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HomeMy WebLinkAbout0021 WIANNO HEAD ROAD - Health hanno Head Road Osterville 1 �o n A = 091 005001 , a m m , < a , ° n , c e � d a s , y < m � c ° TOWN OF BARNSTABLE LOCATION ,44 Qg,MgI ,t6 k[&seJh R t SEWAGE# VILLAGE ,otr�Ile ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. -7 R 1-CS13" SEPTIC TANK CAPACITY -11ve LEACHING FACILITY:(type) '��i4- (size) 4-4--5-X L..Y_42 NO.OF BEDROOMS OWNER k P , 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) $ :-3 Feet —7 / FURNISHED BY Dlrt, „�, L>�piri•r v nyr jq r We, < No. I Cd/ :✓ = i' FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, ARNS'fPeL-e- MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to ConstrucOA Repair( ) Upgrade( ) Abandon( ) - 3/complete System ❑Individual Components Location V W i AN N6 H EPID f&R12 Owner's Name Zt V3tAWNG 14M) ROAD �FA!L" VUS Map/Parcel# q A L, 5- Address 89(Q k VAA IN Sr, obTmvIUF- Mp OZfo 5 Lot# Telephone# Installer's Name G()-TOL-b-r-r I CD-,jSnuL..n6N ill C• Designer's Name C--NkNri;VJ96t NC- Address R b '>ytx M ty A Address q 6, PO 2D FV-?ZARDS M Telephone# 5 O�_ i .- 9;99 DZ�o 0 Telephone# 5 p8-833-00-7 p 02532 Type of Building S i Nt�L FAM I Ll./ Lot Size 59, 69 13 sq.ft. Dwelling-No.of Bedrooms 5 Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 55® gpd Calculated design flow 550 90d Design flow provided D gpd Plan: Date hetz IL, 13. 20 t b Number of sheets I Revision Date - r Title ?1Z0j225L7> S1J951J2FtKr SLIX-C AL, 5�4-5r4ZVn ilq KTAS&C-1 V1 p Description of Soil(s) S' I.RN Soil Evaluator Form No. Name of Soil Evaluator SLUE WIL S6 4 Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS ZA IR-F- Ex l s-ro4 c, 'Bo LDi►tat Co N STPz vc r 1 I eyj S 17-t&LJG �/1Mi LN T)wrU IJ[G- ulji-TP riir'IAI 5 gEbrum 2�4.sTrzm The undersigned agrees to inst a above described Individual Sewage Disposal System in accordance wit of TITL�5and further agrees to not to pl ace P system in operation until a Certificate of Compliance has been issued _ �t th. Signed Date G DONALD F. con BRACKEN JR. Inspections r 7 0 9 p a.�, No. FEE CO��IOTA,VEATII OF MASSACHUSETTS Board f Mlth, BARN AM. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct(ARepair( ) Upgrade( ) Abandon( &/Complete System LJ Individual Components Location 2_1 Wj•A K16 Reptp f&p,,D Owner's 2_k qt\ING 14eAl) Poj4-D PEALri Map/Parcel# RwLu, 5-1 Address P)9(0 (\AAIN ST. 0 ,Ti -\OUEAH 024125 Lot# Telephone# Installer's Name Designer's Name ZPACKEN�Tor E--N61N1r--0Z196,.1 (14C. Address Address,L Al(1�(-SF Al A q9 /4raj2jt46\ Pow) ►2 ) 13VJZAVDS Telephone# 5 06- 07 Lo q 00 Telephone# '509-833-00-7 0 Type of Building SI NFL AL FAMILq Lot Size 59, (o 13 sq.ft. Dwelling-No.of Bedrooms 5 Garbage grinder Other-Type of Building No.of persons Showers ( ),Cafeteria ( Other Fixtures Design Flow (min.required) 55O gpd Calculated design flow 65 Q 9 Pd Design flow provided CC 590 gpd 4- Plan: Date heft I L. IS 2O16 Number of sheets 1 Revision Date!* 17- Title-TgopoSran 5Q;?S\JV-FACrF 5ENX-rz- T'4<;9i)5OG 51451-rVn N Description of Soil(s) SeC PtAqN Soil Evaluator Form No. Name of Soil Evaluator �51e\Jr-- Wa,56N Date of Evaluation DESCRIPTION OF REPAIRS ORALtERATIONS ZARE 6-xl St!N6, 13VIUDINIG , CONS A:-r �Etk) S1-144 Lr- T-Amlw (AJI-TP �171VZOOD/I 5\�STVIY\ The undersigned agrees to instva—Ir-thit above described Individual Sewage Disposal System in accordance with the ns of TITLE 5 and f ther agrees to uo"Q, 4 system in operation until a Certificate of Compliance has been issued by e Pl. Signed l Date DONALD F. InInspections 'ACKE R. ST /& NQ FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, i3Aga;M:3 U MA. CERTIFICATE OF COMPLIANCE Description of Work: CJ Individual Component(s) d'Complete System The undersigned hereby certi that the Sewage Disposal System; Constructed (or-Repaired Upgraded Abandoned by: 1W X-1-V kA -1;) �/,-j On V"i at 7-1 w14i-j^jQ i4 41!) Ky. 0,57T.c o v o L,L, has been installed in accordance with the provisipns of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to -,/-zp application NogZOIK- q/j ,( dated Approved Design Flow (gpd) Installer Designer: Inspectot`.1----�-A,�N Date: Z Lj 7 The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No T FEE COMMONWEALTH OF MASSAC14USETTS Board of Health, MA. DISPOSAL SYSTEM CONSTRUCTION PERM11. Permission is hereby granted to; Construct Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at ?k as described in the application for Disposal System Construction Permit NoP6 dated Provided: Construction shall be completed within three years of the date of thispeeri All local conditions must be met. ' 02 Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Dat61(11 V Board of Health f f � Town of Barnstable °Ft '��° Regulatory Services ' Richard V.Scali,Interim Director + BAMSTABLE, t MASS. ��� Public Health Division A'F1659. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 i Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: f( 4141 Sewage Permit# ��:.f 2� Assessor's MapTarcel��� Designer: �jAe*5A'/CAW-)VtW6tP/&WWePj Installer: j /LjjJ(,flTrj tIi��. Address: 7/7t'I¢4e,414j )'%.V 440 Address: lNwJney Ih Xaz~i` R M//- A4rZ0&Vf,0*1Z4S � iP Za`7z o26 On /�-��(O �j,G,,2, was issued a permit to install a (date) (installer) septic system at 4//6VA4 AW I4 based on a design drawn by (address) 1/ �C W•.t�C dated )OW (designer) �"� I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip 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 s stem referenced above was constructed in compliance with the terms �thepro al letters(if applicable) . H;OF Mgssgc ' o� DONAtQ Installers Signature) o BRACKEN JR. ( ' g ) .civil, No..37071 (Designer's Signature) (Affix ' , p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Form Rev 8-14-13.doc Letter of Transmittal LA JXML6I K,EN 49 Herring Pond Road 19 Old South Road Buzzards Bay,MA 02532 Nantucket,MA 02554 Tel: (508) 833-0070 Tel: (508)325-0044 Fax: (508) 833-2282 To: From: Thomas McKean, Health Director Bracken Engineering Barnstable Health Division 200 Main Street Hyannis, MA 02601 ---------------------------------------------------------------------------------- Re: 21 Wianno Head Rd., Barnstable Enclosed: • Revised Subsurface Sewage Disposal System Plans (2 copies) • Revised Application for Disposal System Construction Permit Signed: Donald Bracken Date: 519117 S No.\':�- 1-� L194 Fee-------`--- BOARD OF HEALTH TOWN OF BARNSTABLE Zipplication. orlVell ConfStruction3perrnit Application is hereby made for a permit to Construct (V-)""Alter ( ), or Repair ( )an individual Well at: Man _ S Location - Address — Assessors Ma and Parcel — --- ------------------ } �/ � `[ � Address --------"�' v'vF��i Installer - ller �� b�`�7 -------1 - -"__""".