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0075 STURBRIDGE DRIVE - Health
75 STURBRIDGE LANE, OSTERVILLE - - --- A=165-106 v a e / TOWN OF BARNSTABLE LOCATION '�S Sr1cn-��-;o�Q c �{� , SEWAGE# ZOZo -3 C, VILLAGE Osicr u:11c ASSESSOR'S MAP&PARCEL 165- IOC. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /S06 qv- LEACHINGFACILITY: (type)' )rS 1O (size) 3XL2.�c IL NO.OF BEDROOMS 3 OWNER PERMIT DATE: COMPLIANCE DATE: , o Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ►�1 /S tat� IS I A3-1q' REAR a C AW ' Z►'1O 3 ('. 18) No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppfiration for Misposaf *pstrm Construction 3oPrmit Application for a Permit to Construct( ) Repair(✓) Upgrade( ) Abandon( ) ❑Complete System [4Individual Components Location Address or Lot No.1 T SAocbc i a!§d (r'%%j si Owner's Name,Address,and Tel.No. P4o1 Q�w m;r In Cn O S�et�,N:v Assessor's Map/Parcel t(aS' t I Oto -45 Siucbrtd a. , O Spec%iM Ld Installer's Name,Address,and Tel.No. e)$d tiX covoitoc% Inc. Designer's Name,Address,and Tel.No. 135 S C oZS.%rN Sca 3•}4 Qi ouw ►3o S"&A"o, Sob- u-+l-01.53 164 Ko►+haci ne, LEts Go m Rd Falrno;,*K Sqo•4813 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 10, 0 00 sq.ft. Garbage Grinder(Wo) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 o gpd Design flow provided 310 0- 3 gpd Plan Date I- N- 20 2.0 Number of sheets 2 Revision Date Title Size of Septic Tank 15*00 am\. TypeofS.A.S. [10) NCCgo ie,Fil�fA�pCS Description of Soil 522, p1onS Nature of Repairs or Alterations(Answer when applicable) olo. s. M% n.to d bow and (to)tdc c.ao'`'A n J�%Ik co.-Ar o is 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 Sign Date 1011420 20 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued ow�wiitiGg - J. No. -SAY `1 I [�{//� w w Fee `VG/ u � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0(oplitatlon for BispoBal *stem Construrtion 3permit Application for a Permit to Construct( ). Repair Upgrades(y) 'Ab don( ) ❑Complete System 91ndividual Components Location Address or Lot No.-157 Owner's Name,Address,and Tel.No. Pp v s i3,c ro'A�No cn Assessor's Map/Parcel JUT / l U to -}" Si v r 1a r:ct o& , O SA c c u;t:a � t Installer's Name,Address,and Tel.No. rxJ C� c x tr,uC.i,u� laic, Designer's Name,Address,and Tel.No. C?5 S r• �t�e .�� _' 12() @nC•1�.[,� �.?0�4 ' '1� ()4�+ '� V1 Vc',�V,oa one, .I.E l�r,�^ s�y.''Ct' �;k�r1DL3`s'� J��O•rJ3�'� .. Type of Building: 4 Dwelling No.of Bedrooms Lot Size � ,1 Cep is .ft. --lGarba a Grinder uo . Other Tyre of Building No.of Persons # ! Showers.(; ) Cafeteria( ) t r _ Other Fixtures - Design Flow(min.required) S's Q gpd Design fi I rovid'ed gpd / Plan Date 1 Z l: Z O Number of sheets 7 l o f 9- /-'Revision Date /_ Title ' Size of Septic Tank 1 TO Type of S.A.S. ()Q) J-�i n i•c t!c cA n C Description of Soil "Q ' . , . bry a rrtNature of Re airsorAlterations(Answer when applicable) tet r t n.c� r { / f tU�[il:nhcr,En ir,�",k9cc.,n,t *^� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board-of,Health. Signed -''"' Date I O l i 9 L 2 U Application Approved by ^�- �' Date Application Disapproved by Date r for the following reasons Permit No. L� p Date Issued f a/ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS CQftificate of Compliance TIES IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded(. ) Abandoned( )by at ')S Sauchc'd;, ,c. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No., -j Q iodated ' Installer �Y c� ,a i Inc. Designer L'-SS r t?2�,;�h #bedrooms Approved design flow '�3 gpd The issuance of this permit shall not be construed as a guarantee that the system will f mcti�on as designed. Date 1 i '/. 4j o Inspector /` a (A j. ko ' -_ No. f-?r ��` L j P r _ _ .__ _ ._ _ _ __ Fee `✓ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS w Misposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair(v) Upgrade( ) Abandon( ) System located at '15 SA O(b d ml 0 S"f C y.ti. and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years.of the date of this permit. Date Approve Ilr 1, 4w;; dby`''��,.__: �::1 Town of Barnstable _ t- Op(HE�kyO Inspectional Services 0 aatwsrnsM Public Health Division 9 MAS& Thomas McKean Director e � 200.Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 '• �. • Installer& Designer Certification Form Date: ll lQ 20 Sewage Permit#IOU '3�v_Assessor's Map\Parcel. Dip Designer: �716" Installer: a i A5 oxcaygl�z r Address: 1lD k i-0 kd. Address: ??a q- R l 36 On �� '3 'L(j /�✓- j5,KCZPV. was issued a permit to install a date) (installer) septic system at 7s' 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 may include minor approved changes such as lateral relocation,of the' distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. -- Cam. �nQted ! i�iyy,,ev+C.e� ' 40^d :r hs�2�- d U 1 1 1-6 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 Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory, ✓ I certify that the system referenced above was constructed in compliance with the terms of the I1A approval letters(if applicable) N f nn (Installer's Sign&je� N OF MgssgJEFFRET 4 4ig4%�_ure) (Af r-i esi"g -'•ins t 'Here) AA A PLEASE RETURN TO BARNSTABLE PUBLIC HE 9 F �`�. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL B . ` FORM AND AS- ' BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. WoaldepiMEAMNSEWER connecASEPTIMesigner Ccnification Form Rcv 8.14.13.DOC Town of Barnstable oFTte ram, Regulatory Services ti Richard-Y. Scali,_Interii' Director Public Health Division 9 MASS. $p 1639. 1$ renwtp+° Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862 4644 Fax:, 508=790 6304 Homeowner Certification Form for Alternative.Systems Property Address: Assessor's Map\Parcel: /&'S d + Property Owners..Namei ' ,+ # 1AA T— In accordance with Massachusetts DFP alternative system :approval letters, the fallowing certification information is required by the Owner of record. >.The. Owner of record must ,place an "x" in the applicable box next to each line certifying-the information. Yes N\A ❑ I have been provided a copy of the Title 5 I/A technology Approval letters. ('15 page Standard Conditions letter and the specific technology letter) I have been provided with the>Owncr's Manual ❑ 1.'have,been provided with the Operation and Maintenance:Manual For Systems installed under a Remedial Use Approval, I agree to ulfill.my responsibilities to provide a'Deed Notice as required, by 310 CMR 15.2.87(10) and the Approval ❑ For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR I5.287(5) El K-1 If the design.does hot provide,for the use of garbage grinders, the restriction is understood and accepted Whether or not covered bya warranty, 1 understand the requirement:to repair; replace, modify' or take:any other action as required by the Department or the LAA, iifthe Department or the, LAA.determines the System to be failing to;protect public health and safety and the. environment; as defined in 3.10 C'.iVLR:15.303 I , Paul Birmingham agree to comply with all terms and conditions above. Property Owners printed:name 10/27/20 Property Owne: Signature Date Note: This form must: be...submitted along with the septic. system disposal works permit apnhcation for all \,A:-systems including new construction, repairs\upgrades, with :and without agkregate (stone) and with conventional design criteria. or credited desivn criteria Q:\SeptiiA homeowner certification.doc Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments °M 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osterville MA 02055, 4/09/2013 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab Inspector: — key to move your 1. • . i � cursor-do not Fred Swain - f Y use the return Name of Inspector key. Wind River Environmental r� Company Name 1958R Broadway Company Address r Raynham MA 02767 City/Town State - r Zip Code (508) 822-2003 651 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that-tfte information reported below is true, accurate and complete as of the time of the inspection. Themtinspe ion was performed based on my training and experience in the proper function and maifitenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 1,§�,I 40 0 Title 5(310 CMR 15.000).The system: UJ ® Passes ❑ Conditionally Passes ❑ Fails , ❑ Needs Further Evaluation by the Local Approving Authority 4/09/2013 Inspector's Signature -Date The system inspectorshall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing.this inspection. If.the system is'a shared system or 'has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DER The original should be sent to the system owner and copies-sent to the.buyer, if applicable, and.the approving authority.' ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under, the same or different conditions.of use. t5ins•3/13 Title 5 Official Inspection or : 6surface Sewage Disposal System.Page 1 of 17 . Commonwealth of Massachusetts F W Title 5 Official Inspection Form Subsurface Sewage Disposal-System Form - Not for Voluntary Assessments ; �M 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osteryille _ '' MA 02055' 4/09/2013 page. City/Town State ' Zip Code Date of Inspection B. Certification (cont.) - Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any Jnformation.which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are, - indicated below. Comments: Recommend annual'pumping and cleaning of filter. ' B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of.the replacement or repair, as approved by the Board of Health, will pass: Check the box for"yes", "no"-or"not.determined" (Y,.N;'ND)-for the following statements.° If"not determined," please explain. The septic tank is metal and over20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent.'System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of. Health. w s *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 than20'years old is available. ❑ .Y_ : ❑ N EI ND (Explain below): r i y t5ins•3/13 t' r 'Title 5'Official Inspection'Form:Subsurface Sewage Disposal System•Page of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osterville MA 02055 4/09/2013 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed. ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain.below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: El Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts w Title 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is Osterville MA 02055 4/09/2013 required for every page. City/Town State Zip Code _ Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in;a manner that protects the public health, safety and environment: El The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or,tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of public water supply. ❑ The system has a septic tank and SASand the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,'provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 6 D) System Failure CriteriaApplicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or ❑ ; ®- clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool . El ' Liquid depth in cesspool is less than.6 below invert or available volume is less than %day flow;_ t5ins•3/13 _ Title 5 official Inspection Form Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 75 Sturbridge Drive Property Address Clara Mesonero { Owner Owner's Name information is required for every Osterville MA 02055 4/09/2013 _ page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool.or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion,of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. f E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition.to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes in Section D above the large system has failed. The owner or operator of any large system considered a significant threat.under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.;The system owner should contact the appropriate regional office of the Department. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is`required for every Osteryille MA 02055 4/09/2013 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ ' Were as built plans of the system obtained and examined?.(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information_For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 342 gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 75 Sturbridge Drive Property Address " Clara Mesonero Owner Owner's Name information is required for every Osterville MA 02055 4/09/2013 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage (gpd)):' 317 gpd ( y 9 (9p )):, Detail 232,000 gallons for 2 years/730 = 317 gpd.' Received information verbally from Water Department. Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings,.if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Y. 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name - information is required for every Osterville MA 02055 4/09/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Wind River Environmental Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped''determined? Tank size Reason for pumping: To check structural integrity of septic tank Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy , ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osterville MA 02055 4/09/2013" page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2 years per install date of 4/15/201.1 on as-built plan. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron E 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 35' feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good clean joints. No evidence of leaking. Ejector toilet in basement working at this time. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) V If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: _ 10'x 5' x 5' Sludge depth` t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17- Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osterville MA 02055 _ 4/09/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" 2„ Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle . 18" " How were dimensions determined? Tape measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,,etc.) Inlet and outlet tees intact. No evidence of leaking in or out of tank. Filter installed at this time to prevent carrover to leaching area. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts . W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osterville MA 02055 4/09/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (coht.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):' Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete El-metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No .Alarm level: Alarm in working order: ❑ Yes ❑ No ' Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required).li copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osterville MA 02055 4/09/2013 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): 0" Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box dimensions are 16"x 16" and 16" below grade. H2O cover on distribution box is in good condition. Pump Chamber(locate on site plan): ; Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: f t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 e Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^M 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osterville MA� 02055 4/09/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number;dimensions: ❑ overflow cesspool number: ® innovative/alternative system Type/name of technology: Quick 4 infiltrators Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Quick 4 infiltrators, size is Tx 58'4 Medium sand stone wet. System is working properly at this time. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is required for every Osterville . MA 02055 4/09/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site'plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17. S' Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is Osterville MA 02055 4/09/2013 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.-Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 1$-� ZA ;3 : b4L! l t; 36 a 5 - `i I ISns•3113 Title 5 Official Iris pecfionForm:Subsurface.SewageDisposal System-Page 15 of 17 - Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °wM 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is Osterville MA 02055 4/09/2013 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells 10, Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Obtained Soil Suitability Assessment for Sewage Disposal form 4 ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You.must describe how you established the high.ground water elevation: Obtained ground water from Board of Health. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ' ,M 75 Sturbridge Drive Property Address Clara Mesonero Owner Owner's Name information is Osterville MA 02055 4/09/2013 required for every - page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria'Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either.drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Town of Barnstabie. p9 1323 � Department of Regulatory Services Public Health Division Dote � :z alp' :0'C Mntn.Street,Hyannis MA 02601 Mi3 r ! Date Scheduled ! Time t ( I+ce Pd. Jul) Soil�S�utabplaty�Assessment for Sewage Di�s�ots�z,� Perf Y ormed l3 ./ 3r(G C j G r ` r >;f —.. — r J' F Witnessed C3y v rSo LO(ATION,& GENERAL.IN.FORMATION Location Addressfj�-r Owner's Name _J /� t s' V` t I, I Address 7,; tG�,•�j���i�'f GE(i(' Dr. Assessor'sMap'Pated, /& j & 1 Eigincc"sNam- t / y� s NEW CONSTRUCTON REPAIR f,' 5!) Land Use LY ' Stapes Surfnua Stones r■ �,�� Dananecs.from: Open Water Body�//Q"0 R 1'pssibic L1"e Arta fi t)rinkin ll'atcr\Melt W&fl Drainage Way V_/ fit Property Line 1 Other_ f SKETCH:(Sheet name,dimensions oflot,exact iacations of test holes&perc tests,locate wetlnnds in proximity to holes) `�U E iDt PIZ . FA Ti a � Parent.rnaierini(geolots c) 4 Dcpth to Bedrock � ZA 0epth.ta Gratmdwater Standing Water to Hale: 1 1t Wcapnb from Pit Face tY' } Estimated Seasonal High Graundwnter t i ' L l �/�eY— D, TEIi"IIl j.",T'.LDfRt COI:SE".SO NAL HIGH ter ATER,TABLE Method Used'� 4J��at/r Dcob b ed st ding m ohs.hole: in._ Aepthio sail mottles ZA in. Depth to weeping from side Grubs hole; in. Groundwater Adjustment t ` - t1 lndex well 0 Rending bate: __Index Wcli level Adj.factor Adj,Groundwaicr Leval P -OLATI4IY TEST Ante Time�Q Observation /? HGI,e d L. Time at 9" Depth afPerc r^ t Time at 6" f Start Prc-soak rime @ T� Time(a"-6") End Pre-soak !f•�' / Rate Min./Inch... . "rx /, Site Suitability Assessment; Site Passcd_—;K _ Site Failed Additional Testing Needed O'IN) Original: Public Hetilth Division Observation Nole Data To Be ComplCICCI on BS4,-- ***I't.percolation test is to be conducted within 100'Of wetland,,,you must first notify the Barnstable Conservation Division at least one(].)week prior to beginning. Q!tSEP1I0PERCFORM'DOC. r DEEP OBSERVATION DOLE LOG Hole t 1 Depth from Soil Horizon Soit rcklure Soil Cola Soil Other Surface(in,) (USDA) (Murrell) Mottling ..(Struciure,Stones,Boulders. Con'ginterim-°l G6oen DEEP OBSERVATION HOLE LOG Dole)<## So. Depth from Sail Honion Soil Texture Soil Color -Soil Other Sulface(m:) (USDA) (Murisell) Mottling (Structure,Stories;aouldcm, Cons"sicm% DEEP OBSERVATION HOLE LOG Hole# Depth from Soil horizon Soil Texture Soil Color Soll Other Surface(in,) (USDA) (Munxell) Mottling (Structure.Stones,boulders: BEEP OBSERVATION HOLE LOG hole#� Depth from Soil flonzon 'Soil Texture Soil Color Soil Other Surface(im) (USDA) (Munseii) Mottling (Svoctute;Stonts�,bouidnrs - E��n3iaic(ac3,"fn frraven . Flood InsuranceRate.Man: Above$00 year flood boundary No:X Yes.- . Within SOOyear boundary Ni Yc5 Within 100 year flood boundary,Na Yes— Depth of Naturally Occurring PeMous Material Does at least four fee(of naturally occurring pervious materiel exist in all areas observed throughoui the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? - CerriGcatiyd t ; iscertify that on 1. �l (date)I:have passed the Soil cyaluatorexamination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required 'niWcertisc and experience described M 31 U CMR.15 017: S.igtiature `��' Date 22 1/ 7e, Q k9E?TJMPFR1tFORM,DOC �- F 576, Assessing As-Built Cards Page 1 of 1 TOWN OF BARNSTABLE LOCATION 75. 