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HomeMy WebLinkAbout0391 BAXTERS NECK ROAD - Health 391 Baxters Neck Road Marstons Mills P A = 075 007005 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . DEPARTMENT OF ENVIRONMENTAL PROTECTION MAP PARCEL ;_ LOT TITLE s 5d _ OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION RECEIVED 3 Property Address: 391 Baxter Neck Rd. Marstons Mills r�AR o 8 2�04 Owner's Name: Mil 1 s River Realty Trust Owner's Address: TOWN OF OAr^nidSTAB.LE Date of Inspection: — — HEALTH DEPT. Name of Inspector.(please print) wi 11 'am _ .Robinson Sr. Company Name: William E. Robinson Septic Service Mailing Address: P O Box 1089 Centerville,_ MA Telephone Number: (5081 775-8776 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 96d maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Se ion 15.340 or Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: �, -,i Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Nealthvr DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments "This report only describes conditions at the time of inspection and under the conditions of use at that time-This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—*NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 391 Baxter Neck Rd mars tons mills Owner. miIis River Rearty Trust Date of lnspectlo : 2—2 8—0 4. Inspec/Smary: Check A,B,CD or E/ALWAYS complete all of Section DA. Syes: l 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: // o B. stem Conditionally Passes: ne or more system components as described in the"Conditional Pass.'section need to be replaced or repaire The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. - Answer y ,no or not determined(Y,N,ND).in the for the following statements.If%at determined"please explain. The ptic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,a ibits substantial infiltration or exGltration or tank failure is imminent System will pass inspection if the existing is replaced with a complying septic tank as approved by the Board of Health. •A metal se tic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating th t the tank is less than 20 years old is available. ND explain: Obs rvation of sewage backup or breakout or high static water level in the distribution box due to-broken or r obstructed ipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with T approval f Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain. The s tem required pumping more than 4 tines a yeair due to broken or obsMucted pipe(s).The system will pass inspectio if(with approval of the Board of Health): broken pipe(s),are replaced obstruction is scmgvod ND explain: Page 3 of l l OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 391 Baxter Neck Rd Marstons Mills Owner: Mills River Realty Trust Date of Inspection: . . 2—2 8—0 4 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 fai g to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with.310 CMR.15,303(Ij(b)that the ystem 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. ystem will fail unless the Board of Health(and Public Water Supplier,if any)determines that the - Sys m 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 Uibutary 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 front a private water supply we l•• 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 trigge;-ed.A copy of the analysis must be attached to this form. Other: 3 Page 4 of 11 I� u OFFICIAL INSPECTION FORM—.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSA L SYSTEM INSPECTION FORM PART A CERTIFICATION(continued). Property Address: 391 Baxter Neck Rd Marstons Mills Dealt Trust Owner: Mills River Date of Inspection:, 2—2 8=0 4 --- i D. Sy rem Failure Criteria applicable to all systems: You in st indicate'), res"or"no"to each of the following for all inspections: Yes o Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool, Discharge-or ponding of effluent the surface'of the ground or surface waters due too an no 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 invertor available volume is less than'/,day flow _ Requiredum in more than 4 time e a s to the last year NOT due to clogged obstructed i e s . umber pumping g y N logge or obstruc e p p ( ) N 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 56 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%ater 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(his forma (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 Systems: To a considered a large system the system must serve a facility wilh a'design flow of 10,000 gpd to 15,000 gP Y must indicate either"yes"or"no"to each of the following: e following criteria apply to large systems in addition to the criteria above) s 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 I of a public water supply well If yo have answered"yes"to any question in Sectim E the system is crosidcred a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of arty large system considered a signi cant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.30 .The system owner should contact the appropriate.regional office of the Department. 