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0053 WIANNO CIRCLE - Health
53 Wianno Circle * Osterville. { / A= 139- 010- 002 1 Towri of Barnstable :Regulatory Services k16-ird.V. Scali,Interim Director snxrtsrneiE. * .. M^S& Public.Health Division. 039. Thomas MMDAh,Director 200AUn<Strect,Hyannis,MA 0260.i. Office: 508-8624644 fax: 508400-6304 Installer&:Designer,.Certification Form„ Date: Id 131((- g .. Sewa a Permit# - Assessor's MapTarcel 9 Designer: 11 n�?,�, :�,�, e-Oc:_t;,;s 1 , L Installer• D P p1; Q r6"i r` Address: i Z i. C s s \.e �� Address: )I Q4) l4. On G 9,-4: 9 ra.-V/L (wC was issued a permit to install a (d te) (installer).:. . septic stem at �3._ i!`4i7 pl o G r-� © ��l p y based on,a design drawn by (address) dated. (design`er) , I certify that the septic system referenced above was installed substantially according.to- the design, which may include minor approved changes such as lateral relocation of the distribution box. and/or septic tank.. Strip out (if required) was inspected and the soils were,found.satisfactory: 1.certify'that 'the septic system referenced.above -was insialled:viwith"major cha�xges (i.e. greater than 107 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 app that:the system referenced above was constructed in co tiance with the terms 11A of the roval letters(if applicable) �P cy o PETER T: nstal er's Signature) CD McENTEE N CIVIL No. 35109 (Designer's Signature), (Affix Desi Here) PLEASE.RETURN TO.BA"STABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH.THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QAsepti61).esin er Certification Form Rev 8-14-11doc TOWN OF BARNSTABLE LOCATIO& S 3 1O SEWAGE# 01 5--O(R)G VILLAGE Ct kM )r ASSESSOR'S MAP.&PARCEL(3 -010-C0`Z INSTALLER'S NAME&PHONE N0�1 c�YJ c� (c a► NC SEPTIC TANK CAPACITY 1 11000 c-Almr\3 TckrJ�r LEACHING FACILITY.(type) a-2n St'�l9��dNcWm (size) 10. Li�,"y� X NO.OF BEDROOMS a OWNER Je PERMIT DATE: 1-� -1'?,—1 S" COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on` site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY oa Wia��o 1 N 'a. 2G -1 f J` . zcf IN CYi 1 2$ OOT <n*2,,-7 2 OCT wt ck 1 e 14 z- �f No. ✓ - ` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for Misposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair(,4pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or- of No. S3 W,c��O L- rC 1 Owner's Name,Address,and Tel.No. cis}ed,)01 r f on/ey Assessor's Map/Parcel :{ c.- 0 CX7')- Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ►7a o51c�5 A 1�, rv,,u o T.v c 5-oo-YCO-7/55jwe-r/1�,� l Type of Building: Dwelling No.of Bedrooms Lot Size _a 0_oa q sq.ft. Garbage Grinder( ) Other Type of Building Y e s cc7r'y No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) SO gpd Design flow provided $(r 3 1 gpd Plan Date Ll 110 1 Is Number of sheets Revision Date Title Size of Septic Tank a 1 ODO r 4r, Nzl xc��% Type of S.A.S.. a,u l Lj"3(`1 c nn Description of Soil Nature of Repairs or Alterations(Answer when applicable) i k3e VGckN ��fl C �orlcZ,1 ►p rC'r,`I ato } v- N @.tom Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date*/'3 Application Approved by Datef rTT`7y - Application Disapproved by Date for the following reasons Permit No. ®1 — Date Issued No. z Fee V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC-HEALTH DIVISION - TOWN OF:BARNSTABLE, MASSACHUSETTS Yes applicati9ft for disposal *pstem Construction Permit Application for a Permit to Construct Repair( U rade Abandon Complete System Individual Components PP ( ) P (� Pg ( ) ( ) ❑ P Y ❑ Location Address or of No. 5 3 W c�Nd ec <' Owner's Name,Address,and Tel.No. Os}PJ 001? Ccvl ey Assessor's Map/Parcel 1 3 cl - Q 1 U - pC,) Installer's Name,Address,and Tel.No. Designevs Name,Address,and Tel.No. 5 A -U OW =N C Soo-q'GO-7/59 )5 /N 5 ,G i Type of Building: ti Dwelling No.of Bedrooms Lot Size a 2oa q sq.ft. Garbage Grinder( ) Other/ Type of Building y 1 5 kc)Pro�,c, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided SCm 3. 1 gpd Plan Date 41 , O 1 S Number of sheets p Revision Date Title { Size of Septic Tank 0� I Obo ,c.l ��.�Tr�al�C�— Type of S.A.S. <3' - cCaC7 a u��v�J C c nn�n�(S d J 3�S+0ri l Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1°JSlc.(M /4r\)P CAW I kky%�O` I 0GbClr6J CvJ I( a\ - a o S 00 G u%-Zj C lnCd,-A�O gs!�f()%�w»-��''r��`�� Date last inspected: Agreement: IkThe undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date A / / Application Approved by Datd! r'7} - /S Application Disapproved by Date for the following reasons Permit No. �O 1 '- L Date Issued ----------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS. ;T Certificate of Compliance THIS IS TO CERTIFY,that the On n--site Sewage Disposal system Constructed( ) Repaired(V1, Upgraded( ) Abandoned( )by ��`1G S 1`1!C W zJ nl C at S 7j`��wN N 1 t1(1 05,'ef ) ,� �P has been constructed in accordance 'r with the provisions of Title 5 and the for Disposal System Construction Permit No.;d jS-() S6 dated Installer a:2�)gs A R(o,_�,J .I _,c Designer u0yil( S #bedrooms Approved design flow S 0 gpd The issuance of this permit shall notb construed as a guarantee that the system will fu�nchi a sjg d. r Date � Inspector ---- ---- --�------------------------------------------------------------------------------------------------ ------------------- �oS Fee — b�6 j THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposal �&pstem onstrurtion permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at ujJ CA'No y and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit.�^ Date L j"j Approved by e ti DECK LIVING RM. BEDROOM CL. Q GARAGE Q Q KITCHEN FOYER = m M ENTRY CL. BEDROOM CL FIRST FLOOR CL. UNUSABLE o BEDROOM 0 CL. w m HALL BATH UNUSABLE UNUSABLE SECOND FLOOR r s i FLOOR PLAN 53 WIANNO CIRCLE, OSTERVILLE, MA DECK LIVING -RM. BEDROOM -�- CL GARAGE Q ~ Q KITCHEN FOYER = m m ENTRY CL. BEDROOM CL. FIRST FLOOR i CL. m UNUSABLE O BEDROOM 0 CL w m HALL BATH UNUSABLE UNUSABLE SECOND FLOOR FLOOR PLAN 53 WIANNO CIRCLE, OSTERVILLE, MA Town- ofSa, ftkAble i vaf,IME 7p i �. R . ulator1 . Services Diehard V. S� ala, TrDteri. . Director AM04STABLE, °. Thohia&Me ea.u, Director, 200,Maiti Str et,Hyitnnis;IVIA 026tl1. Off`ce. 508-862-4644 Fax: 508-790-6304. Installer & Dese Cesed'iciia•11 ori�i Da:'e: H-13-)5 Sewage Permit# ad - Assessor' . aplParcel Deli Installer: Q nv 'A �di'ess b—? .UN.9 a Address: U vi On was issued a permit to instal_1 a _ (date) (installer) se �` based on a design drawn by p tic,system at S3 ���au►� ��rc�-- ' �;.(,�✓T-e�, �,..�.e `��, (address). , n- n.i U4t-y4 ) �,4 C ._ dated (designer) certify that the septic system eferel�c d 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. S.ip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referen.eed. 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 ith State & Local Regulations. Plan revision or certified as-built by designer to follow, :Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced abova was co`nstrtl � OF �? with the terms of the 11A approval letters (if applicable) ha ; PETER T. I �IcF;N i'1~C- NO.331U9�y c: aHer's Signature) i (Designer's Signature) (Affix Designer's Stamp.Here) PIJ ASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE, OVt COMPLIANCE WILL NOT BE ISS D D 7T3I� BOTH T1F IS FORM Al 7 : AS- BLJILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC IiEA-LTH DIVISIQN_ TI�:A.NK.YOU. - --- Q:Zpticm igner Certification'Form Rey 8-14-13.8oc ' TOWN OF BARNSTABLE LOCATION�5 �,,, `C� Cli( .L� SEWAGE# a VILLAGE ASSESSOR'S MAP&PARCEL q`0/0' 00�- INSTALLER'S NAME&PHONE NO.�� N)CIC 11-)GZ'�!,� �C, SEPTIC TANK CAPACITY odd "" /0u LEACHING FACILITY:(type) /�� . 4-ScY`�c:C, (size) NO.OF BEDROOMSC�i �� CL�Cwt1aCE OWNER PERMIT DATE: COMPLIANCE DATE: t Separation Distance Between the: NOAe Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) \ Feet FURNISHED BY_1 -�3 C C- �_ 3 r 7j (pdde",) 3 �JVifnJld�v '" 00T 1J �3► i G,-s� ��.'