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HomeMy WebLinkAbout0032 THIRD AVENUE (OST.) - Health 32 3rd Avenue Osterville A= 116-071 v ° TOWN OF-BARNSTABLE � P ��Lt ✓-�+';1ON 3 A- 3 �? V. A it � SEWAGE # o9,00 "-33 Ll GE ,a 5 (ed,✓1.L 1 �° . ASSESSOR'S MAP & LOT 6'D? INSMACLER'S NAME&PHONE NO. .T f .Ail A C d Al e e K. A o,,y h SEPTI : TANK CAPACITY Z 3—®a ~ LEACHING FACILITY: (type) (size)I : - lk NO.OF BEDROOMS_'SfS's� BUILDER OR OWNER Poviell C et 2 e- `�Nv PERMITDATE: U COMPLIANCE DATE: 7 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 ' d _ I No.rfp" 5 3 i Fee THE COMMONWEALTH OF MASSACHUSETTS i Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Ml$Po$a[ *pgtem Construction i3ermtt Application for a Permit to Construct( )Repair( )Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a Owner's Name Address aqd Tel.No. Assessor's Map/Parcel O Installer's N e,Addres ,and Tel.Nf=97T65W, Designer's Name,Address and Tel.No. Scpa 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 Alterations(Answer whe applicable)T(tl 0 . 0` Y1 dam ` 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 i s s B Health. S'gned Date Application Approved Date Application Disapproved for the following reasons Permit No. c�;M.S 3 3- - Date Issued rr -. Fee / 1 THE CO OWIIEALTH OF MASSA�CHIIS TSi Entered in computer: ~ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLO MASSACHUSETTS ZIpplication for -Migpogar *pgtem CCon.5truction-Vermit I 1 • } Application for a Permit to Construet( )Repair,( ' )Upgrade Abandon( ) El Complete System ❑Individual Components ri Location Address or Lot No. I v Owner's Name,Address and Tel.No. e; Assessor's Map/Parcel Wn Installer's Name,_A^d�dre§s,and Tel.N �j �-� 3 Designer's Name,Address and Tel.No. lbw04 '-, G 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 t I 111 p applicable) •�t16gl eDi Ct,td �f1P Natuie of Repairs or Alterations(Answer when a licable k YA Q1�f 1uui e. ('fitCaa��Ic 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- ca te of Compliance has been i sued b is B ar Health. S gned Date I� Application Approved'b Date ' Application Disapproved for the following reasons k Permit No.�Qm 5 3 3 72 11 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(N ) Abandoned( )by at _ has been constructed in accordance with the provisions of Ti e 5 and th f_or Disposal System Construction Permit No. dated Installer Qn�6,e Designer The issuance of this permit shall not be construed as a guarantee that the system will function as esigned. Date Inspector —— 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpogal *y5tem CCon!5truction permit Permission is hereby granted to Construct( )Repair( )Upgrade(K)Aba�ndon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construct on.just be completed within three years of the ate of this pa l Date:__ Approve Nov 14 05 01 : 38p l p. 1 Y Town of Barnstab e l Regulatory Services ')('haanas F. Gcilcr,Director a w.xtvamnur�. y MAS.R. w Public Health Division rF°L►Aa°i Thonuis McKean,Diarectot- 200 Main Street,Hyamlis,.NIA 02601 Wce: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Designer: '�/�� V ✓� � 1 t' Installer: , Ck in jr n Address: �,G� _ -' r��� ( _. Address: w permit to Tnutuil c (date) (instailor) septic system at � � � `� ��.:� ����� , based on a design dram'm by (address) dated r (designer) I certify that the septic system referenced above was installed. srrbstantiall.y according to the design, which may include r<i iaor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (Le. greater than 10' lateral relocation of the SAS or any vertical relvcati.on of.any component ' of the septic system)but in accordance with State &Local Regulations- Plan envision or ' certified as-built by designer to follow. 4ME 3��t, DARRE (Insta er', ignaiurc) Nc 7 i sqN *a -� ITA (Designer's Si � ffi:t Designer's Stamp Here) v PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH .iD)IVISION. C:k.PITIFICA"1F OF' COtVIPLIANCF, WILL NM :UI 11 rS:iUEID UN7'JJ, BOTH THIS FORM AND AS- BUILT CARD ARE RECIE><Ylla,fD BY THE II< IRNSTABL,E PUBLIC U1w:ALTk-l'DWISION. THANK YOU. Q Hcalth/Scptie/Designcr Certification Form TOWN OF BARNSTABLE i.(3C�'TION a SEWAGE #dOO ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 1-418 SEPTIC-TANK CAPACITY /5~0 D GPI- t I I A LEACHING FACILITY: (type)02-,T-00Ge-( �h�V (size) 1 3 x a5 r NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: . -SF-1\f U 2�(, COMPLIANCE DATE: S Z l'8 -0 4( Separation Distance Between the: a a C Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ;r. •- 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""c .';•,_ "'` ��� within 300 feet of leaching facility) ' ` • "� Feet Furnished by :. a •-t: c A-3 No. + Fee F THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS 2ppittation for. Mood *pmem Construction Permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) ED Complete System ❑Individual Components . Location Address or Lot No. 3 0� ..i. r� (A V Owner'sX51 e,Address Tel.No. O SZ'errt, t I I C �-�_�c it Assessor's Map/Parcel /J// / 3 S\)"t�0 1rA•�� (10�c —0 Installer's NN e,Address and Tel No ` Designer' Name,Addr ss and Tel.No. (�c•cn ����2 SAS c�a�3 Type of Building: Dwelling No.of Bedrooms 3 — Lot Size 30)0007 sq.ft. Garbage Grinder(X Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 33 0 gallons per day. Calculated daily flow gallons. Plan Date - O4I Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. a- -0 0 C,,-- Description of Soil &I a Cr- /Of .o &1 Nature of Repairs or Alterations(Answer when applicable) Z'AJ7� �► T J - Ci►'� D f, U /s 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 by this Bo d of Hea Signe 7 Date Application Approved by Date Application Disapproved for the following reaso Permit No. Date Issued Entered in computer: THE COMMONWEALTH;;„OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,"". ASSACHUSETTS ZIpplicatiou for'ioiopool 6potem_Cou6tructiou Permit Application for a Permit to Construct( . )Repair(►' )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components ry � Location Address or Lot No. 3 Owner'sR(e dd ss�aqard Tel.No. �_ c//Y Assessor's Map/Parcel / 3 ! < < c -0 L Installer'sW e,Address and Tel.Np , `- Designee Name,Addr ss and Tel.No. . (�(CLC0.1tS�e` SU�- �!