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0281 WIANNO AVENUE - Health
281 WIANNO AVENUE, OSTERVILLE A= 1.40 027.001 I 0 TOWN OF BARNSTABLE LOCATION r 1 OL At U CO -r#41-JC. SEWAGE# VILLAGE ASSESSOR'S MAP&PARCE> INSTALLER'S NAME&PHONE NO. h+ SEPTIC TANK CAPACITY <=S•6C0,4 Al mot- Loce) LEACHING FACILITY:(type) �Il' (size) 43 - f'� J� NO.OF BEDROOMS ..7 �--- OWNER C� 4 PERMIT DATE: 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) M Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet C-1 FURNISHED BY 01 \ ts 4 4C g o � � 1 ® I 0 x^O s t No. d�—(/ I Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es ftptiLation for Disposal *pstrm Construction Permit Application for a Permit to Construct(Repair( ) Upgrade( ) Abandon( ) PrColomplete System ❑Individual Components Location Address or Lot No. 2 6 b-,'Qn^0 t C A v-- Owner's Nam ,Add ss,and Tel.No. Assessor's Ma /Parcel l4�� Cod qh7 p r27-v0 r 54rollt_ Ins ller's Name,Address,and Tel.No. c �- S ��// Designer's Nf/ame,Address and Tel.No. � �9.1�� ihf��fhf' f Conlv/�`it�'�*T�C. 17 t YW INA , i'^r Type of Building: Dwelling No.of Bedrooms 7 O r Lot Size ;2 9� 3�2 sq.ft. Garbage Grinder( ) Other Type of Building S1?7 Ile No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requi ed) 77 gpd Design flow provided 7 7Z.�- gpd Plan Date / z D2 O Number of sheets 1 Revision Date Title 5:4 _ P1,00 .I l0Y>°/h217-�S / Size of Septic Tank 2oy0 ��� 4-100 6� in S-er;ffype of S.A.S. 6-SDO Cq&. 1X1,eff Description of Soil __r 14-( Q—q " Fi 1 fimm� aj~2�' 13 1.-r'� G��,� Sah ! '7-9-- 4 L c C lacr C 3Z- 132" ,M e�i�h'[ scii,p�• Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainte ce of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Co61A d not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Date Application Approved by Date D Application Disapproved by Date for the following reasons Permit No. �y w- )n G, Date Issued a U No. Fee THE COMMONV' EALlN OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal Apstim''Construction Permit Application for a Permit to Construct(VTOOORepair( ) Upgrade( ) Abandon( ) Complete System ElIndividual Components f• Location Address or Lot No. 2 LN,'9an0 1¢4.e n v e Owner's Namee,Ad ss,and Tel..No. Assessor's Ma /Parcel /`lo P 12 —DO( Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. S U`' t�r�S�neef f (o�ICi�E:ir�i;rn Type of Building: cy Dwelling No.of Bedrooms 7 r Lot Size 2 , 3 2 sq.ft. Garbage Grinder( ) Other Type of Building S r» 'le F-qm l+/ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) -77 O c gpd Design flow provided -7 72. ., gpd Plan Date y1!/z OZ O / Number of sheets / Revision Date Title S•Q P4/ _ Pra0oSt'/A _,jt"At By-eA Pn 4 5 Size of Septic Tank aapo ,-Ioto 6ol h f P_'ejType of S.A.S. (- SOG Description of Soil T'14-I (j 'r ;t`� �Coy.Y,, °/ 20 Z lu,/ter tr o ,,,,/ Sup, 2 0 L r �a��, .�►��,�,�, su�o�, c2 C ti sz - i3z �a1;�H-r 3uarl= Nature of Repairs or Alterations(Answer when applicable)' �• Date It inspected: 1 S TAgreement: 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 not to placefhe system in operation until a Certificate of Compliance has been issued by this Board of Health. i Si ,�/ { r,, , f:t Date Application Approved by t�f f _ a-, r Date 0 Application Disapproved by 1: ` '' F, Date for the following reasons t•.zk ; t Permit No. d � Date Issued L U THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifitate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(V<" Repaired( ) Upgraded( ) Abandoned( )by at AA R_ / y has been constructed in accordance with the provisions of,Title 5 and the for Disposal System Construction Permit No.? U211_Id, dated (4 /Z2 o Installer �d ti TJ t t� fi17 �rA .J j/ Designer y i!/9 l=J+C i z` #bedrooms 7`1 Approved design flow 7-7 D gpd The issuance of this permit shall jot be co ssttruedyas a guarantee that the system ill functio de i ed. Date p- Inspector -------------------------------------------------- ------ ------------------------ --------------------------- ---------- No. v,2U—11)b Fee Z� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,-MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at /7 A 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:Constru/ctio must be completed within three years of the date of this pennit. Date I u Approved by s JUN-13-2020 03:11 From: To:15087906304 Pa9e:1/1 • Town of Barnstable Inspectional Services s: t Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: S06-6624644 Fax: 506-990-6304 Installer&Dcsi ncr Certification Form Date: U It Sewage Permit# Assessor's Map\Parccl—&-- f6U Designer: MM \ 1\ sell s��Wu Installer: ..1.1. Address: A, ,I f A Address: /fin n t+ 11`,�'Ifl�VL��l ��ti +i fs vas On 2 3��1� = was issued a permit to install a two Q (installer) Aseptic system at D ( 1 f• , based on a design drawn by (address) umvATAIMIYU Y L dated no esign r) 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. Stnp out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10'lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that th referenced above was constructed in a with the to rms of the rove[ ers(if applicable) 0� �,1M°FAs�� JOHN C. 0-:;EA CIVIL (Insta er's 'ignature) No.43168 . EO e A 9ofFss ORAL estg ature) A tx Designer'f S"tarnp Here PLEASE RETURN TO•BARNSTARLE PUBLIC HEALTH DIVISION- CERTIFICATE C MPLIANCE WILT. N T BE SSUED NT B H THIS FORM •A AS- B ILT C ARE ,CE VED BY THE BARN TABLE PUBL C HEALTH DI ISION. THAN YOU. \\toe\4epUs HEALTKSLWER c0nnect\SEP•1'IC0cSigner Cce iGeauon Form Rev 8 14-13.DOC b• d N� yrs AS Q3fISi1�I21f 13 (tilgav;8ulyovol;o mg OOE lap uTq; uR ua�a o a2 lm;snta sptntliaM Au¢3I)ugiae3�ulyat�'I P P 1 M.1 P3 ' (y!lloy;Im4ava(Jo lap)OOZ u!4tlM'3o 03ts uo tsma sllaM fuv;�ti!l! 8 gutyoeaz pus llaM.tlddnS Ja;eM aIOnlyd 6;►lloe�$uryovaZ;o wouog aID of algEJ.ja3vMpunwq pajsnfpy wniumw .atp uomaaa ooumsta uouvivdoS i - . :MLVC(I UM N 3,LVQ 30Nyl jj.