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HomeMy WebLinkAbout0250 BAXTERS NECK ROAD - Health 250 Baxrers .Neck Road Marstons Mills A=_075.--025 a i f f TOWN OF BARNSTABLE LnCATI0N 4Z S6 � y ���_ SEWAGE# 1&7- I V* VILLAGE�"(a r-,14 A-./4;Il,5 ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. �G��c+�a � Coctru¢�;v.• �(jS-�?I-�� I SEPTIC TANK CAPACITY i SOb sra��o,• LEACHING FACILITY:(type)S- Jbo S ,,% Ao�, cr 3 (size) NO.OF BEDROOMS 5 OWNER j%k+ j, a s.`i S CJACCC-� ` PERMIT DATE:5,?a-67 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY `-� 5 Me,�t� �4►, ►•.0 _ r 9 � A tat- 64 , N Az- ►�� A3 ou r �Lt- 76 l�s- o� a� 135" `?I _ s\ / No. . v Fee THE CO ,MONWEALTH OF MASSACHUSETTS Entered in computer: 1/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlication for aigfJO � 6p5tQ1lt CuttgtrUctiutt :1-n-divitdal rtttApplication for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑ Complete System Components Location Address or Lot No.Vfv �C �-.3 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 44k o�-rr�o .ter � / � ��,1 �c , Installer's Name,Address,and Tel.No. � Designer's Name,Address and Tel.No. fydl/�l ,S 5 �f1h 'J,9 AJ -3&a c S� $a s �_t/Y-Js y Aw1~� rim c�..7ry0 'lope of Building: Dwelling No.of Bedrooms Lot Size )Zvo.05-v ®0-sq.ft. Garbage Grinder (we Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided &7 god Plan Date �Cti �n�],�6e/1& Number of sheets a Revision Date V'PC 0 7 Title �o� JO/.fn / r"OS�wA,.' �Tr+•L5 O i yay,7 � J-�Ubd l 5 Size of Septic Tank /5w o Type of S.A.S. S' JM e,.LC Description of Soil 5,y,e Ply 1 Nature of Repairs or Alterations(Answer when applicable) /l epw." /110141e*l Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o Hea] SigeegV Date le5p -7 Application Approved by Date Application Disapproved by: Date for the following reasons A Permit No. Date Issued ----------- --------------------- . 140 l FeeVYe, THE C ,AMOMWEALTH OF MASSACHUSETTS Entered in computer:PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE;MASSACHUSETTS ZIppYication for Migpo al 6pgtem Congtruction permit Application for a Pernnit to Construct(_);Repair( Upgrade( Abandon( ❑Complete System Individual Components Location Address or Lot No.o�S 7J :(� S �' �r Owner's Name,Address,and Tel.No. Assessor's Map/Parcelrf�v�� '�/S r r ,,�/ Gam • �y� uGY7�U/7 v/rGr G n y Installer's Name,Address,and Tel.Not./ t // Designer's Name,Address and Tel.No.1Y�ws,,.S 1*-5 1,7 4& G Type of Building:Dwelling No.of Bedrooms Lot Size g"o,05-0 t sq.ft. Garbage Grinder A6 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 7 gpd Plan Date 11, 7,1;b g Number of sheets � Revision Date .i2 G-7 Title Wo Ion 16c#11ne/,. 1 �rl4r<ls 0 VA),,f Sir e. Size of Septic Tank /5-vU G'c I L—:C,)n+15 Type of S.A.S. G,.G C,•re, S C1aga5.i Description of Soil ��'� -1 Nature of Repairs or Alterations(Answer when applicable) I - Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the sysltem in operation until a Certificate of Compliance has been issued by this Boarddo. Health. k k Signed' ' GI i (.` 4 Date /�G� Application Approved byttv�zt ) �„- ' Date Application Disapproved by: v f Date for the following reasons Permit No. / Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (/) Upgraded ( ) Abandoned(;7 )by t3�G"Ad lee i t�H S/1rdc 41-• 1 r J at .7S?► ter y.� tt�*t,/r /� c-ctix�t. 17 w/ `' 0 has been /coonstructe ' accordance with the provisions of Title 5 and the for Disposal System Construction Permit No / ` f dated Installer fYPa/d�/, (�c'''1 Troy�r�cJ Designer Fyri1 1 �t G•o�4, #bedrooms �7— Approved design flow gpd The issuance of this e it shall of be cons ed as a guarantee that the system will functio designed. c �} _ � l Date (J �y//__ Inspector / -T- Al/)VA No t/ r/ /J Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Migpoar 6pgtent ongtruction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abba�j�/°n ( ) System located at J" of f � ) ✓(�.c +� A) . 6 and as described in the above Application for'Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Cons ctioii must be completed within three years of the date of thiSri, �e mil#.. Date ,�� A roved b �/�� pp Y BE: 21472 P9118 467149 10-27-2006 & 12 = 43v DEED RESTRICTION WHEREAS, William T. and Melissa T. Cafferky of 14 Stratford Way Lincoln, MA 01773-2812 are the owners of a single family home located at 250 Baxter Neck Road, Barnstable MA(hereinafter referred to as Lot 11 and being shown on a plan entitled "Subdivision of Land in Marston Mills Barnstable MA, Property of Prince Port(a limited partnership), et al, dated December 21, 1972")and duly recorded in the Barnstable County Registry of Deeds in Plan Book 267, page 10. WHEREAS, William and Melissa Cafferky as the owners of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a septic disposal permit and building permit for the renovation of the single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording.this document, NOW,THEREFORE, William T. and Melissa T. Cafferky do hereby place the following restriction on their above-referenced land in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 250 Baxters Neck Road may have constructed upon the lot a house containing no more than five (5) bedrooms. William T. and Melissa T. Cafferky agree that this shall be permanent deed restriction affecting a single family home located at 250 Baxter: Neck Road Marston Mills, Barnstable MA, and being shown on the plan recorded in Plan