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HomeMy WebLinkAbout0135 WIANNO AVENUE - Health 135 WIANNO AVENUE, OSTERVILLE_ A= 140 057 f o �a� o R, v i TOWN OF BARNSTABLE LOCATION 13s IotAmo he SEWAGE# 9,®I I 3 I B VILLAGE p ASSESSOR'S MAP&PARCEL 1'1716 --057 INSTALLER'S NAME&PHONE NO. :Rrou 3 k)c 5"D6-lo2O�'153 SEPTIC TANK CAPACITY 150 Cz c)N Neill LEACHING FACILITY: (type) 0 CAGY Ci1GMbffS (size) a,$3X142X 2- NO.OF BEDROOMS OWNER '? PERMIT DATE: a3 I I COMPLIANCE DATE: 'I 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 0CA 11 tP2u)t13 —Q a-2G 3— 3- e. 4- '�130BAC. Y, ! s-,fig,'-I � 3 y1 X_ y31 5 SI S- 3 a a 13°5 GV/f�/Z//b0 L0C .4T--lO'N SEWAGE PERMIT N0 ILLAGE US7G�/�lil�L� ALL LLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED a � y � J w Q a ' TOWN OF BARNSTABLE .,LOCATION GC�,�i�r �, . SEWAGE # VILLAGE � 2� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (sue) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BU?LDER OR OWNER -DATE PERMIT ISSUED: DATE COZIPLIANCE ISSUED: cA; �. � � J O 1 A ��� � J, � �� � °� � � (�, s � I n ® � q � � � -� � � � � � � � TOWN OF BARNSTABLE L QCATION SEWAGE # VILLAGE a.0—CrPoiVO ze�IA.Ss ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.'�I^P YOb0'l SEPTIC TANK CAPACITY Wo e A4'3-f'' Da LEACHING FACILITY: (type) /—G°47 (size) NO.OF BEDROOMS ".,V, BUILDER OR OWNER Jaa6 PERMITDATE: 4za-0Z—COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility. Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet ,r_"d of ---etland and Leaching Facility(If any wetlands exist within 300 fee�o achi facility) Fe=t Furnished by A r/ ,. it �, _ - � l ', i �o �� `� ' 1 �i { ` �, �-- �c �` s' � ( � � rL� ,�_ f" f -- j No. ` Fee "` CJ THE COMMONWEALTH OF MASSACHUSETTS Entered inc mputer: PUBLIC HEALTH DIVISION -TOWN OF BARNST� BLEj MASSACHUSETTS Yes 21ppYicatiou for Misposal 6pstetu Construction Permit Application for a Permit to Construct( ) Repair(A'( Upgrade( ') Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. `. 5_W ra,,,nit2 A✓e— Owner's Name,Address,and Tel.No. ©S'� IZatG l 0--vC'. e n�f?cy� Assessor's Map/Parcel j`f .r pS '• i Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �pT! /G5 .� /J�'f7aN,^� .�.vG �r3 C c:�P a I..�r�t��C�✓��S z Type of Building: ~ r Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building hav5& No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1/y0 gpd Design flow provided 6_60 gpd Plan Date G '15 Ill Number of sheets f Revision Date ' Title I Size of Septic Tank <5-00 Type of S.A.S. SLR e if 6•� Cl .n ��►'s Description of Soil Nature of Repairs or.Alterations(Answer when applicable) iry5/&/ A/t'iel i td e 5- s q2o 2Ci Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealth. Sign Date Application Approved Date J Application Disapproved by Date for the following reasons Permit No. Date Issued .* A N No. A Fee�Q THE COMMONWEALTH OF MASSACHUSETTS Enteredino mputer: Yes 41 PUBLIC HEALTH DIVISION - TOWN OF BARNS1413LEI MASSACHUSETTS 01pplicatlon for ID sposea1,*pstrm Construction 3permit ' Application for a Permit to Construct( ) Repair(k pgrade(p )`Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. r a—A Am f��� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel J sf : 051 Installer's Name,Address,-amend Tel.No. Designer's Name,Address,and Tel.No. Type of Building: DwellingNo.of Bedrooms H Lot Size 17R i/O sq.ft. Garbage.Grinder( ) Other Type of Building �j��y r. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 49 410 gpd Design flow provided 5-G© gpd Plan Date C, fti" 3}!1 Number of sheets t Revision Date Title Size of Septic Tank Type of S.A.S. Soo ( j��,^► ( �,.�_ Description of Soil Nature^of,Repairs or Alterations(Answer when applicable) J A X I-fd) w/re.J 1"'I i r < <. �,c Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board'of-.Health. Signe ( F� Date Application Approved b, Date Application Disapproved by Date for the following reasons Permit No. � � �- Date Issued b3 ) 11 ----------- ------------------------------------------------ --------- --------------- -------------- - - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( +�) Upgraded( ) Abandoned( )by �a J h 73 101 at LA.)r a&.ft QS%,-.Imo, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Nq�D)i..._3)g dated Installer ` �e,- A 71 Designer #bedrooms 6.1 Approved design flow !&0 and The issuance of this permit s all rjot be construed as a guarantee that the system will functio as de igrTed. Date y � �� Inspector t ------------------------- No. DO I � ^ �� � - - Fee -y�60. . - -THE COMMONWEALTH OF-MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Bisposal 6pstem Construction i9ermit Permission is hereby granted to Construct( ) Repair( 01-11" Upgrade( ) Abandon( ) System located at S" /�, 62s,r s'll i F! o and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction joust be qompleted within three years of the date of this permit. Date 1 Approved b ), a - FROM :down cape engineering inc FAX NO. :150836�9880 Oct. 11 2011 09:26AM P1 �.r•G7 6''14 v �•( �>�.� `� ry\ �~�UtY.P:�.� �i. R�,E,t�lt•Ti'.,�i��'�.��sRB' , �.�.��. ''�� >.'lIlML€ltroh i?'iLtr'r': 5C}:.};ti'L�i6�+•/4 1'�tc' �08 T90-ii3o:q a7a�dae 3re� f?�DeOpmer Ctrfifimidnm J<ul Jl Date: /0 � �I_ °���oa iatl�..l�s�•mmiit# `����`�!� 4���'s„r:�r•'z 1��aa�O�.ft9�xrc& ���� l�Ui.rs'4�']lAc7: ��U� P lfll�t, dQ,li2 UVI Q/✓��. fil �_ � -. ._ _... III F ' On _ _ ._ Was 1,�5ucd ca ntmldt to zr,'I., l a (date) (J n^ta'ler.) ;;cp-hc:ystc;r�z:at_ �� w.l ��-LLAL ---hjasC•rl oai a de:,ign dr:avm b�, l�'tc:;il I r,(;j- y LL'It tl3e sepb.: sjste.m ra'ferencul abuvn aas iTisir;llad ubs`clutza.11y acuorilt� to tLll: de 1; Which ma)/ iur lldz Ini-inr aprJrciJc;r1 r,'ar�ri�es sCirb. z3 l itErc�l rc ll�eatic;n of the disteiblitian boX a11d-im- ;r.Titir-,tj;.n1c- :'i;TtJf'� ilr�C l'llr se�rti�: 5 fc';rAi. .,efe'rcnce� itb()vc,, zvw in:A.ed -A'ith rL;?,jor' riiangs (i.e. gc:atr:i:than 10' of yhe SAS or may zclpf"l ion uf:any Com-Pone.?'t c>P tlic; scFtic,3y:sll,:tti) i)uL in I_,ocal. Pini1 nevi;iuti or. cert:[ii:,a as {,uihL by ric�'.rri�er to JbIluN, jH OF M,qs DANIUzi k , OJAi� civil. No.46502 o w r SlONAL (/1 Degirnc:r's sfnj}ap T-Tere) S?1-I?,/'L.ah0, .