�I00 I.� Zi3NM0 SWOOVITH 30.0M azirs 'zi3Od-4 ON1HOY3'I -ON 3ri0Ha v 12TW 13 N S' 'I'id1SNI I avw udosS3SSy 750 Sov'rnA NOIIVZ)01 J ® ,91•° ,`� 9E ice 0 ® 0001 d ' Z/Z:abed b02906Z80SZ:01 :woJd 2Z:20 0202-£S-Nnf Commonwealth of Massachusetts /�� I�� ��a�/ - DD/ Title 5 Official Inspection orm Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °�M a 281 Wianno Avenue Property Address Rd 281 Wianno Ave. LLC ; Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 c' page. Clty/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, �� use only the tab 1. Inspector: key to move your cursor-do not ,lames Ford use the return key. Name of Inspector & �raa Company Name P.O. Box 49 Company Address 'e'er Osterville MA City/Town 02655 State Zip Code 508-862-9400 S12482 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed'based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further E aluation by the Local Approving Authority 8/10/15 Inspergl ature Date The 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 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""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. l5ins 3/13 Title 5 Official Inspection Form:Subsurface Sewac isp"slem•Page 1 of 17 Y 9 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °a a 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. City/Town State Zi Code P Date of Inspection B. Certification (cont.) Inspection Summary:Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old" or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑- Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ 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 l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. City/Town State Zi Code P Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a'public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 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 clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection_ on Form Subsurface Sewag e Disposal S _ 9 p System Form Not for Voluntary Assessments A.a 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information Is required for every Osterville MA 02655 8/5/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the M system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. C1tyrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms 3 3 (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. CitylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? • ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): unavailable Detail: Sump pump? ❑ Yes ® No Last date of occupancy: currently Date Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.).- Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: l5ins•3113 • Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9,••''� 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): 5 General Information Pumping Records: Source of information: unknown Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Reason for pumping: maintenance Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑. Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments A .•`'�r 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. Cityrrown State ZipCode Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: system installed -8/26/1996 per as-built Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC _ El other (explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 20" feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal. Sludge depth: 2 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. City/Town State ZipCode Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 27 Scum thickness 2 Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 10 How were dimensions determined? measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tees were present. no sign of leakage. Grease Trap (locate on site plan): Depth below grade: n/a feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. City/Town State ZipCode Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass 9 El polyethylene El other(explain): N/a Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 11 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments `• a 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. CitylTown State ZipCode Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert even Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or g out of box et c.): The D-box was normal Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t- I l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments -e,••'•• 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 page. City/Town 8/5/15 State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 4x2x48 ❑ 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.): The trenches were dry and clean There were no sign of failure. A camera was used to inspect Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration. Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No , t5ins•3/13 Title 5 Official Inspection Form!Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: .Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/a t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments e 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. City/Town State ZipCode Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately O \A 3 a 3i S� 3 15ins•3/13 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Comm onwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 281 Wianno Avenue Property Address, 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville MA 02655 8/5/15 page. CitylTown State 0 Code P Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20'+/- feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design,pl'an reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: To o and water contours map ❑ Checked with local excavators, installers'- (attach documentation) ❑ Accessed USGS database -explain: You must describe how'you established the'high ground water elevation: ' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Tille 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts T Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments a 281 Wianno Avenue Property Address 281 Wianno Ave. LLC Owner Owner's Name information is required for every Osterville M page. Cityrrown A 02655 8/5/15 State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System*Information— Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I, 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 '''OWN OF B:AsRNSTABLE LOCATION , ��'/ tt� 1 A vi Its dlr,+,td SEWAGE # VILLAGE ASSESSOR'S MAP & LOT f l� 1,2a , 061 INSTALLER'S NAME & PHONE NO. 7,4vitac.6 SEPTIC TANK CAPACITY d CPO, LEACHING FACILITY:(type) rreso t,4 (size) NO. OF BEDROOMS - PRIVATE WELL OR UBLIC WATER BUILDER OR OWNER eAeQj4. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: .. VARIANCE GRANTED: Yes No i S h. s 7ree ASSESSORS MAP NO• � No. // ` V PARCEL NO• ® � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Migpooal *psstem Construction Permit Application is hereby made for a Permit to Construct( )or Repair�an On-site Sewage Disposal System at: Location Address or Lot No. / Owner's Name,Address and Tel.No. 028/ GtJ'iA�v�Vo A�-e. — ®�fe�vi! e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms_L Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of RepairsorAlterati s(Answer when applicable) ;5—r,1r 3�o5 :31 e k� t S►aAC_ 31o,t� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operatio until a ertifi- cate of Compliance has been issued by this Bo d of t �� Signed Date Application Approved by Application Disapproved for the following reasons Permit No. Date Issued � �y, —————————————————————————————————---———— • No`. Fee L • THE COMMONWEALTH OF MASSACHUSETTS ° PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppYication for &opogar 6potem Construction 3permit Application is hereby made for a Permit to Construct( )or Repair(k-�an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 2a/ t lm xlNo Ave. - psi v�/�e F� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. w Type of Building: Dwelling' No. of Bedrooms Garbage Grinder( ) }' Other Type of Building No.of Persons Showers( ) Cafeteria(� ) x Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date f Title Description of Soil r'r � Nature of Repairs or Alte`ati s(Answer when applicable) 1•5`06 6!'�1/ 7A/J — A 57So x —' S('i,/7rc 33o S 0n, 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 ope ota until a ertifi- cate of Compliance has been issued by this Bo d of Wet Signed —Dat 6 Application Approved by 4 � Application Disapproved for the following reasons f Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of Compliance { . � s � THIS IS TO CE TIFY,that the On-site Sewage eispEsa%ttem:installed( )or repaired/replaced(�on by - - for as has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated "°:�`SOW Use of this system is conditioned on compliance with the provisions set forth below: No. l6 Fee Al THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS Miopogal *pgtem Construction Vermit OLM Permission is hereby granted J 0^ PAS to construct( )repair( On-site Sewage System 1 cated at C7 8/ !A n 0 a U C •. 6S c-,rV & 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. All construction must be completed within two years of the date below. Date: Approved by L i CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, hereby certify that the application for disposal works construction permit signed by me dated ar-H a, . 1 S St b , concerning the vc Ds✓rrv� property located at v`�Ft% /.�/Jr46na A �-- �/ meets all of the following criteria: Hof IV/y© , *?i4.ece!- /a>,00/ • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED DATE: 0��1/ O LICENS SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER . [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. 'l3 eo ro o vv\, ------------- - �a2�c I vi r i �1151��� IS006q� J , t i `Cv 1'i e C 33 S 2e HArc�e2� tya jlj 5 o t e 3���\ Vonc on�o� o, ��Id,S�acie 4 I I G �v i, I I I �.. FRANCISCO TAVARES, INC. �W■■ �; •� Landscape Design, Construction and Maintenance ii ■ ii ~r- - Excavation and Asphalt Paving ■ Box 398E, East Falmouth, MA 02536 I�j+ ■ ■� (508) 548-0911 FAX (508) 457-9717 UU O ■ /SdoS� i i E f 1 � I i I J. l � i w ! AHK.o V � DATE:_1 /29/_96 - PROPERTY ADDRESS: .281 9 anno AvP , Osterville ' Mass . , i i On the above'date, I Inspected the septic system at the above Address. This system consists of the following: 1 :• *4- Block . cesspool's ; 9 2. 2- 'x5 '' cesspools . . 2-81x5 ! cesspools . Based bn my Ins.,�ectlon,, I certify the following conditions: 1 .THis is -not a title five septia!,syst6m. 2. This is . a--sewage system. • 3 .The ' leftside of house cesspools are dry and -in proper working order. _ ;:• ) 4.The right .side of house cessrgoals are in faiitire'.'I`The first -or ma2n cesspool„ is cavi-ng in.-This, part of' the system must be upgraded to a title five septic syst m. SIGNATURE: Name J P Macomber Jr_ Company: 3.P.Macogbe_ & Son-_Inc Address' RECEI+IEO --die-�c-(a6-------�------- Gt FEB 8 1996 Centerville LMas_s__0.2632 Phone:_'--50.8_4 5_333a------- '- i THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY • JOSEPH P. MACOMBER & SON,. INC. Tanks-Cesspools-LeacMlelds . Pumped & insUlled Town Sewer Connection: P.O. Box 66' Centerville, MA 02632-0066 _ 77.5-3338 775-6412 r - r Commonwealth of Massachusetts U Executive Office of Environmental Affairs Department of III— I.MiEnvirpon,menta.1 Protection William F.Weld a TrudS. y Coxs • David S.struh: . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Address: Property 281 Wianno Ave Osterville Address of Owner: Andrew Reardon. P 1 /29/96 (If different) 1 13 Harlin. Lane y.; Date of Inspection: 3 Name of Inspector: Joseph P. Macomber Jr. Lakeforest, Ill . Co any Name, Address and Telephone Number. JT. 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 and complete as of the time of inspection. The inspection was performed based on.my training and experience in the proper function and maintenance of on-site sewage disposal systems.,The system: _ asses t. „e- onditionally Passes _ Needs Further Evaluation- By the Local Approving Authority Fails 'Ins ectors Signature. Date: P g D�IZ�I� • The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be Will to the system owner and copies suns to the buyer, If applicable and tile approving autliotily. INSPECTION SUMMARY: Check A, B,C, or D: AJ SYSTEM 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: Y6c-7 One or more system components need to be replaced or repaired. 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"not determined", explain why not) /Ie& The septic tank is metal, cracked, structurally unsound, shows substantial Infiltration or exfiltration, or tank failure is imminent. The system will•pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. treviaed 8115195) 1 CAv/C1711CC-1ndO a Talenhnne1917%292.55nn SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 281 Wianno Ave Osterville,Mass . Owner: Mark. Kavanagh Date of Inspection: 1 /2 9/9 6 . BJ SYSTEM CONDITIONALLY PASSES (continued) o , Sewage backup or breakout or high static water level observed in the distribution box is"due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced AD The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed Cj 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 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: AZD Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2)• SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:. 0 The system nas a septic tonic anu wil 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. ,yQ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. AQ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm• D) SYSTEM FAILS: �D I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. -'� A)Q Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or \ cesspool. (revised 6/15/95) 2 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) roperty Address: 281 Wianno Ave.. Osterville ,Mass . wrier: Mark Kavanagh ate of Inspection:1 /29/96 a J SYSTEM FAILS (continued): � �u 4t 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or.obstructed pipe(s). Number of times pumped AID 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 50 feet of a private water supply well. a'O Any portion of a cesspool or privy-is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. . El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above; 4/9 The design flow of system is 10,000 gpd:or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or mote,of the following conditions exist: the system is within 400 feet of a surface drinking water supply ! the system is within 100 feet of a tributary to a surface drinking water supply t A2,+ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply well; The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM " PART S CHECKLIST Property Address: 281 Wianno Ave Osterviile ,Mass . Owner: Mark. Kavanagh Date of Inspection:1 29 96 Check if the following have been done: ""Pumping information was requested of the owner, occupant, and Board of Health. ZNone of the system components thave�been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large,volumes of water have not been introduced into the system recently or as part of this inspection. 2As built plans have been obtained and examined. Note if they are not available with N/A The facility or dwelling was inspected for signs of se wage`back-up. ' ; The system does not receive non-sanitary or industrial waste flow v1 The site was inspected for signs of breakout. ` ZAII system components,414cluding the Soil Absorption System, have been located on,the site. V� OX� The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. 4he size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. ' */-The facility ov.ne (and occupants, if different'(rom owner) were provided with information on'the'proper maintenance of Sub. Surface Disposal System. Recommendations . 1 . System is in faiure on the right .side of the house : The main cesspool is caving in. -This . system, must be upgraded to a title five septic 'system.. I (revised 8/15/95) 4 L • - V SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 281 Wianno Ave Osterville ,Mass . Owner: Mark Kavanagh Date of Inspection:1 /29/96 FEOW CONDITIONS RESIDENTIAL: • Design flow:Z)l D s alto s pfw d ril Number of bedrooms: Number of current resident{ Garbage grinder(yes or no)•o Laundry connected to system (yes or no): i° Seasonal use (yes or no):_, Water meter readings, if available: g9 : 04A Last date of occupancy:UWArlyw, 1 COMMERCIAUINDUSTRIAL Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)AM Industrial Waste Holding Tank present: (yes or no)A)l n-sanitary waste discharged to the Title S system: (yes or no)XA ter meter readings, if available: .tJA Last date of occupancy: OTHER: (Describe) ALA Last date of occupancy: A)h - GENERAL INFORMATION PUMPING RECORDS and sourc f information: .. Iv 7- �� System pumped as part of inspection: (yes or noj&d SySTel.o is chY If yes, volume pumped. allons Reason for pumping: 2 TYPE OF SYSTEM /,_ Septic tank/distribution box/soil absorption system Single cesspool9 Overflow cesspool'3 4— Privy _,60 Shared system (yes or no) (if yes, attach previous inspection records, if any) 411 Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: 1`i ew 4 , \__,iage odors detected when arriving at the site: (yes or no)&D (revised 8/15/95) $ 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 