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0265 BAXTERS NECK ROAD - Health
BAXTER NECK ROA' MARSTONS MILLS 07S-010-001 i a x4.6 4 113.9 B��KNEAo x4. 1 EX,STjNG x3.1 x1 x4.1 x1.7 E AI TH�� BO x4.4 x3.6 x0.9 i x-0.5 / --,3.3 , / x1.3 . / x3 5 a x-0.9 ` x3 L / �v x0.7 x-0.8 x0. 7 t Px-0.9 x-1.6 0 • x0. 7� 0•. x-0.8 x-1.6 6 o/ AC Ess x-1.8 o� STARS x-1.3 -\ 1.2 x-3.3 x-3.9 x-1.8 0 x-2.4 1�{ x-5.9 x1o4 x- x x- .4G 10Q�F x-6.0 x- x- •9 4 O �\ E � P\- ' x-7.3 ° x 5. 2 �0 x-7.3 '�' x-7. -6.3 - x-7.4 PAP x-5.5 � -7 x- 8.0 x O x-8.1 s x-7. 7 -8.4 �I\pp��E\.\- x-8.9 -. � / .n��` Q.9 Fee ------------------- BOARD OF HEALTH TOWN OF BARNSTABLE, ZipplicationArVell Con0ructionpermit App O lication is hereby made or� p n't t Cpnstrjuct Alter or Repair ( )an individual Well at: VL Location Address Assessors Map and Parcel Owner Address e ------------------------- _ 44 / Installer Driller Address Type of Building Dwelling Other - Type of Building No. of Persons--.------_--_---_----_-- Type of Well _Zr"n'q'z�o Y) L/ Purpose of Well------_-.-_ __—_T�_-- 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 Ce f ompliance has been issued by the Board of Health. 3,"VIZ,ee�ll Application Approved7--- date Application Disapproved for the following reasons: date Permit No. Issued date BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate (Of Compliance THIS IS TO CERTIFY, That the I divid ail Well Constructed Altered or Repaired by k-./ --- ---at- 3'a kr Aled V I i;--r --- --------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection --PA Regulation as described in the application for Well Construction Permit No.c-20---'77- ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector No. Fee-------------------- BOARD OF HEALTH TOWN OF BARNSTABLE 0(pplication orVell Con5truct ion Permit Application is hereby made or a pe t to Constr ct ( ), Alter ( ), or Repair ( )an individual Well at: ,. 64 Location - Address �� — Assessors�ap and Parcel -------------------------------------------- Owner Address Installer - Driller Address Type of Building Dwelling -- --- -- - - —-- — Other - Type of Building------------------------- No. of Persons------------------------------------.._. Type of Well rr'q "4 0 — Capacity---— -- - --——- -- ---— Purpose of Well-----—-- — ---------- 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 Cu ' 'c to pf Compliance has been issued by the Board of Health. -------date ------ Application Approved date Application Disapproved for the following reasons: ---.----------_______—_____—__________—__—___—--------- ---------------------- - ——- -- --_--- date PermitNo. _ ----------- Issued--------------------------------------------------- date -____________.._--._ -_.._______ _______________________________ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) 1_ Installer at_27 ga (ekY lved-- �76&/- A-- ----------------------------------- -- - — --- - 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.'s 2-.-_ ---------- THE PP �-------Dated-------------- 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 Vell Construct ion Permit l o No. -- 7— DCO Fee— , -- Permission is hereby granted—1�1--`�- �� p __— A-1`_ to Construct ( Alter ( ), r R pair an I dividual WGt ell at: No. �, - ----------------------------------------------------- -Street as shown on the application for a Well Construction Permit No.-- - — -- ---- ated------- DAT E ( b CJ Board of Health -------- ------ iO4/04/2007 WED 15: 38 PAX 5083627103 Barnstable CTY Hea1"t::La-b ---• BARNSTABLE HEALTH 2001/0�, CERTIFICATE OF ANALYSIS Page: 1 V m Barnstable County Health Laboratory Report Prepared For: Report Dated: 4/4/2007 Shaun F.Harrington All Cape Well Drilling Order No.: G0739939 P O Box 126 Brewster, MA 02631 r tM,' p✓,Zva-—00 CT— Laborato.ry ID#: 0739939A1 Description: Water-Irrigation Well Sample N. Sampling Location Baxtcr Neck Rd.Cotuit,MA\ Collected: 4/2/2007 Collected by: . SFH Received: 4/2/2007 Routine-TC { ITEM RESULT UNITS RL MCL Method# Tested i Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 4/2/2007 C Copper ND mg/L 0.10 1.3 SM 3111B 4/4/2007 i Iron ND mg/L 0.10 0.3 SM 3111B 4/4/2007 Sodium 6.8 mg/L 1.0 20 SM 3111B 4/4/2007 Conductance 67 umohs/cm 2.0 EPA 120.1 4/2/2007 pH 5.8 pH-units 0 EPA 150.1 4/2/2007 ater sample meets the recommended limits for drinking water_of,all the above tested p`arainetersA Approved By " • (Lab irector) f--D C:) 1 � r y C,., • N � W l to I i i I ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 TOWN OF BARNSSTABLE LOCATION 0(05"' �/ n RC• SEWAGE # -VILLAGE N�• /Yl t l�S ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY. _(-AST �o — SIB rkGo. e* ' ` LEACHING FACILITYu(tyl �oX (size) NO.OF BEDROOMS / BUILDER OR OWNER CfAI/G PUTA✓ti PERMITDATE: COMPLIANCE DATE: -R&I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leac ng / facility) Feet Furnished by l��cvt n � t'D/� 8£+ �•, ,oh c Od n. G AfA-g t- 13, 0 93 0 Sy TOWN OF B/ARNSTABLE LOCATION / i�-�oSf�C SEWAGE# deMrT-5-F VILLAGE o ollj ASSESSOR'S MAP&PARCEL (JI7-5-Q'AvI-001 INSTALLERS NAME&PHONE NO. zler-nzc_ SEPTIC TANK CAPACITY -?000 LEACHING FACILITY:(type)/Z VO 5;,,A//(size) ,&X NO.OF BEDROOMS OWNER. �� PERMIT DATE: / ,c w 5 COMPLIANCE DATE: / I-a-5/0 ('P Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist +on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet t FURNISHED BY 3 1 �3 0 r r - Ti, r 1 1 oil Fee /� • HE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes ; PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application for -Mig;posW 6pelem Cow6truction Vermit Application for a Permit to Construct(pair( )Upgrade( )Abandon( ) complete System 0 Individual Components Location Address or Lot No.ZCoS'6wckr25 IJecl._ 9ccs Owner's Name,Address and Tel.No. m9��� M�115 Sohn K.<t1�1or t, sueviso.l Assessor's Map/Parcel 1A M19ht-V_ l" `C IL\ 0-77-O10-00 t 17 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �7rvrt�2 i�r sS' sob-4Z��3 �� Type of Building: Dwelling No.of Bedrooms 11+Z Lot Size 8x A &,Xes Rq=ft Garbage Grinder(NQ Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow i7AO 4— ZZ0 gallons per day. Calculated daily flow I%09 � �-3� gallons. Plan Date 8Welos- Number of sheets Z,3 1 1 Revision Date rlIL3105- Title Si-k_'RG -\ �ra �alv�nn2n� Size of Septic Tank 3WO 4- 1S-00 &Aor.S Type of S.A.S.Z-1iX59° gEC:r>S ud (Q CI O0 7 64. �� t—l2`XIsz.Sl F►EC,D w/ t— Soo CQcI, Cty..