-y--- 1Address�� Type of Building Dwelling— --- -- - — --- -- Other - Type of Building---------___._____ No. of Persons--- .. Type of Well 1 �- Capacity— Purpose of Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate.of Compliance has been issued by the Board of Health. �r Sign --- - —--- �.�1__-- 9 VIR Application Approved By — �__—__—____--_— date Application Disapproved for the following reasons: _..____ _ -- . ------__--_--- ------------_------__-date Permit N .d' � d�` J v U 1 7 �` —_— Issued ---� -—` 1- —------------ date -------- ------------------------------------------------------------------------------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (Altered ( ), or Repaired ( ) -- ---------------- Installer at 00 --- --- - - --- - ---- -- - - ---has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well P ote tion Regulation as described in the application for Well Construction Permit No. �7 `-�-Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- - — -- Inspector----__--- -- • y ` r No.�iJ` � 6P4 ' f y Fee------- --`------ BOARD OF HEALTH TOWN OF BARNSTABLE " Application-forVer[ Con0tructioni9ermit Application is hereby made for a permit to Construct ( Alter ( ), or Repair ( )an individual Well at: fr Location - Address Assessors Map and Parcel — (�Qf t-'t'iF"Crt1-� ✓� �-�-� Address Type of Building . i Dwelling Other - Type of Building No. of Persons----.--------------_—__A__._-- Type of Well 1 i - �� Capacity-- Purposeof Well---- ----�` (�LFi'1...� I Agreement: The undersigned agrees to install the aforedescribed individual well.in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Sign �� - —-- — ati —_ -- -- date Application Approved By date Application Disapproved for the following reasons: date r Permit Nd " ';, _U`X-q Issued--- - - —--- ------ date _ - -.--------- _---------d-----_- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (vf Altered ( ), or Repaired ( ) by— Installer _.__ 1 l�7 I tJ o -! has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for,,Well Construction Permit No. Dated i • THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector - - -—_-- - — - - _ BOARD OF HEALTH TOWN . OF BARNSTABLE '{ lVell Con5truct ion permit No. Fee- L -✓----- Permission is hereby granted r to Construct , Alter ( ), or Repair ( ) an Individual Well at: No. —.—__ — �'-� �` `�t�_ ?street - -- ---------- ------------------------ - i. as shown on the application for a Well Construction Permit I I ------ -- No.- L..l � �� Da� --- - Dated.—--L - -- ----- Board of Health DATE ---— --__ 6; s d =L r p � 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION �1 ASSESSORS MAP N0: FAflCEL N0: 0016 bd TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION, Property Address: 21 Wianno Head Road Osterv'Uk MA 02655 Owner's Name: Estate of Francis Schaefer Owner's Address: Date of Inspection: June 25, 2004 Name of Inspector: (Please Print) James M. Ford Company Name: James M.Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,'accurate and complete as of the time of the inspection. The.inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: June 28, 2004 The system inspector sh\submiiicopy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 21 Wianno Head Road Osterville, AM Owner: Estate of Francis Schaefer Date of Inspection: June 25, 2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 f Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 21 Wianno Head Road Osterville,AM Owner: Estate of Francis Schae er Date of Inspection: June 25 2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. 1 ` The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 21 Wianno Head Road Osterville,MA Owner: Estate offrancis Schae er Date of Inspection: June 25, 2004 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool I ✓ 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''/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_. 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. v' Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CUR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd.. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D-above.the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR YOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 21 Wianno Head Road Osterville,MA Owner: Estate of Francis Schaefer Date of Inspection: June 25, 2004 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? ✓ — Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ _ Were as built plans of the system obtained and examined?(lf they were not available note as N/A) ✓ _ Was the facility or dwelling inspected for signs of sewage backup? ✓ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ — Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ — Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ — Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue'approximation of distance is unacceptable)[310 CMR 15.302(3)(b)]: l 5 i Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 21 Wianno Head Road Osterville,MA Owner: Estate of Francis Schaefer Date of Inspection: June 25, 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Number of current residents: 1 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed 4114187-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 Wianno Head Road Osterville, AM Owner: Estate of Francis Schaefer Date of Inspection: June 25, 2004 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 3' Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. Sludge depth: 2" Distance from top of sludge to:bottom of outlet tee or baffle: 30" Scum thickness: 1"' 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: 12" How were dimensions determined: Measuring,stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE_ SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 Wianno Head Road Osterville,MA Owner: Estate of Francis Schaefer Date of Inspection: June 23 2004 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete ._metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: Qallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was level and clean. No solids were present. PUMP CHAMBER: None (locate on:site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.)- 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 Wianno Head Road Osterville,MA Owner: Estate of Francis Schaefer Date of Inspection: June 25, 2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 3 flow diffusors with stone-per as built card leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): There did not appear to be any signs of failure. The bottom to grade was approximately 4.5. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: l Depth of scum layer: Dimensions of cesspool: ' Materials of construction: Indication of groundwater inflow'(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 l Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 Wianno Head Road Osterville,MA Owner: Estate of Francis Schaefer Date of Inspection:. June 25, 2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. rronT' ,Q I 13 al a y 13 3 3Sg 3°► L y y t 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 Wianno Head Road Osterville,MA Owner: Estate of Francis Schaefer Date of Inspection: June 25, 2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 11 +/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: Topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS-database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic maps and water contours maps, the maps were showin-approximately I P+/-to Around water at this site. 1 t This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed,written or implied,relating to the system, the inspection and/or this report. S ` _. -_.-�---sue.---` "r'__s."'r.®-"""', `_� �,�, sF---,�-' Town of Barnstable P# _Off IHI row o Department of Regulatory Services t 9AFWVrABLE, 's Public Health Division Date ✓}—�J ,bJq; 200 Main Street,Hyannis MA 02601 , ''lEn Mph• Date Scheduled Titre / Fee Pd. ....Soil Suitability Assessment for Sewage Disposal Performed By:S, iwr Serf 0 Witnessed By: — r LOCATION & GENERAL INFORMATION Location Address �rr11 I wt a hho. ."Caj Drtvc Owner's Name C, 5-f&t vv-o s. Tr1r. h' b6 Maim Address (6 55' Assessor's Map/Parcel: M Wc+).. o-r I p�12GieZ f�0$^G c7/ Gobi t er's:;an�e maker"+6iew vri::`t t,r'l�r e. .1� �juufer - fU� NEW CONSTRUCTION X REPAIR Telephone q cais 77/-7n Land Use rr s i al-e w h a.I_ Slopes(%o) to Z Surface Stones /Zd a� Distances from:• Open Water Body LIsi 13o!gft Possible Wet Area ft Drinking Water Well tt Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) q I a c.t r, Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs,hole: in. Depth to soil mottles: In. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well N Reading Date: index Well level Adj.factor Adj.Groundwater Level— (-7/0 �,P' COLATION TEST Date Time OW4'vation Hole*1 r 1..- 2 Tinie 0 9" Depth of Pero sd q She G Time at 6". Start Pre-sonk.Time a 10 i 1le !%413 Time(9"•6") End Pre-soak Unto 6eA Rate Min./inch s'"""LI✓ Ssr�� ,t Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) Original: Public Flealth Division Observation Hole Data To Be Completed on Back----------- ***If percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at.least one(1)week prior to beginning. Q:HEALTH/W P/PERCFORM \µ2011 - 0000101� w DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. 1Gravel) 3// -- �. / L` C Yvl c°R'C*A rS G 2 5 yrl�" - no C'w.-V 6.6scror.0 �. ,3Z 3 Ul DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA). (Munsell) Mottling (Structure,Stones,Boulders. ons' tej1CV.%S,ravel) A G.ce�ro7 Schap 10 Yt2 ��! 3d"- l3z" C t'> tj. Sond 10 Yr- G/3 � I DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. p\\�MMQQ``, pryer Consistency.%Gravel) 9 2 3'' /gyp L-o it rA 23`^32a l�°a"`7 S� 10 Yl'i! 74 3 32`r-132`r G ►vlerD SanuP 1,0 Yk 7/`/ A)o W le, 04,se u 4 DEEP OBSERVATION HOLE LOG Hole# Depth from Solt Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten c r.%Gravel) 6"- zoo Ap �a Gtil Scri �� 4'� 2/1 3 2o''- 1a lik 3/6 (/1 3,y`'i3Z' C M e.dl. to A)- 06te, 0 s.a....... Flood Insurance Rate Man: Above 500 year flood boundary. No_ Yes 'K Within.500 year boundary No Yes Within 100 year flood boundnry No 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? yr-6 If not,what is the.depth of naturally occurring pervious material? Certification I certify that on r ►71S date)I have passed the soil evaluator examination approved by the Department of Envirorunental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date Q:H EALTI-I/W PMERC FORM TOWN OF BARNSTABLE - LOCATION C) ]. LJ I AM O H GIJ R�- SEWAGE # �6" VILLAGE OSTvV, l e- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 15 CO LEACHING FACILITY: (type) 3- POW b'47uSSv (size) NO.OF BEDROOMS 3 BUILDER OR OWNER SCE AeA/ PERMITDATE: 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 leachi�g facility)' Feet Furnished by cull,, A' rs I Q I 13 al a a I°► a'1 3Sg 3 . y 3 3 9 --, =�-• � TOWN OF BARNSTABLE ' VVt�lhnp � LOCATION t� _ ��9 Ad SEWAGE # 5 T VILLAGE A a/L L ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. (/�M4111-0 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 0bcA1fdx_- (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER i BUILDER OR OWNER {Z DATE PERMIT ISSUED: ltl,2--110 DATE . COMPLIANCE ISSUED.- VARIANCE GRANTED: Yes No I f i ya 0 ol�FV3 vIL /17 No............. ......... Fmc....................... ....._ THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH ......................._............---...OF...................--.-•...--•........................................................... Applira#iuu for Disposal Workii Tonstrurtiuu lbrutit r Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: \ Location-Address or Lot No. MYtS- RAaN IS cJ �c�/ ........................ Owner Address a --- . •-••--... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......� .............................Expansion Attic (No) Garbage Grinder (Nv) ,--' p, Other—Type of Building ...Rl�--_ .:.......... No. of persons......../................. Showers ( 2-) Cafeteria (—) Other fixtures ..__ I_/Z- t CV................. W Design Flow............................................gallons per person per day. Total daily flow..........................................__gallons. Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter---------------- Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. _ Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by....................................................................... --- Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_.____.______-_------_-: Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to'ground water------------------------ ---••---------------------••------.....-------••---..... --------------------- .....-----........__.........----•------------•---•••------•...-•---•..•---- O Description Soil TO R``2 wA 1.®._ } 1M �k11 'c h x ! `_ . U ---- u t-- -�`si •-- ----------•-•------------------ ......-- -------------- -- 3 Flo 4"ffwC JS U Matti of Re airs or terati ns—Answer when applicable______I: ®�?...___ _____�_ _____- _-T—WK...•._*-___ ..._. - � �=� -�- -------------------------'�- ��o------.W-L. � . 9 . y Agreement. �- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1 i'i : p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Com liance has beerL.issued by the board of health. Signed-- ,o A. .. .................... ..../ A Date Application Approved By--------................................ _ ... . .......f l -•--•--•-� ZDati Application Disapproved for the following reasons:.....................................•............_.___.__..._....__________.__..___.