Book 267, page 10. For title of Cafferky see the following deed: Book 21419, Page 21. / Executad'as a ealed ' str t day of '-c' =•c .kr t J.. Owner's signs ur . Y Owner's signature J Bk 21472 Pg 119 #67149 COMMONWEALTH OF MASSACHUSETTS 1�cict�`��eb�V-- , ss Then personally appeared the above-named known to me to be the person who executed the foregoing instrument and acknowledged the same to be 1 free act and deed, before me, :n { on expires: (dale —.B N STABLE ot7UWtV REGISTRY OF DEEDS A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER J BARNSTABLE REGISTRY OF DEEDS 06/01/2007 11: 20 508-548-9672 HOLMES AND MCGRATH PAGE 02 Town of Barnstable Regulatory Services y Thomas F.Geder,Director Public Health Division Thomas McKean,Director 200 Maltz Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 I staller"esigner Certification Form Date: &'N 7 Sewage Permit# o?4707_«8 Assessor's MapTarcel /S`,-2S. Designer: Akn and tlei uaA oz Installer: 401,64 Curl t�05"l Address: 3(oc? e riu 1 Address: Af:f.Ad. r?-d—-- On 07(lZate) y7 r d r (ep>v1s� was issued a permit to install a (installer) septic system at d6D Uo_x- ee'3 t 1 J. based on a design drawn by (address) 61mes .c4 llaer .�A, I►ic, dated Suly V, A004, reVts-_d PA61,6 (designer) s�te ,X_ I ' that the septic system referenced above was installed substantially a.ccor-Ding to the design, which may include minor approved changes such as lateral relocation of':he distribution box and/or septic tank. 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 componont of the septic system) but in accordance with State dt Local Regulations. Plan revl;ton or certified as-built by designer to follow. BIN (Installer's Signature) 1.1Mc0_RVrW. y RC, 4%4S ere , ny d BITE,ffo a /�^'► , t�.NA�t�. 7��7 p6'itM� �C7MT+7 Al ClAsigner's Sign (Affix Designer's Startle Here)_ PJEASE RETURN TO BA LE RUBLIC HEALTH DIVISIUN. C ICA- E t COMPLIANCE WILL T BE ISSUED UNTIp, BOTH THIS FORM AS-BUILT I7AR�f M E RECEIVEDS THE BARNSTABLE J!,UBLIC LTH D N. THANK,YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments JerPro ty Address V L ^T Owner Owner's Name information is required for every 1� �C' � l�`S � page. City/I own State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. O�S Gas r Important:When filling out forms A. General Information on the computer, �l�l use only the tab 1. Inspector: key to move your cursor-do not use the return key. Name of Inspector G Law 0Rsi0,, �-u 1,� C.$)� Company Name � �T— —'p Company Address �— Cltyfrown — 21e l G State Zip Code �--- Telephone Number License Number B. Certification . I certify that I have personally inspected the sewage disposal system at this addresi and thtafthe information reported below is true, accurate and complete as of the time of the in,� ction. Thi Ins--p'ection was performed based on my training and experience in the proper function and m iittenanoubf orlite sewage disposal systems. I am a DEP approved system inspector pursuant t section 15,.340of Title 5(3 R 15.000).The system: „ .. Passes ❑ Conditionally Passes ❑ Fails ._ ❑ Needs Further Evaluation by the Local Approving Authority (v �� lob Inspectors Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Prope- rty Address �6 - 1� C 7 Owner Owner's Name information i every �� required for every � 1 02j,Li 16/-:57 page. tityfTown State Zip Code Date of spection B. Certification (cont.) 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 t5insp•08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments K)-eC� Prope y Address It ( (O Owner Owner's Name information is required for every page. City/Town State Zip Code Date o Inspe Ion B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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: 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. t5insp•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments µM oZ �►���-cam Pd . Property Address `— Owner Tt l I n Owner's Name information is ,fin g p� 1 ��s required for every ,IIK� page. Ci frown State Zip Code Date o In pection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ K 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 6� than day flow ❑ }� Required pumping more than 4 times in the last year NOT due to clogged or b�l 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. t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Aso bgftgk mz-& i Property Address Owner Owner's Name information is required for every page. City own Stafe Zip C� Date of I spec Ion B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5insp•MOB Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l 6 Property Address Owner Oer'sR07 � wn Name information is (ynl M1[ y� 11.8 10 3„ required for every �F 'S ly 1"b Q� page. CityTTown State Zip Code Date of In pection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? ❑ K Has the system received normal flows in the previous two week period? ❑ 14 Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? ❑ Were all system components, excluding the SAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ Existing information. For example, a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp•06106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments h-k"rc r Pro erty Address Owner Owner s Name information is K _ . �,t� t J s required for every „"�'J�Di1J U"�(, (, page. CitylTown State Zip Code Da o Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): �� Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): — Number of current residents: a Does residence have a garbage grinder? ❑ Yes No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ,� No Laundry system inspected? ❑ Yes No Seasonal use? ❑ Yes No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes No Last date of occupancy: t 2,Y`^�`� Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5insp-08/D6 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l3�xr-c se wxL - ed Property Address Owner Owner's Name information is � I Its � „_ - � h required for every (ILL— 1i(, /try/ !