\c^C.� �lC�c'� _ _ y 6l Type of Building: Dwelling No.of Bedrooms 3 Lot Size 30)®OCj sq.ft. Garbage Grinder Other Type of Building - " "No. of Persons Showers( ) Cafeteria( ) Other Fixtures k Design Flow Q gallons per day. Calculated daily flow gallons. Plan Date ^ C Number of sheets Revision Date Title _ Size of Septic Tank Type of S.A.S. Description of Soil k Nature of Repairs Gr Altriations(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 ' d by thisYOT of ea C Signe - /t G Date ^� / UY Application Approved by P/ 1 Date / Application Disapproved for the following reaso s Permit No. s Date Issued d I r , THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO Cp4TIFY, toat the Oa site Sewage Disposal System Constructed( )Repaired Upgraded( ) G (c_ ri� c ch r Abandoned_ )by at �,�Y ra �� U�,� ` k AN h tree constructed in accordance with the provisions oyTitle 5 a e Disposal System Construction Pe No. dated Installer � c ' ' ,r Designer � rc e�SriC The issuance of this permit hall ot b construed as a guarantee that the s stem wt f cti as designed. Date (( � Inspector No DV — ------------ —---------'—Fees—^ - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE., MASSACHUSETTS 'Wigpoga[ *p5tem(flow5truction 'Permit Permission is hereby graanted to Construct( )Repair( )Upgrade( )Abandon( ) System located at ��ll 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:Con t c a s b completed within three years of the date off;Y _ r Date:_._ Approved by ✓ Town of Barnstable ' p tHE T °'yti Regulatory Services Thomas F. Geiler, Director. BARNSTABLE, MASS. (X Public Health Division 1639• �0 Arf0 A' Thomas McKean, Director 200 Main Street, Hyannis, -INIA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: V �. Designer: Installer _rq M h1coll e!' Address: 10 Address: a,", ?orw — —--- L 06k, 0 _ �•-+ � V S�Cr�co-k 1, On S>e p,, -OL( ce �G.C�`t. �� was issued a permit to install a (date), (install'er) septic system at 0 kcrt,,�� based on a design drawn by (address) —' _T_ - 2/2 dated r Q des l certify that the septic system referenced above was installed substantially accordinc, to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. _ 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 rev Ion or certified as-built by designer to follow. _ OF A./q � C �o ARR o (Installer's Signature) " R N N . 1140 a i t�GISTEF'� SgNITAR\P� O1 (Designer's Signature) (Affix :Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form TOWN OF BARNSTABLE V l', SEWAGE#(oo j LOCATION ,r VII,LAGE c Ery�,, ASSESSOR'S MAP & LOT INSTALLER'S NAME k PHONE NO.� -�' ��� ®^ �a 7 I (size) SEPTIC TANK CAPACITY Z e - ` 3 xa 0 0��'� � t►� 1 S i LEACHING FACILITY:_ (type) �S h NO.OF BEDROOMS 3 BUILDER OR OWNER �A e' PERMITDATE: S F,�t e a"2 L( COMPLIANCE DATE: V '� Separation'Distance Between the: Feet Maximum-Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by Pkr3 ;� 4. COMMONWEALTH OF MASSA > US ET INSPECTION EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL P O-Ig 19111YED ,01AP (Vt PARCEL ; ®`? , AUG 2 5 2004 Or TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 32 Third Avenue Osterville. MA 02655 Owner's Name: Paul&Candace Kelly Owner's Address: Date of Inspection: August 12, 2004 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 :Oste Tft MA 02655-0049 Telephone Number: _(508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Need Further Evaluation by the Local Approving Authority ✓ Fails Inspector's Signature: Date: August 15, 2004 The system inspector shall subm' a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 32 Third Avenue Osterville, MA Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 f Page 3 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 32 Third Avenue Osterville, MA Owner: Paul&Candace Kelly Date of Inspection: A ujzwt 12, 2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 32 Third Avenue Osterville, MA Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped— ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in-a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR I 15.304. The system owner should contact the appropriate regional office of the Department. 4 I Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 32 Third Avenue Osterville, AM Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 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: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. M 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 32 Third Avenue Osterville, MA Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: A pit was added in 1988 and a tank and D-box were added in 1997 Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 32 Third Avenue Osterville, MA Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 10" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. Sludge depth: -- Distance from top of sludge to bottom of outlet tee or baffle: -- Scum thickness: -- Distance from top of scum to top of outlet tee or baffle: -- Distance from bottom of scum to bottom of outlet tee or baffle: -- How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The liquid level was above the inlet and outlet tees and up to the cover. The liquid was backing up from the leach pit. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet.tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 32 Third Avenue Osterville, MA Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: ' Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Above 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.): The liquid level was above the inlet and up to the cover. The D-box was under water. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no). Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 f Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 32 Third Avenue Osterville, AM Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -4'x 6'(600 a1 leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): Liquid was up to the cover of the pit. The leach pit was in hydraulic failure. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 32 Third Avenue Osterville, MA Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 6A 1 \ 64/A C 30 6 3� 6 3� 3� 1 oc� 86 10 Page I 1 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 32 Third Avenue Osterville,MA Owner: Paul&Candace Kelly Date of Inspection: August 12, 2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 30+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: Topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic maps and water contours maps, the maps were showing approximately 30'+/-to ground water at this site. This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. ' 11 s TOWN OF BARNSTABLE L LOCH` G-1-41 3 Ta SEWAGE # P VI%LAGE5Pw ' ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. � SEPTIC`TANK CAPACITY ��� LEACHING FACELrTY:i(type) /�2" G ize) � NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: — / J CO LANCE DATE l� Separation Distance Between the: 1W Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by C � Ilk THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratilaat for Diripati al lVnrk,6 Towitrnr#tnn ramit Application is hereby made for a Permit to Construct ( ) or Repair (/1 an Individual Sewage Disposal System at: u LaP:�F_iop-:\ d�efss� or Lot No. .......... .. _.... .0 a..•1....... Y.- — ow ne / Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms.________. Expansion Attic ( ) Garbage Grinder ( ) -----------•---- aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures --------------------------------- - W Design Flow....................•.........._............gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity---.----__-gallons Length---------------- Width---------------- Diameter................ Depth................ x Disposal Trench— No- -------------------- Width.................... Total Length.................... Total leaching area...................:sq. ft. Seepage Pit No...................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................................... .............................. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P: . ............................................................................................................................................................. 0 Description of Soil...............................................-----•--•--------------•--------...-----.._._.._....----------------------------------------------------......--•-•--•-- x U •........-•••-••-•••-•-•••••--•-•--•--••-•---••-•----•-•••-------•---------•-••-••------••-•-----•----•••-•-------------•--•-------•--•------•---•••-•-----------•-•••--•••-••---....--•-•--••••-----••. W --------- --- z o.". UNature of Repairs or Alterations—Answer when applicable.-.___-_- l... ..... .... .. �`.`_..l� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code The undersignyd further a reel not to place the system in operation until a Certificate of Complia rd of health. f 2S Signed - ...:.. . ....... ---------- Application, -c1.............. ................ Approved B j qe pP y ----- -¢�°�'�----- ,:tL .'"a :... ..... .... - .... ._..3_- Application Disapproved for the following reasons- ------------------------------------------------ ---------------------------------------------------------------------------- ---------- ----------------------------' ------- ------------------------------------ ------------------------------ ------------.._...--------------------------------------------------------- -------------------------------------- c� Dare Permit No. -------- �� ......`......... Issued ------------- "-f ---------------- Dare —_-- ---- -- — ------------------------------------ ....._........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diovoml Morkg Tomitrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ;"'-)-an Individual Sewage Disposal System at: Location-Address or Lot No. ................ f Owner Address a ......------•-•-••.;.��__...---- ----...... �' -•-••--•-•--._...---•-•-••----•-•---•...................•--•-•-- W Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons._-._------__---__--_--.-.-. Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------ - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length________________ Width---------------- Diameter---------------- Depth............. x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------_- -----------------•--••-•------•--•-•-•••••--------------- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-...................... W ........................•---•---•--.......__._..._..-•---...---•--._--..._.......------•--•-._.....•......................................................... 0 Description of Soil..........---------------------------•---......------......_.._....------------------ ..----------•---•-----•---•--••----•--•-••-•---•-•---....._.._...--••-•--••---_.. x V .. -••---••--------------••••---•---- UW •---•-----••----------------------------------------------------------------------------------------------------,--.,..=..... .............. .....................