281 Wianno Ave Osterville ,Mass Owner: Mark Kavanagh Date of Inspection:) 29 96 41 SEPTIC TANK: (locate on site plan) Depth below grade: NM' Material of construct70n:44oncrete _metal_FRP _other(explain) /i Dimensions: Sludge depth: tir Distance from top o'sludge to bottom of outlet tee or baffle: A-W Scum thickness: ti/4 Distance from top of scum to top of outlet tee or baffle: 41AL' Distance from bottom of scum to bottom of outlet tee or baffle: AIR Comments: (---ommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural ;rity, evidence of leakage, etc.) GREASE TRAP:} (locate on site plan) - Depth beloN• grade:/-1,4 Material.of constructiont9concrete _metal _FRP _other(explain)_ 4W Dimensions: k) Scum thickness. N,4 Distance from top of scum to top of outlet tee or baffler 1 Distance from botlon` In hvttnm 0t Outie! tee or t)dme �n Comments. (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.j Aloxl_ (revised 8/:5/9$) 6 SUBSURFACE SEWAGE DISPOSAL,SYSTEM,INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 281 Wianno Ave Osterville ,Mass . Owner: Mark Kavanagh Date of Inspection: 1 /2 9/9 6 TIGHT OR HOLDING TANK: • ' , (locate on site plan) Depth below grade:�'f Material of construction Nconcrete_metal _FRP other(explain) Dimensions:_AM Capacity: allons Design flow: AM allons/day Alarm level: N Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:&D (locate on site plan) Depth of liquid level above outlet invert:_ AM Comments: (note ii level d di ri(,ut.ui. i3 equal, e%idence of soPid, carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER: (locate on site plan) Pumps in working order.(yes or no)� Comments: (note condition of pum chamberf cord 'on of pymps and appurtenances, etc.) �1�1�'ll (revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION (continued) - Property Address: 281 Wianno Ave Osterville ,Mass . r Owner: Mark Kavanagh Date of Inspection: 1 /29/9 6 SOIL ABSORPTION SYSTEM (SAS): ° (locate on site plan, if possible; excavation not required, buemay be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaehiag-p+ts, number: leaching chambers, number: leaching galleries, number. leaching trenches, number,length: leaching fields, number, dimen ions• overflow cesspool, number. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) h Soil Loamy sand to medium fine sand; No signs of h9dr-A),lic f'ailure ; o level ofponding; CL.,,OOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: r` Dimensions of cesspool: - Materials of construction: L' Indication of groundwater: /1JD.Z /) inflow (cesspool must be pumped as part of inspection) ,d Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Soil , Loamy sand to medium sand;No si gn-,of hVrlraiil i c 1'2J 14ro nr rr+1+r7i nT All vegetation normal Main r+acennnl nn r; gh � ^ ^f' ti The rightside must bst upgraded to a title five septic system. PRIVY:AD (locate on site plan) Materials of construct'on: �) Dimensions: Depth of solids: Comments: (note ndit'on of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) A iQ l (revised 8/15/95) 8 • l0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 281 Wianno Ave Osterville ,Mass . Owner: Mark Kavanagh Date of Inspection: 1 /29/96 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' Centerville Osterville Marstons Mills Water Company 7Z ;d 1& 0,e5r" ) A.. ell DEPTH TO GROUNDWATER ` Depth to groundwater: 2G ++ feet method of determination or approximation: Tn stta 1 1 Pd -,y-,t Pm next door . No water encountered at IAA I -'--•-ems, (revised 8/15/95) 9 11 r.�-r.—v. .._ k.. 'TOWN OF Barnstable BOARD OF HEALTH SllfiSlIIIFACF 9EHAGE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION F..._..;_.r.._...-_.:;.:-'.-.—tr.r-rr.:—:—r.--w..�-_�...^.;.--.—r.--_.-r+rar.—.:-rxr—sue.• ._ .... _. ssmnr..rrr.r-rm-rrrvr.•..:rrr•r.-z -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 281 Wianno Ave Osterville Mass . ASSESSORS MAP , BLOCK AND PARCEL # 140-127. 001 Y OWNER' s NAME Mark Kavanagh ' PART D - CERTIFICATION r NAME OF INSPECTOR Joseph P. Macomber Jr. . COMPANY NAME J.P.Macomber & Son Inc , COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or City State LIP COMPANY TELEPNONE � ) - FAX ( ) 508T 775 �38 508 790 1 578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposaj 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: XXXXXXXConditionally Passes'. System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined- in 310 CMR 15 . 303 . .Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILEll* The inspection which I have conducted 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 J: Date - ��• iQ e I One copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) And the BOARD OF HEAL1`It. * If the inspection FAILED, the owner or• o"'p' erator ehall -upgrade ' the system within one year of the date of the inspection , unless allowed or required ' otherwise as provided in 310 ChIR 15 . 305 . - �� •�f��-• SIC , W UI 7p THE CON MONWEALTH 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 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. ry. r June 8. 1995 Acting Director of the - ' ion of Water Pollution Control I a ' I aT>s• a-< GENERAL NOTES - .. - .. t ALL XTERIOR WALLS S' _ _ I•_z�+ .. s-. � E � _HALL BE 2x6 @ 16"O.C.UNLESS - - - - OTHERWISE NOTED:- LL OR WALLS .. BE 2x4.@ 16"10 O.C.UNLESS SHALL 2�A OTHER .SE NO 3.CONTRACTOR SHALL VERIFY ' } I _ ALL WINDOW ROUGH OPENINGS PRIOR TO ORDERING WINDOWS. 4:.CONTRACTOR SHALL VERIFY ALL DIMENSIONS PRIOR TO . CONSTRUCTION.CONTRACTOR ASSUMES RESPONSIBILI Y.FOR f I TY s' s e - I- -- - I �I .. ANY MISSING OR.INCORRECT �pI .. - nIl F�; I:I - - DIMENSIONS NOT BROUGHT TO - .. .. •.-�-'-_fL—•,�" A L�' Rr }rL�J�,_ _ EXISTING,T-O'� -JII - THE ATTENT ION OF THE r REMAIN DESIGNER:"I Esr.z��+tD:cI J L J I I --- - . rtllsr: s .