4 Page 6 of I I • OFFICIAL INSPECTION FORM-,NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 391 Baxter Neck Rd Owner. Mi 1 1 s River Realty Trust Date of Inspection: 2-2 8-0 4 FLOW CONDITIONS RESIDENTIAL _. . . - Number of bedrooms(design):. � Number of bedrooms(actual): ) �l) DESIGN flow based on 310 CMR 15103(for example: 110 gpd x#of bedrooms):/Y v Number of current residents:-- — Does residence have a garbage grinder(yes or no) Is laundry on a separate sewage system(yes or no): [if yes separate inspection required] Laundry system inspected(yes r no):LU Seasonal use:(yes or no): A/A Water meter readings,if av table Years2 ast(l usage d g (gp Sump pump(yes or no):,�;-(� Last date of occupancy: . CO ERCIAL(INDUSTRIAL Type establishment: Design ow(based on 310 CMR 15.203): pd Basis o design flow(seats/persons/sgft,etc.): Grease p present(yes or no):_ lndustria waste holding tank present(yes or no):_ Non-san waste discharged to the Title 5 system(yes or no): Water in ter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system_pumped as part of the inspection(yes or no):/-e If yes,volume pumped:_gallons--How was quantity pumped determined? Reason f r pumping: ' Pon/ 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/Altemative 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, ate installed(if known)and source of information: c%f k,t51LtJ Were sewage odors detected when arriving at the site(yes or no): e o 6 I,I I Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 391. . Baxter Neck Rd ars ons Mills Owner: Mills River Realty Trust Date of Inspection: 2 2 8—04 Check if the following have been done.You must indicate`yes"or"no'as to each of the following: Yes —o Pumping information was provided by the owner,occupant,or Board of Health y 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? v_ Ha a large volumes of water been introduced to the system recent) or as art of this inspection? .— Y Y P P 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? f/ 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 r tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _ ✓ Was the facility owner ty o n r(and occupants if different from owner provided with information on theproper' — P )P 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)J 5 I'agc 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION(continued) Properly Address: 391 Baxter Neck Rd Mars ons i s Owner: "' —River Realty Trust Date of Inspection: 2-2a-04 BUILDING SEVE site plan) Depth below gra Materials of const iron 40 PVC other(explain): Distance from ply well or suction line: Comments(on cs,'ven(ing,evidence of leakage,etc.): SEPTIC /TANK:`t (locate on site plan) Depth below grade: Material of construction:_concrete metal fiberglass_polyethylene _other(explain) If tank is metal list age:— Is age confume&by a Certificate of Compliance(yes or no):_(attach a copy of certificate) �c' & $ toy r Dimensions: Sludge depth: p 1 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:, $ j Distance from bottom of scum to bottom of outlet tee or battle: j How were dimensions determined: O f/ Comments(on pumping recommenda(ions,inlet and outlet tee or baffle conditicn,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): _ GREASE T P:_(locate on site plan) Depth below gr de:_ Material of cons ction:_concrete metal fiberglass_polyethylene_other (explain): — Dimensions: Scum thickness: Distance from to of scum to top of outlet tee or baffle: Distance from b tom of scum to bottom.of outlet tee or baffle: Date of last pum ing: Comments(on umping recommendations,inlet and outlet ice or baffle condition,structural integrity,liquid levels as related to ou et invert,evidence of leakage,etc.): 7 Page 8 of I 1 OFFICIAL INSPECTION FORM-=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 391 Baxter Neck Rd Marstons Mi s Owner: Mills River Realty Trust Date of Inspectlon: 2—2 8—0 4 TIGHT or HOLDIJY 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): Dimensions: Capacity. gallons Design Flow: allons/day Alarm present(yes or ): Alarm level: lane in working order(yes or no): Date of last pumping: Comments(condition o alarm and float switches,.etc.): DISTRIBUTION BOX: l/(if present must be o ened locate on site plan) P )( P ) 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.): l� PUMP CHAh1B (locate on site plan) Pumps in working or er(yes or no): Alarms in working o er(yes or no): Comments(note con ition of pump chamber,condition of pumps and appurtenances,etc.): 8 r Page 10 of 1 l OFFICIAL INSPECTION"FORM=NOT FOR VOL UNTARYASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 391 Baxter Neck .Rd P Marstons Mills Owner. Mi l l G River Realty Trust Date of Inspection:P — — 4 �R n 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. G)L �A IY L n' V' v U �A 5� 1 V O v C r 10 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 391 Baxter Neck Rd mars tons ml=s Owner: Mills River Realty Trust Date of Inspection: 2—2 8—0 4 SOIL ABSORPTION SYSTEM(SAS): t/ locate on site Plan,excavation not re aired '. If S why: YAS not located explain h . Type jeaching pits,number. ✓leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow,cesspool,number: innovative/altcmative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): s' 7,0 PA C 1^7 14 91, CESS OLS: (cesspool must be pumped as part of inspection)(locatc on site plan) Number a d configuration: Depth—t of liquid to inlet invert: Depth of s lids layer: Depth of sc m layer: Dimensions of cesspool: Materials o construction: Indication o groundwater inflow.(yes or no): Comments( ote condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: locate on site plan) Materials of co struction: Dimensions: Depth of solid Comments(n to condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 r Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address• 391 Baxter Neck Rd Marstons Mi_1_1s Owner. Mills River Realty Trust Date.of Inspection: 2—2 8—0 4 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 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 witr' 150 fee;of SAS) ✓Checked with local Board of Health-explain: ps 7 lao/L S _Checked with local excavators,installers-(attach documentation) ,/Accessed USGS database-explain: ��d You must describe how you established the high ground water elevation: it M u$ rro-+`g"4' -.? �^m 4•. �y 1 3i ,t n.. J',ai x m t - '§17 �.Y - TOWN OF BARN,$TABLE C/' �G 4 t _ LOCATION ' � ��� - SEWAGE # 957- f VILL'AGE�'��s6�.f��2 G � ASSESSOR'S MAP &'LOT s'-7.