•--...... ----------- Nature of Repairs or Alterations—Answer when applicable.._______ ______ ___f � ,: ,1f !r1`'' -•--------------------------•-----------------------...--------------------------------------------------------- ------••---••-•-•---•----•-•--. -••-•--------------• ...................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beewissued by the board of health., Signed .... .... .....,:... .. il•.. .. .s.E �''' " Application Approved By -------`C .-. ..t"�,. '� .... ....- « ����.._ 1 Application Disapproved for the following reasons: ................ . .......... .................................................................................................. .................................................................................................... ........... ... .................................------------------------------. ........................................ Permit No. f 9 `. -....-- ---' :.-----�-��•--..�..................... Issued -....--------�-.7-- � ��� .�.. .Date........ .... ...........[C...... J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fertifirate of Camplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ................................................................... t......a:di- er------...........I- at ...................... .... _........._..-.. - ..........................._............... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. --... -. _ .... _.:� ' dated _..... ___...........__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B9SCONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE /TI .-..... v. /....� _. Inspector ... __ ...... _`--!_l--l— !_—_— sf— —i THE COMMONWEALTH OF MASSACHUSETTS I I � 07I --- ------ ----- BOARD OF HEALTH TOWN OF BARNSTABLE No.... :.v�.. FEE........................ ;� �.. BispooFil Workii Tonotrudion Vantit Permissionis hereby granted----------------------------------------•--------••---•-•-------•-------•-------•---•--•----------...-•-_.._........._....__...._--•--_----- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo-------------------------------------------------------------------.------•-_--__-_-._---•-----------.-...-------•- '•-=f.f�21.. ... - Strcet C — �. � as shown on the application for Disposal Works Construction Permit No. .S_.a,��... Dated________ _______r�.._.:. ........... ............................... L - Dated.......... / Board of Health I DATE......................................-----•-•-- ............................... FORM 36508 HOBBS&WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE 3 G v SEWAGE 0 LOCATION �'VQ Pw� � " SSESSOR'S MAP & LOT VILLAGE-2� -�'7e63 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Q LEACH NG FACILITY: (type) Tize) ...: NO.OF BEDROOMS B.MDER OR OWNER PERMITDATE:' Z 9`� CO LANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by ------------ ��— /J' TOWN OF BARNSTABLE LQ ATIONA 30 �09- SEWAGE #W VILLAGE ®� �(r 9 r �l ASSESSOR'S MAP 6t LOT. M INSTALLER'S NAME Cz PHONE NO. �—' G�/i5 SEPTIC TANK CAPACITY; LEACHING FACILITY:(type),t:�00 (size) NO. OF BEDROOMS �5 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER J5`��/ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: - Y VARIANCE."GRANTED: Yes No l r� 4 No..��. _� 2� FAQ..............C� THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEA H �� .t�........-- OF.....! A"t -�� .... Appliration- for Disposal Works Tonstrnrtiun rnmit Application is hereby made for a Permit to Construct ( ) or Repair (J,-�an Individual Sewage Disposal System at: Via' anon-Address ,� or Lot No. P, ......... rw.�.. � . 6;,.s.........................•••••........... �v!. ' ....._.._.. Installer Address UType of Building r Size Lot............................Sq. feet Dwelling—No. of Bedrooms---------- -----------------------------Expansion-Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g --------•------------------- P ( ) — Cafeteria (----)- Otherfixtures ----------------------------------••------------•-------•••••••••-•-•-•-••-•-•---••------•--••••............--•••---- W Design Flow............................................gallons per person per day. Total daily flow:.._;---:---------•:_•----•-_............_..gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----_----------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed,bY.......................................................................... Date....................................... Test Pit No. 1.:..............minutes per inch Depth of Test Pit.................... Depth to ground water........................ G=, Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •------------------------------•--••----••-•--•-•----------•---....------•------•-•-----•-•--------•--•---................-----...-•-••••----•...........••-- 0 Description of Soil......................................................................................................................................................................... x ............................................................... U Nature of Repairs Alterati ns—Pnswe� when applicable__ �P0e----------- 0te1 -------------------------------------------------------------------------- Agree�ent The undersigned agrees to install the afor-edescribed Individual Sewage Disposal System in accordance with the provisions of i?':LE, 5 of the State Sanitary Code= The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' o of health. ° ed. . ... _. • --••--. .....-•---- r ate Application Approved By............ .................. •-- -----` - -- -------------- Date Application Disapproved for the following reasons:..................................................................................•..... _ .__......_..._ --------------------•-•--•---...--•--..........-------------•--•----.....