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0074 PEACH TREE ROAD - Health
74 PEACH TREED-i 7-6 A= 057 076 , V I TOWN OF BARNSTABLE ��OCATION l (C,/ pP.A(;►� (GC. SEWAGE# VILLAGE M. Mills ASSESSOR'S MAP&PARCEL On- INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) to,i s (size) (xL NO.OF BEDROOMS 3 OWNER S An(e,qS PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) r Feet FURNISHED BY 117 /i Q i a-) ao O a as a� 3 5� 3 S, r TOWN OF BARNSTABLE C- LOCATION �� O��A L'�I L-C SEWAGE# VILLAGE,!1Z495ro4 1tf-V ASSESSOR'S MAP&PARCEL 0 57 '� _ 0-7k INSTALLERS NAME&PHONE NO. 1:1-L % S' 43 n ° 2 X 7 SEPTIC TANK CAPACITY LEACHING FACILITY:(type)l�-560 .6 LtchAew6 (size) 1_ ® 1/0 NO.OF BEDROOMS OWNER &-f o PERMIT DATE: —�'��COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet .Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY s - 3 I . o A ry qq , No. G►DU J�.Z t Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN ARNSTABLE, MASSACHUSETTS Yes 3pplicatton for �M o aY �p5tem Cou5truction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Addressor Lot No. � ',' �%`� J �A 1���y. Owner's Name,Address,and Tel.No. Assess�M /Irarc�l�i �� �2 � C J n A v14 Installer's Name,Address,and Tel.N0,1 �/ ���✓ esigner's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size &PY sq.ft. Garbage Grinder AZ Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flow(min.required) gpd De si flow provided gpd Plan Date umber of sheets Revision Date Title Size of Septic Tank Type of S.A.S. � � <; $ JF Description of S' i Nature of Repairs or Alterations(Answer w n a li a � 1 /V-1&4F Date last inspected: Agreement: The undersigned agrees to ensure a constr tion and maintenance of the afore described on-site sewage disposal system in accordance with the provi re of Titl of the vironmental ode and not to place the system in operation until a Certificate of Compliance has been issu b thi oar ealth. V Signe Date Application Approved by Date - fj Application Disapproved by: Date for the following reasons Permit No. 200 Date Issued No. Z-yU F5` 3�Z. Fee --11 oe �Y FYI Entered in computer: V THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN rARNSTABLE, MASSACHUSETTS 2ppitcatiou for 30i,5POgal *pgtem Cow5truction Vermtt Application for a Permit to Construct( ) Repair(✓) Upgrade( ) Abandon( j ❑ Complete System'D Individual Components Location Address or Lot No. / -- XA , Owner's Name,Address,and Tel.No. Assessor s I pRrcel /;;W/v 7�;, P A U L Installer's Name,Address,and Tel.No jL1e— �/JDesigner's Name,Address and Tel.No. W I. Type of Building: L Dwelling No.of Bedrooms Lot Size , p sq. ft. Garbage Grinder (W Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Desi flow provided gpd Plan Date �� '' O r,. )1umber of sheets Revision Date Title �fia� � //J skit/ I Size of Septic Tank Type of S.A.S. W Description of Soi � ,.... Cam-, MAI n Nature of Repairs or Alterations( • swer when a plicaliley - Date last inspected: Agreement: The undersigned agrees to ensure t/econtru)tion and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of TitI 6 of then ironmental ode and not to place the system in operation until a Certificate of Compliance has been issuQby this Board of'Health. k. Sign s Date r � Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Z00 5 - 3GZ Date Issued J yU -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (l/ ) Upgraded ( ) t Abandoned( )by ate/�, 6�1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 00,5- 9 G'L dated GJ -_S�' 05 Installer ���� t ��✓l�fJS • C_r�N�-�' Designer #bedrooms .+�,� r Approved design flow WL gpd r ° The issuance of this permit shall not be construed as a guarantee that the system will( n tyti'on)as design/e�d.� yr Date i `0 Inspector l� 1� .v-ca'-� ----- ___ ——————— No. .--=�— ZOOS ���----- Fee • THE COMMONWEALTH OF MASSACHUSETTS �3 PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS z. . l� 0i.5pogat �pgtem Cou.5tructiou Permit Permission is hereby granted to Construct ( ) ,Repair ( ✓j"'Upgrade ( ) Abandon ( �) System located at '7!rZ- ?.,1?41 , D o a, 14-Al and as described in the above Application for Disposal stem Construction Permit.The applicant recognizes his/her duty pP p System to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this pelfinit. - roved b ZL Date A� .� G Pp Y FROM :down cape engineering incj FAX NO. :ISM36238M Sep. 16 2008 01:21PM Pi Town qLBamstable Regulatory Services Thomas F.Geiler,Pireator Public Health Division fh* Thomas McKean,Director 200 Main Street,Ebnmais,MA 02601 011ice:.509-862-4644 Fax: 509-790-6304 Installer&Designer Certilcatlon Form Date: Sewage Permit# 1 Qat- 3 ( Z Assessor's Map\PWC0 ` Designer: d y w n "0 at°e n g i g a cr(w5: Installer: XMgts Address: _M,�ja s tr c-.e-1 Address: °Z on was issued a permit to install a (date) ,Dues ler) ,J septic system at / based on a design drawn by 1 (address) sat 1ft"U dated- I �g I certify that the septic system referenced above was installed substantially according to thc.dcsign, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils ware found satisfactory. I certify that the septic system referenced above was installed with major changes (Le, greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by; designer to follow. Stripout(if required)was inspected and the soils were found satisfaciory. (Testa er s Signature) DANIELA OJALA N n 1 Lo � CML (Designer'sSignature) (A ere) I IPA-QV TYJRN WEI ARE BARIYSTABLE PUBLIC D YO R CATS o ED BoTf ,0 ; Aria BYV LEWC HE.ALTH DMSION. WANW OU. QA8apdelDWpw Cartiticadan Form Rev 03-0946.doe U . u i L b i 1v Ci Q i2 F L Town of Barnstable RegulUary,Services Thomasiler,Director MASS-snRxs�rssts. t Public Health Division ¢o ram° Thomas McKean;Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# T a oE 3 ( 2 Assessor's Map\Parcel 6-2 Designer: e>I(W t? Installer: Address: a�n S7rt.e i Address: Q3 On (date) was issued a permit to install a �f ,p(instal ) septic system at ! / C1�G/leram, based on a design drawn by y (address) `mod t t �1 dated ( signer) I certify that the septic system referenced above was installed substantially according to the,design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and thee,soils were found satisfactory. I certify that the septic system referenced above.was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of an+ component of the septic system) but in accordance with State & LocaI Regulations. Plah revisi@i or certified as-built by designer to follow. Stripout (if required) was inspected d the�soils were found satisfactory. n (N 0MACoo co 1�z e (Installer s Signature) �o� DANIELA. yG� OJALA -4 CIVIL No.46502 � cn / o M (Designer's Signature) (A i Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS THANK CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU.. Q:1Septic\Designer Certification Fonn Rev 03-09-06.doc SENDER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3.Also complete 7-- 7 �kb , item 4 if Restricted Delivery is desired. ❑Ageht■ Print your name and address on the reverse ✓ � ❑Addresseeso that we Can return the Card to you. . y(Printed Name) C. Date of�e'vei ■ Attach this card to the back of the mailpiece, or on the front If space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No i i Mr Brett Sanidas 74 Peach Tree Road 3. Service Type Marstons Mills,MA 02( ' ❑Certified Mail ❑Express Mail ❑Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7005 1160, 0 a 0 010191 1246 (rransfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 1o2sss-o2-M-lsao UNITED STATE w �• ° .. .,,.. MA-k. L72' �- F' ass t � �w.Mal Rri �btN1 erpsiPJa '�� Sender: Please print your name, address, and ZIP+4 in this box • I PUBLIC HELATH DIVISION Jill', TOWN OF BARNSTABLE 2001VMAINSTREET HYANNIS, MASSACHUSSETS 02601 fIF...?:isf?tt::ti:iE..:IF?:!