-5 c INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ✓ LEACHING.FACII.ITY: (type) (size) fJO NO OF BE BUILDER OR OWNER PERMIT DATE: J J'. C.OMPLIAN DATE: g A,/ Separation:Distance,Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet . Private Water Supply Well and Leaching Facility, (If any wells exist ' a Feet on site or:within 200 feet:o,f,leaching"facility) Edge of Wetland and Leaching,Facility(: any wetlands exist F within 300 feet of leactun faciL 1~eet Furnished by L -- - - - "" -- --- - '— ti { O � ,. 0 flu 4$ Ab a� _ W TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGEf�l�t ASSESSOR'S MAP & LOT 1 S'—1—S INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 17e d LEACHING FACILITY: (type) (size) A? NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANO 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-arid Leaching Facility(If any wetlands exist -`within 300 feet of leaching facility) Feet Furnished by G C> o • C�v ry A L• No. ` Fee 00 / H; THE COMMONWEALTH OF MASSACHUSETTS r Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mi_4ponl *petetn ConElruction Permit Application for a Permit to Construct(V Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. '3 q/ 6A X f C& Nc—G K R D Owner's Name,Address and Tel.No.1 781—'7G q "222 2— L_&-f 6"iQ /)'lArst�Ns �YJiLGs, AIR primee, capg R-5y4-`y -'2US7` Assessor's Map/Parcel "T 2,:�- S*' MAP 7S PIPrc L oo7-i Norwoo MA ozaGz Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 412 8— 3 3 4/4/ P&fE2 svLcivWN, P67 -7 P.4rkEr /Zo�p OS�E/'a1/GG� o2`sr Type of Building: Dwelling No.of Bedrooms Lot Size 4/s02 L sq.ft. Garbage Grinder(�/� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 5,5_0 d- SO 0149 gallons per day. Calculated daily flow S 2 gallons. Plan Date JU L Y 2 9 ,/17 Number of sheets 2 Revision Date N aAl j Title Sl t6 PGAn1 P/-uPOSED SePt/e. S y S tEM 0 3q/ 13,4X t45r NECK (Z D Size of Septic Tank 20, o GRL.�, 2 Type of S.A.S. WX 1V7, 4.9/3Gl tte 041),4106,0` Description of Soil 0—ZN /Ngp . 54A"D V,9 UTA&r E/YGac/�v�E� Nature of Repairs or Alterations(Answer when applicable) 411 Ld­1461�41 /7 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 issued by4kis Board ealt Signed C Date Application Approved by Date Application Disapproved for the following reasons Permit No. '17 Date Issued IT1719 r r i a !. .. �- - �„i � ,. No. :_ N Fee oO 71 5 ` ,THE CO MONWEALTH OF MASSACHUSETTS ' Entered in computer: V/ PUBLIC HEk�;TH�/DIVI ON - TOWN OF BARNSTABLES MASSACHUSETTS Yes .. Zippricatiolit for igpogal *potem Cougtruction Permit pplicat on''for a Permit to Con ttuct X)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components 'n Location Address or Lot No. BA x i E2 ttlt.G w Q E> Owner's Name,Address and Tel.No.1—"7 01— -76 cy —Z22.Z ln,4rs tow E /1'IiGLs , /YJq '772��Cq/yfOlV St.tY t*Y t241s7 Assessor's Map/Parcel /7'IAP 7S Norwoo lhA ow/,z Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4/2 8— 3 3 4/4/ P4;-?ElL 'sU461VX/L, nE -7 P�r,�Ei' I�uAp � OSfE/"!�/LGr' oz�rt Type of Building: Dwelling No.of Bedrooms Lot Size �5 02 L sq. ft. Garbage Grinder 64;:)& Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow .350 c} SO 019 gallons per day. Calculated daily flow $2 gallons. Plan Date 1 U 4 y 217 4/g fc�- Number of sheets 2 Revision Date W aA14 Title S/tL= PGgN- PtaPosE D SE'PIl G S y s tE' 3 q/ C3A)(tEr /1/ K (Z D Size of Septic Tank 2000 G RL/. C 2 O P,41YIth A r 2 G7 Type of S.A.S. 1 �X 1_,6 +I96 Lte 04,4,0, eE - Description of Soil O— 2-IV q B GpR!h c f541/359/L - Z•q l2U G'i /VIED • S.a/YD Vo WAME j'/YG0c/1V160 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 issued by,-this Board ealt . Signed mi Date rl $1 0 Application Approved by r Date Application Disapproved for the following reasons Permit No. q' ��� Date Issued 719 � �� ��+ ��� i.%• THE COMMONWEALTH OF MAIS$'A'WCHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(3C )Repaired ( )Upgraded( ) Abandoned( )by 1_.1y y1 �e,k iH l at 13 9 1 13A)('t Fr AEG 14 Qo A 1 ln.41519 s ALGs Ad ha�been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. g- dated Installer i Designer The issuance of this p hall not be construed as'a guarantee that the syst 11 fun design Date �/(� /Os/ Inspector _ ----------------------------------------- No. O "S �S Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mitpogal Opgtem Cou5tructiou Permit Permission is hereby granted to Construct k )Repair( )Upgrade( )Abandon( ) System located at 3 q I BAXtEr N4`C 14 QrX P /y 1;114L f .5 /f'l,* 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 completed within three years of the date of this germit 7 Date: Approved b t No....- - Z' 7— Fss.. .1 ........ t' I OZ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Digpuiial nrkii Tomitrurtinn ramit Application is hereb made for a Permit to Construct (4 or Repair ( ) an Individual Sewage Disposal System at: 3 1 .......... .�-..�r..._. . .-P A* . .................................. -_-.ocation-Add Owner Address W Installer Address _ Type of Building �,— Size Lot.... � .Sq./e; Dwelling No. of Bedrooms............... ........................... Attic (� Garbage Grinder ( Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ) Otherfixtures --------....----•-----•-- ----•----------••-----•----•---•-•-----------•-----•-----•-••------•-•-••------------ d �---•------------ W Design Flow............................... s 7--..gallons per person�,Per ctay. Total daily flow..._........._.__...�.���_____gallons.� WSeptic Tank—Liquid capacity. gallons Length_C�_.1.... Width__.-- __. Diameter__.'_....__._. Depth_ -.13'. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------g------- Diameter....../.4-...... Depth below inlet_...__........ Total leaching area.. �%...sq. ft. z Other Distribution box (� rj Dosin ank QV ~' Percolation Test Resu�s7 Performed by _ .. �...�_.UC............... Date..-�v._ �L ....__.... a Q Test Pit No. 1..........-----minutes per inch Depth of Test Pit.....I _..__.__ Depth to ground water61 ___�_.. P� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ,.t....... --- ------................. Description of Soil•-U............................................a� SG(�- .."