/ page. City/Town State Zip Code Date f Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes,� No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: XSeptic 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: up m oLe Viiioky Were sewage odors detected when arriving at the site? ❑ Yes No t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 L_ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Owner ne s Name information is required for every I__,,wIQJS la&i1 t �S V"�A 6 Cj s Q 10 page Citynown State Zip Code Date ol Inspection D. System Information (cont.) Building Sewer(locate on site plan): { 12 Depth below.grade: " Material of construction: ❑ cast iron X40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): a " Depth below grade: feet Material of construction: K.Concrete metal fiberglasspolyethylene❑ ❑ g ❑ ❑ other ex lain ( P ) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: W Pz' �I Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 10 How were dimensions determined? t5insp•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ed Pr perty Address Owner Owner's Name information is C I 'n_ required for every �I������ ) 1�l�, �� to page. City/Town State Zip Code Date bf Ins ection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M e �xTt✓L kcw Property Address Owner Owner's Name information is ft,! ` �,f A 6zk zf required for every 1/"i 1 r�l A- �j page. Cityrrow State Zip Code ilaite df Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert �`'I °'��` Ttjv"T— 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.): (\ p - �:Sn �.Ka2. QVOP � Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 L � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Owner ner's Name information is ,�,f ;� , � (� G required for every Y_, �l t��J page. Cityrrown State Zip ode Date bfln4ection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ?� leaching pits number: ❑ 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.): 04- P��dZ� 6 >AW D E L VeS4747 UO&I - wow- t5insp-08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �% 6q&�,� �d , Property Address L Owner Owners Name information is 1 vw`�(�i. j CR I U( RAo(.5 required for every �"�, � � v U page. City/Town State Zip Code Date ot Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp•08/06 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Pr erty Address _i� L( U Owner Owners Name information is ( required for every �� 1S l� Q page. Citylfown State Zip Code Date ofilinspi5ction D. System Information (cont.) 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. tt- 2,50 A z y 3 63 4 3 g3- 70 ' BY-- 7q t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 4' ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address Owner Owner's Name information is /\ required for every V r, `�"'il.� /Oh page. City/Town State Zip Code ba4 of fnspection D. System Information (cont.) Site Exam: Check Slope Surface water 't tpd Check cellar—Ntj Shallow wells rJJ&. Estimated depth to ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: pate Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation:f US E7 rto�o_= I t: T I�T(i�� l �F►Gw G w L�I� td�J t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information 1. Facility Information William T. & Melissa A. Cafferky Perc.No 11498 Owner Name #250 Baxters Neck Road Map/Lot Lot 11. Map 075 Parcel 025 (assessors) Street Address Marstons Mills MA 02648 City State Zip Code B. Site Information 1. (Check one) New Construction ® Upgrade ❑ Repair ❑ 2. Published Soil Survey available? Yes ® No ❑ If yes: 1993 1:25,000 CcB Year Published Publication Scale Soil Map Unit Carver Loamy Coarse Sand Soil Name Soil limitations 3. Surficial Geological Report available? Yes ® No ❑ If yes: 1986 1:100,000 QMP Year Published Publication Scale Map Unit Glacial Outwash Outwash Plain Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes ® No ❑ Within the 100 year flood boundary? Yes ❑ No Within the 500 year flood boundary? Yes ❑ No ® Within a Velocity Zone? Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Ma'00(c 1 i,;i n map"Unit`— Name 6. Current Water Resource Conditions (USGS) 9/2006 Range: Above Normal ® Normal ❑ Below Normal ❑ S Month/.Year,Z r� I (I �+iJ0 7. Other references reviewed:Town Assessors Map Fema Maps Town Topography Maps, Cape Cod Groundwater Map file: ...\206162s£doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 1 of 11 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA V Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole: 10/18/2006 10:00 AM Rainy 65OF Date Time Weather 1. Deep Observation Hole Logs Deep Hole Number #1 Ground Elevation at Surface of Hole 39.5+/- Location (Identify on Plan ) (refer to sketch) 2. Land Use: Residential No 10-20% (e.g.woodland, agricultural field,vacant lot,etc.) Surface Stones Slope(%) Wooded: oaks & pitch pines Outwash Plain (refer to sketch) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body >250 ft. Drainage Way Possible Wet Area >250 ft. feet feet feet Property Line 14 ft.