�!t?•ci???i:t:i?:1tF.??FF3???i??Ei as Own I + / • • .- ru C3Postage $ 3 2i C3 Certified Fee G� � �yO Retum Receipt Fee O Po p� 0 (Endorsement Required) /0 FI O p Restricted Delivery Fee G�,QS (Endorsement Required) r-I Total Postage&Fees Ln Sent To ' .. .r�t�- al.�Q �. et t. I ------------- - ................ No.; or PO Box No. ' !y' _�e an h TV`o e oa-d City State.Z%P+4 4 ahstons ,Lt5 WA 04141 w I Certified Mail Provides: (esienea)zooz eunr'ooee W10d 8d o A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. o Certified-Mail is not available for any class of international mail. o NO.INSURANCE COVERAGE IS PROVIDED with Certified Mail. For va�uables,pleaMbonsider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt.(P,S form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for required.duplicto return receipt,a USPS®postmark on your Certified Mail receipt is o For an additional-fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Reshicted-Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. . COMMONWEALTH OF MASSACHUSETTS . EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 74 Peach Tree Road Marston Mills MA 02648 Owner's Name: Brett Sanidas Owner's Address: �95� Date of Inspection: September 6, 2006 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number:. (508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and,complete as of the time of the inspection. The inspection was performed based on training and experience in the proper function and maintenance of on site sewage disposal systems. am a]DE-' approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system Passes ,3 Conditionally Passes Need Further Evaluation by the Local Approving Au ity ✓ Fail Inspector's Signature: Date: Se tember 12 ' 006. Ln The system inspector shall subm copy of this i spection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 74 Peach Tree Road Marstons Mills M.4 Owner: Brett Sanidas Date of Inspection: September 6, 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health: *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 . Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 74 Peach Tree Road Marstons Mills. MA Owner: Brett Sanidas Date of Inspection: September 6, 2006. 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 I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 I Page 4 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 74 Peach Tree Road Marstons Mills. MA Owner: Brett Sanidas Date of Inspection: September 6, 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No i Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than %2 day flow ✓. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,006 gpd to 15,000 gPd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department.. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 74 Peach Tree Road Marstons Mills, MA Owner: Brett Sanidas Date of Inspection: September 6, 2006 Check if the following have been done: You must indicate"yes"or"no as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been detennined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ _ Detennined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 74 Peach Tree Road Marston Mills MA Owner: Brett Sanidas Date of Inspection: September 6, 2006 RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): n/a Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 4 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): apd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped in 2006-per owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: A new pit was installed in 1996-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 I v Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 74 Peach Tree Road Marstons Mills. M.4 Owner: Brett Sanidas . Date of Inspection: September 6, 2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron 40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 12" Material of construction: ✓ concrete _metal _fiberglass _polyethylene other(explain) If tank is metal list age: Is age confirmed.by a Certificate of Compliance(yes or,no): (attach a copy of certificate) Dimensions: _ 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: S" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence.of leakage,etc.): Tees were present. The Ikuid level was even with the outlet invert There did not appear to be anv signs of leakage GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 74 Peach Tree Road Marston Mills MA Owner: Brett Sanidas Date of Inspection: September 6, 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: Qallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (i=present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The D-box was broken down and needs to be re laced. Dirt is caving into the D-box. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 74 Peach Tree Road Marston Mills MA Owner: Brett San as Date of Inspection: September 6 2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 2-6'x 6'Y1000 Qal) leaching chambers,number: leaching galleries,number: leaching trenches,number,length: . leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): The original nit had failed in the past and was not duQ up The newer it(installed in 1996)was full The scum line was W to the inlet pipe. There were sijzns o ailure. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): 9 f Page 10 of 11 • OFFICIAL INSPECTION FORM-.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 74 Peach Tree Road Marston Mills.MA Owner: Brett Sanidas Date of Inspection: September 6, 2006 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 w"here public water supply enters the building. a- A 13 a•-) ao 3 a 10 r r Page 11 of 11 y OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 74 Peach Tree Road Marston Mills MA Owner: Brett Sanidas Date of Inspection: September 6 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 20+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain:_TodoQranhic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours mans the mans were showin_approximately 20'+/ to groundwater at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected 11 TOWN OF BARNSTABLE 'LOC.ATION h��cc�c. fC�. SEWAGE#2a4-699 VILLAIGE crSVIESM;11S ASSESSOR'S MAP&PARCEL M,,7S7 7 INSTALLERS NAME&PHONE NO. Aptko`A; CgASXr c3,� 565-771-93g9 SEPTIC TANK CAPACITY kr�.�Ion LEACHING FACILITY:(type) c"bGtS' (size) 10'4 LW'X2 NO.OF BEDROOMS c'I OWNER PERMIT DATE:%_ COMPLIANCE DATE: fit) 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 D:xjn e�1�—ZV rJ No. CJ ' R. __ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for ai.5pool 6p.5tem Construction Permit Application for a Permit to Construct( ) Repair(,4--*Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot N,o..J�`7 +�' i // ,-« � Owner's Name,Address,and Tel.No. gist A 5�y.11cc} ��/`!"j 41' M� '71Y/��Y. 4 /fir--e /'t.) Assessor's Map/Parcel P7 17 S;z Installer's Name,Address,and Tel.No.