�s 2- 7[ 90 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitation for MispoSal *pstrm Construction 3permIt Application for a Permit to Construct( ) Repair(Oxul'pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addd�rR�is or Lot No. 53 W+ C L rC -f Owner's Name,Address,and Tel.No. Assessor©`��s�Map/Pit larcel Q a Cafes Installer's Name,Address,and Tel.No. Designer's Nai4e,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building deb 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) &C,® gpd Design flow provided 6 Co 7, 2 gpd Plan Date 2AIl(; Number of sheets Revision Date Title ` 1 Size of Septic Tank �, I�cX�r9gc�� ;C,-,�" Type of S.A.S. � Cl Cbcdn)®E(S ( Description of Soil Nature of Repairs or Alterations(Answer when applicable) !C n c_ l i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved byw \ Date Application Disapproved by Date for the following reasons Permit No. 0 � � Date Issued � l _� No. Fee t c THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:, PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes lfJrlcatlon for Dispi sat *pstern Construction permit Application fora Permit to Construct( ) Repair(L}f Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addr ss or Lot No. rS3 v J%t v^t) Cl k)-e Owner's Name,Address,and Tel.No. Assessor's Map/Parcel I:SCI Q a ri'N _ h Installer's Name,Address,and Tel.No. Designer's N , e;Address and Tel.No: �cx� s A vow . . .. rs _ —N on E'✓i We Ot's Type of Building: Dwelling No.of Bedrooms Lot Size 2 2 JD�Xti sq.ft. Garbage Grinder( ) Other Type of Building r eS fC,1yy C, No.of Persons Showers( ) Cafeteria( ) Other Fixtures "y Design Flow(min.required) �C-pC..0 gpd Design flow provided gpd " Plan f Date', Number 0 1 o sheets Revision Date - Title kt r F Size of Septic Tank ;� (�CXwA(w nJ I CA" Type of S.A.S. � G�t N C_1�c�nlaPfS 14 2� Description of Soil V Nature of Repairs or Alterations(Answer when applicable) 06ri C r two Fi'A L4 Date last inspected: 4 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by _ - _. A6!�k� Date ( Q Application Disapproved b PP PP Y. Date for the following reasons ii; Permit No Date Issued u j 1 ray -^- ----------------------------- -------- ------------------------------------------------------------------------------- - ---------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( rir Upgraded r .bandoned( )by ry c A at' _W!,".,itabr'1 i if rlii r (_�ie( has been constructed in accordance w�t'h the provisions of Title 5;aand the for Disposal System Construction Permit No. T 1 ', j(>dated - _ — Instale NC- Designer �in1{iM�r'(I^tiC /A.�Gd tG F � ' 1 #bedrooms /s J Approved design flow(f� gpd The issuance of this pe Srm t shall not be construed as a guarantee that the system wtr!u1n)4tiod as designed. `� p �t 4 Y. �. Date I�►� { � Inspector --------------- -----.------------------_---------------------------------- = --=- =-- -------------— No.t�C[J l�Q r' (00 Fee V/ 4 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem onStrnction Permit Permission is hereby granted to Construct( ) Repair(` Up)rf de( ) Abandon( ) System located at �/()( C.nt N(1 `I tr�e ON F&d l -r . 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: :i Construction must/be((completed within three years of the date of this permit. Date 1 c Approved by Yam.�''/ fi THE Town. of B U arnsta.ble P#_ Department of Regulatory Services : MMBLF : Public Health Division Date .19.� b� 200 Main Street,Hyannis MA 02601 Date Scheduled c. ra Time Fee Pd, tiJ Soil Suitability Assessment for Sew Disko Performed By: Witnessed By: LOCATION & GE NERAL INFORMATION ation Address 5� VJ-� Owner's Name a1 to vt.d CC-!'< C��a.i'1 Loc V 5 (kk tN- Address Assessor's Map/Parcel: Q( © _ Engineer's Name ak-,r Ks-CIE '% NEW CONSTRUCTION REPAIR Telephone# "`� Land Use Slopes ON _ Z Surface Stones Distances from: Open Water Body ft Possible Wet Area A—ft Drinking Water Well-t7L—k ft ` t Drainage Way__ Ali A— ft Property Line ��_ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands 1n proximity to holes) Z- 3 A Parent material(geologic) vy �� Depth to Bedrock �_�___�,_ Depth to Groundwater. Standing Water in Hole: NO 0� Weeping Prom pit FAce, T . Estimated Seasonal High Groundwater /13 Z. DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Y Depth_(1bsEnedstanding;n vbs,-hole "`- .-In, Depth to sell mottl4s:__In, Depth to weeping from side of obs,hole: _ __ In, Groundwater Adjustment__ft. , QJ Index Well# Reading Date: Index Well levol Ar ,(Actor- Adj,Clreundwater Leval o Observation PERCOLATION TEST Dale.— Time_ �-f� i Hole# V 1 Z ( Time at 9" ....-,...-....r. ...,..,_,vim.... Depth of Perc y zi `(/� Time at 6" ZN g�f Start Pre-soak Time @ k Tim(9".6") End Pre-soak Rate Min./Inch, C'z— Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----•------ ***If percolation test is to be conducted within 100' of wetland, you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# ( r Depth from Soil Horizon Soil Texture Shcl Color Soil Other p Munsell) Mottling '(Structure,Stones;Boulders. Surface(in,) (USDA) n i to c ra Z•Z 51 . t �rLy J Z_ 13 5 C_ tia wL . DEEP OBSERVATION HOLE LOG Hole# "Z-- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency,%Gravel) �017— Ll 2--13 d DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(ill,) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con iste o t3 _e �b � . DEEP OBSERVATION HO'I,`E L,OG Hole# Depth frorn Soil Horizon ;' Soil Tczfure Soil�Colok ' Soil they Surface(in.) A,) ti Mottling (Structure,Stones Boulders, coftsige Flood lsurance Rate Man; Above 500 year flood boundary No__ Yes , Within 500 year boundary No Within 100 year flood boundary No x Yes, ... Denth Of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification ll �q� I certify that on (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the+ above analysis was performed by me consistent with the required training,expertise and experience described in 10 CMR 15,017. U � Date Signature � , Q:\Sl3PT1CV2RCFORM.DOC L0CATt,N SEWAGE PERMIT NO. VILLAGE L2 INSTA. LLER'S NAME i ADDRESS f JOHN A. AALTO B.ACKHOE SERVICE nu walnut West Barnstable, Mass. 02668 I UILDE-R OR OWN EN ®Vi tr ON (�S / r-1 DATE PERMIT ISSUED _ DATE COMPLIANCE ISSUED� 2 _ � G�_ J J f �� C� .. � j � b �� No................ .......y � Fmc.............................. DO p THE COMMONWEALTH OF MASSACHUSETTS HEALTH b - BOARD OF H_ b� { l'3Lgc,' I/ /V OF....��r .6�C.:Y.............. ..... ...3 �...�.. �53 firation for Uiipntia1 Works Towitrurftnn Prrutit P � Application is hereby made for a Permit to Construct (\,,) or Repair .( ) an Individual Sewage Disposal System at: •--_-•_fit.'14 1u;.. i t�C �� ....•. 7 .__....-- s....:..................... Location-Address or Lot No. ............rr!v...--I.�------� � T --------------------------- -------- t�r►� =------...----------------------...----------------..................--- owner Address a � .... _ .L. ....................................... .........r-v�4.tr rocs_ ."... �_T'_.�..--•---•---...---......-•------------ Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........-�.�.................................Expansion Attic ( ) Garbage Grinder (Vo) Other—T e of Building No. of persons............................ Showers 4 — Cafeteria a Other fixtures -------------------------------------------------- W Design Flow...... ' ----/lo..............gallons per person per day. Total daily flow... ......................... WSeptic Tank-L Liquid capacityM-------gallons Length-------_----_ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area....................sq. ft. Seepage Pit No.......1:------------ Diameter......L4......... Depth below inlet_...._+-......... Total leaching area.._.4A.G...sq. ft. Other Distribution box (/ ) Dosing tank ( ) _ `" Percolation Test Result Performed by._..-fHOA-?►f.s.._.___/«. L _g_ _ ...........9 i l--•_--•. -•--_. Date ----------------- aTest Pit No. 1.�__�---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........................ P4 -----•-------•----------------------••-•_---------------------...---------------......_.......•-•-•---.........•--••----------------------------•------------ O Description of Soil----�---T� Z I...-----�G�9�--T�S v r.. S..r�-----�_...........---l- ' y'? !D G oTu T ../5�i. ------ -•---------.. x W •--•-----------------•--------........-------------------•-•--------------------...----••-•-•-••-------•----------------------------•••--••. ........................................................... U Nature of Repairs or.Alterations—Answer when applicable._............................................................................................... ----------- --------------------•---•----------------------•------------------------................------------------------------------.............................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LIT E!, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hZbeeissued b t e b r f ealth. gne � �--------------••-------•••-- ..Z'---Dater�Application Approved BY--- �v .----- - � ' Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------•------------------- --•-•---------------------•---------•--------------------------------------------------•--•--------•-•--..-------------------------....----------...--------------------------------------------------- j Date Permit No.............................................. Issued-let = `............. v '.-----------•-----.. i Date C*` No.�.�----1�....... F>s..'3................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH wfv l36}1IVs7"/9Y3 L�' _ ................of �Vpfirattou for Dhipviial Workfi Tomitrurtintt ramit Application is hereby maderfor a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System at: .....ftl_/!!