43f s SEWAGE# a b VILLAGE U�a.rv�.g•ksa��.. ASSESSOR'S MAP&PARCEL 6(v INSTALLER'S NAME&PHONE NO. Car, -L,�a w% 5 G o-q a 7 y SEPTIC TANK CAPACITY L 50G'Ate k i LEACHING FACILITY:(type) s,k (size) ' X SS'Y NO.OF BEDROOMS OWNER e ro h PERMIT DATE: 51 14'I I/ COMPLIANCE DATE: Separation Distance Between the Maximum Adjusted Groundwater Table to the Bottom of Leaching:Facility feet Private Water Supply Well and Leaching Facility(if any wells exist on site or within200 feet of leaching facility.) feet- Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility.). ; ' feet FURNISHED BY.: 4A a21 2 5 5h* J6'6-(0 I z� IX-3 • t� 25 -y http://www.town.bamstable.hia.u§/Assessing/HMdisplay.asp?mappar=165106&seq.=2- 4/11/2013 Assessing As-Built Cards Page 1 of 1 TOWN OF BARNSTABLE I LOCATION IK t Th)rbyl r A SEWAGE# d d3 ;TILLAGE OVL 4 SESSOR'SnMAP&PARCEL • /�!5 /© INSTALLERS NAME&PHONE NO SEPTIC TANK CAPACITY L45-0 0 C LEACHING FACILITY-(type) (size) NO,OF BEDROOMS OWNER p PERMIT DATE: �� I y`. awG COMPLIANCE DATE: 7 �(® Separation Distance Between the: Maximum Adjusted Groundwater"Fable to the Bottom of Leaching Facility Feet IPrivate 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 306 feet of teaching facility) Feet FURNISHED BY ' l. 17) http://www.town.bamstdble.ma.us/Assessing/HMdisplay.asp?mapp-ar=165106&seq=1 4/11/2013 m No. THE COMMONWEALTH OF MASSACWUSETTS FEE ' •°BOARDS H EALTH !I.t OW{v of P�Cr�Vns �C�; APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade (X) Abandon ( ) - XComplete System ❑Individual Components �5 sfl,�6riceur< l�r Os-�-��<i�C� C�l�'ar Iy1 es6-Yc.e►-o -� /( / Owner'Name tipn t Map I 8 --ti/�d / Cdd 15 O leTelephone t Ins Ile r N / 96D1�� M;GGS !6� Katiesig/ s �rtye X56 8 Si�bR q 67GJ- Telephone i Telephone W y, Type of Building:�/f4�tlgn�A rl OGtsf Z Lot Size Q 0 b Sq.feet l Dwelling—No.of Bedr ms ?� Garbage Grinder (/4)D j Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min. eq 'red) 33 0O gpd Calculated desi n flow gp 6 Design now provided gpd Plan: Date / Number of sheets �RewisioDatle) Title - �S Description of Soils) -I Soil Evaluator Form No. �Ll 2� Name of Soil Evaluator �•- Date of Evaluation f t. DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to in 11 the above described Individual Sewage Disposal System in accordance with the provisions of Tnu 5 and agrees not to pl ce the system in operation until a Certificate of Compliance has been issued the Board of Health. Sig Date !J 1 f Fi I71 e- 4 l / `i FORM t -APPLICATION FOR DSCP DEP APPROVED FORM 5/96 - -' NO :'�`-' THE COMMONWEALTH OF MASSACHUSETTS FEE �0 _ BOARD OF HEALTH t CERTIFICATE OF COMPLIANCE Description,of Work: []_jndi�aidual.Components) .. r. ❑Complete System The undersigned hereby ec�`ify that t e Sewage Di is Constructed('),Repaired( ),Upgraded( ),Abandoned( ) by: 'h �� roc`► I_ (� at has been installed in accordance W�A the ovisions of 310 CMR 15/00(Title 5)and the approved design plans/as-built plans relair3g t application N'o-06-1[1 �dated y / t! Approved Design Flow �S`3 O (gpd) Installer t� f t Designer: �V P"��''� Irispecto - vate L /d 7 �I // The issuance of tfiis(certificate shall not be construed as a guarantee that the system will function as designed. FORM 3-CERTIFICATE OF COMPLIANCE 6&40:'ROVED FORM S/96 - ------------------------e------------------------'-------------.--------- No. - k THE COMMONWEALTH OF MASSACHUSETTS FEE r100 BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to C,onstru ( )„Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at �/S �° r 1 < e �✓ as described_ in the application for bisposal System Construction Permit No. L, 1 dated / f Provided: Construction shal be completed within three years of the date of.-this pe init:=X Iocal conditions must be met. Date �I /�✓ 1 Board of Heali)t L ' FORM 2-DSCP DEP APPROVED FORM 5/96 .. FORM 1255(REV 5/96) SW HoBBsB WARREN'" PUBLISHERS-BOSTON TOWN OF BARNSTABLE LOCATION 0 SEWAGE#. 0 ( - ®c1 19 VILLAGE ASSESSOR'S MAP&PARCEL '/ We INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY (SO-® e1i IA- 10 J� LA LEACHING FACILITY.(type) z k-Cr�.�a S (size) X NO.OF BEDROOMS --3 OWNER t'o PERMIT DATE: i S' I/ COMPLIANCE DATE: 7 11 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet Private Water Supply Well and Leaching Facility(if any wells exist on site or within 200 feet of leaching facility) feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY Ell, 5 5A 6'b_ a i ze ►� 36 as -a NO. r ©) THE COMMONWEALTH OF MASSACKUD rTTS FEE .`--8OARD'0-Fz HEALTH dWw OF G(/YK�7�l�JL�i APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade (X) Abandon ( ) - XComplete System ❑Individual Components 7�s L lor%dae br, Osk!-�611e_ C,,1 rA_ Me56rx,et-0 /[Location �//,� _ ner' Name Map/Parcel # U 77 Add 5 O S L t# Telephone# TIns IT + Desig s mg )--- . Telephone# Telephone# Type of Building: /K4� Lot Size 0 d Sq.feet Dwelling—No.of Bedrd6ms Garbage Grinder (/4)D Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) ` Other fixtures Design Flow(min. equ.red) ?J3 b gpd Calculated dew gp b Design flow provided N gpd Plan: Date / Number o si n flo sheets RevtsiofDate Title Not 0119in — t S z Description of Soil(s) _1 n l ►v 1 � - Soil Evaluator Form Now 0W 22 Name of Soil Evaluator Date of Evaluation it DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to in II the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and agrees not to pl ce the system in operation until a Certificate of Compliance has been issued y the Board of Health. Sig Date—A !J / Inspec q ` r FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 40 Nod THE COMMONWEALTH OF MASSACTS FEELey /(✓� r `�"-"BOARDO-0r I"H EALTH aWw ofv�sfr ��_.- w APPLICATION.FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT f - - Application for a Permit to Construct ( ) Repair ( ) Upgrade (X) Abandon ( ) - complete System ❑Individual Components 74 sfG<ybr1'cr9e. br, Osfille. G1/11tKlk l�e �xo i Ids I oocation Owme c��e- l�r. Map/ 4�:.� �� 6Addres 79 D r L [# Telephone# 14 C�:�5�Y`Ge c �� � roe Ins Ile's N a Desig e's N e liM 1r5 Otis Marls /6 r< fx . Lee )5X�-c , 4 56 a .r. .96ss q 07G- 0 °G 5 �D A e U �' // Telephone# Telephone# Type of Building: `-�/fl e- Lot Size 0 0 U Sq.feet r j Dwelling—No.of Bedrooms Garbage Grinder (yp Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.req 'red) �J�70 gpd Calculated design flow gp (� Design flow provided 2 2 gpd Plan: Date // Number o sheets Revisio Dat Title /�N - x l .5 i s GL°z"2 5 s b S r✓C(��. -" A� {{ lI Description of Soils)V_` n��t c 6� 0�►�t 5� A {�(Q�, u H ct Soil Evaluator Form Now V 22 Name of Soil Evaluator GI 2.- Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS Lt e S e . U i'`C 7 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of 'TITLE 5 and rthe agrees not to pl&e the system in operotion'until a Certificate of Compliance has been issued y the Board of Health. Date Inspections-- V /4 . � r FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No. �-�a 7 25 C THE COMMONWEALTH OF- FEE r � BOARD OF HEALTH ERTIFICATE OF COMPLIANCE DescriptionW Work: ❑ Lndiyidual"Components) i ❑_CompletesSystem " The undersigneddhereby ce tfy thno, e Sewage Disposal System;Constructed'(' ),Repaired( ),Upgraded( ),Abandoned( ) by: 1� $ m� itJ S � y C. i � S _ 1 at F7 h � d, has 1&n installed in accordance wif the�yovisions of 310 CMR 15 00 (Title 5) and the approved design plans/as-built plans relating--tt applic tioJn/No.�1 -Off dated ' r 1 Approved Design Flow 9 3t O (gpd) r 1 \ s aT�'Installer (� � t _D_R.l S �' U G r � rtJ � Designer: P'IV HVO "' Inspecto,. __ �Date l t The issuance of t pis certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEPAF ROVED FORM 5/96 ---------------_.----.. - _----_,-_,---------- - ----_,---------- -._----- - ------ No. ' 1 -01 THE COMMONWEALTH OF MASSACHUSETTS FEE /00 BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to onstrut( ) epair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at r 1 e ✓" �7 asf described in the application for 6isposal System Construction Permit No. ";)O/ ` Q dated + / r Provided: Construct7-5/ shal be completed within three years of the date of ' pe mih"."`ll focal conditionsmust be met. Date G! /1/ Board of Heat FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSS WARREN TM PUBLISHERS- BOSTON Town of Barnstable Regulatory Services Thomas F. Geiler,Director lARNSTABLE. « Public Health Division 39. ' i0rF0 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Z'27 /1 Sewage Permit#20 U— 0R 6 Assessor's Map/Parcel UPS JD f7 Installer& Designer Certification Form Designer: rj ja ems,., ; �1t�t Installer: . - Address: llo� kA AAfA Address: all F11 t6 NA Mkr`5 fps /I Uts On 4 i S lit /t G .4 CAS . was issued a permit fto install a (date (installer) .. septic system at s l7 C,ti-/�r-tce4e, Pr 1/6 based on a design drawn by (adds s) htC— dated pri (desig er) — 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 (if required), was inspected and.the soils were found satisfactory. y 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-Re ulations. Plan revision or certified as-built by desi her to.follow. Stripout (if requi d ected.and the soils i were f and satisfact `� ` ssgc �? JEFFREY yG � ® `EDWIN , og RY MER ( nstaller's NO.33489 Signat re) CIVIL _ e 0 NAL E esigheA Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doc k Al 9ilYM -. i Oak 4 Town of Barnstable P# 13 a ' Department of Regulatory Services Public Health DivisionMASIL Date 2 S� 059., 200 Main Street,Hyannis MA 02601 - p I�Kt Date Scheduled Vj I I Time ( I Fee Pd. 'U I) Soil Suitability Assessment for SewLage i�s(yposal Performed By:�,/ � ��!��/(�tYi P�t-i Witnessed By: LOCATION&GENERAL INFORMATION Location Address /S Os /(J_r�G ei Owner's Name // A // Address�'V 75 uA,yv�a Q Assessor's Map/Parcel: /&5 / /O, ✓ Engineer's Name 0�5 �p 54-741, - NEW CONSTRUCTION REPAIR ^ Telephone# ��$ Land Use Slopes(%) I /�-' Surface Stones N�� Distances from: Open Water Body> U 0 ft Possible Wet Area V d R Drinking Water VftW (/v/w ft Drainage Way I b d _ft Property Line _R Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) 9 � yI�� 1 rr A/ , IA Parent material(geologic)�/�/IiA 6�/ W Depthto Bedrock /i I«� Depth to Groundwater: Standing Water in Hole: lJ Weeping from Pit Face I�0 Estimated Seasonal High Groundwater—./ > !