__ --------------••----•--•-------•-----------------------------••••-------..._.._............-----........ ---------•-•••------------••-•----••---------------•-------------•---•-----•-------•-•---••-- Date PermitNo.---•--•..........................................•••-... Issued.-•----•--------------------..._...............•----•-- rr-y'�-+ Date r' ASSESSOR'S MAP NO. Cflj- PARCEL (' LOCATION SEWAGE PERMIT WO. VILLAGE I N S T A LLER'S NAME i ADDRESS r e UILDE R OR OWNER D A T E---P-t R~M-1-T-I S S U E D D A T E,.__C O_M_PA_LA_N-C-E-.i_S_S U.E D . _ _ J "op .`� ,`.+, __ ., ,. I �T+S�w�r I GrRG_F_M F�-S i ff-Al9rTi��+ �� �� �� ���� f No.�.b.. Fss......7 1495 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ...... ..._----OF.................................I---------- Appliration for Bhripogal Works Tomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................. ....'------•----•-•---•--•------•-••-•••--•-------•--•._.._-•-•-••--...-------•----.............-- �• Location-Address or Lot No. Owner Address ............................................... ............ r� ?�:�c �.�i.:........................................ �3r�r �rr3l s InstalSer Address VType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..._ ................................Expansion Attic (vu ) Garbage Grinder #v ) -r- ._........_ No. of persons .................. Showers 2 — Cafeteria a Other—Type of Building _Q�. _.t p ( ) (-- ) dOther fixtures ... -JW W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ xDisposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.............••-••••-•-•------•---•------••--•-•--••--•---------------_... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water---_-._______-__---_-_ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •-••------•--•--------- ----•-•--...----....---........__......---•--...---- ----•--_..........•-•--....•-•--•------...-------•---•........_.---•--•••--... O Description pf Soil--..-10 .14 ......d-F------...t?.�.1 _ f. . • { Adz......ri�t�11 (.) ------------------ -----------------------------•----•---------------------......------•-------.....------------------•-•--••---•• --- . .............. ------ Nat r of R airs or terad ns—Answer when applicable "[ !�.�1 ---••• U �P t -� PP Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of!`tT l^ �of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Co pliance has beeD issued by the bo#of health. 9 1/��/�� Signed.. ............. ................. ....�---r... . ..••. Dat $�1 Application Approved By............................... �... -• . ...... ................................. Dak Application Disapproved for the following reasons:.............................................•.............._____.._.._._._____..................---•...-•--... -•-•-----••---------------------------------•------•--------...........----------'--•---•------........_.-----------------------•---------------------------•-------------------------------------..._.. Date PermitNo....................................................._. Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS ��7OF ARD OF HEALTH Tnrtifiratr of Tompliaurr THIS IS TO CERTIFY, That the Individual Sew;: a Disposal System constructed ky) or Repaired ( } b � -V............Z•��� y----------------•...........----••--.......-•-••-•---'--•'...._.....-• r Installer ,� n at . `� A�1►1 f.--•-------.. ... ...................................... has been installed in accordance with the provisions of T ILTILC: j of The State Sanitary Code.as de• ribed in the application for Disposal Works Construction Permit No...... Z_�_...__.. dated__..._.. �_�. r::1... ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTIO SATISFACTORY. DATE....................... ...{.... .. ................................. Inspector.................................................................................... f% = 091- oo' THE COMMONWEALTH OF MASSACHUSETTS OARD OF HEALTH OF............. .C, ... NO.................. FEE........................ Disposal Worko Tonstrurttion VPrntit Permission is hereby granted ... to Construct ( ) or Repair ) an Individu Sewage Disposal Sy tem • 'n►,�,v...--..tl R! .........Os��r�� 11 at No.-•--•--•••--•---••--------•-•-----------•......•---••. a •. Street _ 7L' rp as shown on the application for Disposal Works Construction Permit No...�4 .p.-. Dated_._._•_...�/_I ._1._�.._O.ln... .............................. (-+--•-.... / + Board of Health DATE..------� t..........6 1--1 1?..................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TRANSMITTAL BAXTER NYE ENGINEERING & SURVEYING' Registered Professional.Engineers and Land Surveyors 79 North Street,Yd Floor,Hyannis,MA 02601 Tel:(508)771-7502 Fax:(508)771-7622 Date: 3 31-I TO: E.LLEN Total.Nn.Pages: BARNSTABLE BOARD OF RN Job No.: Subject: Phone: 508-862-4644 . FAX:_ 508-790-6304 cc: PLEASE FAX ANY OF THE FOLLOWING INFORMATION;: SEPTIC: PERC TEST LOCATIONS SEPTIC SYSTEM CONSTRUCTION PERMIT SKETCH OF SYSTEM INSPECTION REPORTS TITLE 5 ADDRESS: Z I Thank you, Kim Batta Kbatta@barter-nye.cotn G�Z�11J F - OtIIA Note: . This transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible, incomplete or not intended for your use.Thank you. 1:\document templates/transmittal template,., T'd t7�906L80ST:01 WOdd dET:2T T T02-TE-Ww r4 GENERAL NOTES. BAXTER NYE / DH iND ENGINEERING& .3 1.p ^ Y - 1. THE INTENT OF THIS PUN IS TO DETAIL EXISTING SITE CONDITIONS AT LOCUS. I'�./� p>'• CB/DH END ) - z .4 •� -a.a / , _ SURVEYING - 4., �' / ;-ate F ak tSp b .'6. •MI 2.)LOCUS AREA IS COMPRISED OF: - `t`4- rG ASSESSOR'S MAP 091 PARCEL 005-007 LAND COURT PLAN 2664-121 Registered Professional Engineers - 0 V . ,Fe a and Land Surveyors P a• .�4.4 I .f, APPLICANT: MICHAEL MOLTA g. 78 North Street - 3rd FI°or R A ? MOLTA CONSTRUCTION ,= 19p / " Ilrs `I w a F {' 9 SAWYZE DRIVE Hyannis,.Massachusetts 02601 s O �e -o. l NANTUCKET,MA 02554 a33,,. x'48 �, ��.- ''.3IG Phone - (508)-771-7502 z �• / �)`� - 4' - Fax - (508) 771-7622 ."i �_ 3.) PROJECT BENCHMARK:NAG SET IN DRIVEWAY-•EL= 13.12'NGVD29 y >`� PROJECT BENCHMARK:MAC SET IN DECK-EL=4.99 NGVD29 www.baxler-nye.com _ �O9y �� _ -- Be '. K.' y'u r4k. A,),L 'N"I, AS SHOWN ON THIS PUN . 17 4 3P 2•- .^- �A, 091/005-002 II f 5i - a12'y tiri'Fp.11 R"-r ',Iti y II ., STAMP STAMP' . -_-- F I r3;' •.i) by�,dP+LR�.„ 4.) ZONING INFORMATION N FG 9 x R / . :-� - - - r v ZONING DISTRICT: RF 1 MICHAEL A. & - ' 3±. MINIMUM ZONING REQUIREMENTS �LAHDSCAPED m - JULITE A.RUSTEES EB 1 i^.� } ^4 � ,r Ate,+.,..,'Y'.x.r -t.,N .x.. 3:.'a w•&,',d• i`I ., - ZONE RF-1 MIN.LOT FRONTAGE-20' Locus Map Scale In IOW V W FRONT YARD SETBACK=30' SIDE/REAR SETBACK= 15' 3(p/ / + h.O -fl' 95x `.l xtoe _ --- U.D ?���• ^. MAXIMUM BUILDING HEIGHT:30 P' y OVERLAY DISTRICT:AP,RP00 7.0 7, u4 x Tns -/ J1U.