+/- Drinking Water Well Other feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 36 Elev.4+/- Feet elevation file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 2 of 11 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole: Deep Hole Number: #1 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0 0-4 O/A 4-36 B 2.5 YR 6/6 0 Sandy Very Friable Loam 35-70 C1 10 YR 614 0 Medium 10 0 Single grain Loose sand 70-120 C2 10 YR 7/4 0 Coarse 15 0 Single grain Loose Sand Additional Notes file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 3 of 11 ILIMassachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole: 10/18/2006 10:15 AM Rainy 65°F Date Time Weather 1. Deep Observation Hole Logs Deep Hole Number #2 Ground Elevation at Surface of Hole 44.0+/- Location (Identify on Plan ) (refer to sketch) 2. Land Use: Residential No 10-20% (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Wooded: oaks & pitch pines Outwash Plain (refer to sketch) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body >250 ft. Drainage Way Possible Wet Area >250 ft. feet feet feet Property Line 38 ft.+/- Drinking Water Well Other feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 40 Elev.4+/- Feet elevation file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 4 of 11 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or neap/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole: Deep Hole Number: #2 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0 0-5 O/A 5-34 B 2.5 YR 616 0 Sandy Very Friable Loam 34-64 C1 10 YR 6/4 0 Medium 10 0 Single grain Loose sand 64-120 C2 10 YR 7/4 0 Coarse 15 0 Single grain Loose Sand Additional Notes file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal - Page 5 of 11 ILIMassachusetts Department of Environmental Protection #250 Baxters Neck Rd. Marstons Mills. MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole: 10/18/2006 10:30 AM Rainy 65OF Date Time Weather 1. Deep Observation Hole Logs Deep Hole Number #3 Ground Elevation at Surface of Hole 44.0+/- Location (Identify on Plan ) (refer to sketch) 2. Land Use: Residential No 10-20% (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Wooded: oaks & pitch pines Outwash Plain (refer to sketch) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body >250 ft. Drainage Way Possible Wet Area >250 ft. feet feet feet Property Line 34 ft.+/- Drinking Water Well Other feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 40 Elev.4+/- Feet elevation file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 6 of 11 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole: Deep Hole Number: #3 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0 0-2 O/A 2-24 B 2.5 YR 616 0 Sandy Very Friable Loam 24-48 C1 10 YR 6/4 0 Medium 10 0 Single grain Loose sand 48-120 C2 10 YR 7/4 0 Coarse 15 0 Single grain Loose Sand Additional Notes file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 7 of 11 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole: 10/18/2006 10:00 AM Rainy 65°F Date Time Weather 1. Deep Observation Hole Logs Deep Hole Number #4 Ground Elevation at Surface of Hole 41.0+/- Location (Identify on Plan ) (refer to sketch) 2. Land Use: Residential No 10-20% (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Wooded: oaks & pitch pines Outwash Plain (refer to sketch) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body >250 ft. Drainage Way Possible Wet Area >250 ft. feet feet feet Property Line 30 ft.+/- Drinking Water Well Other feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 37 Elev.4+/- Feet elevation file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 8 of 11 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole: Deep Hole Number: #4 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0 0-4 O/A 4-37 B 2.5 YR 6/6 0 Sandy Very Friable Loam 37-58 C1 10 YR 6/4 0 Medium 10 0 Single grain Loose sand 58-120 C2 10 YR 7/4 0 Coarse 15 0 Single grain Loose Sand Additional Notes file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 9 of 11 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills, MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation A. B. inches inches ❑ Depth to soil redoximorphic features (mottles) A. B. inches inches ❑ Groundwater adjustment(UGGS methodology) A. B. inches inches ® Other Projects and Cape Cod Groundwater Map A. Elev 4+/- 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes ® No ❑ b. If yes, at what depth was it observed? Upper boundary: 36+/- Lower boundary: 120+ inches inches F. Certification j I certify that I have passed the soil evaluator examination*approved by the Department of Environmental Protection and that the above anal sis was performed Z4_L0%_1 e consistent with the required training, expertise and experience described in 310 CMR 15.017. October 18, 2006 Signature of S6Wtvaluator Date Radl Lizardi-Rivera November 2002 Typed or Printed Name of Soil Evaluator *Date of Soil Evaluator Exam Don Desmarais Town of Barnstable Name of Board of Health Witness Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal * Page 10 of 11 Massachusetts Department of Environmental Protection #250 Baxters Neck Rd, Marstons Mills. MA Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Use this sheet for field diagrams: l �C� r e sT P/? U- POLL 6 5G ! V VYD<ZAA;-r 3q v AfE-ck R� file: ...