�f�TTJELN 1'Q) �l�$1;(`i9.�IIn1Z1C �°�ig$L3G_: �/}eIL'1'lll _AhP-YISIO i, C'),YtTFkr?1CA'.I.T Of '1�1t A 1 ISh. .i; llTt++:�� eJT'aTIL 'L'lV_$'D `1{'T$S PURN A Pd D M-131311 C/ 8L}_.AT4l4 3Fe.a,b�R:l:a�iY"4'l1P'>fi. lZl�lyIA10_3'.PIT.RTAr,HE11.TII Ifni 1(�:lfe�Td_ �'lllf tVF6C i'4�1;. Cl- n•r+rJDm-,ir;u•.i C:r*Ii`csi4hl r'�i,7�i-':!i-0;•.uuc DATE: 2/20/97 PROPERTY ADDRESS: 135 W3dnno Ave Osterville ,Mass . 02655 On the above date, I Inspected the septic system at the above address. This system consists of the following: 1 1 =61x8l block cesspool.: 2:. 1 -1000 gallon precast leaching pit. 61x8' Based on my Insrwction, I certify the following conditions: 1• . This is riot a title five septic system. 2 . This is a sewage system. 3 . The sewa-e ystem is in proper'-? working order at the present time SIGNATURE: G� Name: J. P.Macomber Jr.. i Company: J. P_Macomber &_Son-_Inc , 1 . 1ti 2 Address:__a,_, __Cente�rvi11eLMass__02'632 -- -- Phone: ---5QB..7_7-5_33.3 ------- 41 � . � THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY • JOSEPH P. MACOMBER & SON, INC. Tanks-CeupooIa-LeachfIeIds Pump*d & Installed Town Sewer Connections P.O. Box 66' Centerville, MA 02632-0066 775-3338 775-6412 . U Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection 6oIlam F.Weld of Trudy Coxe Arpeo Paul Celluocl s.a"y David B.Struhs LL f3or�mor � • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 135 W i a n n o Ave O s t e r v i l l e ,Mass . Address of owner. 11 Oxbow Road Date ofInspeotion: 2/20/97 (If different) Wayland,Mass . Name ofInspeotor. Joseph P.Macomber Jr. 01778 Company Name,Address and Telephone Number. J. P.Macomber & Son Inc . Box 66 Centerville ,Mass . 02632 508-775-3338 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 sad complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: ��Paaaes a :i'ally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: /, '���^Gf Data The System Ins shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner.wd copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A,B, C,or D: A] SYS..E) PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: A-id One or more rystem components used to be replaced or repairad. The system,upon completion of the replacement or repair,passes inspection. Indicate yes, no,or not determined(Y. N,or ND). Describe basis of determination in all instances. If"hot determined",explain why act) Th4 septic tank is metal, cracked, structurally unsound, shows substantial inilltration or exliltration,.or tank&Bur•is The system will pass inspection if the existing septic tank is replaced with a ranforming septic tank as approved by the Board of Health. (revised 11/03/95) 1 One Winter Street a Boston,Massachusetts 02106 • FAX(617)556-1049 • Telephone(617)292-550o ��Printed on Recycled Pape SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 135 W i a n n o Ave . O s t e r v i l l e ,Mass . OwIIer. Doug Reynolds Data of Inspection:2/2 0/9 7 B)SYSTEM CONDITIONALLY PASSES (continued) 41JG Sewage backup or breakout or ho static water leval observed in the di t boi is due to broken or obstructed pips(s) or duo to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year duo to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: 10) Conditions exist which require further evaluation by the Board of Health in order to determine if the system is faM4 to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 60 feet of a surface water AP Cesspool or privy is within 60 feet of a bordering vegetated wetland or a salt marsh 3) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM 1S FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 0 The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well- The system has a septic tank and soil absorption system and is within 60 feet of a private water suppb well. �Q The system has a septic tank and soil absorption system and is lava than 100 feet but 60 feet or more from a private water supply well,ualws a well water analysis for coliform bacteria and volatile organic compounds indicates that the wall is hee from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or lass than 6 pp,_ 3) OTHER ZSystem has a 61x8 ' block cesspool acts as a septic' tank. 1 -1000 gaiion =TP st, 1 Pa c'h; rig pit . acts as a overflow. Section C Paragraph 2 all no ' s (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) PropartyAddress 135 Wianno Ave Osterville ,Mass . owner: Doug Reynolds Date of Inspection:2/2 0/9 7 D) SYSTEM FAILS: 10 n I hav dstsrmined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. 7U basis for this dsurmination is idantified below. The Board of Health should be contacted to determine what will be necessary to oorrect the failure. Backup of sewage into facility or system component due to an ovarloaded or clogged SAS or cesspool. A20 Discharge or ponding of effluent to the surface of the ground or surface.watars due to an overloaded or clogged SAS or owspool. d2,'C Static liquid level in the distribution box above outlet invert duo to am overloaded or clogged SAS or cesspool. Liquid depth in essrpoobis leas than 6"below invert or available volume is less than L2 day flow. /(1D Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(#). Number of times pumped _ Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. (� Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 60 feet of a private water supply well. Any portion of a oesepool or privy is less than 100 feet but greater than 60 feet from a private water supply well with no acceptable water quality analysis. If the well has been araLlyzed to be acceptable, attach oopy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above; The systam serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a sigaiGcant threat to public health and safety and the environment because one or more of the following conditions exist: the systam is within 400 feet of a surface drtohng water NDpIY tha 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 Zoas II of a public water supply well) The owner or operstor of any such system#hall bring the system and facility into Atli oomplian with the groundwater treatment program requir•mants of 314 CMR 6.00 and 6.00. Please consult the local regional offlo•of the Department for Nrthar information.. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Propw1yAddsesa: 135 Wianno Ave Osterville ,Mass . owns: Doug Reynolds Dais of Inspection: 2/2 0/9 7 Check if the following have been done: 9Pumping information was requested of the owner, ow-pant, and Board of Health. Zoas of the system oompoaa4ts have been pumped for at least two weeks and the system has been reosiving norms) aow rates /during that period. Large volumes of water have not bees introduced into the system reoea ly or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. ��n facility or dwelling was inspected for signs of sawap back-up. ZT�4 system does not receive non-sanitary or industrial waste flow �All � &its was inspected for signs of breakout. .system oomponants;ieEeluding the Soil Absorption System, have been located on the site. /W.v�T'hs` a,`ptic tank manhole were unoovere4 opened, and the interior of the septic tank was inspected for oo-AW n of baIDes or tans, material of construction, dimensions,depth of liquid,depth of sludge,depth of scum aim and location of the Soil Absorption System on the site has been determined based on existing iafosmu(aa or ap tad by non-intrusive methods. The f du owner(and occupants, if diifarent from owner)were provided with information h P� p on the proper maintenance of Sub - Surface Disposal System. (revised 11/03/95) 4 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION PropertyAddreaa: 135 Wianno Ave Osterville ,Mass . Owner. Doug Reynolds Date of Iaspeotiow 2/20/97 FLOW CONDITIONS RESIDENI'LkU Design flow: ns)W-4^dli `r Number of bedrooms: I Number of current reaidents Garbage grinder(yes or no): AA Laundry ooanected to �m,c(yes or no): Seasonal use(yes or=)- Water meter readings, if available: = l Lam data of occupancy:��2 COM M ERCIAL/I ND USTRIAL• Type of establishment: A)14 Design flow:__&d­gallons/day Grease trap present: (yes or no)AZ Industrial Waste Holding Tank present: (yes or no)-ZV.4 Non-sanitary waste discharged to the Title 5 system: `yes or no)AJ Water meter readings, if available: Ajf A Last date of occupancy: OTHER (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of' rmation: System pumped as part of ins ion: (yes or no)'>D If yea,volume pumped: oru Reason for pumping: TYPE OF SYSTEM �g Septic tarWdutribution bcm/soJ absorption system 3ingie cesspool ���) Overflow wmpaa 44,W.A /"-rd'A,? /UD Privy Shared system (,yes or no) (if yes, attach previous inspection records, if any) ti Other(explain) ??gROXIMATE AGE of all components, date iartalled(if known) aap�dd source of information: "y - a,.,) i t, J�a� Sewage odors detected when arriving at the site: (yes or no) A�� (revised 11/03/95) 6 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION (continued) Prop" Address:135 Wianno Ave Osterville ,Mass . Owner: Doug Reynolds Date of Inspection: 2/20/97 SEPTIC TANK:4219w (locate on site plan) Depth below grade:A,4d Material of construction:4AconcreteL�4metal A/AFRP41,Vother(explain) A)A, Dimensions:_ d J4 Sludge depth: r 7 Distance from top of sludge to bonom of outlet tee or baffle:14��— Scum thickness:_ _ lV,4 Distance from top of scum to top of outlet tee or baffle: A4 Distance from bonom of scum to bonom of outlet tee or baffle._,tad- Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles. depth of liquid level in relation to outlet invert, structural riry, evidence of leakage, etc.) . � SprstiS. tn4k i s Tint, =rp..GP.Y)t. GREASE TRAP. �oNU (locate on site pian) Depth below grade:;,44 Material of cons[n-rzion;401�oncreteV,*metal 44FRP,fLAther(explain) Dimensions Scum thickness. Distance from top vt scum to top of outlet tee or baR'le:'/f� Distance from bonom rat srum in bonom of outlet tee or J. Comments. (recommendation for pumping, concl--n of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.i_ _ (:mass trap is not Present s y (revised 1/15/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (000tlnued) propertyAddrwa: 135 Wianno Ave Osterville ,Mass . Owu01; Doug Reynolds Date of Insp"tlon:2/20/97 TIGHT OR HOLDING TAN&dPW- (locate oa siu platy e Depth below padr:,I)h Matarial of ooastrvd��'(i matalf'RP.�l�othar(cplala) Dimansions: A)4 _ Capacity A)A gallon+ Deeip aow na/day Alarm lrvel•�f Comments: (oondition of inlet tee,condition of alarm and a"t switch", etc.) fignt or holaing tanTi not present. DISTRIBUTION BOX:fi1Qy� (locus on site place) Depth of liquid Irvel abo"outlet invert: Comments: (nou if level and diststbutioa is equal, widows of solids carryover, evidence of kak&p into or out of boys,etc.) Distribution box is no presen PUMP CHAMBER I:e (locuu on sit*plan) Pumps in working ordsr.(yes or no) Comments: (nou ooadid a of pump chamber,condition of pumps and appurunaaoee, etc.) Pump Chamber is not presen (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Address: 135 Wianno Ave Osterville ,Mass . Owner. Doug Reynolds Data of In,peotioa:2/2 0/9 7 SOIL ABSORPTION SYSTEM (SAS}-z pooate an site plan,if potsiLL;excavation not required,but may be approximated by non-intrusive methods) • It not determined to be presant,explain: Type: 168- pits,number laaehiag chambers,nmmber. puerjea,numbs leaching trwwlwe, numbs,length: l.achiag Ealds, number,dins: overflow cesspool, number. Comments: (note condition Of soil, sigma Of hydraulic failure, level Of ponding,oondition of a,etc.) Medium sand to coarse sand:No sinsul of hydraic failure or Pon ding: All vPgPtation is normal . CESSPOOL*Z (locate an site plan) Number and condguration:� Depth-top of liquid to ialst invert: Depth of solids layer Depth of scum lgyar. Dimaasioas of aespool Materials of Construction: T' Indicati=of groundwater. .f/�p inflow(owspool must be pumped as part of inspection) a4,,sof Command: (note condition of&4 signs of hydrsulic failure,level of pondir&oondition of vegetation,etc.) Medium Sand to coaRSe sand: No signs of hvdraulic failure or ponding: A11 upget'.At'.i on i e normal PRIVY: ',( (locate an site plan) Materials of Coastrudian. QUA Dimensions Depth of solids:-,411,0 Commaut+ (note Condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,'•te-) Privy is not present M (revised 11/03/95). g SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION ,FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE L=SPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' Centerville OstervilleMarstons Mills Water Company 428-6691 any �u�c�r; 54 1 6 i`I e GF Ho us.e__ 1 � G xc� DEPTH TO GROUNDWATER ..1n I + depth to groundwater r+pth,od of determination or approximation: - 7rra 2 Recharge areas own erns a' TConsultants 9/89 a•rwne•��n.TAT- rnrnr•nrrw.r'�n+�nr�rarn�+++m►�s�++.