/t/ ""-T P,.4In,ATION FOR SEASONAL HIGH WATER.TABLE Method Used: 0 Depth Obseirved staliding in obs.hole: in. Depth to soil mottles: /y IA in. Depth to weeping from side of obs.hole: in Groundwater Adjustment ft. Index Well# Reading Dater Index Well level Adj.factor Adj.Groundwater Level ' PERCOLATION TEST Dates Time %C 0 Observation AA Hole# - Time at 9" •V Depth of Pere { — Time at 6" • Start Pre-soak Time @ 10- 4s Time(9"-6") ` '� End Pre-soak �'• �j/� Rate Min./Inch Site Suitability Assessment: Site Passed_ _ Site Failed: Additional Testing Needed(Y/N) Iq 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 ASEPTI C\PERCFORM.DOC ate. DEEP OBSERVATION HOLE LOG Hole# ( " Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) N0—M0 C- )KZ4 DWG 07-•5 N V� GIP.�ry DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 0 �lenaP�LOGS- `DyR�� I�GO f D �l-0-120 li rN.e�. el � DEEP OBSERVATION HOLE LOG Hole#.' Depth from Soil Horizon Soil Texture Soil Color -Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) - DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon., Soil Texture Soil Color Soil Other - Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) Flood Insurance Rate Mao: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No K, Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on 1�I R S_(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 tr . ,ea ertise and experience described in 310 CMR 15.017. Signature YA4/r `� Date 3 '—Zs � 7e, pry t ems '''► - /��L� Q:)SEPTICPERCFORM.DOC -i - I AR-W-13!W13 a OIL - T� w to 1 + � .�� ' ( a n ' r8Ns1i1.1e WAIl�-'$�k Ojll�. F VSafS 0 996" o y F c Wo by �'k d. �m f tQ3 I m g —6 _ - - Q Z 7 31� c �Ir OIS Ld F- _ H o a 6 Y FL aaot 0( 7a�' kD K�7�n�1-i �fJ� QlU -- m N Cu-Arm` PRELIMINARY NOT FOR CONSTRUCTION , SURBR/DGE OR/VE JUN 3- 0 2006 700.00' LOT 15 I DRIVEwA Y I 10,000.0 f S F. � I � � I 10.9, — D.H. I EXISTING o DWELLING o° IZVD DECKQr� BH. j O �Dinav P p USED 14.7' _DECK ,SA..: LOCA AN DR Q, BY OTHERS' to0 "�i EX/SANG 1000 P�(NCF/ygss CST. ROBIN y 100.00' / o G I WILLIAM WILCOX � o No.31341 SURF TO THE BEST OF MY INFORMATION, 'PROPOSED" PLOT PLAN KNOWLEDGE, AND BELIEF THE BARNSTABLE, MASS . STRUCTURES SHOWN ON THIS PLAN (OS TER VI LLE) LOT 15 C. P . 3137 HAS, BEEN LOCATED ON THE GROUND DATE 06121 06 SCALE 1" = 20' AS INDICATED. JOB 6394-00 CLIENT DAVENPORT SWEET ENGINEERING 06�21 235 GREAT n r^licuv TvET DATE • PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS, MA oaa-3 OFF. 508-398-3922 FAX.508-398-3083 C: ; S8 DROJ E39$-00 1 c'wy I 639$-CIF.PAV 0 2006' SAEETSER -'NGINFTE:D TNG Citizen Web Request Page 1 of 1 Citizen Request Management Request ID: 34174 Created: 3/16/2011 11:34:44 AM Status: Assigned To Staff Assigned To: Stanton, David Health Office r Anonymous: No Category: Title 5 : Section 353-7 Sewage E.C. Date: 3/17/2011 Created By: Crocker, Sharon Citations: Health Office Time Worked: 0 Response Time: 0 Request Location: 75 STURBRIDGE DRIVE Osterville, Ma 02655 Parcel Number: Map: 165 Block: 106 Lot: 000 Request: Owner is having septic issues-possible failure. They had a new tank installed 2006. Currently a septic installer is working with her trying to determine the issue and has said there is also too much stone and weight (old concrete septic cover) on top of the tank from 2006 and it is making the replacement tank bulge. The owner asked for a reinspection of the tank as it is open currently. Request Work History: y ' i f hiip://issgl2/InternalWRS/WRequestPrintPub.aspx?ID=34174 3/16/2011 _I s r r ,gip �_ � � � ♦ ��� L ` `. l4, �y`w�. S \� t �t'� . i �'. t �� •� � ,�_ 1 d � `, - r s - , �� i � { °�. .. • ' J� � .�. �. �� +^ ° _r , - ��. 1 �, r TOWN OF BARNSTABLE �r _ L ocArION w SEWAGE# ��- VILLAGE 05k V1 A SESSOR'S MAP&PARCEL �® 40 1 INSTALLERS NAME-&PHONE NO. eg In Cant �a,j� s, zn(T SEPTIC TANK CAPACITY (� C LEACHING FACILITY:(type) U` (size) NO.OF BEDROOMS OWNER PERMIT DATE:,q: V q COMPLIANCE DATE: �(� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY t _ 60 I4-'—D c('� No. 60 13V Fee — r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Mi5paal *pgtem Comaructiou Vernnit Application for a Permit to Construct( )Repair(/Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 75051"►' M eS871 - n Assessor's Map/Parcel a V 1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. EASrDMOS 6dNeD 09-395,59 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other 'Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alte tions(Answer when applicable) 1_ l.�/)L/� { a /��I L)'1 t/� Date last inspected: Agreement: The undersigned agrees toe a co ction and maintenance of a fore described on-site sewage disposal system in accordance with the provisio of Tit 5 e Enyirminentalf C de and no o place the system in operation until a Certifi- cate of Compliance has b is d of H alth. Si ned Date Application Approved jd.%L Date Application Disapproved for the following reasons Permit No. cam` �' Jr- Date Issued 3 -7 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:- Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ,, 6 2ppricatfon for Mig;pogar *potent Congtructton permit Application for a Permit to Construct( . ).Repair(/Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 15 Wrb �f Owner's Name,Address and Tel.No. Assessor's Map/Parcel ` a r Installer's Name,Address,and Tel.No. Designer's Name,Address and)el.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date `Title Size of Septick,Tan/Z Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)�a Q. 'k Ci 11�' 04�i✓0,U -b ak Date last inspected: Agreement: ` The undersigned agrees to e e cots ction and maintenance of e i ore described on-site sewage disposal system " in accordance with the provisio of Tit 5 9f e Enyironmental C;de an of o place the system in operation until a Certifi- cate of Compliance-has b is u d of H alth. Si ned Date Application Approved. Date Application Disapproved for the following reasons Permit No. '7'►� Date Issued H THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ,-.. ' Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage,DDisposal System Constructed(- )Repaired( t Upgraded( ) Abandoned( )by PKM .(• Y at VI has been constructed 'n acc rdance with the provisions of/Title 5yand the or Disposal Syst�Construction Permit No., �6-� dated � ��z� Installer PTI�VI� n1! //�:� 1�� °, ('f.: Designer / .�� The issuance of this permit shall'not a cconstrued as a guarantee that the system wi11 °unction as designed. Date �7-�t}' �! Inspectors -� 4 k I No. DWV Fee )� 100 • THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migogal *pztem Construction Permit Permission is hereby granted to Construct( )Repair(p7)Upgrade( andon( l� System located at 1rI� l �G t, • 4m o• I 10, a and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction ust be c mpleted within three years of the date'Ofthis pe Date: �1 L, Approved by - LEJ UN 3' 0 2006 STURBR/DGE DR /!/E 100.DO' I LOT 15 DRIVEWA Y 10,000.0 f S.F. ry 10.9' D.H. EXISTING Z DWELLING o° o° DEC�Y 8H. j o° L _ - PRGlypp ADDinoN PROPOSED / 14 7• DELNr DECK SA.S: LOCA AN DR 'BY 07HERS' N O ENSANG 1000 P�,H OF bf4o. GS T. 100,00• = ROBIN G WILLIAM ru'„ WILCOX v No.31341 `O SU TO THE BEST OF MY INFORMATION, "PROPOSED" PLOT PLAN KNOWLEDGE, AND BELIEF THE BARNSTABLE, MASS . STRUCTURES SHOWN ON THIS PLAN (OSTERVILLE) OT 15L.C. P . 31373 B HAS BEEN LOCATED ON THE GROUND DATE 06/21/06 SCALE I = 20' AS INDICATED. JOB 6394-00 CLIENT DAVENPORT 06�21�06 SWEE_ TS_E_R_ _ ENGINEERING 4 (-�/ ROAD" .' - _ -- -235 GREAT WESTERN L'RN AD JDATE PROFESSIONAL LAND SURVEYORI PO BOX 713 SOUTH DENNIS, MA 02660 OFF. 508-398-3922 FAX.508-398-3063 I S8 1 D,?OJ 1 5399-00 I dAg 1839-1-cpp.MY 0 ZOOS SYMEYSER ENGINEZIF NS C-' TOWN OF BARNSTABLE LOC;ATIOti 23 r4r SEWAGE # 'VILLAGE ftIZ' ASSESSOR'S MAP & LOT 16t, INSTALLER'S NAME&PHONE NO. 7?i — i!/T` SEPTIC TANK CAPACITY & LEACHING FACILITY: (type) , z e 3 (size) /Z NO.OF BEDROOMS BUII.,DER OWNER � er' PERMTTDATE: 6 ze 4S'' COMPLIANCE DATE:-- — � Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility r Feet Private Water Supply Well and Leaching Facility (If any wells exist 7�� on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leac nngg facility) Feet ow Furnished by \1 -� o i vao' t� i �� r 1 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y , PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppricatton for Otgpogal *pgtem Congtructton Vertu Application for a Permit to Construct( )Repair(V UPgrade( )Abandon( ) []Complete System ❑Individual Components Location Address or L No Owner's Name,Address and Tel.No. Assessor's M Garc V o3 �t-V>\�,e_ 166 Installer's Name,Address,and Tel.No. 711 _�-k WE Designer's Name,Address and Tel.No. k-�\ekC,--r & %. r Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(��) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil �� ll Nature of Repairs or Alterations(Answer when applicable) 3 w I l 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 Certifi- cate of Compliance has been issue by this Board of flealth. Signed o Date G Application Approved by Date Application Disapproved XK following reas s Permit No. Date Issued pr +� o. r � ', � Fee^ J `� Entered in computer: THE: CO,MMOq,NWEALTH OF MASSACHUSETTS t Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for i" to of *' wem Construction Vermit. F' ' Application for a Permit to Construct( )Repair(✓Upgrade( )Abandon( ) ❑Complete System f Individual Components Location Address or Lo o �" Owner's Name,Address and Tel.No. Assessor's Ma /Par' 0� '�V—,,\N\.0 -_ 8wp o6 Installer's Name,Address,and Tel.No. 7 '\ �2 Designer's Name,Address end Tel.No. Type of Building:---'' Dwelling No.of Bedrooms�� Lot Size sq. ft. Garbage Grinder( ), Other Type of Building No. of Per sans "'"= Showers i ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date ' Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 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 Certifi- cate of Compliance has been issued y this Board of Fkalth. Signed ° © Date G 7 '- Application Approved by e Date I Illy) Application Disapproved forKe following 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 k_�k*_\ Ct m w S�r- at 7 S _S -.tee © n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not e c strued as a guarantee that the system will-function as designed. Date 10 - J Inspector _ _... ... ----C-- q_P 7 T No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS =1i.5pogal Opztem Construction 'Permit Permission is hereby granted to Construct( )Repairoe Lw%-4e- pgrade( )Abandon( ) System located at_ S N t *�AC,t Cs re , " v-- v and as described in the above Application for Disposal System Construction Permit. The applicant recognizes 's/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Cons cti must be/co eted within three years of the date of is rt. /0 Date: Approved by �� ICKEY I- y� 1 pwv �us� Z co) 38 Rosary Lane Hyannis, MA 02601 508-771 -4128 10/9/97 I NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) hereby certify that the application for disposal works construction permit signed by me dated { 98' , concerning the l ST property located at `?5' s�-r-bV-, � c.,� gn� meets all of the following criteria: • There are no wetlands located within 100 feet of the proposed leaching facility Fa no private wells within 150 feet of the proposed septic system no increase in flow and/or change in use proposed e no variances requested or needed. • If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) .0 B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cent >' TOWN OF BARNSTABLE LOCATION -'�.