\206162sf.doc DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 11 of 11 Commonwealth of Massachusetts City/Town of Barnstable Percolation Test a Form 12 PV 114g8 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the computer,use William T. &Melissa A. Cafferky only the tab key Owner Name to move your #250 Baxters Neck Road cursor-do not Street Address or Lot# use the return key. Marstons Mills MA 02648 City/Town State Zip Code Contact Person(if different from Owner) Telephone Number B. Test Results 10/18/06 11:10 AM 10/18/06 11:23 AM Date Time Date Time Observation Hole# #1 #3 Depth of Perc Winches 36 inches Start Pre-Soak 11:10 AM 11:23 AM End Pre-Soak 11:16 11:27 Time at 12" 11:16 11:27 Time at 9" 11:17 11:28 Time at 6" Time (9"-6") Rate (Min./Inch). < 2 minutes per inch <2 minutes per inch Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Raul Lizardi Rivera Test Performed By: Don Desmarais Witnessed By: Comments: Percolation rate of less than 2 mpi assigned to the sand layers C1 & C2 encountered. Percolation test completed after 24 gallons of water poured in less than 15 minutes unable to maintain a depth of 9 inches during pre-soak stage (310 CMR 15.105(6)). 206162pf.doc Perc Test•Page 1 of 1 holmes and mcgrath, inc. civil,,engingers and land surveyors 362 gifford street falmouth, ma 02540 email: mcgrath@holmesandmcgrath.com phone (508) 548-3564 1 800 874-7373 DATE /O 3` �� �06 NoaO� b2 ATTENTIO fax (508) 548-9672 TO RE: � 'TI� �{/fS�ORJ - 2?A�Ns79BC E C50tt aco q(5-An Bo, Za f-�Yatr�rs . �a6or T R� D � S- ® WE ARE SENDING YOU A Attached ❑ Under.separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications /Al Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION ro oe11 4JR6 (�D<< Suj4di &W%4e_*j± & 9em.la, o-n 'Te s c:a THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval T ' ❑ For your use ❑ Approved as noted ❑ Submit-co pies for distribution As requested ❑ Returned for corrections ❑ Return-corrected TG" 4 cted prints > X P F ❑ For review and comment ❑ ❑'FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: if enclosures are not as noted,kindly notify us at once. z t r _► ,I Fence at Gate Post hole with concrete post base & post support ` (0 3 O v % u L Floor Plan �Z_ -- I Z I I i . I jl � t t� 7 IZ \ 1I �Z V r ___-]WEN Pool Elevation '`1 L"1 \VG`����•1 L1 J�,�d"\vim Yl (J��..2..�`i.I'("� �U I�-"r 1�y( { � c TOWN OF BARNSTABLE /� / LOCATION 6,x�(' 4 er- , i EWAGE #.F z— VII,LAGE, r".S l O�5 /)6A. ASSESSOR' MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILrTY: (type) NO.OF BEDROOMS BUILDER OR OWNER C' PERMITDATE: O / 5—!—COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �S a 00 - TOWN OFy�B'ARNSTAE E LOCATION AX, t��� SEWAGE # �6&Z VII.LAGE� A r-S 0 6'A)S i��S i /�ASSESSOR'S MAP&LOT f INSTALLER'S NAME&PHONE NO, ilec:g� Yt SEPTIC TANK CAPACITY 4 Q -/ ' LEACHING FACILITY: (type) Xgygt ( (size) a 61 o2 NO.OF BEDROOMS BUILDER OR OWNER. PERMTTDATE: lD - l:2 - f COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by P - C ti l 3 � - 76 _l� or-13 "loll S' o 10 00 S �r o►N� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration fur Dhiip ial World Tnnitrnrtiun rumit Application is hereby made for a Permit to Construct ( ) or Repai- ) an Individual Sewage Disposal System at: � j� t //� ..... Q.........-•---•-••-•-..... et... i S-----.----- % , - 1�X r' ._... G'> ,� �°l. . ....... ------ / L catio Address or Lot No. /.f sl.�._. Q... ---••--•--••--------------------- �1�'A�! ...... -----•--•---............................. ..... f wner Ad ..................... ......� � 1. N_. , 21�,.......................... Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-__...... .............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building _ i 5 E'... %M No. of persons..........,Z.............. Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------------------------------------------•---------------------------.......---•---•--•--•••---•---•-----•----•..........-----•---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitv------------gallons Length________________ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet-------------------- Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a a Test Pit No. 1................minutes er inch Depth of Test Pit__........._.._.._.. Depth to ground water...._................... P P P Test Pit No. 2................minutes per inch Depth of Test Pit-_.-__-_-._.____-__- Depth to ground water........................ a --•••-----••---••-------•----•----•••--••••--••---••••••-••••-••-••----••--------•-••-------.....•--......................................................... 0 Description of Soil----------------------------------------------------------------------------------------------------------------------................................................ W ------------------------------------------------------------------- --------- ••--------------------------------------------------------------------- •-------------------------- --•----------------- -----------•-- r U N ture� Repairs or Alterations—Answer when applicable._--__--.-/._o........_. _..____..._!_flCpO.... .�p�.� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The unders' ned further agrees not to place the system in operation until a Certificate of Corn ce ued Jp t oard of health. ------------- ----�a c Signe / ................. ...... Da Application Approved By /�,1./J Q = -----------------�/��--�.......................................... /r.....