//a�.(�1>�JLi C��J t¢1s� Designer's Name,Address and Tel.No. 6.P-e 011 .�)v Type of Building: Dwelling No.of Bedrooms Lot Size 01� sq.ft. Garbage Grinder (Aj '® Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y�16r gpd Design flow provided gpd Plan Date flOd /111°a6o6 Number of sheets j Revision Date Title S" ,S:f� /a j 0 (-4 7 5 Awe f ? --.v ;J7 //a Size of Septic Tank Gae,> Oca 674 6 Type of S.A.S. .3 Xzo ec L L-.�r� C��.•9 6,., Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the con tion and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of E ironme I Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar f Hea Sig Date 0�a Application Approved by ° Date 'LOApplication Disapproved by: Date for the following reasons Permit No. Date Issued �' No.v ,arl ," ,. Fee Entered in computer: �'. `NTH''COMMONWEALTH OF MASSACHUSETTS' Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for Zis;po,5ar *p5tem Cow6truction Permit Application for a Permit to.Construct( j Repair wr Upgrade( ) Abandon( ) ❑Complete System ©Individual Components Location Address or Lot No.7t9 ✓4 /i / i✓-e! Owner's Name,Address,and Tel.No./3,,A/ Assessor's Map/Parcel r7 /7& {- 147-f as,?. Installer's Name,Address,and Tel.No/��IGT "� e710 4t Designer's Name,Address and Tel.No. 6.,P �lP,//s ✓� q M�a y1 P ��� Sa Y )L;2 vvn Type of Building: Dwelling No.of Bedrooms Lot Size o7 `Z) sq. ft. Garbage Grinder ( Q Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures- Design Flow(min.required) y✓Q gpd Design flow provided �, �� gpd Plan Date 4�d /�z�.�doG s Number of shheets / Revision Date ,�� opla h � f `7 C/ a* �%�d Tr-�-r /p 1] .s r firs S /M, /Z +wAt " Size of Septic Tank 41(,j ki 7 /,iJocd Ce*�' Type of S.A.S. 3' !o% G,c L �_,,•� �/i4.,,6. p� 3 Description of Soil .. . 40 •Nature of Repairs or Alterations(Answer when applicable) �''J'4l r Date last inspected: Agreement: The undersigned agrees to ensure the constction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the E.vironme tal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar of Hekth.-�Z Sign d� ✓fi Ai �? Date A+ Application Approved by r� _ /� /� //I Date / V � v Application Disapproved by: /// Date for the following reasons Permit No. DateIssued (2 r, THE COMMONWEALTH.OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the�On-site Sewage Disposal System Constructed ( ) Repaired (41111, Upgraded ( ) Abandoned( )by ��e�r J -i/>`Y i !ten y) lr.t /,a . at has been constructed in accordance with the proyi_'ons off Title /5 and t Vor Disposal System Construction Permit No. J dated , Installer / �Y J7J/mot�, r�td /izt 4r., ✓ Designer C,kri.J �C�r C sv ,.r•r� +�S #bedrooms_ �� Approved design flow �y�/ gpd The issuance of this permit shall not c nstrued as a guarantee that the system will unctio designed. Date Inspect(ram......._..- IM-y-----^-^C:� —————— /—�/—_-----V-----------------------�,./----- No. ��V I Fee A�) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Mi5po5al *pgtem Construction Permit Permission is hereby granted to Constt�,et ( ) Repair Upgrade ( ) Abandon ( ) System located at `7 y �,.►Gc `�� / rat d and as described in the above Application for3Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following ldcal provisions or special conditions. Provided: Construction must be completedrthm three years of the date of thisJpe Date '' g Approved by t y I . — ----------------------------- fOWN" OF I:3ARNST€ ALE 2007 JUN 19 PSI 4: 29 DIVISION C XST Ce1LarrjG NFw r�1Tc� F L.V LI i �i FE inC)UE- �X2ST_ C Los�F-TS - - W W GLS �� THE FOLLOLVING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IM ^ L DATA 0 I Ei f i E c 1 i t 1 i 0 t SA 3 e ` r _ i i i ! I I • S' � I �4i' FROM :down cape engineering inc FAX NO. :15083629880 Jan. 08 2007 09:56AM P2 Town ofarnstble ig'latOry Services Tbomas F.Geiler,Director Public Health Division Tbomas McKean,Direetar 200 Maip fitrett,H unk,MA:07MI Office: 50&962-4644 Fax; 508-790-6304 Instg1jer&.Dgigner,CertMEItion F rm Date: ! '� d Sewage Permit# Y'9A4sessor9s MapTarcrel Designer. s ,/� ` Address: 3 ,y,+w T. /� •S Cot . Aadr�: VS- On JOt)0.1 , r 0111 Cw /Lc was issued a permit to install a (date) ttlstallez) U P �/ ri�►. .' septic system at ��rl EZ: �"I cr _ �ii. /�Gws� s�r I S'based on a' de'sign drawn by (address) p C% ��. dated. I (designer) I certify that the septic system referenced above was installed substantially according to the design, which may. include minor approved changes such as lateral relocation of the distribution box and/or septic tanl' i n3 I certify that the septic system referenced above was installed unth major a hanges-(i.e. greater than 10' lateral relocation:of the SAS or any vertical relocation of any component system) - . of the septic but in accordance with State&Local Regulations. Plan. or c certified as-built by designer to follow. �J �► I i of �N M13,g� C Xxv ; ARNE QJALA (Ins er's Signature) No i30792 N rn sre rS�ONAL ��\ ( c6igl-Or Aigdatuee) A lx fwsisnrr's mmp Here) I'L ASE RFT[MR To BAMSTABLE PUBLIC 1#EAcL'f'H DI'Vl91Cii C+RTIFICA'r_E •F, COMPLIANCE WILL T -BE 15SUED .UNTIL BOTH THIS FOPLM AND AS-BUILT ARD ARE RECEIVED BY THE BARNSrABLE PUBLIC HEALTH!INVISION. THANK YOU. Q:Hea].WSWic/Jesigner Certification Form 3-26-04.4oc SEPTIC PUMPING AND INSTALLATION 350 Main St. • W. Yarmouth, MA 02673,-G�775 2800 Heating&Plumbing,Fire Sprinklers JUN 2 0 �� June 11, 1996u�eaa� ITAN 02 Board of Health, Town of Barnstable d 367 Main Street Hyannis, Ma. 02601 Re: Septic System Evaluation- 74 Peach Tree Road, Marstons Mills To whom it may concern, A&B Canco has repaired the septic system at the above referenced site. We installed one (1) 6' x 6' leach pit with 2' stone around the pit under permit# 96-184. A&B Canco pumped the system at time of installation. Respectfu , Jeffrey Cannon c.c.Mr& Mrs. Gilmore ,� TOWN OF BARNSTABLE / � -D - SEWAGE # VILLAGE I'0 RJT04 S 1'7/ 11 J ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. �gnGU r— Ol CSOo SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �A� 'L' (size) NO.OF BEDROOMS 2 BUILDER OR OWNER PERMTTDATE: �'" 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 leac�lung facility) Feet Furnished by ;44w- lel� tJ . o 3 w _l y par � � . � No Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpphratton for Migoal bpgtem Construction Permit Application is hereby made for a Permit to Construct( )or Repair( --�`an On-site Sewage Disposal System at: Location Address or Lot No. 8 Owner's Name,Address and Tel.No. Aar s(-6,1 11it s J_Aikc Installer's Name,Add oss,and Tel No. Digner's Name,Address and del.No. Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow ��S gallons per day. Calculated daily flower gallons. Plan Date Number of sheets Revision Date Title of (o OAS,Ster- C®✓t 171rt rs f'l XI Description of Soil ., D& 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 Boar Teat, _ Signed Date 5 Application Approved by Application Disapproved for the following reasons Permit No. / (O 'l Or� Date Issued ————————————————————————————— — —————— G �� par �'��, d i � {No. +,= � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS t 01pplication for ]Diopooaf 6potem Conttructiou Permit Application is hereby made for a Permit to Construct( )or Repair( ✓�an On-site Sewage Disposal System at: Location�ddress or Lot No. a Owner's Name,Address and Tel.No. �y 2 h Pea- - � gruCe �;lrrio� e INaAS(Cvl AA 15 L5 Installer's Name,Addjess,and Tel.No. ` D igner's Name,Address andjel.No. Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 'f/'c1 S gallons per day. Calculated daily flow er gallons. Plan Date 3'S- $ Number of sheets Revision Date Title D y stet lhG r.s(rn.1 `'A /0 Description of Soil D 4" Nature of Repairs or Alterations(Answer when applicable) Ell S 6. 4, P /d O e) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the af'r descjibeon-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to ace the system in operation until a Certifi- cate of Compliance has been issued by this Boar Heat> _ Signed rf4 Date Application Approved by Application Disapproved for the following reasons Permit No. 9 w -4T Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal System installed( qr repaired/replaced(L4on by ;�C 0 for ? I IA"0/ as C has been constructed in accordance with the provisions of Title 5 and the for Disposal System Constru tion Permit No. /Eydated 2�'- 9-- ci L. Use of this system i conditioned on compliance with the provisions se f®rth below: Neti No. / b Fee ( U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Diopotal *pgtem Congtruction Permit Permission is hereby granted to ANC v to construct( )repair(L,40an On-site Sewage System located at P _ 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. All construction must be completed within two years of the date below. I Date: �— 7�— 9 L Approved by . SII,Y.L�. VAMIL`! ,3 3l�tZaON� I�10 C-+ArZUAGM 6Wr111JCFJ7- t>&I W PLOW 3 + 'S3o 6-P-V ,_evu �EPrI C_ TA�.I IC = 33o f 60 %. + 4.95 4.P o. -- 01 / " G0 USE- l 00� 6�4L. M ��/D/•3� � PCKAL PIT USE Io0o GAL-, tWCWALL AtZE.A = 150 S.P. + 6p v ISO �,,s= x '2.S + S 7S G.P.D. AftA Bvq-r M AOEA• Sd Sr-. Go / �\.-ter/ • So yF TcrAL •pESIGW i 4 5 G.P.D. /sit ToT,6 L vAt W FLow • 33D&p.D. PWC-DLQTIOI.I Q&TE t 1"Iti 2MIW•O¢ 64 .� ' •,::. .•��ts a �. T'=sT ��/8�80 ��_ 'G 5 , • Tod:l~w6 �•loc fc- P6=4ia. [v.e.I,/ ,J'Fjve • tort• G3 •: . I obe> IN. ' SvesaL I&Iv 'eox G2�G Sc-+�Ic 1d 3 1000 GZ� T7unIK GAL. 6z,zi RT CLEAhI WIT'L) i •jI � }Y �� � �� ' McDIPM (�f a/L' SAND WA04aD ' e i�'daP aF.. ..., a i PIZO�•f L_� lbCAtlotJ R-- T09 ! ` IU04 i A-0 /Z PeOPost?� . , +� Gv "�• arc'�B� 1 ccrzTll=%j T$-(AT T141= I)wWuUC. 5UOWLl PLA.Q t4Z.I,1=6IJ GCv4APL-eS WIT" TW'=- 51DE.UWr= Ault 5C71'�ACIG VGQUIIZEMENTS O1= TNC- ;; Lorr -'OwU OP VATC � s � i� a`�5��. � • Gout � BA(TCtz. E Iwc. ac -15 rr SIJaZv6•YOitel ' TI415 P1_AW IS LIOT e,Asco OW A" ost�i2v��tG o 'I{ j Ss# IWSr�J�.�t.WT �iuc;.n=� � TIC; ot=c,�1'�, 51acWt.n i APPLI CA-a-J- ' 1,k>r CiL_ U">LI'b vc, LDT 1.1Wa-Si _ _ "'I._"""" aRisriT t t-- I owl CA Commonwealth of Massachusetts A talk tip RUILLE Executive Office of Environmental Affairs Department ofEnvironmental Protection Ic Wllllam F.Weld Go"morTrudy Coxe,EOEADavid B. Struhs Commissioner SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM MSESSQRSMAMN� MAP# OS7 PART A PAR# O 2(p p CERTIFICATION PARCELN� Property Address: r7J4 PeagGH "T2eie }ne_ fnA'5To^K1il(SAddress of Owner: Bruc— �11r+10rt` Date of Inspection: At-as-5Co (if different) Name of Inspector:-- —p• SeA p,S Company Name, Address and Telephone Number: A & B Canco 350 Main Street West Yarmouth, MA 02673 (508) 775-2800 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _ Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Appro\ing Authority Fails Inspector's Signature: Date: it ZS• 5 C. The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to the systen, ov:ner anti cupwe se:,i to cite buffer, if app;icab;c and tht, appro,mg au;hon;y. INSPECTION SUMMARY: Check A, B. C, or D AJ SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8/15/95) One Winter Street a Boston, Massachusetts 02106 a FAX(617) 556-1049 a Telephone(617)292-5500 A " Printed on R"Ied Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 71q QA JI Try Ja n e OA I- To nS n-t;t l S Owner: ewuce G l rh orb., Date of Inspection: 4. 25.9,E BJ SYSTEM CONDITIONALLY PASSES (continued) _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four 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 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ ThP wstem nas a Septic jank an6 suii jbsuipkiun syatrtu and is within 103 feel to a surface water supply or tri5utart to a surface water supply. _ The wstem has a septic tank and soil absorption system and is within a Zone I of a public water supply well. _ The systen, has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The systen, has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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'S ppm. D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. YBackup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS of cesspool. (revised 8/15/95) 2 i i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: tOedcb{ -free q-n e m A r-STrans hi, t'i S Owner: 8r•Uc, G, 1 more. Date of Inspection: a) . a 5 . D]SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. in Liquid depth P f q p � is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped N Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. AL Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. AL Any portion of a cesspool or privy is within a Zone I of a public well. f 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E]LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 7q &ACH "Tree, /.Ane PlA2s z nS M r NS Owner: aRvCE G,7 r+o 2 e Date of Inspection: I , a$ •9( Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. V/ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large voPumes of water have not been introduced into the system recently or as part of this inspection. _r_/As built plans have been obtained and examined. Note if they are not available with N/A. ZThe facility or dwelling was inspected for signs of sewage back-up. tZThe system does not receive non-sanitary or industrial waste flow ,L The site was inspected for signs of breakout. _ZAII system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. /The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. " The iacilay ,d,)d uccupd:At , if d.fferer,; frun% c.,ner; -..ere provided v,ith information on the proper maintenance of Sub- Surface Disposal System. (revised 6/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 711 PeAu+ Tree. LA ner mR2S i 6 n.T 6r 1 11S Owner: 6"Ce_ ( .1 Mo m-e Date of Inspection: J4. aS.9 G FLOW CONDITIONS RESIDENTIAL: Design flow: 410 allons Number of bedrooms: Number of current residents:"KnOUJlh Garbage grinder (yes or no):,W& Laundry connected to system (yes or no):*ej- Seasonal use (yes or no):_&L Water meter readings, if available: /9�1'?/ 9/!