used Gahrety & Miller Model Water Contours Map 1 2/1 6/94 �I (revim•d 04/25/97) Pace lbof 10 rrnr+-n+rr-..•rrrn:m*•ntn.ernr...rerrrr�r:-.sr+-rn�:�+r.e'nm m-r..v.+a-t+er.rrn Trre-z�-cnrv-a rm*-r-r-�—r-...--,r-• . I TOWN OF ganstahle BOARD OF HEALTH SUBSURFACF SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CEwrIFICATION �, F-•re^.-r••.-••.-r.,r.^..:-n.rsr+,•n.�rair.�rrtrrrrri'ra•r�+me•�mrrrr•�+n+eonrrrr`mens-.T+rnr mnn�rmrTr.ra-rm.r.r.:-rr.- r•�. -..A -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 59 Starboard Lane Osterville,Mass. ASSESSORS MAP, BLOCK AND PARCEL # &s — 4 2k' OWNER' s NAME Steve Birmingham PART D - CERTIFICATION r NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Soif 'Inc. COMPANY ADDRESS Box 66 Centerville,Mass . 02632 Street Town or City Stat• TIP COMPANY TELEPHONE ( 508 I 775 - 3338 FAX (508 1 790 - 1 578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of .inspection , The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public heaiLh or the environment as defined in 310 CMR 15 , 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* \ The inspection w11ic11 I have con acted has found that the system fails to Protect the public health and the environment in accordance with Title .5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . /� Inspector SignatureAw" I Date 3/9/98 ..�C- One copy of this c rt.ification must be provided to the OWNER, the BUYER ( Where applicable ) and the BOARD OF 11RAL7'1I. +' If the inspection FAILED , this owner or"roperator shall u pgrade ' the eyatem within one ,year of the date of the inspection , unless allowed or required otherwise as provided in 3.10 CMR 16 . 305 , partd .doc 7 - � THE COMMONWEALTH OF MA.SSACHUSETTS DEPA RTMEENT OF ENYIRONMMNTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTEHE D TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15-340 and Section 13 of Chapter 21A of the General Laws . Issued by TIIc Department of Environmental Protection. n( „„x 1)11ccl0r u( the I)1yl I�,n ir{ W�Icc Pollu(1011 Control ------------ DATE : .3/9/98 PROPERTY ADDRESS : -59 S't•arboard Lane Osterville, / Mass . 02655 ( POOL HOUSE ) 1 On the above date, I Inspected the s-eptic system at the above aCCre86 Tn18 system consists of the following: 1 . 1 -1000 gallon septic tank. 2 . 1 -Distribution box. 3 . 1 -1000 gallon precast leaching pit. Based on my Intkoactlon, I certify the following conditions: 4 . This is a title five septic system. ( 78 Code ) 5 . The septic system is in proper working order at the pr6sent time. SIGNATUR'" Name J P Macomber Jr_ - ------- Company : J_ P_Maconber_ 8- Son_Inc . --CencervilleL.Mass;_02632 Pnone :-- -S 338------- 11 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR wARRA,,iT'r )OSERH P. MACOMBER & SON, INC. • 7�nkt-CeupOolrleathllold+ Pump+d L Insullyd Town Sower Connoctlon; P.O. Box 66 ' Centerville, MA 02632.0066 775.333.8 775- 12 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS U1, DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 WILLIAM F.WELD TRUD1'COX Governor Sccrcta ARGEO PAUL CELLUCCI DAVID B STRUT Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commission PART A CERTIFICATION Property Address: 59 Starboard Lane Osterville MAddress of Owner: Date of Inspection: 3/9/9 8 (If different) Name of Inspector: .Tr)GP=h P_Macomber Jr. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.Macomber & Son Inc. Mailing Address: BOX 66 Centerville,Mass . 02632 Telephone Number: S 0 R_7 7 S_ ;3 3 R CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is Vue, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: `` r The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AI SYSTEM PASSES: -Pi I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: 4jz) 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. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not. /X The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection, or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web: http://www.magnet.state.ma.us/oep 0 Printed on RecyGed Paper r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 59 Starboard Lane Osterville,Mass. 02655 ( Pool House ) Owner: Steve Birmingham Date of Inspection:3/9/9 g B1 SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C3 FURTHER EVALUATION 15 REQUIRED BY THE BOARD OF HEALTH: 4JD Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 20 Cesspool or privy is within 50 feet of a surface water ,&/'o Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: ,jam The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance �/ _(approximation not valid). 3) OTHER (revised 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 59 Starboard Lane Osterville,Mass . ( Pool House ) Owner: Steve Birmingham Date of Inspection/9/98 DJ SYSTEM FAILS: You must indicate ei;•.er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to Correa the failure. Yes N Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution,pox above outlet invert due to an overloaded'or clogged SAS or cesspool. Liquid depth i is less than 6 below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped 6—. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. 'e/ 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 PPP��� acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. Q LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No 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 ILZT the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area - IWPA) or a mapped Zone it of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (raviaad 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 59 Starboard Lane Osterville,Mass . ( Pool House ) Owner: Steve Birmingham Date of Inspection:3/9/98 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. large volumes of water have not been introduced into the system recentiv or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. Z _ All system components,.!Accluding the Soil Absorption System, have been located on the site. ;i _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: _ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Pan C is at issue, approximation of distance is unacceptable) (I5.302(3)(b)) (revised 04/25/97) Psgs 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION Property Address: 59 Starboard Lane Ostervi lle,Mass . ( Pool House ) Owner: Steve Birmingham Date of Inspection:3/9/98 FLOW CONDITIONS RESIDENTIAL: Design flow: tj t) g.p.d./bedroom for S.A.S. Number of bedrooms:, Number of Current residents: Garbage grinder (yes or no):,d./,Q Laundry connected to system (yes or no):Y_0__� Seasonal use (yes or g no):��> Water meter readings, if available (last two (2) year usage (gpd): Sump Pump (yes or no):A.'