�7g2• '<I 5.) A TIRE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. IF DETERMINED CONSULTANT y a ra TO BE NECESSARY,A TITLE SEARCH SHALL BE PERFORMED BY OTHERS. D IBM ONAIL SET O .< 11'° 'x1o.1 1` Oa / EL=4.99' IRRIc✓nON,% �O� gesr. IT.7 I• 6.) TOPOGRAPHIC SURVEY DETAIL PERFORMED BY BAKIER-NYE ENGINEERING R - Ncw291,e�6 O p0❑❑OQ`O IIII °(?b pOOOO SURVEYING ON APRIL 7.2011. A/C 7.)COMMUNITY PANEL NUMBER:250001 0018 D-JULY 2, 1992 CONSULTANT - :'7 THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE Ai9 EL 12 °Z, I ® a tANOSCAPEo. Ay_r MAP 091/P.ARCEL 005-001 - ( ). G- ' bs uwN _J - LOT 247�•LCPI 2664-121 02 SB/>`No% e O 'yR 62.666 SO. FT.t x - 8. ENVIRONMENTAL INFORMATION:Fe qF O 1.44 ACRES-3 ) , ' CB/DH ENd - � __ .`II 'sr ey / Ar�BU I ?7 x12 s � --_-yY- •SITE IS NOT WITHIN AN AC.E.C.(AREA OF CRITICAL ENVIRONMENTAL CONCERN). - - T' gPy I J QT_ ' '�' t I I p I •SITE 6 PREPARED FOR:N07 WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE _ A/e NI x12] x 4_ _is - PER NHESP MAP OCTOBER 1,2010'ESTIMATED HABITATS OF RATE xa o__��`•• aAF4HCI I e�C'F IBULxNPR�O x 13s. - REGUUTIONSR(�E CUR TO)-' 10 E•NA WETLANDS PROTECTION ACT - Michael Molts 4 x I L a j9L}p-b- ,1�❑00 / x 13 4 ---` } ,. - - •SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP 8 $a w Y i e Drive - . uNDSCAPED �,`"C x 13.3 OCTOBER 1.2010'CERTIFIED VERNAL POOLS." Nantucket, NIA. 02554 / II - : _ O I $'.III III d23 LOCATION aE •SITE 6 NOT WI1HW A PRIORITY HABITAT PER NHESP MAP OCTOBER 1, , SEPTIC _ �c WOODED AREA - 2010'PRIORITY HABITATS OF RARE SPECIES'FOR SPECIES UNDER THE P x+� -III i 7j6 BULKHEAa s I + CgMPONENTS, MASSACHUSETTS ENDANGERED SPECIES ACT,REGULATIONS(327 CURIO). f �II 000 I�:3_ i `� \` -- •SITE IS NOT WITHIN A STATE APPROVED ZONE It GROUND WATER _ q RECHARGE PROTECTION AREA 11, •SITE IS WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESTUARY x1^_.7 } LAWN 00000 ❑ ', xT�D /y�,(2�9 q `'�. TP v f (BOH 360-45). UGHT P D 1500 GAL - '/ 12.8 TP p!. x 13.4 , 0� +T.6 x11.6 TL'9 12.45EPDC TANw, - 36 / i I ! 9.)UTILITY INFORMATION SHOWN HEREIN: - MGHT POLE /' tt,8x COBBLE 5 A11] / WATER METER/ :L - y x+T GRAVEL D TONE ED WATER PIT •THE CONTRACTOR SHALL CONTACT DIG SAFE(AT 1-888-DIG-SAFE) yo LANDSCAPED RnWAY DEO uP/6E:-P93B AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES AT LEAST 9 [+o ,V 72 HOURS PRIOR TO THE START OF CONSTRUCTION.THE LOCATION OF Q C C G �? x I z I - t 3.3 / Si \ EXISTING UNDERGROUND INFRASTRUCTURE,UTILITIES,CONDUITS AND 0 p'` [ti I °NE wA WAY �� LINES ARE SHOWN W AN APPROXIMATE WAY ONLY,MAY NOT BE LIMITED 0 y 1 ' TO THOSE SHOWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THEcc _N yy 1,6 12 3 SHED - AVAILABLE UTILITY RECORDS NOTED HEREON.THE CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT ?�i �'�•' LANDSCAPED BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE SAID V '`{J• ' x 13.3 ' ' Odt INFRASTRUCTURE AND UTILITIES EXACTLY.IF FIELD CONDITIONS DIFFERS 13.2 S� FROM PUN INFORMATION,THE CONTRACTOR SHALL NOTIFY THE ENGINEER \i BRUSH48•/50'CANOPY 11 -Qp 6 IMMEDIATELY FOR POSSIBLE REDESIGN 0 iBM O NAG SET TP BJ f ,g` O'` - p - - 091/004 EL-11,T2• 1\2 - -Y- - 12•/30'CMOPV e 4 •EXISTING SEPTIC SYSTEM COMPONENTS SHOWN ARE APPROXIMATE AND WERE TAKEN FROM N/F NGw29 x ` �'�--- 1 /I AS-BUILT CARD 186-979.AS PART TITLE V INSPECTION DATED JUNE 25,2004. JOSEPH MATTISON JR. - �. ""q, $ \Yy 0 0 " - • TRUSTEE - 'N`� T .*s�° ` OAS > 4� WATER SKETCHUPROVIDEDNE SHOWNBY C-0 YMFOR E WATER DEPARTMENT(R�D�DN FROM _ C O - �y - ELECTRIC \ ge� --q_i� _L 13. - >�/ 10-77-S,DATED 612187). C 14 HANOHOLE \ -< 2 f • TP 12{� � ,•P / •INFORMATION PROVIDED BY NATIONAL GRID ON APRIL 7,2011 STATES _ - 10 I THERE ARE NO RECORDS OF GlS FACILITIES FOR THIS AREA `r .� T . - _- .13 7 Y� 1 •� ASSESSOR'S RECORDS INDICATE THAT HOUSE 6 HEATED BY OIL _ - r 24•/50'CANOPYX15.4 c /4 U - , _ ELECTRIC LINE INFORMATION PER NSTAR ELECTRIC MAP VIA EMAIL!RECEIVED 4/1/i t) i O WHICH INDICATES THAT 21 WANNO HEAD ROAD APPEARS TO BE FED UNOERG POUND ' OFF THE PRIVATE POLE LINE FROM EITHER 68 P93B OR P93C. RECORDS MAY NOT O p \ , \• i �; �r� /�"c-4/ BE CURRENT THEREFORE NSTAR CAUTIONS THE CONTRACTOR TO CONTACT DIG-SAFE N O x1 \ \ PRIOR TO CbMMENCING ANY WORK IN THIS AREA LLJ 9 /4 UP/LP 8 CS/DH END N DEVELOPED LOT PROTECTION-DEMOLITION O AND REBUILDING ON NON-CONFORMING LOT �' ®®Q O a_ SHEET TITLE dILDIEEM EASOM4 EBOCQSD 6� IJ LOT COVERAGE -(12.11T SF) d.Sx(2.U9 SF) - 1G�`� EdsNng CondMons Plan FLOOR AREA RAID: 3.('S..Sr) 4.4E(2,732 SF) U BUILDING HEIGHT: 2-1/2 STORES DR 30 FT I STORY - - SHEET NO �� o - , SAP O • Iq - D A T E:04/29/1? O N :� � - � 20 0 20 40 /N SCALE IN FEET SCALE:1'= O • DRAWNIDE9IGN BY: MTM CHECKED BY:JRE N JOB N O'.2011-006 C A D D FILE. 2011-006EC. O � I FULL BASEMENT IS� T°.I. 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S S FVOTING/FOUHLAMN STEP' O -SEE 9KAR W44L SCHEDULE - ,DDDt'-,r (DE7A1f.2/31.3) Ff=-FTC NAE-SEE FIG SCHMU(1/SI.2) LATERAL EIEYENT LEVEL BELOW - - 2x6 P.T.9LL W/%I AB. - n-wx VIXN lRsv CE La4O - NX)W-YP'-T.D.FTB aEY - - 2x6 BRG WALL 0 24•aG,TYR _ (2) .KW STUD DESIMBON M)OD SM WALL DESOM17ON U BEAM POCKET -92 WIND STUD SCHEDULE S S TOOTING/EWWD1710N SIEP FA -SEE SIFAR WALL SCF®IAE %'PWD SHEATH Ma J�'PwA SEE OEM - '(DETAIL 3/St1) pip - (DETAK 2I51J) - Se fOR HALING NOTES FOR WUUNG O E TNN SCHCER EDULE __..._ .__ _.._ 7L-XXXN WskWE LOAD gr� (gEfNL g/512) - (2) *W STUD DESWTi0H 'Em PWD. -- _ U BEW POCfET ,„ -SEE WIND STUD SCHEDULE - 3AI.2) TUNNEL RW SEE PLM omrm7w FOR Rnw.R-A -SEr FOAM SCHEDULE _ - - - (DETAIL 2/S,S). - _ - _ •ATV 'SEE PUN - s 5,-0• TO.SHELF .. - 78161E GI&F FND WAGS W/• ... JOtST,SEE PLAN' .. LSL Snw 0 le.ac, _ •• MUOS 4 SEE 1/SJ,I S « k -PAXIAL XM SEE PLAN ADDLE le1D ANGLE f'-0• O 6'O:C. 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APRIL 13, 2016 \ I / --- - - - -- - - - - - - - - -7 I\- - - - -- - - - - - - - - - - N / I \ / I \ / I \ / I \ L \ / I \ 77777777777777777777 I 2 ❑ ❑ ❑ ❑ I I I I I I L M - - - - - - - - - - - - - - 60 (V N I LA ? I II UL OPTIONAL DOOR TO CLOSE OFF �� ❑ THIS SPACE? DIN — 9,_7„ 2 2 F 1 IL ❑ Z O 0 W g W OFFICE S& C Q ELEVATO 4 1 ' Lu so LL uj BATHin 3 I 6 SITfING AEA I i I fV fV in DECK El 18' 2 BROAD STREET Ostervi I le NANTUCKET, MA 02554 SECOND FLOOR PLAN EAST LOT HOUSE P 508 228 2722 21 WIANNO HEAD ROAD SCALE: 1/4"=1'-0" Al ■ 2 bp F 508 374 8498 OSTERVILLE, MA ry APRIL 13, 2016 a \ / �� \ I / \ I / - - - - - - - - - - -\X\- - - - `O N / I \ 2 ' - ❑ F� \ I I I I M � iV _ iv I I I OPTIONAL DOOR TO CLOSE OFF THIS SQACE? L DN _ 9'-7„ 32" 4'-�" c' LJ 1, = g ❑ W w OFFICE SDI & C ba ELEVATO Qui M � Q i SIN O V 3 BATHLn "N o I I 60 SITfING AREA I I I fV N 2 BROAD STREET O tv'lei rV I I I e NANTUCKET, MA 02554 l SECOND FLOOR PLAN EAST LOT HOUSE Al ■ P 508 228 2722 21 WIANNO HEAD ROAD 2A SCALE: 1/4"=1'-0" Aac"i`gECTua F 508 374 8498 OSTERVILLE, MA APRIL 13, 2016 ....._..-._.......... .. .. . .. LOCUS Map Scale.