-,Z41:26,,LA*EWAGE # 76/ VILLAGE 0-3727 4' 1-2 I/ ASSESSOR'S MAP & LOT5-_ /O g " INSTALLER'S NAME & PHONE NO.,O 2 e" -7 SEPTIC TANK CAPACITY /O 0' cq / e b' LEACHING FACILITY:(type) 40 •gc1a /c r (size) 6 rfr NO. OF BEDROOMS PRIVATE WELL.OR PUBLIC WATER�,3 �BI?ILDER OR OWNER y j� X 7- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: X VARIANCE GRANTED: Yes :;�� No X r Si&v, e2 / Y 3 30 i.5 No..... 6....a 6 FEB........ . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH UZC4 five .............. o w"4V ....oF....... i AI-s � .. 1e A, Allp irtttiun for M.4poiitt1 Works Tunu#.rnrtiun Errant Application is hereby made for a Permit to Construct (✓f or Repair ( ) an Individual Sewage Disposal System at: ..........�..........-----•... ... ----------•- •-----••---•-•----... Location-Address +� or Lot-No. ............................................... . _ Owner Address Installer Address d Type of Building Size Lot.../-0y.00 ...... feet No. of Bedrooms.._____.___3........:....................Expansion Attic ( ) Garbage Grinder Dwelling— ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures ------------------------------ - W Design Flow.................S.T_..___.___.__.......gallons per person per day. Total daily flow............. 30 gallons. WSeptic Tank—Liquid capacity_/ooa_gallons Length__86��__._ Width_`���.!�_... Diameter................ Depth.s!8..... x Disposal Trench—No. .................... Width.................... Total Length.................. Total leaching area....................sq. ft. Seepage Pit No................... Diameter.....XP......... Depth below inlet...._G........... Total leaching area... ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by....... T .__. _^�y ..................... ,aa Test Pit No. 1..L.Z..._.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........................ a ---------------•---•--...............-----------•----•-.......................................................... x0 Description of Soil------.p!!_so- *-' / s'✓a_se- _a.._/44": .........-- - -•----•-----•------------------------•---• ---- = `S' 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 iITI.E 5 of the State Sanitary Code—.T 1e undersigned further agrees not to place the system in operation until a Ce tificate of x ce has been i e y the board of health. a� Signed Dat.......... .. Application Approved BY�----.----- ... D J--- Application Disapproved for the following reasons:------••-------------------------------•-•--•----------•----..._......-------- --- ....................... ••----•----•---•-•------...--•-•-------•-•.......................•--------•-•---••-•••----•-••------•---•..........................---------------•------------------------•----•----....--•---........_. Date PermitNo..................................................._... Issued........................................................ Date . a t- v / So No................_....._ Flcs............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.........:..... ......... .... , ppliration for Bioposal Works Cfnnstrurtiun ramit Application is hereby made for a Permit to Construct (t..rj or Repair ( ) an Individual Sewage Disposal System at: !�7- pis" --..:- --.:.._-- • .......................•••------..................--•-------------- ...--•--------------••---.......... -------------------------------------•--------- Location-Address or Lot No. ..................•............ •-----------......•-•••-................... _.__..... Owner Address W i/'l'r /—J' �+1i✓ `.. Its trC?(V i:i c_f_ 1,—i 17 0,c 4!' Installer Address d Type of Building: Size Lot... ......Sq. feet Dwelling—No. of Bedrooms...........-�........:....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------•---------------...--------•----------------------------------•-------•--•--------•--------.......--•-•........... W Design Flow.....................��...................gallons per person per day. Total daily flow.._.........3. . ...................gallons. WSeptic Tank—Liquid capacity_L�a�.gallons Length__ ' ....... Width_`'... ....... Diameter................ Depth.. '..'.`.-.!-_. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......../._........ Diameter.....�Q_f....... Depth below inlet...... .......... Total leaching area...Z6 ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by...... 3'�'=� ....�.� E.................... Date..�U ..:�'fj. `......... 0.4 Test Pit No. 1..�z...__.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........................ a •••••--•••••••-•••••••-••••••••-•...•••-•••••-••.......••••-••-••••......-••--•......-•....--- ....-•-.....-•--•...... •••• -•••-._........ 0 Description of Soil-------- .....-'�0", CG/.*r, el S-O✓ 4- ._3o �-14-4 ��/ . 7, a -------------------•••••.••--..........---•......................... ............. ••-••......................--••••......••-•-•••-••_.. W VNature of Repairs or Alterations—Answer when applicable................................................................................................ -----------------------------------------------•---------------------......-------•-------------------.........----------------------------•----------------•----------------------................•••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLi: 5 of the State Sanitary Code—.T e undersigned further agrees not to place the system in operation until a Certificate of Compli ce has been e y the board of health. Signed _ D-�jte Application Approved By--/ -----.._ .......... .. �... ..--•-----•----•-- -------� { Date Application Disapproved Disapproved for the following reasons:.................................................................................................•-••••--_..-- --••-•••...-•-••-••••-••-•-•--•-•••---•••••-••-••-•-•••••••••---•••••-••••---••-•-•----.....-•••••-•-•- .......................................................... -----•.............•••--••--•-- Date PermitNo......:............................................- .. Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TWni OF......... /3 c'n�S...... .......................................... Tatif irtttr of Tnutpliattrr THIS IS TO CERTIFY 'Thatkhe Iij lividuaal Seggge Digpo® System constructed ( i.,- ""or Repaired ( ) by------------------------------------------------ . .....tt - tt ..... .... t Installer ,D has been installed in accordance with the provisions of TITLE of he State Sanitary Co jLe e� I]aed 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 FUIACTAON SATISFACTORY. qq 2 f t DATE...... ...l-2 �..... �•----•....................•---••---•-•....... Inspector.... ::...... -......... ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 436 - .6 -1 ...............�.f�/,/ ..OF........ e ........................... No......................... FEE........................ Disposal Works Tuna nrjtilan rrrutit �4 - c'-' Permission Is hereby granted................. ,�1.,t4t....... s. r....:'�'..:-----•-----•--•............................................................ to Construct ( � or Repair ( ) n Individual Spra a Disposal System v ............ ........... .. .. -- ----------...... ....... ••......... .. Street et ---- • as shown on the application for Disposal Works Construction Permit NO.._�.�. �bat ........... . ...� . . ............. ............................................ ..............----------...---- rd of Health -•--- DATE.. --•---. FOR1M "255 A. M. SULKIN, INC., BOSTON 1 I v E-Z dn4 -top o r- 1 I I ZS So.oa � C► � f+'�G� �� 4 - �� i P�posc� 0 / v.vog Tia.✓= S 0 Z .o0 0 *114 i nor A/4 I� S° Lo r pis ai 5 � O T,q•rlrG . 8a X '1 b VE S7- ,9ssuME� JJ. �z••-j , LDCATION YiLGE . ,!�9•�1 s.r�: •r SCALE . /'!:;70 , • , DATE .7'4x. PLAN REFERENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OF R1gsf� PL'g�v 3/3 73 A ' • o`er EDVIARD tiG . . . . . . . . . . . . . . . . . . . . . . . . t. E. ,�• o KELi,EY/, N . . . . . . . . . . . . . . . . . . . . . No iOU v �o 0 I CERTIFY THAT THE GIST, SHOWN ON THIS PLAN 19 LOCATED ON THE'6RO ND AS 911OWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . . . . . . . . . . . . . . . . . . . WHEN CONSTRUCTED. DATE � . . . . . . . . .. . J .T.el�cT//-sE _ �GsTiTioiv�'TZ REGISTERED LAND SURVEYOR .,�_ L. SZ:o0 TOP OF FOUNDATION CONCRETE COVER ��• CONCRETE COVERS �70 ; 4"CAST IRON 2"MAX. �nrmslr 12"MAX. ' OR SCHEDULE 48 5;T4"SCHEDULE 40 P.V.C.(ONLYP.V.C. PIPE IPE- MIN. LEACH PITCH 1/4"PER. TCH I/4"PER.FT. PIT PRECAST ' LEACHING .' NVE T ' PIT OR qq a ..t '•� EL..-.'V44.. SEPTIC TANK INVERT DIET INVERT (;� EL. B 75.. BOX EL4B;s4 rui _ EQUIV. �.i INVERJ' T S' a=►- 0� ¢� 9G GAL. INVERT INVERT w u Of 3/4"TO II/f EL......:..... EL;�8,7( EL4e.so �o q• WASHED w ��'� STONE T --►}�--6�DIA. --•� I ,�o� /o, DIA.—�11o��rea¢er� PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE .q"G 3�/y8/ TIME.!!:°o A!>. �, ! S; BOARD OF HEALTH TEST HOLE 1 TEST HOLE 2 b'AT�7Z !