� w d.----•---c-oK, •�-•�^•--•-••-•••----------------- -------------------�-�'..."-•--•-•-....---..:.......--'....---•-----------........----- O Loeioonn-Address., S� _ or Lot No. ._ ........... ..-----�='..-�-----•----•----- -- --------------•------- ---............--- �+� y� �i }Own r/ Address .rl © l7 P7 fr �a✓ .......•- ---------��-��'EJV�---____-`5--',�-__1.-----•...................•-••-•-•---- t ;............... ...... Installer Address i Q Type of Building Size Lot___,_____t.................Sq. feet V Dwelling—No. of Bedrooms........:................................Expansion Attic ( ) Garbage Grinder (tio) Other—Type of Building ____________________________ No. of persons----_....................... Showers ( . ) — Cafeteria ( ) a' Other fixtures -_____________________________ _ W Design Flow...::_ .... /Q.............gallons per person per day. Total daily flow---___�'� _________................gallons. 1x Septic Tank JL Liquid capacityt�°Q---gallons Length................ Width................ Diameter................ Depth................ W x Disposal Trench—No_ ____________________ Width.................... Total Length..............,----- Total leaching area....................sq. ft. Seepage Pit No--------1------------ Diameter......-4________ Depth below,inlet......G:.......... Total leaching area____.�;.6G_-_sq. ft. Z Other Distribution box (/ ) Dosing tank ( ) tton�w S !c'�'L LE Y c r /S" 9 0 F ... Date i W ; Percolation Test Resul Performed by......_Y_________________________________________ _____ Te Pit No. 1 t�Z"'._.minutes per:inch Depth of Test Pit____________________ Depth to ground water_r,.:,................. :-t ;• (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... -......... D 4 Z -•-•- ojirw �,Vr 5."�------�y 7!7 1 i t r:csrt t sli��Y� l Description of Soil_______ T _ U -••--••--•----•----••••----••••••---------•-•--•••-----•-••----•••---...--••----•--------...-•----•••--- W UNature of Repairs or Alterations—Answer when applicable................................................................................................ ------------------------------------------------•--•----•--•-- ---------•--•------------.._.........--•------------------- . ..------------------------------------•------------------............•••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:T'T LE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be,u,.• sued b tY�e b r ,ff ealth. �.' Date Application Approved BY / -----------------------•-------!1---- ---------- -----------•--------•- -----1 ....... Date Application Disapproved for the following reasons-------------------------------------------------------------•------------------...--•-•••••--•---••--......:. -----------------------------•------•-----------------------•---•---------------•------•---------..._._.._._._.__...--..-------- -----------------------------------------._.--------------------__••--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..-._0..� l OF........... .egg1...r.............................................. Tntifiratr of Tomplittttrr Peeninsta;1led TO RT , That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by... a .._.....----•-•---•--•-•-•--•-•---•-•-----••••---------- .......••- Installer - - r �_ has in accordance with the provisions. of Qf Th State Sanitary Code.as describe4 in the application for Disposal Works Construction Permit No.-R.__.__ 9 _---------- dated_... -'__-----`--.................. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM W�LL F&INCTION SATISFACTORY. � ~_ <. DATE....•--•--•........ ........... I .......................... Inspec tor.................................................................................... THE-COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA...LT // .t�f 1.........OF............ .... ...... ............................":®rv, ,.. . No................ .... FEE.-:04............. M, Rapos 1 orks mitrur#ion trait Permission hereby granted__. _ to Const ct o >�p Repair ( ) a Indi idual Sewag o Syst at No. - t_ te.•cyll l Z •--W111. u�' '` U-k .---- . Street �;L—Sr r f as shown on the application for Disposal Works Construction Perm' No.__.,_.___ ,.c.___ Dated------------------------------------------ DATE.................._: _-/ `�v Boarc of Healt FORM 1255 HOSES & WARREN, INC., PUBLISHERS _. I - SNt*D'T / of Z S/•it�s'TS s - �13.00 fbv EZA1, POP OF &Ar*ir 22L o iV%r>!r- &ZOV4"Q,vs AJ59P ON wArez i"&L a.od /a�iE'�8o rL� � v 30 tv�' 1 M 1� 1 23°.f G Id� I �/Ab � 1 ' V/1ij 1 CERTIFIED PLOT PLAN LOCATION 6; Yi41 el-. .MASS..... . . . EDWARD c. KELLEY SCALE . .�.��=3o DATE .Nov 2 1y8o, CUMhV0.,!-1 D; MASS. 02637 PLAN REFERENCE .Be7!V4V -oT.2Z6 !4s. .s w A& .v o!v !!�. . . . . . .,. r K El i• t ._ .c I CERTIFY THAT THE ... ...... . ... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND d AS SHOWN HEREON AND THAT IT CONFORMS TO THE `ay�`'►a ` ` i SETBACK REQUIREMENTS OF THE TOWN OF TAcK Cm 77a � . . . . . . . . WHEN CONSTRUCTED. DATE /✓01/. . /J'�v PETITIONER: �G✓/� �S/G1i/A �,C REGISTERED LAND SURVEYOR - Sk-e&-7 Z of Z SNea rs L. .Z3.30. .. ... . ' TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS REL. 2��MAX. � � ' JE MAX. • ! 411 ORANGEBURG(OR EQUIV. PIPE- MIN. LEACH ' PITCH 1/4"PER.FT. PIT e,e PRECAST -� LEACHING �•eINVERT PIT OR SEPTIC TANK EL go.Z/. . BIOX > : :/ EQUIV. INVERT /000 CAL. INVERTi'�" .. `e; EL.'?�•3 .. EL�4rlL wW 0: :;•: 3/4"TOIV2 �� WASHED W ' STONE •, / /2� 6,DIA. �— . e DI H•NE PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE pCT!S/�Bo TIME.9'3oAt9 _ �'g"L C- hiiie'eA�/ • BOARD OF HEALTH TEST HOLE I' TEST HOLE 2 , ENGINEER ELEV. . ZZ.,/o. . . ELEV. .. .. . . . . . . 'No,e � i se so.c. - -- --------DESIGN DATA 24" yerv�c��¢s� NUMBER OF BEDROOMS 3. . . . . . . . . . . . TOTAL ESTIMATED FLOW GALLONS/DAY BOTTOM LEACHING AREA 7B.So SO.FT. /PIT ✓� SIDE LEACHING AREA . . . SQ.FT./ PIT HLsD. A /l/o�/E o ' CoT✓�T GARBAGE DISPOSAL . . . . (50 /o AREA INCREASE) SA'�D TOTAL LEACHING AREA SQ.FT /44-/ PERCOLATION RATE /S'S .n !"!�!�'� MIN/INCH LEACHING AREA PER PERCOLATION RATE SQ.FT. .Nd .WATER ENCOUNTERED NUMBER OF LEACHING PITS 1 P�rWi77�.17wv/rtr APPROVED . . . . . . . . . . . BOARD OF HEALTH OF.57VV- Pax, jai T . . . . . . . . . . . . . . . . . DATE Y CO, THOMAS E.KELLE. . . . . . . . . . . . . . . . . . /.l. AGENT OR INSPECTOR ENGINEERS—SURVEYORS 346 LONG POND DRIVE r;• rs ". .SOUTH YARMOUTH,MASS. 02664 LOT z r ! .:. . ? THOWIAS ss9C'y SAG,C c o Tlb.t/ +0 2; 26 /o .5/G VIA) $�.S/GVIA .77, "` � ,j'' o,�F ►ST ONAL PETITIONER : ss1 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. Fill in please: Date: Y APPLICANT'S NAME: ti � ry f You'v, HOME ADDRESS: - -'�>30 BUSINE S TELEPHONE # HOME TELELPHONE #: NAME OF CORPORATION: Cob aiA,-T NAME OF NEW BUSINESS C,4 , " Corp —F/;,Y,) Cv� wry I��i�%�JID , TYPE OF BUSINESS r9, IS THIS XHOME OCCUPATION? c.:4� =YE S NO -poZ ADDRESS OF BUSINESS 1„� i ,,,r b C iC_ �. < T MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required o legally operate your business in town. 1. BUILDING CO SS ER'S OFFICE This in( vi ual f as bden4nfo d f a y p rmit requirements that pertain to this type of business. Auihorized Signat`re*" MUST COMPLY WITH HOME OCCUPATION cY� COMMENT RULESNim? REGULATIONS. FAILURETO COMPLY MAY RESULT IN FINES. ct 2. BOARD OF HEALTH This individual has be i formed of the per * requir nts that pertain to this type of business. uthorized Signature** MUSTCOMPLY COMMENTS: K147 UR MAI WtTHgLL_r.� IONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Hazardous Materials Inventory Sheet Checklist ��.��ate (/ P sical Street Address-Check database to ensure it exists Working Phone Number 4�Actual Amounts -.( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials) Storage Information - location of storage, how long is storage for? / If none, note that. v Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? -provide a vehicle washing policy and _.