� D00 6A//6n s 6,1//On S Last date of occupancy: COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: aallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or;ni _ Non-sanitary waste discharged to the Title 5 stem: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupa GENERAL INFORMATION PUMPING RECORDS and source information: \ System pumped as part of inspection: (yes or no),& If yes, volume pumr)ed gallons Reason for pumping. TYPE OF SYSTEM JL 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) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: 1991 190-2M,f T/— 16 0 Sewage odors detected when arriving at the site: (yes or no)AQ (revised 8/15/95) S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7j/ kii G -Tree- Owner: the m �TOnS m�//S Owner: �uce G�/morte Date of Inspection: SEPTIC TANK: ✓ (locate on site plan) Depth below grade: Material of construction: concrete —metal _FRP —other(explain) Dimensions: /400 6A//oN re Sludge depth: " Distance from top of sludge to bottom of outlet tee or baffle:a2 Scum thickness: / Distance from top of scum to top of outlet tee or baffle: A2 Distance from bottom of scum to bottom of outlet tee or baffle: 6" A n t 13o7T-dl �� ae)Ae Comments: (recommendation for pumping, condition of inlet and outlet tees or baff`es, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) o2D o / / A.-f 011 'n At /7✓/ 1 /11" soh'soh'4 or ourlef & LunGa ;&jlcf Lfee , M)LL Cadt1C- /9 11 let..°/ow C,ra Gur le-1 owGCL� 60TLeT CbUeR Ig"X IA /_4�(' n 6 GREASE TRAP:_ (locate on site plan) Depth below, grade: Material of construction: _concrete _metal _FRP _other(e ain) Dimensions: Scum thickness: Distance from top of scum to top of outlet to r baffle: Distance frog^. hotton' cror- t� hntlnm .• otolpt tee or baffle' Comments: (recommendation for pumps , condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of le age, et(.) Irevised 8/15/95) 6 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C n SYSTEM INFORMATION (continued) Property Address: 7'y PeA41 ?eee L qn► 1h,42STans MrtLS Owner: Date of Inspection: TIGHT OR HOLDING TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete_metal _FRP_other(expl ' Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, co tion of alarm and float switches, etc.) DISTRIBUTION BOX:V (locate on site plan) u Depth of liquid level above outlet invert:_ Comments: (no;e if level and distribu;ic- e, c:; �', e%ide-ice e(<o!-d> czr�.n,.er, evidence of leakage into or out of box, etc.) �>rS7fiRtI7-/dA) 96k is /6"A16 '' I /S" Be%o 6rr^be Q2 146 le- Q v x T/DeS A2 66A/ Jbtsr_ri,34)r/Qn 1365c netzbS 16 A jeW zQ PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, conditi of pumps and appurtenances, etc.) (revised 8/15/95) 7 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7'y AAC'q 1/ee— Lqh C Owner: egvc e GPI r>o2 e Date of Inspection: SOIL ABSORPTION SYSTEM (SAS):z (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: / leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) &49ST adZds2 g " s " i-S a or coo nc� P,+ Ale s +o Be- cen f P- CESSPOOLS: _ (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 (cesspool must be pumped as part of inspZ)_l Comments: (note condition of soil, sign: of hydr is failure, level of ponding, condition of vegetation, etc.) PRIVY:_ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (not7con ion of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 8/15/95) 8 I - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: PeACH 77(1ee "Ale mi925;00-S 1► ;// Owner: c82uce 6,7ma2e Date of Inspection: tf.a5 9t'o SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 3a. O 3y• 1l DEPTH TO GROUNDWATER Depth to groundwater:3/ P feet �- method of determination or approximation: (revised 8/15/95) 9 f • h HIGH GROUND-WATER LEVEL COMPUTATION Site Location: 7H 00mc-H trez LAs^e MfM-003 Md/ S Lot No. Owner: of �e Gi �Me re Address: Contractor: It- l3 CAnco Address: 350 21,i /.J S`T• Notes: STEP 1 Measure depth to water table i to nearest 1/10 ft. Date }` month/day/year STEP 2 Using Water-Level Range Zone S. and Index Well Map locate site and determine: •D W OAppropriate index well.................................................... 1. OB Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to �6 S�•�- water level for index well ........................... month/year STEP 4 Using Table of Water-level Adjustments ` for index well (STEP 2A), current depth to water level for index well (STEP 3), i and water-level zone (STEP 2B) determine water-level adjustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water S S levelat site (STEP 1) ............................................................................................................. Figure 13.--Reproducible computation form. 15 T TOWN OF BARNSTABLE `LOCATION �7 I° F/3�� �iC'££ ��/ SEWAGE # VILLAGE P7 /9/ 5IDas 614)-S ASSESSOR'S MAP & LOT 0s-7 0 6 'INSTALLER'S NAME & PHONE NO. -79L5-6z647 -SEPTIC TANK CAPACITY LEACHING FACILITY:(type) i (size) /a-,- X0 NO. OF BEDROOMS 7 PRIVATE WELL O PUBLIC WATE BUILDER OR OWNER /n a�'c E V C £ DATE PERMIT ISSUED: 7` " DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No _ _ � 32` � � , ' �� ., o :.� 3y' � rf®vs � �� R BAR �,t3il AT ION SEWAGE PERMIT NO. - 'il_ILLAGE �INSJJALERS NAME i ADDRESS BUILDER 0 ER � DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ASS,�-�� .f �. , . z � �� _ j.> __---- �� � �; `�� �s I, �� �� _ � No.._._........�... ............. THE COMMONWEALTH-OF MASSACHUSETTS B F �-1 E. LT H �Q1t+J.v.�....................O .................. b"�Ct� „r............................................ ApplirFation for Uispnoal Workii Tonstrnrtion jhrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal ... ...................... I _�.- ..... .... -------- -------------------- ��cation-Ad ss �y t o. {{ .. Owne= ddress .............1-•••- .. 1! .1---........----•----•--•-•---•. ...... fc ............... a !ti S •--•------... Installer A dres� Type of Building Size Lot `�L.Ok:-Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers � yP g ---------------------------- P ( ) — Cafeteria-(-----). Otherfixtures -------------------------------•---•---•-•------------.---...--•••-••••••--•••••••••................••................•-- W Design Flow...........................gallons per person per�day. Total doily ........................gallons. WSeptic Tank—Liquid'capacity/M.gallons Length;K6 ft..... WidthA �Q.-._. Diameter-_-_-__-•___-__. x Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No......V.............. Diameter.�(�� .... Depth below inlet.... Total leaching area.;OO....sq. ft. Z Other Distribution box ( ) Q4QsiWtank ( ) - a Percolation Test Results Performed b ..._. s.c4 .�estEPit �1•J�7�.5,..... Date....... __1. �..... Test Pit No. 1................minutes per inch Depth of .................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---- ---- _ -- __ ll _. ' j _ Descripti n o Soil �r9�!M...�...-•-• L\ `t - . �1� --- .........I Z---------- 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'ITLL 5 of the State Sa ' Code— The undersigned further agrees not to place the system in operation until a Certificate of Complianc has been is d by the oal iealth. n •-----.. ....�......::..:.... . ...... ...2._... ....-- ..3.)... 1 Date Application Approved By •. . •-•-- � '�!1 .... Z Date Application Disapproved for the following reasons-------------•--------•------•---------••-•--•--••-----------•---------------•-------------------------••-••-•••- ................................•-•--•--......-------------•--•---------•--••----------......------....--•------••-•-.....•-•-----•------------•---•--•--•--••---••--•••••----•-•-••••-•--•-•--••----••- Date PermitNo.-•-,7 ............................................ Issued....................................................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) MA- I 7-�-C&, -L DATA THE COMMONWEALTH OF MASSACHUSETTS -- -- BOA R-D--� HEALTH .......... ....