/1. -- / ��� 1 ............................ � V --------------------------------------------------------------------------- ... --------- .----------- ••-----------------------------------------------W UNature of Repairs or Alterations—Answer when applicable._---........................................................................................... -------------------------------•••-••--•-•-----........••-•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Silgnneed.................. . . ......a------- q-------------------------------- ----------------- ------------------ Application Approved By .... ... �G.. /`�/. ...... . . Dare -- - - -. .... .. ....... ..... .. ---.----.---..-..........--..--.---...... ..------........Dale ..........------ Application Disapproved for the following reasons: ..----- ..................... .................... . . ........ ..... � --- --- ...............................-----------------** . ...........------ -...... Date Permit No. ---- ......................... - - - --.-..... .- Issued ........... --- --- --- ----- �j to v THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ . OF --.1619P-!��DY/�0% --------------------------------------- C�e>r#tft.ca#e of C�ompitance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( K ) or Repaired ( ) by ... -- -------------------------------------------------------------------------------------- ------------------- --------------- ,� /� F Installer A / has been installed in accordance with the provisions of TITL of he S at iro nEa 2 6 e ribed in the application for Disposal Works Construction Permit No. . .. . ----- ----- ----- d tw---.------------......--...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E ON T ED AS A UARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------- ------------------------------- - ----- ------------------------------------ Inspector ------------------------------------......--------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �fG�I.tJ d� 1..............................OF..........c `! ..�a6 ®4�C- .................................. �S IOC N . ...... .. FEE........................ �i���a��1 nrk� �nn�trnrtUan rrntit Permissionis hereby granted........................................................................ ........................................... - --•-•-----. --- to Construct or or Repair ) an Individual Sewage isposal System • .... ... at No. �--�1- sue. .. d �'a?s..`d7�../ E.� 'f -?-� j•............... Street as shown on the application for Disposal Works Construction Permit No._ a .......................................... -------•--••------•--------------------------•----------------------•-••-----...-•-•----•----•--•-.....-- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS t ftP 7 N;.... .. ....... (� .�` " �' FEBI.. co....._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEALTH OF................................rw .............................................. App irFation for Uispvii al Workii Tnnitxnrtion Frrutif Application is hereby made for a Permit to Construct (A) or Repair ( ) an Indiviidual Sewage Disposal System t . .................�....�:�: ,U ..... �"l�ti 5 .__ ✓/__.5---........ .-. ...--- cat'on-Add "'s r - -- t No. ..................�iRxt= �v�f J 1705l-• .Z.IZrU�°IC ��C 1 Q� .��'"'4 '` - -• ---•- - Owner Address W Installer Address �11 Type of Building G , Size Lot.... U_ "G_Sq. fe t Dwelling No. of Bedrooms............................................Expansion Attic (INp Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ) Q' Other fixtures _ ............... Design Flow.............................................Jgallons per perso 6r day. Total daily flow.._................__�?' _..._ lops.,, WSeptic Tank—Liquid*capacity.p�__� allons Length :/I..... Width-_ .`d'._:.Diameter---" __--_- Depth-} -8.-. x Disposal Trench—No. .................... Width.................... Total Length........ _.____..._ Total leaching area__.........,......sq. ft. Seepage Pit No........c _\_ Diameter...... .._..... Depth below inlet.............. Total leaching area.;;�?!.'_.._sq. ft. Z Other Distribution box "7 Dosin a k �..��{ ~ 1'5 "'�' ----•:! ` Date.....................................73 . 7 4-[ee a Percolation Test Results Performed by___ _ _ _______ __ Test Pit No. 1..........-..-minutes per inch Depth of Test Pit-----V:........ Depth to ground water_GA_fr__()--. G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4I •- t -- ------ ----- -- -•-- ----......•-••••?------------....rZ.... ....- -- --- ---------•-• ---- O Description of Soil..q._•7_..___.. �✓� a .�.G/L— oa fU / __._____. ------------------------- ----------------------------------------------------------------------.........•-•---- W U --------------•-----------------.--•-------•-------•------------------•-------•-------------••---------------------------------•-------------------------------------------••--------------- W UNature of Repairs or Alterations—Answer when applicable._.............................................................................................. --••---••-•--------•----••--••-•-------•---•-•-•-••-•••---•-••--•••--•-••-•-----•-••....-••••.-••••••••--•••-•••--•--------•-----•---•------•--••------••------•-•-----•---•••..............•---•-----•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. - Signed -r.�. ...f .......... n Da Application Approved B . f.... ---- //.'(.------------- � -' - /„� �L� ----------------------------�, ........................................ Application Disapproved for the following reasons: ...........S17/7 ---------------------------------------- . ------'---"--'.. .".. -----...----.. ........ ................................._-------......--. .... ............... .----...,,.- -..... ... ... ,te .j..... ................................ ;;------..--j;.�.-..� ...--Date------- ....... Permit No. "' - �-7t-� Issued y...