�A.p.6. . •I REVISION IS ION. D. AT E r Da b GTIG PRwm Lzj RESARS•Y oc TO ®COPYRGHTL_J _J nE INo NORTHSIDE HEREBY EXPRESSLY I RESERVES COMMON LAW COPYRIGHT. THESE PLANS ARE NOT TO Be 0 REPRODUCED.CHANGED OR Cs•.v-P.r.PORT bN id'TiinK. OR MANNER- . I. - .I. T I 9 ._ '50NOTLOR DONN TO'2A•.Iz'U I I,I "Tr WHATSOEVER WITHOUT FIRST .. - .. - _ .A - OBTAINING THE EXPRESS WRITTEN L J raNr..I�rE(ro m MW PERMISMON AND CONSENT 01 .. .. : — _ _ — --- -- --- --- --- �:I NO THSIDE DES GN ASSOCIATES... EIflLN G TTP. I I ft da j. 7 � e b to BUILDER:. A.8 1 ROV DE ER amwE, la B O.C.VERY.IN NEH, A.5 FIE INTO EXISTING CO I.; ' TIE INTO IXISTNG COW:- I ; I - .. .. .. .. .. : _. .. I •: I DESIGNER: NORTHSIDE .. .. - e IE9 we... `"'• .u_ ..v-0i: ,la_I�'• la_I'!'•. y_I .. -•y�.: .. DESIGN I rl C �. ASSOCIATES � - DISTINRNE READEMIALBCOMMERCULDESIGN E3 l ;WTM=w4,O I : 'I 1GIMAIKSTREET-YAIMDUTNEDRT'mA02679 I. f ,.. CONCRETE FOOTING I .� I- � �-� , J 15081362-2220 - 13081387.9802 . _ I �!d-O` .. .. .. .. NORTNSIDEOESIGN.COM ., . . .. I �,- s,=e• d5- i;•s• - IaaoT'•'. . I I r-o•. . . . . . . . _ ---------- . NDRTNSIgfI�COMGST.NEf ..: 1__— —= -- -- ---_1 — ER. STRUCTURAL ENGINE AYLOR r--"--- ---,— --- — ---- ----�. - OF LC A _ f q L _. I FOUNDATION PLAN - I t N99,.;.as°COLUTW ou ( ..I _ >r _ I I �I w.3v.a DFFP mxc., - FovrlNc,nv.H x•srD. FOUNDATION NOTES I - .L r-I L.nwlN FouNDATION INALI-9 TO EIE INN POURED coNcam IN IDIOD po, - . BASE PLATE.N O-./4 I I. .. •LLS T'T.,FowwTION MALL TO.BE Qi.]P.13'D I P. 1 _Dw_AaoaR eoyrs ------ -- --- ---- M"R BARS TOP VS IN,STRIP ED h-�-- ,I .. :_. ---1 . . ._ v DnNG�WiKEYMAY:PROVIDE.5f10VERTIC�AI.OOKCLSIE'04,6!D.C. I I l_I-J T r R�"P ;DDT I EXTENDED^.'-G'Mm..ABOVE TOP w POUTING.PROVIDF x''ANCHOR DOLTS P 3Y O.C.'—MIN.T'EMBEDMENT W 3 EWp PLATE M ER. - . .. ;. I I I -' I• I O - - ]:':;LL BTR.NCTD'R,iL STEd CCIJIFNS TO BE 059 A'.4•d'TaIiTNn ro. ESIDENCE . s BfTQ1D TO FOOTING BEION.PROVIOE�'.x•CAP PI,ITE E r•.Yl'.Y'- - . GARAGE SLAB - I I •MT BOLTS. ALL cpolEG`tIONs.FOOTINGS . ..§ L--------T '�E._- $.' - - - 'BASS PLATE SODA EACONCRETE w.P 06 BASIS fAcw AY.. - - 281 WIANNO ROAD t�ln 3.DOUBU FLOOR.IciiTs v.DER ALL PAR.Aum PARTRICts. - _ OS.TERVILLE,MA: - . 4.CONCRETE SLAB TO RE S'POURED CONCRETE ON CCMIRACTED FILL. PROVIDE CONTRACTION JOINTS P DEEP AT COWPM LINES.CUT W %ARLY'ENTRY'sAY1 ZZ - .CONTRACTOR SNALL ENSURE THAT ALL FOUNDATION WA"MAINTAIN_ ��-I - _ 4 MONDE.uB sTIFrD+INc PLATes AT eEARING Polrire w sTEeL . ........ ----- \ - - - -- ffga F{ I ;`L•DEEP CONTRACTION� FH I - BEAMS(TTP./.. - aC 8 t, TITLE, 2Cq<< n yyyFFF N DAT Na~i I. R i ENTRY 9CVT.WFDTN EARLY. 7.SEE STRUCTURAL DRAMM59 FOR LCKATIQJ9 w µL!STRUCTURK _ O�P LAN lO N M F N: n$ GOLD- _ TO 1ue ATT IN�IIM o�P nie DDEESIiG4,Im'ONABLE m DeCOMo.TRE waF-sP°TOI/IBWTTT or n.E CONTRACTOR. "SCALE:3/32"=7'-U" . §LLa l I I t s 0.PAIR CCONCRETEE_"w s.�w am BOTTcn BARS.FDRM - I L � ON'2A1I0•D.STRIP FOOTING.PROVIDE3•.!8•CONTINLA'xT1. � .. IN STRIP FOOTING.LAN lO'BARS IIY IM.A'-!•(MIN.) 8/S'ANCIIOIE BOLTS•�.Sz' .00- IN. I I21112'P. - �9�POMC MML EYRS.PROVID�TRANS ceRPJNFORCI ANCNOR'. w3 .�1/A'.PLATE-MASHER I I.ING. 'O.C.I'MAx.MIN.W-WOMEMENT Ww 3'.S;of PLATE W�NER!,•— -----------I— -----= --__U .. 4 RROJECT#: SHEET 1 DATE: OF, ------- -=---- -----1 t---t I �' -,.. 6• FOR C NSTRWCTION 2/20/20 2 Y GENERAL NOTES Ic'-O' zT'-'�2• 31`V 1.ALL EXTERIOR WALLS SHALL BE 2x6 @ 16"O.C.UNLESS 1 OTHERWISE NOTED. 2.ALL INTERIOR WALLS SHALL BE 2x4 @ 16.O.C.UNLESS OTHERWISE NOTED. 4 - TIP - r--r-r I I 3.CONTRACTOR SHALL VERIFY egvo T I i i tALL WINDOW ROUGH OPENINGS - 1 PRIOR TO ORDERING WINDOWS. worosm --- - tJ L_ LALIN. mm, j Eios0N0 ._, Rcr - LN . I - , J I C.CONTRACTOR SHALL VERIFT: n SCREEN - i ENTRY ALL DIMENSIONS PRIOR TO 1 PORCH i i ,'c i , , - I r CONSTRUCTION.CONTRACTOR . . - -- KITCHEN I ••____�- —'--- -' - ` `-� ! 1 - ASSUMES RESPONSIBILITY FOR I. I ANY MISSING OR INCORRECT - DIMENSIONS NOT BROUGHT TO THE ATTENTION OF THE DESIGNER. - LIVING W5 41:4'..25•COLUI•M- I DINT :I I . . -oaa,o PAD'AL' wAu i DINING z�T �aNCF C oua•w. .. . f STEP ql I NO. REVISION DATE I *• D (I I I .. .. .. .. N99 4•.44A Cµurm f 1, N4O 4 r.E-COLL—I _ { . : DPs9"o D041HJ PAD ex49T.1YV.0 I 4' ,P ST.NAIL - L. I ® COPYRIGHT A6 . - - - - PATIO- ,, -i. :z•.m COHLEAL coLunra 1,I I I -i , ii NORTHSIDE HEREBY EXPRESSLY 2•TO CONCE,ILM'fl. _I'll=-3J� I - li -- - r I RESERVES ITS COMMON.LAW . THESE PLANS ARE:NOT TO BE BAR 91Nx i " __ ___ —I I .'~ }-1,. rt '• I: I ± _ - - REPRODUCED,CHANGED.OR .AND U0:1• ppppplm- • - RRWM REF.T'. • . � - _- I.I I'L...• COPIED IN ANY FORM OR MANNER O _ y I'"" a._w. k ..,I I. WHATSOEVER WITHOUT FIRST. - . OBTAINING EXPRESS WRITTEN R , 1 _ - •------ PERMISSION AND CONSENT OF .. .. _ .. .. ORTHS DESIGN S- .- C N � IDE D GN ASSOCIATES. LAN. _ "_'--`•- '_' H _ - o N D• BUILDER: , BATH . B ... DESIGNER:.N ORTHSIDE DESIGN' ' __ - - .. 7k7 d I c a• v.o• ro G-a � lo_r -la-1T'• w-I'f• a-7Yi - -0S' �SRGAOS AS D1T0RNE RESIDENTIAL E51@ rosin 7i ICI MAIN SiREET'YARMOU1Ni0RT•MA02675 BREEZEWAY . - - - - 1500)362-2210 (509)3629902 - i4i'P.T.CaUR91. .. - - - - - -. BLOB WT r TR. 3C'-a - - NORTHSIOEOBIONCOM . - - ; 41 • NOIRHSIDEl®COMCNST.NET V� 10 45 it STRUCTURAL ENGINEER: TAYLOi . SIGN L�LC ;. FIRST FLOOR PLAN.. It TYPICAL NOTE5: - - - - _ -- O I.CONTRACTOR SHALL SITE INSPECT ALL IXI5TING.VS.PROPOSED _ LweN eiee�+e " WALL KEY - . --_ ----- CONDITIONS PRIOR DESCREPANCES D/OR CHANGES THAT BE DESIGNER OF I - . - — —— -———- — ——— 4 D .00snNc wuu ENCOUNTERED: ---� - C_____] wALL9 To Be REltOJED 2.CONTRACTOR SHALL NOTIFY DESIGN ER, IF AT ANY TIME ND - - . - THROUGHOUT' CONSTRUCTION ANT EXISTING CONDITIONS ARE FOUND PROPOSED wHLS - THAT MAY PREVENT THE..SUCCESSFUL COMPLETION OF ANY PORTION NICE . - OF PROPOSED BUILDING.CONTRACTOR SHALL NOTIFY DESIGNER OF - b i Rwsm ' SUCH PRIOR.TO MAKING'ANY ADJUSTMENTS OR ALTERATIONS TO - ANNO ROAD - -��' .. GARAGE - 4 3 i1 PROPOSED AREA PROPOSED BUILDING AS PRESENTED IN FINAL CONSTRUCTION OSTERVILLE,MA. rawlOd I LATER eT'--9 - � r cennl0 1ST FLOOR LIVING 1670 SF 3.CONTRACTOR SHALL CONSTRUCT.AND MAINTAIN TEMPORARY WALLS 2ND FLOOR LIVING - 1220 SF SNORING ETC.TO MAINTAIN/PROTECT EXISTING HOUSE AND 3RD FLOOR LIVING 453 SF STRUCTURAL INTEGRITY OF EXISTING HOUSE. GUEST SUIT(ABOVE GARAGE) 973 SF' - - - ———— ————— �, 4.CONTRACTOR SHALL SCHEDULE AND PROTECT FROM WEATHER ALL TITLE: .. �--o - , - TOTAL LIVING AREA - 44565E - —————————————— ————————.