��1................OF..........T_,--F1 i<�L� .............................................. ' Appliration for llhi nnal Workri Tomitrnrtiun ramit Application is hereby made for a Permit to Construct (L14 Repair ( ) an Individual Sewage Disposal --- - .............................................................. ... Location-Address — ff or Lot No t -rf4j.�l . 12 ...- ------ -- - Owner - —- ..... i•- - Owner, -----------•------•-------- r - - ddress-.r �.'il 1 1`1t\ar KCY� .._T �,� iG�a �...._J W .. ................................ - ....... ... Installer Address r . d Type of Building Size Lot_ �r{_----C.-:.Sq. feet U Dwelling—No. of Bedrooms.......:..... ............................Expansion Attic ( ) Garbage Grinder ( ) — 6�I Other—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) QIOther fixtures,........................................................................................................................................................ ..- W Design Flow................ a..................gallons per pers0 per day. Total da}I y�flow__-_: =. �:C�.................... s. WSeptic Tank—Liquid'capacity./_'!.Cgallons Length_�.�..._.... Width.-'............... Diameter................ Depth-...___. ..... x Disposal Trench—No..................... Width....t;....._..._.. Total Length......j___... Total leaching area.....zoo...sq. ft. Seepage Pit No..................... Diameter...'�.,..'_S..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing-tank ( ) _ `� , '-' Percolation Test Results Performed by... m��.. _ �. :-_..-..._.1..J.�.�� ::_.. Date_...-_-__._� /.-_.CU � 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........................ t� ........ '- ................................... OC t)1�•• r \�5��� C 1 �-� - Description of Soil... :....... . ---- •-----•-•-•---•--•. ---- ----------------------- 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 TITA 12 5 of the State Sanitary_COde— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar d--of-lieealth. _ . gn'+ _ct��—'j l t-arc- �` ` ' --- ----------------- --------------- , - ' Date Application Approved By--. ..h14..... ..Z!�------------------- .... ...--.--1''2-- Date Application. Disapproved for the following reasons--------------=--------•---------------------------------------------------------•---....------...-----••-•••-... ............................................._:::.................................................... ............................................................---................................ Date Permit No------ --� ... ._.. Issued------------------•-----•... --------------------- Date / THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ................... .0-4.41....OF........... ................................................. TntifirFa#r of TontpliFatta is fS T CE Y, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by -/ .� ... .. ._.....--- -•-•- .................................................. / Inst I at-.=. ........ •---_lam-- ,- �---- .... ... = --- l has been installed in accordance with the provisions of T 1 / 5 of The State Sanitary Code as described in the � r application for Disposal Works Construction Permit No.. ............ dated----!i; .`I.?_-__�_............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE ° SYSTEM WILL FUNCTION SATISFACTORY. DATE..............•--•----..........-•-•----..............._........------•---••--.. Inspector.................................................................................... a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� l � � y7.......OF.............. .. ......................------------........ 3 D� No........................: FEE........................ Dispos rk n�rn ilan rnttt Permission.hereby granted....... . ..D . . '-%L .. .................................................................... to Constructs ) or R ai (An ual Sewage Disposal System atNo..-- ••- . '� --.----- ----------- ------------------------------------•-•--•---.....--•- ... Street �f as shown on the application for Disposal `tor s Construction Perm o.___.___.. ._____. Dated..............�.._...................... .............. ....._� _..�.-............................................ DATE_ l' ?'Ikl Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - r D����! t`Low �� t low� 3 + 33o G.pv. f. � � ' �•� ` •1. �E�r-ic T'n+J►C = 330� 150 % • d�56.P�. `` � ' �� � �,,,.� .. USE- l OOp dS A L-. SPfx.AL PIT USE loco Gat7,rL., N CQ 4 S OXWaL- AV-EA = l5D s�. S8 °". ?.('Go 5 r ,. ���• r , TOTAL 'r.>ES16W L 42S 6..Pz:>. -r-OTo L vAl L--f 1=L-ow rizop 4-4 01 INS .�r Via«`,.`„•'(S•/'p � 'MW�Jjj**,�� J A .,, �'=5T -7/�8/80 /C,lr= 'l0 5 Top P1•+1, Z0-4,�,/ Iu�%• �3 ; f 4r�PE Iw• Gal.. GZ,g �• S d BSadGa a ' ..: ' G2•G SEvnr- to ►WV. Sox TA*1K ;l,v. 1w ; 6QL. GZ.Z. 6Aa&4 PIT •,� CLE�d i�; W I rN MeDwhf S,4M D. wAswEn .r C.�aZTIFtED pLdT F ! �c� IbCATIotJMA051 ON5: MIU.3 S2 o I Z U o Sco.t.+= 5ta L C J PQ bAT� S/Slgl opoSt� 1 GCIZTI I= -f T$4AT TNa -DwewU(o 5uo4j►J ;' PLAQ REP c2cy %4Z.1,L_ow C0AAPL%,(G \t/ITN TN` 51DE.UWC—. Aug 5cY1`\��K Vc4QUIC MEWTs' of T"C i Ldr e,. f - OWLJ OP �3A►21�irA i„L �. cod/G f RCGIS Itc4MD LA.WO 5UZvcYoL:S ' TI-115 P(-Aw I!, LJOT ZA-SGv ' Ow A" IWSI'L:JI✓�Cl.�� ,��L}I:�/t_�{ � Tf�L C,�FCS�'I-y 51�GWLa �! j A.P P L I;C A."-r � 33-0" �> 14, e 6�n 5r�e �i�e 2'4"' T "' SEAT N k MECHANICALLY VENTILATE BATHS AND LAUNDRY TYPICAL EXTERIOR WALL -MATCH EXISTING 14ORIZONTAL SIDING -TYPAR HOUSE WRAP o - 1/2" EXTERIOR SHEATHING MA&TER BEDROOM ? _ -2" x 4" STUDS 0 16" O.C. 1 • -WEADERS /DOUBLE 2"xl2" W/ 1/2" PLY WD = k. -R=13 HIGH DENSITY GATT INSULATION -(o ma POLY VAPOR BARRIER AIN - 1/2"BLUE BOARD W/l/8" SKIM COAT PLASTER co -PAINT INTERIOR 3 COATS,EXTERIOR 3 COATS -FIRE PROOF ALL WALL PENATRATIONS 2 i 2 0 �� TYPICAL FLOOR 616TEM 5ANAE - 'A 3/4" T4 G PLYWOOD 5U15FLOOR 5CREWED ® 4 GLUED TO ``- -: ----- -3 I/2" x 11 U8" TJI/PRO 560 JOISTS aQ 16" O G. •t'6" 3'-21/2" lO'-6' -.METAL CROSS BRIDGING 4 50LID WOOD FIRE BLOCKING iD QECI -TRIPLE 1 3/4" X 11 1/8" LVL BEAM UNDER (o" 5EARING WALL ---------' - -FLOOR ABOVE CRAWL SPACE R=19 BATT INSULATION NEW FLAT CEILING j 4 1 --------- F © = -FIRE PROOF ALL FLOOR PENATRATIONS r —F CRE ORATE NEW LIGHT WELL M(16TIEI6 6KY LITI_ upoo BOVEENNEWPPAANNTRY ' TYPICAL DECK Q - -USE 2" X 10" PT,JOISTS 6 16" O.G. I -USE I" X 4"FIR DECKING FILL INOPENNG TOILET -SUPPORTED BY 4" X 4" P.T.P05T5 DoorR oPENINGs 2 © ATTACHED TO 12"DIAMETER CONCRETE PIERS KITCHEN 'I 4' BELOW GRADE 4 RESTING ON UNDISTURBED SOIL DECK X 36 l i I DINITJCs k�OOM a k GENERAL AND OR 6UM CONTRACIOR SHALL VERFY ALL DREENGkM PRIOR TO ORDERNG MATERIALS AND STARtMG CONStRUCTION.ALL STATE AND LOCAL BUILDING CODES SHALL BE ADHERED TO ANY DI6CREPANCIE6 SHALL BE DROUGHT TO OWNER OR CD,CALHOUNS AtmxTION.DO NOT.HELD MEASURE DRAWWW FOR LAYOUT _ PtRPOOU ASK OUMT10N6I ` 3 0° —=-`1 — ADDITION TO 14 PEAGHTREE RD _ SCALE DATE iM2/01 DRA WiG NO. Revls® 10/2,l16fOT Lfs lt2 x. ... NUJ FLOOR PLAN WALLS SHOWN AS SOLID ARE EXISTING MEMO C, Q. C A t- H D U N WALLS SHOWN AS H(%LOW ARE NEW r_--: IA36OCIATEO INCORPORATED 5,16ACHEM DRNE, SAGAMORE BEACH,MASS 02662 bo"39-3job A RO44 DC T MABUI EQ61MG . ROOF MCH EXISTING HOUSE NEW ADDITION Tm l Y FIRST FLOOR RIGHT ELEV�T ID�I 1 1 1 I r—--------=----- , ---------'•-r------=1 