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HomeMy WebLinkAbout0035 WATERFIELD ROAD - Health aK. — , 35 Waterfield Road Osterville P 118125001 'u it it u _ o y Transmittal setter z -71 To.�'' Board of-Health yG7 200 Main Street a - -- Hyannis`, MA 02601� _ - cf� _ � Attn: I)ave 5�a„kmrn From: Stephen A. Wilson, P.E. Subject: 35 Wakr c c( Cast-t,n���lQ Date:- g�a y We are sending you Attached. ❑Under Separate Cover The following documents: rder of Conditions Variance A ElRecordingrSlip El Septic System Permit El Prints 0 O ❑ Approval El Notice of Intent Other DATE QUANTITY DESCRIPTION / O y These items are transmitted as checked below: ❑ For Your Use ❑ As Requested For Your Files ❑ For Review and Comment ❑ For Recording As Required Other: Additional Distribution L. e►n t. J Jew i s File No._A 03 "d Sle Baxter,Nye&Holmgren Inc. Phone:508-428-9131,ext.13 812 Main Street Fax: 508-428-3750 Osterville,Massachusetts 02655 . E-Mail:swilson@jkholmgren.com Tr4mmittalLetter4.doc Town of Barnstable , "'E' Regulatory Services Thomas F. Geller;Director • BARNS.ras�E . MAS& Public Health Division 'O�Eo► °i Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: "�,h/6-Y Sewage Permit# boo y-ySo Assessor's Map\Parcel 1 i e !zs-001 Designer: Zko*.4 A. o;l s ft, . PG Installer: Xc.ff Ie,Aon;s Address: &LAw k1 s Holn%reN Address: 37/ 8sZ aim + ng-kruJig 02 :r.T -5Pnc1w.cti On 8 27 cy sa c�oq is i was issued a permit to install a (da e) (installer) septic system at 35 W c k��«!�Q IPo-.,o based on a design drawn by (address) Sinotic•, A. WiIstn► , P. E . dated 7AoL-6y (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. 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 i accordance with. State & Local Regulations. Plan revision or certified as-built by er to follow. VOF t,4,A STEPHEN y\� ler's ignature) S AL cr, L ' o.. 0216 "I A-0 n IAI esigner's Signature) (Affix tamp 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 3-26-04.doc �*Z603-a s6 TOWN-OF B _ STABLE T QCATIbN ?IS QA e-1 1 r'le C.1 SEWAGE # COS! / O VILLAGE ( � 'S 1/+ ASSESSOR'S,MAP & LOT INSTALLER'S NAME&PHONE No,.-.- C—S SEPTIC TANK CAPACITY LEACHING FACILITY: (ty ) ,45�" 33� ,a�eC ` (size) yy �NO: OF BEDROOMS 3UILDER OR OWNER PERMITDATE: 7 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 fA '0 r e►4 c� ss- ' S��•,,, 1 No. 5 a Fee / 5 Q THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Mi0pool *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. J �/!� Owner's Name,Address and Tel.No. ° Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's N e,Address and Tel.No. th-c. �'�i ��. S't�-t V1 Type of Building: Dwelling No.of Bedrooms Lot Size/2 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures S Design Flow .23 Q Zqqs gallons per day. Calculated daily flow e��.3 0 gallons. Plan Date :2 At -�C Lf Number of sheets Revision Date Title Size of Septic Tank / Type of S.A.S. 2 2-r tl 5�.,,� Description of Soil s f� 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 FAvirongieental Code and not to place the system in operation until a Certifi- cate of Compliance has bee a_lssued th' . o th. Sig6ed Date y Application Approved by Date Application Disapproved for the following reasons Permit No. '"'� O Date Issued $7 :r r ,...'.`^..�v...- »�.-�-. ".-•.�.-.....-�.,.r'M�".'u+ .lu'4✓'ljr.r,�`--.::i..i'^++--�.i,r...^�.� `-�$ „r"y,vi-:yr.a .. ''4.n,i�..-»- ...,^:-...�tr.�..�4:...,a-•'W+�S....,, �..-... «. ._ ,,r^ .. -. No. c�_„ S Fee; � O gym, +,. TH6C' OMMONWfAL H'OF MASSACHUSETTS Entered in computer. Yes PUBLIC HEALTH DIVISION - TOWN`OF BARNSTABLE., MASSACHUSETTS 6 t` k Zipprfcatfon for Mi5pont *pgtem Congructfon Permit . Application for a Permit to Construct( . )Repair( )Upgra O Abandon( ) ❑Complete System. ❑Individual Components Location Address or Lot No. OS t/� /'e� Owne �s�Name;Address d T No. r. Assessor's Map/Parcel ' g, /�� QO ' �S (���,� �e�p't � Q'S✓�✓ N1�/ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. X Imo, Type of Building: Dwelling No.of Bedrooms Lot Size f/ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) s Other Fixtures G/ Design Flow —73 Q f � � _S gallons per day. Calculated daily flow gallons. Plan Date —20, F 16, It Number of sheets Revision Date Title Size of Septic Tank /SCNi "R Type of S.A.S. . 