� Last date of occupancy:_a� COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: V4gallons/day Grease trap present: (yes or no), Industrial Waste Holding Tank present: (yes or no)/V�' Non sanitary waste discharged to the Title S system: (yes or no),&9 Water meter readings, if available:164 IVA Last date of occupancy:—Yid— OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING ECORDStASj��/nd sourc of information�J� �lLt� System pumped as part of inspection: (yes or no)10 _ If yes, volume pumped: ,� gallons Reason for pumping: TYPYSTEM Septic tank/distribution box/soil absorption system A,)O Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other APPRO ITT AGE of II compone ts, date installed (if known) and source of informatio�tiL � Sewage odors detected when arriving at the site: (yes or no) it (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 59 Starboard Lane Osterville,Mass. ( Pool House ) Owner: Steve Birmingham Date of Inspection: 3/9/9 8 BUILDING SEWER: (Locate on site plan) ��3 A Depth below grade:l_g! �� Material of construction: _cast iron ,/ '0 PVC _other (explain) Distance from private water supply well or suction line N Diameter Y_ Comments: (condition of join , venting, evidence of leakage, etc.) , � � F SEPTIC TANK:.LdGb!1� (locate on site plan) i Depth below grader Material of construction: Zoncrete _metal _Fiberglass _Polyethylene —other(explain) If tank is metal, list age Is age confirmed by Certificate of Compliance d,�l (Yes/No) Dimensions:�%"LIA #"16" (VIA Sludge depth:_1z if 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 JP� Distance from bottom of scum to bongo rt of out t t e or baffle: How dimensions were determined: Comments: (recommendation for pumping, condit n of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, a idence f leakag , tc.) Are— GREASE TRAP: (locate on site plan) Depth below grade:,6z Material of construction concretevv:±metal l�4 FiberglassA A Polyethylene4/A other(explain) Dimensions: Scum thickness: AlIq Distance from top of scum to top of outlet tee or baffle:N/V Distance from bottom of scum to bottom of outlet tee or baffler Date of last pumping: WA Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 01/75/97) ?&go 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) I Property Address: 59 Starboard Lane Osterville,Mass. ( Pool House ) Owner: Steve Birmingham Date of Inspection:3/9/9 8 TIGHT OR HOLDING TANK:&G(Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade:21 Material of construction: concrete netaINAFiberglassv�Polyethylene vAother(explain) _ .44 -- vA Dimensions: A/A _ Capacity: .vA gallons Design flow: 4)A gallons/day Alarm level:_Alarm in working orderNA Yes; .VG No Date of prev,ous pumping. AW Comments. (condition of inlet tee, condition of alarm and float switches, etc.) r h 7441,eq A d E*6V7 DISTRIBUTION BOX:, (locate on site plan) Depth o: liquid level above outlet invert: 16) Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) Q j PUMP CHAh1BER:A&e— (locate on site plan) Pumps n working order: (Yes or No) A)4 Alarms rt working order (Yes or No)-Aje,4- Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) rf S AAYr �120�•�'�1Y� r (rwix•d P.g• 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.IN FORMAT ION (continued) Property address: 59 Starboard Lane Osterville,Mass. ( Pool House ) 'Owner: Steve Birmingham Date of Inspection: 3/9/98 SKETCH OF SEWAGE DISPOSAL SYSTEM: uoe ties to at least two permanent references landmarks or benchmarks Ic:ate all wells within 100' (Locate where public water supply comes into house) t P49. 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 59 Starboard Lane Osterville,Mass. ( Pool House) Owner: Steve Birmingham Date of Inspection: 3/9/9 8 SOIL ABSORPTION SYSTEM (SAS):,/""' j4' ;locate on site plan, if possible, excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: 1 leaching pits, number:_ leaching chambers, number: leaching galleries, number: leaching trenches, number,length: 0 leaching fields, number, dimensions: overflow cesspool, number Alternative system: Name of Technology: 47 Comments: (note condition of soil, signs of hydraulic fia"llre, level of pondin c ndition of vegetat n, tc.) CESSPOOLS: (locate on site plan) Number and configuration: iVi� r Depth-cop of liquid to inlet invert: il9t Depth of solids layer: Depth of scum layer: Dimensions of cesspool: 1151 Materials of construction: 4109 indication of groundwater: .L4 inflow (cesspool must be pumped as part of inspection) _! S � /W 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.) l .o/D; (r•via•d 04/25/97) P•g• 8 of 10 SUBSURFACE SEWAGE DISP(: l SYSTEM INSPECTION FORM I . ' C SYSTEM INFOI:'., .PION (continued) Property Address: 59 Starboard Lane Osterville,Mass. ( Pool House ) Owner: Steve Birmingham Date of Inspection!3/9/9 8 1 Depth to Groundwater 1 Feet Please indicate all the methods used to determine High Groundwater E)L-a:ion: Obtained from Design Plans on record Observation of Site (Abuning prope observation hole, basemtnh sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps heck pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the High Grounciwa*er•Elevation. Must be completed) Installed system. 4/30/85 Permit # 85-296 Used Gahrety & Miller Model Water contours Map. 12/16/94 (r•vis•d 04/25/97) Pas. Mot 10 r- tr•.nr•.•—n:rr—•rt— .+r.—mr•ntnr rs—r.rta•e,-rrr. r:•.r+++v*r:+r-.rm.m—.pis*.ar.'sr.ra•s� *rTe+a.