1________________L_______- - ____-__-.. L___ _____4._______1 SEAR ELEVATION TYPICAL EXTERIOR WALL = TYPICAL FRAME fiRnnF -MATCH EXISTING HORIZONTAL SIDING -USE CONTIN.RIDGE 4 SOFFIT VENTING -FIBER GLASS ASPHALT 6HINGLE5 -TYPAR HOUSERAP OVER # 151be FELT BUILDING PAPER - 1/2" EXTERIOR SHEATHING -1/2" ROOFING PLYWOOD -2 x 4 STUDS e 16 O:C,-HEADER5 /DOUBLE 1 XI2" W/1/2" PLY WD -1 3/4"XII 1/8" LVL RIDGEBOARD -R=13 HIGH DENSITY BATT INSULATION -2"xi0" RAFTERS lb" o c, -6 mil POLY VAPOR BARRIER -MATCH EX15TING TRIM,FASCIA, SOFFIT 4 RAKES - 1/2" BLUE BOARD W/VS" SKIM COAT PLASTER _ 2° X 8"COLLAR LIES 16" o c, -PAINT INTERIOR 3 COATS,EXTERIOR 3 COATS _2" X 8" CEILG JOISTS as 16" o,c,w/ -FIRE PROOF ALL WALL PENATRATION5 _R30 BATT INSUL.U (o MIL POLY Y.B. *GENERAL AND OR SUB CONTRACTOR SHALL VERPY ALL D"ESISIONS PRIOR TO ORDERING MATEPIALS AND STARTMG CONSTRUCTION.ALL STATE AND LOCAL BULDING CODES SHALL BE ADHERED TO ANY e _ OrCREPANCIES SHALL$E DROUGHT TO OWNER OR CD,CAL4OUN9 ATTENTION.DO NOt FIELD MEASURE DRAWINGS FOR LAYOUT PURPOSES ASK QUESTIONS I ADDITION TO 74 PrEAGHTREE RID , 1 LEFT EIy, IOI\i OCAU oAts bfl$r07' cR"/b Mo. 1 tlttE 1 ELEVATIONS r , ----------------------------- I; C, D. L AL N D 11 N t A 6 A O C I A T E 6 I II C O R*O R A t E 0 51 SACHEM DRIVE,SAGAMORE BEACH,MASS 0250 508-8333106 i l I A ri r -� MEMBRANE I I TYPICAL FRAME�F ( i USE CONTM.RiDG&8 SOFFIT VENTING I I -FIBER GLASS ASP�'ALT SHINGLES OVER # 15lbs FELT$UILDING PAPER - 1/2" ROOFING PLYWOOD I - 1 3/4"x II 1/8" LVL KIDGEBOARD I 1 -2"xlO" RAFTERS a�16" oz. R1DGEvENr - MATCH EXISTING ?RIM;FASCIA,SOFFIT $RAKES -2" X 8"COLLAR TIES , 16" oz. -2" X 8" CEILG JOISt6 0 16" oz.wi I I -R30 BATT INSUL.111/6 MIL POLY Y.B. I I CEILINGS 1/2' BLUE$OARD 1111116m I I SKIM COAT PLASTER I I -USE.3' OF MEMBRANE STARTING I`DGs OF ROOF I ! Y ! CRICKET ROOFI T_ -1 ---------------- I IMEMBRANE OUTLINE OF EXISTINls WALLS I � I IMATCH POINT OF ROOFS I MATCH POINT OF ROOFS I � I I I I I I I I I *GENERAL AND OR SUB CONTRACTOR SHALL VERIFY ALL DIMENSIONS PRIOR TO ORDERING MATERIALS AND STARTM4 CONSTRUCTION_ALL STATE AND LOCAL 15M DING CODES SHALL BE AV4EP D TO MT DISCREPANCIES SHALL BL BROUGHT TO 004M OR CD.CALHOMS ATTENTION.DO NOT FIELD MEASURE DRAWINGS FOR LAYOUT I I PURPOSES ASK QMnON8 I I I ! I ADDITION TO 14 PEEACHTREE RD + ROOF PLAN- .�( fI ROOF PLAN � DATE KNn DRAMIG NO. - - � TIiIE ROOF 4 ROOF FRAMING PLANS C, D. C A I- H O U N t A A 6 O C I A T E D 1 N C O R f O R A T I:D bI SACHEM DRIvE,BAGAMORE 15EACKMASS 02_562 bO"33-3bb o F 11'-O" 5'-4u '-0u TYPICAL FOUNDATION WALL USE 3500 psi CONCRETE MIX = ' -24' WIDE x 12" DEEP CONCRETE FOOTING c/w 2-RUNS 15M REBAR 4 RESTING ON UNDISTURBED SOIL - 10" POURI=D CONCRETE WALL ON CONTIN .FOOTING ---_------ ------! ,; -- �� A 51N.OF 4' BELOW GRADE -/)00 ,•r __---_-_--- ' .__, -V DIA.ANCHOR BOLT 0 s�S,"o.c 4 STARTING 12" FROM END -2x6 PRESSURE TREATED SILL PLATE WI 1/4" SILL GASKET 1 1 l 1 ' -BITUMINOUS COATING OF FOUNDATION WALL -USE 4" PERFARATED DRAIN PIPE SLOPED TO DRYWELL 3 vt k n ve°TJI/PRO#560 JOIST 51I6'O C. ; TYPICAL. BASEMENT FLOOR = -USE 3500 psi CONCRETE MIX -4' CONCRETE SLAB c/w ' &X6 WW MESH REINFORCEMENT -6 attl POLY VAPOR BARRIER BASEMENT 6LAB ; ; «, -6" COMPACTED GRANULAR FILL LEDGER BOARD SUPPORT TYPICAL CONC. PIER 4 POST - BOLT A 2" X 12' P.T.LEoaER BOARD -4" X 4" P.T.POST TO EXISTING FRAME WITH 54' BOLTS -12' DIAMETER X 60" CONCRETE PIERS 1 1 1 I - USE GALVANIZED JOISTS MANGERS ; RE5TIN6 ON UNDISTURBED SOIL I •1 1"•1 1 I , 1 1r--------------------- �. 1 .•r__ _________ / 1 1 1 � Cut NEW ' OP�TIING - BEtWEEH - EXISTNG BAS ENTS ' FLOOR FRAMING PLAN FOUNDATION PLAN TYPICAL FLOOR SYSTEM ADHERING NEW WALL TO EXISTING I n -3/4" T4 G PLYWOOD SUBFLOOR SCREWED -DRILL 1/2" DIAMETER MOLE 8"DEEP 4 GLUED TO 4 il" ON CENTER -3 1/2 x 11 V8 TJI/PRO 560 JOISTS 6 Yo�� O.C. -PLACE #5 ROPE IN HOLES 4 EXTEND I�- -METAL CROSS BRIDGING 4 INTO NEW FORMS n SOLID WOOD FIRE BLOCKING *GENERAL AND OR 6ua CONTRACTOR.SHALL VEtZPY ALL DIMENSIONS -FLOOR OVER CRAWL SPACE R=13 BAIT INSULATION -FILL SEEM WITH&ASKET , PRIOR To ORDERING MATERIALS AND STARING CONSTRUCTION ALL BtATE AND LOCAL BUIWh4G CODES SHALL BE ADNERED TO ANT -FIRE PROOF ALL FLOOR PENATRATIONS ' ATTEENRN.vo Not FIELD n�EA imAtsa�roR C.P. DOUBLE 2" X 12" P'.T.BEAM I = PURPOSES ASK QUESTIONS I ALIGN SEEMS OVER POSTS ( ADDITION TO 14 PEAGHTRFE RID AL 4' v oATE lo/Z/01 mmol i N0 Pj . 1..L 101�6 /� 4/0T fat— Tt".E FOUNDATION 4 FLOOR FRAMING PLANS C, P. C A L H O U N t AaeoCIATIke INCORPORATED 51 SACHEM DRIVE, SAGAMORE BEACH.MASS 025,0 5o"333106 DOOR SCHEDULE SYMBOL ❑ NO, WIDTH R.O. HEIGHT R.O. MATERIAL TYPE SCREEN QUANTITY REMARKS MANUFACTURER CATALOG NUMBER I 6.O" 6'-8" WD 4 GLASS FRENCH YES 1 �•: DOUBLE DOOR SET UP ANDERSEN FLUH6068APLR. 2 2'-0 WOOD 6 PANEL HINGED NO 3 {. MORGAN M-1051 3 6'-0" CLAD,WD 4 GLASS GLIDING YES I ANDERSEN FWG(OO68R d 2,-8" WOOD 6 PANEL HINGED NO 2 ii DOUBLE POCKET DOOR SET UP MORGAN M-1051 I, 5 5'-011 WOOD BI -FOLD NO 1 ( MORGAN 2FD-MW1O8 6 4'-0" WOOD BI -FOLD NO I. MORGAN FWG&Ob8R 7 ' 8 9 10 li 12 .WINDOW SCHEDULE SYMBOL O NO, WIDTH R O. HEIGHT R,O MATERIAL TYPE SCREEN QUANTITY REMARKS MANUFACTURER CATALOG NUM15ER 1 6'-3/8° i'-5 1/2" CLAD WD 4 GLASS AWNING YES 2 ANDERSEN AR61 2 4'-3 13/16" 4'-1 1/411 DOUBLE HUNG 1 ANDERSEN 7tU20310-2 3 T-5 1/2" 4'-9 1/4" DOUBLE HUNG I ANDERSEN TW2442-3 4 2'-6 1/8" 4'-1 114" DOUBLE HUNG i ANDERSEN TW24310 5 8'-1 3/16" 5'-5 1/4" DOUBLE HUNG 1 ANDERSEN TW20-DHP4252-20 6 8 9 NOTE J *GENERAL AND OR Sty CONTRACTOR SHALL VERIFY ALL DIMENSIONS PRIOR TO ORDERING MATERIAL5 AND STARTING CONSTRUCTION.ALL ' STATE AW LOCAL BULD1140 CODES SHALL BE ADHEMED TO ANY -ALL DOORS TO 13E ORDERED FROM THIS SCHEDULE,SHALL INCLUDE,FRAMES, DISCREOrt 00 NOT H L BE MEASURE UG DRAWI0A•1£R R LAYOUT ALHOUNB ATTENi10N,DO NOT FIELD MEASURE DRi4UNNG$FOR LAYOUT TRIM,DOOR STOP S,CASING,SADDLES,LOCKS 4 OTHER HARDWARE AS REQUIRED, PURPOSES ASK QUESTIONSI ALL EXTERIOR DOORS SHALL BE WEATHER STRIPED. ADDITION TO 14 PEACHTi2EE RD -ALL WINDOWS TO BE ORDERED FROM THIS SCHEDULE,SHALL INCLUDE,FRAMES, PATE to/z/OT OPAWM TRIM,MULLIONS,CASING,STOPS,LOCKS 4 OTHER HARDWARE AS REQUIRED. A_fo ALL WINDOWS SHALL BE WEATHER STRIPED,LOW " E " 4 THEREMOPAINED. to��°i WINDOW 4 DOOR SCHEDULES G, D. C A L H O U N A 6 6 0 C I A T E 6 1 N O O R P O R A T E O 1 51 SACHEM DRIVE,BOURNE MASS,OZ62 508-833-3106 j 4 SYSTEM PROFILE NOTES Route 28 TOP FNDN. AT EL. 64.7' ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO ACCESS COVER TO WfHIN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD nd05�f1 Rd WITHIN 6" OF FIN. GRADE. 2. MUNICIPAL WATER IS EXISTING J_ 62.5 MINIMUM .75 OF COVER OVER PRECAST /� 296 SLOPE REQUIRED OVER SYSTEM 61.0 INSTALL INLET 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Cb TEE 1* ABOVE RUN PIPE LEVEL o� a *EXISTINZG OUTLET INVERT FOR FIRST 2' OR GEOTEXTILE FABRIC 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO e **EXISTING 1000 H- 10 � *EXISTING GALLON SEPTIC TANK *60.0 58 0, G' �� 57.34' 0 0 O 0 5. PIPE JOINTS TO BE MADE WATERTIGHT. �� 57.51 LOCUS 4, " 0 5 ..2' o a a o 0 0 0 0 0 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 8oxter Neck Rd DEPTH OF FLOW = 6 CRUSHED STONE OR MECHANICAL. 