- 1 H = 500' N W E - m S WEST o BAY �- � N ANN0 D.H. SEA REW A VE CBDH � E Qo SFl D. �P G • » \ o �;���,� • �..• ,-, GENERAL NOTES '� , •````` `.` ` , �. `` `;`.` 17 ; , TYPICAL EJECTOR PUMP Af FEMA APPROVED FLOOD 1. BENCHMARK (1): ELEVATION = 14.85 NAVD88) �� %` " •%+is• ZONE LINE (EL. 12) NOT TO SCALE � • _ _ i SEE CLOMR-F CASE NO.: TOP CONCRETE BOUND SITE BENCHMARK: IC, ..- `' --" -•-5- J + S ., - - ++++ BENCHMARK (2): ELEVATION = 7.53 (NAVD88) 15 01 04 TOP CONC. BOUND -- _ -- & PINE \�++ AR , // r! r�? ''4l. GATE _7- -- VALVE TOP CONCRETE BOUND EL. = 7.53 (NAVD88) ,� .4 ���. - ~e � z"+ r \ art + "A-PAK" ALARM--- ° in WER 2. ALL CONSTRUCTION METHODS AND MATERIALS TO 0$ '�FOAR "� CEDAR, )( , + " TLET CONFORM TO TITLE V AND THE TOWN OF BARNSTABLE v y it+r + oAK. ;fir ct X c ' ++ m EXISTING HOUSE JJI W/ANNO HEAD ROAD OU y i 20 1e" .a" TO BE RAZED 10 E• , ® `-- -�- you + �\ BOARD OF HEALTH REGULATIONS. �y ( ) MAP 9f PARCEL 5-2 INV. 11.90 OAK CHERRY OAK p,y + +� • a" / 1e„ \ \ylet N F TRANSFORMER-.- ,,. eP,NC- X / CEDAR \ > WANNO HEAD NOMINEE TRUST 3 PRONG 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH 11 WIDE STRIP OF EXISTING CHECK GROUNDED -E ..+ .:,_ 4-._.� � .+•�; AK �a„ S,x �.�!+ �- ro" \ ,a ��``� + + MAGNETIC TAPE OR A COMPARABLE MEANS IN ORDER /* CBD �r�, E; •e"PINE / X v, ^ CEDAR • P R e Cay \ + ++ VEGETATION TO REMAIN TO DISCONNECT VALVE ,• • ORTLET 115V + TO LOCATE THEM ONCE BURIED. PINE ( . ,C > (NOT SHOWN) PINE 12 S )? w + + `N EXISTI NG-T ) ere" r PIN£ \ USE WATER 4. NO FIELD MODIFICATION TO THE SYSTEM SHALL BE ' P.) PJNE�AK 4 INLET JUNCTION F THE •� MADE WITHOUT PRIOR WRITTEN APPROVAL 0 (TO REMId �` � \ HUB SLAB • . BOX IFTIGHT DESIGN ENGINEER AND BOARD OF HEALTH ♦ kk �� "+ INSTALLED IN A ✓U. .. / CH Y PIN£ ..va p �� R \\ F +++ 9" DAMP AREA "• • + + SUBSURFACE INFILTRATION : �* 5. ALL JOINTS AND COVERS TO BE WATERTIGHT. f 4. \ r EXISTING TREE c 1B'-, � v +++ 19 StormTech SC-740 UNITS TOTAL - ' � ( ) '4 6 THE CONTRACTOR SHALL BE RESPONSIBLE FOR d - -- - (TO BE REMOVED-.-�4 \ , ". .w4 10 -' .� > \ ++++ (CONNECT ALL ROOF LEADERS, DRIP VARIABLE HOLE THE ACTUAL LOCATION OF ANY EXISTING VERIFYING CTU X P ; PrN£ CATCH OAT ALARM LEVEL UTILITIES. /- + + ,r. STRIP CURTAIN DRAINS and 0 + BASINS to StormTech UNITS) 30° SWITCHFL ON 2„ . z ou ;� �� \ ++ y% BASIN 18•• 7 PRIOR TOCATE OFBACKFILUNG SYIANCE STEM. UV MUST BE OBTAINED 2 PINE UG �, \o K \ +++++, ZOEILER OFF £ :• �, ,• �04,0 �.,t ! \ ++++ AUTOMATIC 8. OWNER: THE 21 WIANNO HEAD ROAD REALTY TRUST �1i OAR k� /'Cj 0 \ SEWAGE PUMP c/o CHRISTOPHER STAVROS (trustee) r O \ e \ ++ + DIAMETER 886 MAIN STREET OOP EX/ST/NG SHED 8 vE + �E 1 \ cH + OSTERVIU.E MA 02655 P AR \ °.. 4" \ •- X -+• EXISTING SEPTIC SYSTEM (TO BE RAZED) \ • v i / `,j HOLLY i, r 18" OR 24" 9. DEED REFERENCE: Cert. 173602 `. c a� r„gyp 1J� =' ''�O � � '' .rr' 'r 0';, ,, A \ �'tr + (TO� REMOVED) STANDARD � P P A �� . PIN£Hai LY��fN> LYS7R �I�'� rV�\i �,1� P��� �1 r \. �V�t T .F'r rt � � , � (I � � ,$+ 10. PLAN REFERENCE: LCC #2664-121 (LOT 247 ° MAIN HOUSE: BASEMENT BATHROOMS <25% SYSTEM FLOW 1�" " L f''), , \.� NO BEDROOMS, NO LAUNDRY FLOWS and NO KITCHEN FLOWS 11. THE DESIGN IS INTENDED TO MEET TITLE V AND OTHER D t FLOOD Z01VF LINE. PER j' APPLICABLE REQUIREMENTS. THIS PLAN DOES NOT ;, � �..' � .` EJECTOR PUMP ONE (1) ZOELLER NON-GRINDER PUMPS IN GUARANTEE THAT THE SYSTEM WILL BE INSTALLED AS a DE - 12"° j '� t F1F'M , 25001G0%57J PROVIDED: DESIGNED NOR DOES THIS PLAN GUARANTEE THE BASEMENT OR APPROVED EQUAL R /, aSIR 1 I r,; F� - - OPERATION OF THE SYSTEM. EXISTING WATER METER z CK \ 1 f AND SERNCE 12. THIS SYSTEM IS NOT DESIGNED NOR INTENDED FOR USE DE / T.O E 151t , ,/t oAA PINE \ \ > pl ' / �j� /(TO REMOVED/ABANDONED) s, WITH A GARBAGE GRINDER. ' SOIL LOGS F q.,4 � r ��- "a �, USEpQR OAK 6 /!� `�) t?, f 1X '�+ 13. THE SYSTEM OWNER SHALL BE RESPONSIBLE TO PUMP 7 "E i' THE SEPTIC TANK AT LEAST ONCE EVERY THREE EX1STI NG ��S) BASEMEN,r yj I e".�_- ` '� r , PROPOSED (5) BEDROOM YEARS. 5 BEpR AREA A.... - 1 PINE SOIL ABSORPTION SYSTEM WA i Tp� \ M�P 91 >� TP NO. 1 TP N0. 2 TP N0. 3 TP N0. 4 14. LOCUS D� THIN THE AQUIFER PROTECTION • 3. . PROPOSED 1500 � -� ice' ° �^ '� •�3 ' \ PAR 5-' GIRD. EL. 11.9 GIRD. EL. 12.3 GRD. EL. 11.5 GIRD. EL. 12.3 S FALL. WI IFER �+ B13t S.f OVERLAY DISTRICT. -, \ \ 59, GW. El NONE to 0.9t GW. EL. NONE to 1.3t GW. EL NONE to 0.5t GW. EL. NONE to 1.3t ti ` 3.4 GALLON SEPTIC TANK �,, 0" 11.9 0" 12.3 0" 11.5 0" 12.3 15. LOCUS DOES NOT FALL WITHIN AN NHESP ESTIMATED \(H W.M. OBSERIgD 12/14112)� \ .0. » » "0" HABITAT OF RARE WILDLIFE AND PRIORITY HABITAT OF \ 7P4 8" 0 11.2 6" O 11.8 9" 10.7 6" 11.8 RARE SPECIES. PROPOSED \ \ p p p VENT ,�, LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 16. LOCUS DOES FALL WITHIN SPECIAL FLOOD HAZARD I E "t „ ACTUAL �� k� ) 1 2.5YR 3 1 10YR 4 1 10YR 2 2 1OYR 2 1 - '`, � ' 12" 10.9 16" 11.0 23" 9.6 20" 10.6 ZONE AE (el. 12) AS SHOWN ON FLOOD INSURANCE ZONE EL. 12 �'� '�Y' 3 3 EX/ST/NG SHED / PROPOSED (5) BEDROOM g g g g RATE MAP 25001C-0757-J, dated 7/16/14. >' RESERVE AREA LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND \ SLEEVE WATER SERVICE �' h (TO BE RAZED) IOYR 5/6 1OYR 5/8 1OYR 4/6 1OYR 3/6 17. LOCUS DOES FALL WITHIN THE RESOURCE PROTECTION ..-T WHEN CROSSING UNDER ` \ j OVERLAY DISTRICT. �._.. + W j SEPTIC (10' EACH SIDE) ACTUAL FLOOD _ - 32" 9.2 30" 9.8 32" 8.8 34" 9.5 \ $ r ZONE EL. 12 r 50" 7.7 56" 7.6 TP2-�-- TP3 f L=16.62 INSULATE _ - - r ' R=304.80' 7 0. ,0936 SEA MEW AVENUE PIPE a MAP 91 PARCEL 4 � ':', =` .c3�3 / �' N F w T < - . - 11g•5 " MEDIUM TO C1 C1 C1 THE 936 SEA t//EW REALTY TRUST w 3i�OF At4�^ COARSE SAND MEDIUM SAND MEDIUM SAND MEDIUM SAND PR. CATCH BASIN 1 cr_ 45 t 0YR 6/3 t 0YR 7/4 t 0YR 6/4 RIM=11.5 $ 5 , 2.5YR 6/3 �� EXISTNG q.. -- -" DONAtD F. men` ,q56�0. -- WATER SERWCE . 't BRACKEN. JF1. REFER TO SITE PLAN OF -' CIVIL - 936 SEA VIEW AVENUE Q R L�65 y8 ,-P _ R 0 A Na 7D71 " " " » 132 0.9 132 1.3 132 0.5 132 1.3 _� � - MOTTLESNO MOTTLESNO MOTTLES NO FOR FURTHER DETAIL r/ , r/ - ca$ fit& -'dd� N Id NO WATE NO WATE NO WATE NO WATE NO R ONAL BD _ NN0VV . "� SOIL EVALUATOR CERTIFICATION DATE PERFORMED: 7/8/11(71)and 7/20/11(TP2, TP3 and TP4) SOIL EVALUATOR: STEPHEN K. WILSON, P.E. (BAXTER-NYE) w , - I CERTIFY THAT I ;HAVE PASSED THE SOIL EVALUATOR EXAMINATION WITNESSED BY: DONALD DESMARAIS - HEALTH INSPECTOR \ 15' APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION PERC. RATE: < 5 MPI ,¢890 SEA 14EW AVENUE AND THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME SOIL CLASS: CLASS I `' r CONSISTENT` WITH THE REQUIRED TRAINING, EXPERTISE AND MAP 9 PARCEL 2-1 a f SITE BENCHMARK (1): SEA l�1EW REALNIF TY TRUST EXCAVATION NOTE: EXPERIENCE DESCRIBED IN 31D CMR 15.017 MAX. GROUND WATER ELEV.: NONE to 0.5E o METHOD OF DETERMINATION: NO WATER/MOTTLES / TOP CONC. BOUND Prepared B 1 EL. = 14.85 (NAVD88) THIS SYSTEM REQUIRES THE EXCAVATION OF ALL UNSUITABLE SOIL (SEE SOIL REPORT FOR MORE DETAILED DESCRIPTION) P Y PLAN SCALE / WITHIN 5' OF THE SOIL ABSORPTION SYSTEM. SOIL SHALL BE , EXCAVATED TO THE EXISTING CI SAND LAYER (32 t). ENGINEER TO L. r� /. CONFIRM SOIL DEPTH PRIOR TO INSTALLATION. SOIL IS TO BE SIGN URE DATE OF S IL EVALUATOR EXAM INVERT PRIMARY: 8.40 INVERT RESERVE: 8•'a / r - '" BOTTOM PRIMARY. 