HomeMy WebLinkAbout0021 WIANNO HEAD ROAD - Health hanno Head Road
Osterville 1
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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
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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
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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
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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;
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� 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
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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
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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
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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
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- 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
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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
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N
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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
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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
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