'D 4 Description of Soil ' rLr t n, Nature of Repairs or Alterations(Answer when applicable) /(/e+ti S I 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�vironmental Code and not to place the system in operation until a Certifi- cate of Compliance hasrbe ue arS of Health. Date ` ` O Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO C T Y, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by .9 _T d W ,_t ,' at- 3 j has been const ted to"accordance with the provisions of Title 5 and the for Disposal System Construction Permit No, T U d q_q5 dated ° 7 u�, Installer Designer The issuance of this unit/sihalJnot be construed as a guarantee that the syste 11 u cttiiondaqmsignq Date 11 ll inspector ector \ No. �UO�' _'`�50 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS %Df6poga p5tem Con5tructfon Permit Permission is herebyranted to Constru t Re it U x e ban on granted 5 �� P,�Q I� pm� _ )�joz.,,V) 1`k 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. U� Provided:Construction ust be completed within three years of the date(this p C� v Date:_ l� I Approved by COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION O PARCEL, L 1 Z IS Q O LOT TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: RECL1VED Owner's Name:_ SEP 15 2004 Owner's Address: TOWN OF BARNSTABLE Date of Inspection: HEALTH DEPT. Name of Inspector: (please printpOudlas A.Brown Company Name: .0011glas A B Wn Septic Inspections Mailing Address: RO Box 14S Telephone Number: A 02632 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 340 of Title 5(310 CMR 15.000). The system: Passes " . Conditionally Passes- Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signatur ."a— Date: G -,.1 -0 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,006 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 Cc , )'1G5�. e°-41AI J/00SC v(V J/ SC'CSGnSG_f C/� � ****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 ���s«� PI-i /ol31/2v , Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: O,-- f N 4e Owner's Name: 3c�ivi l L,N a Owner's Address:. Sc. Date of Inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Syste asses: I have not found any information which indicates that any of the failure criteria described in 310 CUR 15.303 or in 310 CN R 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 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 enfiltration 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 Iess than 20 years old is available. ND explain: Observation of sewage backup or break out or high static Rater 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 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 Page 3 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) . Property Address: ;t,)a-.irJt wQ— Owner's Name: Lc elt��= Owner's Address: Date of Inspection: C -'Z'S 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 aseptic 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: r OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property yAddress: 3 le ^-j Owner's Name:jotqQ j 4-t Owner's Address: Scv�ti re Date of Inspection: Ca 2 3 o Lj D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or Aogged 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 I of a public well. / Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [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/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 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• 