6.40 BOTTOM RESERVE: 6.40 m a� 0 6 t2 i8 24 30 45 60 90 � �, .- REPLACED WITH SAND CONFORMING TO 310 CMR SECTION 15.255, ° J r 1 A ' 1 G" CONSTRUCTION IN FILL. a z a) 3 }z z 1 inch = 30 feet �� �� r o 49 HERRING POND ROAD 19 OLD SOUTH ROAD a - BUZZARDS BAY, MA 02532 NANTUCKET, MIA 02554 o Zm�W ofW DESIGN CALCULATIONS G 20' MIN. (FULL FOUNDATION -I (tel) 508.833.0070 (tel) b08.325.0044 oz> w W 10' MIN. (SLAB FOUNDATION 24" DIA. FRAME and (fax)508.833.2282 www.bmckenong.com w z COVER TO GRADE `zZ 10' MIN VENT CHAMBERS 24" DIA. RISER, " WITH CHARCOAL FILTER SOIL TEXTURAL CLASS: CLASS 1 T wza " 24 DIA. SECURABLE ADD 2" RIGID INSULATION PFG.- -BOX RISER PROPOSED SUBSURFACE °w TO WITHIN 6 OF FRAME AND COVER TO GRADE » PERC. RATE: <2 MINUTES/INCH W GRADE (TYP.) 2 WIDE OVER PIPE, THIN 6 OF F.G. MIN. 2% SLOPE N ° UNDER DRIVEWAY OVER S.A.S. 10' MIN. -I N0. OF BEDROOMS: 5 SEWAGE DISPOSAL SYSTEM ¢ >_ v)W o EX. HOUSE T.O.F. = 14.5E W DESIGN FLOW REQUIRED: 550 GPD ao F.G. = 13.1f = 13.of to 4.o 12.Of F.G.- 12.ot to 12.2t � IN BARNSTABLE, MASSACHUSETTS z 2 W W FIRS SEPTIC TANK REQUIRED: 1500 GALLONS Ca w'm z _ 36" MAX. 11.2 SET LEVEL 6" MAX.IN. i z ¢,G 4" SCH. 40 P.V.C. S=2.00X MIN. � SEPTIC TANK PROVIDED: 1500 GALLONS Prepared For: n- z= LIQUID LEVEL _ 4" SCH. 40 P.V.C. FILTER,FABRIC TOP = 9.40 THE 21 WIANNO HEAD ROAD '-'-' o3x 0" MIN. = 4" SCH. 40 P.V.C. S-1.00X MIN. 3/4" TO 1 1/2" DOUBLE °- LEACHING SYSTEM: REALTY TRUST z ° S=1.00% MIN. o W INV.-8.83 °'°° a°'• a o o a a .a o WASHED STONE `-� �'§5 INV.- 11.90 INV.- 1 9.75 °. a a o n a p (5) 500 GALLON CONCRETE LEACHING CHAMBERS IN A w o W° INV.= INV.=8.66 �' °`'° o a o 0 0 40 o• 40 (12') WIDE x (44.5') LONG x (2') DEEP STONE BED #21 WI ANN O HEAD ROAD z o a 3 MAIN HOUSE 4 MIN. BOT.= b". w z PROPOSED INV.=8.40 3.6' 4.83.6' 3.6' STONE ON SIDES and 1' STONE ON ENDS. MAP 91 PARCEL 5-1 y o.° A100 ZABEL FILTER 12' v wZ EJECTOR PUMP °•°°`° °'0 °'° °'° °'° °'° 01. °'° °.° °'° °1° W/SUPPORT LEG < m at o zu (SEE DETAIL) PROPOSED DISTRIBUTION BOX EFFECTIVE LEACHING: m }°o (SEE MANF. INST.) PRE-CAST WATERTIGHT PROPOSED SOIL ABSORPTION SYSTEM r §-= 6" COMPACTED STONE "DB-6" (5) - 500 GALLON CONCRETE r �WIDE x 44.5' LONG x � DEEP �Qgg BASE ON COMPACTED PROPOSED 1,500 GALLON PRE-CAST 5 MIN. m z°0 6 MIN. SUMP LEACHING CHAMBERS BOTTOM AREA- 534 S.F. TOTAL=JK S.F. ?a o SUBGRADE (TYP.) SEPTIC TANK-WATERTIGHT (MONOLITHIC) 12" MAX. DEPTH 4 8'W x 8.5'L x 24" INVERT) SIDEWALL AREA- 2. - S.F. 1 5/8/17 UPDATE BUILDING LAYOUT, REVISE SYSTEM CHAMBERS, RMM o° (1) ALL SYSTEM COMPNENTS TO BE MARKED WITH TANK TO BE EMBOSSED WITH MAGNETIC MARKING TAPE. (H-20 LOADING) (H-20 LOADING) LOADING RATE = 0.74 GPD SF LOCATION do CALCULATIONS dt REVISE WATER SERVICE Lnoza° SYSTEM PROFILE (2) ALLLLFINI SYSTEMHED O COMPONENTS TO BE WITHIN 36" OF (H-20 LOAD�IG) FLOW PROVIDED: 562 GPD > 550 GPD LL J - NONE to 0.5E No. Date Revision Description By o o NOT TO SCALE Date: Drawn: Checked: Sheet: n - APRIL 13, 2016 RMM/DLH DFB/AMG 1 of 1 UY O owz S:\Autocod Drawings\Barnstable\Wianno Head Road\21 Manna Head Rood\21 Manna Head Rd - Site Pion (REV2).dwg I LOCUS Map Scole.' 1" = 500' N W £ o Pis S WEST BAY , N QER 1 PN% a 0� r \ ANNo� =? D.H. CBDN E W � D SEq-►�E iv A VC. /,. E ,* •* * - •++�' "` GENERAL NOTES FEMA APPROVED FLOOD TYPICAL EJECTOR PUMP ZONE LINE (EL. 12) NOT TO SCALE 1. BENCHMARK (1): ELEVATION = 14.85 (NAVD88) j \ _ i SEE CLOMR-F CASE NO. S SITE BENCHMARK: K - _5- - -4 +'+ 15-01-0446C TOP CONCRETE BOUND TOP CONC. BOUND r.' + . EL. 7.53 (NAVD88) ` / Lt , '- --~- -" ' _7--- + BENCHMARK 2 ELEVATION - 7.53 (NAVD88) • + + AR PG ate' t C�.�''r�r - +,,M /'mac„u.i 74Z ,r 1VIr VALVE ( ): \ , " + �P + _ ��• .- , 8, _._.--5--+A" N + "A-PAK" ALARM-- TOP CONCRETE BOUND . jOA� �s" cEOAR ++ EX/511NG HOUSE 2. ALL CONSTRUCTION METHODS AND MATERIALS TO I �.•- `` + + > . """""^^^ '`- - i a •s' cFosBf X c + + , 31 IMANNO HEAD ROAD SEWER CONFORM TO TITLE V AND THE TOWN OF BARNSTABLE i r ' (TO BE RAZED) OUTLET .?.•� ;'" .S'.' ^i",�"-.,•,$. ♦ •T$"='�" OAX `"�},'E°RRY OAKP(q'E�. 'X �.. `''� ` IXL 7� ++`ems °' MAP 9> PARCEL S-I :. + + • _ >"� NSF TRANSFORMER NV11.90 BOARD OF HEALTH REGULATIONS. -' PAC --- - - --- X WANNO HEAD NOMINEE TRUST CHECK ;• 3 PRONG 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH It r 10" CEoaa s � + + 11 WIDE STRIP OF EXISTING r?+ 1 •PmE "" X CEDAR R• + + VEGETATION TO REMAIN GROUNDED MAGNETIC TAPE OR A COMPARABLE MEANS IN ORDER OUTLET 115V PrNE l c ►" + TO DISCONNECT TO LOCATE THEM ONCE BURIED. +m`CBO. '� e • \ + VALVE OR 230V ' NE PANE M�,atC T.h .' ( £XiSrINC ZR£E 12, a - _g - , . .�j\.f,R`�++ NOT SHOwN USE WATER 4. NO FIELD MODIFICATION TO THE SYSTEM SHALL BE A ,\+ 4" INLET TIGHT JUNCTION MADE WITHOUT PRIOR WRITTEN APPROVAL OF THE OAK + HUB SLAB DESIGN ENGINEER AND BOARD OF HEALTH. -L,1I"'.. �s •Y pNE + «« ��k ° r' '^ OTC R \� �++ INSTALLED IN A .' • • A +++ SUBSURFACE INFILTRATION 9" DAMP AREA 5. ALL JOINTS AND COVERS TO BE WATERTIGHT. %f EXISTING TREE E ,• ••. �� 1 ' -- (CO(CONNECT ALL SOF LE UNITS DMP 6. THE CONTRACTOR SHALL BE RESPONSIBLE FOR ( c " . r0 rs' Ci t g \\v� \\ ++++ (CONNECT ALL ROOF LEADERS, DRIP VENT TO BE �"�. , X X R Ez<*PiNs '�_ +++ STRIP/CURTAIN DRAINS;�Id ° VERIFYING THE ACTUAL LOCATION OF ANY EXISTING X/"- .. h" q O ?P .:•;, , + LEVEL FLOATHOLE ALARM LEVEL UTILITIES. BASINS to StormTech 30° SWITCH } v `+ BASIN ON 1 7. A CERTIFICATE OF COMPLIANCE'MUST BE OBTAINED 6 18" PRIOR TO BACKFILLING SYSTEM. V C> ' \ ++ + u � ZOELLER OFF AR �.`'• �� \ + C'7•'`'"�� AUTOMATIC I 8. OWNER: THE '21 WIANNO HEAD ROAD REALTY TRUST \ 1 ° �� '5. .: \ •8 ++++ SEWAGE PUMP I p r? ' "rr °'i "\ + +� _. c/o CHRISTOPHER STAVROS (trustee) POOL. £X/ST/NC 5HE0 ` s a�vE �R :. / TO BE RAZED + \ 886 MAIN STREET ( ) A4� , / \ _ _ _ EXISTI SYSTEM , r`'/r: P DIAMETER 2655 _ y r"rrF 0 ✓ ,, cY (TO RETtIpVED i 8" OR STANDARD 9. DEED REFERENCEVILLE MA 073602 ro a .: ` ' rNeB�t `,� ,�``•� ~,-i` ,,art,; �; � .,•,13�� P.G � �;�'` � '1w �+: � ' 10. PLAN REFERENCE: LCC #2664-121 (LOT 247) 1�fi1 1 �e" �• ,) `\ „!' $» MAIN HOUSE: BASEMENT BATHROOMS <25% SYSTEM FLOW NO BEDROOMS, NO LAUNDRY FLOWS and NO KITCHEN FLOWS 11. THE DESIGN IS INTENDED TO MEET TITLE V AND OTHER ECK,,.. I ?'a l rr t. R -'{ `" '' w ..":,• ;T ,/� FLOOD ZONE LINE PER _ APPLICABLE REQUIREMENTS. THIS PLAN DOES NOT a 0 _ EJECTOR PUMP ONE (1) ZOELLER NON GRINDER PUMPS IN 1 j I;;� w, -a1 FIRM 25001CO757J GUARANTEE THAT THE SYSTEM WILL BE INSTALLED AS fwccr 2 # PROVIDED: ". BASEMENT OR APPROVED EQUAL DESIGNED, NOR DOES THIS PLAN GUARANTEE THE ^;p 4~ �QQ•1:1�, £XISANC IYAT£R ME1£R .z OPERATION OF THE SYSTEM. Q, `�` AND SERI9CE w f F 1 y) r e ( / ) 12. THIS SYSTEM iS NOT DESIGNED NOR INTENDED FOR USE TO BE REMOVED ABANDONED 1 WITH A GARBAGE GRINDER. � H��SErFL °° 4 SOIL LOGS (iuE ' ! e 13. THE SYSTEM OWNER SHALL BE RESPONSIBLE TO PUMP EXIS11N OM5� BAD '� AR'AW Y ��� 7 . ( ' a �`.. s PROPOSED (5) BEDROOM THE SEPTIC TANK AT LEAST ONCE EVERY THREE �5 BEDRp , I `` AWE ^t v � l SOIL ABSORPTION SYSTEM YEARS. �``, \ rP'\ MAP 91 1 14. cu F R TP NO. 1 TP N0. 