———— - EXISTING HOUSE COMPONENTS AND INTERIORS DURING CONSTRUCTION - !r GARAGE 1080 SF. AND CONSTRUCT.TEMPORARY STRUCTURES/.ENCLOSURES AS MAY BE - - FIRST FLOOR - - t COVEREDPORCH 654 SF NECE55ARY TO ENSURE SUCH PROTECTION. - SCREEN PORCH - 221SF - 5.STRUCTURAL ENGINEER/DESIGNER TO.PERFORM FRAMING' PLAN TOTAL AREA - .64215E - INSPECTION WHEN FRAMING IS COMPLETE AND PRIOR TO ENCLOSURE - - -o BY INTERIOR WALL PLASTER BOARD/FINISH. - § SCALE:3/32"=V-0" a , .6 NOR, CONTRACTOR TOE 7TAB PAL(-PR GRADE ON ALI,E.NDON9 wl !I ABOVE TT PAU EVEN GRADE ICI tone. D 1 2 4. B WWD0Y0 WITH Y HAVE rALL.PREVEITON DEVICn AND SHALL CLIIC... - AST(,Cor"ILY . TNe Re OPEN,NT9 OF - . APRON - Asm rmao: wNDwOPewNe:Devu:n SNALLBe seLF-rcrlNe I Q. AND Swu BE P ,TIO¢D TO PRwmIT 1NE FREE.PASSAC OF - 'PROJECT#t SHEET .. - - - ,..,,,- ,..,. .__. - ,...._. ,..,._• _-_ .. , —EN ENr�"'TN ITMOIL NNI IS CE g17i1 INEMALENW0 A 4•Dw ACCN TNe N 19-16 A, I fl. 11 ' OF DATE: . FOR CONSTRUCTION 2120/20 12 9a-0• - (nnsnNG) GENERAL NOTES 1.ALL EXTERIOR WALLS SHALL a a Sz r-f• a-v c•o s- _l BE 24 @ 16"O.C.UNLESS „ + U OTHERWISE NOTED, aF r 2.ALL INTERIOR WALLS SHALL b BE 2x4®16.O.C.UNLESS B ^m••2 OTHERWISE NOTED. 5 SY'.e JEAUH. ---- 3.ONTRACTOR SHALL VERIFY ps, IALL WINDOW ROUGH OPENIGS .A« — we IPRIOR TO ORDERING WINDOWS AB T_ A •• LIN. I IM NSI S PRIORTO _ _ .; ... .I ONSTRUCTION.CONTRACTOR ASSUMES RESPONSIBILITY W .. .. ANY MISSIG OR NCORRECTR CerDIMENSIONS NOT BROUGHT TO s r e6. i n• — J , I I THE ATTENTION OF THE _ •. P _ ^qK' DESIGNER. \ n ,L � I y Z _ � Q: g- 373N I I I MASTER GI _ I F. ° ^4 I _ _—— 1 I (BEDROOM BE�Df�M m : ail I �. •w Ia+ee3+.0: ,w KNP13aALL i n xser r -I __ NO. REVISION DATE Q8f _Na LL A.8 I0 COPYRIGHT I NORTHSIDE HEREBY EXPRESSLY Z F it I ---- _ --- -- RESERVES ITS COMMON LAW I I I l i I COPYRIGHT. 2 I I I I I I I THESE PLANS ARE NOT TO BE I I REPRODUCED.CHANGED OR s Ir-7kj' c•-a f•-c, I I I I l COPIED IN ANY FORM OR MANNER WHATSOEVER WITHOUT FIRST n d� 2r- I 31' •: I I ! I OBTAINING THE EXPRESS WRITTEN I y . PERMISSION AND CONSENT OF (asnNG) NORTHSIDE DESIGN ASSOCIATES. \• o p BUILDER: e I ' III Itj j (Olnrmc) l� DESIGNER: NORTHSIDE DESIGN C ASSOCIATES DISnNCTNE RF310ENTM16 COMMERCIAL DESIGN Q �� 1E1 MAIN STREET•YARMOUTNPORT•MAO2675 IS061362.2210 150613629602 90 O NOR7HSIOEDE310N.COM ' NORTIGIDEI®[OMCNTTJIEE STRUCTURAL ENGINEER: TAYLOR «Y F DESIGN LLC A _ STAMP: BEDROOM#1 16" y-t4j. �I SECOND FLOOR PLAN PROJECT: WALL KEY PROPOSED ¢ « C— -- o EXerNIGNALL9 COPELAND TO eE RErlO✓EO RESIDENCE •O.W. AND S c I b LI � � $ 281 WIANNO ROAD IEP. vl I iS i� BATH M 1 S OSTERVILLE,MA. y� C -- e _. TITLE: SECOND FLOOR LIVING PLANS ROOMf . -- '" II BEDROOM#2 - � SCALE:3(32-=1'-0" 1 2 4 8 PROJECT#: SHEET Pi~ 19-16 A.2 9 . DATE: OF FOR CONSTRUCTION 2/20/20 12 3�-D• i i L 1 i GENERAL NOTES 1.ALL EXTERIOR WALLS SHALL BE 2X6 @ 16"O.C.UNLESS OTHERWISE NOTED. 2.ALL INTERIOR WALLS SHALL 1 BE 2X4 @ 16"O,C.UNLESS OTHERWISE NOTED, 3.CONTRACTOR SHALL VERIFY ALL WINDOW ROUGH OPENINGS PRIOR TO ORDERING WINDOWS. I 4.CONTRACTOR SHALL VERIFY ALL DIMENSIONS PRIOR TO 31,_4y2 t CONSTRUCTION.CONTRACTOR ASSUMES RESPONSIBILITY FOR (EX15TING) ANY MISSING OR INCORRECT DIMENSIONS NOT BROUGHT TO THE ATTENTION OF THE DESIGNER. I i i ❑ I j NO. REVISION DATE © COPYRIGHT :BATH EXPRESSLY RESERVES ITS COMMON LAW I V _-- THESE PLANS ARE NOT TO BE REPRODUCED,CHANGED OR ® COPIED IN ANY FORM OR MANNER WHATSOEVER WITHOUT FIRST * O OBTAINING THE EXPRESS WRITTEN ~ I BEDROOM Z N PERMISSION AND CONSENT OF NORTHSIDE DESIGN ASSOCIATES. 73 X X N W N u j EXISTING+:�"� I I (BEDROOM BUILDER: I I i I I I - EX15T. ATTIC ACCE55 --------------- DESIGNER: NORTHSIDE I I ® DESIGN I I ASSOCIATES . I � DISTINCTIVE RESIDENTIAL&COMMERCIAL DESIGN I 141 MAIN STREET'YARMOUTHMRT•MA 02675 I (508)362-2210 (508)362-9802 NORTHSIDEDESIGNCOM NORTHSIDE 1@COMCAST.N ET - ---- STRUCTURAL ENGINEER: ® 3 _ TAYLOR (EXI1STIN5TIN G, DESIGN LLC ❑ STAMP: PROJECT: EXISTING I ❑ COPELAND RESIDENCE 281 WIANNO ROAD OSTERVILLE,MA. I I TITLE: THIRD FLOOR PLAN I SCALE:1/8"=1'-0" (D THIRD FLOOR PLAN o t z a s PROJECT#: SHEET 19-is EX.3 DATE: OF 10/11/19 5 I Finish Grade Min Compacted Fill Filter `' " r ""•• `, Fabric '^ And/or , N/F Z Poulos \ 2,. 118„ 112,: & Elaine Pon{0 0 0�� 3' H-20 0000- 3 4,ea Stone 1 2 t°k' - G ?: LEACHING Double washed rr E .,...--~" Stone � $. 24 =� G �� \ CHAMBER R� .'�.. �' G � F I 12' - 10" ' F 3CD Ce a n _•. Fen ock dine - • ;; a Stock Setb c_. _,, CROSS SECTION OF CHAMBER gld9CD CD N/F IP �10 -34-'- G i #281 � 0- 1p Fnd --- -`� 2-1/2 sty w/f o o U' NOT TO SCALE LOCATION MAP: °fk /. Linda p• Cl " E M �_ Dwelling m 3 o DESIGN DATA 1 2,000t' .O�'ZZ -�3 Screened n- W single Family Dwelling N 4g 69'� �- 1 � I 4 Porch 9 3`S8 W W 10.4' ' 'N IPD ZONE: 5. T M s 00 o -0 Q ASSESSORS REF.: Z i/ ly Daily Flow=550GPD CB/DH / 33 O j71 / ; W 7' G Living Above Garage RC Map 140, Parcel 127-1 Fnd lI ` m Area min: 87,1200 SF RPOD Spa O me Qa11ocPD Width (min) 100' ( )p I 10.0' min FLOOD ZONE: t \ 25.1 / .