-z-�rr rrrrr-:-r—:r..-•.r— ' I TOWN OF Barnstable WARD OF HEALTH SUIISURFACF SEWAGE DISPOSAL SYSTEM INSI'FCTION FORM - PART D •- CERTIFICATION `- �•••T••.•r••.•..'. -!.tIT.-.�TTI.T.fT.IT.ITITT.FTIT T.TT.TIr�.•.'i t51RR1�fRT��1�RRVArRTT'Ri�TT161••1 I�RI H'T'RTTSiC�TR�T-.•.�.P'r r'r•1. ._..J -TYPE OR PRINT CLEARLY- PIIOPERTY INSPECTED STREET ADDRESS 59 Starboard Lane Oster�vvi—lle,/Mass. ( POOL House ) ASSESSORS MAP, BLOCK AND PARCEL # �y �L}7(o OWNER' s NAME Steve Birmingham PART D - CERTIFICATION I NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Son In�'` COMPANY ADDRESS Box 66 Centerville,Mass . 02632 Strout Town or City 5tat9 LIP COMPANY TELEPHONE ( 508 775 _ 3338 FAX (508 ) 790 - 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of .inspection , The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : _zsystem PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public Health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE I RE CRIT]RIA section of this form . System FAILED* The inspection which I have con acted has found that the system fails to Protect the public health and the environment in accordance with Title 5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature Date I ,Y One copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) and the BOARD OF HEAL1'11. * If the inspection FAILED, the owner or" _Perator ahall u pg within one year of the date of the inspection , unless allowed dort required he e ye te m otherwise as provided P in 3.10 ChlR 15 . 305 . partd .doc S 1x1 V 3/D\ THE CONZMONWEA,JLTH OF MASSACtfUSETTS DEPARTMENT OF ENVERON-NMNTAL PROT_ ECTZON BE, IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CE RTRU D TITLE S SYSTEM INSPE- CTOR as provided i.n 310 CMR 15 .340 and Section 13 of Chapter 21A of the General Laws . Issued by T1ic Department of Environmental Protection. n( img Ostcctut j,( the ( 1tuin u( \V1tCt I'<>Ilutic)n �S Control \ I TOWN OF BARNSTABLE L h&se LOC nw— SEWAGE # � II.LAGE S• ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 74 LEACHING FACILITY: (type)el.0� r (size) %O®® NO.OF BEDROOMS _ BUILDER OR OWNER PERMTr DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 fed of leachi g f li ) Feet Furnished los, t4 tO ...-04, l0 C �Irf ON SEWAGE PERMIT N0. -Y ,l L;AGE 9 Q- I N S T L L E 'S NAtAl & A,DDRESS (b61- - i 1 D U I L D E R OR OWNER � kJ C 0 DATE PERMIT ISSUED ki DAT E COMPLIANCE ISSUED i 1 • r �3 Iy 1 .- i No.'R ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAR _VLA .........*....OF.......... V................................ Appliration for Uhiposal Works Tonstrurtion at nit Application is hereby made for a Permit to Construct or Repair (/.,,Iran Individual Sewage Disposal System at: ..... �eeff�.......ov........... L314-2.......................................................... Location-Address or Lot No. ... . .I., -------- J&4�2 ----------------- Address...........r ............................................ Sw- --------­------ ---------------------------------------------------------------------*--------- 1wner ....... ......X.. ..... ........... ................................ Installer Address Type of Build* Size Lot............................Sq. feet U ..............................DwellingT&o. of Bedrooms ..............Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons-------------------_------- Showers Cafeteria P4Other fixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 SepticNoc..pacity.:_........gllons Length.. idth........ ...... Depth................Disposal Trench Width.................... Total Length.................... Total leaching area....................sq. f t. Seepage Pit No..................... Diameter....__...___.__...__ Depth below inlet.._................. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit_................_.. Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.__................. Depth to ground water-___-____---___------__- ...............�f...................... -- ------------- - ------------------------------------------------------------------------------------- 0 Description of Soil.......... ------------------ ........................................................................................... U ....................................................................................................................................................................................................... W ......................................................................................................................................... ----F. .............................................. U Nature of Repairs or Alterations—Answer when applicable.............—/XM.: ............................................... ----------*----------*----------------------------------------- ---------------------------------------------- ................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIITL LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the oard ofbealth. ...... ..... ..... 97� ...... - ----------- .......Dale ... ............+ ...........Application Approved By.......... ..... ..... ........ ............................... . ....... ...- Date Application Disapproved for th ollowing reasons:............................................................................................................... ........................................................................................................................................................................................................ Date 0,9— Permit No.......JI;).............................................. Issued.......... .................. Date —--------------- ------- N ..:�. �.. Fps...A?1i..:............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH sYr � y _ Appliration for Dispas al Works Tonstrurtion Frrmit a, Application is hereby made for a Permit to Construct ( ) or Repair ( <) an Individual Sewage Disposal System at: j rw1 ..... ........................ f`3 ;' }:✓ Location-Address or Lot No. P'tpwner Address ...................................... ...i.......... _ . -------------------•-•-_-------•------------•------...----._...-----»__----_---.............. Installer - Address Type of Building Size Lot............................Sq. feet U Dwelling I/ No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixtures ...................................................... ------------------------------- ............................................................. Design Flow............................................gallons per person per day. Total daily flow_:__--_---_----___:..._............._._....gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter__-_____-__:-_- De'pth................ x Disposal Trench—.No..................... Width.................... Total Length....._.._........-_. Total leaching area....................sq. ft. Seepage Pit No----------_--------- Diameter............._...... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( , ) Dosing tank ( ) Percolation Test Results Performed by -------•----•----------•--------------- Date Test Pit-No. 1................minutes per inch Depth of Test Pit......_........._... Depth to ground water......................... f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...... Description of Soil.......... 1 ,r y .......�'_... �I 0-------------.......................................................... W ------------------------------------•----•-------- --•---------•-•--......_ . ...------------•-----------..............................--------------•••------.... -------•------------ -••- U Nature of Repairs or Alterations—Answer when applicable.-_____.. ~_._.;_. " R____�__ - - i�. �_e - - ---- ------------------•---------•- - .....................-.......................................................................................... - !=== '£�° . Agreement: The undersigned agrees.,to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLi:, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beep issued by the oard of,health. 1/0 - „ Application Approved',B : J :_._.: :�v _ �i -•------ fi � � Y ------.. . ---- ••--• - - ------ ------- D1.ate Application Disapproved for th Mowing reasons -- -•-•----- ----• -------- ---------------------............................................... ....................•------------..........------------..._...----------•--•----......-----••'------....--'---•-•-----------------••-•---------------------------•-------------------------------...--•--- Date Permit No...... ____ -_. Issued_........ __. _: Date c THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF. ......................... ... ...... 'Ttr ifirFate of fNompfitaiarr TI S',I T,, C§RTIF , That the Individual Sewage D,: osal System constructed ( ) or Repaired .( Nf f�1 s1 �'..r�...`` F>l......................................................... v / .s,r ' Installer 'r --° .` } '�t`s4."lfp+^'S'� � yf�ri .._.__....__.__ at `rZ...... --- » ---•- . --------- --- --------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. _ _ dated_._.._ . _ ;yyR_..____'-_ - �.�.�..._............... _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION S ISFACTORY. AD DATE •........ AD •. --•-•-•....................... Inspector:............ ... .: THE COMMONWEALTH OF MASSACHUSETTS BOARD CIF HEAD r .............ri....... ...�:........,OF... .......................................................... E r� f:.. ........ No........4j—, F ` Uiapja gal Wore (9onwtr h twit Permission is hereby granted... f ....."......... to Construct ( ) or;�Wipa;& an Indiy ual S4,age Disposalr•Syst yA at No... .................. 7ty-!` l--`---- r`--- fi fF. .....................1� .........t� ✓................................................ ....... ` Street . q as shown on the application for Disposal Works Construction Permit No. ` __ Dated_...... _....�....................... ....-•................•..--• ................................................... of Health DATE .....� . ........................ FORM 1258 A. M. SULKIN, INC.; BOSTON *-'4 ail- `. r ,. � :.�• � ` ...fit d L-6 CA'T4ON SEWAGE PERMIT NO. YJOLLAGE ' Cen -er-y L 11,E C � INSTALLER'S N 1A III _E & A-DDRESS R U I L D E R R OWNER DATE PERMIT ISSUED b I� DATE COfAPLIANCE ISSUED ,��_ Gm, to f THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .......... --.....OF. .d���'e--..._..._..._..._............... ApplirFation for MivaaFal-Workii Tonstrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (�) an Individual Sewage Disposal System at r. . . .................... . ........ -=-..........._. •- --- tion dress I of No. ... .--- • �... ,�- ? 11 ------••-----------------••--•-••-••---•---- Ow r ddress a9_-05P5,;P:.._. ?, er 12 F Ldd - ----------------------------------------------- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) �'4 Other—Type T e of Building ........ No. of persons............................ Showers — YP g ---------------•---= P ( ) Cafeteria ( ) Other fixtures ------------------------------ •----------------------------- --------- ••----------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length......................Total leaching area....................sq. ft. Seepage Pit No................•.... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY--------- ............................. Date........................................ W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Oa ...} Description of Soil.................. ..............................-•--------•------•-••.-•-••--•--..-•......•---- W V .......................•..........---•••...........---•---•-•-•-----•---••-•--•.....••-----•----•-•._.....--•-••......--.....-----••-•-•••............................................................... W x ................................ --•-•-•••-•-•--...••--•---•--------••-••-•-••-•--•---••----••-••------••--••-••. U Nature of Repairs or Alterations—Answer when applicable..........__ C,�?�... .-:._ 1 .................................. ---------------------------------------•---•------------•--•------...-•-•---••-•••--•...--•-....