—explain it-note that it was given ttach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the.procedures they are doing. Notes need to be left to explain what you discussed with them. TOWN OF BARNSTABLE Date:p / 21 /Q� TOXICAND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �� 60 C> N 1 BUSINESS LOCATION: UfftAJ1410 ' L INVENTORY MAILING ADDRESS:. .Q V�7D,}C � � D ► �V 11.1-�^� DZS pork TOTAL AMOUNT: TELEPHONE NUMBER: C50g, 3`7 55 9 5 LS CONTACT PERSON: ®►-r rT EMERGENCY CONTACT TELEPHONE NUMBER: jO� — Z)5 MSDS ON SITE? TYPE OF BUSINESS: ® M M T C119 e aN10 R-re St fin-i��9L /ram e INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Sa--)N V4/v Last shipment of hazardous waste: ado Name of Hauler:e-04 C®o QA-f& Destination: A P -4 Lvoo f--)LC Waste Product: j ti tvA l -�Lt2 Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc, Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Z Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, 9 Lacquer thinners - _ -_ - ^ r._. ___. (inc. carbon tetrachloride),:_ NEW USED Any other products with "poison" labels ✓/Paint &varnish removers, deglossers (including chloroform, formaldehyde, 2-� Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes mayA toxic or ha r (please list): Laundry soil & stain removers p (including bleach) b% Spot removers & cleaning fluids 1 (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 'N" 1ARDENT jAr_Ke applicatiod to total Fire Departmerlt Fire Depa ft runent retains original application and issues dupallS as Permit 4- APPLICATION and .P RMIT ltee for slorage tank removal and transportation to approved tank disposal yard in accordance:pith the pi 4~oj tvi.G.L. Chapter 148, ZSect;cn $8A, 527 ONIR 9,00, -appfic-atlon is hGreby made by: Tank Owner Na.! e t.'pleass s print, C h!7 i�:A x -7- Ti • L Salt • Env-� ro--Sa- Co.oi Individua 6��r L Company Name -jr rt 4'B Jan Sebast-;an DriveAdd pfiM Sa ndwic.'", P'7 plying for?��Mii) si'm VPKY-iing V, Othw U ;Fci" a fied 0 USP Other r -Cl*Certified C 5 3 W i .. --- ----= Tank Location cwSt etnddn-ea4Iy SubstancE!fast Stored --j�2_4;j j I I-ankCapacity(gallons) TankTankDirDimensionswlanietc"r x(eR th" 17t State Uc.4 2 9 "!AC- C7 e,it n 1 7 1,7 maze.rdous wacte martife9tH aX ERAA, _�-= i 002 yard -urner.L an k yard# Approved tar,:disposal v, Type of[nor,gas Tank yard address 13�_Con!Ylerc y F11 S rp-qtr Linni MA FCV1/or=1 osier1r,111 FDID# PeftTlit# Iq Owe 04 i6au 9 DecenbeT 22, 6 Dallo of expiration j1eC2Mhar--Z9--. 200650039 Di ale,-,oil -r Tal, Nwirw 800-322 save aD i0val nUmber: Dig sa SigrIat.jr-,jnjilL ^t 0ificer granting perrnit. Aft-rii rem ovai(s)CGOVsumPtivE-U80"fuel oij tanksQxen)ptad')send Fo;rn FP,29OR*1 nod by Local Fire Np:t.to U Regulatory ST Regulato C;ornp1ianG0x1T,Department Of Fire Sorvices,p.o.Box 1025:State qo8d,SLOW,PA 01775- *IntemiationAl Fire 00(10 h1stit"'10 F Fmd�MaplParcel 139010002 h \ Townof Barnstable` `"> e aNealth®epartment Health System t ' �r r V, Map/Parcel 139010002 Tank Nbr 01 Tag N4 00163 Installed 01/01/1981 Location- IN .w � TestNot�ficahonDatey Status: Date » �RgmovalYNotification Date Test' P �� 07/25/1991 a 9 r a Abandon' yy a Removal: a `, 12/22/2006 �.. UaIm nance {�9rr.��� fuel Stored FOB �e Fuel Storage Rson Capacity instruction ` Leak petectwn `` Cathotic Detection Storage ank info;. .., , btlC11M)'al Details no leaks . Adtl Change Re rd? Y I ' " �� s SOME... 7711 r I� - Ss1e- a-r- Z Shlzal'3 a Z3,3o TOP OF FOUNDATION s` CONCRETE COVER CONCRETE COVERS e 4 CAST IRON 12"MAX. •_ 12"MAX. PI PE (OR • -4 ORA NGEBURG(OR EQUIV.) ` EQUIV.)- MIN. PIPE- MIN PITCH • LEACH I/4 PER. PITCH 1/4"PER.FT PIT PRECAST -i LEACHING NVERT a :.... ` e EL.?O•.-'`�... INVERT INVERT o . e•,' PIT OR SEPTIC TANK EL. 2�?•Z� DIST. EL/.*,5 , �_ EQUIV. INVERT BOX —f /000 GAL. INVERT o; EL.?D,38 ELF°,o'L INVERT wW 3/4"TOIV2 /9.bn Uo WASHED STONE •2 D . ( novE o. . /o DIA —♦-1 J e PROR LE' OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE PRELIMINARY SO[L LOG WITNESSED BY : DATE ocr1Si980. TIME,.9.,3o/9?7 Vic. BOARD OF HEALTH TEST HOLE I TEST HOLE 2 .77? hA-5. E_ ,L��ZCb//� E: ENGINEER ELEV. . ?z../o. . . ECEV. .. .. . . . . . . WocaLoM _...-.._. - - DESIGN DATA - 14" �yew�,c NUMBER OF BEDROOMS 3. . . . : . . --- �t TOTAL ESTIMATED FLOW . . . . . GALLONS/DAY BOTTOM LEACHING AREA 78'So SQ.FT. /PIT SIDE LEACHING AREA . . . SQ.FT./ PIT 7- GARBAGE DISPOSAL /V°A/� . .(50% ,AREA INCREASE) Sf1wD TOTAL LEACHING AREA Z. 7 Oo so.FT PERCOLATION RATE /S 5.. . . !^'�!�'� MIN/INCH LEACHING AREA PER PERCOLATION RATE .`� -?SQ.FT. WATER ENCOUNTERED NUMBER OF LEACHING PITS 4"P/T I'V"; l 77n/o T APPROVED . . . . . . BOARD OF HEALTH PFsJ'�NF o.v,¢lC• S/��S„s/.SL 7aNS fcF37s?rut P*X jai 77 . . DATE - THOMAS E.KELLEY CO' /1 AGENT OR INSPECTOR ENGINEERS—SURVEYORS ��- 346 LONG POND DRIVE SOUTH YARMOUTH,MAS3e ���OF Aggs / 02664 �� S9p Lo T w 2 Z to. e THOMAS ti ZZ . . �CLc. . . �ry ��•• -— 26 � �o S/G✓/A $,S/GVIA �Oc�GISTEQ PETITIONER ='!-C FSSlONA1.�a� C6--v�V.,ELF UNITED STATES §TTAW''" d9-- First-Class Mail 1A ji:CW S Postage&Fees Paid USPS x J DEC "�?.a� Permit No.G-10 1 • Sender: Please print your name, address, and ZIP+4 in this box • I I I Town of Barnstable i Public Health Division 200 Main Street Hyannis, MA 02601 D R. COMPLETE,-THIS E 'TIONI,� : ■ Complete items 1,2,and 3.Also complete A. n ure M item 4 if Restricted Delivery is desired. ❑Agent Ile Print your name and address on the reverse r'X ❑Addressee so that we can return the card to you. Received by(P' t d Name) C.Date of De live ■ Attach this card to the back of the mailpiece, or on.the front if space permits. D. Is delivery address different from item 1? es 1. Article Addressed to: iddress below: ❑No. ey TR Michelle McCarrol Cool i li %53 Wianno Circle Realty Trust l� 53 Wianno Circle s. service Type ❑Certified Mail ❑Express Mail Osterville, MA 02655 ❑Registered ❑Return Receipt for Merchandise `� ——-- ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?.(Extra Fee) ❑Yes 2. Article Number (Transfer from service labeQ ;, ; ?014 ,12001 00111 ,03 5.8 0246 PS Form 3811. February 2004 Domestic Return Receipt �02595-02-M-15a0 I 0 m u't - _ O Postage $ / H Yq� Certified Fee ostmark alp � Return Receipt Fee 5 Here O (Endorsement Required) tlt CD : C3 Restricted Delivery Fee 0 (Endorsement Required) Lo O ®� M Total Postage&Fees $ o . Michelle McCarrol Cooley TR - P %53 Wianno Circle Realty Trust 53 Wianno Circle nCtPrx/WP nnn n9nr)r, Certified Mail Provides: o A mailing receipt n A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority MaiI6 o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return` Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ii' e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail.- IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 t% `' ' 3 Hof s�rok� Town of BarnstableBarnstable y�P -Regulatory Services Department. 1 er"aC j 11ARMFrABLE, -` 9Q MARS.t639•9. Public Health Division M -O �� m AC A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7014 1200 0001 0358 0246 December 8, 2014 Michelle McCarrol Cooley TR 53 Wianno Circle Realty Trust 53 Wianno Circle Osterville, MA 02655 ` ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located.53 Wianno Circle, Osterville, MA was last inspected on 11/02/2014, by Trever Kellett, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Septic System is in hydraulic failure You are ordered to repair or replace the septic system components within sixty (60) days from the date you receive this notification. I Failure to repair/replace the septic system within the deadline period will result in future enforcement action PER ORDER OF THE BOARD OF HEALTH Thomas McKean,.R.S.', CHO e, Agent of the.Board of Health • V QASEPTIC\Letters Septic Inspection Failures or Future Evl\53 Wianno Cir Ost Dec 2014.doc o t.. - i❑ v 3602=http:ilissgl2iintranetlpropdatafParcelDetail.as x?ID p �� �t � F.U., Live Search J� Application Center(3) g]Application Center(2) http--www.town.b�arnstable... Application Center ®Suggested Sites F Web Slice Gallery - Favorites ®parcel Detail 0 Location l Frontage Iju Sec It= Road SCUDDER ROAD I Frontaee F 48 .9e Village JOSTERVILLE C-O-ItiAItJf I District Town sewer exists at this I I Road Index 11833 address[No z Asbuull Septic Scan: . Interactive 139010002_1 Map Owner Info Owner I COOLEY, MICHELLE MCCARROL TR I Co-Owner 153 WIANNO CIRCLE REALTY TRUST I .. Streetl 153 WIANNO CIRCLE I Street2. I R City OSTERVILLE I State LAJ Zip 02655 Country Land Info Acres 0-51 Use ISingle Fam MDL-01 Zoning RC Nghbd 0112 : Topography I Level Road Paved I w Utilities Public Water,Gas,Septic Location LakelPond Front I y Construction Info 1 Permit History Issue * � _ 'Permit , sun • _ Date; � . 5/23/2008 Out Building 200802799 $1 ,000 6I27f2008 1'2 000:00 AM Dane F-ji 1-7-JA 01EIQIE y Local Intranet �� Q 100% - Start r Microsoft Excel Microsoft Word �,�Parcel Detail-Windows I,..ii r !�® II® ) � - � .� I �WW ��3 1146AM Computer name : HEALTH899JF User name : flvnni Operatinq Svstem : Windows NT (5.1) c. Commonwealth of Massachusetts `�r =�f,+'„ n�� _ = :^` Title 5 Ofi�'idal`ilnspection form� Subsurface Sewage Disposal System Form=Not for,Voluntary Assessments' `�' ► ram» .. 