�ntj,� Description of Soil`��111a44 O—� LOW\ fOV2y/�J �55_lzdl C CGvlar� ma, Z S y (0/6 1JO fo :-w-C--i.»4'ti��12o = 6i 15" 1' z ryl�r�f ll Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue o d lth. Signed Date / Application Approved by Date Application Disapproved for the following reason 44 Permit No. Z 'j Date Issued 71051 W. : Fee��S� HE L;TH OF MASSACHUSETTS Entered in computer. �� ,+ Yes PUBLIC HEALTH DIVISION-;-'TOWN OF BARNSTABLE, MASSACHUSETTS a Rppli ratio n�for.Mi!5pbgar *r6tem Construction Per"mit Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No Z,(oS 6``x ,� ee. Ow. �ener' Name,Addrest.s�nd Tel.No. �, �. � Jvev15�1^ Assessor's Map/Parcelo U7S=Olv—o01 Wy �an� IYtI - d1�70 Instkr�Vo and T No. �t Desi ner's Name,Address and Tel.No: # 1 � Su11��Q^Gn neer I.o.r3�ll (o�`! 77J 9�' �,i�, Mf c�z.�ss soa 33L1y Type of Building: , +t Dwelling ,� No.of Bedrooms �I�Z Lot Size8-Z kute-,Vef . Garbage Grinder 00) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 17ZIO 47., Z.ZO gallons per day. Calculateddaily flow 1%D8 '- Z-!:>1 gallons. Plan Date 8/�� � Number of sheets Z,3,14jf L Revision Date Title S► �I��n Quo 4c� cOv2M2n�1 r Z ¢ Size of Septic Tank3000 {' 1506 l011\1k0_A { Type of S.A.S.Z-1iASq F+rZD�> LJ/ t0-900 G_4� ch"4-D 1Z,YV0-.g SUo (00, (hr4-Dq Description-of Soils 1l� U't3 1�� --tWe-y/� 8-'�S $Cgyer S�hdy ��m IoYK y/fie � 1 f �5--120` C C,,7sr 694 SwnJI Z,s Y- fe/lo Nd,r/ Zo JA-6- (0 24, Nature of Repairs or Alterations(Answer when appli a6 e Date last inspected: -� Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the nvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue thi aB.,aryd,of l4ealth. Signed1. //1 /1 Date - Application Approved'by (/ ✓ Date Application Disapproved for the following reasor6Z •r Permit No. Date Issued -)Apollo THE COMMONWEALTH OF MASSACHUSETTS C l & BARNSTABLE, MASSACHUSETTS - Certificate of Compliance THIS IS TO CER FY, that the n,-�.te.Sewa Disposal S stem Constructed Repaired-( )Upgraded( ) - Abandoned( by ©� �'</'/ Q4/5 37Y _ at 71oS � ; A? J;`)&(0CakS Yn1 A _h s eg constructed in accordance with the provisions of Title 5 a d the r Disp al System Construction Permit N . dated Installer ©l A( 44�/ ,Designer The issuance of this"s�h /l �pe construed as�a guarantee that th system w ti on s designed. Inspecto Date ; No.-L Fee� �— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po.5ar *p$tem Con$truction Permit Permission is hereby granted to Construct(')Repair )Upgra�ie,( )Abandon( ) System located at ZGS Lx S 1det�C Knnc , a,�S 6V1, I5 �. " and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her-duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be co 4lete w t n tdiree years of the date of th's��t.- Date._ L/ Approved by / � Y • I Town of Barnstable Regulatory Se>1-v><ces Thomas F. Gede`r,Director Publk Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 96S o G Sewage Per mit# s s9 Assessor's Map\Parcel 07S/010-00 1 Designer: SuLLIVAN IEwrIvrEa INc- Installer: l®r V/®rl -7 FA RM R. MaA D 9,T_��d1.15�1y Address: ©S'tL2R V 11-L 1: 4 AI A SY Address: On 7 f D,� �o�ri' ���s�` was issued a permit to install a (date) (installer) septic system at 2-b6 i3Ax'TE Rs t-osrtic D. Al. based on a design drawn by (address) Al"'1-s Sz&I(go NENG/NEERf#4dated May - 11`23A0t (designer) X _ 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. C6,Mp414.vc._- wl-rI4 TITLG V OltlLy 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. - c-) (Installer' ignature) � n 3� r WL ci -0 i tV CO (Designer's Signature) (Affix Designer's Stamp 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. Q:Health/Septic/Desiper Certification Form 3-26-04.doc -PCA Town of Barnstable 6 Board of Health P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,KS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. October 17, 2005 Mr. Peter Sullivan, P.E. Box 659 7 Parker Road Osterville, MA 02655 ARE 265Bpter V1a11s � AO 750'0 001 Dear Mr. Sullivan, You are granted approval to construct two onsite sewage disposal systems designed to be connected to eleven bedrooms and two bedrooms at 265 Baxter's Neck Road, Marstons Mills, Massachusetts. The approval is granted with the following conditions: 1)The septic systems shall be constructed in accordance with the plans dated August 8, 2005. 2) The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated August 8, 2005. Sin ly yours, Wayne ller, M.D. Chairm BOA OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP/Sullivanl3Bedrooms dp1MF DATE: b` FEE: i BARIMABIE, +' MAS& %639. �� BY. Town of Barnstable REC REC. DATE: Board of Health SCHED. �s 105 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 U Susan G.Rask,R.S. FAX: 508-790-6304 \� Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM - LOCATION rT� Property Address: Assessor's Map and Parcel Number: 07S—bJ 0—W( Size of Lot: &Z-H Wetlands Within 300 Ft. Yes ✓ Business Name: k' No Subdivision Name: {" APPLICANT'S NAME: "Sck\n R, Sye,nS6----) Phone CON r-1 Did the owner of the property authorize you to represent him or her? Yes No PROPERTY O WNEWS NAME CONTACT PERSON Namer,gOh!2, K, + LTIgar-C Name: -C=.v\,iV,:r% Gn3iM Address: H� lC ��2 v� Address: �'O, bs�er�l\let (Y k azoss- Phone: Phone: 50$—GIZ�" �3yy VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space neede d) -+ (0- 5eArn6rr5 :ZAOs �On-� NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System 0 Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form —j Four(4)copies of engineered plan submitted(e.g.septic system plans) _V Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) !/ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C 09/21/05 11:17 FAX 617 2667424 THE ABBEY GROUP 11003 09/21/2005 11:15 5084283115 SIJLLIVAN ENG INC PAGE 02 September 21, 2005 Town of Barnstable Board of Heatih 200 Mahn Street Hyannis, MA 02601 RE: 265 Baxters Neck Road, Marstons Mills Dear Board of Health, As ov ner oil'the above referenced property, please be advised that Sullivan Engineering, Inc. has nay permission to represent me before your Board in all mutters pertaining to the proposed septic system at my property- Sincerely, oh R. Svensc)n r ( -c] COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL P O j&-q ® FAILED INSPECTION luu02 2004 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 265 Baxter Neck Road �A� Marston Mills, MA 02648 Owner's Name: Claire Putnam PARCH ® 1)6 Owner's Address: -------� 1.OT Date of Inspection: May 5, 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 ✓ F Is Inspector's Signature: Date: May 19, 2004 The system inspector shall sub t a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. 