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI I TI LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has hcep issued by the board of health. )ff Si ed --- • ... -.-P:... C�Ctf��'!) �L....•--- Date Application Approved BY A ...-•--�e � :...._.. Date Application Disapproved for the following reasons-------------------- -------------------•--------•..............:............ .-••---.....---- -----••••.............•-•.....--••••-•...-•-•--••.....-•-•--....---....-•••--•-•-•..._..------•••--...................-•••---••-••----..._....---•-•---•-------•-•••-•--....----•-•---•---••--•-••••-•--- .Date PermitNo......................................................... Issued. ••-•--••----•-- ---_._... Date R _. No.-----.y� ....... F�$............. . ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ApplirFa#ion for Disposal Works Tontrurtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: , C1 )-Ci i)c------•------------ ------ -. -----------•---.....-------- ------------------•-----.........----•---- -- �- ---^ ^ovation=•Address ,- o Lot No. .... GSA h........ 1 )-s j.��- .�v1.11c ............................................ er _ ress .........................•--••-•--•--.........................••-••-••-•--••••••t....•. ... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ _Expansion Attic ( ) Garbage Grinder ( ) �+ Other—T e of Building No. of persons............................ Showers — Cafeteria fs, Other fixtures ---------------•---•--•--••••--- - d -•-----------------------------------•-------••-•-------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.._.........gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width....._.............. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.._----•............. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-•••••------•••-•••---•-••••.._...••-•---••-•-•-•••-•---••......•-•••••-• Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' = ............ =--------------------------•...........---......................................................... D Description of Soil..................:. ....-� ..l 'r-U ----- ••--------------------------------------------- •------------- ---------------- ••-•----------------------------------•----------------------------•---------------•----------..--------.--------- W ••••-•••---•-•--•••••--••-----•-••----•-----•-••-••••--•••----•-•-••-•--•-•-----••---•-••-------••-•••-••••-•-•-•----••-•--•-•--•-----•-••••••••-•-••---•--•-•--�...................................... U Nature of Repairs or Alteration s—Answer when applicable........ �r.`: �.f'�.� ' �/' ----•---------------••-----------•--•---------------....---•------------------------...............----•-----•------------------------------------------------------------------••---•-•-••••••••.•••... f Agreemerit: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until ja Certificate of Compliance has been issued by the board! of health. t S e �. Application Approved By--- 9P' aW.r- ....f . . ... •--.----•---------------- . Da d s Date Application Disapprovedfor the following reasons-----------------------------------------------------------------------------------------•-- ••--._.........._ 1 s . .............................................. �-c• .- r - Date r • Permit No........ - ------... Issued. ......................._k�............... y Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t ......................... . ..................... ......... Tntifiratr of Tootplianrr THIS IS TO. CERTIFY, That the Individual:Sewage Disposal System constructed' ( ) or Repaired by....--•......:1....•-•.-. _. r_r� , 11.,, ") ..... ........ l !:/C ................. '........ .•• ---------•---•-- �/ Installer r 1 " j at... .... j ••• •-•--•-- •-•-..... •----•-- •-• has been installed in accordance with thex provisions of T J3 The State Sanitary de as desc ibed in the application for Disposal Works Construction Permit No.. __._-••...7-_.__--r�. ............. dated.... "___f '_. __.._............. ,,: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILLFUNCTION SATISFACTORY. .......... Inspector.::_A . DATE t.°�. ._.. ..... .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD--.OF HEALTH / J f`30 ...........................................OF..... ..:lj.�J. '1.C / ........................... f i .... FEE.....: ............. i o .ttl� ork$ Tonotrudio n - rrntit Permission is hereby granted---- ............Z-•--•••-_..C. /1 ................................... '• r.��.. to Construct ( ),.or Repair;'(X) an Individual Sewage Dis osal System ,. at No. /-t�....-_,r',/l� f�[�(/; (_� ),4,4 � C.rii t�lJ!//.�„ ���t /i � C 6) Str t / `r �) as shown on the application for Disposal Works Construction P No. _._. Dated------------------------------------------ Board of Health DATE..... ... --/-- •` x.e* FORM 125,4OBBS & WARREN. INC.. PUBLISHERS `•`"' >~-0 RAM T6P Or rgIpATION • W 1 '. C ABOV9 BIUOE.REAe - - VeAm _____ ________ ___________ __________________ __T S7V cow,MLL WIO Tm LxIMr10M --------•---- - F — .I. �Ea w^xlr cwlc.roolntl ry lQl , tl - .. 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FROST&W Tuff T - w"fomDAM - - Fa'�T TOOT Not H'P1LN. 1W OIR oOT t i i � t,TIriIL i i _ o iOP OP FOofrtis i ' S�DF F1�_IIIG— i i TOP Q POI�TR16 .� T�QCSPPIS�4_ � , _______________________y____________________________________1_____________________________._____-______-_______________________- R 16 H T / W E S T EL E V A T 1 O N F R O N T/ N O R T H E L E V A T I O N �oo�Fd6 RtG:M vOITW RlWCveawex RIOaEvERTwrw I _ MRMLT�NICICS Q - AOnML19NM01.CS T - . .COIo LRAM PAO ��_Q "VAKW AR OAW - :HOETAIL C•/'� ,WJ9[,,,,, c - . _ _ 8 `p y yg a pg 5 DCL.ftmv MIT. tCOOI GRO/p RMtG - - G bEl.MTC NlT_. - OS-M1AR 1i►..1.� a Y S Y Q — g—TC¢. .• CEE RTALL: z fA9UA. _ CAQI LL ml ON •eAe� ME�VeTAD, b wiuU1(^� c4l um BYR09 Z i®or36�i Booms ~ J R FR= Ix f.1C3 »B OCTAL R _ SM MAL :--------- - o 4.1 o J W fff MAR. IIG 9NWLE8 . ------ Q m ., - vu.ro. ; .. • _. .. - ---------- %q <LU �> •- R!