+r.n ntrwnu*s�-v���+ .�^�-n-.....r...1 TOWN OF Barnstable BOARD OF HEALTH SUBSURFACE SF,HAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION �� ��.T}1�T'•.•••.-S.1I.�.�1TTT.1n'R.1lITRl�T1f TP9n't'r�•'t r1VPnlifRlTTnIT�fR�RT1R7 A� `.+'.rT't-`1. -..� -TYPE OR PRIHT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 135 Wianno Ave Osterville ,Mass . ' ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Doug Reynolds PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.MAcomber Jr. • COMPANY NAME J.P.Macomber & Stifi' Inc . COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or City State EIP COMPANY TELEPHONE (508 I 775 3338 FAX ( 508 790 - 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of .-inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : kXXXXXXXXX Sys'teuiyPASSED' The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or Lhe environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con -acted has found that the system fails to protect the public health and the environment in. accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signatur Date 2/21•/97 ti One copy of this fication must be provided to the OWNER, the BUYER ( where appl icable ) and the BOARD OF I{HALT!!, • If the inspection FAILED, the owner or"' parator shall upgrade within one year of the date of the inspection , unless allowed ort required he m otherwise as provided in 3.10 CHR 16 . 306 . partd .doc W V Vol THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby 7' authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. June 8, 1995 Acung Director of the ion of Water Pollution Control /yb S DATE: 5/12L95 __- PROPERTY ADDRESS:�1 osterville,Mass . ------------------------ • MAY 2 2 1995 ; _E T. 02 55 _,KITH DEPT. 'F BARNSTABLE 5 On the above date, i Inspected the septic system at the above address. . This system consists of the following: A. 1 -6x8 block cesspool B. 1 -1000 gallon leach. pit. Based on my Inspection, I certify the following conditions: A. This is not a title five septic system. ' B. The sewage system. is in proper working order at the present time. . C. Main cesspool should be pumped. 1l d /1-1 SIGNATURE. tl _ Name' J_P_Macomber Jr. Company:_ J.P-Macomber & Son_Inc. Address:__j�Dz_a-- ------ Centerville,Mass. 02632 Phone:__508 775_3338 THIS CERTIFICATION DOES NOT CONSTITUTE A 'GUARANTY OR WARRANTY CJOSEPH P. MACOMBER & SON, INC.Tanks-Cesspools•Leachflelds Pumped & Installed Town Sewer Connections ox 66 Cei-lerville, MA 02632.0066 775.3338. 775-6412 . SUBSURFACE SEWAGE'~DISPOSAL" SYSTEM INSPECTION FORM D Address Of property Owner 's name 135 \4j &uC D5rCZI(lt_L_e a Date of Inspection A,Doug F. PART A CHECKLIST Check if the following have been done: Pumping information was requested of the Health. owner, ocycupant, .and.Board of ` •None of the system components have been' pumped" for' at leastwtwo`weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into -.the -:. ' system recently or as part of this inspection. RA As built plans have been obtained and, examined.." Note if the available with N/A. :;. .. ...,. _d �...,_ Y""are_ not The facility .or dwelling wa;;inspected..for signs of sewage back-up. ✓ r_ s. i.: 1 f ::fR . The site was inspected for signs of breakout. y . t� All system components, excluding the SAS,-'have been located on the site.. , . t, The septic tank manholes -were uncovered, opened, and the ' the septic tank was inspected for condition of baffles orltees.,", of material of construction, dimensions, depth of-liq sludge, depths-of-'scum. .. z _. . ._ liquid, depth"of The size and location of the SAS on the site has been determined based on existing information or approximated o -intrusive methods. The facility ,�. :. �• ated b n u � _^, ,. owner (and occupants, if different. from' owner),= were provided with information on the proper maintenance of SSDS, ' . .. �t,�w�.�lLy.:O F �C c-e�w�,rt.t.�►�0�TL O(LS. � z >., L.-" � n?srr�c.c..K.T" .�ry, .F t es�-- GEC'.Pooc_: �'�-,,4 `" i• F� , ._ Z •lu OT'° Iv 9 8 SUBSURFACE SEWAGE: DISPOSAL SYSTEM INSPECTION FORM PART B ¢. „. SYSTEM INFORMATION= , sa FLOW CONDITIONS If residential number of bedrooms 2 number of current residents o garbage grinder, yes or no 6S laundry, connected to system, yes or, no seasonal use;' yes or` no If nonresidential, calculated flow: { g s Y. Water meter readings,` if `available. . Last date"of`°occ ` upancy . - .. �':• -.« � . - ,. .•GENERAL 'INFORMATION ' Pumping records and source%of -`information: FdO e Ems'01 n v,F PU u l P t u a 2`Il7ST{�Q c� I -- +AO,4t F C>,c 1/U F-2_ 0 Er_We L.0 6(7 P 0 vvl Pt✓U 6 y E dLS 4�E��7' I i S stem y pumped as part of inspection,, yes or, no: if yes .volume pumped r k h Reason for' pumping 4 j a • t i�4l 1 vQ Type of systems Septic tank/distribution µbox/soil°` absorpti*on system' Single cesspool t , Y,_ Overflow cesspool v Privy. w Shared system (yes or no) (if yes, attach,.previous. inspection records, if Other (explain) fi Approximate age of all components. Date insta11ed,`;,,.if known'. Source of information: Sewage odors"'detected. when arriving atf-the,-site, es' or no ' y ' >•: is SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARTY. B. SYSTEM INFORMATION'icontinued .SEPTIC TANK: 4-Att_C--0 CE::S L_` %CG06el�cc.o � $ (locate on site plan) 'eP_tcY, G depth' below grade material of construction: concrete . metal. JFRP - other(explainj .... . . dime nsions• 6. .w ...v. ..