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 11 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 Page 5 of 1 l OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:--,�, cam. € , nnJR Owner: t,� L Date of Inspecti n:C•-21--�)Lj 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 V 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,0*610aikg 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 to aterial of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _ Was owner and occupants if different from owner provided with _ y ( p )p �h mformaUon 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: Y;v 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 CvIR 15.302(3)(b)J 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 5 0-�X A) s Owner's Name: Owner's Address: e Date of Inspection: L( FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 37 Number of current residents: 2. Does residence have a garbage grinder(yes or no): &b Is laundry on a separate sewage system(yes or no):-&-b [if yes separate inspection required] Laundry system inspected(yes or no): !� Seasonal use:(yes or no): S Water meter readings,if available(last 2 years usage(gpd)): 2®®Z Sump pump(yes or no):&)O SC,Cbd Last date of occupancy:(0,— COMMERCIALANDUSTRIAL: Type of establishment: Design now(based on 310 CMR 15.203): gpd. Basis of design flow(seats/persons/sgft,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): Pumping Records GENERAL,INFORMATION Source of information: Was system pumped as part of the inspection(yes or no):tLN,.V If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPrOF SYSTEM V 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(descnbe): Approximate age of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no): Page 7 of 11 OFFICIAL INSPECTION FORM—NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:. S f le "C. Owner's Name. Owner's Address: nA Q Date of Inspection: 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: 1-2 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: fOQO G C�, Sludge depth: !Jr�c� Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: !*5(9N Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evi ence&f leakage,etc.): GREASE TRAP:_(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.): Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C SYSTEM INFORMATION(continued) Property Address: S t ` Owner's Name: y Owner's Address: ,.,. Date of Inspection: 6--a TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth Below grade: Material of construction: concrete metal fiberglass polyethylene other(explain): Dimensions: Capacity Qallons 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: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of 1 age int or out of box etc.): PUMP C R•__(locate on site plan). CkA� . 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.): Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SIVSTEM INFORMATION(continued) Property Address: '3Sci- _ Owner's Name: Lk Owner's Address• Date of Inspection: C,-2"1 -()y SOIL ABSORPTION SYSTEM(SAS):_(locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: > IOC , 0(4, 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.): . / p Cc OF- f M A 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 or no): 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.): Page 10 of 11 OFFICIAL INSPECTION FORM—NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: � Owner's Name: j pt Jr� `3N N -i Owner's Address: Date of Inspection: 6--QQ -0 `j 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. ►�� � -r3-3zz , t"J Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: r Owner's Name: ,,,4- Q a e- v Owner's Address: Date of Inspection: -2 3 --0 SITE EXAM Slope% Le-V z� Surface water%ry v r'c- Check cellar: r�r Shallow wells -o c)-rC Estimated depth to ground water I5—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: Checked with local excavators,installers-(attach documentation) —Accessed USGS database-explain: You must describe how you established the high ground water elevation: to w `A Cjccc, oc,-11-ty-r -I o }-� c) A O 5r_r k CGS b AC PtJ C Q i I - ' TOWN ., B STABLE LOCATION ��� �� 'el ( �/ f ' SEWAGE # VILLAGE ( _� . /�r ,t . --�.