/ 94L GOLYIM ii - __ 1l- LOIRCR pOARDC • - 11V\ CL O Q I1J aC FIR a naT M1ooR ete me•nRaT ge nn.fneeT�voR ea na.rxn noon m — — — — — — — — —. —.— —.—.—._ .—.—.— —.—.— —.—.—.— <N +�n0 w i•E--4W VIA Cat - fROCT Solo no - - 1 w CI!FOOT CASE Jab b.: 0256 `I 1.-' TvfKJ� a QRN 509 T.26.2=5 w4 AS NOTCD i i i TO►OF FOOTIII. - TDToperf001CI��OF_Fez". Q _ —ri___________________r---------------, -___________ ,�r___� ____________________________ ,________-_ ------------------------------ LEFT / EA5T E L E V A T 1 ON REAR / 50UTH E-LE VATION 6CAlC, 1/a• • i•-O• O`B ro SOALC, I - , .. 4. A,.3 e wR, 5 of 4 - u �.. ID fp6E VBIf N Ron Yaw N rM Rote Yaw N CAPs 242 RAW BOARD V 0 0 OEM, �5./-�Am'JNIl m O W 2 Cox C ar. Ox7S ftm BOAIm 7�i005X•I It OT f.. p ' x 5 a IR�j-0OF►B.�pM,yl�pAtgl pj(%F�Ap'.pfJ�AI s1 •- . ,'7�11�pC CpE`U 10N �ppI�FLI�A �/�p pl•06 S7RYPlM f$ j� .� � I t W/�EDgYP►b. 7 SMx b ' B�+B ; Y 4d'IML7 •P, BAtw4 Gli Imo'!5 �t TT e/f ru n,Tuoc NLL .L L B�bLOOR • 1yFf K4A'1] r. yP TM am • •tl G. _ /JO Pb.PLII.tATON Q i • h �TOP OFSEA"---- __ _91B FLR•5FI.01D RMR �fOP OF�JVa T V— jf FY TVIN �oeTAn BOAMitAo m� '�ico �r--• x.rwu 1 (y Ovabohs - m L1S x n]9 LK - A a La•x 4..W w ' Q a+a x Niece°'°«on °m""" § d w a x r eA ; i ClouM� IAw1AII ]x R�0 T i Y. _ C4LWI� ? I 1 p i I S•4•TaB M1M'tlOD' " jl 9N'tt6 M1 1 Ta OR i1L L Q m �Ja PL0.•PATPILIGR F9l9T. -.. �&MPUl-'"i ry00RI I II —816 f�A,1 l FLOOR •R-.. N 06 POOi BAY— ' d 00 SR7FRb _ sow rim wb p § _ QI•Ix7 i7RMW _ TYPYI4. Aoy�A1(A�p�91IC�E(�[Oyy�Bf,,7LLfLL11//}}yy a, _ reFICAL+, ggpp�ILLppLLLL a I' � •4.O'OG.TR.� ~ L - h S�iR'�`'�„ ` h�— `OL.��• p ' � WHOWIT SLAB of FOOT�U- 4 Tit t TOP Gf FppTg15 ` /STOP OF F00'�NY- fIXK! TOP OF F007Ni� 5EGT 1 ON �,=1 5 E C T 1 0 N SCALE- 1/4' • I-O _ - SCALE. I/— - I-0- M ill . i HN[ 4 - g a g�Y kk �' Ulu __ 0�Z Qo 4 �w zQ Q J } ,„ iz oW Qw Q Q� 0J o QW �> i ZZ �W O m Q Ulf � v _ —1. Ab NOTED ' a. p —4 .!"ems wl 4 of 4 -- - i an cts ffi 03 _ • U r f r LFN li l s O ct Ff- - - — -- - -- - - 1 - --- - - to © I�1C. ARCH!-TECH ASSOCIATES, F l l tg" K t z' ► '�"' - O a .. O l O I down 1 l O ct • , ' wed-�� ' i , , � Q O =irsL oor r DESIGIN D&E J ' O N:ENT a� Dj O fo D3 in Q ARCHIJECH ASSOCIATES, INC. EX• beck , Ex•t�9. N ous e Exlst9 • mane �zetain9. Wall ' t , H out ' �X1�4-, Pool •' - .. • r q 1 Cremo ed) .. v new fence I 5 _ • 11 �I 'Exts� S'Lor;e bt^ivew'ay Ex+S Caba.na Ex+sfg• Lawn P�rea I bui�difly Se 1 --- -- --- TC7�Ck , � Vic, C't-»in l.�r•1< Fence ,., � C5S /_ 010 j' O� I r C A.gr',-II-TYC�j T-JSO` Ir.l1=J: INC. -- - --___ Lot Lin e r Plan �--- LJJ 1 L i TSBeard Architecture 21 Mmke(etteal .: He IG OF Sul.250 Ipswich,A,A 0,63a / ` /✓/� I678.3590 7LII N .. I' I ' 1 ' I! l - -- — _-- - --- - --- — -- Z ��. No. 77 Iw _ C� C p9- m I I -`s�..F M N1 f W I I ex t-6 GENERAL Noyes - I _ 1. All vrock ro to ro the Int Roidnonl C.d.,oc On Md Tv.F—ody Dwllngs snd dl otha nppGnble codes. 2 All ama.,ouoide the,cope,fa,k to be protected nre dutmg<o ctron. - - - 1 3. Dimau eR ro Gce oFstturnxe uvina othe:mise 4. Repots ro the Asddteet snv dtsctepandes betxen . .. - � � a_ dnwmgs,of b<nveen the drawings and Edd condtpons. T Renovations to 59 starboard Lane o3tervme Massachusetts .. Basement Plan . - ( Scale: Data: l0 3 d'5 Ravislons: (ice, I - TSBeard Architecture $Ilya 250 PV/ _ I A6 W4 ,.9�„^._�,_ 9 n,.,�, !-a' —' .v_,�F - ...._..r— G\S.�ERED ARC y,PF .. ...... ..----- --- I. i � .. _ �p,SS. B cT O Fy MASS. OF �J L— —-----—i — �-- --7 �- '— r 41 �"y - ------ -- =-F' - ?I 6 }} Hr^F�GIL GIL3F'f nl j. � r� I-� >' a.Srfrb�l V rI51L= GUPl-J(FXSFr- �_I - {I d I ;U _— 1 -- - -o --- ----- o m-_- �'o� ---- - e } I-}vN�zY /' i G VxT r=aPrnH I�� Ij d i �R Renovations to 59 Starboard Lane - - - _ - Massachusetts' First Floor Plan Scale: _ .. - Date: '13 Revisions:zo M iIt TSBeard Architecture I 21 w 250 aV901 &d ta 250. MA 0193e . - t975.M5.3440 - .. tsEeeN®verizm nel `tED ARC, Re f--- ... .. -- -- :---.-------- -� No 7 a � OF M I _ k I • - 5erri 7. `r reTu 1 LI 2 5tqu z vol�rtcpvi 2 C:31. 41 -------------- F. —Ill!J]"k _I y iii I I I Renovations to 59 Starboard Lane ' � ostarwme .Massachusetts. - Second Floor Plan Scale: Data: u.ze.i3 - Revisions: TSBeard Architecture s �. 1 21 Meikel5beel 0193a . ^ - 197e.35e.0322 bbeeN®veKan.nel G\S�Ep-ED ARC,/ - ------ --------- ---------- -- -- z -- ----- -----------------�( N I S I � - -------------r ------ r--.-------------- --/- MASS. ti �47,H OF MA F. - i uL I �3 I I , I -- x � I ' i - - I � I_ ; ^ � I • _iSn NG Fx�sT�NG I 1 I I � I i I I I L - Renovations to 59 Starboard Lane ostervme - - - - Massachusetts Roof Plan Scale: - Revisions: r x TSBeard Architecture - --- — 31 Mark08—t suite 250 MA 01 Me . 1518.355.3440 . _ _ Is15.35s0322 . �\� Is0ee10®Velizannet ISRED ARCy/P� O y `\ No. 7 a ------ � - � �Jh �I r -- _ -- 7 OF ��n, - LU - --- '. _. __ I�'i jil�II� I'i i �IIII i� - -- -__ - - - - _ - - -- i I ; � i . @UEULL6V1.n-HFe:WF._IZo�/F•� s--- -.--,.J2�v,?i:-H:_P6 ` __ - _. — _ I , _ r LJ I 1 _ ; "1 Renovations to n 11 �.. ..: I = Starboard Lane IIMH 05,ervmemassachus efts Exterior Elevations a� Scsle: _... — oa1a: I Revisions: TSBeard Architecture Flv-61-IC GNI nI.IaY - Su 25 gT 0 SVeet `G,—w/'MIN F-1z+G�/5NF -�L Ipswkh„MA 0193l \• I.M.350.0= I50Vet0@veriz0n.het - gERED ARC f :: wC'o�F,s S -- No. 1 —_.............:.._. - - .._ --------------- ss. Jy �<nH CFtiA ar49�JELLE4{�P1iL�v/ :-..... �I•� 4i—. _ 71 I II III - ..� - V,�P�� pp I I II I II I - ax -- - � Renovations to �g u� M r 1 I I iI ...:Fir _ITI� I ... 59StarboardlLane ! I I 1 ' I!I �. .. ! Lid� , L_� _I II II II � L,6 III 1L 1���[IIJ�I�l _ x iq • r I �4 _ �� I � II , I� L � Exterior Elevatio ns . — J J f --..`- _n. _.�_:.. `'-"---__.. Date: Revisions: ' l _ ,J_Lr rJ—L TSBeard Architecture .. 21 Merkel Skeol Suite 250 . - Ipewbk•MA 01936 . - - I9M.W8.0322 - toa_®vmizon,nel rnzc.�r�-.cTrta��vewN�eev ��.C� PS I T / ala !c.IL°O•G• C-585PF INbUL. L.'w('' oPv IueiA.ieTRoN i I _ VII --- — r J MASS. cnrcrlE-^-_� pJFiY041/J L+SniNu•�H 5EHINIv Oi' I (^ SUr-�b2� '3'44 i IFS b. 6 I N bD�GH::TEZ - ' S5E ' P`xI7f1N4 ExiFVOG �I �_ �.�� - - o•F1�'z�PSL'IG o.CHC`iLG.1 i I! G�� �N�.�c wr.