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 I Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 265 Baxter Neck Road Marstons Mills. MA Owner: Claire Putnam Date of Inspection: May 5, 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 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 265 Baxter Neck Road Marstons Mills, MA Owner: Claire Putnam Date of Inspection: May 5, 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. 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 r Page 4 of 1 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 265 Baxter Neck Road Marstons Mills, MA Owner: Claire Putnam Date of Inspection: May 5, 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 ✓ 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. ✓ 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.] NOTE:Single cesspools automatically fail in the Town of Barnstable: Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large 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 r Page 5 of i l OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 265 Baxter Neck Road Marstons Mills. MA Owner: Claire Putnam Date of Inspection: May 5. 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?(If they were not available note as N/A) ✓ _ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: 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)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 265 Baxter Neck Road Marstons Mills. MA Owner: Claire Putnam Date of Inspection: Mat 5. 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 1 Does residence have a garbage grinder(yes or no): No 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/sgft,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: A new pit was added on 6122183-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 1 I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 265 Baxter Neck Road Marstons Mills. MA Owner: Claire Putnam Date of Inspection: May 5, 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) Cesspool acting as a septic tank Depth below grade: Cover to grade Material of construction: _concrete _metal _fiberglass _polyethylene ✓ other(explain) Brick If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 5'W x 5'T x 8'bottom to grade Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: -- Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: -- Distance from bottom of scum to bottom of outlet tee or baffle: -- 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.): The cesspool had 5'ofliauid on the bottom Liquid was up to the outlet tee 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: 265 Baxter Neck Road Marstons Mills, MA Owner: Claire Putnam Date of Inspection: May 5, 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: gallons 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: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 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.): 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 I I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 265 Baxter Neck Road Marstons Mills. MA Owner: Claire Putnam Date of Inspection: May 5, 2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -6'x 6'(1000 gal.) leaching chambers,number: 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.): The pit had 4'of liquid on the bottom. The scum line was up to the inlet pipe The pit showed signs of h draulic failure The cover was I'below grade. The bottom to grade was 11'. CESSPOOLS: ✓ (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: I single-for garage Depth-top of liquid to inlet invert: -- Depth of solids layer: -- Depth of scum layer: . -- Dimensions of cesspool: 5'Wx6'Tx8'bottomtojzrade Materials of construction: Cesspool block Indication of groundwater inflow(yes or no): No Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): This was a single cesspool for an apartment above the garage Single cesspools automatically fail in the Town of Barnstable 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 Page 10 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 265 Baxter Neck Road Marstons Mills, MA Owner: Claire Putnam Date of Inspection: May 5, 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. 4viv b r Po A, yo ` 0 13g io Page 11 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 265 Baxter Neck Road Marstons Mills, MA Owner: Claire Putnam Date of Inspection: May 5, 2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 30 +/- 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 map, the maps were showing approximately 30'+/- to ground water at this site. This report has been prepared and the system inspected and failed 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 andlor this report. Il S 3 - y�S° ;ZT., TION a� S 4AX7-]Ej: T/CC r2p, WAGE PERMIT NO. VILLAGE INSTALLER'S NAME & ADDRESS CF O L cSE�//r fit= BUILDER OR OWNER CC1419 L ToN* p L/72�6o-q1,-, DATE PER84IT ISSUED 2 gn 9-3 DATE COMPLIANCE ISSUED / �� 1 i d �7h -, I No..- $10.00 .......... FEE............................_ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town 0 F........Barnstable .......................................... ..................................------------....................---------------- Appliration for Diapusa1 Works Tnntitrnrtion amit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 265 Baxter Neck Rd. Marstons Mills Ma 02648 ................_........_...................................................................... •----••---......------..............--•---•------•••--•--•---•------------.....--•-.......-------- C harlt on D Lcpfj *;essJr. or Lot No. ......................-.......................................................................... .................................................................................................. w A & B CesspooP'5%'vice 128 Bishop's Terr&69"'iyannis, Ma 02601 ................ • ........ Instal ler Address Type of Building Size Lot----------------------------Sq. feet aDwelling—No. of Bedrooms..........................................Expansi n Attic ( ) Garbage Grinder ( ) pi Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) fs, Other fixtures -------------------------------------------------------------------------------------------------------------------•-----------------•--.....