-" .. �". Y .......................... •! Dace Application Disapproved for the following reafonf: ......................................................................................... --------------------------------------------------- -------------------------------------------------------....................-----------------...I........................ _............. D-are ------ ------ :...... ... � 1� -� . _---.- -------- PermitN -----'�.... ... ..._.. Issued Dare No..21g�, .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirtt#iun for Dinpnsttl lUurkg Towi#rur#'tun rams# Application is hereby made for a Permit to Construct ( ) or Repair—( ) an Individual Sewage Disposal System at: ' 5� Y ' . r ...................................................................... r..........A jc.ck................... ��� Lcatio�t i\ddress or Lot No. p ... cl...._...... .: .1. ,.:. ............................................ •• -... ...-••---......-----..........�.--•------....................-- Owner AdOg Installer Address go Type of Building Size Lot............................Sq. feet U Dwelling— No. of Bedrooms......--__ _____________________-__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _ r.e. P__z� !hI No. of persons........... Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------------------------------------------- ---------•------------------------•----•--------------.------ 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. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY-----•-- \.-------------•-----•----------------•-•-----•-----•------------ Date........................................ 1.4 Test Pit No. I................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........................ a --------•-------------------•-----------------------•--------------••-•----------------.......------........................................................ 0 Description of Soil-•--------------------•---------------------•------.....--•--......------------------------------------------------------------------------------------•------•-.------ x U W -------------- ---------------------------------------------------..................................................... .................... ... UNature of Repairs or Alterations—Answer when applicable._._______�__r..............,r-1'a...........t oQ c2_____ ,t 7. as* Ar" 1 1 -----------------------------------•-------•--------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—,,rr��The undersigned further agrees not to place. the system in operation until a Certificate of Compliances ee�i�suee'd"` y t*ee board of health. � Si ne .---- �=r�� L�.�..C.�..�.�.-�..4.�. ... ........ �.... Application Approved B . .... � ... ... ........................ . .... .................... 0ffa.:'...-J �..'�.--. Dare Application Disapproved for the following reasons- --------------- .... . (--./..................... ................................-- .....---.................. ...... -------------------------------------------------------- - -----....------------------------------ ....................................... / Dare Permit No. .'`''..... ? / .. ............G�f�------Issued ..1.. ...:.. ( Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate of (famplianre T_H_SKIS TO RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( cam"`) by ..7 ... S-�7_v.c.. /U------- ---------- ------ -------------- --- ------------------ --- --- ---------- ------------------.......................................................... i t e h.tau�� ry at .� ...._-........�.. ------------- `r fl k °��'---- -----------/----�---- .5_.... ��f3.X-�-°-r---------/..�.r ...... -... - fN- 1 . has been installed in accordance with the provisions of TITLE,5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No.� _... ....�.. dated .e .._ , I W. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------- ..---------1 �— — 5._ It-tJ. - -- Inspector ------------- ..... a.----------------------------------.------------------ f , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE f ._.. FEE........................ Permission is hereby granted-------------- a' l ✓a C ►^_t/-C C. -.....-------------------------------------•---•---••---•. to Construct ( ) or Repair (V) an Individual Sewage Disposal System f/ //��, J J l at No.• s n' ' — 1 k. f' f -n+v ��%f�, !-.-5 --���,1.�C--( _t-�---.............' bC '` �� ........v"F.................................. -.. ..... Stre f� o as shown on the application for Disposal Works Construction Permito��-- Q. Dated._-..___�^`Qf , r Board of Health DATE ✓- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS t _ ^ (I ° °VYI - Z3>< ZR ZOIX l7c 6rl i�! � � ` TV Roo OA I v,- --<O.:T BASEMENT 9oc k rvau -�-------------------------------------- ------- W x 3 - ROOMOP --- — w Ys. - �Ir BA SP; EN Tco- o �stil have 55-57 • S tv,1c • D l5�cao�s (mac tr �a� �r-Lc, — • McCr� wc�c�� Co td c, S R � PRINCE CO 1/E 9� LOT COVERAGE NOTES PLANT TIDAL / uST EXISTING PROPOSED SYM BOTANICA NAME COMMON NAME r . QTY SIZE SPACING PRINCE / o� BY STRUCTURES 4.7% 7.0% SHRUBS E: COVE d m OD Ig Ilex glabro Inkberry 14 2-3 gal. 4' O.C. Mp Myrica pennsylvanica Bayberry 13 2-3 gal. 4' O.C. ,I, Rr Rugosa Rose Rosa Rugosa 31 2-3 gal. 2' O.C. IL Imo, SM RSN 1 •o� . « . . / p,LZ M P �, ��P .