��! f T�,/C ENGINEER ELEV.. S/.30. . . ELEV. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . DESIGN DATA : _z. 48.80 NUMBER OF BEDROOMS . . . . . . . . . . . . . . TOTAL ESTIMATED FLOW . , 330 , . , GALLONS/DAY BOTTOM LEACHING AREA 78 So . . . SQ.FT. /PIT/C.PP, �-1G1D, Sip SIDE LEACHING AREA SO:FT./PIT�.�1z CID, GARBAGE DISPOSAL ��? `!�`�..(50% AREA INCREASE) TOTAL LEACHING AREA . z 3�?.` . . . SQ.FT PERCOLATION RATE . l-�.SS ':'. TwP MIN/INCH )44° Q2.39 30 _ _ _ LEACHING AREA PER PERCOLATION RATE ..47�. SQ.FT./,-RD. No WATER ENCOUNTERED on/G- PiT /iTt/ NUMBER OF LEACHING PITS . . . .-. . . . . . . APPROVED . .. . . . . . . . . . . BOARD OF HEALTH /o• DATE. . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR OF ..�"-•-------, ED E°ARD ST Z�O/ CELL.{Y✓ vi R. LLCA y • STL.eB.0/Z-�C . . 2. � �,. SFr 0S709eV16,1-C ��� 1d� i sANRW8IA� . . . . . . . . . . . . . . . . . . . . PETITIONER J,4leTi�7►�`7Z . . . .. . . . . . . . . . . . . . . . . . S _ o � I FO1` 81 r E TYPICAL NOTES, �� 'd 4911 9 srRucruRAL eNGINEnvDasGNR ro PERroRn rRAl�i aj 'o'TSac a 4'-S• � �L R fTl�lt ro INIaN.� DµprlHQ�t TpO�7Lt�iCpLgO�aUR!DT INrWQ! F ZL o41cr oaNC. 1 4 MC Ca11rCNR1T1 AND INTRIOI�a WRIt1fi C0lTMM�TRiJC'C1ON H- FOOTING ,w- � ��C�R�TInrORAaUP1'Rv��ON °mod IUD MAY D[ F- Q --__----- `. QANY p6aCItePANCIq AND/dI WJWO THAT MAY�N° 7NTRm. ff �o�E O� / / ` I/ i - eoNSRAerae SHALL f0ffi7RLCT AND MAINTAIN TCI•IrO."Ir WALLA/ Z Ui�Wi �O III I IKTMN"E1'C.To TING.W Wr110TfCT oaSTING Nous6 AND STRUCTURAL c I INTEGRIn or axlarlNG Nava. � II rllLo DereRMlNe m•1 FRAMINT�� I U FOIe exISTING D 1 '3 A eaNSRAaTae awALL a re INePeCT/VERIrr ALL a naTNG va rROrOam gg f owmmow-rR1oR To AND OUMNG wurMicnoN ANp note ADUUaTT5dT6 V] Sy — �I i' K �INa{!R.Oal'1ruANC!WITH DafIGN rAW7lTLta M w w 3Q� aa•d�rl raR'alaATra f` _ I I 20 DRCN JOISTS I2'O.0 1 " A BASEMENT NOTES: -' AR�WV•IALY�W aaRA1E°ELv w i I ; I 11 e - - - - DeD,TmuL I ° I I A7�Ca MAN FOUNDATION wAua To a rq)RED CONC.W/San eARa TOP aOTT011 RFET FOUNDATION Cr aTMr FDOfING. !( r=tTWC aaaa NORa.eARa CONT FONWV I a ; or OOTIGS.rmeDaTING _ eoLnv 4ya kw. iAT's°Mia�raa O=A.rNIpNCGN7a@Wi/°® � I L-Y____J 2.ALL STRUCTURAL STEEL COLUMNS TO BE D In'WHICRETe FILLED LALLY R j I I 2 2.10 I I i°°AAGI ,%Arew1 4W4'°oA.D�OLT8 ELD�CONNE CAP CTIONS 2 ^ _--_ __' �_'�-a•� _ F I / I I FOTTINGS M DE Di•ni'Y17 aOUAR!CONCRETE W/a na eAR6 lACFI WAY. $`� I I II' • IDE 10'DIAM aONO- ___J a. DaU°L!FtAOR btaTS UNDR ALL PARALLEL rARTITNJNS. l %. .�'� TLLHeTW�/RSIGNFDT !'°�MICTNG ADOV! I _1 4.7 TOURED°?IC.DUST CAP ON C MACTED FILL, !Rib � AT PROPOSED CRAWL SrAC! ___________________ ____ EF g6q gg 2�'O- CONTRACTOR TO 1 L____ __� RlWI CODE�(WINDO°IIIS OR�nW�lAN1 LAT1°N AS Etq yp� {=i{� y� IT IXISTING CRAWL I I VERIFY LOCATION I j.____ --i a T�MALL INSURE THAT ALL rouNowmaN WAUJ6 MAINTAIN 7g1 @ 9 e a I �elcl.T._Deus NIMU,GOJSR tlDDtl ■6YY yy ADJUST FOUNDATION tF � L_____ J z6 HEIGHT TO ALIGN _ I AeOV!W/rOST6 T -� 7,FROVID6 Wr8 OTIFPENING PLATC6 AT ENDS Q 6TlEL SEAJ16•TTP. FINISHED FLOOR6 x i f------ -� a.SE!6TRUCTUML DRAWINGS TOR LOCATIOM OF ALL STRUCTURAL COLUMNS, all pp�g 1 __ PROVIDE aE RmARe aR aumT10NMLE anD°R Arolai°NOT a°ROUnaNT r01°TME TaST°1awN' �3I3 IIIttt lip �y BF Ei 17 O.C.V[RT IN • I T-- OF TM!De�SN:NER eecaTE TM!RLBrONSiDIun of TMC coNTRACTnR I III exISTING FOUND,wALL 1/ "It .INTCNT Q DmGN Ia To NAewyUr�lRar rLOOR arAcee w eALL A* � � � �T TO EN a DSDIGN INTL r'—" of rOUNDATION w 1"'AS ■ S OO ITING PLUSH am. Lu P"''O G'VMT IN a II II I U =wnNG FOUND.WALL II II Z III I Z Q Ifs Ili J < >to E LLI w caenrw eAeeneNr J Ile^. IIS Z II 11 LU �� � vERIPr rde it it GOHTING PLuaN 61. - w i g EXISTING FlREPLAC! IF NOT rRam Q II rouNDAr'aN II 2)I Y•qp•LVL Ll O II roar - IXISTING GI H•LALLY COL, I —UP I - -—v= j O,^ — —_—c_ O w 11 I IX16TING GIXT 4 LALLY COL. _ � N �f II� T - - - --- L 11 II uP � (L p II II II Foal lie, III III "� ' lh. III Its !x A Ilr II# 3 � is OnHTING FaINDATIoN I IIn ILK O 0 wALL t FOOT NGe II II II II II II m AjLL[XTERIaR wALLe eNALL De 2Xa p Q a If O.C.UNLE"OTHERWISE NaTED. 1 C .. 1 li�'LO.IC URNIL R 1 OT'�E'Wlee XE04 1 � a . a.cONTRAGTOR ALL VERIFY ALL WINDOW ROUGH oreJNINGe MtIOR ro aRDeRING WINDOWS. Z O rj 5 4.CONTRAGTOR aNLLL VERITY ALL dMW610Na N PRIG[TO Cl.NHTRUCTION. CONTRACTOR . . 9 G IN465ao�iertar DlC4ne+ei°OIILe�NOTFOp�Nr�°R � •• 151E ATTENTION of THE DeaIGNeR, 03 O D B y STEP IV III 1'-0• DUSTING mtome"'D - < DECK DECK c Ifp sG.ri. 6-TRAft. MW TRAM. ..�.� N • NW •N!W �SE r2E�� • rwG Baas rINGExsn >� h A = S< FAMILY RM. TI m.rr. b Rip3li is e�-s• NEW STAIRS up TO DECK REAR REAR VENT - z8 it 1811-1 GAS flRGrLACE str Fb9W q o (VERIrT MODAL) t sTCP gg$ P4 H sa 1 � 6E RCMOVCD y --------------------- . i OWE d - S•DIA.COLUMNS FRAME IN - L xT1T. E DUTING S S.G.O. 2'" - MWAL WON 2882 SPLAYWaS II•.� I i� 11• 7 eer. j I8 • PROPOSED ... 2"6 I I I 8 BEDROOM BATH BREAKFAST i o o I DWI — � eR 00 I o 16 �p@ E •� 1 WALL 00 g €3 $ pQ _KITCHEN DUSTING � SK DIA.TIISIJLAR I pg s LIS VVLRI E GT LDCATION fi s fi� p� In ag3l e� /mil ��si§e R�������1�� V - CAD. --------- ---------- ----------------------- lu IXISTYNG GARAGE V MUD RM. Q O_tu NEW v 2"S FICr � I I I I CL cn Og E Otutuw Is°DocED a vc II I °•DIA.CDuiMNs 1..1 1 1�1---BEDROOM I ----- mm D(ISTIIVC•" IL - PRarosm LIVING I �Z p~ I I i DINING i I I I I tlldl I I — . KA L S TO I --------� I 1 I °E mm.✓ED I ------------- I lu 12'-l0' I it I I sole Ift7 ehpd I i I I 14--°E°O1AMDA.E- I 9-"`' 0 >sor�dh I I I I I I I I Lo CEN DAY IN - am S Iy' 30Y54 dh W.M dh DINT ROOM YY WDFU6 -2-20 rr A 6Nffi WALL KEY u- c$ B D B C 0 OneTING WALLS WALLS"sL•REMOVED E 41 PROPOSED WALLS - m I. /ALL E%TERIOR wALLe SHALL°e 2Xi 'o :.,A li O.C,uNL&OTHERWISE NOTED. I C ' 'li�'Lo! &'O.R OI'M OjjiSL°NO i S.CONTRACTOR SHALL VCRI"ALL WINDOW 'v a ROUGFI OPENINGS PRIOR TO ORDERING WINDOWS. ' 4,CONTRACTOR SHALL VDLIr7 ALL DIMENSION6 � LV PRIOR TO CONSTRUCTION. CONTRACTOR . }° Di°arisxi+ar�eR�i1°°TONG oR ., rHe ATTENT7oN or THE DE6IGNER. m C N 0 B � o� 0 D CAPSTAIRS TO cc= z� H C.5 P E �•y z Ca VOSTI DECK A2M7 VE « yyt t59 y y€ SAT14 azaa CASE rM.aa cnse L ib ®gFs B ATH -----� .. I _ W I EXISTING II I u Z� 1'ROPOam MN it DUSTING I _z LOFT ON ` A 2"4 ° BEDROOM Q W� Z C,Q ± I �� Bza m.I•T - ------ Q _QQ 4'_7. onREMOVE fu . _ - i� PROPOSED CL EXSTING F---------- woo —�`----------- ---- --------------------- BALCONY I' i Q LT; ------ 1 _ ___ BCAr1 BOdCW I O W O�J 4'un11 4 _ _ _-_ ____________ _ __-_ c I 17'-IO' I I w` V NEW E WALL. = TRM6 ►,BOJC COLUMNS TRa+mM - 1 NEW BELOW NEYI ' I Q 1 45'.Naftagy OPEN To BELOW 72'xIi'TRANSOM �wDOWER 1 F Z Q n i1(ID WALL BELOW - BP.tM BELOW '26.41 dh 76.41 dh CONTRACTOR TO REVIEW CAPACITY FOR Q . lu NW scconD FLOOR AREA TO BE FINIENED ON EN To B § noxwWT LutL Y (A OL�o n CENT CENTER COLTER TRANSOM r IN Ot IN EIt IN DORMER N bn ' m V!�' ULAJ.. o a. 0 � 4 O [O N / ! / ROOF SWIN t%TW GE[ ' MATCW COSTING. Cpzw MOULDIKOK NG NEW / / / / / / ! !/ NEW / // ! 42XI&TRAMW 7-.—.1. .L..L/_..<J_L .1.,L�L✓—/(_l.1. gp / Un '.1�i�V - ! �- CCi1 CU3 ® O w tl 41 /WINDOW' .-T.7-7."'l"%'_I'—/' '! _ _✓—!'�'.1 ' T FRONT ELEVATION ! w ! r Z cn w mGRICKEr " RAKE TIUMLLI / /. /.L.L/!/.7. —!_!1. — — tl•I�e,Tc l T16 NG �' �(- K /%OSTING// r / EnbTING /, /! // / //// / / MATCW COSTING 4J w ' / ! !! ! ! / w LU N.C.SWINGLE& p�(1 116T " !/ / / / //! !!!! /!! nATCW COSTING � O CUSTOM WINDOW WFADS M--w /EXSTING/ / / / FIATCFI EXISTING p I CO eoARDb MAT04 ATGI COSTING . I%4 WI ISTIN./!///! / // / ! / / ! / / / / / / /! / / MATCH COSTING (F,�IY-S yticc !/ 2-M.C.SILL MATCN COSTING — — — ......— — — — — — — — — —. — —.— Ou DeC% F ...... . I I 5a m STAIRS FOR EXISTING REAR ELEVATION 'lnd FLOOR DGCK - I I �N}RC AT I i t41NTA M�MI�H1 J- m r ti FOOTING CLVlRAGG L__.l F O C I .. om� Z � o NUW1 RIDGE VIXT . lI ASPHALT fH_____________________ MATC OnsnNG INGLE 1(SC 57EE Q¢� � EXISTING I F �18 !/ / / ! ! ! ! ! / ! '/ / / GUTTER 1 -7-y.�. — — — —— .. .... IXIO FRIETS MA.TCH EXISTING W.C.SHINGLES IATCM EXISTING W0,4 -"aoi.-Z-IIo max !!//! / masT!!'i li! '!'! 'c.81�i6 ,WmE) MATG1 1TING W R.C.MLL I� V DSJc1NZCK FRAME - /7" "T'T'T 1"".L✓—l-y..�..�.�.�.�.,c--/-yr-�T...,c. .r / — ......— —'— — — — ——•— msii'� POSTS RIGHT ELEVATION I ; '�WSTING I I - �NTR�C . r ILF ' LM pvTM11 GNT Mw�f.E' ' ' W u w c °a tu lu CONTINUOUS RIDGE VINT !!!! WDI'UNN!Wansat/// \ \ Z O ' . O W LE ASFNALT ROOF SHING MATCW EXISTING Z GurrEI` /'/�'!'!/' '/' i'!' // ///!'//!// ! !! � O��p L/—//<.1.�.L.L/ �/.1.1.t.� L/-yam. �. <.1.L.l /—/�.1.�. — — —. �1� Otu R IXIO FRIEZE MATCH EXISTING IXSAX&CORNER BOARDS (- MATCH EXISTING /! NEW EO. 'GSING JAFmO 9�) /' / / / / // / ' '/ / / /EXISTING/ / / / / / BA7 WINDOW ' MATCH O�cISTING //'/// // /, WDH4D-961E-2-40 7 R.C.SILL MATCH EXISTING ---'—— — — /�-1_-L.T. .L, —/-f•f't.�-'l`-'l.�/"7"�.-1.1.�.Lr/—/-J._..f.7.�e-i�'l- / — r 1XA DECKING TO 4 W.C.SWINDLES O MATCH EXISTING LEFT ELEVATION 43 m 0 6 - 1 'a o ro z ,�( N • LAY ON ROOF W/ GlIFY EXISTING RIDGE Its 2.9 N'O.C, NAILCR 5 A.6 "A00 NEW 24 dRAW PAPI Roros= CONTINUOUS RIOGE veHr A.6 + BEYOND rptTINUCU6 RiDG!VIXT co If'O.C. BEYOND COLLAR TICS ` —CROWN ITOLwNG � 2.10 RIME c III Farm INBUL � EXISTING f)1't'•tl T� LVL R-M FBG{.S.INSUL ASPHALT ROM WINGLU RIDGC ' MATCH EXISTING OISSIi'O.C. R4rr� sm.COK SHEATHING I I 10 If•D.C. WE'CDX.BREATHING I B GWm�AND W,IL��r �3� E 1st BUILDING PAP= 24 W O.C. 1/1'GY0 " ii .I PAP=VINT T I COLLAR TIES VAPOR BARRIgt n I tl f�l �� ti II li @ s)I Of SOrrm DOYsI TO NOR. TYVEX NOU&MRIAP I 8 ®SYS a ii i i BA Q E COR-A-Vetr 5 3 N CT� ii ii ii it n II ;! _—— = wsK ff - STRIP AV i i STNG(see EL2w.) >I it li �{ c VcIT w-LE A•6 It It it L li I; y10 ts'O.C. _.—.—. Ix FASCA 'H li W/ALUMINUM GUI•T!R '��' ,--'--�11� u2A0 li•G.C. EMOV!ce1LING =: § 115,11 1%FRlltze u L`.=J zy�0o NDR. e)1�I•.0 14'L AR u or EXISTING ADD Ras ceIUNG rRONT R AREA, THIS c� : : i R-IA FBGLS.INMJL Ia s)I YI'all�('LVL NEADet GABL!ROOF JOISTS TO OfISTING i� zzw{'O.C. Fi NEADCR « TO RISVJN CATHCDRAL CLG. 1I*%Nqk'LVL I/O'CDx.BREATHING FRCTOSW NCN ROOF TO HEAT.IN MATCH « 2 ' FAMILY RM. 3 PoitrioN GSTING EXISTING FLAT CLG. Q Cn In'c{m , t f/P rw PI sue aoOR « m pt STING VAPOR INARNSIt A•6 « R-W PS INWL cLum 1�'TYr BREAKFAST FOYER T'YVet V4"MlRAP i YV SPAACEIIA, - —•—_. U ALIGN rLDDRe C 7 siOING(see ELEVS.) IUn JOIST EXISTING FLOOR JOISTS _...