---------•--------•-••--•------•-•-••-------•-------•••----•-••••••••-••-•-------------•••••-•••••-•-•-----•-•-•--•••........•. ' Date Permit No.•••- -�•--•--- --Z�.... Issued Z THE FOLLOWING I!, IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A I m / �C(LJ L DATA No......--...........-.....-- F�s�!.::?:............... THE COMMONWEALTH OF MASSACHUSETTS _- BOARD. ,OE HEALTH _ .a_ ~�C) . �F .. ...�`.. `) r L VS p^, y.� . Appfiratiun for Uiupuuul Workii Tomitrurtion truth Application is hereby made for a Permit to Construct ( ) or Repair (e/� n Individual Sewage Disposal System at: le J fr a+ b�tion-Address or Lot No. .....i i f'� > f ner Address f. 1_.� y i :... •,D t � l< �y f �C/f / f l u. -- -•-•----•-•• ........................... Installer Address Type of Building Size Lot____---•--•--__--•----_--•Sq. feet Dwelling—No. of Bedrooms........... .............................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ____________________________ No. of persons------- .-------------------- Showers ( ) — Cafeteria ( ) Other fixtures ---------------------------------- •-------------------- •-•----------- ------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter----____-___-- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet..._................ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..............•--------•---•--•-------••----•----------•-------•-•-•--_... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-___-.-_________..__---. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 .----------•-----------------••-•-••----•----------•----•--•---•---•-------•-••...........-•-•.•••--....................................... ------------ ...... 0 Description of Soil................--------------------•-------........---•-•--------..__...----------------------------•------•------•-------------•---------------------...-•-------•--- x U --••-•----•--••---••-•--•----•-•-----••-••-•--••-•................•-•------••••---••----••••-•--•-••••.....••------•--............-••--................................................................ x ---------------------------------------- ---- •-•-•-•---•....--••..... aPP ,: U Nature of Repairs pr Alterations—Answer when licable. ,_?l>`'..:..____r��% ........... '. �_�`.I ___t. ��. >?.................... � f � ... r Agreginent: , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITT-2 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beentissued-bythe bo4d of health.' • `-(------ � 1 -- - Pate Application Approved BY ....�. • ----• •-•------------------------•-•...-----• --------.------ / ... j Date Application Disapproved for the following reasons---------------------•--•-------------------------------•----------------------------------------------•-•-....._ ------------------------------------•---...----------.....------••--•---•--------.....-----•-•----------.---•------•--•-•---------------•-•-•----••----------•-•----------•--•-------------•------•-•--- �_ _ Date Permit No....... . ....`...•.....--•-...._..r I.._.. Issued............ '...-`--�. �`::<r�'....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /z" �,r ..................................... Cprrtifiratr of Toutpluturr THIS IS TO CERTIFY That the Individual SewageAisposal Syste constructed ( ) or Repaired (Z) bY-----'-....'p-: .ek`-���/+._�. �rJf ...... ......................f:_`.... ar.�,1..................i 3fi:•-• - •-----.......-•-•--------........._..-•--•---...--- •--• P ' s L � y�f� f .-•S installer f at (7 ----- -----` 21 i .. S_..__=l ...........< 3' �. r r l ti. has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CO TRUE® AS A GU ANTEE THAT THE SYSTEM WILL FUN 1 FACTORY. o DATE..................... -- Inspector..... i�� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'l ... ¢ No..:"`_:-................_ FEE.:::.......... , Disposal Work.5 Tong Ilan rrnti# Permission is hereby granted................................................. to Construct ( ) or Repair ( ;)`an Individual Sewage Disposals$y},tem at No............. -- Y�dY X • ✓" l� ........., r`.j!' a F/.t .......... { .._. ........6... •........................... ....... '. Street as shown on the application for Disposal Works Construction Permit No t_..._................... Dated........ ...... `:`:_. _. , .......................................................... ............................................ Board of Health DATE...................A............... == FORM 1255 HOBBS L WARREN. INC..,.-PUBLISHERS . lt� _ ..... ., . 20011 U QS Copyright Douglas Senior n Associate,Im;. 1 ASSOCIATES INC. SAFETY G LAZING AT SHOWER 22 CLAY HILL DRIVE DOOR AND ENCLOSUREPLYMOUl H,MA M60 PHONE WFAX C I 6'-9 72?' 7'-0" 2-11'Olt 18' 2'-1i. 11/9 (508)747•1300 ., r 2'-1" 31/2 4. 17012 �A..OF DRYWALL— - " BOTH 1 BE:DHQfNd2 - 1 A[,r"DM h dte __.., MEDIA ROOM' Q - #�yn !p -------------------- --_------------------ lip © •5� ,lO — REMOVE-EXISTING WINDOWW io J WINDDW NENSTALL W SMALLC7i s , • Y Z.ef (J. „ gEDROCIM3 - BEORIlQMI. _ t \ ,SAFETY'GLAZING AT SHOWER — REMOVE EXISTINGWINDOW �p DOOR AND ENCLOSURE . 81NFILL OPENING y d 'L DAM LUL W-912' V-2 1;2' F-2 12' V-9112" 1'•111/8" 1'-111M" 1' i 7f7" t'Al 118, 1'-1'1 le 1'-11113" - BETWEEN CENTER ON — CENI"ER BETWEEN CENTER BETW EEN FfRSl CENTE WINDOWS FRONTOF FIRS-1 FLOOR WINDOWS • CL CL• HOUSE SECOND FL CL OOR RLAN r T-10 114' 3'-70 1/4" 3'-tU 1!4` - - ' .. ' v ui tt EXISTING BULKHEAD TO � , � ,® rLu REMAIN - :!�q�6 y/ A SAFER'GLAZING ON 1'-tU 119' 3'6 7 B 1'-10 1/8 - DOOR AND STORM DOUR o 3' R.O. R.O. 'R.O. 3 i_. _=R:,.., ,,�-..' �,-` _,. ,, d <.,r. + e;-p .4" _3,•6°_ Fi' 2'-1., + r 3 1/2" .BUI1 5- LT-IN ,a 4T®.9'. N E)➢SIL - - CABINETS 43N1�G6� 33317CH36�5 - ... .- - m _N " FACE OF STUD a 3 12' 12'-�ikl"-- f+, 7 ) EXISTINREMG DOOR - ( .ADD NEW FLOOR JOIST REVISIONS '' ' k _.