-------- d w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic 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. Z Other Distribution box ( ) . Dosing tank ( ) ,4 Percolation Test Results Performed by.......................................................................... Date........................................ Test 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........................ x ODescription of Soil---Sand--------------------------------------•-•--•......------------------------------------•--------------.---------.----------------•--- x w UNature of Repairs or Alterations—Answer when applicable....install a 1000 gallon.....................eaeh__pit --------------Packed in stone -------- ------ --•--•-- ••--..... --------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance, een issued by the b and al 6/22/83 Si . --------•- -•----•.......... .... .... .. *-`. ....• fig, ApplicationApproved By................. ----- --- ------- ---=-------------•--•-------•----••---••--•.......-•-•-- ........................................ Date Application Disapproved for t f wing reasons--------------------------------------------------------------------------------------•---------•---------•-... ....................•-•---------------..... .........................-•-------------............-----•-- / Date Permit No...83-......•------•----••-•--------------•••....... Issued -6/22�83 Date $10.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town........................O F.......Barnstable Appliration for Dhipviittl Works T. uBtrurtiun Urrmit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 265 Banter Neck Rd. Marstons Mills Ma 02648 ...... ---.............--•---.....---•-.....-•---•---••----•--....._..---...... .......----------....---------------•---••-•--------------------••------...------•---......_...... Charlton D;Tfitt_Add,essjr. or Lot No. ......................----•---•••---••.....'.U-L.......I---------------------------•--------.._.... ._........------...-----...------......••-------------.....-•----------...................._...... W A & B Cesspoolo`SdWiee 128 Bishop's Terraceesiyannis, Na 02601 ,-1 .......... ........ ........ Installer Address dType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms....3.....................................Expansion Attic ( ) Garbage Grinder ( ) Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 0.1 Other fixtures -----------------------------••• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) •-' Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Descriptionof Soil..Sana-----•--•--------------------•--...-----•-----.........---•--------•--••-•-•---••--•-•_....-•---•. -------•--•------•.....--••-.....__---•-•- x W ..........................-............................................................................................................................................................................. UNature of Repairs or Alterations—Answer when applicable. nst�ll a 1000 ga on leach pit•-__._.•........._.. h .acked in stone ..........................................•-•-•--------•---•---••••-• . •-• -•---•......•------•-•• -_.... . -•-•-•• -•---•---_---- ... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITiS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance 4r.5-,been issued by the boar S• .......... -...-•--•.........:: '`�--- -• •- . ApprovedBy........ •-- •- ... �= - -------••----------•-------•...................•-•-----.. ..........6/22�� ....--------- D ate Application Disapproved for a owing reasons:-----•------------------------------•----------------------------------------------••---•-............---------- ......................................... •-•-•.....-----•-------•-•---•------•--•--------------•.....--•-------••-.....••-•--•-••••......-•-----•••-••...-••-••--•-••••-•••--••••---•-•--•-••......-- Date PermitNo._8�...------•-•............................................... Issued----6/OA .................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ...........................OF..................................................................................... Trr#ifiratr aaf (Saamptianrr T I 1 TO CERTIFY Thhat t1�e Individual Sewage Disposal System constructed ( ) or Repaired ) A c Cesspool Se�rice- 12t3 Bishop s_Terrace_.Hyannis. Ma__02601--------------------------•-•-----•----... by -----•- - 265 Baxter Neck Rd. Iarstons Mills Iga"b2648 at................... --------------------•---------------------------•---------•-------------•-•---------•----•---------------•---------•-•--------•------------------------•------------------------- has been installed in accordance with the provisions of TIT F 5�o•�f- The State Sanitary de s described in the application for Disposal Works Construction Permit No.___$ _, _ ............. dated_.. �22 �3............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE \ SYSTEM WI L FUNCTION SATISFACTORY. E6�22--83.... or......._..-•-•--•------•--------------•----------•------_. Inspecto r....... ---•-- --•---•-•...----••---••-•----•.........._...-----................ . THE COMMONWEALTH OF MASSACHUSETTS l BOARD OF HEALTH Town Barnstable ...............................OF..................................................................................... No $3 ........................ $--......... FEE._10.00......... Dior pal Vork,5 Tomitrurtion Prrutit A & B Cesspool Service 128 Bishop's Ter.. Hyannis! Ya 02601 Permission is hereby granted..............................5_..... D to Cons ctB er 19e8 'rRti. )14'Iai�B onsdM lls' � 90' System atNo..........................................----...._..............------------.....------------.•••-•-•----------•--•--••••-••-•-••-•--•---•--••----•---•-----•--•-••--•..........._...._....._ Street as shown on the application for Disposal Works Construction Permit NoP_01. ! ated..VW83 = ----------------------------••-•----------•-------•----•---- 6/22/83 Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON ap—PLICA,rION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION NO.1 ` ! 'J VILLAGE MAV-S72:>hlS M t L,�_S DATE/ ^'-F.^'e� APPLICANT D(A-�,4Ej L FEE --!* I o0 �1-7 (Non-refundable ) ADDRESS Too �L5 ', , (M-v. >A r 4+%LL. MA TELEPHONE NO. gio5 -4oc>c, ENGINEER INC- TELEP NE NO,_�s �� DATE SCHEDULED •7 (Applicant' s signature ) • • • o 0 0 0 0 0 0 • o • 0 0 0 0 0 o e . . • • • y o o • o O o • • • • • • o.• • • • • • o • • • 0 0 0 0 • • • • • • • 0 • o • • • o o • o ASSESSOR'S biAP LOT NO: �5 o ( PoR'n"96l SOYL LOG SUB-DIVISION NAME ALA DATE .5; TIMEi�'� EXPANSION AREA: YES --NO R AXra-,a- IS4C_ ENGINEER TOWN WATER ✓PRIVATE WELL F, (3, -r BOARD OF HEALTH sHP-eL� •�-t-9.ri �,.