�{ _.1------- �..� .:........ I Datej THE COMMONWEALTH OF MASSACHUSETTS ,..�- BOARS,p OF HEALTH ............................................. of ............. '- ... - -- -' -.......--......................................- - Certifirate tif CITuraptia ve THIS IS TO CER���T}IFY, That the Individual Sewage Disposal System constructed /( ) ) or Repaired ( ) by .......... `.... "^'" L ...4 / ,Ilex �/1'.q -/4-/�,U3 '/'• /:/ at ..............................'---'---.................."'-'----'---................. . --.........' --.......t------------ �------... . .. ................ .....---- -- has been installed in accordance with the provisions of TITLE 5pf e S � n: 'rc a e' as de cribed in the application for Disposal Works Construction Permit No. ... .� ...--.- .;F 4..% .--.. -d t ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................ .. ................."' Inspector ---"--" --- ---...---'--------...........---'--........-- ---. .........'----....... I Imo, THE COMMONWEALTH OF MASSACHUSETTS J BOARD OF HEALTH l� C"w f.'-j OF �J/ Lt .........................•--....--•---.................•-•............ N �.... .;..:: FEE........................ �i�����a1 nrk� �.�n�#rnrivan �ernti� Permission is hereby granted•..-•------••-••----- -•-•••......•--•••...---••-•••-•---•---••--•--•---•••---•..............•-•-.......---• .. .................. to Construct (n ) or Repair�l ) an Individ}al Sew ge ; osalY/s at No. �. ._.. `5 ! - /� �'Zf /ti p--- ..................... Street as shown on the application for Disposal Works Construction Permit No... . -•----------------•-•-------•---------------------------------------------------------•••......•-•---.._ Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -�� —l5 " Lam' '7__5 No.... .1---.t Q?, FR$r 1®C5_...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appliratiaan for Diiipaaal Worka Tunitrudiun Prrutit Application is hereby made for a Permit to Construct ( 'K) or Repair ( ) an Individual Sewage Disposal System at: • ... ..f7T.-.........�! 4 ram...!_y G C..l _IL - .......... �-�M•S..........o Ce .................................. Location ddress --. ��L _.� Owner Address W Installer Address d Type of Building Size LotA_5_..0ZCQ....Sq. feet U Dwelling—No. of Bedrooms...._55......................... .....Expansion Attic � Garbage Grinder ��5 '24 �_l Other—T e of Building No. of persons______________--__.__-____ Showers Cafeteria a' Other fixtures ............................ W Design Flow........�S5t_D%...--._gallons per person per day. Total daily flow__._...$Z-`��.......................gallons. WSeptic Tank—Liquid capacityZ�.gallons Lengthy.A....... Width.G"'__ Diameter__-'__. Depth.5�_$_.`.� x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......Z,--------- Diameter............... Depth below inlet........6P....... Total leaching area.S&P....sq. ft. Z Other Distribution box Yp5 Dosin&4ank a ( - 4_Percolation Test Results Performed --•----------- Date---.lZ ` �....--- ,a Test Pit -No. 1....4Z--._minutes per inch Depth of Test Pit----AD........ Depth to ground water.......................... f14 Test Pit No. 2................minutes per inch Depth of Test Pit...............,.... Depth to ground water........................ a •---••• ----- . . • •-----------------------------------•-...................•• ------•... O Description of Soil--- -- t4.1�. ._ S?3 ? 1_�.-.�'.�®..__.... !�LJ..A.E� .... ............... W U •--•••-•-••••-•-•••----•--••-----•-----•••••-----•••-•••-•---------•-•-•-•••-••--•••••-••------•-•-•-•••••••---------------•----•••••---••-•-•--•-------••---•-••••-•••••••••-•-----•............--••••. W --------------- -------------------------------------------------------------------------------------------------------------------------------------------•------------------••••......--------....... U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------..................................... ----------------------------------•-•--............-•-------...------------------------..........--•-----•---------------------------------------------------------------------------•--••-•••-•-•--•••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed .. .... ...... ...................................................... ........................ .. ...................... r� Date Application Approved By ..-.... ----------------- ---- --------- - Da[e Application Disapproved for the following reasons- -------------------------------------------------- ---------------------------------------------------------------------------------- ---------------------------------------------- -- ---- ---- -- --------------------------------------------------------------- ------------ ---- --- ------- --- --- ------ --------- ---------------------------------------- -..'.o •� Cam© ii Date Permit No. Issued ........... ................`. ...... .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................. ........ .... OF ...�:Ae-1.5..[T -9.G Certifi ate of TIImplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by ----------------------------------------------- -------.......------................----- ..--... . -- --- -- ---------------------------------------------------------- Installer at ..................................5 ua—C .-1.e .......... 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. '.toz-------_------------ dated --3_`20-�.�.-�................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------------------------------------------------------------- Inspector ....----...... ------ ............................----------------------...---------- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......................... �i��rrr��1 �rk� �nn,�#ruan rruti# Permissionis hereby granted.............................................................................................................................................. to Construct (K) or pair, an ndividual age Dis a stem - 4 41lJl S CSC. 5 ....... _ Street p as shown on the application for Disposal Works Construction Permit Nog!.