�...�.. - - 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;rtee:_ or,,,baffle;_{.. Comments. ..... _ .~ s ... . ..v. . �: w(recommendationifor'-pumping,�' condition of inlet and outlet tees 'or baffles, depth of liquid level in relation to outlet invert, structural integrity;:, evidence of leakage, .recommendations for repairs, etc. ). � y. •s _ nj d c:ESGPOC:,L, iF � lSf.t�T D.c4� ra . _ .. C... es' .�. 0e- we a i vU �..-.DISTRIBUTION BOX: �o�'�`� ' =' (.locate on site depth• ofliquid level above outlet invert Comments: (note _if level and distribution- is equal, evidence, of.,;sol ds.,.carryover,k --,.: evidence of leakage into or out of box, recommendation=�rfor>,_:r'epairs,, ,etc`.') f ;_• v r x # , .�.:.� ' .� :< r£ t e ref �- 1 . .r ., ,� .. PUMP CHAMBER: o fs t (locate .on site plan). . . .._....._.. _. �, __ .... ..� ._ pumps in working order, yes or no ,t; _ it ;;_,:, Comments: (note ,condition of-pump• chimber, -condition of pumps and appurtenances, ,, recommendations for- maintenance- or repairs,etc. ) F 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEH, INFORKATION Continu®d" SOIL ABSORPTION SYSTEM (SAS) t (locate on site plan,, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Y Type leaching pits and numbers. leaching chambers and number leaching galleries and number -" ', leaching trenches, ' number, "length leaching fields, number, dimensions overflow cesspool, number, L ,.. Comments: (note condition of soil; signs of .hydraulic failure.',, level, of,.ponding;condition' of vegetation; recommendations for ma�,ntenanceor repairs,etc.," CESSPOOLS (locate on site plan) number and configuration depth-top of liquid to inlet invert depth of solids layer depth of scum layer _ F. dimensions of .cesspool materials of ,construction indication of groundwater ' inflow (cesspool . must- be- pumped as . K part of inspection)._.,.. Comments: (note condition of.„soil, . signs of hydraulic failure,1evel 'of ponding, condition of vegetation, recommendations for maintenance or. repairs,etc. ) PRIVY: (locate on site plan) materials of construction -w dimensions. . , depth of solids . Comments: (note conditionof soil,, signs of hydraulic failure, - level2 of .ponding, condition of vegetation, recommendations for maintenance or repairs,eta. ) fin. .. .. -t. SUBSURFACE SEWAGEDISPOSAL SYSTEM INSPECTION FORM ".PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM.-" ' d - include ties to at least two permanent references landmarks or• benchmarks locate all wells within ,1001 nn _ H 3u -T-C—,Z.S c 1 9 ' r n�f �xq 4 } c.�ss bo c, K 19e3/84 DEPTH TO GROUNDWATER depth to groundwater ` method of determination or VS approximation: Cows c, '�C- _ 1- 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION, FORM PART `C FAILURE" CRITERIA Indicate yes, no, or not determined (Y, N, . or ,ND) .. . Describe basis of, determination in all instances. If "not determined", " explain why not) ~ �o Backup of- sewage •into facility?- - --0-Discharge or pond'ing­o` f effluent to the surface of the ground or surface waters? Static liquid level in the distribution box above outlet invert? Liquid 'depth in cesspool <6" below invert or available volume< 1 2 day Y Required pumping 4 `times or more in the last year? number of times pumped IUD Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration?'tank failure imminent? Is any portion of the SAS, cess pool or privy: o P priv . below the high groundwater elevation?-: .? 'F r•k 3 •s .III within 50 feet of s . a surface water within . 100 feet of a surface water supply 11 water supply? or tributary to a surface _ NCO w ..- - e . ..._ ..._.._ ... II ithin a Zone I of, a- public well? within 50 feet of a bordering vegetated wetland or salt1•marsh , (cesspools and privies only, not the SAS) ?,,-., , , `. within 50 feet of a private water supply well? Less ,than_ iQO _ rt :.. feetµ but>>greater=than 50 'feet from a`private water supply,,well ..with no, acceptable water quality analysis?._.. If the well _ has been anal ,zed.. to. ,be. acce table attach . co of-well" water- anal sip '... Y . P PY ... . y_. for coliform .bacteria, volatile •Qrganic compounds;- ammonia" nitrogen µ and'nitrate .nitrogen _ _. �� .," ___ .., . _... �, 05/04/1995 13:41 508-428-3508 C.-.O.MM. WATER DEPT PAGE 02 KEY NUMBER <49 > NAME <REYNOLDS, DOUGLAS > B-C 1 B-C ' 2 B-C 3 B-C 4 STREET P 0 BOX 104 CITY OSTERVILLE ST MA , ZIP 02655-0104 REF 1 REF 2 PHONE ( ) - REF 3 REF 4 METER NO.< 549> DATE READING CONS STREET <WIANNO AVE N0. 135> 12/31/94 379 35 CITY OST 0 ST LOC 06/30/94 344 20 PHONE (508) 428-3269 12/31/93 324 65 06/30/93 259 26 ROUTE NUMBER 13 12/31/92 233 27 SERVICE DATE 07/18/41 06/30/92 206 21 METER DATE 07/01/88 12/31/91 185 23 CAPACITY 7 06/30/91 162 18 STYLE T10 SIZE 1 RATE SCHEDULE KEY PIT PLASTIC . NOTE RR RIGHT SIDE ADDITIONAL CONS 0 ALTERNATE MIN 0 G SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART D CERTIFICATION Inspector : Peter Sullivan PE Location :135 Wianno Ave.,Osterville Date : May12,1995 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and maintenance of on-site sewage disposal systems. I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303 Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. Please note the summary of recommendations as presented in this form. Lastly please note 310CMR:15.302(1)Criteria for Inspection. "The inspection is not designed to provide information to demonstrate that the system will adequately serve the use to be placed upon it by the new owner. The inspection criteria are intended to allow for timely inspection to avoid undue delay in the transfer of property." truly yours AW=04-� eter Sullivan PE OF Distribution: Original to system owner PIEMR Buyer suuivAN Board of Heath No 29733 ��►Al E °� u, ,No................ ..' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH )...Own.........OF... .iR�7 ���................................... Allp iratiun for Dispati ai Works Tunitrurtiutt Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (man Individual Sewage Disposal System at: ..... _..1.: .Y�. f.._..t9mc..................... Loc ddre s 201 Lot No. r �),�.. • �-- �1 -----------------•---- -.. ........ er ,�/ ... ......---... -......._ Owner ' �� Ay re . Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............... No. of ersons................:_.......... Showers — Cafeteria a yP g ------------- P ( ) ( ) 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.................. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ••----• .• -- ......-- •••-•-J ­*..........O Description of Soil................ .... � ���----------------------------•------- --.------------..... -------.--•--- x U --------------------•----•--......--=----•--------------------.........-•••--•----...------ ....•-•---------------•-----------------•-•---•-•-••-•----•-------------------------•----•------•------•----------•- -------- r U Nature of Repairs or Alterations—Answer when applicable__.._.._....�..� _Q __._ ./_-_. 1_r�'______________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the rovisions of 1iTL 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 bealth. Signed.... _ Application Approved B .......... . y D�1to — ---------•--.f Date Application Disapproved for the following reasons:............................. ....................................•............................................ -------------------•--------•••••--•-•-......._.......--••----•-----.........-••-•----.------••-•--••--•-•-------••-•--••--•-•--••---•-•••--•--••-••-----•------------••-•---•------•--•--•----••-•----- Date PermitNo.....................................•--------------.... Issued_....................................................... No..... �:. THE COMMONWEALTH OF MASSACHUSETTS 6 p BOARD OF HEALTH P iI j yy ApplirFation for Disposal Works Tonstrnrtiun Vamit Application-is'hereby made for a Permit to Construct ( ) or Repair ( L•-an Individual Sewage Disposal System at: -. i � w .j,� , -.. L ...- ) �:.�,�)tom?. --- ........................I.... - .............-----.....--•-•••-- Locajtofr`Address d - f J or Lot No. ..... 1 9Ji'✓�.1-l.d-..e-..... tft..-4 i�l f� ... ...— `p��t�....•. .. ..--!r..�-,-----....-..-•--------^........................... 1Dw.fr#i��r:.:-'E�,.! i -C�! Z?5 *A ie r Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria aOther 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. 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........................ -- -----•------... ••...........-•---•---...----•------•--•-••--•----•---•-•---••.._....--•- D Description of Soil-------- t?. " ..---------------- ----------------x U ---....••------•-----•-••-•-----------------------------•--•-•-----------•---------------•-------•----------•-•-------•-------•--------------- ......................................................... •--•----•------------•-•••-•---•---••-••---•--....-••-•-------•---•-••-•-----•-••-•-•---------•-•----••-•--------••---- ---- ��, �.• U Nature of Repairs or Alterations—Answer when applicable......._....j_____._..t, . ...._____ a I 10 -•---------•--------------------•--•------........-•---------.........--•--•----•---.............---------------•-----•---•-•-••--•----.........-•--•--•--------.....•-••--••----------••----.......---• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 71T12 p of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issued by the board oiealth i._�. a,.�a'_ � ... ` �� ° sits •L«. _.__ .0_ r Signed------ ,r��� ��.,.__':'�.,. ...�,_... -`---•--' ---.1.--- --E-....._=• n te... r. Application Approved By---------- ---------------------- ,� ,�Z ��°-••-.-------- Date Application Disapproved for the following reasons---------------•---------------------•--•--------------------------------------------------------------------.._ •-----•---._.....--•••-------•--••••-----------------•----•--•---------••----•--••-----•-------------------•-----------'---------•-----••-•-----------•----------------•----•••--•-•------•--•--......•-- Date PermitNo.......................................................... Issued....................................................... Date THE"COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............t'......l,rt .J..c....0F........ 1 J.. .. ................. i Tntifirtttle of Tout littnrr THIS-4tS' TO CERTIFY That the rIndividual Sewage Disposal System constructed ( ) or Repaired ( ��.... 3 J / �p ..._.... _ -E �s �s r ����?✓ ¢..r..._..._- gsfalkr sr` 1 l s �.. .. a at----------- -- �= ' -- • -------------•------•--............._.. . has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in th application for Disposal Works Construction Permit No.__..ar �t��'................ dated.............................. .. ._.......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION"SATISFACTORY. DATE.............. �� �/ .................... Inspector.-----.. 1 ....................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ►`48� (.�i rC.d./.. .>..........OF........ .. 4e^ e.a. dr t ' ................... FEE...f � No.. ......... ... ..... ..... ... . - " Permission is hereby granted.---- ..._ t/`�'��'.��. mod✓%. /� ...__>_. � .................................... �^ to Construct ,airan .Indio ual Sew'age,pisposal Syst at No.-----f '----"c'."- !t�CJ i _.. �-` 1_`r'`} � -l. �• Street as shown on the application for Disposal Works Construction Permit No�...................... Dated.......................................... ..................... ................................................. ' Board of Heal" DATE..........................�elf !......................... _ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - N_ "y TOWN Of AARNSiABtf Q� fiU JN 28 In T 23 5B�- FM I I LLI 144 El 11:1 LLLU 11 11 11 11 11 11 1 11 1 11 11 11 11 [ I-LI.1 JF ULU FRONT ELEVATION I I I L 44 ILIJ EHL-1 . 