+ EXCAVATOR SKETCH: (Street name, etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : P,,o tilt ,�� tt4l % � Qo el • V ��Il'�j • �.e rew � '. . �1�" •n �j ,z W � - o 10 2 t \ PL v3p� 8"+ =a. P j \ _.. MAP: -74 �$�h A 151 AA ---- -- PERCOLATION RATE: TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE : LEACHING FIELD LEACHING PITS__ LEACHING TRENCHES UNSUITABLE FOR SUB=SURFACE SEWAGE. REASONS: NOTE : ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P . E• AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT Title 5: Draft Printed September 20, 1993 Appendix 4 Page 2 On-site Review Deep Hole Number ..1 e1.2.. Date:.Ol. .04. ace Time:.io.-.►03= . Weather S"cw S, ta-S - L&Te-L Location (identify on site plan) . ....sue Q: .. C. .................. v�ft-+.r LcT - PR-oP Land Use ........................ . Slope (°,6) ..8.-.....5.... Surface Stones .. g 1N/1 c M I�L.�j �iSW Vegetation wooDEp PI�� -� o Landform - Position on landscape (sketch-on the back) ...... E ...Q-evl=��. . .... .. Distances from: i Open Water Body ..... 30.. feet f Drainageway ... �/A. feet TcP oP CGAST�4L P,A,4� I P-ssi"- `"'e• Igo feet + Property Line .... ...± feet Drinking Water Well. "/A feet Other Tow" DEEP OBSERVATION HOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Munsall) (Structure, Stones, Boulders, Consistency, % Grevell TEST �OLC� I Loo�E r DiLR°nAlrJ .��' D9'ron•IPOSED D1NH wee DL /LE A.IES - 3 Fae£sT DC-ns P�5 lu o H M- A Go sQsc SA-"C� to y(L 511 Nora B Lc:) -7 - 4o p coA-"SS.-fmfl toyQ 5/t. N61-4C ve2-1 FRIt\�LE C cd>c sy 540-4 o --r2 6 I-.IOI-IFE T-PACMe-aA,1r=L /11.r--111MLL No wATt=L C tole"" '5AkAa ` Ails `-�tM� AA 4c" _ 1 to G MiyDiuM Sn,./A to YR �/4 ti•6r->= 7VA--r= ;RA-4L-L- F-P-Wf.L- r C 5.5 I L, 1S art LLbIVS 1'w 12. M i I,.uiC'+ 2ATE: LESS Ti-A'H 2. M 1 vTE-S I�t=L�. II-,CW Parent Material (geologic) .H..... ....... Depth to Bedrock: gEDQo�� r 300 . .. r3•ELovv M S L Depth to Groundwater: Standing Water in the Hole: . NIA.. Weeping from Pit Face: Estimated Seasonal High Ground Water: q MtW L j wTR LrvrL e �t •o' \t•9S OR A � f N Ji c 0 / EX 5 ST1 1J b R,.j E. J 0 0 I 0 j a D 7H ,x 6 PC 1 -�� i iRow PIPE To P o P �� �` �• Ji i� c R TY-I f3A�( endix Title 5: Draft Printed September 20, 1993 A PP 4 Page I No. P— 8(. 39 Date of . og- �aca Commonwealth of Massachusetts - f:!:,>g R1-4s L-E , Massachusetts Site Suitability Assessment for On-site Sewage Disposal J E LL(5 l3�vT�� �y�....1 l.,G i No7 I.SS� Performed By. ...................................... ..............................`�............ �.... Certification Number: . Witnessed By: EDw D F f3fl-.¢-7 .I o -,-> Location Address or Lot No. M"�^P -75 Owner's Name. Address and Tel. x f31°Xl�� NECK Roflp SuP�J>lvlstol-1 •C�IkNE L., of Lor' 1 o P/tQA off P R-oPEQ-n E S M rti R�Ta�s nn 1 Ls, MA 2 200 1�o�1LSTt-N S"7�L��T P-4� y r H,L�L 1 M At. 1 O 1 to-1 PLPrN N 11.1 Gs ('�a+ta-o 10/ 3 a /q S C b New Construction Repair ❑ Office Review Published Soil Survey Available: No ❑ Yes c c `/ear Published ..:l .9.3. Publication Scale Soil Map Unit EXcESSIVG�y Draina a Class � ! "..G-0 Soil Limitations ..R�P�D...° ?^^. .-�.T�•1• P�"Q`y..s.".`.•T.�.....z?..•: o.... oD- 9 LAr.O (OGo ut�HT.a$S S� S�aP� erhP+1 L11C Silk D R tip/ APFea. HoME cav si--a..rGr+cM i PmR- Surficial Geologic Report Available: No ❑ Yes Year Published l�1--7 5 Publication Scale i Geologic Material (Mar) Unit) : rr.p. n�1�5r,r' .A'Ts P�'471 ' °�oS Landform +.....-....�� � � Flood Insurance Rate Map: Above 500 year flood boundary No Yes ❑ Within 500 year flood boundary No Yes ❑ Within 100 year flood boundary No Yes ❑ Wetland Area: Nat'--R 1 1A/etl n-d �I 1 +...v N/Ian (map n it� � 1Lor MsMPED..,.o. �t3 ��... .. ......................... r � � .... .... Current-Water Resource Conditions (USGS): M1W29 Month Al /9s 4oNE R�- Range : Above Normal ❑ Normal ❑ Below Normal Other References Reviewed: us .s. co,ti�-r Q� ca ��. .......•.............. ........................... .......... . . ........................................... .... .. .......I......... ................ . 1 � , r DESIGN DATA L 1 Single Family- 13 Bedrooms i With NO Garbage Grinder FFEL.46.0 - Daily Flow= 110 x 13 = 1430 GPD F.G.EL.44.5 See Note 4(typ.) P F.G.EL.44.0 Septic Tank: 1430 GPD x 200%=2860 GPD dR�4� Use 3000 Gallon H-20 Septic Tank L.43.0 - e 1 S Min. 31 Top El.41.0 LEACHING AREA We s°ep°°ti r llon 1430 GPD/0.74= 1932 SF Required H-20 H-20 t Flow E uilizers EL.ao.o � Leaching Sidewall=2(12t+59)2t- -284 SF As Required v"8 '1 Chmnbei -�� Bottom Area=(12'x 59')=708 SF x 20 i sot.M.3e.o ' 992 SF Total Provided Each:Use 2 ` a � Bedding."T's,&Baffels _ 10, I as Per Tide 5 All Unsuitable Remove thnT of a All Unsuitable Soils of h e S'of F - NpF M>n '� (See Nou8) The o>se<P�;tn_:erefe��e>n 10'Min.-SlabLEACHING CHAMBER DESIGN 20' m.-Foun on - PETER DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM I U.2.5 All Pipes to be Schedule 40. Use 2 SULLI 110.2973 " `° °'°' n'daa'eL 6-560 Gal. Leaching Chambers in NOT TO SCALE CIVIL 12'x 59'Washed Stone Fields as Shown Finish Grade - SEPTIC NOTES 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours s'Max _.� ., t a... 3.i t ¢t_.,, i,_-=1;.,. ,E' .� ._.,.:_ :(i Filter PERC TEST: 11,044 i v^Min Compacted Fabric Prior to Any Excavation For This Project the Contractor Shall Make r. PERFORMED BY SULLIVAN ENGINEERING the Required Notification to Dig Safe(1-888-344-7233). 2^ h�J.. °' -Pea Stop - WITNESSED BY DONALD DESMARAIS,R.S. 2.The Contractor is Required to Secure Appropriate Permits From Town ^ .-- y JULY 25,2005 Agencies For Construction Defined by This Plan. T; ;d .