0 0 0 0 0 � � � 0 TEE SIZES: COMPACTION. (15.221 [2]) g 2' O � a a 0 O 0 55.2' MASS. ENVIRONMENTAL CODE TITLE V. INLET DEPTH 0" c 3/4" TO 1 1/2" DOUBLE WASHED STONE 7• THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO , OUTLET DEPTH = 14" BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. (6.5 X SLOPE) ( l x SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. FOUNDATION EXISTING SEPTIC TANK 38' LEACHING 5.7' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED _ FACILITY WITHOUT INSPECTION BY' BOARD, OF HEALTH AND PERMISSION LOCUS MAP *THE INSTALLER SHALL VERIFY THE 1 ,** INSTALLER SHALL CONFIRM MIN. OBTAINED FROM BOARD OF HEALTH. SCALE: 1" = 2,000'f LOCATIONS OF ALL UTILITIES AND ALL SEPTIC TANK SIZE AT 1000 GALLONS AND 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING BUILDING SEWER OUTLETS AND ELEVATIO S ITS SUITABILITY FOR RE-USE DIGSAFE (1-888-344-7'233) AND VERIFYING THE LOCATION ASSESSORS MAP 57 PARCEL 76 PRIOR TO INSTALLING ANY PORTION OF BOTTOM TH-1 EL. 49.5' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO SEPTIC SYSTEM `°�, COMMENCEMENT OF WORK. LOCUS IS WITHIN AP OVERLAY DISTRICT LEGEND ( � G 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN RESOURCE PROTECTION REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. OVERLAY DISTRICT 100.0 PROPOSED SPOT ELEVATION 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ZONING: RF REMOVED 5' BENEATH AND AROUND THE PROPOSED FRONT: 30', SIDE AND REAR: 15' +100.00 EXISTING SPOT ELEVATION "--- '- -' BENCHMARK: USE TOP FNDN LEACHING FACILITY. AT ELEV. 64.7' 100 o PROPOSED CONTOUR - - 100 - - EXISTING CONTOUR SYSTEM DESIGN. GARBAGE DISPOSER IS NOT ALLOWED LP EXISTING LEACH PIT 196.53' DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD E EXISTING UNDERGROUND ELECTRIC LOT 6 USE A 440 GPD DESIGN FLOW 21,608 SFf ' SEPTIC TANK: 440 GPD (2) = 880 cJE E �E ELEC T **Fit-U5t EXISTING 1000 GAL. JI_F•'NC TANK UTILITY N CLUSTER � E -''----E -----i E-��c� METER � I, �s6� LEACHING: TEST HOLE LOGS SIDES: 2 (40 + 10) 2 (.74) = 148 GPD EXISTING 4 BR PROP. ^" EXISTING 4 BR SAS I ° . NTH DAVID FLAHERTY, R.S. DWELLING ADD'N. NSTADLLEDXJANUARY BOTTOM 40 X 10 (.74) = 296 GPD ENGINEER: ______ TOP OF FNDN __ ____ 2007 TO BE TOTAL: 600 S.F. 444 GPD ---- ---- _ = 64.7 ( s) RE-LOCATED TO NEW WITNESS: DON DESMARAIS, R.S. I I ` - POSITION SHOWN TO NOVEMBER 9; 2006 I ACCOMMODATE RE-USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL DATE: - lop .-------------- REQUIRED��,\ \ - - �S TOPROP. ADDITION WITH 4' STONE AT ENDS, 2.6' AT SIDES PERC. RATE - < 2 MIN/INCH = �\ ,\ P \ , \ � D K \ ��\\TM_� \ \ AND 3.25 BETWEEN UNITS CLASS I SOILS p# 1 1497 PAVED i DRIVEWAY �, � .�,\, s MA ELEV. ELEV. m i w/w 00 APPROVED DATE BOARD OF HEALTH 4 60.0 O„ 60.5' 0 q q N J /Lp w� i LPG LS LS v w �W �,� I 10YR 3/2 10YR 3/2 EXISTING GARAGE / lots 59.2' got59.7' i \ B B SITE PLAN � I � � -63- LS LS _ ` of 22" 10YR 6/8 58.2' 28„ 10YR 6/8 58.2' 9� 74 PEACH TREE RD. (MARSTONS MILLS) BARNSTABLE, MA C C PREPARED FOR PERC DAVID DADMUN MCS MCS JULY 28, 2008 2.5Y 6/4 2.5Y 6/4 N of5 �'y jH OF MgSS90 off 508-362-4541 DANIELA. �� �o DANIEL y�N fax 508 362-9880 OJALA ; o A• CIVIL N OJALA down cape engineering, inc. ,� 02 . No. 98 126" 49.5' 126" 50.0' �0 aP ciVIL ENGINEERS 0 F /ST S\ NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' Fss ONAL� qN ,lo ,�` LAND SURVEYORS ' 939 Main Street - YARMOUTHPORT, MASS. DCE #06-254 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. & 08-187 TOP FNDN. AT EL. 64.7' SYSTEM PROFILE NOTES Rote 28 R ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVET TO WITHIN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD Rd' ACCESS COVER (WATERTIGHT) TO 62.5' MINIMUM .75' OF COVER OVER PRECAST /` WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING I_ 2% SLOPE REQUIRED OVER SYSTEM ' __ INSTALL I ABOVE RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE\ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. o� a *EXISTING OUTLET INVERT FOR FIRST 2' OR GEOTEXTILE FABRIC r Qv�� de n o 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO P X **EXISTING LQQQ , �.� H- 10 a � 0 *EXISTING GALLON SEPTIC TANK *60.0 58.0' v BAFFLE 57.51' �� 57.34 5. PIPE JOINTS TO BE NiIADE WATERTIGHT. v� ooao0a000 57.2' a000 a aEDol� LOCUS DEPTH OF FLOW = 4' s" CRUSHED STONE OR MECHANICAL o r7 0 � O 0 0 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH Baxter Neck Rd TEE SIZES: COMPACTION. (�s.221 [2]) 2' 0 O MASS. ENVIRONMENTAL (CODE TITLE V. 55.2' INLET DEPTH = 10" 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO ouTLEr DEPTH = 14" 3/4" TO 1 1/2" DOUBLE WASHED STONE BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. ( 8 % SLOPE) ( 1 % SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. LEACHING 5 7° 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED FOUNDATION EXISTING SEPTIC TANK 31 D BOX 16 FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION LOCUS MAP * ** OBTAINED FROM BOARD OF HEALTH. SCALE: 1" = 2,000'f THE INSTALLER SHALL VERIFY THE THE INSTALLER SHALL CONFIRM MIN. LOCATIONS OF ALL UTILITIES AND ALL SEPTIC TANK SIZE AT 1000 GALLONS AND 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING BUILDING SEWER OUTLETS AND ELEVATIONS ITS SUITABILITY FOR RE-USE DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 57 PARCEL 76 PRIOR TO INSTALLING ANY PORTION OF BOTTOM TH-1 EL. 49.5' OF ALL UNDERGROUND Se OVERHEAD UTILITIES PRIOR TO SEPTIC SYSTEM COMMENCEMENT OF WORK. LOCUS IS WITHIN AP OVERLAY DISTRICT LEGEND 'ti 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 100.0 PROPOSED SPOT ELEVATION 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED +100.00 EXISTING SPOT ELEVATION Bi'NCHMARK LEACHING FACILITY. 100 COR CONC. BULKHEAD PROPOSED CONTOUR EI.EV = 63.7' - - 100 - - EXISTING CONTOUR SYSTEM DESIGN: GARBAGE DISPOSER IS NOT ALLOWED O EXISTING LEACH PIT 196•53' DESIGN FLOW: 4 BEDROOMS 0 110 GPD = 440 GPD E EXISTING UNDERGROUND ELECTRIC SOT 6 USE A 440 GPD DESIGN FLOW 21,608 SFf SEPTIC TANK: 440 GPD (2) = 880 N o E E �� **RE-USE EXISTING 1000 GAL. SEPTICANK _ UTILITY E ELEC41 CLUSTER E - E ��E -�F METER 00 ` LEACHING: TEST HOLE LOGS EXISTIN(, 4 BR ,/ SIDES: 2 (40 + 10) 2 (.74) = 148 GPD - �\` h_ � ` ENGINEER: DAVID FLAHERTY, R.S. DWELLING DECK 40 x 10 (.74) = 296 GPD h \ BOTTOM L_,- ----------------- TOP OF FNDN W TOTAL: 600 S.F. 444 GPD --- = 64.7 WITNESS: DON DESMARAIS, R.S. DATE: NOVEMBER 9, 2006 m -- ------- -- USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) PERC. RATE _ < 2 MIN/INCH �, ` 2 - - �s8� WITH 4' STONE AT ENDS, 2.6' AT SIDES , � AND 3.25' BETWEEN UNITS TH- CLASS I SOILS P# 11497 +\ PAVED i DRIVEWAY w ELEV. ELEV. r \-' \ a. ` . ~ �'+' :::,••. rn M A 1 I w z ,.: 1�s' oo APPROVED DATE BOARD OF HEALTH 0" 60.0' o" 60.5' cn \ ( 'LP1 01 �.: LS LS v " 10YR 3/2 " 10YR 3/2 �w ' / ;�/ NG GARAGE STING' \� ' %� � \� � f- -s2 N 10 59 2' 9 59 7' ��S TITLE 5 SITE PLAN OF B B .� LS LS ,,- , ,L4 PEACH TREE RD. 22" 10YR 6/8 58 2, 28" 10YR 6/8 58.2 r,,. �� ' (IMARSTONS MILLS) BARNSTABLE� MA ,�- 1F31• PREPARED FOR PERC BORTOLOTTI CONSTRUCTION/ BRETT & SUSAN SANIDAS MCS MCS - +, DATE: NOVEMBER 14, 2006 2.5Y 6/4 2.5Y 6/4 off 508-362-4541 y(}�'0F ,�µQF1 fax 508 362-9880 AR ARNE H. Q C A 0 IV126" 49.5 126" 50.0 IL w down cape en gin e erin g, inc. �No.26Wv 30792 Cl 1//L ENGINEERS NO GROUNDWATER ENCOUNTERED Scale:1"= 20' TERM°�,�`` LAND SURVEYORS 939 Moin Street - YARMOU THPOR T, MASS. DCE #06-254 0 10 20 30 40 50 FEET DATE H. OJALA, , ., .L.S. 06-254 BORTOLOTTI-SANIDAS.DWG (DDF)