HomeMy WebLinkAbout1081 PUTNAM AVENUE - Health R tnarr Avenue. {
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No. Y-1k Fee fib
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es
ftpliLatlon for Disposal 6pstem ConstrULtlon Permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System R1 Individual Components
Location Address or Lot No. l45/ ��r��Gf,c r �, Owner's Name,Address,and Tel.No. �s YJ-6Xd ,(� 7
Assessor's Map/Parcel Q. -Z _ (J ¢ / ! !D8 ,r/
Installer's Name,Address,and Tel.No. PO Y 7�� Designer's Name,Address,an Tel.No.
Ft/4— l f���,' T�o s. b,wr.�
Type of Building:
Dwelling No.of Bedrooms Lot Size 11-3,cS-6�sq.ft. Garbage Grinder( )
Other Type of Building �5��/ L� � Jl/�y No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 2✓^ gpd Design flow provided :5 ig gpd
Plan Date �t�'�`� ®`Z� Number of sheets- 3 Revision Date
Title—
Size of Septic Tank 1, a h)ype of S.A.S. 44-- 1 1
Description of Soil 45 -: ,I--1A4XJ 4AI ;,g- fJJWA/
Nature of Repairs or Alterations(Answer when applicable) l n S��f�1 ,��✓ �•✓�'
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date A�
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. �� � Date Issued
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No. �� { •"�IIa I ;li 1Fee /On w I
THE COMMONWEALTH",'OF'MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -:TOWN OF BARNSTABLE, MASSACHUSETTS eS'`
r application for -Disposal 6pstrin Construction 3pertttit
wi Application for a Permit to Construct( ) Repair(�(} Upgrade( ) Abandoh( )'' rEl Complete System W Individual Components
Location Address or Lot No.`"%,,f'V -�tA4''9�L , Owner's Name,Address,and Tel.No.
Assessor's.Map/Parcel � '`� ,GiQ� � /� /per' /1T.v `7 ►fit
w, Installer's Name,Address,and Tel.No. Y 102�„ Designers Name,Address,an Tel.No
1004-0 rs/4 �V,r,,�7��.� s ,0W of s r i Z4lr d& A
ve
Type of Building: ""- l'A1�J` d /y� 5/�'� ✓J� �7)
Dwelling No.of Bedrooms 3 Lot Size 1IL3� sq.ft. Garbage Grinder V )
• Other Type of Building _S�/✓6L �fll`j'jGF4`No of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) ?7 c gpd. Design flow provided _3_3.n gpd
Plan Date
•.� 4�i'Z���. / umber off sheets Revision Date ;A' ALAI%,
...Title 1-4hdj�F/
Size of Septic Tank / ,� 'Yf711�r1A
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) S�gr�� ,/1/a✓ � •4.
Date last inspected:
Agreement:"
,.� The unde signed agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
i Compliance has,been issued by this Board of.Health.
,r t
Signed Date
Application Approved by f F�/�?1. i -�J Date i I
-Application Disapproved by Date
for the following reasons .a
Permit No. �. •� Date Issued
THE COMMONWEALTH OF MAC SACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance � ro
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(tel" Upgraded( )
'Abandoned( )by
..!.�
at A tt C W/ 100+Y1A.in6 -AAf_ 94 04 has been constructed in accordance
with the provisions of Title 5 and the r Disposal System ConstructionPermit No. 1 dated ;
Installer /�' `.....,� T�•�► ,F!/� m/�'4k, Designer `,► s K14 14111'10^
#bedrooms Approved design flow �'9-3 C2 gpd
The issuance of this permit shall not be construed as a guarantee that the system wif ll t d A d._.'M
e- gne
Inspector-Date _
No. N aj ' j Fee ,
/ THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at 1146 �
yr
and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 permit. _ �!