�R 5 «;«+ DISTURBED AREA TO BE SEEDED WITH CONSERVATION MIX `Ow W P PLAN « . . a NORTH PSE N oN 1 i SNO 6 P p,GE sMp 2 UNDERSTORY PLANTING BAY BOOK 2 ''•••••••• SM 3 "`� ,. �/ SHALL BE PLANTED W'TH 3 GROUPS OF 3 TO 5 SHRUBS LOCUS MAP OF THE FOLLOWING SPECIES:S SCALE: 1"=500' SYM BOTANICA NAME COMMON NAME SIZE SPACING SM 4 / Ka Kalmia ar�gustifolia Sheep Laurel 1 gal. 3' O.C. Va Vocciniurr angustifolium Lowbush Blueberry 1 gal. 3' O.C. c CONSERVATION EASEMENT AS SHOWN ON PLAN BOOK 267 GE 10 BUFFER PLANTING ARAl EA, SHALL BE PLANTED WITH THE FOLLOWING SPECIES: SYM BOTANICA NAME COMMON NAME SIZE SPACING O Au ArctostaFhylos uva-ursi Bearberry 4 pot 12 O.C. ; Cv Calluno vul arcs Heather 4" of 12-18" O.C. APPROXIMATE LOCATION OFIL g p SM 5 - AREAS OF PROPOSED UNDERSTORY PLANTINGS P Oo C 0 - ,i, � DE P COASTAL BANK B 1 CB 2 S� UPLAND SIDE WETLAND SIDE y PROPOSED MEADOW TO BE ►� / COASTA BANK D- B 5 F MOWED NO MORE THAN ONCE PER YEAR <v 6s r w . \ 12 PROPOSED MIT OF WORK \j\\j\j\/ N. SM 7 / ti 'O TOWN OF BARNSTABLE yL' SINGLESROW OF STAKED HAYBAES Op 00� `�' tiry ° B COASTAL BANK / F /i��/\\!�\\i��ii;� \� //\�\ 4" MULCH NN N o°°°mar PROPOSED / / 12" /�����/��/ / / -00 / , LEGEND / , MEADOW ,♦ !S, /\//\//\//\// �\// //\/8 , TOPSOIL / �LOT 11 / i' v o° V d ' d EXISTiN EO / ,n / / / / / / / / UTILITY POLE 87,000:h S.F. RECORD) °`� o TO BE REMO F` c�titi� �/ ` � GATE F PROPOSE© ORYWELL 'Q „ BOUND • / :,.° 73,050t S.F. (UPLAND) ^�� - '<Q'�.Q` a 4' OIA X �B' DEEP FS 8 TOPSOIL�� SEPTIC MANHOLE / / / 10 0- OQ�Jc a d WITH 4 OF STONE 0 0 1 / CB 9 G ALL AROUND �C no TEST ° Q ._ TEST PIT / o o - CB 11 --- P WATER SERVICE ° „o„o ROpO �/ 0 ,,, ° 0�01 o SED LIMIT,OF u / o o°° x41.0 CB 13 a M"ORK / �� HOT VARIES WATER VALVE D4 � _ _ � EXISTING TIMBER RETAINING WATER LINE —W WALL TO BE REPLACED 16 , o a rue a ,�O`1' SAP CONCRETE BOUND ' ► WITH FIELD STONE WALL ii B 15 AREAS OF PROPOSED °� / P F�, ' WITH DISK �� � �,1�,, GAS LINE —G (SEE DESIGN DETAILS BY OTHERS) �9 T.O.W.=40.5 BUFFER PLANTINGS �, STONE CAP`S - /i1� / P001cr\0� "e'` FOUND GAS VALVE DQ w, // ••• x41 \ a` EXISTING STEPPP� ti -d? EQUIPM NT �P� TYPICAL PLANTING TIN AI Q a / C L BUFFER LA G DETAIL -X—X- ' PROPOSED . . '9 PROPOSED 5 Q NOT TO SCALE FENCE MITIGATION PLANTINGS ♦++ i9 ADDITIONS HYDRANT (SEE PLANTING LIST) + + x41• Lp,0 // GATE / PRO SEO SALTMARSH STAKE SM 1 PROPOSED LIMIT OF WORK ♦CB I iM '. ATIO / LAWN / DOUBLE ROW OF STAKED HAYBALES WA HEI T • Mp PROPOSED WITH SILT FENCE AS SHOWN +' +'+'• • 3 -` PAW TI 44x0 EXISTING SALTMARSH « •. .•«♦. . i / . Ile ' ""p 16, EXISTING PINE TREE � , , I F ACH «'«' .'.' .' ♦ . 0 e ...PORCH EXISTING OAK TREE SSE E GORB •,�, OMP RESN01.0 p : / THUR gc V� �.+.•.*««. ««.♦. i i9 � x41.3 TH Z 5��`6 EXISTING SHRUB PR «+.««+♦ «♦ . 9 W�42 0 / DI. PA y 8 WALL HEIGHT . . . . . S� 18 1.-� p PODS �N O ROp R- � �XnS r 0 LANDSCAPING EAS EXISTING RHODODENDRON i • « ,9 ° ,C 19 pnpN /AB0 �/�/ pRdpd$ ?' SHfQ a CONCRETE BOUND NO -0, C / a'. o EXISTING SPOT GRADE 44.ox ,G 4 FEP�P PM- 0 �?', RAG �f c,� o- WITH DRILLHOLE �, G R FR- CTE ' �STiN p ANO // WOOS NST � / s Ia .V 4 0 o, EXISTING GRADE —38 PROPOSED SECONDARY . B REMOVE /�oRY - R CO /./y 1.8 N �� P OPOSED DRYWELL FOUND LIMIT OF WORK 2 12 10 / SHO, a DIA X 6 DEEP NOTICE PROPOSED SPOT GRADE 44no SILTATION FENCE �,�\NC SHRE h V Q WITH 2 OF STONE Unless and until such time cis the original (red) stamp of the �' a responsible Professional Engineer, or Professional Land Surveyor PROPOSED GRADE --48-- ,� 8 / ALL AROUND 5� CONSMC7110N N07M, 8 O a a Q - appears no person persons, including an municipal or other _ _ # B 3 SLP „42.6 � PROPOSED R DRIVEWAY Y ^�/ �� �4 ( P P 9 • Y p EDGE OF SALTMARSH NGE \N� \' 1�'I• public officials, may rely upon the information contained herein, and 1.PROPOSED RETAINING WALL SHALL BE Gp,R 2 OSEO \ (8) this Ian remains the TOP OF COASTAL BANK-- CONSTRUCTED IN ACCORDANCE WITH THE �A4• � pR� WN Q p property of Holmes do McGrath, Inc. DESIGN BY CF ENGINEERING LLC. LP PROPOSED� �N� / �� CENTER OF BROKEN COASTAL BANK STAKE A CB 1 WALKWAY \ 10 CONCRETE BOUNC 2/26/07 RECONFIGURE SEPTIC LINE FROM HOUSE JRK SEE PLAN BY CF ENGINEERING LLC Nyp,`f w A• FOUND 6 1/29/07 ADD PROPOSED PORCH LAC MBM 4 �O Tp>NE OR`v� •cr � \ u � o�� 4 DATED 11/7/06. ���,0 2.UNDERGROUND IRRIGATION SYSTEM WILL BE B 4 , ��AP�\ �6 �, 1/25/07 ADD NOTE TO REMOVE AND REPLACE EXISTING FOUNDATION LAC MBM INSTALLED TO MAINTAIN EXISTING LAWN - �o��' EXISTING LEACH PUTS CEP -� �� d AND PROPOSED PLANTINGS 5 STONE S 3 TO BE PUMPED DRY / ER �`. �/ TP4 11/10/06 REVISE PROPOSED WALL JRK MBM DRIVEWAY AND FILLED VNTH CLEAN SAND/ a R N #2 PROPOSE LEACHING ARE i I <PROPOSED tk (5) 500 GALLON CHAMBERS 10/30/06 ADD WATER & GAS SERVICE LOCATIONS ADR MBM EXISTIING INV.Y50 OISfRIBun 0(>' NTH 3 FEET OF STONE ALL B 1 � TP3 AROUND. d A 10/27/06 REVISE SEPTIC FOR 5 BEDROOMS JRK MBM I OD �! EXISTING ' s 10/23/06 ADD TEST PIT LOCATIONS LAC MBM NOTES CB 27 SEPTIC SYSTEM LOCATION 33 �- t,, O \ F��G 9/19/06 ADD ADDITIONAL PLANTING AREAS JRK MBM S - cr • 1. HOUSE NUMBER: 250 cB 2 CB- # o l N: O --TP#, ��3•. '2�" R DATE DESCRIPTION Drawn hecked 2. ASSESSORS NUMBER: 75 25 EXISTING PIPE T�0 '� �� 6a5 ppS� R E V S ( 0 N S 3. ZONING DISTRICT: RF (AP & RESOURCE PROTECTION OVERLAYS) BE CUT A HOLE To � p g 4. FLOOD HAZARD ZONES: A11 (EL 11), C a BE MORTARED. , o� �►8• / PROPOSEID VENT PIPE b. ---- /� �/ �/ PLOT PLAN 5. BENCHMARK: SEE PLAN 7Q, Y 1�79,00. LOCATioNI To BE o J_/ �4. L:258. 