2 TP NO. 3 TP NO. 4 LOCUS DOES ALL WITHIN THE AQUIFER PROTECTION PARCEL 5-7 GRD. EL. 11.9 GIRD. EL 12.3 GIRD. EL 11.5 GIRD. EL 12.3 ,Al PROPOSED'1500 �' c \�` Gw. EL noL to o.9t �cw. El -NONE to 1.3t Gw. EL NONE to o.5t cw. EL NOL to 1.3t OVERLAY DISTRICT. 4 GALLON SEPTIC TANK / \ \ 59,613t s.f .�3 I `+I \ Y8.0f.. 0BS£R►�D 1'2/13/12�I O" 11.9 0" 12.3 0" 11.5 0" 12.3 15, LOCUS DOES NOT FALL WITHIN AN NHESP ESTIMATED (LAIN.) / \ TP4' "0" "0" "O" "0" HABITAT OF RARE WILDLIFE AND PRIORITY HABITAT OF - { o o '. �p / \ 41 11.8 RARE SPECIES. 7:1 r PR VENT D ` w 8" LOAMY SAND 1t.2 B" LOAM SAND 11.8 9" LOAM SAND 10.7 6 LOAM SAND f h __ w r - _..a 171AL FL04f7 16. LOCUS ODES FALL WITHIN SPECIAL FLOOD HAZARD _ . .. 2.5YR 3 1 " 10YR 4 t " x �. • I _.__,_ - EL. 12 - �k :. , 12" 10.9 18 11.0 23 0YR 2 2 9.6 20" tOYR 2 1 10.6 ZONE AE el. 12 AS SHOWN ON FLOOD'INSURANCE t o \ `�)� �✓ o ZONE . iy EXIST/NC SHED / - PROPOSED (5) BEDROOM - 1i 3 e B B e RATE MAP 25001C-0757-J, dated 7/16/14. (� RAZI�) RESERtVE-AREA LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND SLEEVE WATER SERVICE �• \ / 5 tOYR 5/6 tOYR 5/8 tOYR 4/B tOYR 3/6 17. LOCUS DOES FALL WITHIN THE RESOURCE PROTECTION WHEN CROSSING UNDER SEPTIC (10' EACH SIDE) W ! c!, ACTI/AL FLOADr, 32" 9.2 30 9.8 32" 8.8 34 9.5 OVERLAY DISTRICT. TP2-zs- P, 7Pz / ZAV£:£L. 42i - L-16.62' 50" 7J 56 d` 7.6 ,�936'SEA iT/EW A VENUE PIPE � - �`/ � 3 � R=304.80' � MAP 91 PARCEL 4 C1 N F �;, a' ., < --•..__ _ g 5�' Cl Cl Cl ` MEDIUM TO THE*936 SEA I4E'W REALTY TRUST pR, CATCHn11 5 w ,w 31�,1rj" f y'eV+OFM ,^: COARSE SAND MEDIUM SAND MEDIUM SAND MEDIUM SAND R . .� $ 'y 2.5YR 6/3 10YR 6/3 tOYR 7/4 10YR 6/4 -EAIS71NG q p� iTONAI`D » O 8 ✓ 1 �S� ....-•-- `� ;: � � 6 0 IYAT£R SERVICE ..- L3PACL6EN, JT1. I REFER TO SITE PLAN OFRs- 5 o CiVIL u { 936 SEA VIEW AVENUE Q 'z L¢6g'9 0 A `a No 907i. FOR FURTHER DETAIL . D f� q P r / 132" 0.9 132" 1.3 132" 0.5 132" 1.3 \ 1 � •' ��...-14- E ' SGis ��� NO MOTTLES N0 MOTTLES NO MOTTLES .,: NO MOTTLES C th ,, N SIONALti NO WATER NO WATER NO WATER NO WATER A N p f D IN I -- f"- SOIL EVALUATOR CERTIFICATION DATE PERFORMED: 7/8/11(TPi)and 7/20/11(TP2, TP3 and TP4) SOIL EVALUATOR: STEPHEN K. WILSON, P.E. (BAXTER-NYE) f/ \ 15 ✓ APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL SOIL N EVALUATOR EXAMINATION WITNESSED BY: DONALD DESMARAIS - HEALTH INSPECTOR -- `" ' AND THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME ROTECTION PERC. RATE. < 5 MPI �- �'890 SEA MEW A VENUE I 1 0 l MAP 9 PARCEL 2-1 CONSISTENT WITH THE REOUIRED TRAINING, EXPERTISE AND Sal. CLASS: CLASS N EXCAVATION NOTE. EXPERIENCE DESCRIBED IN 310 CMR 15.0117 MAX. GROUND WATER ELEV.: NONE to 0.5t J SITE BENCHMARK (1): sEA V1EW REAL rY rRusT METHOD of DETERMINATION: NO WATER/MOTTLES TOP CONC. BOUND EL 14.85 (NAVD88) THIS SYSTEM REQUIRES THE EXCAVATION OF ALL UNSUITABLE SOIL (SEE SOIL REPORT FOR MORE DETAILED DESCRIPTION) Prepared By. - PLAN SCALE / WITHIN 5'OF THE SOIL ABSORPTION SYSTEM. SOIL SHALL BE EXCAVATED TO THE EXISTING Cl'SAND LAYER (32"t). ENGINEER TO t;: 7 rs, C 2 0 6 12 18 24 30 45 60 90 -� BE o� AM wr in Wr - '". CONFIRMREPLACED NTH SAND CONFORMING TO 3 0 CMR SECTiON5.255, RE D aTE OF: L EVALUATOR EXAM 8.40 8.40 �� 1 „ , r \ / _ - I�' CONSTRUCTION 91 FILL. 5F-2G22 BOTTOM PRIMARY. 6.40 BOTTOM RESERVE: 6.40 1 o w i inch _ 30 feet I r t 49 HERRING POND ROAD 19 OLD SOUTH ROAD m a BUZZARDS BAY, MA 02532 NANTUCKET, MA 025M V o 20' MIN. FULL FOUNDATION DESIGN CALCULATIONS IL N N w 10' MIN. ((SLAB FOUNDATION; 24" DIA. FRAME and ��o W COVER TO GRADE (tel 508.833.2282 {tel) 508.326.0044 VENT (tax)608.833.2282 vrww.breckeneng.com 10' MINCHAMBERS u o z 24" DIAL RISER, 24" DiA. SECURABLE WITH CHARCOAL FILTER ' ADD 2" RIGID INSULATION D-BOX RISER SOIL TEXTURAL CLASS: CLASS I n TO WITHIN 6 OF FRAME AND COVER TO GRADE " PROPOSED SUBSURFACE " WITHIN 6 OF F.G. PERC. RATE: Q MINUTES/INCH ��:z GRADE (TYP.) 2" DERWIDE DRIVEWAY E' J0 EX. HOUSE T.O.F. ='14.Sf MIOVER S.A.S.E ' 10 MIN. -I N0. OF BEDROOMS: 5 SEWAGE DISPOSAL SYSTEM x F.G. =1$.1 t >a 1 f O 14. F.G:=12.0t F.G.-12.Ot t0 12.2t z DESIGN FLOW REQUIRED: 550 GIRD f 5;w 12 MIN. FIRST 2' I " SEPTIC TANK REQUIRED: 1500 GALLONS IN BARNSTABLE MASSACHUSETM �,Z z�� IE�11.2 SET LEVEL 36" MAX. SEPTIC TANK PROVIDED: 1500 GALLONS Prepared For: �4" SCH. 40 P.V.C. S-2.00% MIN. .I�i wo� _LIQUID LEVEL. 4-`SCH. 40 P.V.C. TOP - 9,40 THE 21 WIANNO HEAD ROAD FILTER FABRIC Z o 0" MIN, 'E` 4" SCH. 40 P.V.C. S=1.00% IMIN, ° S=1,00% MIN ,a•° o 0 3/4" TO 1 T/2"' DOUBLE a Z CS _ INV.-1 0 INv.= INV.=Be8 • o c>t o 0 0 LEACHING SYSTEM: REALTY �p --�- \INV.=9.75 °• u o et»o a o p WASHED STONE DEAL 1 I I BUST Uj z o (5) 500 GALLON CONCRETE LEACHING CHAMBERS IN A g� 4' MIN. 66 INV.=$. o•e ePo•: •° BOT.- 6. #21 WIANNO HEAD ROAD z o, MAIN HOUSE �I-.- -=I-.- 4O (12) WIDE x (44,5) LONG x (2) DEEP STONE BED fNV.=a. •o 0000es a 1 Ne Qom AlOO ZABEL FILTER 12,. MAP 91 PARCEL 5-1 U wz= EJECTOR PUMP 0..d», a.°. a•o a.° o•o o.o O"o �.• o•o oA..a^o 1, Q m-� (SEE DETAIL) W/SUPPORT LEG PROPOSED DISTRIBUTION BOX PROPOSED 3,6 4.8 3.6 3.6 STONE ON SIDES and 1 STONE ON ENDS. m>om (SEE MANE INST.) PRE-CAST WATERTIGHT PROPOSED SOIL ABSORPTION SYSTEM EFFECTIVE LEACHING. 6" COMPACTED STONE "DB-6" (5) - 500 GALLON CONCRETE 5' MIN. ,2'_WIDE x 44•51 LONG x DEEP I' m WZP NOTES BASE ON COMPACTED PROPOSED 1,500 GALLON PRE-CAST LEACHING CHAMBERSBOTTOM AREA- 534 S.F.: SUBGRADE'(TYP.) SEPTIC TANK-WATERTIGHT (MONOLITHIC) 6" MIN. SUMP U ua� (1) ALL SYSTEM COMPNENTS TO BE MARKED"'Willi TANK TO BE EMBOSSED WITH 12" MAX. DEPTH (4.8'W x 8.5'L`x 24" INVERT) SIDEWALL AREA- S.F; TOTAL=760 S.F.` r$o MAGNETIC MARKING TAPE. ASTM STANDARD C 1227-93 SEAL (H-20 LOAN") (H-20 LOADING) 1 5/8/17 UPDATE BUILDING LAYWT, REVISE SYSTEM CHAMBERS, RMM 3 N°z SYSTEM 'PROFILE (2) -ALL SYSTEM COMPONENTS TO BE WITHIN 36" OF -� LOADING) GROUND WATER ® EL. FLOW PROVIDED 562 GPDp>S50 GIRD j �;a Q FINISHED GRADE. � LOCATION do CALCULATIONS dt REVISE WATER SERVICE NONE to 0.5t No. Date Revision Description By QUo NOT TO SCALE Date: Drown: Checked: Sheet: a APRIL 13, 2016 RMM/DLH OFB/AMG 1 of 1 c r �zm< S:Wocod vro ings\8amataWe\wi nno Head Road\21.Manno Heed Road\21 WWnno Head Rd -Site Plan.(REV2).dwq .. I.I. ' I i