53 Wianno Circle Property Address Ann Creed ,. r, Owner Owner's Name information is required for every Osterville MA 02655 11/02/14', page, City/Town ._ State Zip Code Date of Inspection ., Inspection results must be submitted on this form. Ins Pe Inspection forms may not be altered in any way.Please see,completeness checklist at the end of}the.form. Az Important:When filling out forms A. General Information .a•"° on the computer, 1 use only the tab „1 Inspector: x .:a. T., sir a { R•�-:r f1G' �' 1 key to move you; t �., '^ .: f t,',a 4Yt": tie °"r yr PLiD ,1zr [: �'r <t wP rE•C cursor-do not Trevor Kellett use the return key. Name of Inspector TK Septic Inspections fin t,, •u.1 „t Company Name 38 Vacation Lane Company Address West Yarmouth MA 02673 City/Town state Zip code 508-579-5502 S113744 Telephone Number License Number B. Certification n'rti, !3 * I certify that I have personally inspected'the sewage disposal system of this address and that the 't", :`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 prope(function and maintenance of on site sewage disposal systems. I,am a DER approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system-. ' �••�' ."_ '.: 0 Passes o 'El -Conditionally Passes-, i Fails rEl Needs Further Evaluation'by the Local Approving Authority Inspector's Signature r Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 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. - t5ins 3/133' Title 5 Official Inspection Form'Subsurface Sewage Disposal System•Page I'd 17 V V Commonwealth of Massachusetts Title 5 Official .inspection Form Subsurface Sewage Disposal System Forme Not for Voluntary Assessments 53 Wianno Circle Property Address Ann Creed Owner Owner's Name , information is required for every Osterville ; MA 02655 11/02/14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) r .l, �° _t vn .� _ Inspection Summary: Check:Xb,C;D or E/a/ways complete all of Section D t A) System Passes: ' P I ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: , B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or,repair; as approved by the Board of Health,will pass. , Cl eck`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): ,. a 1 151ns•3/13 Title 5 Oftldal trspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts - :r *fi;� .�*':>�: '� : *rwhoIno •J F Title 5 Official,. ln,0ecteon Form, A Subsurface Sewage Disposal System Form'=Not-for Voluntary Assessments`,=='+ )11 J 53 Wianno Circle Property Address a->" . Ann Creed Owner Owner's Name information is ,• ,r«a1f+, required for every Osteryille MA 02655 11/02/14 page. City/Town r• ' R» State Zip Code Date of Inspection q B. Certification (cont.) »*� ❑ Pump Chamber pumps/alarms,not operational. System will pass with Board of Health approval if Pumps/alarms are repaired: r�a . . ... t• „G � _Y.a B) System Conditionally Passes(cont.): 11,jI rr 'Iit+i l # ❑ Observation of sewage,backup or break out or high static water level in the distribution box due rto broken or obstructed pi,pe(s)ordue to a broken,settled or uneven distribution box. System will pass'irispection if(with approval off Board of Health): •r .� n broken pipes)are replaced ❑ Y� ❑ N'.:❑.ND(Explain below): � �� ' ' � '.. F �'„;.(!+nA�;}r1'�, .' obstruction is removed t ❑ Y . ❑ N ❑ ND(Explain below): ❑` distribution box is leveled or replaced ❑ Y-° E1 N ❑ ND(Explain below): .y ., +;.��:��;:�;:rr.:s - � _a•, �rw�n,,,,��'_,.T � i ;� .: •� » . ��,: y,.t ti ��; ex.;• •�,�;a. r`f l � 's !' . Y :7Ip L ❑ The system required pum',ping 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)CFurther Evaluation is Required by the Board of Health: vo s' ❑ 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 environ :ment 1. System will pass unless Board of Health determines in accordance with 310 CMR u15.303(1)(b)that the system is not functioning in a manner which will protect public health, %i: r.,,* °�'t3t:Z';C ��a' - t .Z. e p ; :ca .,�r «tom *-•� safety and the environment: 'r ,Al ry r ° �_{ !•. }'» wj•... 1, L� ' ❑ Cesspool or privy is''t.��:within 50 feet of a surfacelA water rz ❑ 'Cesspool or'privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins;3113 Title 5 Otfidel Inspection Form:Subsurface Sewage Disposed System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Ihspection Fora Subsurface Sewage Disposal System Form.-Not for.Voluntary Assessments 53 Wianno Circle Property Address Ann Creed Owner owner's Name information is OStervllle - MA 02655 11/02/14 . required for every - , Page. City/Town State Zip Code Date of Inspection B. Certification (cont.) +• . , ,q,,-' 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 ' . + ,y 1 a 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 giound or surface waters ® ❑ due to an overloaded or clogged SAS or cesspool'' ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool' Liquid depth in cesspool is less than 6° below invert or available volume is less ® . ❑° 1 than /2Y da flow t5ins•3/13 Me 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official-Inspection Forte ,T Subsurface Sewage Disposal System Form Not for Voluntary"Assessments t#►I>_ ,a, c F ,•� 53 Wianno Circle' Property Address Ann Creed # •.,r Owner Owner's Name -1 °a *.� information is �SteNllle' ` � ¢ ,• +s ,t Rau required for every MA 02655 11/02114 ,.,,•; „�,.� page. City/Town e 6 State Zip Code Date of Inspection B. Certification (cont.) 13bJf I d"'7i,.I ECA 'ft *tl ; ao 1-1 ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped:'"* Any portion'ofAhe SAS cesspool or privy is below high ground water elevation. portion of,cesspool,or privy;is within 100 feet of a surface water supply or tnbutary to a surface water supply. jf-u'• " El E -06�,PAny portion'of a cesspool or..privy is'within a Zone 1 ofapublic well. . i, i�p cs� �:ti. I'r;.s �'.� =+py +..r yy�p,sr 4 :`�,+.�ii "�#'"!.'i' ;�°,.#, r:. l•y ... '{f,'j, n. i a `4• +... - ❑ ® Any portion of a cesspool or prlvy`.is within 50 feet of a private water supply well, • :.'� �°�°,�,�� # �1-1 �#. ® Any cesspool y p p 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 444 6 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 `i% and chain of-custody must be attached to this form:] „f . ,, _ i y ,,�❑.� R®; �u;The system is a+cesspool tserving a facility with a design;flow of 2000gpd- 1o'Opogpd. t q»14 �,®+,- ❑.,., Thersystem fails.I have determinedthat one or more of the above failure '. criteria exist as described in'310 CMR-15.303,therefore the system fails. The }"-, 'r,a'system owner,should contact the Board of Health to determine what will be necessary.'to correct the failure,34t-Cir E) Large Systems: To be considered ra'large system the system must serve a facility with a design flow of 10,000 gpd to 15,000,gpd , $ .o #4k `'For large systems;you,must indicate either"yes"'or°no":t6e"ach of the following, in addition to the questions in Section Yes , No ❑" ❑ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to' surface drinking water supply ❑fir;c„❑id . the,system is located in a nitrogen sensitive area(Interim,Wellhead Protection . Area L IWPA)or a mapped Zone II of a public water supply well If ou'hVe answered es"to an uestiom#n Section E the s stem'is , `, 'y ;'yes y q y considered a significant threat, or answered"yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins•3/13'" _ Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Subsurface Sewage Disposal,System Form-Not for Voluntary Assessments ti 53 Wianno Circle : Property Address ' Ann Creed Owner Owner's Name r information is MA 02655 11/02/14 required for every Osteryille i page. City/Town . a State Zip Code Date of Inspection C. Checklistµ Check if the following have been done. You must indicate"yes"or;"no"as to each of the following: Yes "NO 7-1 E. ❑- :r ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ` ' ®s` �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? r 01, ® Have large volumes of water been introduced to the system recently or as part of this inspection? - - _. i Were as built plans of the system obtained and examined?(If they were not = ® ,❑ " `available note as"N/A) ` * ®•r ,❑• n- Was the facility or dwelling_inspected{for signs of sewage back up? W`^iq ..g...eT • .,�•a ., �# • .. 4.�`�..!N+�lf .,'�w .�• (r* � .. �-. f! i4_ F 1t, ''A'r�� « ,, ® ;� .❑ Was.the site inspected for signs of break out?. ' ®;tc . E]` '.~ Were all system components;-excluding the SAS, located on site? ® ' ` ❑q' " 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;deptli 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: ? k- ® ❑ Existing information. Fo�'example;a plan at the Board of Health. ~Determined in the field(if any of the failure.crite-ria related to Part Cis at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: ' Number ofbedrooms(design):' q ' 4'. - y� - '" Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(forexample:_110 gpd x.#of bedrooms): 440 Mina•3/13 Title 5 Offidel inspection Form:Subsurface Sewage Disposed System•Page 6 of 17 Commonwealth of Massachusetts Ic fifes. tmt�r;�� r{►"► Title 5 Official lrispection:-Form � ��+ Subsurface Sewage Disposal System Form'-Not.for;Voluntary Assessments-'ILi fj-J� 53 Wianno Circlet^;; Property Address Ann Creed L. • '1., Owner owner's Name r information is required for every OSteNIIIe y' ' '+�• MA 02655 11/02/14'., ��' page, City/Town ' - state Zip Code Date of Inspection D. System Information r snc � ;° ft ► ire'' f? ; x'; .