44 PROPOSED RIGHT ELEVATION a PROPOSED LEFT ELEVATION Bo e REAR ELEVATION Gra' �g 5'6• 1T11' lad' '- NOTE:NEW FLOOR ABOVE EXIST. z BASEMENT TO MATCH EXIST. uJ 2 1ST FLOOR ELEVATION i m .................. - -�.r ...... i = BUILDER TO INSPECT E%ISTINa: Z = FOUNDATION FOR b MILW •- _ PRIOR TO CONSIRUCRON J T S =31?OONC.RULEDEXISTING LALLY COLUMN WATASE =AND CAP PLATE(fYP.) F<; BASEMENT =wrR i3OONO.PAD 4 a w ON GRADE O ZZ4y 3• �Ir311 71W M 8E m - '•NOTE DROP NEW FOUND.F ELD VERIFY) Z } Z TO MATLN NEW FLOOR JOLRT EL WRN = E%LRi.FLOOR JOLST EL ............................................ ........................ K LU AT ... .._.. _ Bxr to CONCRETE __ •_• •E ATIONN W/EJ ..._. •_6EPA1 •• o , • . POCIOT WALL WRD'%1a • s :¢ (fYP.) � � TM� FOUND.ELEVATION CONT.OONC.FOO � O aJw' 98 2 : ELOW TOFIDOp\'• :b i - T�uGM FOR 2 . GIPMR _ �FNMIN ;� uLLY COLUMN wiB BASEMEN • •__ - • 3lir CONC.FlLLED Wl% l OONC.PADAND CAP PLAM ) 4'CONCREfESUB ' , `• ANDL4L CAP WMN W/I.) = •Gq• Y - S'B4�ACaMGgEG.4TE� .. ............... ,/Tp]�p • . : AND CAP PLATE MI.) • • : W?If2f0' GPAD 311 T/a LW BEAM \ax4•acoNCRE EwAu a BASEMENT 'e BELOW GRADE W2aX1C O _ • ,WM.CONO. ................................................................ .�.�..�.�..�..� ._ .. .. .. .¢ _ a i Oo5 _ 3/4'AGGREMTE 311)AT LA BFAM .• .............................................................._..... ........OFRSEf7JACL21lYt .... BEaM _ = nNG : .BEAM CONT CONLtaoo : MIGN WRH3 WALL i ti POCI�T...�_.. •B'1(e'-0'CONGLETE WALL B'X4'-0'CONCREfE WALL to-104Y TF� o .+............C9C�ff.T. ..�....................... :BELOWGRADEwl2 lV BELOWGRADEWI4D•lly 1 -♦� • • :CONT.LONG FOOTING COM.CONC.FOOTING ................... F •• • - .. .F .................................. ........ e• oo,� 1r CONCRETE FlILED GONOTUBE 4•U B ® E OST NG WALL= 33EyEy •GRADE 910FOOr =Sue oN GRADE `� p � PAD(IYP-P.) NEW WALL= y 9 NOTE:SEE CIVIL ENGINEER PLOT § P CONCRETE SLAB @-1'h• 3,DDD PGI®aB DAvs PLAN FOR EXACT FOUNDATION 3/I•AGGREQATE b 3�g DIMENSIONS FOUNDATIONOROPATGARAGEOOOR FOUNDATION DROP AT O GE DOOR FOUNDATION DROP AT O—GE DOOR TO BE FlEW VERIFlED BY BUILDER TO BE FlELU VEAIFlED BY BURDER TO BE FlELO VERIFlED BY BUILDER Lm-- ................... 11'-11' @tl 3a-1a @-TK' IV-la @rss• FOUNDATION PLAN a 311+k' 3-61h' 4'S'h' EXISTING ' PIANO ROOM ----- EXISTING . TYV2416 Tuv244s LIVING ROOM GAS F.P. . ®. 1§ - — LIBRARY& 1 ,� PATI AREA -READING ROOM _ m Z. BLALDER TO V.I.F.ACCESS TO EEC 13ASEMEM.UNDER [STING b DINING ROOM SWT.SrAIRs .... — EX m _ FOYER' — w - - - LANDING 1 1 m. za .. ,$ .. . . 1 .. DUSTING WWDOW SEAT � 'm _ - .. I I w: `� .. � m P.R.. 1 1 .Dw#, co DBL rzZD OVEN It v • , _ t n _ • - . U� , KITCHEN - .. .. MUDRO M m - ro -- INI. ------ - IIMI • � . . . . LVL STEEL BEAM ABOVE : : 7N/2432 .. b COVERED B _ PORCH 3-CAR GARAGE - 0 ___LVL OR STEEL BEAM ABOVE b ------------- __________________________._______________________._____________________________________________ .. - . i N • • •------------------------- •--------------------------• •--------------------------• • FIRST FLOOR PROPOSED e$ s-rh• s$ T r s r s-rh i f"I Z W W MATCH NEW FLOOR JOIST Cn ELEVATION W/EXISTING - Q FLOOR JOIST ELEVATION m Z W O 3-11 71W LVL BEAM Z w �(�`` v Q c lmo R z O MATCH NEW FLOOR JOIST ELEVATION W/EXISTING FLOOR JOIST ELEVATION cc O .................... ._.__.._..__.._.___. ..___..___._. 0 LL 3-11 7/8'LVL BEAM 3.11 7/8"LVL BEAM .......I' ......................... ......... MATCH NEW FLOOR JOIST ELEVATION W/EXISTING FLOOR JOIST ELEVATION GARAGE m 2X8 P.T. DECK JOISTS @ 16"O.C. FIRST FLOOR FRAMING PLAN EXISTING EXISTING, BEDROOM . BEDROOM' 'TV S-0' 6-0' T$ IT-W - 6 ------ 6-0• S$h•. 1'$ Y6' TW2432 - TW2446 . H BATH #1' . - LINEN O. I, 1 �_ 3RD - - . ' n ATH EXISTING ---- EXISTING BEDROOM lsno BEDROOM . TW2442 TW2442 ZP====q z z z P��.z z Z ,-Z- ITV . " .. FOLDING. .. I.BELOW .. IRONING LAUNDRY ROOM BONUS ROOM --------- �< . w s W/SHERMRYER FRONT LOADING 4 - z-6 N ZZ II_ � ry 1 OPEN RAIL W.C. - DECK HALLWAY a, sTBELow .. 2'£ TW2442-2 2'-8' 2.6' TW2442 TW2442 A31 • - _ , ------------ --- ED a ti 0 b ' r/\ .. R F III B 4 > HERS & b b WIC N � c MASTER BEDROOM M.BATH - — -- HIS WIC m ' m n O O . TW2442 - TN2442-2 TW2442-2 TW2442 . . .. .. 4'6h' 4'_Sf- 13 66 L S-0 4-, 4'{k' s .T-2* -2' SECOND FLOOR PROPOSED - ., � 6$h• .. � 2a6+k' � .. 6-0' .:, �. .. :.�'�.. 6-7•f.,• 16-1a - :- --------------- — — — .......... ---------- — — — .. .... I � 01 I 1 LVL HEADER CONT. N I , - - 1 00 00 1 - , , 1 LT LVL OR STEEL BEAM , m 1 1 m O T O ' 1 O cn O to I . V I , TT1 O V/ .. 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XISTI I1 Ffi "�E 9 LPG 00 ti�90 J, OF O� ......... 2XIC RAFTERS/M CEILING JOISTS @ 16".O.C. 11 4 2X12 RIDGE BEYOND: 1/2°CDX ROOF SHEATHING 12 2X10 RAFTERS 8 HURRICANE X8 1 1 X8� TIES H2.5A R-38 — - - 2X8 CEILING JOISTS - 1X3 STRAPPING @ 16°O.C.. / SU W 1/2°GYP M , R-21 M.BATH M.BATH' LINEN: W.C. . 3/4°T&G FLOOR SHEATHING R-30. . 11 7/8°TJf-FLOOR JOISTS' 0 3-CAR' GARAGE o - e 4°CONCRETE.SLAB ,:, J41! - - — .e - _ _22X6PT D� S SILL PLATE � - — — .. n SECTION A. 2X12 RIDGE BEYOND 1/2"CDX ROOF SHEATHING 12 I 2X10 RAFTERS 1X8 1X8 12 HURRICANE TIES H2.5A R-38 2X8 CEILING JOISTS 1X3 STRAPPING @ 16"O.C. W/1/2"GYPSUM x J X BONUS ROOM BATH BATH m w . x R-30 11 7/8"TJI FLOOR JOISTS co F x J J QQ 3 F m X KITCHEN LIBRARY W p R-21 R-21 _ F- x F a 3/4"T&G 9 1/4"TJI FLOOR JOISTS FLOOR SHEATHING —- — 2-2X6 P.T. `. "SILL PLATES ° O .ti a BASEMENT EXISTING BASEMENT Z ° o O 1� LL 0 0 0, Z Z Cv F F W W 4"CONCRETE SLAB 71 a<' f'oe'v- SECTION B. TOWN OF BARNSTABLE ZONE 2 i • r 201 , `' '1 2� ,�' OWNER OF RECORD: ROBERT C. & DIANE L. PEMBERTON •p• ���� 135 WIANNO AVENUE • • 1 "y' OSTERVILLE, MA 02655 ° .� ' "' • I r FEMA FLOOD ZONE: U.P.#64/1 +Ir`�'r••r • • + • � `r.. AS SHOWN ON COMMUNITY PANEL: * w.�p • , • 'b 4,10 ti #250001 0016 D LOCUS' • r * •• 3 • \ \ ASSESSOR'S MAP & LOT: 'r ` r * r• +' " M ' �•' �< MAP 140, LOT 57 �s\ . *• '�' '+ • rll I► + . DEED REFERENCE:LO , + tab ri; 'moo \�0, BOOK 10688, PAGE 288 • U ;, .; • ;,, a MAP 140 `UN L PLAN REFERENCES: U.S.G.S. LOCUS MAP LOT 21 SCALE F 1.) PLAN BOOK 157, PAGE 53 : 1"- =1000 a 4,/ 0 2.) PLAN BOOK 428, PAGE 100 _A 0 NOTE: o 1.) PROPERTY IS NOT LOCATED WITHIN A GROUNDWATER OR WELLHEAD GAS FIREPLACE ENCLOSURE a .o MAP 140 �o PROTECTION OVERLAY DISTRICT OR ESTUARINE WATERSHEDS. �S•P 0�0 LOT 57 y 'S' � \ EXISTING 1,500 GAL. SEPTIC TANK-\ ma's #135 17,840±S.F. EXISTING �. EXISTING (4) 500 GALLON LEACHING 10 DWELLING CHAMBERS PER AS-BUILT CARD �o U.P.