— C!� r srmo z Q . RIM JOIST — , 2.IG Is-O.0 ... 110011 ACOISf -_. ..... ,..� EXISTING GIRT/LALLY .. Oxi P. 'SILL .. � • `wu T 4.10 W/sl�SPJ,LeR our W SILL OtELLA,LER - / s/1.7iG PL`fWOOD Sue-PImR ` / - § _ .. COONNT'RACTOR TO ... GWCD AANNDD NAILCD�r1T has DlCC� - f PROPOSED VERIPY LOCATION EXISTING r CONS. m"Off Iz D.C. CRAWL SPACE BASEMENT r§R A.6 CRAWL SPACE twer CLP / "\ IIANIAIN�{s'�HMINI�eJn \ 3« III CONrRCToft WALL ;MIDI!ID! SON FOOTING DIAM.S FOOTING COVIDI O'MAINTAIN RS'MINIMUM OTING FF FO COVOAm 10'THK I t Pay WTI eUPPmAeGOVC T OAP o_ A LL CONC.WA ON CONT OO'.10' COIHc. \ �/ {'COF44CT19 FILL IC,. .A'-s' 5 L {'COMPACrZO FILL FOOTING CCNG WALL ON tl��ib{�11 I�If gill 4 CON'r 70'x10'Foam" q pL�BljSI p A.6 A.6 � SECTION ® � ekp0 SECTION FAMILY ROOM,BREAKFMT� EXIST.FareR eALcoNr t CRAWLo66d6� QIS �� rA CT Roos >Qx EG�ppee99t Q6 �yygggtEA61 Vint]"POSTING RIDGE )1 t(I qt-LVL Lu 2)1•!'r74'LVL !AW SIDE OF OORMERS IFY EXISTING RIDGE rY EXISTING RIDGE — ADD NCH 2a8 Iz _R EACH RArTER .Q4 DOIWEI! Z 0 Q HANG RAFTERS i ADD NM?m P ADD NEW Q FROM HEADER EACH RA.FTR -Q4 PR�1'OBlD EACH RAFT (L� CROWN MOLaNG OORMet II n n l n r O w W zas I{•o. �I HFIDER ASPHALT ROW WINGtlS I I ��LL._JL_JI__LL_JL J P PPAM'!ROOF P?OH p01tMCR MATW EXISTING 1I \`. . CROWN MOLDING Lu _J 'JA.Ts N O.Ce WW CDR BREATHING WALL I I `� `� ~ Q iM BUILDING►APeI ,, BEYOND. �ST —P II II 11 0 ``` ,h Lu OPTED LGON B I'A 'OIL MPTER VENT 1/2'G.HB PROrDBED * PROPOSED PROPO®ID 'I A « LFTERS OFT i`,? Z w Z �► a ) MATCH EXISTING «7 CLOSET LOFT n •��G Y OOI(IJ7 BEYOND) SOFFIT{FASCIA BATFI,,. Ha eeroND I I - `p _ _ '2XI O.G. V LING I 1 O Lu I{'O.0 VAPOR SARRIIR '•s/4.7'IG PLYWe-FLOOR �A2�L��Tj MR I 1 f1 VENT BAFFLE _ _ _ —. NO-E „ — — — TrVEX HOUSEWRM O Is'AN NA D,M to Ii'O.C. _.—.—. s 1 '.9•LVL 10 li'O.G .—._ R-19 FDGLB.INW LL a L REMOVE CEILING s/A'TYG PLYWOOD SUB-FLOOR I/2'COX.BREATHING GWm AND NAILED T1T ADD zfS CPLING RAFTERS IN Tests {�IO e1wNG(ee!lLEVS.) s)I%'.11 4'LVL. JOISTS TO EXISTING FRONT AREA HEADER CATHEDRAL CLG. )1 YI-1v LVL H.T.To MATW CxI6TING EXISTING RAT CLG. EXISTING COSTING EXISTING LIVING RM.. BEDROOM CLOSET BEDROOM Id —.—• EXISTING EXISTING EXISTING - — — M. R-m PecLe•INwI BATHROOM BATHROOM FOYER EXISTING FLOOR JOISTS _:RIM JOIST -._EXISTING FLOOR-HOISTS � EXISTING FLOOR JOIS ISTING GIRT t LALLY EXISTING GIRT<LALL7 g 0 EXISTING BILL SGlALCR O EXISTING WaTING BASEMENT m BASEMENT ro o 1 r C SECTION f SECTION ! _ F SECTION ! i EXIST. LNING IXI6�BALCONT�1 T.__ENT DINING ROOM t BALCOIyY y.� PROPOSED LOFT i Ex15T.BEDROOM W O Q e 'TYva•HOUBEWRAI' I K COX PLYWOOD c 2.6 S 16'O.C. R-19 I TYPICAL WALL FteERGLAN INSUL. }L[5 i MIL.POLY VAPOR OARRIER !- ¢ - k G.W.m. I SIDING S ELEVATN7N _ 1Tip .i'a°eT'T.Rln �� •4'TtG PLYWO.SUBFLOOR ALUMNUM PLASHING I. -Tr~110UeFJ+RA.P GLUE t NAIL TO JOISTS 4Pl nN101GANY DECKING I K Cm PLYWOOD U x c'Sz�i.i So SIDING BEE ELEVATION THRu ea.Ts JOIST LEDGER 26 Ifle•O.G. E RIM Jer am VOLL PERIMETER Cn E OBL 2c10 P.T. w w g��t�.PLYh1D. R-P1 FlSOWLAe6 INBUL. Q CARRYING ♦•/] ♦MIL.POLY VAPOR BARRIER U i� 2ki P.T.i1LL 2.S P.T.•1S•O.C. Z A— MRAMMING HANGER �•G. M.W O wC/1 .y .. SILL SEALER . �•DIA.15'GALV.ANCHOR -- _ .. BOLT•4'-0'O.C. m -. • • - - I IE R,7 . SII'7FSON CetfIt POST DAM 6 MLL t TAMP S'OUT FOR I ° (TrM ) 'II .4 I'/FT.SIOPG PROVIDE if d 10 DIAM.BONOTLOE 12'SCD ar Y erONe --= WHERC NOG F 11 60W FINIBNED GRADE �• T-8 (TMCAL) TYPICAL HALL DETAIL 2 S ue REBARB CONT. - ab SPACMM TO SCALE 1-1/2E • 1'-O° s t AROUND ALL OFENINGB - I ALLOW WA °', :.d jib :4 :G a DRNNAGE ° 4 Get ,E7 Sop R DAMFRDDFlNG I I I I I „ - pa g TYPICAL DECK 4 SILL DETAIL id! . SCALV 1/2'-I'-01 11 QTTYPICAL.SILL DETAIL�1'-O' Ill u � �wQ Q 6 92 0 o� J .tl Do NOT BACKFILL WALL _ SIT. IT.PH of RIDGE V UNTIL CONCRETE HAS TDP oFF w/rLe%IBLE AND WALL ARE TO ATTAINED 7 DAY 44 BOTTOM PORLY TM p r' JOINT SEALANT MOLL VINi Z Z SERCUREO. ': Q W O 1111-1111. °,:. RIDGE WARD (�_� Lu TOP i eRMARS oTTa•i CONT. _ _ F2'CONC.DUST CAP IS YTR sl "� O CARRY DAMFROOPING -11II II - S'C t'MAC= - OVER TOP Of FOO FILL {L TING - IN FELT PAPR 2I(4 KEYWAY — E/S'cm PLYWOOD, RA.FTR VENT WHERE INOUL. r R-DO INSU Qg e YrS�ta{7 fix III — mwq 2.10'Tra II1=fl1= 11=11 II lill-llIS I1-1111=011, I1 11M',I-11 1I11= =b o =11IHII II11=1III-1 I1=1III IIII-111 = TYPICAL DUSTGAP E FOOTING TYPICAL RIDGE VENT DETAIL a 4 SCALE 1-1/2• 1'-O• a a N z v W � N TYPICAL LVL/GLULAM SGLTING/NAILING MULTI I N4a DEAm y !Mam P4' !!6i R ND wuu•tl'OG r c !rem oi• a ws a yr Dore aar.C ea ®��'FE�� 4 nary 1., a ay.Q wr Xa�n aaLfa.w Xaa s"• MULm D Ina OGMB C,5 rn U .. .., .. a nacre. o-t a aew a v4•Xun aan.u•X+.a Zi Q > . e Y � 1 I gig I I 1 I 6 1 I _ 1 I VERIFY mamaglib SrAM i + j ADD NEW @I.IF NEW {B[I FILIMN I 'EA Ig3IBM � E a —— t I"OST wt EAcll EiD ——— cAR 711 TI b Is I Q I oo �33g��� pppp§��Q6��I�ggggg� 61<48� 4�i2x56� if U z z G)FLUGW)1%' NOR.VL E —Lu Q FMT EXISTING 0 Q DDAN 6TEEL SEAM s[ LL-JL OKWJ 1 a/ {ao-_ T Ur UP 'INs III III O Z III III �._.—.--_—.--.---.--._._.� FOST III °ran IIIT °OYN III HEADER III To wDlc =__ —__ — —— I — I i 0 III � III e)i Y1•�nt'Lv� III °)I'�'a+�'w� III°)i ' III III D LU 116 III III T lu a L III � III ,, 11E III III I I ��p • III III 111 IIIo III j III � III � 11� III -� III t i III � IIf 11d III�I II -J---•111 III III � � � III III rosT I rosT I POST eRIFT EXISTI III III � �+ III CNN III O°M°� elelFr I6n 3 � � GEEING JOIBT's ——_ — _— � GEEING JOISTS E k' eIeTERID aN sInTERID art g S)I t411$•LVL ¢n 0 aIo Is•o.c s)a1u �'� mo la•o.c. �<1a� 0 ' TO DXI6TING NEd.DER FOST N!C'DOa TO EXISTING u CEILING JdBTS M6T FO6T - D" GEEING JOISTS (IF NecDID) DowN .DOWN To NOR. (U NEIDID) d m m c a . 1 t � . a � z i5 Mic TO+ PITCH DO TB NG IXISTNG O SLOPE SLOPE A EKI6TIN/fi/ / / / /// //// PITa+ H i TO HDR POST NEADCR POST / i / .12 442DOA / —'— N— — N TCN 1. pq 5)1 IIA�RIDGEII LVI- . An AA I I I �•-i I�q v, tl .. Coo ul - ROOF PLAN z A Ti I I ( ti , I 2.101i•O.C.— III 1n4 I I -- III II Q 11 1 - I A I I I All VERIFY MOSTING BEAM A I L_J 2.10 IL•O.G. '_ T_ -_�� I.t' nnnA I I Ilan II II ADD NGS,,,,Y1�I,.IF NEEDED - Q ��iicc�El _ �j ApRs��g[■ IN �� I ' uA III II 'll 1 III ,)I�•j,. •LVL 1 POST AA i III sN AY'ER{•LVL I I iil i iiI ♦POST ON EA61 END HBAD2el0 1 A D I ii; ;ii C E 1 1 , I r TO GWN NOR. I I II -pPOST' ,I' 77 YY 3 r8, r,_. .I I. Ih------------ 1 I 1 •All Y,II I ' ��•—•—• ____- _ �' dI - - -�__�- 21A GEI i •� j --1 i I W' G II ---r- p I' Te TO on NG ` _:—. _.—.— I Z ° I -- - - -- L- t �'l To p��r�•a' i 1 O 0 Ll I �/' I I -•--- -- - ----ill o vERirr L xAmoNku z ow- Ik------ -- ------ ----- lll � I I I — � I IJUO Tr " I j Qz LU II -.—.�i. I V— EIfISTI — — I vER sr RIDGe �� j _jZr16 AREA ._Il_. I II II 2)1 iti17Y1•Lvhv� f-2)I�,St!)j•LVL I ; / I ; I Q --------�� - - ----------j II II II I u /' IL voaFT IF, ST MaNG WALL 16 SD IF i j FIAZ LVL --- - ---------- -- ---°°""-- I I I II o Ii� � -'�1I c II• •/ ; I � 1 1 II III DOWN I _ _ I C i iiI + i II II.j r ae 1°iq�`oec"S � I P\ / 2n.n1NDR j III 'I= III I ma—iiI F I I. n I. I�� -_ ___ _ JIWYf II II o, II II 1 rMr,o cr if'i �II roar 11 r iiI g O df-� �__ __ _ _ I 'bb DOWN`—T —= -(/ + GOWN _ �__ 11_._'—'� - ffi `C`• R---, ST I DOWN 1 POST 2Y1+112 HOR PMT 1 z roST WN 1 DOWN 2)1�•.7�•LVL DOWN T HO DR. 2.i 14V O.C. O NDR.; ; TO NDR. TO NOR. < AT SAY WINDOW f _ REMOVE CEILING d' RAFTERS IN THIS PRONT AREA O N = H µX C = INSTALL CONCRETE RISER AS '} INVERT AT EXISTING SEPTIC REQUIRED TO BRING COVERS D E S I G N WITHIN 6" OF FINISH`GRADE " � • FF 54.2 TANK BEFORE INSTALLING NEW TANK l PROVIDE INSPECTION PORT WITHIN I. 3" OF FINISH GRADE AS SHOWN ON THE SITE PLAN 52.4 EXISTING GRADE 51.2 51.8 EXISTING GRADE 51.7 " 51.6 MIN. k LAND SURVEYING z CONNECT TO WATERTIGHT CIVIL ENGINEERING i EXIST. PVC PIPE FIRST 2' SHALL INSTALL H.C. MULTIPORT' LANDSCAPE ARCHITECTURE EXISTING PVC 49.7 COVER BE(SET LEVEL SECURE PIPE CLEAN BACKFILL E E FITTINGS �� w/ SS SCREW M END CAP AT BOTH ENDS. EXISTING 1 3 '(48.00 48'6f GEOGRID FILTER CLOTH 4" PVC r / per ft. min. " ,,,' ' -`': •ti �:,,�',�"'�_ ',,:„rwr w?y:°ti^Y j�'.'.,t. l OVER 2" OF SAND BSS Design, Incorporated EXISTING PIPE i LIQUID LEVEL 6' 1/4 per ft. min. L �' } 48.40 164 Katharine Lee Bates Rd FOUNDATION 10". 14 Falmouth Massachusetts 02540 48.60 3.1 4' 25' G.B. 48:35 48 . VERIFY I 48. .08 506 540 8805.'FAX 508.548 8313 STABLE i -:47.07 50.9# COMP. STABLE COMPACTED BASE BASE " 'HIGH CAPACITY QUICK4 INFILTRATORS Li 25 10'-6 16" USE (14) 34"x53"x16" H.C. QUICK4 U) Of MOLDED POLYETHYLENE UNITS SEPTIC. TANK DISTRIBUTION BOX w/ TITLE 5 SAND AROUND LLJ USE 1.500 GALLON AASHTO - H10 DB3 HOLE AASHTO H10 AND OVER UNITS g `- ' . > .. H " . R I ,' . � (N MAss9 PRECAST SEPTIC TANK L APPROXIMATELY A 38' BELLOW Vi ya c THE BOTTOM OF THE SAS' }- . (n JEF Vl (NORTH ,POND ELEVATION 9) SUBSURFACE SEWAGE DISPOSAL SYSTEM = 0.3 9 r A CIV �Q - - NOT TO SCALE U) a.. c L� 0 FFSSION Ak�NG�� DESIGN - CRITERIA ' x m . ®vo w Iz . . - NUMBER- OF BEDROOMS 3 .bedrooms TEST. , HOLE DATA Z � DESIGN FLOW '`110 gpd/brm w `• O (n Q TOTAL DAILY FLOW I 330 gpd PERC. RATE: <2 min./inch in C layer Ln GENERAL' NOTES EVALUATED BY: Jeffrey E. Ryther, P.E. Q W CALCULATIONS WITNESSED BY: David Stanton, Health Department ,J �� 1. All system components shall be installed in accordance DATE: April 4, 2011 �--I with the State Environmental Code Title V. Minimum o QLn >. Requirements for the Subsurface Disposal of -Sanitary' SEPTIC TANK: ) OGS I- W 4 a. Sewage, and any local rules which may..be .applicable. " ' J DESIGN FOR USE WITHOUT A GARBAGE GRINDER _J o a 2. The Barnstable Health Department &. BSS Design Engineer 330 gpd x 200% = 660 gal/day TH#1 'TH#2 z � O C) "� Qo_ U � O must be notified when the system is installed, and prior 1,500 gal •SEPTIC TANK- MINIMUM REQUIRED 51.7 0 51.7 0 to backfilling for inspection. 