► 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! El Yes ® No information in this report.) f''" Laundry system inspected? ❑ Yes ® No Seasonal use? El Yes 0 No Water meter readings, if available(last 2 years usage(gpd)): ;/ Detail: Sump pump? El Yes ® No current Last date of occupancy: Date Commercial/Industrial Flow Conditions: y +.' 17 Type of Establishment: { . ` 't' - '►:'Design flow(based'on'310 CMR 15.203): = Gallons per day(gpd) ;,X Y,Basis of design flow(seats/persons/sq.ft.;-etc;):,r Grease trap present? :n 7 ❑ Yes ❑ No Industrial waste holding tank preserit?,+ ti S ':r'L: .t.t'Or^ - ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system?- _:) ' �` ❑ Yes ❑ No Water meter readings, if available: Mns•3/13 Title 5 Mist Inspecton Forth:Subsurface Sewage Dlsposm System•Page 7 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Folm : a� Subsurface Sewage Disposal System Form-Not for Voluntary.Assessments 53 Wianno Circle Property Address Ann Creed Owner Owner's Name information is required for every Osterville MA 02655 11/02/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date c Other(describe below): General Information. , Pumping Records: 4. Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: " ' gallons � How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system •. ❑ Single cesspool ❑ Overflow cesspool ❑ Privy f i ❑ 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): r Mns•3113 Tile 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Ti�ie 5 Oicial InsQ�ec$ion Fo a Subsurface Sewage Disposal System Form -Not fo�:Voluntary Assessments 53 Wianno Circle Property Address Z., '--IS +- Ann Creed Owner Owner's Name information is required for every Osterville MA 02655 11/02/14• t .cyr page- City/Town state.. Zip Code Date of Inspection '^ D. System Information (cont.) { P'0—; ? '' 37 �' Approximate age of all components,date installed(if known)and source of information: 12/05/80. Were sewage odors detected when arriving at the site? :" .;Jj 1' ❑ Yes ® No Building Sewer(locate on site plan)- >?o' ''`14 T 7 t-r - Depth below grade: 1.6. • feet 'Material of construction: lu f, V 4 i ,.•y -$i�..7A :.�'J-- ., i�� .rs' 4_..3�. v ' 'l'.�. w, e '1 -4.., 'r`S^" �,e �:...��.: 1' �7i �L•.1 El cast iron ,�®40ePVC; a ri*. ❑,other(explain).*,,4 `}.7 ..:�.1 (t- � .•;3 f',�.--, '?.',y� ����}. . .t •c i t +{. 't,r?r1a t r.+'. �t.:.'r ��>;{"o. .iS..`9r l ,+'•.� Distance from private water supply well or suction line: feet Comments(on condition of joints,venting, evidence of leakage, etc.): i Septic Tank(locate on site plan): Depth below grade: o �TM: feet` Material of construction: ` 0I J L14 ®concrete ❑ metal ❑fiberglass •6-0'polyethylerie, to ❑other(explain) f 7 i f. If tank is metal, list age: , , years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate)' Yes ❑ No Dimensions: F: ,':s� i•i �s, r.--. �. .�., �n `.1500g Sludge depth:, t5ins•3/13 «. Title 5 Oflidel Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts k - ,.f �;_,> � :r• ; .-. . lugTitle 5 Official Inspection ;Form Subsurface Sewage_Disposal System Form-Not for Voluntary Assessments 53 Wianno Circle Property Address Ann Creed Owner Owner's Name information is required for every Osterville _ MA 02655 11/02/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 48 ' Scum thickness - 7. Distance from top of scum to top of outlet tee or baffle _ T. Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,-etc.): tank is structurally sound and water tight with liquid at the outlet invert and both tees intact Grease Trap(locate on site plan): 1., •• . Depth below grade: ' feet Material of construction: ; ❑concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle , Distance from bottom of scum to bottom of outlet tee or baffle , Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts ` �' `o :'t� �•. ` Title 5 Official- Inspection^For Subsurface Sewage Disposal System Form.:Not for,Voluntary'Assessments'.i",J"c „ 53 Wianno Circle Property Address _ ', ;f 40 Ann Creed ,:_+ •t;,r;,� Owner Owner's Name information is OSteNille #�^':- ' t�" rsr9nf required for every MA 02655 11/02/14 :. Page City/Town 1 State Zip Code Date of Inspection P. D. System Information (cont.) (1-1 11 r17�f'Wr;`00i",4 A__, Comments(on pumping recommendations, inlet and outl1.et tee or baffle condition;structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): f f , . i«�{' ,�v. ,a""1. .c 'Re' ..;3w,'�' ��.' •� - its .Y, # mt.�.* "t.¢` �' 1';V"� ::e'C���1{�i .�!�:#.tP'!pp.`� - ' �" .�Y`:."� �'IT� F %"`"i '1;`t-•e«:l ls�.if"t1°�d ' Tight or.Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: - El concrete ' ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity! gallons gallons per day -Alarm present: - ❑.Yes ` ❑ No ` Alarm level Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date y k -Comments(condition of alarm and float switches, etc.): -- . 4- t A r...+k'y *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 1 t5ins•3113 * • Title 5 Otfidel Inspection Form:Subsurrace Sewage Disposal System•Page 11 of 17, Commonwealth of Massachusetts s Title 5 Official Inspection Form >t , Subsurface Sewage Disposal System Form-Not for Voluntary,Assessments 53 Wianno Circle Property Address Ann Creed Owner Owner's Name information is Osterville MA 02655 11/02/14 required for every ' page. City/Town State Zip Code 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 2"above . . . . Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any c.evidence of leakage into or out of box, etc.): signs of backup and a little carryover g P ry 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.): L "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: t5ins•3113 Title 5 Offidel Inspedon Forth:Subsurface Sewage Dispossl System•Page 12 of 17 t• Commonwealth of Massachusetts 4�,4,n, 1111—�c i T { •r}.u+.� � .� •' r f �tl' - Title 5 Ofl:icialInn pectidn'-f6rri�` Subsurface Sewage Disposal System Form=Not for_Voluntary Assessments" 53 Wianno Circle ' Up- Property Address Ann Creed L. Owner Owner's Name inforrration is e required for every Osterville' ' • ° s MA 02655 , 11/02/14- ' page• City/Town State Zip Code - Date of Inspection D. System Information (cont:) ;:1- =? ,+ s '►z�'€ "°� s .� :, `�� •. .,,. Type: ..;e•. _�i# sr d . �.t1 - 1u � :,• 1.. tt, i3'S�'."E_�� '.'- `'f1 -' .... ® leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: r ❑ leaching trenches number, length: ❑ leaching fields number;dimen§ions:9 ❑ . - overflow cesspool number.• F ❑ innovative/alternative system Type/name of technology: ` Comments(note°condition'of soil;signs of hydraulic failure,;level of ponding,'i damp soil, condition of vegetation, etc.): The leaching pit on this sytem was not opened due to the fact that the sewage has backed up so much that it was above the cover to the pit 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-3113 Tile 5 OfBdel Inspection Form:Subsurrace Sewage Disposal System•Page 13 of 17 S Commonwealth of Massachusetts Title 5 Official;-Ins f=oPrn} R Subsurface Sewage Disposal System Form-Not for Voluntary Assessments• - 53 Wianno Circle - Property Address Ann Creed Owner Owner's Name required fo is Osterville MA 02655 11/02/14 required for every -- page, City/Town t State Zip Code Date of Inspection D. System Information (cont.) �, . _ � ; :� IP 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.): -r t5ins•3113 r Title 5 Oflidel Inspection Form:Subsurface Sewege Disposal System•Page 14 of 17 Commonwealth of Massachusetts ,; ss► "t1 WL—, , >Ctrt; m'!t IN Mal Title 5 Oridal lM;pection--Foim' � 4e R. M. h Subsurface Sewage Disposal System Form-Not for,Voluntary Assessments r.1 r!`y"J0? 53 Wianno Circle Property Address > t,Y..•? Ann Creed `+ Owner Owner's Name . information is Osterville MA 02655 11/02/14 required for every c � c. '`+ 1'"" + page. City/Town ' State Zip Code Date of Inspection r D. System Information (cont.) r1'iP•► r,` >:af.f M �t 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 Front Garage :A a..°J'J �£..� _ ` 1 .!!�J•.~` J•�t d r, :. '- .. ..11 11�. _.' .,. ..1 r B 71 1 . 1 t7,-.3.1, -7•-:tT ,:,Yt ,r'�t:.+., -.7.7 - ._ i .i «3`'-•• l A1)45 A2)52 A3)50 Y1i1;,.•IM .� v, B1)12 �. B2)26 „ , s. . r: rr`,rw . 1 B3)33 Pool �� �sr.l '1� i1� t r �'1' . . ."f/ � ".l: ...'r" « .:� r ... .Yi• ,,:r: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts . <-.. , :-;� , . ,� _ �-, ,,r ••� .,� v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form..-Not for/Voluntary Assessments 53 Wianno Circle 1 Property Address Ann Creed ; Owner Owner's Name iequiredfo is Osterville - MA 02655 11/02/14 required for every State Zip Code Date of Inspection Page, City/Town P P D. System Information (cont.) Site Exam: _ ❑ Check Slope ® Surface water t' r ❑ Check cellar ❑ Shallow wells - x` Estimated depth to high ground water: r. 