#64VZ12 (SEWAGE#2011-318) FFE=32.8'± L.S.A. E/T/C E/T/C ' (7) TREE (TYP) CY A O -\0 S 6 6j ��� ��� a �rOO�O %o !00 �y \ �164 t h 000 COVERED PORCH Benchmark � \ / TO S* 8 1 .�� o Nail in Tree \ ar' 9 Elev. =40.00' DRIVEWAY Approx. M.S.L. \ a 39 PROPOSED f / \ 0' ADDITION —38 Q- MAP 140 �\ ►•`�� \ � G�0 LOT 56 00� STO GPI o EXISTING GARAGE /�� � o�a'a (TO BE RAZED) PLOT PLAN AT / 135 WIANNO AVENUE I hereby certify that the lot comers, dimensions, and setbacks to the OSTERVI LLE, MA 02655 proposed addition as shown on this plan are correct. Conformance to the Town of Barnstable By-Laws and Regulations shall be determined by the Zoning Enforcement Agent. /�'�� PREPARED FOR: cam' U.P.#12B CAPEWIDE ENTERPRISES PREPARED BY: ZONING DISTRICT: RC �" ' JOHN t• r PROPERTY IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT a cHURCNI�L jR. n JC ENGINEERING, INC. No 48066 REQUIRED PROPOSED R cis, ��� 2854 CRANBERRY HIGHWAY FRONT SETBACK= 20' MIN. 79.6' ``'/ N';, EAST WAREHAM, MA 02538 SIDE SETBACK= 10' MIN. 12.2' REAR SETBACK= 10'MIN. 13.8' BUILDING HEIGHT 30'MAX. 27.58' Date Professional Land Surveyor SCALE: 1" = 20' DATE: JUNE 27, 2013 JOB#2481 I i 1 k I SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR COMPARABLE MEANS FOR FUTURE LOCATION. ASSUMED' �\ (NOT TO SCALE) 1. DATUM IS ACCESS COVERS TO WITHIN 6" OF FIN. GRADE TOP FOUND. EL. 31.92' ACCESS COVER TO WITHIN 3" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING \ f29.8 MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM f29.5' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Sou h A N cP o RISERS CTYP) 2" DOUBLE WASHED PEASTONE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST �Qin 210 4'�SCH40 PVC OR GEOTEXTILE FABRIC UNITS TO BE AASHO H-M t. 4'sCH40 PVC PIPES LEVEL 1ST 2' ' 3 MAX. 5. PIPE JOINTS TO BE MADE WATERTIGHT. EL. 28.9' 10" PROPOSED 14" y 26.5' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 0o�e5 27.37' TEE 1500 GAL H-10 TEE 27 17' ; WITH 310 CMR 15.000 (TITLE V.) Lo s jSEPTIC TANK " Oc°O°O°O°c°O GAS BAFFLE °°°°°°°°°°°° 08 a 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND in o� +_o�o�o„o„o_ O 25.67 0 o a a �! o a o o 4 AT SIDES " �o 27.14' 2s.97' a a a a cl o a a a NOT TO BE USED FOR LOT LINE STAKING OR ANY 0- : 4' LIQ. LEVEL (ACME OR EQUAL) go 4' AT ENDS OTHER PURPOSE EXCEPT PERMITTING OF INDICATED g 2' 0 0 0 O C 0 0 0 0 23.67' 1s'-s" x 20' ADDITION. :,........ .. �........: . . o q OOO00000000 G;ObF °°°°°O OOOO000000000°00OOC'-b ° ° ° ° ° ° ° ° ° ° ° ° ° ° OO ° ° ° ° ° ° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. f 000000Ono°O„O.,O,,O„000000000,.0�0�0�0„O„00000. " ff _ „ O DEPTH of FLOW = 4 3/4 TO 1 1/2 DOUBLE WASHED STONE TEE SIZES: 6" CRUSHED STONE OR MECHANICAL 9. COMPONENTS NOT TO BE BACKFILLED OR �` " f' COMPACTION. (15.221 (2]) CONCEALED WITHOUT INSPECTION BY BOARD OF v OSTERVILLE INLET DEPTH = �. i. HEALTH AND PERMISSION OBTAINED FROM BOARD 4, OUTLET DEPTH = 14 OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP 10 CALLING DIGSAFE (1-888-344-7233) AND MIN. (4.8% SLOPE) ( 1 % SLOPE) ( % SLOPE) 17.2' BOTTOM TH-2 VERIFYING THE LOCATION OF ALL UNDERGROUND & „ , NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR To COMMENCEMENT OF SCALE 1 =2000 f FOUNDATION LEACHING WORK.32' SEPTIC TANK 3' D' BOX 15' ASSESSORS MAP 140 PARCEL 057 FACILITY _ 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' 'BENEATH AND AROUND THE AP ZONE PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED LEGEND UTIiLITIES TANDEALLHALL VERIFY THE BUILDING SEWER OOUTLTIONS ETS AND ALL AND ELEVATIONS SAND. OR PUMPED AND FILLED WITH CLEAN U11L ITY PRIOR TO INSTALLING ANY PORTION OF .SEPTIC SYSTEM 99- EXISTING CONTOUR OLE Scale: 1"= 20' X 99.1 EXIST. SPOT ELEV. 99 PROPOSED CONTOUR ,/� /' �� 0 10 20 30 40 50 FEET 198.4 ] PROPOSED SPOT EL. TH2 TEST HOLE /'' .' W So Y / SCD c" SLOPE ❑F GROUND SYSTEM DESIGN: 22; ,/ �� TA �G UTILITY POLE ,/ ,/ �`� �F. GARBAGE DISPOSER IS NOT ALLOWED FIRE HYDRANT /' - / _ \ - _ ..:,.,DESIGN -FI_OW:.__4 ._P?EnROOkAIS e 110_._CPD ._=...440 -GPO NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING ,/STONE USE A 440 GPD DESIGN FLOW / DRIVE / 42" TREE ,�" SEPTIC TANK: 440 GPD (2) = 880 . TEST HOLE LOGS 42" CROWN , , ` , , �oo� /% /�/ ,� �, ,� ,�' Tti, .sue, `, USE A 1500 GAL. SEPTIC TANK MICHAEL S. FARIA, SE /'/ /'/ �� P, \\'� ENGINEER.. o LEACHING: WITNESS: DAVID MASON, R.S. INV. IN tee+ ``, \`, SIDES: 2' X 2' X (12.83'+42') = 219SF APRIL 5, 2000 CESSPOOL �` BOTTOM 12.83' X 42' = 538 SF DATE. EL.-27.4' r' 9 UTILITY'\ _ �� CESSPoo i OLE \ TOTAL: 757 S.F. PERC. RATE < 2 MIN/INCH \ ' ' EXISTING 4 BEDROOM I CLASS I SOILS P# 9733 /� HOUSE31.92' Uo UnuTiEs 757 SF X .074 G/D/SF = 560 GPD > 440 GPD O.K. f , ELEV. ELEV. ELEV. I EXISTING * �� ' ' INV. OUT EL. 28.9t ELEC 4 4 4 `QESSPOO I METER p" 29.2 p" 29.2 p" 29.5 ' sPLAY NOTE: PORTION OF BENCHMARK LOT .' 9 GYM + ' ' PAVED DRIVE TO BE CDR TOP CONC. LANDING REMOVED ELEV.=32.2' 17,840 SFf '��' ���' MA FILL FILL , APPROVED DATE BOARD OF HEALTH O , 12" 28.2' 12" 28.2' X" x' TITLE 5 SITE PLAN o - , A A Tti �. p� ,,-' / ' OF SL SL ��� .''' z�, 135 WIANNO AVENUE 20" 10YR 3/2 27.5' 10YR 3/227.5' X X' � PAVED Po '' DRIVEOSTERVILLE, MA PREPARED FOR B B DIRT -' DRIVE LS LS "`F 'o -�---- - ,-'' ROB & DIANE PEMBERTON 10YR 5/8 10YR 5/8 0j, GARAGE ,� DATE: SEPTEMBER 15, 2011 36" 26.2' 36" 26.2' X" X' , , i'PERC ® C 1 PERC ® C 1 off 508-362-4541 V V2� 48" 48" 2B ,i �, � r�, ( fax 508-362-9880 MS MS �jH OFMgs . ASH of downcape.com ,' �i sad' sq� ,�� �c , Q DANIELA. �� DAiNiEL �m down cope engineering iac. < 9" 0 < 9" 0 �' y o ti s:oo . 2.5Y 7/4 s:oo 2.5Y 7/4 �'� ,�' o OJALA o A. ., „ , CIVIL OJALA civil engineers 144 17.2 144 17.2 X X �' so2 r�0 o9aD land surveyors NO GROUNDWATER ENCOUNTERED * FUTURE TEST HOLE �,' ,/' °F� �'' � a 'F �°` A �� 939 Main Street ( Rte 6A) SOILS TO BE TESTED AT INSTALLATION NAL � 1�' \ s YARMOU THPOR T MA 02675 DCE #00-07 > DATE DANIEL A. OJALA, P.E., P.L.S. 00-071 PEMBERTON.DWG j E