� -I _.-- Renovations to n 59 Starboard Lane ES%kiTING ccNLCJ:JE SL.SRj — - � � - Massachusetts Building Section - Data: a.3c.13 Revisions: ILL TSBeard Architecture o o . V `y f 21 Ma,k.a SVeat Suite M / KFYIWE Gam/-ILY i%�uL�i16UGuzG- l laa h.W 01638 - - I - 115eeaaaa�sdran net I .�ERED qqC e�tT�C, -- N U S II MASS, -- OF .1 j. r' r J {'r•,.. - - 'I451-Wz t°WL[dc�Nr7Z rtix7WF_s - - _ ,I •� - - .. R-Y'Lan=GFII.Nc.'. rm✓6NG f _ ` s . . ... I - _:: ;I I.....__. _ _ .- ..._._.____._ .'. -___—... .......... .. ...._.. .._... ...._..___ .......... ... -_. ..... __.... - DEMOLITfO NNOTSS b f _ II II x 1. Shaded area indicate existing wads to be removed. II 2 Dotted lines indsoste 1—tiom of -watts. . _ 3. Temporarily support erfaung strurnua as necessary. 5. Diane flNahes m ouch u wa as[6 allow seamless .. , 4. Dismnvect end/or rnputWties quued. Y - I � patching end integration of new fibishes. 6. All areas,and gnisha not scheduled for demolition to be pmteaed during oatuo crioml 7. Demolished maerlals to be duposed of property. & Save e>isdu firtures and _ B _ Mishes lvhere direaed by - II Owner.. i I Renovations to 59 Starboard Lane Ostemille Massachusetts Basement Plan Existing Conditions Date: TSBeard Architecture 21 Merkel Street SW.2a0 19'l9.35e.03=322 . - tn0aer0®vmlzan.nel \S�EOD ARC, u S. , I N ..7 O FL J � o . ��`t44 rNH g C'� ,� I,XI�TI NG M�P lam-SUITE h I P � u� I I —i TT '�n�+Fr:y�earr c=ram,Tirlc.r.� d �I I r n _ I Renovations to 59 Starboard Lane Ostemille Massachusetts - First Floor Plan Existing Conditions sosie: - Date: ,o.�3 Revisions: TSBeard Architecture r- --- --- - 21 Meleel S-1 sure2O .. - Ipswich,M 01 ea9 _ . -- - � Is0eattl®w>tlzon.net r,.RED SS. ARc — _ 4 -- - A 77 O _ I . r� 1 I _ I ❑ „III I I I I_ I �� � L �� '��� n� _ 4 r 1 I I I III Iil �; -'I ' --.._ -- - : �, �I Renovations to Ill Li ` C �, • I 59Starboard Lane. apl LMassachusetts - Existing.Exterior Elevations - - scale: F, --- _ Data: 4 z TSBeard Architecture 21Malkel Sb9Bl01 . _ 1818.35&SNU. I9]S35S.0322 I EREDA S�e�r�c 6 _.. Q j J LLLI _ \ — -- t FT --_ Renovations to _ - - - - __ - 7 _ _ - - = 59.Starboard!Lane 7 7— Masse h — chusetts IJ ... *_ Existing Exterior Elevations. — t - Lt - -_ ---- - - scale: .. -a bate: o.se.i3 TSBeard Architecture ' 21 Market SVeet ' - � IpcWa9,MA el B38 . 1916.336.3W . 19]a.366.0322 . taDoerO�varlxm.lret • PS S RCy�T� \�\ _ F-Y \\ No. 7713. \'\ o TOPSFIELD MASS. ` �14 1?10 F M - i C Ids 3 rEiF.�JFJ-Fb C/G,�� iI I Renovations to 59 Starboard Lane M—chusetts Building Section Existing Scale: - - Date: - - - _ Revisions: 11 TSBeard Architecture - 21 Market Stm.t SO,M Ipa !,,MA 01808 I9y8.388.0822 - . - gb.eN�vadton.nat \S�ERED ARCy/ T F e B T Q) �y O 47H OF f a d i . �xMu•!;'LkiO Je�•�C�IG��,a.c. � _ Exi9ii Nc. b+-�o.lol•nf @.16'�o•c. - STBl1CTI111AL NOTES 1. Comttumon to be m uccocdv-ce aids the Massvchmem State Budding Code,Eighth Edition(for el nn-Idrrri g)..tlings)u rue ciex e1 sr.e�^f _ v°¢ 2 sac .1 —i d are to b red m conlms<non with. f.-.✓JNG tA_-T05£24`-@F M'@I dseai.&,for di dcatvmgs, fir doroe[clulcctucal - -. dmamgs far dsmasss......tmns,elevauom and lomnom of door,windows,wells,ett. 3. c Nou(y,•-I•,tect of enirldc odi- ..aepmnn, eE � roWTy/ onNcts,ac unuaunl Eeld condrtwns. 9 - c 1. Bursa oil Id—m ro 6c SPP no.2 of better sailers s - Nfi,rr al othcrwac 3. Dh r6linusldr000F&anw.2bv,t p ifid— ^� l 3. f7oor,c gar gro spec pWm. C g zx to 9.. lo r well %i g ro be 2xG studs vc 1G"o.e 5. Inrcfio,or wa8 h-Jng m be 2x4 studs nt 16"o.e 6: M porn f block:-a h cvl-m oron.cn floor.with gr l to goes g t m-o g m vein -- — — -- -- — - & Pmv:do vnbn uonal'ldoeuclundc snteaoc wvll.vsm-roll Blro loier;proesblockusg bernecnlour nude: _lh,rusmissg perpendicular to joss. _ - - 9. TJI joists to hm blocks g.,8 feet mecunum on center. 10.LVL's to lout modulus of cl.onmty of 2,000,000 psi vW Ext%CING'.hL?•S apt GPa.oE_ _ - v8owable bmdingsacss of 2800 ps:roussmum.LVL's shell he in.tvlled pr .nuL et ec c :mnrtdvtmm. 11. ProvProved.�M1nrnnc on nt terry mFttc/rod pieta cX'STING.Gacec6 s�S __ - 12. Cowed opposusg mhms ith collar tses or mewl scup over ✓HJZP.'W?0.61 L'Y d.�/ ndgc 13. L91y mlmnna to hove bv.e diem of es le.uc 5"x b"x boned to foomsg,and nppropdace Sutspson LCC 14. Itoaf shmthing ro be APA mod 5/8"CDX plywood. 15. \'pall aI..,hivg to be APA mced% woo"CDX plyd. .. 16 Floor ehotthing co be APA m.,I/A"T&G plywood . - glued end tailed m the louts. . 17. Fl h4h-d member to h.-appmp i..g d—tgcd . - ercel hanger. 18.AB[roan ro he gelvaeixwl m.mirdra sttd. - 19.F.—,h,don sill,and other fmtssusg in dimct concoct . - with..norm to be p®.ur sttd. - . 20. Exterior deck h:mwsg to bn pm.sum-anted. ----- Renovations to 59 Starboard Lane ostar'ula Massaohuseft First Floor Framing i State:Ik°=1•;e" Data: 1-t2.13 - -Revisions:lo.so.lq '. ., TSBeard Architecture a 21 Ma,Nm Street - . - - SUN 0 Ipawitll,MA 019as - 19m.M0322 q ^p S S � O No 7 O 9,O S h J �4 OF MF'y5P n Oa �. 11 o"TJI Jot.i.S.@.16" .G.. _ . C-)zrq-' lit zr Er - (Jz.to z �o _ Renovajtions to 59 Starboard Lane oslem9&1 Massachusetts Second Floor Framing oat.: �0.22.11g,• Revlsbns:10.roe.s TSBeard Architecture I _ suit 260 1818.36&0322 . - tspear0®veilzm.�ml \S;ERED ApCZ, ly p,S 2 r•------- ....—- — --- — i- ri —a_ — - ---- ASS. I j s I OM Jh.' <TFI OF MP�gS� 20 2 Sa j I / .. - �Nu� �. ( •vr. ,Ion� w^ .c, =1 I I Lw I I i ^ I I I I I ! I I I I I; I I i 1 i _ I � I - Renovations to 59 Starboard Lane os<ervaja Massachusetts Attic Framing scle: . Data: o!zz.f 3V Revisions:lo.3e. 3 i TSBeard Architecture r ' _ 61"m 19]8.059.0022 �EaED ARC AI / Q)p,S S..6-V \� Li 4OFM. rz f ILI :-AV J u I . •i << .` �� n Yam• N N (� A-1 I E%1-TIN 1 z I I I I I I I Renovations to 59 Starboard Lane ostervine Messachusetts Roof Framing Date: Revislons: rs, - TSBeard Architecture sub _ 21 MarkatStraet ' T 0IM.0 I .MA O100a ' 197a.W&NQ baev&®vedxnn.nel- � I .............. I� i S�ERED ARC ' p,s s, fl 10. l S. O. O O o► d� ' --- o - -- 0 . jO \ r O\ O I t [iZ[UITv iO YL'—.s7airr / �t YY O _ I. Wicwgshallmmplywidraflappbtabl—dn. i I O 2. 