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 plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: -- - , a' r, You must describe how you established the high ground water elevation: USGS maps show GW at 20 or more feet .. r Before filing this Inspection Report, please see Report Completeness Checklist on next page. thins•3/13 , Title 5 Of idal Inspection Form:Submatace Sewage Disposd System•Page 16 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 53 Wianno Circle Property Address Ann Creed Owner Owner's Name information is required for every Osterville MA 02655 11/02/14 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater Z Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3113 Title 5 O1Bde1 lnspecton Forrn:subsurface Sewage Disposed System•Page 17 of 17 y N -- 18 -- EXISTING CONTOUR x 16.82 EXISTING SPOT GRADE EXISTING WATER SERVICE °° FUTURE WATER SERVICE s -G EXISTING GAS SERVICE s° -0.H.VIA OVERHEAD WIRES o- TEST PIT o Po ctie -! BENCHMARK °f6 Rd LEGEND EXISTING SEP77C TANK LOCUS TOP OF TANK, EL.=98.71 N INV.(OUT)=97.38f i LOCUS MAP `O 99.90 �o NOT TO SCALE EXISTING LEACH PITIL ' TO BE PUMPED, FILLED WITH / Z SAND AND ABANDONED (SEE ALSO, NOTE'll, SHEET 2) . I ATC�BASIN o 0 UP 99.74 N 88'37'20" E _ I i - 113.00' j r�� WIANN0 LOT 226 99. 4AMP CI § MBL 139-010-002 N �a9 Cl'E 22,029 ±SF 100.75 ' - of pavement 100,51 SHED .100.28 o.. J 'P 100.94 100.27 G I: r: =STONE' '+, <i• .zs::��'. ., .'�`' SHED 100,2 "DRIVEWAY `Q a 10037` , 100.65 100,21 F `J'... ::. 2 - I 100.87 100.37 100.28 LAM00 P 100.04 /NGROUND 20' 'J:- I 3 9S;50: I: SWIMMING POOL O;�I Q /II 3 / 100.89 00.26 99.93 �� F AGP❑ E ` .: . PATIO, I 99: u►/'•:99.76I o -, 9 J Q FUTURE WATER SERVICE WHEN _RESERVE.AREA;IS.-USED,---- Wz *.: Y. a/. ;►n o 100.38 o TO .23 Ln PROPOSED O J = 1000 GALLON ~ P/' 1 o c SEPTIC TANK 9 1p � °99.30 t: ,.. •. 9.53 m x 99.22 �. 0 TP-2 10, ; ,7 o TP-3 , 98.08 m 99.75 ''98.92 98 2 39:67:* -*.':-.'.1:,:,-- '.-` 99.85 x 98.91 / STONE.:.,:. } wacK DRIVEWAY b BENCHMARK TBM COR./80TT LT. STEP 19p4Q-_ EL.=100.40 c �a EXISTING Z, HOUSE(#53) /)0 I r- 8 00,35 - T.O.F.=100.8f GARAGE t t / t car _ DECK `�� / t =can C) io N \ , 100.03 + + CD _ 93,61 r 9757 1 92.44 FENCE - N 86'51'25" W Mgss9�yGs PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN McENTEE VIL No.. 35109 5 J 53 WIANNO CIRCLE, OSTERVILLE, MA A ECISZER �� Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 P�F OWNER OF RECORD SS/ E Engineering by: SCALE DRAWN JOB. N0. COOLEY, M'ICHELLE MCCARROL TR 1"=20' P.T.M. 253-14 53 WIANNO'"CIRCLE REALTY TRUST Engineering,Works, Inc. 53 WIANNO CIRCLE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. �� J OSTERVILLE, MA 02655 (508) 477-5313 4/10/15 P.T.M. 1 of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:96.5 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER-OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER w PROPOSED S.A.S. OUTLET AND SET TO 6' OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND SET TO :3' OF F.G. TO SERVE AS INSPECTION PORTS F.G. EL.=99.7f F.G. EL.-99.8t F.G. EL.=100.Ot16 F.G. EL.=100.Ot /- VENT L = 5' 3'(max.) ® S=1% (MIN.) - L = 20' L 21' 4"SCH40 PVC ® S=1% (MIN-) p S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2 DOUBLER OF 1/8 TO 1 "2 6" 3" 14" 10"I s Oaa$Baa OR APPROVED FILTER FABRIC) •14" / INV.=96.95 48" LIQUID Oaaaaaaa --3/4" TO 1-1/2" DOUBLE ADD J LEVEL ADD } PROPOSED 3' 4.8' 3' WASHED STONE GAS GAS BAFFLE INV.=96.47 INV.=96.30 , BAM E INV.=97.38t' D-BOX EFFECTIVE WIDTH = 10.8' EXISTING INV:=96.70 3.OUTLETS INV.=96.00' SEPTA I ANK PROPOSED SEPTIC TANK _ a .5-500 GALLON TEACHING CHAMBERS 1000.GALLON 1000-GALLON,CAPACITY SURROUNDED WITH STONE AS SHOWN . H-20 RATED TOP CONC. ELEV.=97.1 t NOTES: BREAKOUT ELEV.=96.50 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=96.00 sass saes INVERTS, PRIOR TO INSTALLATION. OOOOa Oases 2) SEPTIC TANK & D-BOX SHALL .BE SET LEVEL AND BOTTOM ELEV.=94.00 TRUE TO GRADE ON A MECHANICALLY COMPACTED 3' 5 X 8.5'=42.5' 3' SIX INCH CRUSHED STONE BASE, AS SPECIFIED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 48.5' IN 310 CMR 15.221(2). PERVIOUS MATERIAL 3 INSTALL INLET & OUTLET TEES AS REQUIRED. 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM OF TP, EL.=88.6 = AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. (NO GROUNDWATER)` SEPTIC ,SYSTEM PROFILE SOIL LOG DATE: DECEMBER 11, 2014 (REF#14,587) GENERAL NOTES: SOIL EVALUATOR: PETER McENTEE SE#1542 WITNESS: DONNA MIORANDI R.S. 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL HEALTH AGENT BOARD OF HEALTH AND THE DESIGN ENGINEER. ELEv. TP- 1 DEPTH ELEV. TP-2 DEPTH 2. ALL WORK AND MATERIALS.SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 99.6 0" '99.6 0" ' LOCAL RULES AND REGULATIONS. FILL FILL 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 98 16 .98.3 16" TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE A A DESIGN-ENGINEER: - _ . - _ _; SANDY_LOAM.- T _. SANDY-LOAM, _.- -_ 10YR 4/2 ± 10YR 4/2 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 97.8 B 22" 97-8 B 22" FROM THOSE SHOWN HEREON SHALL BE'REPORTED TO THE DESIGN AM Y L M SAND O ENGINEER BEFORE CONSTRUCTION CONTINUES. 10YR SANDY LOAM AND10Y 5 5. ALL ELEVATIONS BASED ON AN ASSUMED. 96.1 42" 96.1 42" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF C C PERC THE. CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 42"/54' HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE- 8. THERE ARE NO WELLS. WITHIN 150' OF THE PROPOSED S.A.S. MED. SAND MED. SAND 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 2.5Y 6/6 2.5Y 6/6 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR:TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 88.6 132" 88.6 1 132" 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS PERC RATE <2 MIN/IN. ("C" HORIZON) IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). ELEv. TP-3 DEPTH ELEv. TP-4 '•DEPTH 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. 99.6 0" 99.6 0" 13. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC FILL - FILL SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. 98.1 A 18" 98.1 A 18" SANDY LOAM SANDY LOAM 10YR 4/2 10YR 4/2 97.6 24" 97-6 24" B B SANDY LOAM SANDY LOAM DESIGN CRITERIA t 10YR 5/6 - 10YR 5/6 96.1 .42" 96.1 42" ' C C PERC NUMBER OF BEDROOMS: 4 BEDROOMS + 1 FUTURE = 5 42"/54' SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN MED. SAND MED. SAND DAILY FLOW: 550 GPD 2.5Y 6/6 2-5Y 6/6 DESIGN FLOW: 550 GPD GARBAGE GRINDER: , NO-not allowed with design LEACHING AREA REQUIRED: (550 GPD) = 743.2 SF g"g 6 132" 88.6 132" .74 GPD/SF PERC RATE <2 MIN/IN. ("C" HORIZON) EXISTING SEPTIC TANK: 1000 GALLON CAPACITY (TO REMAIN) NO GROUNDWATER ENCOUNTERED PROPOSED SEPTIC TANK: 1000 GALLON CAPACITY (IN SERIES) PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-20 RATED PROPOSED ' SEPTIC SYSTEM UPGRADE PLAN USE 5-500 GALLON LEACHING CHAMBERS IN SERIES SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 53 WIANNO CIRCLE, OSTERVILLE, MA SIDEWALL AREA: 2(10.8' + 48.5') X 2 = 237.2 SF Prepared for: D.. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 10.8' x 48.5' = 523.8 SF Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:............................................................... 761.0 SF Engineering Works, Inc. N.T.S. P.T.M. 253-14 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(761.0 SF) 563.1 GPD (508) 477-5313 4/10/15 P.T.M. 2 Of 2 ' t 2s' I � J 2X 16' C. 12 �12 TYPICAL ROOF CONSTRUCTION CONT. RIDGE VENT. 2 CAR GARAGE ROOF SHINGLES WITH STORAGE SPACE ABOVE ASPHALT ARCH. 130 MPH RATED TRIFLEX V.B 5/8p COX PLYWOOD 2 X 10" WOOD RAFTERS ® 16" D.C. TJI 360 14" 16" O.C. °N° " METAL HURRICANE CUPS 2" X 6" WOOD COLLAR TIES CONTINUOUS SOFFIT VENT 1"X3" STRAPPING TYPICAL EXTERIOR WALL CONSTRUCTION LI CEDAR SHINGLE SIDEWALL II TO MATCH EXISTING TYVEK OR SIMILAR 1/2 COX PLYWD SHEATHING 2"X 6" WD STUDS ® 16" O.C. m f TYPICAL FLOOR CONSTRUCTION" UP 4" 3000 PSI CONCRETE SLAB ON COMPACTED SOILI '- 2"X6" PT SILL SPACED PER CODE M = WORKSHOP/STORAGE W 5/8 ANCHOR BOLTS ? " W/ 3.5" X 2.5' X 1/4' PLATES B" POURED CONCRETE WALL `Jj1 I W/ CONCRETE FOOTING ' — ���0 ARCM/TFC `y- QV OCgC.c / \ FOUNDATION AND FOOTING of �C9 �'LO EXTENDING BELOW FROSTUNE AS REQUIRED _ 3%523 PER CODE N� / \ O PGN�SET{S _ I V / OUT DOOR KITCHEN BAR AREA \ 5 • A �� ty 26' 26' to • c x . co '000 • �. .N - SIMPSON STRONG TIE STRONGWALL WSW 12X7.5 TJI 360 x 14"• -16 O.C. „ 2 CAR GARAGE STORAGE WITH STORAGE SPACE ABOVE 00 ^ _ .�. ARCH/T�, qgocA rn � � N�•3,�1.1� S N C (2)-TJI 360 x 14" � SIMPSON STRONG TIE STRONGWALL WSW 18X7.5 (2) TJI 360 14 4'-11 1/2' / RA FTER \ j X 8 16" D.C. \ a I � 6'-3" 5.-7" 6.—"3" /8 1.75 r - e w Y .. e .tie - . n• -. .s c r z cD (n A = Z O .Z7 3'-2 1/2" �— m 3'-11 1/8" m v m W 0 9'-3 1/8" rn D 3 M WO m D m I' 0 O co C) CA D Z D rn 0 m 11'-4 3/4" 28'a..