1,500 gal ONE COMPARTMENT TANK PROVIDED A SANDY LOAM 13„ A SANDY LOAM 13" scale 3. The grade above and adjacent to the leaching facility shall 'slope soa 5o.s q NOT 'TO SCALE . at least 2% to prevent accumulation of surface water. SOIL ABSORPTION SYSTEM: B LOAMY SAND B LOAMY SAND date 4. Sewer pipe shall be 4" diameter schedule 40 PVC or equal APRIL 14; 2011 14 H.C. QUICK4 .INFILTRATORS. CONFIGURED ' at 1/4 per foot (2%) slope min. IN. A SINGLE ROW, END TO END, IN A 48.4 40" 48.4 s. 40" 5. Flow equalizers shall be installed on the ends of all outlet drawn pipes inside the distribution box. , 3x58.4' TRENCH. - � - � JER 6. Contractor shall notify the Engineer if he/she encounters soil LEACHING AREA- PROVIDED: GENERAL USE C MED. SAND C MED. SAND checked A conditions other than those shown on the soil log. EFFECTIVE LEACHING AREA = 7.93 SF/LF job number ( 11036REMEDIAL SITE CONDITION) • ' _ INFILTRATOR LENGTH WITHIN TRENCH: 58.4' 41.7 120" 41.7, 120" title LEACHING CAPACITY PROVIDED: _ SSDS DETAILS No Groundwater Encountered _ 2 OF 2-. 58.4LFx7.93SF/LFxO.74GPD/SF=342.70 GPD drawing number P19-18 CB- FND .• f v 49.99 49.86 50.05 BUMP E+ 50.16 EDGE OF PAVEMENT t= J' sBA oER � N OF lygss D E. S I G N_ STURBRIDGE DRIVE., . . . JEo �.� ENGINEERING ° & SURVEYING 50.07 EDGE OF'PAVEMENT 3 �' ® °v 9 BENCHMARK: TOP OF, so.00 so.o3 CIVIL NOR CONCRETE BOUND, � \��k� N POND VWVW•bSSdeSI n.com ELEVATION 51.26� OHW OHW OHW OHW- , �SSIONAIEN�' LO US r 51.09 S 84"47'40"' E �10"FIR COL BSS Design, Incorporated { CB FND • 51.22 Pp St 164 Katharine Lee Bates Rd 100.00 52.21 �p�d Falmouth Massachusetts 02540 LOT 1 508.540.8805 FAX 508.548.8313 o, PAVED 10,000 SF 6-FIR - 00 00 DRIVEWAY M - x .LOCUS MAP Op WALK s2.38 N N t2"F(R N.T.S. R' .I LEGEND: • w • 12"FIR w x 52.25 EXISTING -SPOT GRADE ` 14.8 u ,,, 11.0 �' B.FlR' PROPERTY LINE a K ELECTRIC' W. � METER s 1 CONCRETE BOUND �y LL , �� � 10"F CB® T LL l r w AC PADTIP � 8"F6' ® TEST PIT LOT 14 4 k GAs= 52.01- 0. BEDI OOM HOUSE LOT 1 6 � � � (n » � METER E EXISTING ELECTRIC SERVICE � FF�ELEVATION54 2 � ❑ 12"FIB � � AC PAD ' G EXISTING GAS SERVICE i Z Q H w w EXISTING UTILITY POLE �/� N 0 (n a_ r SEPTIC INV ;50 9�� 51.68 OHw ;EXISTING OVERHEAD WIRES _N w I W m U o EXISTING WATER SERVICE cV LLJ ELLAR o .. Q � (n r NOTES:. I z Q � \ 52.40 ...N52.07 a W PATIO S©NO 11JBES ,. o _, O •' o s DECK rt ;� 52.25 x c� ,: 1. HOUSE No:, 75 STURBRIDGE ,DRIVE N V) ;� ►- 13 I . Z EXIST..SAS N � � O s1,76 1;50o GAL. 2. ASSESSORS No. MAP •165 PARCEL 106 Q W 1 n SEP AC TANK 3. . LOCUS IS WITHIN: W 52.10 y WALKWAY x:r 2.74 D � —J EXCAVATE AND REMOVE1.• : RLA ICT ? J ZONING DISTRICT: RD 1 EX/SANG CHAMBER(S) 32� . ' �:r7 •1. :` �' - -.INSPECTION PORT AQUIFER PROTECTION OVE Y DISTR cn � Q j AND STONE (UNDER ® N'1TH/N 3" of FLOOD ZONE: ZONE C M o TREE 8"° /N/SHED•GRADE �' ~ �'' WALKWAY) AND REPLACEry o `� o ` WIND—BORNE DEBRIS 'REGION - ® N Q W ►MTI/ ATZE 5 SAND VENT AT SHRUB 12'oAK s �� SHRUB ^ 12"OAK#52.0 SHRUBS BUILDING CODE' WIND EXPOSURE CATEGORY B w O HAUL SATURATED SHRUB 52.40 . �, J Z o` SOl[S OFF—SITE 100.00 s BIRCH N 84 47 40 . W IP, 'ND 4: PROJECT LOT COVERAGE: Q a U —1 O ABANDONED LEACH PIT 1 BY STRUCTURES: EXISTING ,34.0%, REMOVE 8" OAK TRH=E 5 ELEVATIONS ARE BASED .ON. GIS MAP BENCHMARK: scale., , LOT 3 ` REMOVE PLASAC SEPT/c rINK TOP OF CONCRETE BOUND ELEVATION 51 :26' 1""= 20' 6. CONTRACTOR SHALL EXCAVATE AND -REMOVE , date RESET ROUND PAAo , PLASTIC SEPTIC TANK AND DISPOSE OFF—SITE: APRIL' 14, 2011 14 OU/CK4 HIGH CAPACITY AND .AALKWAY.> PROVIDE 7.` ALL DISTURBED LAWN AREAS SHALL BE RESTORED INFILTRATORS (TRENCH) w/SAND DENSE GRADE.BASE AND WITH 4" OF LOAM AND GRASS SEED. drawn �Lt ,P BACKFILL PER DEP APPROVAL. COMPACT WELL.`. EJP , ' PROVIDE END CAP AT EACH ' 8. CONTRACTOR SHALL BEWARE OF A POSSIBLE Y Epa3h,i�+ END OF CHAMBER TRENCH (2 EA.) _ ABANDONED SEPTIC TANK NEAR THE EXISTING SEPTIC checked 1w,�....�, ..>y ...Na . ; TANK. SAS BOTT M l 0 DIMENSIONS-/ .SONS.• 3 x5 8.4 job number EXISTING STRUCTURES • (INCLUDED IN LOT COVERAGE 11036 CALCULATION) _ ' title SITE PLAN 1 OF 2 n drawing number P19-18 ,I " INSTALL CQNCRETE: RISER AS B.SS i UFRIFY INVERT AT.EXISTING D 80X REQUIRED' TO BRING COVERS FF.154 2' B..EFORE', INSTALLING NEW S.AS WITHIN 6" OF FINISH GRADE pROVIbE.INSPECTION PORT WITHIN 3" OF FINISH GRADE;A.S SHOWN' ON THE SITE,PLAN 52;4 EXISTING. GRADE:.. 524 51I;9` EXISTING- GRADE' S:1..7 51 6 MIN. -LAND.SURVEYING:... WATERTIGHT FIRST 2' SHALL CAVIL. ENGINEERING COVER SECURE PIPE 'CLEAN BACKFILL INSTALL: H.C. -POSILOCK 1-ANDSCAPE ARCHITECTURE` EXISTING PVC BE SET LEVEL f,1401 CAP AT BOTH SC W FITTINGS' EXISTING; 48.6*, 48.00 OGRID FILTER .CLOTH 1 4b •i ,..A .�..T�'?` t f 7 a:e ?,. o BSS Des m Incorporet�d ./ Per' ft: : ..." �-. %' 'tip; '�:. s�.+1 �'r �= OVER: :2 OF SAND � EXISTING: ip . U UID LEVEL. 1 4, ..... ' P E 6. /., .per ft.. .min. ` t,.; . 'ti. «: ;n ...'Z FOUNDATION : '. (� - 4 0 --- I lee 8atea�Rd 1d" 14" Falmouth: husetts 0 4 184 Kathy , 48.6t; 3" 508,540 8805 FAX:508.648.8913: 8:4 VERIFY : 4 25 48 ; G.B. 48.35 48.0& 47.07' 509f CONNECT TO: EXIST.: PV.0 PIPE w CITY INFLTRA TOR CAHIGH CAP' MBERS XLSTiN ;0'_6" " . 161' . �; 75"34b 16b H USE (10} x . ' C, CHAMBERS MOLDED POLYETHYLENE UNITS EXISTING' SEPTIC TANK _ EXIST. DISTRIBUTIONS Box: a wr/ TITLE 5 SAND AROUND; of AND OVER UNITS. tiP�� A,�S� Q ;� -Lj DB3 H..OlE .AASHTQ H1.0 � . Y. cy EXISTING 1>,500 GALLON AASHTO H1.0 o FFRE . I- '�' PRECAST SEPTIC TANK' HIGH GROUNDWATER IS Eo+^alai (n tY. ; ` APPROXIMATELY' 38 BELOW 4 EP THE. BOTTOM OF THE SAS Z _I: F— {NORTH POND-ELEVATION.. Si), CIVIL W SUBSURFACE SEWAGE DISPOSAL SYSTEM �Q �, LJ NOT: TO :SCALE S 10.A : a X o; DESIGN CRITERIA a N W m U rY Q GE ERA L NOTES TEST HOLE D:A TA. NUMBER OF BEDROOMS 3' bedrooms <t (, F--- I DESIGN :FLOW 110 =gpd/brm � W 1. All s< stem com prients Shall f;e installed in, :accordance y P TOTAL DAILY FLAW 330 9p. PERC. RATE: <2 min,.' inch in C Idyer with the State' Environmental Code Title' V. Wnimurn h E /. Z ,,, EVALUATER BY, Jeffrey E. R er, P.'.. u R;e uirements, for the, Subsurface Disposal of Sariitor' - Y ' < W I` Lid 9 _. , y Y., ton, Health De artment J , J CALCULATIONS WITNESSED BY., David' Stair Sewage, and, any Focal: rules, which may be applicable.. p m il 4, 201 1 CL :DATE;: Apr' Q 2. The Barnstable. Health Department & 'BSS Design, Engineer cn LL j rnust be notified when the system is installed, and prior °° o +1 : SEPTIC TANK: E-- := W. to backfillin;g for inspection,:; SOIL .LQ'GS a' . cn W 3. The grade. above and ad.'acen to .the leachin facility shall sloe DESIGN FOR USE: WITHOUT A GAR8AGE GRINDER Q o a Q 9; J 9. Y p —� ;z w O {/) at least 2% to ;prevent :accumulation of surface water. 330 gpd' x 200� 660 gal/day TH#1 TH#2 0. "t a Q- _i. O 1 500 -al SEPTIC TANK 'MINIMUM REQUIRED 517 0 5i.7 — 0 4. Sewer ipe. shall be. 4"'' :diameter' schedule. 40 PVC or equal 9 US'E EXISTING 1,.50:0 GALLON SEPTIC TANK: A SANDY LOAM A SANDY LOAM 1:3 scale. at 1,/4 per foot (2%} slope min., 5os —•-- 506 — b 5. Flow equalizers shall be installed on the ends of all outletNOT TO SCALE SAIL ABSORPTION! SYSTEM; pipes inside: ,the :distribution box. -B LOAMY SAND: 8 LOAMY SAND dote USE 10 HIGH' CAPACITY' INFILTRATORS` b 14, 2020 6. Contractor shall .notif the Engineer if he/she encounters soil 4Q 40 SEPT Y 9 CONFIGURED IN A. SINGLE ROW, END TO END;; '�'� 48;4 conditions other .than those shown, On: the soil log. drdwtl IN A IVX62.5" SAS TRENCH., JER`. CONVENTIONAL S YSTE;M SIZING LEACHING AREA PROVIDED: GENERAL 'USE C MED SANG D. ,SANG checked EFFECTIVE: LEACHING AREA. = 7.79 SF/LF jab number TITTLE V AREA CALC. (TRENCH DESIGNS (REMEDIAL SITE CONDITION) 20151 INFILTRATOR LENGTH WITHIN TRENCH: 62:!5' 41 .7 1;20" 41,7,L . 120" title. BOTTOM: 10 CHAMBERS x 6.25: x 3 187 5 SF F SSDS DETAILS SIDES:: 62.,5' x 2 SIDES x 2' DEEP 250.0 SF LEACHING CAPACITY PRONTO"ED; Na Groundwater iErrcountered; 2 OF 2 TOTAL AREA 437.5 SF (400 $F MIN.): 62 `5LFX7.79SF"/LFx:0.74.GPD%SF=,360.3 GPD drawing number d I.28= 1,07 CS fND t 49.8t ' 49.99' s:Ae 5oiz6 E,DGE OF PAVEMENT -, IA; .s�uc N sic- ea r D E .S` i 02 STIR RBRID Q R IVY FQ�IN �,• ENGINEERtNG �Y &:BUR V EYiNC 50:07' EDGE OF PAVEMENT' sao3 ,L BENCHMARK f. TOP.' OF t, I1. A9 CONCRETE BOUND. ELEVATIOtd 51. www.bgsdesign.com OHW OHW . O.H:,W. 6H1N oa O US ,►. I r Ca AN BSS' Design Incorporated Log 5: 84 47 4o E �: isa' Yt�thsrine;;tree. a�te6 ad o CB FND 51.22. 1`00.00' z w: �� > >�a�Qatti MassacQntts,ozsao . LOT 1 � 52.2i �. � �eas.Faw;� soa:Aa&8M3. , PA v D. 1C?;0.00 SF � 50S:S4dl. oRIvEwAY �; .LULU S: MAP , o wALlc x N N.T.S. o sz.38 d LEGEND!. W V G7r, x.s2.as EXISTING SLOT GFtAO `z W t;4 8 PROPERTY LINE t.: 52 86 C8■ eONCR�ETEBOUND ,w Q �. o A Itt I P D � TEST 'PIT � w LOT 14 a s .0i LOT 16 �`— V o a` E EXISTING ELECTRIC SERVICE p AC PAD' 1; G.. EXISTING GAS 'SE'RVICEcn I-- - EXISTING UTILITY POLE. G , 5,to oHw EXISTING OVERHEAD' WIRES °' :. o vu EXISTING 'WATER SERVICE - Ltd; GlC <t cI N PATIO 52,40 j 52.07 . FORMER ..J o ti LbCA71ON 521. i25 x; EXISTING Z; .w: ..`L Z. 'OF'SAS _ O 51.7 ', t,$00 ALL N Q :V., ,� 2 SEPTIC TANK'_ s2.ro wALtcwAY 52.za p 1. HOUSE No. 75 STURBRIDGE DRIVE J' u_ 27.5., ` 2, ASSESSORS No. MAP 165 PARCEL 106' a!; m `-'--J E&A BATE AND REMOVE :. . �, k; .° /NSPECnaV PORr, I p 3: LOCUS t5 WITHIN: ExrsnwG ir�r c rRA roRS coN T _ ! Wf MN 3- of ZONING DISTRICT: RD- 1; : --1 AND ,CC.�NTAAI/NA 71�'D SOIL Ttt .; _ r.. F/MISKED .GRAD£ t W . BENEATJ�/ AND REPLACE is onrc ° FEbCE C, AQUIFER PROTECTION OVE.R.LAY DISTRICT (']I I, EXIST, PVC VENT &10 L OF 2)° I-- 199TLil 7711E 5 SAND sx 17 '` sHRuB' 12"oAic 52,09 FLt}OD ZONE:. ZONE'C :� Q ,(J� sroRus 2:ao Ip'j FND WIND—'BORNE', DEBRIS .REGION a HAUL: SA7URAT,EED i oo.o0 . N 84 47 40, � W' Q —J Q SOILS OFF—S1,TE •ABAkbbNED LEACH, Off: l BUILDING CODE WIND EXPOSURE CATEGORY B DO AND 'SEPTIC TANK 4.> PROJECT LOT COVERAGE'> scale LOT 3 I 1„ 2a' BY STRUCTURES:. 'EXISTING 4.03a ELEVATIONS. ARE BASED ON GIS MAP; BENCHMARK' 5 date RESET ROUND PA770 TOP OF CONCRETE 'BOUND ELEVATION 51.26 SEPT. 14.1 2020 AND WALKWAY PROV/OE rNSTALL 10 H/GH GAPAG'/TY f. CONTRACTOR: 'SHALL EX•CfIVATE AND REMOVE ALL drown IMfX`7RA7ORS (TRENCH) w/SAND OENSE GRADE BASE AND. CONTAMINATED SOIL AT SAS AND DISPOSE OFF—SITE. BACKfTLL PER DEP APPROVAL. Ct?MPr4CT TELL. EJP JER PROMDE END.c.4P.Ar EA 7. ALL DISTURBED LAWN AREAS 'SHALL BE RESTORED kND Of CHAMBER TREN04 (2 EA.) WITH 4" OF 'LOAM AND. GRASS. SEED. checlted S.as soimu DiaEnrav 3'sa5� 8, CONTRACTOR. SHALL BE_AfARE OF A POSSIBLE EXISTING 'STRUCTURES ABANDONED SEPTIC TANK NEAR THE EXISTING: SEPTIC icb number (INCLUDED IN LOT 'CO.VERAGE TANK. 20151. CALCULATION) tine SITE PLAN: 1- OF 2 drawing .number t. P28:-107