--� ASSESSORS MAP& LOT INSTALLER'S NAME&PHONE NO. � yr�S'- C .1_� �Tfoc f2 SEPTIC TANK CAPACITY --- • LEACHING FACILITY: (ty ,\ mac '`G (size) NO.OF BEDROOMS BUILDER OR OWNER (./q, PERMTTDATE: S, C� 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 20Q feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ---------------- 0 ,0` Cenci , A I ^ � ,i3O CAT 10N SEMIA G PEI�IMIT VILLAGE I N S T A LLER'S NAME & ADDRESS 1117 U I l D E R wO�R OIR�I,N ER DATE PERMIT ISSUED 3 -AD DATE COMPLIANCE ISSUED I I F'�a*.......... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTHIL � ................0 F........ Appliration for Elh4v cia1 Workg Tnnitrnrtinn Vamit Application is 4hereby, ma e f a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal system .:-•-�/ ........ on-Addrs Ow er If Address i ...��L I.......................... .............( Install Address Q Type of Building Size Lot-./._7,J..(v_(2.Q...Sq. feet U Dwelling—No. of Bedrooms.._._..__..............................Expansion Attic ( ) Garbage Grinder (ho) 4 Other—Type T e of Building No. of persons .................. Showers — Cafeteria a YP g P ( ) ( ) a' l Other fixtures --------------------------------- W Design Flow.......................5. ...........gallons per person per day. Total daily flow------------33.o......................gallons. WSeptic Tank—Liquid capacity.t.qqQ gallons Length---------------- nth................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------I------------ Diameter.......g......... Depth below inlet........ Total leaching area..2—.9©_.._.sq. ft. Other Distribution box ( ) Dosing tan ( ) _ . Z Percolation Test Results / Performed by...___.__ - ....�`.. __._.................. Date........................................ Test Pit No. 12 _(-�6ninutes per inch Depth of Test Pit......[ ......... Depth to ground water__f207_? r_____. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.______-_-___--______ ....................•-••.•-------•-•----------•------------------ O Description of Soil.Q_3.......1 7 .........3..1.2- AF14 +G'�'� 4,-,����'� x W ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•----••-- UNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------------------------------------•--------------------------..............---•------••----------------••••-•--•-••••-•-------•------------•••---•-•--•--•--••---------•.--•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T' L y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. �j S— Z �v Signed at't.. .4,_ Date Application Approved By... �- p -----_--•--.------•----•--- .3_--Bo-----•---- Date Application Disapproved for the following reasons:................................................................................................................ ......•-•-•-------------------•-•--•------------------••-•--•.....•••-•-•...----•---••-----•---•--•----_.._..-•-------•----••••••-•-----••----------•--•--••----••-••-•-••----•-----••--••-------------- PermitNo......................................................... Issued...... ... `--....Date Date r } k d �Y No..BCG _ G f Fick.-3f,.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD DOE HEALTH v�� .... .........OF.......l,Jt .! .,f ................................... Appliratiun for Di-4puual Works Towitrurtion ramit Application is hereby made f r a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System t1!t' .:... Loc tion-Add r ;sor ................ _. .`. t �i�i f ',C%Ps�' ��... ...�i.'tX;r�. �mot.. .��7 .............