+.'4 n...w4. , NAa^L;3.i��>d.Fu;.Se ..4�M7�A �..��Bl.m•u`4a;.^.+ .F.2..n...';;*f' 1*�P ;# 3656 3656 . 3' co �-- � M 2 CAR GARAGE N �s 2 Lo ` . 5'-1 1/2" 4, X U,71 P STAIRWELL/UTILITY POWDER ROOM00 — Lo co" I F L X rt; _ n f C N ff00 3056 3056 81 COVERED POOL PATIO 00 00 i� FUTURE OUTDOOR KITCHEN ❑ BAR AREA 23'-11" 24'-7" C �t,:,w.e n.i;>.:re:.z,.eF .,k.:r f,:+ ,f• :v�. :.: �twr'-.t ..a.w�s.�e4xrt-rv✓.,�u•��� ,_w=r'�x5e.y 3656 k 36E 5 EGRESS N ;r SHOWERS ,::�: >i.+u� '.Yv., .e.bi+n+•ri� � � - � A-iwb�xw.w wrxt a«i�• �. M 5 LINEN .f �� of O \ O SINK , I BEDROOM ABOVE GARAGE DN f GARAGE BALCONY r> I 30'-8" 15 �I 2X 16 C. 12 . E 6� ��� TYPICAL ROOF tr CONSTRUCTIO - F 2X 10 CJ 16" 0 C Y — CONT. RIDGE VENT. s= - - - ` ROOF.SHINGLES �;��'-------- -- --`------ - ---- - -- - -- -- ASPHALT ARCH. 130 MPH RATE TRIFLEX V.B.' 5/8 COX PLYWOOD ! 2" X 10" WOOD RAFTERS 0 16" O.C. METAL HURRICANE CLIPS 2" X 6' WOOD 12, COLLAR TIES 12� CONTINUOUS SOFFIT VENT , _ 1'X3" STRAPPING 9' KF INSULATION CEILING'*MIN. INSULATION BAY VENTS INSULATED RAFTERS ' Mrr KP. X-7'_ U 11.TJI 560 14 12 O.C. ' ',.: x_ . — -E y — Jf} d , yAj gl TYPICAL EXTERIOR � � W --- ------ ---- � WALL CONSTRUCTION CEDAR SHINGLE SIDEWALL J ` TO MATCH EXISTING TYVEK OR SIMILAR 1/2' CDX PLYWD SHEATHING 2'X 4" WD STUDS - ® 16" O.C. \ 3" POLY URETHANE CLOSED CELL R27 1/2" GYP BLUE BIRD/ SKIMCOAT PLASTER NOTE: INTERIOR OF GARAGE m 5/8" FC GYP BLUE BIRD/ SKIMCOAT PLASTER j ij m - i o .L8- I ` I f .r Z N — 18 —— EXISTING CONTOUR o 0 �tonn ® x 16.82 EXISTING SPOT GRADE a ° EXISTING WATER SERVICE oa- y o� RO FUTURE WATER SERVICE <,> —G EXISTING GAS SERVICE s O.H.Vie—OVERHEAD WIRES G°� o TEST PIT o p° BENCHMARK e°<r°`a Rd LEGEND LOCUS LOCUS MAP 99,90 NOT TO SCALE Z J A v ATC){ BASIN o I 99.74 UP � w - N 88'37'20" E ` o 113.00' LOT 226 ► ��\�I A NNO CA MBL 139-010-002, 22,029 ±SF LAMP W 99 4 CIRCLE 100.75 Of pavement 100.51 100,28 APPROX. LOCATION . GARAGE/ x `cn 100,94 CABANA OF PROPOSED DRIVEWAY c� I`o W (sleeved) w 00.2 \ �• O PORCH 100,65 ``': 21' ao 100,87 FENCE f. ODer 10028 LAMP / / / ADD ONE CHAMBER TO THE O / / :1.: ;:., EXISTING S.A.S. FOR 6 TOTAL TWO EXISTING INGROUND- 99,50.' W/ EFFECTIVE LENGTH OF 58, 1000 GALLON SWIMMING 1:00,25 NKS l l POOL SEPTIC TA C / 100'89 IN SERIES o0.26 QI ro W I �` ' 99.93 EXISTING S.A.S. 5-500 GALLON CHAMBERS / 98.96 WITH 3' STONE ALL SIDES 0.01 z ui: o: 100,38 10b,23 / // r` o can \ O O / 10 rn 99,30: mX 99,2299,71 TP-2_ TP-3 ; f m x x 99.7599.85 \ x .98.91 STONE:. \ WALK :-'ORlVEWi4Y .: TBM _ } 97.14 98.11 EXISTING z HOUSE(#53) oa35 : o: T.O.F.=100.8f -�—-—916- , < GARAGE � � 1 •c1' w_ DECK — 1 0. o 100.03 0 N \ I \ \ + I 93,61 \ 97.57 � 138 11' � \ �. . 92.44 FENCE N 86'51'25" W PETER T. G�, PROPOSED SEPTIC SYSTEM EXPANSION McENTEE o CIVIL PLAN REVISION-10/13/16 53 WIANNO CIRCLE, OSTERVILLE, MA No. 35109 ADD SOIL LOGS, SHEET 2 A GISTER�� `�� Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 OFF ION L OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. CARNEY, PAUL J 1"=20' P.T.M. 253-14EXP 53 WIANNO CIRCLE Engineering Works, Inc. OSTERVILLE, MA 02655 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 9/28/16 P.T.M. 1 Of 2 19 EXISTING' EXISTING EXISTING EXISTING YSTEM VENTED n ` v0m 3'(rnax.) 2" LAYER OF 1/8" TO 1/2 DOUBLE WASHED STONE 14" io"I )P7 as $ as (Ot4^ 6BaBa SBaBm 9a8�®6�:=i B} EXISTING 48" UQUID --3/4" TO 1-1/2" DOUBLE GASJ LEVEL GAS BAFFLE EXISTING 3' 4.8' 3' WASHED STONE L XISTING EXISTING EXISTING EFFECTIVE WIDTH = 10.8' XISTI G EXISTING (EL.=96.Ot) SEPTIC EXISTING SEPTIC TANK LEACHING SYSTEM SHORT SECTION SEPTIC TAN GALLON 1000 GALLON CAPACITY H-20 RATED EXISTING (EL.=96.0t) aaaa aaaa 6aaaa 96aaa RUBS aaaaa MATCH EXISTING(EL.=94.0t) 3' 6 X 8.5'=51.0' I 4 EFFECTIVE LENGTH = 58.6 LEACHING SYSTEM LONG SECTION 4' STONE(END) ADD 1-500 GALLON LEACHING CHAMBERS IN SERIES FOR TOTAL OF 6. WITH 3' OF STONE (SIDES) 4' STONE (END) SEPTIC SYSTEM PROFILE SOIL LOG GENERAL NOTES: DATE: DECEMBER 11, 2014 (REF#14,587) SOIL EVALUATOR: PETER McENTEE SE#1542 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL WITNESS: DONNA MIORANDI R.S. BOARD OF HEALTH AND THE DESIGN ENGINEER. HEALTH AGENT 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ELEV. TP- 1 DEPTH ELEv. TP-2 DEPTH OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. 99.6 0 99.6 0" 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR FILL FILL TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 98•3 16" 98.3 16" DESIGN. ENGINEER. A A SANDY LOAM SANDY LOAM 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 10YR 4/2 10YR 4/2 �-- -FROM-THOSE THOSE SHOWN--HEREON-SHALL-BE REPORTED-TO-THE-DESIGN --97.8-- --- 22" - - ---97•8- 8 -8 ENGINEER BEFORE CONSTRUCTION CONTINUES. SANDY LOAM SANDY LOAM 5. ALL ELEVATIONS BASED ON AN ASSUMED. 10YR 5/6 10YR 5/6 6.-THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 96.1 42" 96.1 42" THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF C C PERC HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 42"/54' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS MED. SAND MED. SAND AGREED UPON BY, OWNER AND CONTRACTOR OR AS OTHERWISE 2-5Y 6/6 2.SY 6/6 DIRECTED BY THE APPROVING,AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 88.6 1 1 132" 88.6 1 1 132" 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND PERC RATE <2 MIN/IN. ("C" HORIZON) REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS 'SHALL BE ELEV. TP-3 DEPTH ELEV. TP-4 DEPTH INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL 13. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC 99•6 0" 99.6 0" SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. FILL FILL 98.1 18" 98.1 18" A A SANDY LOAM SANDY LOAM 10YR 4/2 10YR 4/2 97.6 B 24" 97.6 B 24" SANDY LOAM SANDY LOAM 10YR 5/6 10YR 5/6 DESIGN CRITERIA 96.1 42" 96.1 42" C C PERC 'NUMBER OF BEDROOMS: 6 42"/54' SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN MED. SAND MED. SAND 2.5Y 6/6 2.5Y 6/6 DAILY FLOW: 660 GPD DESIGN FLOW: 660 GPD GARBAGE GRINDER: NO-not allowed with design ,LEACHING AREA REQUIRED: (660 GPD) = 891.9 SF 88.6 132" 88.6 132" .74 GPD/SF PERC RATE <2 MIN/IN. ("C" HORIZON) EXISTING SEPTIC TANK: 1000 GALLON CAPACITY NO GROUNDWATER ENCOUNTERED EXISTING SEPTIC TANK: 1000 GALLON CAPACITY EXISTING D-BOX: , INLET, 3 OUTLET PROPOSED SEPTIC SYSTEM EXPANSION ADD 1-500 GALLON LEACHING CHAMBERS IN SERIES FOR TOTAL OF 6. WITH 3' OF STONE (SIDES) 4' STONE (END) 53 WIANNO CIRCLE, OSTERVILLE, MA SIDEWALL AREA: 2(10.8' + 58.0') X 2 = 275.2 SF Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 10.8' x 58.0' = 626.4 SF Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:............................................................... 901.6 SF Engineering Works, Inc. N.T.S. P.T.M. 253-14EXP DESIGN FLOW PROVIDED: 0.74 GPD/SF(901.6 SF) = 667.2 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 9/28/16 P.T.M. 2 of 2 s 0 �0 G � � O � �z o --! GIRG11; J LOCUS NFcK AM 139-022 AM 139-023 POND ?A H5E#284 H5E#55 BM:TOP CB FND. EL. 25.9' DATUM:A55IGNED N NW 37' 20"E N 10 33' 40"W ,,26 , 1 13.00' w 4.0 N LOCUS MAP 14.34 REMOVE W SHED N67- 0 . W ° .; . c ��LE ASSESSORS DATA: PROPOSED 139-0 10-002 'f GARAGE c71 4.5 SCU i ' ADDITION00 LOCUS ADDRE55: D[,�R rn #53 WIANNO CIRCLE, 05TERVILLE +24.5 ; s 20. �` ��",� REFERENCE CERT: 199818 ��`;:. 'S P, f• REFERENCE PLAN: 2GG4-1 12 REMOVE �\ \ i 1 O SEPTIC SHOWN PER INSTALLER AS-BUILT 5IiED 1 `\ �.• C`� P` 00 O ZONING DISTRICT:RC :." f'n O OVERLAY D15TRICT: V t i '/•'• ��? 1F • ". �_.:�j u.: AP�RPOD /1• ' J EXISTING RC BUILDING SETBACKS: 1 1; '• i. S.A.S. 'I. Q / 1' ' / :► 1 o:, FRONT-20' 0 & J �.4/. 1 +24.8' !+�',.>A- ' SIDE*REAR- 10' J FEMA FLOOD DATA:ZONE Wl O I / I i:. 1 22,029± S.F.li 1 •?,\4 / ;.i 3� ; O MAP: 25001 C0757J MAP DATE:JULY I G,2015 M1 3 -009 H5E#47 PROPOSED��.... / �. , � •.• T r-„� LOCUS IS IN WIND EXPOSURE ZONE"B" +23.6 / ���/ ADDITION (DASHED)./ \\• .. '` 53, _ RECORD OWNER: / REMOVE - THE PAUL J. CARNEY 2009 TRUST EXISTING PAUL J. CARNEY,TRUSTEE DECK J. _ — II j-PROPOSED r v ■ DENOTES CB FOUND 0 DENOTES PIPE FOUND � / • ENTRY . ,i� \ ;'�,' AM 139-01 IH5E#291 S' y EXISTING \ ,' 1 .O FIELDSTONE WALL 1 , c 0 : < : ' PLOT PLAN OF LAND EXISTING 'l +22.5 PREPARED FOR FIELDSTONE Mo +23.4 Nj WALL F�1/ 041 . Z snN= #53 WIANNO CIRCLE 8 � 05TERVILLE, MA55ACHU5ETT5 �'� PROPOSED .� 1 W ; N ``�.. `y �3 ADDITION / 1 : 4 DATE: NOVEMBER 24, 2015 O +17.6 �' 'ZZ ; �• ` '•G'S. a SCALE: 1" = 20' 8 • a' -A o, Iy NSG° 1 25"Vb i:�' `•' \ PLAN REVISIONS: FENCE �' 7 p EXISTING �D i \� AM i 15 -022 O`1 FIELDSTONE Q O� WALL /4 kO AAA AM 139-010-001 1 '►�a�1H OF �f ♦Cj� �CaIST F 19 Ss� / H5E#5 1 � STEPH NF�9CyG` REV. 05/20/1 G ADD PROPOSED GARAGE J.LE � ►DOY -+► ° 3NO 37559 5TEPHEN DOYLE AND A550CIATE5 ss� .� 42 CANTERBURY LANE EA5T FALMOUTH, MA55ACHU5ET75 0253G TELEPHONE: 508 540-2534 5JD5URVEY@AOL.COM