`j0 2-__- Dated..3.?P:._a!A...........•.... -----..•...........-•-•--•-•----------------------------------------•--•---------...•••--...--•-•••••••- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS r• ` EV,fi4 i r 1 1 i" 14 No.... !....:. ,U2 FE . .Q............... 0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..._.......G..` ..fi'-............OF....... .�-�...t.q� ............................ App iratinn for Disposal Works Tonstrurtinn Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System sL0a t..l. --- -..._.. ... ... ...... .... .-•----• ----•... --�------------- ....._------ Loca ion—dress or t No SQ Owner Address -•...................••••••---•--•-...------•._......••••--....,.....................•............ •---••............•...............••. ...... Installer Address .� � Type of Building Size Lot.....S.....�.�:-:__......Sq. feet Dwelling—No. of Bedro ..................................................................Expansion Attic ( Garbage Grinder '4 Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .. ......................... ..••......................---••-••-•-•-•---•... --•-•-•--•-•••-. ------------------------ W Design Flow........... ......_gallons per persongper day. Total daily�fiow_______.5 ` ......................gallons. WSeptic Tank—Liquid capacity Z gallons LepgthW-..,i......_ Width_G.::�-.•.. Diameter-: .. Depth.-'8-I x Disposal Trench—No..................•.. Width.................... Total Length.................... Total leaching area___..._.__^.....sq. ft. Seepage Pit No........7-------- Diameter--------A.... _ Depth below inlet........!' Q....... Total leaching area_.�''r�. ...sq. ft. z Other Distribution box (YE6 Dosin ank (.sty _ '-' Percolation Test Results Performed by.. 4'K F�,-.�_ ...................................C;,� Date.._ _.. AC � Test Pit No. 1......... per inch Depth of Test Pit-----1.0........ Depth to ground water....... ...__. G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ p+ --------- __-..- O Description of Soil... ."'��' t 64_ - ...._ U 650 �._ `- ..... x W ••••••••---•----------------••-••••••••••--•------•-•-••-•-----------------------------...--•---------------------•-•-------••••------•----•--•---•--••-••-••-•---••----•••-••-----••-••-••-••---••---•- UNature of Repairs or Alterations—Answer when applicable................................................................................................ --------•------------------------------------------------------•-•••----•.-----•---•--•-----•------•--••---••-•---•----•--•-----••••-•-•-•--•-....---------------•-•------•---••........._........••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ,�^ Signed ---------------------------------------------------------- .+✓�Y Date Application Approved By .1. v... - ... - ? ` 1 � Date Application Disapproved for the following reasons- ---------------------------- --------------- - .-..........................-----............................................ --------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------- - -- -- ----- - ........................................ Dare Permit No. - I�� 3 'ZO . .. ...................... ... .............. Issued ....... --- ----------- - ----- --- .....------...--... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Gertifirate of (gerayliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( X, ) or Repaired ( ) by -- ------------ -- --- -- r Installer - - ---��" at -- - - --- ...... . ------. _i..........................................� , .......... g5Te)-0 5--- M... has been installed in accordance with the provisions of TITLE�5�of The 2State Environmental Code as described in the application for Disposal Works Construction Permit No. . ............ . .......................... dated -.�.'.ZO....�.�--------..-----. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------------------------------------------------------------- Inspector ........... ---...--....................--•----------- -- .......--..... . -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ?.e? ..............O F. �+' ►- ..:_�?........................... 1 fJ ° ...... No......................... FEE........................ Disposal Works Twnnstrnrtinn rrntit Permissionis hereby granted.............................................................................................................................................. to Construct ( () or,Repair ( ) an'Inndividua ':�. - I Sei�trage Dispo al System at No-----------------------------t � t�t �:.1� V'4f-\'C ? j�� +' Tb k , # CC_ 1 Street as shown on the application for Disposal Works Construction Permit Nog ...... Dated.3: ................. ------------------------•-------------------------------------------...--•----•••-------....---.....----- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - - d i 'DESIGN DprT,q TEST PIT S�n91c I"am�ly� 5" f3cc9room5 ,w•�thGarbu9C Grineler- mate.',=��a.rcln Z�, I�t$8 bes¢�y F I o w -5-1t 11 0 =.— S.o=G P� Tc st- D '( D-- -- ----._. _. Scene- Tahl< =_( ppGc�llo ls l.J¢tness,-T - J USE Z0l CLo�.l 'TA NK ' ct- �-cac►� Pit---�'� -dt�'Zxs,67cf{,c��-¢ve. cLalp�1'1 . w��_�}_�stor�e, o Tp zz.3 �JIcQGW4I1 Z4 9 5F x Z 5 6pd�5F _ 6ZZ-G P D ... . t:�rw.F _ dotoom 15-4--SFx I,O GPoI SP =TS4_G P r> 4 =Is P 777. GPD zq"- -Za.3 PETER 'G=. A SULLIVAN No. 29733 f sy�� S E �• f'jo c:_ Top o 1 �vst inlet Dover~ Fovnda On Z„ PCQ5 G Tlnish 9wdG . _s,- z000 Iuv = Iboo Dist. V Z7.90 Gz Ilan, 06.77 Box Illy L7.44 Ga//o� I Nv U1 Lcocl, ^ Z6At4 Syolrc Z7.`rj 4 NU Tin k 2G.17 w U 73etfom o �tacly �� 20,541 19 I4' S�ZTEM PROFILE L CEI2TIFy THAT THE_.P p® t _�__-ho S. SEPTIC SYSTEM DESIGN 5HOwN HEIRS-OW COMPJ_gS' WITH THE ' Locs 7-70,V: Z-0. 