---------------------�----•--......_...- --.....------��-------.. _.:........................................................... Owner / Address ...... =....... � Instal let- Address Type of Building V Size Lot.17;_-4,6?.U....Sq. feet V Dwelling—No. of Bedrooms.......... _Expansion Attic ( ) Garbage Grinder (AO) p l Other—Type of Building ............................ No. of persons-----Z------------------ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...-••••--•-•••............•.... - W Design Flow....................... .. .............gallons per person per day. Total daily flow............`z.'"�'__._..................gallons. WSeptic Tank—Liquid capacityh' .gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width..-................. Total Length.................... Total leaching area.................-:.sq. ft. Seepage Pit No.......I------------ Diameter-__---_-Q�__..... Depth below inlet........�n........ Total leaching area--- :2e.....sq. ft. Z Other Distribution box ( ) Dosing tank,( ) Percolation Test Results Performed by.......... ..... .'.. ..............•._ ..... Date___-__..�__��•........�•.....__.. ,aa Test Pit No. 12_��10;ninutes 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 ----------------------------------•-----••-•----.... ..... ----••-•-••-............••.---•----._.,........._....... O Description of Soil.o: ` tl Y7 °� � � : f '_'/ . ....srl Cf d.Cd r 5f (.......... ...tl' �- U •••-••---•------•-••-••••--•-•---•-••---••-•-•-•--•-••••------••-•-••...---••••--•-•-••-------------••-••-•-••-•-----•-•--•--•-•-•---••--•...... ' 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 I- . p 5 of the State Sanitary Code--The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed. :•---- .............. '?........... / Date Application Approved BY =� M1'= � :'f •y!�, �------•---••------•-•-•----- ....... - - �....ef?--------- Date Application Disapproved for the.following reasons:.............................................•---••------•---••........................... -----....._... , -------------------------•--•---------------------•-----------------------•------.......------------....-•••---•-----•--••••----•--------•-----...---------••••-•-----•••...-•-•-----------•------•---- ��rr nn aa Date Permit No................................. Issued._.�I_.". ._..o` ....---•••-•--•••..--•-- Date t, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF...... HEALTHr Gy 2 1.............OF....ems"' :c..t:.".::1:111 i& (Irr#ifiratr of Toutpliattrr THIS IS TO CERTIFY,,That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............... ..... r 'zs--••-•...-...---•-----•--..-----•------...----••---_-------•-------------------------------..........-----•--------....----•---•-•-......._ at.............-F2'--.......... ................... eL __ .................... . ......... :f. ..................... has been installed in accordance with the provisions of TITLE; 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No... .................................... dated---------- ......._..--------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM WP FUTION„SAfiISFACTORY. ��/��.. � DATI?.......... ........•--•--...-----•-•--•---•--••---......----•--•--._...... Inspector..... .------------------ .-'-"-•=r....-- .............................. THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH ►............OF....... --- o NOA'0.!n0Q.`e FEE.. .......... Disposal Workii Cron tration amit Permission is eby granted----•.4e�' _ •••-- to Construct (w ,�-or Repair ( ) an Individuate Sewage s osal Sys atNo......... --..........._------ Street as shown on the application for Disposal Works Constructio it No..................... ate- -------._ ----------------.--------- ---- r it Board of DATE -•--------- {/-...----•--•--•-......