� Daily Flow Frontage (min) 20' ' xisting B n / ( ) Total Flow Setbacks: Zone X Minamal Flood Hazard to be Demoll ed in -7BedroomQlloGPD Front 20' Community Panel #250001 C0757 J z t/ A I � Daily Flow=770 GPD Prod sed Use2000Gallonandl000Gailon Rear 10' July 16, 2014 H2O Septic Tanks in series Side 10' ll Pa io Pro Vyoik Pro SAS ep o oa% See Detail O l t1 / r ` Plan View LEACHIlVGAREA _ O- \ Lot 1 (�' / .S......, 770 GPD/0.74(LTAR)-1,oa1 SF Required PERFORMED BY. -SULLIVAN ENGINEERING PERC TEST•20 51 O / o Proposed ed ,� �4 = 8< ; `: Sidewall 143.9 PERFORMED &CONS NINC ULLIV .............. _ -" 24x45' Pool os 10.0 Bottom Area=7s SF 29,342fSF n--' proP NIOY :: . ,: i .......... Total Provided=28Z8+757=1,044.8SF(773.2 GPD) SOIL EVALUATOR O 13586 ` O �� Bfeeze ? . SSED BY.DA OWNOFB ABLE _.......................... ....... Proposed:;°:� S .................................: LEACHING CHAMBER DESIGN ,. MARCH 17,2020 .............. PASSEDSITE Proposed Paved Drive. AllPipesw6eSchedule 40 Use D 6-500 Gal.Leaching Chambers in a o Garage Addi do in p five Double Washed 6 � 9 7 ................... ved TEST HOLE- 1 EL.32.2 TEST HOLE-2 EL.32.4 N / / , ov : P 0 Stone Field as Shown. n with L I vI o ve 5.....::................ F1t I zI 0AM .'.'.' ..... '.''. F>L> LOAM..'..'.'.'.'.'.'.'.'...'. ^� Z r- 31.5 31.7 / SEPTIC NOTES c�O c\ CD B LAYER iOYR..... B LAYER... 6/6 u �D 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours ;VERY'DARK GRAY ISHBROWN . .-.'YFRY DARK.GRAYISHBROWN'. '. Prior to Any Excavation For This Project the Contractor Shall Make . . .LOAMYSAND 29.9 30 ..LUAikIY'SAND.. ... 29.9 .. ........ . �D m j ... •'""`� the Required Notification to Dig Safe(1-888-344-7233)and contact 28' Sullivan Engineering&Consulting Inc.(508 428-3344). C LAYER 2.SY 6/6 PERC TEST BROWNISH YELLOW 25 GALLONS GONE IN 12 MIIV. cn -� 2.The Contractor is Required to Secure Appropriate Permits From Town „ MEDIUM SAND PERC RATE<2 MINAN TAR=0.74 a Area to.be stripped out 52 �Z9 lL ) Agencies For Construction DeSned by This Plan around Old SAS C2LAYER2.SY7/3 42" CLAYER2.SY6/6 28.9 \ l Line 3.Wherever SewerLiaes Must Cross Water supply Lines Both Linea Steal! LIGHT GRAY BROWNISH YELLOW f SetbO� Be Constructed of Class 150 Pressure Pipe and Shall W Water Tested to 132 MEDIUM SAND 21.2 50" AlEDAW SAND 28.2 \ ( ' B_ ✓ Proposed 2000.Gallon and 1000 Gallon Assure Watertightness. In General WaterLinesshallbeConswcted;n LIGHT GRAY I I dg NO GROUNDWATER ENCOUNTERED C2 LAYER 2.SY 7/3 �'- 1009 Reserve J 10 - P Coordination With COMM Water,and shall be in Accordance ` Septic.Tanks in 'Series✓ With 248 CMR 1.00-7.00&310 CAR 15.00. 1321 MEDIUM SAND 21.4 4.A Minimum of9"of Cover is Required fat All Components. NO GROUNDWATER ENCOUNTERED 5,00 5.All Structures Buried Three Feet or More or Subject t / 2 fe W Existing Septic to be Removed to vehicular TiaffictobeH-26 Loading.It'is the Engbeces '�� As Per 310 CMR 15.00 Recommendation that H-20Always be Used 6.Install Watertight Risers and Covers to Within 6"ofFinished Grade i a Leaching chamber. TEST HOLE-3 EL.33s TEST HOLE-4 EL.33.9 Site PI Gan Over Septic Tank Inlet and Outlet D Box,and One /✓ All covers are to be maximum 18"for concrete or 24"Cast Iron FILLXIOAM t Scale 1" = 20' 7.Septic system to be Installed in Accordance With 310 CAM 15.00& 248 CAR 1.00-7.00 Latest Revision and the Town ofBamstable 12" • . '. 32.5 ]0" 33.1 Board ofHealth Regulations . B'LAYER ...'..' I O12 8.All Piping to be Sch 40 PVC. VERI''DARK.GRAYLSHBROWN . '.'.'VERY DARK.GRAYISHBROWN.'. .... .'.. ..... of 2 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum 32 LOAMY SAND.'..'..'. ..'..'.' 30.8 34 .'. .'LOAMY SAND.'..'.'..' .' .''.' 31.1 N/F TfUst Sumpof&" CLAYER2.5Y6/6 PERC TEST n of i Jr. 10.The Separation Distance Between the Septic Tank Inlets and BROWNISH YELLOW 25 GALLONS GONE IN 8 ARN P F Of g Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend 45" MEDIUM SAND 29.7 PERC RATE<2 MIN/1N(LTAR=0.74) CB�DH Rat Ph a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" C2 LAYER 2.5Y 7/3 43" C LAYER 2.5Y 6✓6 30.3 Fnd I Below the Flow Line,and Shall be Equipped With a Gas Baffie. LIGHT GRAY BROWNISH YELLOW I 42.3' 132 MEDIUMSAND 22.5 48" MEDIUMSAND 29.9 NO GROUNDWATER ENCOUNTERED C2 LAYER 2.5Y 7/3 4' Crushed Stone LIGHT GRAY I t 132 MEDIUM SAND 22.9 NO GROUNDWATER ENCOUNTERED 6-500 Gal F.G. EL. 33.9* - *Final Foundation Grading To Be 12.8 Chambers oor ins e r See Note 6 (typ.) F.G. EL 32.61 EL ri 29,2' Existing Invert Flow Equilizers EL. 31.96 ropos Installer To EL: 2000 Gallon f As Required c Tank H-20 D-Bo 29.6' Confirm Prior H-20t'Required EL. 31.01 EL 1000 Gallon To Any Work (See Note 5) Septic Tank EL. 30.65 Top EL. 30.60 H-20 Required H-20 17.0' (See Note 5) D-Box EL. 30.24 H-20 29.60 Leaching To Be Installed On 1 Chamber �a a ompoc a ase got, EL 27.60 Bedding,"T"s Proposed 1000 Gallon Inspection Port If Ettczrui�fered place H-20 Septic Tank DEVELOPED PROFILE OF SYSTEM & Baffels alE::vrisrl �:Sgi15V ,�1 ;a ::.: P as Per Title 5 TM: ;:.Qutsr Per+mo, . �f.:.Thy Sysfern ..:::::::::.: :. NOT TO SCALE .... 0 1 .8' Detail Plan View. EL. 21.2 No Groundwatr F S Scale 1" = 10' Per Test Holee1 S,4 TITLE: +• ; 0 PARED BY.- PREPARED BY.- PREPARED FOR: NOTES: Site Plan ; Q 1) The property line information shown was se9 � G���" � compiled from available record information. Im rovem DTI: Engineering & E. J. Jaxtimer, BL1liderS 2) The topographic information was obtained Proposed p SS � performed b IONAIU lVall from an on the RTK GPS survey y At 23 West Bay Rd, Suite G Consulting, Inc. 4s Rosary Lane Sullivan Engineering on March 18, 2020. Osterville MA 02655 Hyannis MA 02601 3) The datum used is NAVD 88. 281 Wianno Avenue .} j•� (508) 420-3994 � 420-3995fox (508)428.33"• P.O. Box 659 . 711 Main Street, Osterville, MA 4) Structures shwn were located on the ground Barnstable (OStervlle) seci@suilivanengin.com • www.suilivanengin.com by conventioal survey methods on or between Massa www.capesurv.com Aug. 10, 2006 & Jan. 24, 2020 Draft: ASL Field: CTR 20 p 10 20 40 80 5) This plan is not for recording and is not be DATE: SCALE: tt Review: CTR Comp.: CTR be used for construction layout or deed April 1, 2020 1 = 20t Project: Copeland / EJ Jaxtimer Project # 38002 description purposes.