«z 7• 'I' Y..c? ! r.'i i UNLESS OTHERWISE } : EXISTIALONNG GJOIEACH SISF OF-THE ,' -- D:ISTINGJOISTS:FOR {s:x 7A6N5 111KANDrA;rILKILES SE W74;(26 S'1:EE'L BCC�M4WwFIH L t i U, .NOTED CANiB.RVER - SMOKE DETECTORS ADDED •c H4D5LCU ❑ �_ .Exi 7D A4 AT EACH 1 3 LAUMBY EIGSI,BIIEING E UST Ln _ND .'T—•- ,_ - - -B2Qd9 ) TE: .. B DOOR AND SAFETY ENCLOSURENG AT OWER H ,, D —.NEW DOOR TO NOTE: - _a _ �@Bp,pEp reRAGF ® FIT EXST.OPNG. NEW DOOR HEIGHTS •, LL t4 SHAD_MATCH THE w ,:..._... .;... ..-.�;�+Y+r w.M•r.„„•s.+• •..yY`°;�av+.,..ew-r+«r•r_=..,M. ....-.-..-...,d.,.�.--,"_ -. ...__.--_ _ �.� --•...:,OfgE'J -.. _._.. _. EXISTING € fXISTINGSTEPTO REMAIN- 312° 72° 3' T 2'-1° 190IIOC m —� o to. ' 312" il'-1" :t 12" 3tl2" �3'•Y° H ' FACE OF B 0 �' 8'-0" - EXIST.STUD nen CTFR MAS7E8 i. LNEW(B)1 314 X 11 i'18 LVL - E'{I T NEW DOOR,TYP. DRF&Sl6S• BATH 1p . 7 , A� OR WBX21 STE17L BEAM, AIRS c f -, PROVIDE MIN...12"BEARING 1 TO - dE19LMAS7El3 ON EACH END'TO FOUNDATION BELOW - REMAIN ¢p!�•• 2,-B _apnRDOM ` 2,-0" O SAFETY GLAZING DRAWN DKS ' I ��°° THISWINDOW EQUAL EQUAL EKMl KIl=l M F'�C p••-__ ,/ REMOVE EXISTING CHECKED IRKS �l-. r•••----+•�--•'•WALLS AS REQUIRED BUILT-IN SCALE 1/4'-l'-0' TO ACCOMMODATE THE SHELVE,NEW KRCHEN CABINET •'- �+ •. E 2g.0- DESIGN BY OWNER NEW CONSTRUCTION,TIP. �� - DATE MAY IU,2J05 � , ++ •+ TITLE Y, r SMOKE DE�CTOH,NPIt;AL 5 FLOOR PLANS ... _ .,.....,..'� .,,,.»....... _<.._.__._ /N ICAL S OW SHEET SAFT7YGLA7ING REPLACE EXISTING FRONT' 5'-10" .. ' T•11". 6'•3" THI WIND WINDOWS NEW,'IYP^ • , � PROVIDE(1)SMOKE _ FIRST FLO-OR.PLAN Douglas Sanlord CO9h � ,•��- - NEW RI - " - - �� 'C Assossoclalcs,Inc.2005 DOUGLAS SANFORD . NEW RIDGE BEAM 1374-X D 1/A°LVI.,' .. ' _ : 'ASSOCIATES INC. - RANGERS ON RAFTERS- �-- 22 CLAY HILT_DRIVE: 2X6 COLLAR I IE Cc,16"O.C.,IX3 STRAPPING _ _. PLYMOUTII,MA 02360 &.1l2"BLUEBOARG&PLASTEH PHONE&FAX (508)747-1300 " .. ;.�.. REMOVE EXISTING 11001°AND CEILING •..-L. r+efrf.. . AR REQUIRED TO ACCOMMODATE NEW r _ CONSIIIUCI'ION' Q - ADD NEW 2X8 RAFTERS ALONGSIDE THE EXISTING AND EXTEND TO NEW f RIDGE BEAM BACK ROOF TO ALIGN W DH T THOUS. ASCIA t EXISTING HOUSE SF'I"F ' OMAI'Ch F .. ADD HURRICANE TIES,"TYPICAL - - _---_• _ _ _ GG NEW HEADER(2)2X 10'8 . .6 .6. 666::6.6 '6 6Gtd G.SGSSSS 0 _ } MEDIA AM.FLOUR .. URF LO r , , _. ✓ I , I - MUDROOM SLAB `... � GARAGE SLAB SECTION IC r); " EXISTINGTO REMAIN FOUNDATION . - •. ,. .. ... ._. CONTINUOUS RIDE VENI:.TYPICAL a - wui , • _ "` - (2 1 3/4"X 16'LVL RIDGE BEAM,SUPPORT -' O�TRIPLE RATERS ATEACH END,USE• PLYWOOD GUSSET PLATES ON EACH SIDE - C' _ * G ' • - -.• OF TRIPLE RAFTER ' 'X6 COLLAR TIE�r 1G O C. iX3 STRAPPING RLUFBOARU 8 PLASTER TYPICAL CATHEDRAL.ROOF .. - _ ASPHALT SHINGLE', ;e ' l 112 2X1 RAFTERS SHEATHING I� - ;. ` TT INSULATION 7 IA' uj ( ''X7U RP.FfERS A 1 h30 UNLACED B �6MIL POLY VIAPOR BARRNG IER S - -.12 R"BLUEBOD&PLASTER TO.PLATE 2X 12 RIDGE,TYPICAL _ � ,')( - -_._ A PICAL PITCH ROOF ASPHALT SHINGLE - , - •' - - ,' '. .' '- .. 51s^EXTERIOR SHEATHING -- -.. ,'•, ;. 2X70 RAFTERS®16"O.0 -. .5 TYPICAL FLATCEWNG x ,r O ry..., ,-,,. - -- .. s: R38 CEILIGJOIST CI76°O.0 fl3 ,. - .. bo •' - •-' -' _ - 8 STRAPPING BAIT INSUL . .-' .'• ;..- - :LESS THAN 4"SPACE, iX3 STRAPPING C+16'D.C. - o MIL POLY VAPOR BARRIER. , ' TYPICAL ... '; - �• 1J2"BLIICBOARD E PLASTER - 1^ s�mfoed ,_ - r.. - e ,'.t-•',. ° •'.. 2 9. RAFTE N HURRICANE TIE AT EACH. A'-0". ',-'�. . � �' .. '. I RAFTER,TYPICAL — REVISIONS - 'VENTED DRIP EDGE,TYPICAL r ALUM GUTTER&DOWNSPOUTSALIG—� FASCIA— ,- u TYPICAL. MUU ROOM FASCIA IS MEDIA.RM.FLOOR a., - MATCH_FASCIA&.SOFFITON.I_-XiS7lNG - T —y1--- 7.O.SUBFLOOHn ' _ r I, J l .` l 1 ( ).'. ` ) 'I _RO WI HOUSE ( LING - -'« ALIGN TOP OI- r_-.,.wM- ..y.._..., a„•a,..^ .W.. .a 2 1 HA'X 0 1/4"LVL CONTINUOUS, •USEfiA•GER FOR JOIST - � � MUC HIOOM DO'AlAT .. LID BLOCKING UNDER- WALLS,TYP. - - " ..........a W74X25 STEEL BEAM,2X 12 BLOCKING - G - TYPICAL FLOOR W!2X10 @ 1 O C. + AT EACH SIDE,USE 12"))IA DOLL S sZ 11'H STRAPPING'3 1 G O C 8 jrt3"-, ¢� 32"O.C.TOP AND BOTTOM,STAGGER PlF7CCODE DRYWALL - ••tfO'•• •Oc°°P 80LTS USEJOIST HANGERS [: ® TYPICAL C A - *WFIECD SSHGLES - m - 9YVEK ,2X4 STUUIDS(?d UCTUR6"OCEA'THING .. - - :B15 UNFACLD BAIT INSUL - e.c,:� GMIL AC) VAPOR BARRIER N C - - .12"BLLIEBOARD&PLASTER .. .TYPICAL F IRST FLOOR - DRAWN DKS ,FINISHED FLOOR UNDERIAYMENF ` CHECKED DKS 134 1'&G PLYWOOD SUBTLOOK GLUED FIRST I°LOOK 2X 10 FLOOR JOIST Q'120 C. - — r ` �---'— SCALE 12"=V-0" - MUUIi00MSLAB _ _ - - - !R3(11(RAI'TPAGED BATT INSULATION \ 1 I DATE MAY tU,2005 ` ( ( 1 GARAGE SLATS ALIGNIIRE IS LING ULL A-T MA " i \ FRESSL ,'ALIGN W/EXISI'1NG SILI_A1 MAIN TITLE ---. > '- ''� .rl - ,� 1- 'n� > '., /-. fi > •, -r'1._ 'HOUSE y n ' . BUILDING DAMPPoJOFING,TtTICAL— NCITL 8"FOUNDATION WALL W/TOOTING - T�.-� - THE CRAWL SPACE IS TO BE INSULATED :.Q SECTIONS' T 1 LNG SYSTEMS 0 BE PLl IVA f DU E Tlif_lNE � i F A. NCHOR BOLTS J.> PROVIDE SIB'DI A. ON EACH SIDE OP CORNERS ANU G'-0" "-� INSTALLED THE HVAC COFITHACTOR TU - l _ MAX:IN BETW EEN,TYPICAL PROVIDE CODE REOUIRLD MECHANIUCAL = SHEET '2"TIIERMAX FOIL P ACED VENTIIAI'ION OF THIS SPACE-. �' i _ INSULATION_.TVPICAL , 212"CONE SLAB-WITH 6 MIL.POLY - VAPOR BARRIER,TYPIC:AI: - V b. Al SECTIONS SECTION A ( ' !, _ _ _ ' � ��n ®Copyright Dougl it fantnr! • L `y l --+ EXISTING BRINUK CHIMNEY TU REMAIN ASRa,Mtt Inc,2005 • r- J-L. S_ -7 .y_L.7.1 C'.. 1 L 1,--'y LL, - r-1 '- L �'1 I -I.:., _ - ORD L?` J' r LL DAS OC ATES I IC. -rrT•:, _ _ram 1 J. L __ �., r' __ 1 l.,-f. 1. _ t_ 1 i II 221:IAV HILL DRIVE r-. . T _�T ,J�..J..,5 :-I r'r,:T•' 1 a_. 1 '-�-I ��_r .rr T. i "1 .1T r J I .:-1;;1 _ 7 i"`•-_r. - : -i-.,.._ ..i'T '1.,.rCT _ J.T� i�, �1 _7_,... ."'r r _ __ f.,. -L'J�i, PLYM1I JUI H,M:'1 0711i0 r' r"t,_ -L J"1 i_7 7"1 T_1 I C,5.,1;7.1.., _ I- r.,.1�SI_YT_ __J�..Sr�T_1 •' _ NEW DORMER,lYl'I;:ALFOfI(;tj_Ct " � °I - F'I-KINE 81 A.K J -t r•- rJ , ,.r-...