6' 430 d DETERMINED IN THE FIELD 6. TOPOGRAPHIC INFORMATION COMPILED FROM AN 1. R �� z �/ OF PROPOSED SEWAGE DISPOSAL SYSTEM ON THE GROUND INSTRUMENT SURVEY. `��' 4 — R=n38.1s �7 s5' / b PREPARED FOR 7. ELEVATIONS SHOWN ARE BASED ON THE a a �' E WILLIAM T. & MELISSA T. CAFFERKY NATIONAL GEODETIC VERTICAL DATUM. // POST & Rp,IL FENC \C� ® FOR LOT 11, #250 BAXTERS NECK ROAD 8. REFERENCE: PLAN BOOK 267 PAGE 10 // -38 IN # A=NP COTUIT BARNSTABLE MANECK 4 a , RS ti ' �1w of �, SCALE: 1"=20' DATE: JULY 27, 2006 f GRAPHIC SCALE ,~ Y �ro� `�IHAr=� 'q�� ° holmes and me rath, Inc. ���P �Ss9�y SHOFM :E B. M 6 MCHAEI G AR civil engineers and land surveyors e. m " 20 10 0 20 60 BENCHMARK 9 Y o MC r TOP OF TAG BOLT HYDRANT # 1307 �,Na`2!lgik3 ¢ 362 gifford street 508 548-3564(PHONE " 3 1 APPRO(IMATE LOCATION OF ELEVATION = 35�.05 falmouth ma. 02540 508 548-9672 FAX ( IN FEET ) EXIST NG W i inch = zo rt. ATER MAIN ;. �� DRAWN. JRK CHECKED. R ROUX 206148PP.DWG JOB NO: 206148 DWG. NO.: 87-2-16 SHEET 1 OF 2 i i DEEP OBSERVATION HOLE LOG NO. 1 ER SOIL SOIL TEXTURE SOIL COLOR SOIL O(sn mm DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING SUM em Finish grade above and adjacent to system shall slope away at a min. of 2% 0' 39.3 4" diam. cost iron or Schedule 40 PVC pipe (tight ja/nts). 0-4' 0 A 39.0 50.0 20' min. distance (building to edge of leaching s)stem) - B 36.4 VERY FRIABLE' 10' min. distance - 1 JJ.5 MEMM SAND 10 W 614 NOVE7E LWA/N 15X GRA VEL First Floor 3—Removable covers within Surface Vent Xt-1200 C2 29.3 elev. 51.6 6" of finished grade Removable cover within (see Detal/) Access Holes in Tank to • b 6 of finished grade e 20" in Diameter Removable cover within W 45.0 6" of finished grade ** NO GROUND WA MR OBSERVED Existing Surface £x/sung Surface el. 43.0 /nv. elev.- 36.31 2" layer of;' to ' Existing Ground washed stone i DEEP OBSERVATION HOLE LOG NO. 2 Clean Socknl OTHER 0 4" PVC Pipe 55 L.F. s-0.02 4" PVC Pipe 33 L.F. s—aof (Ulm) �� s—►arles Elev.- ,J7.3 SOIL SOIL TEXTURE SOIL COLOR SOIL �mmm Ll ld Lew/ 0.01 min. DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING a 400 ' 0 0 0 0' 43.5 W EXISTING a r.�_::_' a a 0 1,500 Gallon Septic Tank ,� 6 c% r y of r o C� / v.- 4 0-5' O A 1 4.11 h p compacted M q - ' B 40.7 SANDY LOAM 2.5 ?R `�• a stone a a , , Nayr VERY FR/ABLE washed in a 4' C1 3BZ N A/N 35.0 t o �- t a a C2 33.5 1 u around InNtrator I - 15� AVEL E/ev.= 29. _ SItEX/SANG PROPOS0 3 — 2 — —— Foundation Sept/c Tank 33'f D—Box V'arles Solt Absorption S)wtem i Bottom of Test Pit /f NO GROUND WA MR OBSERVED LEIev- 4.0 _ Estimated Seasonal I•llgh Groundwater SEPTIC PROFILE DEEP OBSERVATON HOLE LOG NO. 3 SCALE: 1 /4" = 1 SOIL SOIL TEXTURE SOIL COLOR SOIL O(smuciu DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING co r.x qt `i► 0' 44.0 0-2' 0 A 43.8 - B 4?.0 VERY FRIABLE SOIL TEST 24-4801 C1 4 o A/N - • 1 A; A VEL Date of soil test: 10/18/06 Test taken by: RAUL LIZARDI—RIVERA Results witnessed by: DON DESMARAIS Percolation rate: <2 MIN./IN. ** NO GROUND WATER OBSERVED Ground water NONE ENCOUNTERED DEEP OBSERVATION HOLE LOG NO. 4 INSTALL POLYLOK FLOW EQUILIZERS OTHER ON ALL OUTLET PIPES SOIL SOILTEXTURE SOIL COLOR SOIL (smucltla DESIICsN CRITERIA DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING co °0� 16.5"— CONCRETE COVER ALL OUTLET PIPES FROM THE 5 — 5" OUTLET Number of bedrooms;: 5 Equivalent to 110 gal.'s/day 0' 42.5 DISTRIBUTION BOX SHALL BE KNOCKOUTS Garbage disposal uniit: No 0-4' O A 42.2 SET LEVEL FOR AT LEAST 2 FT. Leaching area — capacity required: 550 gal.'s/day Side area proposed:, 237 sq. ft. - B 39.4 VERY FRIABLE OUTLET INLET Bottom area proposed: 525 sq. ft. r Cf 7.7 1 614 N NGL GRAN » Total area proposed: 762 sq. ft. - , 19.5 1 C2 32.5 R N f 714 / 15.5' Proposed leaching capacity: 564 gal. s/day 9" t1.25" Water supply. Town • Precast concrete units: H-20 loading design + ;• .. ** NO GROUND WA 1FR OBSERVED 20" 1.75" PLAN SECTION CROSS—SECTION 5 HOLE DISTRIBUTION BOX SCALE: 1" = 1" I 4" KN(OCKOUT NOTICE Unless and until such time as the original (red) stamp of the 20" DIAIMETER o responsible Professional Engineer, or Professional Land Surveyor " -- 4" KNOCKOUT appears on this plan: 4 KNOCKOUT I (A) no person or persons, including any municipal or other INSPECTION 11N ;* public officials, may rely upon the information contained herein; and COVER ; (B) this plan remains the property of Holmes do McGrath, Inc. 2/26/07 RECONFIGURE SEPTIC LINE FROM HOUSE JRK 4" KNOCKOUT 4" PVC VENT PIPE 11/10/06 REVISE PROPOSED WALL DETAIL JRK MBM d a SCREEN e, — 6, 10/27/06 REVISE SEPTIC FOR 5 BEDROOMS JRK MBM 31 FINISHED GRADE 10/23/06 ADD TEST PIT LOGS LAC MBM MIN. ALL WALLS ARE 3 THICK DATE DESCRIPTION Drawn Checked 1.— 80 - 4' REVISIONS ® ®. . CONSTRUCTION DETAILS ® ® ® ® ® ® I® ® ® ® OF PROPOSED SEWAGE DISPOSAL SYSTEM PITCH ® ® ® ® ® ® I=3 N ® ® ® N PREPARED FOR 4" PVC VENT PIPE ', ® ® ® ® ® ® 1=1 ® ® ® WILLIAM T. & MELISSA T. CAFFERKY ® ® ® ® ® ® I® ® ® ® FOR LOT 11, #250 BAXTERS NECK ROAD VENT PIPE DETAIL r- 6' - 6' 4' — 10» IN COTUIT BARNSTABLE MA SCALE: 1/2„ = 1, TYPICAL 500 GALLON LEACHING CHAMBER ® SCALE: AS SHOWN DATE: DULY 28, 2006 P��0 of Mr s SCALE: '1/2 = 1 • �� y holmes and me rath, Inc. � MICS. L civil engineers and land surveyors U MC�aA Nd.388 362 gifford street 508 548-3564(PHONE � � Q falmouth ma. 02540 508 548-9672 FAX °F DRAWN: JRK CHECKED:, R ROUX 206148PP.DWG JOB NO: 206148 DWG. NO.: 87-2-16 SHEET 2 OF 2 r