-,n 3.The Proposed Water Line Shall be Constructed in Coordination With TEST HOLE - I TEST HOLE - 2 EL.45.0 Barnstable Water,and Shall be in Accordance With 248 CMR 1.00-7.00 3' EL.45.0 3/4"-l 1/2" LOAM lOYR 4/4 LOAM lOYR 4/4 &310 CMR 15.00.The Water Line Shall be Sleeved Where Required. - Double Wesrred DARK YELLOWISH BROWN 44,2 4.Install Risers to Within 6"of Finished Grade. n LEACHING storre DARK YELLOWISH BROWN 44.3 10 z' �, , �. CHAMBER ,� B LAYER 1OYR 4/6 5.All Structures Buried Four Feet or More or Subject " H-2o B LAYER 10YR 4/6 to Vehicular Traffic to be H-20 Loading. Hr . DARK YELLOWISH BROWN DARK YELLOWISH BROWN 35" SAND LOAM 42.1 , 36" SAND LOAM 42.0 6.Septic System to be Installed in Accordance With 310 CMR 15.00& 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable 4' lo^ I C LAYER 2.5Y 6/6 C LAYER 2.5Y 6/6 Board of Health Regulations. OLIVE YELLOW OLIVE YELLOW 7.All Piping to be Sch.40 PVC. IT MED.SAND MED.SAND 8.Inlet Tees Shall Extend a Minimum of 10" 9" PERC TEST 41.8 110" PERC TEST 35.8 Below the Flow Line. CROSS SECTION OF CHAMBER 25 GALLONS IN 5 MIN.30 SEC. 1 0" LESS THAN 2 MIN.INCH 35.0 9.An Outlet Tee Shall Extend 29"Below the Flow Line. NOT TO SCALE 120" LESS THAN 2 MIN.INCH 35.0 NO GROUNDWATER ENCOUNTERED 0 10.Existing Septic System to be Removed,or NO GROUNDWATER ENCOUNTERED Pumped and Filled With Clean Material. Added Pool House, Garages, and Tennis Facilities ' Previously Shown on Septic Plan - Date 08 09 05 DATE: 11123105 Add Additional Mitigation DATE: 10128105 Remove Proposed Patio & Add REVISION: Mitigation Per Con Com Request DATE: 10 17 05 Prepared For: Da te: 08/08/05 m Title: Site Plan Prepared By. �apeSurV Proposed Improvements Sullivan Engineering, Inc. � John R, & Elinor E. Svenson CD At 7 Parker Road Scaler AS Noted PO.Box 659 36 Highland Circle Osterville, MA 02655 Osterville MA 02655 Wayland, MA 01778 ° E65 Baxter s 'Neck Road Project #1 24010 Barnstable CMarstons Mills), MASS (508)428-3344 (508)428-3715 fax (Soe)42013994 (508)420-3995 fax PSu11PE®aol.com t capesurvAbapecod.net it % DESIGN DATA Tennis Buildins& FF Is9..39.0 Future Single Family -2 Bedrooms With NO Garbage Grinder F.G.fiL.38.0 F.G.6L.37,0 See Note 4(tn.) Daily Flow= 110 x 2 =220 GPD n n aR Septic Tank: 220 GPD x 200%=440 GPD Use 1500 Gallon H-20 Septic Tank 15'Min. i 3 . Top M.352 1 3 1500 Gaon ` ` LEACHING AREA Septic Tank D-Box H-Zo Flow uitize� - x-Zoy 220 GPD/0.74-297 SF Required As Required EL.3a.2 Leaching f � Chamber Sidewall=2(12'+ 16.5')2'= 114 SF H-20 y,. 3. Fu Y r u � � ` � �. .. � Bat. .32.2 Bottom Area=(12'x 16.5')= 198 SF N Of�°1 lo' wading,^T^� le BatTels 312 SF Total Provided � as Per Title 5 IffincoumeredRemove&Replace ,a` (See Note 8) An Unsuitable Soils Within 5'of a PETER j I0'Min.-Slab The Outer Perimeter of The System suuiv om on LEACHING CHAMBER DESIGN AM.29739 DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM fiL.2s Cl�lI NOT TO SCAMApprox. Pies•Groundwater p to be Schedule 40. Use. s 1-500 Gal. Leaching Chamber in 12'x 16.5'Washed Stone Field as Shown. 0 Finish Grade . { .i.s ,=r)i.�, .13-•g91 .t ,?i.i.� P ... 1 :.i ,''11 t r--�t�i�i rL J t -:/tug:- 3'Max t�litt� Filter Min - Compacted Fill =- Fabric PERC TEST: 11,044 SEPTIC NOTES t' 2^ " , .. -f 4 ,; 1B^-ln^ PERFORMED BY SULLIVAN ENGINEERING 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours r Fee StD7e WITNESSED BY DONALD DESMARAIS,R.S. Prior to Any Excavation For This Project the Contractor Shall Make JULY 25,2005 the Required Notification to Dig Safe(1-888-344-7233). 2.The Contractor is Required to Secure Appropriate Permits From Town 3' TEST HOLE - 1 EL.45.0 TEST HOLE - 2 Agencies For Construction Defined by This Plan. 3/4"-1 1/2^ EL.45.0 3.The Proposed Water Line Shall be Constructed in Coordination With LEACHING Double washed LOAM lOYR 4/4 LOAM lOYR 4/4 Barnstable Water,and Shall be in Accordance With 248 CMR 1.00-7.00 2' CHAMBER stone g" DARK YELLOWISH BROWN 44.3 loll DARK YELLOWISH BROWN H-2o ,�-' �•2 &310 CMR 15.00.The Water Line Shall be Sleeved Where Required. � B LAYER IOYR 4/6 B LAYER IOYR 4/6 4.Install Risers to Within 6"of Finished Grade. DARK YELLOWISH BROWN DARK YELLOWISH BROWN 5.All Structures Buried Four Feet or More or Subject - P 35" SAND LOAM 42.1' 36" SAND LOAM 42.0 to Vehicular Traffic to be H-20 Loading. 4'-10^ -I C LAYER 2.5Y 6/6 C LAYER 2.5Y 6/6 6.Septic System to be Installed in Accordance With 310 CMR 15.00& OLIVE YELLOW OLIVE YELLOW 12' 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable MED.SAND MED.SAND Board of Health Regulations. PERC TEST 41.8 110" PERC TEST 35.8 CROSS SECTION OF CHAMBER 9" 7.All Piping to be sch.40 PVC. 25 GALLONS IN 5 MIN.30 SEC. 120" LESS THAN 2 MIN.INCH 35.0 NOT TO SCALE 120" LESS THAN 2 MIN.INCH 35,0 NO GROUNDWATER ENCOUNTERED 8•Inlet Tees Shall Extend a Minimum of loll Below the Flow Line. NO GROUNDWATER ENCOUNTERED 9.An Outlet Tee Shall Extend 19"Below the Flow Line. Added Poo/ House, Garages, 10.Existing Septic System to be Removed,or and Tennis Facilities Pumped and Filled With Clean Material. Previously Shown on Septic Q� Plan - Date 08109105 DATE: 11123105 1 Add Additional Mitigation DATE: 10128105 Remove Proposed Patio & Add REVISION: Mitigation Per Con Com Request DATE: 10 17 05 Title: Site Plan Prepared By-, Prepared For: Da teI 08/08/05 Proposed Improvements Sullivan Engineering,, Inc. Ca eSUry CD _ At g g John R, & Elinor E, Svenson PO Box 659 7 Parker Road 36 HI hland Circle Scale: As Noted 265 Baxter's Neck Road Osterville, MA 02655 Osterville MA 02655 9 11-7 (508)428-3344 (508)428-3115 fax Wayland, MA 01 / 78 O (508)420-3994 (508)420-3995 fax Project #+ 24010 arnstable CMarstons Mills), MASS PSu11PEpboGcom capesurt�apecod.net .i i DESIGN DATA Single Family- 13 Bedrooms With NO Garbage Grinder .FF EL.46.0 Daily Flow= 110 x 13 = 1430 GPD F.G.EL.44.5 F.G.EL.44.0 See Note 4(ryPa e Septic Tank: 1430 GPD x 200%=2860 GPD a Use 3000 Gallon H-20 Septic Tank L.43.0 _ 1 15'Mia Top EL41.0 ' LEACHING AREA s��a 4 D_soX 1430 GPD/0.74= 1932 SF Required H-20 H-20 _ :r '_ Flow E uilizels y a;:hing it Sidewall--2(12 +59)2 284 SF Le As Required »# EL.ao.o1 Chamber ' ' x-2o Bottom Area=(12 x 59)=708 SF fir' °5.. 5�-,f •:. hy+Y s,..r�, .1' ,ro H�'9i - ,. B«.E1.38.0 992 SF Total Provided Each:Use 2 Bedding"T"s,&Baffels lace 0%9- 10 as Per Title 5 If 1 UnsWtemd P ofls W&n 5'of Mtn. .(See Note8) heOmertPberimeterf�s,°sLem �10'Min.-Slab LEACHING CHAMBER DESIGN 20' m.-Fotm - SULLIVAI'9 DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM EL.2S All Pipes to be Schedule 40. Use 2 NOT TO SCALE APP�x Graa�awa,er 6-500 Gal. Leaching Chambers in CIVIL 12'x 59'Washed Stone Fields as Shown. lJ Finish Grade SEPTIC NOTES k r y l-1'�, s;' ' 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours 3'Max �,. Y. 3_ -_! _; :r= F. _„ Filter PERC TEST: 11 044 3'Min compaotedFill Fabric Prior to Any Excavation For This Project the Contractor Shall Make r PERFORMED BY SULLIVAN ENGINEERING the Required Notification to Dig Safe(1-888-344-7233). 2" � f,�.