•--•-•-•-•••-- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS r /.S je F I eu) [D t4�? SILJGLb �Ann1 f®! -u � S5•�e3 , LAC GArc04C_e CafZt 4.lDE:97_U r d1 L i`I{ L.ow . n= 110 s z 3so 6.p.D. '� lV_ = S3o.r ISo % • 4_95 6.p0. _ U S+=- l OOd 4G A 1_. t)15pp5AL PiT - uSE loco GAL.. S¢:=wAL L AeE:,. = lso li!.1=. lc_,o SF' c 2.S + S775 BaT'r AA AOSA_ r.;O 5T=. CE:o 4r5'. A t .o - 50 TOTAL -C;>ES16W = .42S G•Qn• A0 Qj 710T4 L L.-( Fc Dw = 3W 6.PD. �Y,GAL Sr,14-( PEIZGDLQTl0LJ SZoTE : C to 2M1w, Otz N `C E v,i � ;�•���. p No. 19334 atc T�sT Tor F.+o r. .12,86 a •. v 4'ppes iw. G,aL. lL r -max gG`s sepnc to „.. -3 - w.A{G.b , T'AstK 1000 iwv, tuv.9G E L6AGH 0 PIT I wiru •;. WASi1lD STO►JF_ RQ CCEC.Tlr-%EtD PLC)-r F'L.A.V-j_ d Przo�'1 Lr� tbLATloiJ lElZvlLLC , No w art"'tz- GGiZTIF`r TEAT TNTP p5�la�v►J Pt-A►t-1 R�.i=��C►.10E t-1E:1 L'-01,1 CcaMt�l.�lS �/tTl� T4-1+_ 51DE.t_I►-1� auv SETOAGIC > c4t,l�E,1,AE-uTS of THE -Z'oww or8�°eJ..� i�,A►J 1=`�1�. TO() -CRMPAQaLl UATG S�'S� bo Bh.XTEcZ �. �.:,(� t�•JG. t2EG1S ttRED 'I�IJG SUeV�=Yoc.'_S TI-115 C7LAt-1 1�5, LIOT LASEL7 OSTECV%LLG o ArCASy• C,w" Luc;./ { . T+aL UFt_,E�l-4 Silawt� Pl_1 CA,1,1-r ItJ JM � � AN sre � _ �L-►, r0 l_)r.-_:rLCMkNL JC IJ = �4►JT-� LOCATION � , L�SEWAG PERMIT VILLAGES {jry1 INS-TA LLER'S NAME i ADDRESS GUILDER OR OWNER DATE PER ISSUED DATE COMPLIANCE . ISSUED i r W t a cant \ DRAWN BY ,GAS FMEPLACE - ! 4'-3• - LE. :� ,R'tis�a•iuvs✓soF(�q¢�/ ( —1 �!,`�'.�oo�•c' �� I; � I — ..-- .. - .__ _— -_�— I ._._ � NQw�.XTOWo2 w•WS � O,ls _ , pp= MASTEacv-StLos- T8\ 1 is --- - _ a' I RBEDROOM; W p FA-MII.YROUM 'C I NU,�B�uMEtol..' � M ul .1 I CiXI Ti Nts O�tK p4ew OEGKEXTEa S1oNdi -� l,�tiwe�•i.15'�NCx � . S •�• -��tBfNSY6."flY�J6i✓bTN.- P�!�'14M�'�o-EUotilwlCA - - _ \ _ ���. ` e} � � i y, B�GSD�7'DRS: '" .�iCC5t(-NG._II.t�2Ni4�:, '�• � i! s. .."'.• r.; .n. .\ \ _ }- _ .._ GfWkNiT£.TOP... - CW. 'SF-N-3-=_ rc W ROBa E .. �. 66y Ohs . tMla'wlm 6-4+10� o✓ea 5. \t 4o�N ,HALL C4 •, LL ° s [' 48 CwSEO OQ�111Nb• �pbttMRYIVg'GA51Ntr , ' I I t�` ' .. 4l�tT_B�u>.TJB --,sq.R!#u / \ �'�, �, a G . x .. -' 5.� 1s4a.lc*c O rfrwa.. I ` _ \. ... - Z� j' � �•� :EXISTING -TCHEIV;' ��u5} O -iF2+h A �.n Mw (zp,KOY \ yg Ycl-V^NS .10^KB tiE 1 WJ'W VCrWWu-•> �Wjt= •p����q p —— — - /l.•IxN, ivert D,00fma4y va.�' CL H OSET 1"� Lgre RD a -� // 1 1 7"VERSA•fw •[b,. toLAUNDRY - Sp-10'BtmrK �UtncR. 5-4+- boo„ ti0 St9a. � � - 6-8 .. . - _ R�ev� _ - NTRY L" 4C yx�nar� 7=0' LIVING ROOM STUD11/11'IEDIA wlNowr. (3J.N3CSBA�'- •3=6• - 1%tl y �` �G.► �0- C`T CONCRETEPORCH1 .J vNTEi� 0+ SCREENED; , bQ�/ p o \ 9G,A, IN G DING ROOM ADDITION EXISTING,_\ •.�\ _.� / \� \ ���lyc C 2 �EDROOM WING ADDITION ?�"� / �° �yopTvoc �o�" n 1 7,EN"¢t•I� — pS NC-FJDE-O— ,x;IS"C1 NC-s - ROOP ROOF PLAI 1,MASTER DRAWN BY az 4� A4 CL]NBTRUCTION HOUS B D'DCP08uRE TYVEx FWU86•/RAP 2F-.R2. •I � , O 1/2'COX PLYWOOD 216 STUDS•W O.C. 1-' 1 .a ° B 1/2'RI9 UNPAGED FIBERGLASS GATT r I I� .I INSULATION • POLY VAPOR BARRIER COW.AT • i Cyeg6-fr-s'pNp {�q�L INSIDE PACE :� -- 6'-D" IGE�tu+Cloz- 1?--a r-Jlt1�o,ALL. FL— TYPICAL Roof coNBTRucTION a •e�.' < ,, � {� ' 150 BUILDING FELT - 'I J / -.._ < IU m w 1/2'COX PLYWO. 1� 2 X PRO0ARAFT�4 16 EXISTING a o BU IPSON N2.e ttlPe - 9•(,Vi FIBERGLASS BATT KRAPT VAPOR BARRIER - jr --REAR-SECTION s,ar MASTER BEDRM. I $� ft^YNiNiwVN•L 4 a '� I __. ..__—.. T"oR-Dfe1SNPl4ki S `c •G. -- RO.OF��A.N-FAMILY.RM.VYING i \ 'a �XasTrN�c�ft2RopF I! /J IPoN°r2m_.COCJtZbN ; I O' - /....EvasTi.-w /L <�.o':.:.; •- _ _LOAD BEARING CLOSET WALL BELOW I v /� � •raJC.IO TLhF'L'6R-. •' ., .. .I-... i BMIAUY 1 1 vewr FK IV�oED Plrr e I PAvc.Ar / --,1 P�+nit•w + vlJaw 6'-d sNEF�6p 1? -J%O: F __GD-r ^. c- _ f - of + 'x 15" I 1i 51 N-.IJI ` / ax 6• 1 i i EXISTI�TE. — / G >r axb KN��wvt�.L. 5•-.-NwN '-� _.CY.tw1oR �•1�6. MAW L'NNb1.yw•IST,F� S GFIaNn � F+t*Lcw / � o g b SECOND FLOOR PLAN PROPOSED Ljf- -------- rVr pt V LOAD BEARING PORCH WALE.BELOW I__ Watt-+e,��L•' NEfi w U. « DBL Tdi•PEStt• 4 .G..0 RHbGE. 