5 SIpgLIWE AND SETDACK RaQulrzbmu'�JTS �yit��s aNS it>/LLB OF THE TOWN o 15 NOT wzOCA7et) W IT-H N A �LOO-UPLAIkj SCALE : yl Il I lie C-, r J A yL � 2- _gcq APPL/C Iry 7- : {� l �-I N(.t TH15 i'll.A►J IS NOT BA 'Z) ON r4N V A xTER t NYE 1 N C, WSTRUrhE►JT SUR>✓E`j /'kN�D THE 01=FSETS R. ��✓c��c� dn.l �`v�vec ors SHOWN( HEREcw S►-LOUL. Nor EE USt D Ci,ri/ F,�y,n ee/s Tz) ESTABLISH LOT LINIES . !ems rr2✓/�[.rg� 71,t55 '5H 7- i2_0 - p, roPi a+t r P w lce. J , ,��,� •tt1 f3� , �� i / � 3 / i •; Pg7ER G SULLIVAN y No. 29733 t/ / ,fr;, is �Clvk { r M Q r. JeA — 17 41,0Z� Zy Na i�5 M c a v\ Law lJ c,-i-c r 2• io� u�, .�,6iy �zl�c.� fr-orri 1C9i 1170 6NIScT ?- a '�. DJ=SIGN DArA TEsr PIT DRTA 5­%1Ic Family 5 f3cc9rooms ,wth6a�ba9C Grinder �a'"c.',�Y1a_r_ch._Z ,_V�1E38 besi�N Flow:._S_.1S I'l0 Spa-G P � 5=�[L-�� ►; ----- Se P S�L2x7„�a% = 110o_Gc�1to•�S (.t�i�rless;_ S�.c-r_�_�synr��� U S E :_SAG L_�o►.l TRN K 7-P"�2 poach Pit__. _��z ,�567tf{,c..i-�vc etapf{l .w,+� 9_Stvhe o z�.3 SicQcw411 : Z49 5F X Z,SGpd/SF =iWz=_G D .i - C3oOom :-.73_4._SFx I,OGpcl SF =T P JJfrSpl.l._- �� -5 F 777_G PD i4"- -z4.3 ��'�, �''fi is �y���` •.'._• _ Sc3 h GSA 7 pE TER 6 SULLIVAN A. y No. 29733 Of, s �.240�rl ; a lac9��st inlet Govs,l` Fovnda+ton ��'• �� IO one +oot pa1GLz. 1:1 30.5p Z., P�asfonc finish 9radG 000 iuv Iboo INV Dist• V Z7,90 GZIIaN Z7.d4 Ga//oar �" 06.77 Box INV INV N .Lcoc►, 1 ^ &A14 SSvfro Z741 N U Tin k B o leach ►P,t 20,SO 41 14 S`>'STEI'�) PROFILE (W,,T SC.AL@) L CeWriFY I"HAT THE-.Pi,-opo c : _ 10 " EPT.IC SYSTEM DESIGN 5HOwN HERraW. COPYIPLgS WITH. THE LOc�rioN;_L-CiT._5::._ ?,yxrEt __,fit c -_i is SIDELIWE AND SETMACK REqujr, 6GM N1T5 /J%ti25iM/S it7/LLS OF THE Tow N o F--ark t-- I5 N 0 r L,oCArED.wITHIk1 A FLOoZIPLAI*kj 5CA-L6 /'- -lc5 30 /� Z�FO T -7�c_u r 1 TH15 ► I._A►,1 I5 NOT BRseD ON f}n1. a AXTER t �IYE , TNC, 1►JSTRUrhE►QT SURVEY /AND THE OPFSEl'S R=)��h ec/ 4ae7W v`v ors 5HOWN1 HER16ow 540uL_D NOT r3E use-D Ci y;neers TO CSTAaLISH LAT LINES , dsrcFt✓ie-e.cg /lJ�SS., 5HC- A)EG��h +F L l ro '��,13 5 ��(��� r � � ,,•• t Prof. Wc.�Zr Vc c ' o't PETER SULLIVAN No. a733 � r K1 �0/z ' � .' ! / a � 1 _ 75 7 a� (0, 1000, otlo `m / v A pripc, b� �ea:ie t La 4G4,11j J�.�,. !�i 1570 LET �/ax t-e2 El.s ET Z6C a DESIGN DA-Tq qbT Wirwm 2st) TE:5-r R7- DATA a��C, Family,,- --Sic:jr]—ma Grin cr jC Grin r -.-Tyla 9 8 a F I a 1 10 P E> .1 517 X D 13, om 0 C-,pj SF r-> 11.-777-G Pr> ZA -Z4.3 X,Z PETER C) SULLIVAN A. C9 No. 29733 .40.240,1: top C3 Ajw.3 j + mittC.Ovwr, Foun4aton 3. 1'1� to one -Foot blowZ. Pcnstonc :30.so +1 ni s h tra off- t-:-,C-, = Z5,c> -20 ec)00 IWV I t\I\JZ7 I 4o Gz lim G a 24.77 Box I N\j Ij Ic)00 =Z7,44 %a L-ca ck Z(A Af4 Z7.Goj \JMUL a4.17 Bo0co" a leach 'Pit 2o.Sc, 41 Irv- 14 14 Sirs EM PROFILE (N.T +. ZcAt-s) P -7 5 7 SEPTIC SYSTEM DESIGN S1-10WW HERE-00 CorAFii-qS W17,H THE Lo C,4 770,V 6775_/-' V&-C)e 6Zr-> SIDELIWIF AND -SGTMPCK Rk3QUlr'?GMMT5 0 1- TH G 1-10 W N 0 R 'IBA-K, Z>9-7e 15 N07 L-ciCATSb WITWAJ A l=L0,0UPLAjkj ,49 C,,9'AJ 7' "--W THI-5 IS NOT IBAZ,60 ON +kJ a AXTOR t NYE , rNC, Wfo-rRumek3T SUFWS\� AND T-Ir-AS OFFSETS > SHOWN! HIFRISO#Q 540lJL-t> NOr f3ff USED C/&,// 47�i*.,nee-ra TO CSTA(BLISH L.0r LIMES . A) ----------------------------------TP, IO . VJ�+Cr P f> TN OF � PITER le, SULLIVAN No. 29733 if ONA L 1�7 A. o i3Ax-rE:,, 1p -75G fN; No. 24 .-. lei 0 7 17 /�� j�' I I lm Iry/ //�� / 1.5j o a(" s Cci L.G 1 /4 0 NO 7ZFS by La 4,+-,J 1(, 1�'7 0 ELEV., 2b,3 O�� \` 4 LOAM d' p�6 SUSSo%L_ rf PERC TEST r ,�{ ! MEDIUM Co SAND PERCOLATION TEST / / CLASS 1 MATCMIAL / ►O v�/ / 7v / //�.� pEPTH- Lib" LESS THAN Z M1 N/1 NCH NO WATER ENCOUNI'TED ' I 1 / v / '�/ / `� / / z DATE' 3 0 /Z4/08 i / / No. P-6880 I0�l , F tp 0 \NITNESS1 T. DUN NING 2� / 1 IN�I I / / t� /o TEST'By; P SULLIVAN 1tt31 NOTE; ALL GRADeSoNMLW I I f I 8° DATUM Y S IaZi ' a 0' Iaw 1 7 �j MAP 7S PARCEL 00"7_S- Im I h / o � / / �. OF 0 111 III � 1 / / IV SUU.IVIUN 11/I/ I W.29733 o %P/ 9 /�c SITE PLAN PROPOSED SEPTIC SYSTEM PLAN VIEW AT Scale: I =501 LOT 5A-391 BAXTER NECK ROAD MARSTONS MILLS, MA FOR PRINCE COVE REALTY TRUST R. J. BURKE TRUSTEE SCALE: 1"=50' DATE: JULY 29, 1998 SULLIVAN ENGINEERING INC. SHEET IOf 2 OSTERVILLE, MA NOTE DESIGN DATA L Water Supply forThis Lot isMunicipolWater Single family=5 BedroomWith .Garbage Grinder 2.Location of Utilities Shown on This Plan Are Approx. Daily Flow=110 15.=550 GPD At Least 72 Hours Prior 10 Any Excavation ForThis SepticTank.550 x 200%=1100 Gal Project The Conlroclor Shall Make The Required Use 2000Galion Septic Tank With 2Compartments. Not rficotionto Dig Safe(1-800-322-4844) LEACHING AREA 3 The Contractor is Required to Secure Appropriate 825 GPD/0.74?1115'SF Required Permits From Town Agencies for Construction Sidewall=2(12•6T,�2=316 S.F. Defined byThisPlan. Bottom Area=12'x67.'= 804S.F. 4 Inslall Risers as Required to Within 12'*of 1120 ST Total Provided Finished Grade. LEACHING CHAMBER DESIGN 5.All Structures Buiied Four Feet or More or Subject All Pipes to be Schedule 40.PVC to Vehicular Traffic tobe H-20 Loading. 7-5006al Leaching Chambers in el, Septic System to be Inslolled in Accordance With 12'x 67'Waslied Stone Field as 310 CMR 15.00 Latest Revision And The Townef Shown, Barnstable Board of Health Regulations. 7. All Piping to be Sch.40 PVC 8. Septic Tank Shall be a 2000 Gal., 2 Compartment. The First Compartment Shall Have a Volume of Not Less Tbon II OOGol.And The Second of Not Less . Thon550 Gal. FG.27.0 -- F.G.26.5 25. 23.3 24.8 SEE NOTE 24 g Top EI.24.3 No.8 23 7 Bot.E1.21.3 .5 23 u. , Bedding as 5.0' Per Title 5 10' 10.5' 47 121 I ' Bottom of Teet Hots El.16.3,No Ground Water. DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Not to Scale Finish Grade i) Filter *`�_,Compacted Fill Fabric N 1/8'=Ile, Pea Stone Leaching 3/4"-1 1/2"Double N Chamber Washed N 0F 4=10' I PMR S(lt1tVAEr� 12'-0° W.29M CIVIL CROSS SECTION OF CHAMBER NOT TO SCALE SHEET 2 of 2 LOT sA -391 r6AXTER NECK RO MARSTONS MILLS MA I - ST DON St. Don + Associate, Architects Design" . �WoMirgtan St Sore F.31 ' t"laReodyeetq 020i1 7Ci-07b-ai01 t55UE� 02A6/2001 ISSUED FOR PERMIT NOT FOR CONSTRUCTION � f es+ZCT A-2) 1 '� nr a EVaeY!ON �� ' iGARA-9 FRONT BLEVAY!OF! 1 2V-o� s 1 r_o- Ir-0• 12'-O' , q --------------- ------------------------- ---------------------------------------------- - r-4 ' N TM 9l�D cavfot �� Ivor= iN aapgs 1 r_Ip• '` Q miOMKx`b) bcnaua as , GUEST ROOM $W , . 