>� , n- Pea stone WITNESSED BY DONALD DESMARAIS,R.S. 2.The Contractor is Re uired to Secure A ro ate Permits From Town � :: y ' JULY 25,2005 Agencies For Construction Defined by This Plan. i c 3.The Proposed Water Line Shall be Constructed in Coordination With i>2 .a3' TEST HOLE - 1 TEST HOLE- 2 EL.45.0 Barnstable Water,and Shall be in Accordance With 248 CMR 1.00-7.00 3/4"-l lrz" LOAM 10YR 4/4 LOAM 10YR 4/4 3 EL.45.0 &310 CMR 15.00.The Water Line Shall be Sleeved Where Required. . Double Wadied DARK YELLOWISH BROWN 44.2 4.Install Risers to Within 6"of Finished Grade. , LEACHING s g DARK YELLOWISH BROWN 44.3 10" ,.�.. • ,fir 5.All Structures Buried Four Feet or More or Subject 2' CHAT%MER B LAYER 10YR 4/6 B LAYER 10YR 4/6 } H-20 `F �� DARK YELLOWISH BROWN to Vehicular Traffic to be H-20 Loading. DARK YELLOWISH BROWN 6.Septic System to be Installed in Accordance With 310 CMR 15.00& :' ' v" , •: i iv a .k� , SAND LOAM 42.0 SAND LOAM 42.1 36 C LAYER 2.5Y 6/6 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable 4'-10" C LAYER 2.5Y 6/6 1 OLIVE YELLOW . Board of Health Regulations. OLIVE YELLOW 7.All Piping to be Sch.40 PVC. MED.SAND MED.SAND l2 9" 110" PERC TEST 35.8 8.Inlet Tees Shall Extend a Minimum of 10" PERC TEST 41.8 Below the Flow Line. CROSS SECTION OF CHAMBER 25 GALLONS IN 5 MIN.30 SEC. 1 0" LESS THAN 2 MIN.INCH 35.0 9.An Outlet Tee Shall Extend 29"Below the Flow Line. NOT TO SCALE 120"1 LESS THAN 2 MIN.INCH 35.0 NO GROUNDWATER ENCOUNTERED 0 10.Existing Septic System to be Removed,or NO GROUNDWATER ENCOUNTERED Pumped and Filled With Clean Material. t Added Pool House, Garages, u and Tennis Facilities c Previously Shown on Septic Plan - Date 08109 05 DATE: 11123105 4 Add Additional Mitigation DATE: 10/28/05 f' Remove Proposed Patio & Add REVISION: Miti ation Per Con Com Request DATE: 10 17 05 Title: Site Plan p Y I Prepared For: Da te: 08/08/05 Prepared B CD Proposed Improvements Sullivan Engineering, Inc. CapeSury `John R: & Elinor E, Svenson CD At PO Box 659 7 Parker Road 36 Highland Circle Scale: As Noted W Osterville, MA 02655 Osterville MA 02655 MA 01778 ° 265 Baxter's Neck Road Wayland, [ProjLp:ct #1 24010 Barnstable (Ma r s t o n s Mills), MASS. (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fax PSul1PE0001.com i, capesurvdkopecod.net - l' � ,- ✓ i. .. is �. DESIGN DATA Tennis Buildins& FF EL.39.° Future Single Family -2 Bedrooms F.G.EL.38.0 With NO Garbage Grinder czz F.G.EL.37.0 See Note 4(ryp.) Daily Flow= 110 x 2 =220 GPD - n n naR�,� Septic Tank: 220 GPD x 200%=440 GPD v� Use 1500 Gallon H-20 Septic Tank 15'Mm. � 3 �,„�,.,�..� Toa 6I.352 �l EL.3.0 Sept Gallon ® - Septic Tank D_Box LEACHING AREA H-20 Flow uilizers x-Zo -'�' ,- , 220 GPD/0.74 297 SF Required As Required sag: Leaching EL.34.2 "•^'s"�'. . r Chamber �� Sidewall=2(12' + 16.5')2'= 114 SF ��.. � sa. .32.2 Bottom Area=(12'x 16.5')= 198 SF „ . w awa.& _.A Bedding"T"s,&Baffels 10' as Per Title 5 If Encountered Remove&Replace 312 SF Total Provided All Unsuitable Soils Widdn 5'of suwva€ 10'M;F gab cSeeNoteB> The TaerFedmUerofTheSystem LEACHING �`- °ffi o` G CHAMBER DESIGN K�D.297 S GN 39 cm DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM NOT TO SCALE EL:2.5 Approx.GroundwaterAll Pipes to be Schedule 40. Use 1-500 Gal. Leaching Chamber in 12'x 16.5'Washed Stone Field as Shown. Finish Grade c, 3'Mau = ''' � ` - PERC TEST: 11,044 SEPTIC NOTES . rah- r,.J� ..-t.>_n Filter Min Compacted FinJe .00 Fabric �" lB^-v2. PERFORMED BY SULLIVAN ENGINEERING 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours 2" ' f Fa Stone Prior to Any Excavation For This Project the Contractor Shall Make _ WITNESSED BY DONALD DESMARAIS,R.S. the Required Notification to Di Safe 1 888-344-7233 _ p,r y JULY 25,2005 q g - )• 2.The Contractor is Required to Secure Appropriate Permits From Town 3' TEST HOLE - 1 TEST HOLE - 2 Agencies For Construction Defined by This Plan. 3i4""l 1/2^ LOAM lOYR 4/4 EL.45.0 LOAM lOYR 4/4 EL.45.0 3.The Proposed Water Line Shall be Constructed in Coordination With LEACHING Double washed Barnstable Water,and Shall be in Accordance With 248 CMR 1.00-7.00 2' rvN CHAMBER Scone 8" DARK YELLOWISH BROWN 44.3 10" DARK YELLOWISH BROWN 44.2 &310 CMR 15.00.The Water Line Shall be Sleeved Where Required. H-20 - B LAYER IOYR 4/6 B LAYER 10YR 4/6 4.Install Risers to Within 6"of Finished Grade. '` DARK YELLOWISH BROWN DARK YELLOWISH BROWN 5.All Structures Buried Four Feet or More or Subject � - 35" SAND LOAM 42.1 36" SAND LOAM 42.0 to Vehicular Traffic to be H-20 Loading. 4'-lo" I C LAYER 2.5Y 6/6 C LAYER 2.5Y 6/6 6.Septic System to be Installed in Accordance With 310 CMR 15.00& OLIVE YELLOW OLIVE YELLOW 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable l2' MED.SAND MED.SAND Board of Health Regulations. 9' PERC TEST 41.8 110" PERC TEST 35.8 CROSS SECTION OF CHAMBER 25 GALLONS IN 5 MIN.30 SEC. 120" LESS THAN 2 MIN.INCH 35.0 7.All Piping to be Sch.4o PVC. NOT TO SCALE 8.Inlet Tees Shall Extend a Minimum of 10" 120" LESS THAN 2 MIN.INCH 35.6 NO GROUNDWATER ENCOUNTERED Below the Flow Line. NO GROUNDWATER ENCOUNTERED 9.An Outlet Tee Shall Extend 19"Below the Flow Line. Added Pool House, Garages, 10.Existing Septic System to be Removed,or and Tennis Facilities V Pumped and Filled With Clean Material. ' Previously Shown on Septic Plan - Date 08109,105 DATE: 11123105 Add Additional Mitigation DATE: 10/28/05 Remove Proposed Patio & Add t REVISION: Mitigation Per Con Com Request DATE: 10 17 05 Title: Site Plan Prepared By. Prepared For: Date: 08/08/05 s Proposed Improvements Sullivan En Engineering,, Inc. Ca eSUry co At Po eg s5s g Porker Rood John R, & Elinor E. Svenson 265 Baxter's .Neck Road ostervil/e, 36 Highland Circle Scale: As Noted ,� MA 02s55 Osterville MA 02s55 9 0 (508)428-M44 5o8)428-3115 fax (508)420-3994 (508)420-3995 fax Wayland, MA 01778 0 Barnstable (Marstons Mills), MASS, ( PSulIPEOtrol.com i capesurv*copecod.nef Project #: 24010 i \ i 1 i - O i i I I I I ------- ------- ---- —. -�- ------------- -----pep_--------"---- -F---- i I -- i ---- I n r I I , kitchen wm I cfose� El❑ ads :-- -- - ---- -t- ---- ----- O 1 ho11 P m� . I ._. 