-,ice -.,-, L �_y--• '71T �`L'.T'-.. � 1 '�1� 1 I ' FBI-'��T-1- Sr_ 'r.� r!i0fl174%-A31A1 .� r r '-L-r` -�''Y-=,-. 1 _'_ TT': 1-' I 1��r .L, 'J:. TI_�r.�'�r_,_ �•'C J T .1s r - I_ ] '1'_r .1. ..1 LT:_ 1.., -• - -r.7_r I ,.cs_7 i:1 .::...._ . � ,':f'�''i.� 24510r.,.,2.T.,_ __ 24[I[151(1 ,L'_ r:1' NEJt'AfiCHI CI'(,I"URAI.hSP ItAITSIiI1JGLl=, ,_S,I _�.��I..i_..r-.J? J�i_.L 1 _'Y T1L i.. Z__ .. _r "L`I'_: `L "-: L ,J�L l.r '--1 r r';' _ ... I`'- '1--r7 .l.r- 1.: _.I'rT T L'' r.._ T Z" T:1 J �7_����7 •T HOOF,IYPICAI. -I.:Li rr J 7:171 r T-i: irY`': r ''r -, .� s 4Tr L� ---'- -- r• ?:,7 r T, r. - -7"7".J�7;'.. 7]"1!..�., Ell— .� , , .. . _ : : , , , EGRESS'WINDOW,3.61 51'.(1FENING., '2A:10 -,_1._r_I- - - -..i1' "' ='' 7 1 �1' � iT1 ��'r L '.1 L ]T :. 2:i 718"W%2U 1f4"h,1YPICALf OR(2I .- ' TII.L -1t -MnTCIi FA51Cn SOIFII'Tf116.1,iTC.Of- MAI JU.,L TI�1 l(:: MAIN _ .I". ....t.., L . 1 I,- : 1 l.�: -, f .r.l _7 _ .:IY:i_ ..l_1 J'i:J 7. J r,- I. r { 1 SECOND FLOOR v MF_DIA RM.FLOUR _ ' .m:mmm,mmmmnmmnmmnnmmmmmmmmmmrm�mmmn'mmn"m 'mmmm"mm`""nmm,mmm""""'mmmmmm"""" r,mmmm,mmmrmmmim'^mm^'"mmm,mimm'""' nmm�mmnmmn —_ ' .,__ .._ N ^'WINDOW AND,: I J���I ® - C TIFIs e,TYPICAL' :.:. ��m°°"'„---,N t'i 2.G770 q 26410 _. QID 26410 __ HIAI W CiW - - - :... 2442 �' .�C!442 N CDAR(LAN BOARDS /PICAI - E' DU till , - 27/fdSW%7fi[14w1i I r :JL..! __ __ - ____-_ __ _____ _ _ -________-___: _ NEW ALUM GUTT[SH&DOWNSPOUT,Tyr. .... .. Y _ _ L � _ FIRST rltioh_ GARAGE SLhI] :.--_ - - - *:" r-1'�.4• 'T�.,11 - -'--- - � - - - - --- - - --_ �_— - - - -- --- - -_ - _ CONCRETE FUUND/1T10N WALL,l-'4PICn!, 'ADDITION EXISTING BUILDING TO REMAIN s: ADDITION - - r - ✓ { , - - t WINDOWS, L=EXISTING STING VINYL SIDING NDO& ,rt', "" STEP NEW f-DUNDATION WALL DOWN 10 - __-_ - - WINDOWS,INSTABOARDWINDOWS _ __ _ AND CEDAR CLAPBOARDS-FYPICAI ` J FRONT ELEVATION EXISTING,TYPICAL --" . FOR FRONT OF MAIN HOUSE i•---' BASEMENT FLOOR 12 - -(,T REMOVE EXISTING WINI)OW. TY ICAL fT r !µ /rL'L'i�'11! I-IfT {-�������.LP '-ILL"''.' , 't L'-L4r - J r f 1'rt'r fil J' f 'T 'l,'Z' �l. �{ - - �y'T` •1 {-J ry lrF, .REWORK EY,I'aTING OPENING 1'0 - B i-J -rl1'f�"��'1 24310 LI-,. 1. �,J T I:. g rlZh l'L r rJ T rl 7 -r,±] _ ACCOMMODATE NEN W INDOW 6�r>d i. .`f' r`Srlis�i` ..-r J 12 _ ,,:_a r r �,t .,;(I J r ir?� A, 9 - �r+�r ,Jn�i-L L � �T r�r4'r�rY 7��r � '_'r -•w„ . [ J lemd LLI i,'-`,.�,I.,.114.1 MEDIARM.FLOOR RI : ,S �`i• -rf+,+,r+L UI - .. S4 , f7" 1 Y' •f r- �- O�.T ....I 3 ��} x 2a42 2a42 7 T' Ta,L>_ ei f'1Jr Ntlrir Tl ■ 1 I �!r 11 NIL RLIASE EXISTING WINDOWS,ADD1i ,LGRiLL IF DESIREDLLJ E'J' rir"ir�J,L,. •,;'�1 'I--nr ,`+r am `I +t- �r „,'� •+r• 04 a J'' ri� rtJllL� I T ujL , FIRST FLOOR •ytq: 4!d ' `!•r 7r II' ,�T it•i. iTTiT GARAGE STAB rim+• ' T LEFT SIDE ELEVATION SIDE ELEVATION _. . - - EGRESS UNfT TO HAVE - - _ _______ _--------------------------- OPENING, _ - p ----- ------ _ R2 5/16' x - -- ---------------------- ...... - AlP®� 3`b2M1.�191fl- • - ,ADDITTION ra ' - .225/16"Wx� _ ___ CENTER L P - EXISTING BUILDING 10 REMAIN ..... ... - GRILLE _____________________________ ___ __-___ _ A ______ - - REVISIONS - - REVIS __ ____________ _______________._ ___ _. _ - 7n>�L51C D `�_':=S• T]�:�.:_�.:7�rZ* _� S_1 .. 'r,--ilT-r �. L n i 7. - r O •CASEMENT W NL'OWS . ._J �"_—: y r" --rram� •-1�, ` ___ _ ADDED n-f REAR SEt:[7ND . - - rE%ISTING WINDOW TO."' �7' t '� CS �_ _ iJ.-�__ i T 1- FLOOR BC.UROOM _ Y=T` J-, .Z1_ _ 'J-` -tT:Li,;''*1 -4 -r - �' �I 1AIN,ADD GRILL IF::-- _ T 7 - 'r �--. r-rt - -'-'1 -,�- •NOTES nBOUT SZI OF 'T_'"' -T EGRES WINJOW3 ADDED - ra - - • - '+--+--� -`-_--- -- - .. ....�. _____ '..- �._..�L-l=--- 1_L .-,_-:..,__ .-•�-•� �`-L-:� -rlk j,,y .ti-Yr-...- ' ?.:;.,r.r-,; _-�,---� _-,.,�_��. - -- -- - ,l-'-' .1._ � i.,..-_'`rT.-r_ �-r � T;?_ *-_. 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All i -.,lr,.� , All Ll 414y„'!-'�5,r' F"i u:'7t`-'l�FL-11 �r'I; �r�' rT�' All T• L:.i,'•r:7L�I n-''I�ir- r�7, ,,�:T fi , J.1t T J +1-4'L, ir: 'f L `'mtii. ,.,, =1, I-'-,-' C'•,ILT,I�tJ ±r r'- _l.T .. .II'Tt� �:. .+;; r♦ ''r. rT-f-r.^T''•-'r 1 EXISTING DOOR TO REMAIN ,= * DRAWN DKS I�4ti r,"r,E.. 1 'Lr"' �ryt,- r - .I ..'S' J.`f",I"*�l_--r�;�µ ;"'`` Jly"',7� C''``.. ...,]. ,JL Ely - ':-r' '"_7P .�..'u,�,- -,,.,.- r';' `•'*^-r'�'4Tt -, J• CHECKED Dr.:; ,{ LI' _ _ir7-�'''. -'� 4 - ,.L;Yr •�j..,- .7i�t7 L ., S '..�.:'_ �,:Jr�l u,.r:. -fi ,;, ,.i,:! r`1-nL;; r li`]rX :,t' ;'7-i1•. 4 :-�', .,]S,,_!"'_`I't:� ,, ,I.'t1` y-ry,'-.�' � I •, t%1, l,.l_ J.. n �'„_.,•`t � -,L r',-1�� r}�ti i- '' S' i _ Y,t t ��{-ii-'r.4 {- l>'- ..1,� �,-J _ :u,••{�- '>'r'. 4' 1 l� ' r''��;,�. - L yS,-.:1�4_ TJ. � rr]'r,4,:7{'` r-y-�L' ,.,, L�f 1Li:'T ,,L,.. 4'A,_ 41-,L_' ]-f{ r-Zt n'r 'r'r -T�,i:Zr.w:,r ;: •?' -4 L r I f j Sl.,� 1:1Y S- r rr. I y ,'}.,. -I-.r 7 SCALE LJ'-1'-n' FIRST FLOOR t .!.,. +• h. `T1 r-' i-?7r•� •'`{ .`,'r,4,-r*-�'-':.,. ?a_ �fr'-'! I ' I f L.:.,_ 7�,'- -. _ '+...iT i L.�r- I, ❑ ❑ - .,.jI�1:I t -)'.�i � 1 a r,.r',_,_ZU,-'�� r.�'; , r. �4 {, '1 L,t T'�t,7 r.,.J-,i-.r_ f� T1' 7 1'1� r5 BFIECZEWAY SLAB DATE P.MV tU.20Ui �❑ ❑ "I �� �t �-r1' -L�t' 4 I �-L?'rr'I P l -t x [•t ..a Y�'`I .�L', `Jr`t+ter 1. r;J •.1'J L•,.- l.4' .,n-u.4J-�-`fi_.�• 1�t- �. _,L,_ ,j:.l Or��r� 1�r 1� 1_•�t,`Lr,'L :I�r riJ-� �I �l, �� _-- TITLE .,�''--'"�'. f+-•Tt' '�`''• GARAGE SLAB EX STING I DOS R OREMAIN, _ EXTERIOR h ELEVATIONS ADDITION - EXISTING BUILDING TO REMAIN ADDITION .._______________________ .....I ' - - - -_- - f-IEEI ensEMENrFLooRREAR ELEVATION NA2 ------------- -----------j._ - ........................ ........ --------- -----------• ------ - --•-------- ;I Ea5t Dowses NOTES: L CUS �O��F Beach APN I I G-07 I 1 . THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH THIS PLAN, ZONE C 1995 MASSACHUSETTS TITLE V 4�TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS. Fod roped C l (FEMA MAP 25000 �� G'I - I - D 2. THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, "v to SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO INSTALLATION. ° Q �P��. �a°r JULY 2, 1992) 3. THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION ONLY, \a AND SHALL NOT BE USED FOR PROPERTY LINE DETERMINATION. 5� VIEW 4. ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS SPECIFIED OTHERWISE). 5. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE DISPOSAL. Nantucket Sound G. SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) MUST BE PLACED ON A MECHANICALLLY COMPACTED BASE OR ON LOCUS MAP - N.T.S. A BASE OF G" OF CRUSHED STONE. EXISTING 3 BR. LEACHING X X 54° 15'00"tX _ x x EXISTING D-BOX 1 0 13' 0 1 50.00i PROPOSED NEW I+ 1 G.5' I BR LEACHING TEST HOLE LOGS GRADE ELEVATION = 98.58 k,--, o ch SOIL EVALUATOR: D. Meyer, R.S.,C.S.E. 0 c WITNESS: Don Demarais, Barns. B.O.H. N ° SHED DATE: 25MAY05 PROP. NEW PERCOLATION RATE: <2 min/inch 33.5'_ DB-3 D-BOX CLASS 1 SOILS LTAR= 0.74 6jpd/ft2 o TH EXISTING TH Z TP # 1 EXISTING # 2 Q I e (I 00.25) O" _ _ O" (100.25) Q� F O PROP. BENCHMARK: CORNER CONC. SLAB (99.75) G,- A Loamy Sand I OYR/3/2 A5" (99.83) EX�5T. 1 ,500 GAL. ADDITION ,-.---- ELEVATION = 100.00 SEPTI�TANK *(ASSUMED DATUM) Z / � B Loamy Sand I OYR 6/8 B O PROP. ��iop O OADDITION IRRIGATION O o (9G.83) 4 1" _ 4 1"(9G.83) 1 O DECK VALVES 00 O -24.0'_ 0 0 i Coarse Sand P ,No. 32 PROP. rn 2.5Y7/4 E I I/2 STY. _ ADDITION C �WD. FRM. m (95.42) G. T.O.F. = 101 . 1 1 2 .0' Q 28.5'_ C1 C1 O STONE OF Mgss90 DRIVEWAY (89.25) 132"_ _150"(87.75) ��� DARR N N No GW Obs. No GW Obs. o I SEPTIC SYSTEM DESIGN ` 40 � rTl of0 / i5, rn SO.00 Z — FLOW ESTIMATE SgN/TAR\PN H 515401 1001W H EXISTING 3BR SYSTEM IN PLACE I BEDROOMS AT 11 0 GAUDAY/BEDROOM = 1 10 GAUDAY 2 u EDGES OF PAVEMENT 3 BEDROOM EXISTING/ I PROPOSED SEPTIC TANK THIRD AVENUE 411Jo G.P.D. X y DAYS = ��o GALS EXSITING 1,500 GALLON SEPTIC TANK= SUITABLE FOR 4 BR Of �Ass9 SOIL ABSORPTION SYSTEM o RICHARD EXISTING: (2) 500 GAL. PRECAST LEACHING J. CHAMBERS W/4'STONE ON ALL SIDES. v HOOD ti PROPOSED: (1) 500 GALLON PRECAST LEACHING NO. 35031 FIRST FLOOR CHAMBER W/4'STONE ON ALL SIDES. SITE PLAN SIDE AREA: [(I G.5)2 + (1 3)21 X 2 X 0.74 = 87.32 GPD z--:�Ja,, 0J TOP OF WALL BOTTOM AREA: I G.5 X 13 X 0.74 = 158.74 GPD EXISTING SYSTEM = 330 GPD IL TOTAL DESIGN FLOW= 57G GPD 2%SLOPE ELEV. 98.5 ACCESS W/IN MIN. v/ LUAX. COVE , SITE AND SEWAGE PLAN 9"MIN. COVER 101 ELEV. 95.75 /\\ EXIST. 2 O TEST 2'LEVEL Oca 2" -3/5" Double Washed Stone 0� LOCATION: 32 3 RD AVENUE H EXIST. EXIST. COR LEVEL 2'LEVEL - OSTEKVI LLE MA D-BOX Out of D.Box _ _ / FIELD P.C. CONC. 1,500 g. 95.0 8°"8° ' �°8 0 0 0 0 0.0 ° CHECK SEPTIC TANK(H- 10) GASBAFFLE G"MIN. 95.5 95.33 ° °8: 8:8 ;M°8-08-t8 93.0 PREPARED FOR: �° o°�8°0 "°o _ a^ °O 8A°o 3/4"- i I/2"DOUBLE 008° °YoprBoo" 1 I WASHED STONE CROWELL CREEK R.E. NOMINEE TRUST �---G"CRUSHED STONE OR COMPACTED PROPOSED NEW 10'MIN DB-3 D-BOX (PROPOSED NEW 1 BR LEAC�lvpit ENGINEERING BY LAND SURVEYING BY 29 MIN. //I [14 DARKEN M. MEYER, R.S. hood Survey group, 11c (16.5'LXry3WX2'D) // P.O. BOX 98 I 18 old kings highway- p.o. box 231 BOTTOM OF TESTHOLE SANDWICH, MA 025G3 ELEV.87.75 EAST SANDWICH, MA 02537 hoodsurveygroup.com PROFILE OF DISPOSAL SYSTEM HEALTH AGENT APPROVAL DATE Ph: (505) 3G2-2922 Ph: (508) 888-1090 N.T.S. _ DATE: 4. 1 G.05 SCALE: 1" = 30' 7 Lim ASSESSORS MAP : (� MOTES: TEST HOLE LOGS PARCEL: O� v , y,,� 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH �►� q�, ,� SOIL EVALUATOR:�- I'�t � t S THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF FLOOD ZONE: N 1/� o Pa a ®f4 �'` WITNESS : Q y {= � I P - BOARD OF HEALTH REGULATIONS. REFERENCE: gv- V�Sl DATE: -�- 1N r_ . — _ 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, �tcer� 4� �(' t0L ,) PERCOLATION J 0 RATE �` 21�Irlt�t- SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO b `1 rker t MAN F� CAS INSTALLATION. yac oNo TH I TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION ��N►�' W �N�M r n ��hM / ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE �oyR-S!J DETERMINATION. ILI 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS SPECIFIED OTHERWISE) LOCAT I ON MAP(N � 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE DISPOSAL. i+4 aoi up Co' ftjzse k 6) SEPTIC. TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) t` MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON A BASE OF 6"OF CRUSHED STONE. y dr- '7.) rXfSl7�l(�_C�kCa•{ PcT" TU (3� _�4Mt°�D�_�IQ-liSlt���� rYN►� V-r=MbV-EQ_PE.:RTITLF1- 1/,._ )�EpQ6fGE -W1-- /160. S4ND, o W � g NO K 6ow►J P94VATF-- WF-LU5 w/r�1 /Soy�T- ?P LEA"ItJ� Ewsn^rc SEPTIC S NO _ - Nis__ _ rr� ! of pr�o�_:C,OAC- -A SYSTEM DESIGN zsl I � O V1A�fEs iiTLTL -- -QF- ARNSTI Stt�o FLOW ESTIMATE jQ,_QF �- lif4-� LvNS vri2 BEDROOMS AT GAL/DAY/BEDROOM - 330GAL/DAY 1 i SEPTIC T\NK I � GAL 'DAY x 2 DAYS NaVi 1! USE 14 - GALLON SEPTIC TANK—EX15TI 1\11 3v -- SOIL ABc jRPTI ON SYSTEM �tA l�Sr_e5 wry + ;Tz)/,j r oti /tyL , i✓1e.5` /zs L X 2-1D� REIVsnN SII>E AREA: 2s at- IS L]x L>< 0, 7y r 3 ( Q M BO'+TOM AREA: 25- k 1, k 01 )y _ p�, N4 2 Sao,sa T-6r— 33,16 353,0 G PC f -� SEPTIC SYSTEM SECTION > 330GPD ✓ ,d I� coo v T = To 1>of a,.33.�. r 30, Iv BAN cov ' Cow, atic> EL 3Z Ups dn�A . r36 I I I i r-,r�'srr,U "f' �sfall t4 i� �� .7S _. y 2. -3/g Do Ubl t5 rn o r GAL 28 q s D-BOX -- SEPTIC TANK fv, /e /ne5� — t� Tk�l Z /�V - �, j 3�¢'- �©uble /J0� 3 Was��� SrLr1� ' S,73 I = .. l-�- Za,27 SITE AND SEWAGE PLAN t ER LOCATION : No. 1140 OSTERV I E /A } �S�jSTE¢ PREPARED FOR01 710 a 0 11j O. Q - 1� SCALE DARREN M. MEYER, R.S. z �L o F LAI D ��4k-, 0 . SM I TH hL 543`,FINE STREET DATE: �-t8-off — DUXBURY, MA 02332 DATE HEALTH AGENT (781 p 585-0293 Z 7