'e' SIJ}+(.ILI v-a!L Ff7dw,Nty(�(�N. �� j rUP -Z RIGHT-SE_CTIOA MA STER_W. MG..... .; SECOND:FLOOR FRANUNG ' ry DESIGN SCHEDULE ELEVATION k; / F spy m ti I K.. . vN Ky`t �• '� FINISH FLOOR ELEVATION 104.10 LEGEND EXISTING PROPOSED EXISTING SEWER INVERT AT FOUNDATION 99.5 SEWER INVERT INTO SEPTIC TANK 99.0 Stoke do Tac Set/Found c�2(`AA��I f�'r' C`ti .: SEWER INVERT OUT OF SEPTIC TANK 98.7 PK Nail Set/Found Amd r I'a. • r , Concrete Bound 34 Nuf SEWER INVERT INTO DISTRIBUTION BOX 98.E 0 `� •.fir I • � , a l^0 ;r j ea ' Josh SEWER INVERT OUT OF DISTRIBUTION BOX 98.4 O Gas Gate ^�" u T •N Electric Meter yVu- p SEWER INVERT INTO LEACHING SYSTEM 96.5 e{ , 4 Ln ❑ Catch Basin • T t ,� l 'ml a ,-'� w Water Gate BOTTOM OF LEACHING TRENCH 94.5 �d • ' �' I,, F� s 5 .�"'"� O WATER TABLE: NONE OBSERVED AT ELEV. 89.0 ® TV/Coble Box Pond ' { I �•.•. { Il `. ® Telephone Riser IL,, . �, . -�. M 1 LeachingArea Requirements q � -o- Utility Pale a`' •�r4�. Ri" 4 *" 3 BEDROOMS AT 110 GPD/BEDROOM = 330 GPD Contours ORB Spot Grade rr1111e i•t o a r l 4" r FND ADDITIONAL 50% FOR GARBAGE DISPOSAL _NA__GPD Test Pit EOP Edge Of Pavement PERC RATE _ <� MIN. / INCH (CLASS 1 ) BRB Barnstable Road Bound CO DH 4i N FND Found �r •� 4ti ,-; da Eaet Belly F.F.E. Finish Floor Elevation LIAR 0.74 GPD/S.F. 0 O MIN. LEACHING AREA OF S.A.S. . m LOCUS MAP Scale: 1• = � CB DH ` z 330 GPD/ 0.74 GPD/S.F.= 446 S.F. MIN. �D ��� _j PROPOSED SYSTEM: SIDEWALL (25'+12') x 2 x 2' = 148 S.F. wooDm >rP $. ` a BOTTOM 25 x 12' = 300 S.F. 448 S.F. GENERAL NOTES : Ou 17,660t SQ. FT. SOlL LOGS DATE: DF.CE111BER 1, 1993 0.41 t ACRES P,'�=8159 1.) THE INTENT OF THIS PLAN IS TO DETAIL EXISTING CONDITIONS AND t SOIL EVALUATOR: BOARD OF BEALTH AGENT: CONSTRUCTION NOTES, PROPOSED NEW CONSTRUCTION AT LOCUS PROJECT BENCHMARK S.DOYLE E.BERRY ORB FND EL.- 99.81' 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE 2.) LOCUS AREA IS COMPRISED OF : �Q' TEST PIT 1 WITH TITLE V OF THE STATE SANITARY CODE DATED MARCH 31, ASSESSOR'S MAP 118 PARCEL 125-001 �► ` G.S.E. = 101.Of 1995, AS AMENDED THROUGH THE DATE OF THIS PLAN, & ANY LOT 1 0 PLAN BOOK 342 PAGE 50 _ '�' LOCAL RULES & REGULATIONS APPLICABLE. DEED REFERENCE: DEED BOOK 3089 PAGES 219 R�+ �� (� 00,� SOIL & SUB S01 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY E p,� 2¢ THE ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED OWNERS: JOHN C. BENANTI eSC LINDA L. BENANTI �4, ' �S WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. 35 WATERFIELD ROAD d TP `� OSTERVILLE, MA 02655 MEDIUM TO FINE N/F AMARAL 1 ryb� � �� � E� O N " 3. WHEN CONSTRUCTION IS COMPLETED, , PRIOR TO BACKFILLING SON SAND 48 PERC TEST NOTIFY THE BOARD OF HEALTH AGENT AND DESIGNING ENGINEER 3. PROJECT BENCHMARK DATUM - ASSUMED 2 FOR INSPECTION. BARNSTABLE ROAD BOUND IN FRONT OF LOCUS � �' e (Unable to soak) EL. = 99.81' � BRB NO WATER OBSERVED prw<: " 4. EXISTING SEPTIC SYSTEM LOCATION IS APPROXIMATE. 144 PER INSTALLER'S CARD; PERMIT #80-246 pp01t STONE 'r,;, 4•) ZONING INFORMATION � _ ZONING DISTRICTS: RC P�ROPOSD ,F 3e WALKS LANDSCAPED 5. EXISTING SEPTIC SYSTEM TO BE PUMPED AND REMOVED. r,. SEF�1C TANK .p OVERLAY DISTRICT: WP WELLHEAD PROTECTION ' G. AREA � RPOD RESOURCE PROTECTION OVERLAY DISTRICT PROPOSED II��• E: ♦ s 6. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHED 40 D-1Dx �� WOOD F e �,� PVC. UNLESS OTHERWISE NOTED HEREIN. MINIMUM CURRENT ZONING REQUIREMENTS Dv+EUg4G MINIMUM AREA: 2 ACRES (RPOD) No. 35 a '~�� �0�0 7. EXCAVATE UNSUITABLE MATERIALS, IF ENCOUNTERED, TO THE "C MINIMUM FRONTAGE: 20' ,tea f WOOD F.F.� ' 104.0 � � *�. HORIZON", FOR A HORIZONTAL DISTANCE OF 5' SURROUNDING THE LEACHING FIELD, AND REPLACE WITH CLEAN SAND PER 310 CMR MINIMUM WIDTH: 100' D-Box D DECK °o. ` 15.255. FRONT YARD = 20' SIDE do REAR YARD = 10' � "� • 24 g �ry� / 8. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN 5.) A TITLE SEARCH WAS NOT DONE FOR THIS SITE: SHOULD ONE �'�V, 4, BRB FND LESS THAN 3' OF COVER. BE REQUIRED IT SHALL BE PERFORMED BY OTHERS. PROJECT BENCHMARK CB DH FND EL= 99.0W ; LEACH �� pOSEA ADOMON �, 9. THE SEPTIC SYSTEM DESIGN GOES NOT INCLUDE GARBAGE 6.) THE PROPERTY LINE INFORMATION SHOWN IS BASED t' ON CURRENT AVAILABLE RECORD INFORMATION GRINDER DISPOSALS. CONSISTING OF PLANS AND DEEDS. �.�- / �' 10. CAUTION THE CONTRACTOR SHALL CONTACT DIG SAFE (AT THE EXISTING FEATURES SHOWN HEREON WERE . _. � o / � 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL OBTAINED FROM AN ON THE GROUND FIELD SURVEY / 1 `�vp PARKrwG �, ��� ` EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OF PERFORMED BY BAXTER, NYE & HOLMGREN, INC., ON �b Lod �.� �• CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXACT 8/05/03 & UPDATED 7/21/04. ? w LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING 4., / , WOODED ES BEFORE THE START OF ANY WORK. THE LOCATION OF EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE PLAN REFERENCES: � � �' / WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND PLAN BOOK 342 PAGE 50 / HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS r� REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY 7.) COMMUNITY PANEL NUMBER: 250001 001E D Y, WOODED IP FNO RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE AN AREA OF MINIMAL FLOODING �76D' W UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN �''�� / INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS, VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, N/F STEIN / TELEPHONE & DATA/COMM AND RELOCATE IF CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UTILITIES AS REQUIRED. lO�LZ N/F AHRENS / 1 CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE PROPOSED STRUCTURE SHOWN HEREON IS IN COMPL14NCE WITH THE APPLICABLE BARNSTABLE 35 WaterAeid Road ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS NOT I LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA (N OF nr�, �'� Hassachusetts THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. s pc' STEPHEN C`,. PREPARED FOR 1 - 2 b - 4 � �' No.30?.1 6 Linda L. Benantl REGI EKED P SSIONAL LAND SURVEYOR DATE Gw �l 2987+t �,9FGlSTE��e4.`. Tl'TLE Asa \ FSS�ONAL 4L �_ Sanitary Disposal System Plan - 2g- 4 o� FINISH FLOOR TYPICAL SYSTEM PROFILE 12' BAXTER, NYE & HOLMGREN, INC. = 10tO8 NOT TO SCALE NOTE: THIS SYSTEM IS NOT DESIGNED FOR VEHICULAR LOADING FINISHED GRADE " " \\/\\/\\/\\/\\/\\i\\\/\\i\\i\\/\\i\\i\\i\\i COMPACTED FILL pr Re Professional ~ ' FINISHED GRADE s102t 36MAX.-9MIN. / / / / / / / / / / / / / / / - 3/4 -1-1/2 SET MANHOLE FRAME r /\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/ " 4 4 c 4 4 `�d L�11111 S�eyo. �c COVER WITHIN s' OF GRADE DOUBLE WASHED STONE RISERS & COVERS SHALL BE WATETt`!W 2" OF PEA STONE : :_: : : 4 PERF. PVC 812 Main Street, Osterville, MaSSaChusetts 02655 DIST. LINE IN FINISHED GRADE OVER TANK = 1011 FINISHED GRADE OVER D BOX 100f 3/4" TO 1 1/2 " N W- -Lgdr 3 N CULTE RECHARGER 330HO a -'F- Phow-(508)428-9131 Fax- (508)428-3750 FINISHED GRADE ovfR L�HM TRENCH - 9.9.5f DOUBLE FINISHED 3' MIN. 0 4 20 0 20 40 BASEMENT COMPACTED FILL WASHED STONE r BAoEM 4. scH Pvc FIRST 2' (TO BE LEVEL) 9" (min) Cover - � then O 2.0% 36" (max) Cover 20' SCALE IN FEET I10' MIN. - oL2 ruin 25' SCALE:1 "= 20' DATE: 07/28/04 = 6� SUMP 2"Layer 1/8"tol/2" GAS BAFFlLE , : . Peastone LEACHING CHAMBERS SECTION PLAN VIEW NOT TO SCALE REINFORCED CONCRETE 6' CRUSHED 4' SCH 40 PYC NOT TO SCALE STONE O o o � = W ■ o 0 o PLASTIC LEACHING CHAMBER DETAIL No. BY DATE I REMARKS DRAWING NUMBER 00 GALLON ONE-COMPARTMENT SEPTIC TANG DISTEMILMON BOX .5 L6 s' MIN 0: 2003\03-056 SURV wrksht\03-056-SP.dw TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE SEPTIC TANK TO BE INSPECTED At CLEANED ANNUALLY Na Groundwater Observed O Elev. 89.00' 2003-056