1 t i i —•—. i , - i i ;- i j porchia an map. h porch ! � i # i j 'MAIN FLOOR PLAN • I I ❑❑ stair ❑ ❑❑ ❑ m bat clog ❑ O f I bedroom d" tt ng r bedroom v V 0 0 a n r bath cloa. 11n. c1oa. ❑ C opq n 0 U U ❑ bedroom ❑ m i , SECOND FLOOR PLAN `` • 1 I 1 I 1 am Uf8 9 dM* YW � � I bar-I ---------- -i I •I ; I I I t�IWO�d \ II II / 1 gym I ' I 11 II 1 1 to � � 1 ---as a----- ----tea -�'---- / Nanawdl Fddbl Door N---Fddhl Doan i P 0 0 L �� RST FLOOR PLAN ■ porch ■ wh quip. stor Lay. benc owe porch bench T E N N I S i c FI RST FLOOR PLAN Y b roo bed oom ^> stair h II bath .1'r1% kitchen b/sho ;' 1 ` 1 1 1 'I 1 s ting a e G A R A G E n S E C 0 N D F L 0 0 R P L A N DIRECTIONS: • 04 7 �\ From Hyannis — Follow Route 28 towards Marstons Mills; , \ \ Take a left onto Prince Avenue across from Route 149 ' Stay to the right as Prince Avenue turns into Cedar Tree. ` O • \ Neck; Take a left onto Boxters Neck Rood, and site is on �'' 4q O the right, # 265. / 1 \ / Z 1 6 .3 ■u o`■ no -------�- _\ — ells it • ro „ tl / oad - - ------------------ --' •; a 4y It LOCH P' — _--- -- j ------ ------ Scale: 1" = 2000'f I ----------------------- ----------------------- \\`\ \\\ --------------- ASSESSORS REF: I Map 75, Parcel 10-1 \ \\ _-------3,-_ \\ 1 OVERLAY DISTRICT: \ 1 \ \ \ AP - Aquifer Protection District As Shown on Plan. Entitled \ \ "Revised Groundwater Protection t 1 \ \ \ \ \ \ \ \ \ \ - Overlay Districts" April, 1993 ZONE. '\ RF \\ , , \ .�\ Area (min.) 87,120 SF (RPOD) 1� \ y/ Frontage (min) 150' \ Width (min) no Setbacks: Front 30' o , \ \ \ Side 15' / I Rear i 15'PROPOSED\ \\ \ t f SEPTIC SYSTEM '. \ (SEE SHM 4 OF 1) \ i l I FLOOD ZONE: Zone B, C, All(el=11), & V11(el=17) Community Panel No. #250001 0018 D July 2, 1992 CN t \ / 1 to Z PROPOS£C DRYME2L i - __ ._ 1 _'-__ • I - / / /' i' O FOR 7ENWS COURT ! O o RMOT _ CD Lee Fnd o c� I \ \ / ' / ICBM' i Oo Fnd 4- zz LOT AREA = 8.24 ACRES± ----------'/'/ I I 1 I 1 I\ Ill \ 11 I II I I \\ \\ \`III III I I I 1 1 PROPOSED PATIO 1IIrIr1 / I , ///� / \ \ 11 I I 1 \ \\ \ \ \ I I I I � I I I i ' �/' � i ' • ', 1 �. I I I l I � � I /�// / 1 / / I IIII \ \ \ \ I I I ! 1 i I / / ' -,t __ r_r`r-'=`I �_.,�--'--- / / �� �� , �• � l /.l 1 / / I I/ // � � I / / \ I f I I r" \ \ I I I t I i I \ �✓_r---`--� � / � � ` I I I I �I I ' 2s-, 1 I �\ IIII I I I i I I \ ` --- --sa______---- _ r \ \ \\ I 1 III II 1 CAS 0 \ \ I I I 1 I \ l '\\ \\ J ----- _\ ' ig\ \\\ \ \ \ — / \ fill l l ``_ \ --sr___ ' I 'IS11 1 fill Ill' \ / _- I �i\\i'i 111, _----- _ �� \ \\ \ `\ I Illlll Ll 1 I ! \\\\\ \\\\ \ \ \ ►v`` \� \ '�"-- - - - - - - `�` / ! / I I II 1 lull 11 / \\\ ^\ 1 111j11 I I ll ` / ! \\ \ \\ ♦\ \ O ��`\\\ \\ \` / O �� O ,/ l I I l l ll l it I I I I l lr \ \ O \ i\ \ \ _ \ I / / \ \ \ \ \ \ _ \ / / , \ 1t11j11\\I\ ' \ �If / \\ 11\11\`I\It l_\`��� \ R1_\ �` - -- 40 tsw/F I \\`� � \J231 \` �_� � --` PROPOSEDDRYNELI b� \\ \ I 1 I d I O D»WNn, FM POOL DRAlmQ.w(nl_A !! --- ------- \\\ `1 \\\ \ ROOF RUNOFF O au +T I \ PROPOSE2-/ / / / I / \ \ /1 1 �'"/I I \ \ \ \ \ `�_ `� �� \ \ � ��____� -� \ 1 / / I \ SFPTICSYSTEM I \ ✓ / i / 1/ 11 j SHEET 3 OF 4) \\_i _\ \\\ , / I I I / , 1 POOLNOUSE ■ I P f I F./.EL , / /DRIVEWAY �� / �\ 1, �/ II Legend: ` \ \ -',- AA I I PROPOSED l PROPOSED �'�/ \ \ \ \ 1 / 1 I I 1 / /' l EL.44.0 c GARADEIGUESTHOUSE SL,}R EL 44.5 / \. i 0, W! t / _ \ `\ \ --___- �\ ♦\ \ / / , l 1 1 1 I I I 1 I / / ! I \ �/ ^� j j`\�K ` / ® Water Manhole / ^"' ! 1 / 1 \. \\ * I /. I , ,/ /- �/ �` v-/ Y/ Mlsc Manhole �417 \ I I 1 I 1 ! 1 \ 1 i. // ,/ / / \ , / Catch Basin (round) r I / / , 1 1 ® Drain i /�----� / `��` �-�\ \ �_ ♦\1 /' ` \ `\ I 1 t \ I I I I 1 I I 1....1 1 / I \ a. \ \ I, � /' �- - // / \\ ,I I \\\\ ��`_,/ / 1 / �-----� / _-_ � ._� � -,\\ --- I � \ \ ,I ••. I i 1 1 1 � \'\.,, __, / / + 1\1 \\\ / Hydrant i � -_ __ \ \ `----- I I 1 t i ••. � I i / I I I ) l I l t\ 11, \ \ \\\ \ I , I I I 1 1 \— `\\\` .o�... / I - Concrete Bound � ` \ �k....,...... ll 11 1 1 1 u. .................. / 11`\`�`...• '1 \\\i �..... /' ,=•1 --- ``�_ ---, \ l 1 1 I I ( \ \ \ I I r t... ... \. tt \� \ / / N LCBD" Land Court Bound \i ( PROPOSED y / \ \ \ DWELLING / / / 11I \ \�' \ ' ` \ I I 1 \ \ \ \ \ \ ,�_ F.F.EL 46I D ' / 1I I I I I 1 >�\\ ' 'O Utility Pole \\\ \ \ \\ \ it \ \ i `\ \ \ \\ \ \\ \ \ \ \\ \ / \ sc�E / // �P /i/ ! \\\ \ 2,trew/) \i\ _PORCH / L■■n trx,'ro9io : D Wetland lag IV �/ `.` \ , , I \ \ \ !\ \ \ \ \ \ \ \ \ PROPOSE PORCH 1 / /// O Water Gate (round) \ \ \ \ \ \ \ \ PROPOSED1 // / I I \ O Gas Gate (round) f \ \ \ \ \ \ \ \ \ , \ PORCH D _ ' /' /',i ---' / (p // \\`\ \\ \ \\ \\ \\ \\ \\ \ \ \ \ \ \ \ \\\\\\\\ \\\ \ \\\\ \\\\`\\ \1 \ XISTING TREES \\ \ \ 1` \\ `\ Can\ \\ \, I \ \TO REMAIN l /, I�. I111 ' I `\�� d Deciduous Tree :.ELLWIT' I: /I -_ -__/ �\\ \\ \\ \\ - \ \\ \\ \ \\\\ \\ \\ \ \\� \\. \ \\\ \\\\\\ / \ 1 I 1 \\` `\\ \ \\ \\_ �.•' SLL7 FENCE\ - ` Sa7RFErAyEI \ \ \ \ \ \ \ \ 11\ \ \ \ I , I 1 t , 1I 1 1 1 \ \ \ L■■n I / l \ \ \ -PROPOSED-Fi�gAnoN TR Ii ��'/ \ Coniferous Tree \\\ y�`\ h MITIGATION-ARE- , I I I �' 1 1 11111 I l �•�., / ` i , , \\\ \� SSiFE LANDSCAPE PLAN) li, I 1 YI( i ,, \ \ \ \ \ \ \ \ \ - 1 I --- 3z --- T' Contour Interval \ \\\Vt,\\ \`� �`- - ...................6:•' ' ( /' ,' IIII IItII I II III , \ a+w— Overhead Utility Wires 1 � II11 � ad 'ifyW' \� -_� \ _ �i•- �! I I1111,/,/// Il llli\\\ \\\��\\� 1 l `\ \ \ `\ ` \ •a'\ \\ �A�t-� ��� - WO Top 'of State Coastal Bank. 777- _ - € C Top of Town Coastal Bank* I / �S /� l /i' //' // A L��� `\ \ _ \`�.�`�``\��`� ` ---1•_ �• `�\ \ - - ------- Illlll / \\�'\\\ \\ \��\ .70•_- �'7 Zan - - - - .' /Y \ / ✓_ _ �`�� --%____-- `\`�\ _-- --______ - ___--_/ / yw \\\\ \\` (ei�17) -� Top of Town & State Coastal Bank -- *--— -- \� ___ _-=r== -- (SEE DA-05059) - - -- '- -- - -- I _ - - - _ ---- — — — / -�---------- ---- -- -$�--- --_-_-_-- — ••_tom_ I ----------_ _----- CB/bH1 ------ _ -------- ---- _ �� f \ Fnd /----_ ------------------------ N703625"E \ ��-- ►� '�/ - ----�--- ----�'` +il, -` ---- -4- \ 41 , / cZi g �p�,� ppppa�.rcRl 4 br _ _ f Added Pool House, Garages, - _and Tennis Facilities North a- y Previously Shown on Septic Plan - Date 08109105 DATE: 11123105 Add Additional Mitigation DATE: 10128105 Remove Proposed Patio & Add REVISION: Mitigation Per Con Com Request DATE: 10/17105 TI TLE: PREPARED BY: PREPARED FOR: NOTES: Site Plan 1.) The property line information shown was Cn Proposed Improvements Sullivan Engineering, Inc. a e u ry John R. & Elinor E. Svenson compiled from available record information. z P Box 659 2. The topographic information was obtained n1 At 0 B 7 Parker Road ) Osterville, MA 02655 Osterville MA 02655 .36 H1gh l on d Circle from on on the ground survey. 265 Baxter's Neck Road (508)428-3344 PSullPE@ool.com fax (508) 420-3994 / 420-3995fax ft l on d, MA. 01778 ) N Ps�nPE®Da.com )/ 3. The datum used is NGVD '29, a fixed mean • sea level datum. C) Barnstable (Morstons Mills) Mass. DRAFT. JOD FIELD: 4.) The Top of Coastal Bank delineations were 0 0 20 40 80 160 DATE: SCALE: �� REVIEW. PS DRAFT / REVIEW. onaslope andde by orientation.van r(SEE a nd are based DA 05059) August 8, 2005 1 40 PROJECT # 24010 PROJECT # II