8ehrm Sdudul<Eor fietwe rypvand hmpmg. CH /. I - 3. Referm interior El—nio fortt loctrions 4. 5witdws,dimmcrr,rccepndes.and fam plaresro be �' white mggl<sgdewiless otherwiu rpecified.i -----"'---"— -------- -- _ 5. Floor oudm where indianed an,m have solid brass flush with the 6dished floor. 6.. Td ph -da d es61e lino[,he homerun to panda ecrsd to eetsnn ti. in6 rconn gne v r 7. Homernmrnmmrnnvinngandtan bm .be motdinard wids owner. 111-6ian t.—,dinam instaflarwn ofnew mcvriryand - " - life•safery olarmaas required and asdircacd by Owner. 9. Exunngnrcwrs mrcmoin—i;n where mdimtedaras required by new--iaa Renovations to 59 Starboard Lane . MaasachbSetta . Basement Electrical Date: 0,.., iievialons: TSBeard Architecture 21 Me n sMae Iw5. O e B 1635. 0 7135 Iabeeltl®vgdvetlzon.rel \S�E�ED ARCy�rF I 0 �. j i OI MASS. I iI I� I ii O S' Jy �IIj �IVINa'nc_ca �i �j 171NIrJ 'I ` KJ"r c_u \O naJis 54-n+zmn rtcs-rF.��s_crtur, - - ,--------ter-- ---- I I- -__- - I O" O— ' — 1; i` O �i"O #!I 16�b.— --- - -- -- bib - - -' II e,����.+U c,v..,rs To.ati,,,�,� - ? y. I--I als7�� — x O . ------ O u ..Q�,:. I I Fd I ° p x *f iO unfr8 VC9f1P L- 4TH�mH ENTRY , I �O O� O O - — ' \ O f r I, 11 /i x i O O O ( I I O' -- — O fl uzrb _ b- . O Renovations to 59 Starboard Lane Osterville . Massachusetts First Floor Electrical Scale: '4 - �Th Date: - - Revisions: `}4 TSBeard Architecture . 21 Markel Street sww 210' . IVewlrJl.MA 01934 " - tabeeN®vetleen.net Sjt?,ED ARCyJ ----- 7\,\ AFC N S. —. .. OOFM q 1 . El 44 I. I I I I l I r a --- —�:— i IIL—J] I I ----- - I I I I I I I I I I i Renovations to 59 Starboard Lane Ostemille - Massachusetts Second Floor Electrical Scale: <,:_e:. . .. _ Date: lo.3e.13 .. 6q s4lcloc ��- �, �� O s i - .�c�ueac��tr ,��snac�ti�xn+cs� i a THE FOUNDATION SHOWY ON MIS PLAN WAS LOCATED �— -" BY AN INSTRUMENT SURVEY O� 12 OFr3/03 AND s� ON THE GROUND AS S 9;YN,.'"�'�a PAUL R. RYLL DA TE P F SSIO LAND RY YOR `O"�o ''° �lG�y� Zia f LOT 12 y � 1srE TLAW �. .._. .. r,d- l O tz h r-uo za It t1 dec14 - o� i nsi-� Obi •Ste' � � .Y_..�-� 5'&+ 7fO 6 - P PLOT PL A LOT LAND COURT CASE 19681 D STARBOARD LANE, BARNSTA32, DECEt,SER ,, 2003 SCALc " = 40 ' CANAL LAND SURY YPi IG 306 �1L�? PL 7►� D�1t�H ROAD SAGANDRE aEAC17; NA PROJECT NUMBER 00--059 ---------- NOTES - F.G.40.0 I. Water Supply For This Lot is Municipal Water 2.Location of Utilities Shown on This Plan Are Approx. l Bcy i i FilterAt Least 72 Hours Prior to Any Excavation For This a in Fabrle ~"--ceaI Fln----*--- Project The Contractor Shall Make The Required + 38.5 1aC10 37.4 % " w Notification to DIG SAFE-I-888-344-7233. ' �' - _� 9• '•` '' Gallon Top El. 38.4 Wa slwe 3.The Contractor is Required to Secure Appropriate 38.3 Suafic Tank 38.05 Permits From Town Agencies For Construction - c,':',' Bol.Ef'. 35.4 _ . .'0•• ••• 37.85 37.6 ^ Defined by This Plan. n I• _ _ "t '" ```•" "�' 4.Install Risers as Required to Within 12"of Finished O • - z '• Leaching w w � Chamber 3/4 -tl/2 Dabb q e -. • •• �• Bedding as N washed Grade. g ••,► Per Title 5 Sot.T.H.E1.32.0.Groundwater 0 •,O :•• .`%; .• of E1.2.5,T.O.B.Groundwater Map 4-w I 5.All Structures Buried Four Feet (4)or More or ..'+ • ,««••• I_ W-o" I Subject to Vehicular to be H-20 Loading. DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM System to be Installed In Accordance With � ' � �' r�• ;•""P��+° Beach Not to Scale CROSS SECTION OF CHAMBER 6.310 C 310 CMR 15.00 Latest Revision And The Town of ". © . � �* �. Landing NOT TO SCALE Barnstable Board of Health Regulations. ••, 7. All Piping lobe Sch.40 PVC. •.'1'•.•,• '� + ' C4S i� ',i1 M �► - far .' � , hilt DESIGN DATA �I 4 0 0 C ER rj Guest Cottage-3 Bedroom No Garbage Grinder Daily Flow= I lO x 3 = 330 gpd r. 1 Septic Tank: 330 gpd x 200%z 660gpd ! Use a 1500 Gallon Septic Tank. East B is ' rd LEACHING AREA y•,� 1 i 330 gpd/0.74=416 s.f.Required - Bottomll 2(:12'x2 ).2=00 s.f. LOCUS PLAN . 448.s.f.Total Provided. �� 0 Bottom Area 12�x 25 = 300 sets tL1 •s Bs� q2•�O e, LEACHING CHAMBER DESIGN Scale : I = 2000 Cft'4 All Pipes to be Schedule 40 PVC. Use 2 Assessors Map 165 v / -500 Gallon Leaching Chambers Ina Parcel 76 12'x 25"Washed Stone Field as Shown. Groundwater Overlay District AP Zoning : RF- Front :30' Side: 15' 1g6e Rear* 15 FROM _. UPLAND -- -- -- _ TEST HOLE - 1 P#10,555 Date: 09/12/03 11001 Performed By: Sullivan Engineering BV�✓ Witnessed By: Sam White Q �(� `c / GRASS Q � / 011 O LAYER-10YR 2/2 EL. 42.0 \O / VERY DARK BROWN tt,, rs LOAMY SAND QO �V 14" B LAYER-10YR 5/8 EL. 40.8 YELLOWISH BROWN W y.... ` fL InIE MED. SAND-SOME FINES 001, �-/ r 31" C1 LAYER- 10YR 6/6 EL. 39.4 Q. fileD BROWNISH YELLOW Nt MED. SAND / 65" PERC TEST -<2 MIN/IN EL 36.6 67" C2 LAYER-2.5Y 6/4 EL. 36.4 LIGHT YELLOWISH BROWN 120" NO GROUNDWATER ENCOUNTERED EL. 32.6 m J APPROX.GROUNDWATER Q EL.2.5 O �� (a CQV SLOPE N B FL ' P �� ' 147040f S.F. Total �o ti L T m JJ40004 S.F. Upland n .h p J ..`�•• I / LAN w Q ,� �� / W O W o � W Q h Q r 2n ni N ti>> 6s� , I Q i co a h f tweet aI S C VW OJ o�SA (st rtl Z(o GARAGE Vb o W OJ O 2 3 0 POOL �NO x FdNGi - Z .a z f b I EXIST. 71 DRAIN 2�•. 12 < N .ry -_ -POOL EQLIIR i If fl J. Cuti6TOSGD ; A.G UNITS �1Q COTTAGE _J T. •s� ' TA •N Ay - VENT tS SCTBACK t.,\1VE O = S 79`'50 '36 W 458•'56 -" f,Y �xl°,�T• 5®PTIG 9YSTe:M 't"t� QXI6TIN4 CAQAN,�'TO . 15M 'PUMPF-D i- F'1t_L�d WM4 _ PLAN VIEW The pr�rposed guest cottage shown hereon complies with the side line setbacks for S ca le: 1 2 0`. the Tofvn of Barnstable and is not located in the 100 year flood plain. NOTE.- EDGE OF POND AND EDGE OF UPLAND TAKEN FROM LAND COURT CASE 19681 D. \0FS9 �•` SITE PLANPAU RESOURCE AREAS FLAGGED BY.• a. SULLIPn. � PROPOSED GUEST COTTAGE ENSR as24L4a ,� SEPTIC 95 STATE ROAD NIaL E C SYSTEM t rnrcH �o FEET BUZZARDS BAY, MA 02532 0� y AT a „av� i , . ' 59 STARBOARD LANE ' 20 o zo 40 60 e0 DATUM IS NGVD BASED ON RV 27 Z� ASS. OSTERVI LLE , M . OR ELEV. = 48. 17 EM I LYFSTANGLE Sullivan EnPlan gineering BY: erin Inc. ' � g SCALE: ASS HOWN.__ __DATE:JULY 15 , 2003 OstervillcMass. Canal Land Surveying Sagamore Beach, Mass f - 77eo7I