1 csLRll:bR/MC --------TO 1 , bw&A*ML*Law RAW -4 1 ' • ———— 1, Q (bTOR/1Q 0lr) ----- -- -- ---- 1 1 �ATII ---- t� b L_-j r ------------------------------------------------------------ ,, ---- 1, ----- -- -- ---- ----- ----- -------------- 1 r- '-i , TM 2eo Te Leo 5Vr A-$ I 1j ALepl ' RO01 �� � _ TOtiAv[ r-O• Ir-op t7-O •� 1 r � 1 •.v • `` ______ ; y SECOND FLOOR PLAN - STORAGE SPACE OVER GARAGE BCALI w..-o € GUEST_ I 100M #3 1 ' , ❑ , , EL AT4N 1 $ECrl-14 , , �e SHEET }•-g ROOF' �r i ROOF T _ ST. D01y FH I St. Don t <1� oel4te�-_ Architects Desiqrbers G•-d d-d i'-N a-3• Ft Vv?'A T k*If-'4CT.'OW s!a 2oett - - Norlwil, M�oRRpd i+ p D RM. � F.cJ:Yar:�a !s�cTlOrl ��, io b 02/16/2001 ISSUED FOR PERMIT 2'"ir �� � � NOT FOR C,ONSTRUGTION e W-O. n /M4 Iltps.. ' t1 LIVING ROOM 4 I I n - n _ 11 d-10• S49i• A-5 „ wue�Il.wl be. R n 6-0 II I I xwv sw w`" HALLamcm,m4 )� A 11 R wa TO 0 L i; If I 24-0 • w-10,• II Y-Id s-7 § 1 fil k h II It OM BN�T N-9 n+G aas•. R '"-O' '�'�' ' INING R r ®BATH Ia o• II • av/ stcrsow LFOG wpoqk-4 x n h law _� b 1I , R Id-� V� Y-It1• ' I0010117 '1 MASTER SUITE SHEET I II II BREAKFAS BATH r o s'-It s's1• ,.may. ; ' 00 0 00 i; A-7 0-1� GREA;f ROOM I r-- Kl'IT�EF1' If e-e' THIS SHEET 1 1 Ia a I I�dt tcTU614" I F A-6 Now IIpmw I I Ewa EST ROOM #2 ' ---`-__, II =___ - ar b r MUD RM. `` '°a a v a o• J y = _ KEY PLAN U ST. DON RIGIAT $1DE ELEVATION rye f9s�r a-z St. Don + Associates Architects Designers aP-a 80 WoM+ir+ptm St. Suits F31 lw e'-0' eh{ ! rr-e• w w s"°Q Q1�e ISSUE. a ISSUED F ISSUED FOR PERMIT b 2w a n NOT FOR CONSTRUCTION GLAM ------ MUM MAM ------ M TER BAT Is'-lot ro e•-g' VA rm CltiMG MASTER BED R AT SAM » Y *-i• r e• VAMIM ceaNc l\f Qr -- V -cau�cew�c------ ----- • � I a�11 PO CA LK-IN CLOSET § 13N Ar.6Cie �- — r 2 11 11 I 1 1 CABANA r- -1 ' I 2= » 1; 3 SQ. F T. 1 1IR-lor2fC 1 1 F. L .".o.. J d-a• ——— — b ------ ------ P-1• - - P-1• � o s� a-e• e'a s'e• a-3• EI.£VAT%a4/sac-IQ" 2AW WD R.M. m ZMEIT A--a _- a } MASTER SUITE E CABANA PARTIAL FLOOR P N eu".c w.r-0 aerrel c 4vAIAG>e MtCv'T ELEVATION A 4 •O O• M MASTER SUITE T-C l7-d l7-O' G•-p• 7-1' 3NEET A-7 7 •Wool" wow AMM SHEET A 7 t Cm7e+ GARACt Oe7t Clore" omm +ear4 �osr4 C54t1l 1 1 1 1 ♦ '� Ur{ALLY CCLU M uuY CRJRM r 1 1 1 1 1 1 SH A-b ' 1 1 GARAGE I se 4 L-----------i L----- -' L-----------I Y A-7 } i. a e ►x cm.ewwm w nuerel�nle,l S w wasAW CIML NOTES F.G.31.0 F.G.25.5 1.Water Supply For This Lot is Municipal Water nn ' nn 1 R pAp 2 Location of Utilities Shown on This Plan Are Approx. ❑ 23.3 Top E1.24.3 / At Least 72 Hours Prior to Any Excavation For This 2g_5 ISOOGallon EOonProj t The ConiractorShall Make The Required27.7 ` Bot EI.21.3 ��� Notification to Dig Sale(1-888-544-7233) 28.3 Septic Tank k 25.0 248 5' / 3 The Contractor is Required to Secure Appropriate _;.....:.:........:..:.......:................:... Bot.Test Hole EI.16.3 Permits From Town Agencies For Construction Bedding as No Ground water / o' �Op. Defined byThis Plan. Per Title 5 ERS / VftX 4. Install Risers as Requiredto Within 12"of Finished Grade. DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM ' 7 —30 5.All Structures Buried Four Feet or More or Subject Not to Scale to Vehicular Traffic lobe H-20 Loading. C��•� �� a Septic System to be Installed in Accordance With ELEV, 26.3 310 CMR 15.00 Latest Revision And The Townof p 24"0 Opening Above H. Barnstable Board of Health Regulations LOAM � 1/2111Galy.Pipe For Frame SCover. C� i/ ' _ T All Piping to be Sch.40 PVC. A�B SU95o1L_ Float Support H C' Tank Shat�bea 00 Gal.,2 C a>;''- The First PERC TESTa olume of Not S_:7 LessT d Less MEDIUM Pump ra Float Control - ToD Boz �25 an 550 Gal. C SAND Cables Inst d inAccordanc O 35 120'' r With Local BI Elec.C \ -" i PROP S IB / i � DESIGN DATA PERCOLATION TEST v a 4"0 From. is Pre ump DNC L R W/r Tank.S 0 PVC Chamber r!' i LINo- FF SingleFomily-SBedroom CLASS 1 MA-rC-0.1AL 7' i ti �' 32.o i With Garbage Grinder pEPTH- y6" a 9'-2' d I s00 GAcc�^' .r \ Daily Flow=110 x5=550 GPD LESS THAN 2 M1 N/1 NCH SSr-r71cTPr'� o' / ; ( �Zo Septic Tank:550 GPD x 200%=1 lOOGal. NO WATERENCOUNITED �' a I -150OGa1.al-1000 Gal. Septic Tanks DATE.O3/Z4/88 O rJo GALLON . :/ Ti P LEACHING AREA NNITNESS S.DUNNIIVF PLAN o. P-6850 550 GPD/0.74=744 SF+50%=1116SF Required/ TEST'9y; P. SULLIVAN Sidewall=2(12'+67')2=316 S.F. Bottom Area=12 x67' = 804 S.F. 1120 S.F.Total Provided 0 Sch.40 PVC Finished a / LEACHING CHAMBER DESIGN Septic Tonk Grade All Pipes lobe Schedule 40.Use 7.-500 Gal.Leaching Chambers in a 12'x 67'Washed Stone Field as Shown. Conduit Thru Chamber . !0 / ower a Float G To D-B over Emerggenc/Stomge Cab °in 4 Vol.550 Gal. - Finish Gra& Alarm on El. 26.3 2'0 Sch.40 PVC Fitter Pump on EI.25.8 Mercury F Threaded Pipe Fabric WmpaAed FIII Swi -3Req'd Check Valve _`" Fly Pump off El.24.8 ecure Pi pe at Top a ' Pea Stone S Bottom t1.23 Bottom of Chamber I o; ' l . Leaching . Stone Min. J / '' I g Chamber 3/4 M/a� 8 a V N Slone SECTION PUMP CHAMBER DETAIL C��� Not to Scale i L s x3 � 4. CROSS SECTION OF CHAMBER DELETED u' ,. �,n j n9Z ,.:NOT TO SCALE PLAN VIEW :'i�i . Scale: Ili=50' 4 a"S, I . i/ Site Plan, Certified Plot Plan Proposed Septic System 391 Baxter Neck Road Marston Mills, Mass. ti The proposed foundation complies with the Town of Barnstable sideline&setback For:Prince Cove Realty Trust Scale:As Noted requirements is not located within the 100 year floodplain r Date Feb.26,2001 Sullivan Engineering Inc Map 075 Parcel Osterville, Mass. REVISION Q8/2i/OI /iS—L3UILT SEPTIC SYSTtM A, R S- I I kor -t