Date / ' 1 Approved by ��+'
115a:—T�W -OF B3ARN,� E ✓
GC� _ SEWAGE #
LGCATION _ �
VILLAGE / ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TAINK CAPACITY 000
LEACHING FACILITY: (type) (size) /06
NO.OF BEDROOMS `J(t
BLT—DER OR OWNER
PERMITDATE: COMPLIANCE DATE: �' '0
,?-0�
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility Feet
Furnished by ,r
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Town of Barnstable
Inspectional Services
t
Public Health Division
SAWWeat.t.,
°6 Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: 07 69/.?1 Sewage Permit# 202/—/6 7 Assessor's Map\Parcel 05- Dos/eo�
Designer: Z4 . A Installer: t94yeA,1 AVC44yA Ti Ue!&/AAe
Address: /Og/ Ra?NA" .A,_ Address: ,PPd, /AOaC / 99
On ///h o1 Q Jt &9h6e— &§C&9-Tih,was issued a permit to install a
(date) (installer)
septic system at /0t-,0/ Aig based on a design drawn by
(address)
dated f,/T`7/�Z/
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was%installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State& Local Regulations. Plan revision or
certified as-built by designer to follow. Strip out(if required)was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructs T`ance with the to rms of
the IAA approval letters(if applicable) oFaa
FAT F4U.
c '
(Installer's Signature) cr >.: L
No..42624';
` �AMAL
e gnJr
er s Signature) (Affix Des §'Stamp Here)
PLEA RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
WoAdeptAHEALMEWERconnecASEPTIC1Desipercenification Form Rev 8.14-13.DOC
TOWN OF BARNSTABLE
LOCATION ���/TI„� Y� SEWAGE#0?4�21_1G,>
VILLAGE / poi�i�,j/�I�� ASSESSOR'S MAP&PARCEL CPA e�
INSTALLER'S NAME&PHONE NO. /4A oT ri-trr.` � ' 771� y�Q
SEPTIC TANK CAPACITY _/4Z
LEACHING FACILITY: / / ���w f jci5 (size) J X/3 t 1
(tyP �SOG sA . fi
NO.OF BEDROOMS _
OWNER C h
PERMIT DATE:O // B COMPLIANCE DATE: al
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) 41 Feet
FURNISHED BY /,�
I f
c
3
TOWN OFBARNSTABLE
LOCATION Ac
/u7'Nlow SEWAGE#
VILLAGE ., i g / '//f ASSESSOR'S MAP&PARCEL 4b c�
INSTALLER'S NAME&PHONE NO. � , O. 776 G y
SEPTIC TANK CAPACITY
i
1
LEACHING FACILITY:(typ yf�Al. lu�A(�ci5 (size)
NO.OF BEDROOMS
OWNER C
PERMIT DATE:O j/ Q COMPLIANCE DATE: Fal
Separation Distance Between the: I)
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �&,0 tw/ Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) /'-'014 Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) r�f j 1 Feet
FURNISHED BY
I
S
J
a �
lug
!3/=3fjr
s
COMMONWEALTH OF MASACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET BOSTON MA 02108(617)292-3500
TRUDY COXE
Secretary
ARGEO PAULCELLUCCI DAVID B.STRUHS
Governor Commissioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Address of Owner: 3860 FALMOUTH RD.MARSTONS MILLS MA. to PP
Al-�
Date of Inspection: 3/6100 0 1l q e R
Name of Inspector: JOHN GRACI MNf�u^,�,- S A�I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000)
Company Name: TITLE V SEPTIC INSPECTIONS M � �
Mailing Address: P.O.BOX 2119 TEATICKET MA.02536 ' q�
Telephone Number: 508.664-6813 ,.
TO�r
CERTIFICATION STATEMENT �. H ;Tqy r 800,n
I certify that I have personally Inspected the sewage disposal system at this address and that the information reported belotw-is true,ddcurate
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:
X Passes
_ Conditionally Passes
_ Needs Further Evaluation By the Local Approving Authority
Fails
9
Inspector's Signature: Date:Sri t3fi
The System Inspector shall su mit a copy of this inspection report to the Approving Authority(Board of Health or DEP)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
system owner and copies sent to the buyer,if applicable,and the approving authority.
NOTES AND COMMENTS
"The inspection is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.My
Inspection does not Imply any warranty or guarantee of the longevity of the septic system and any of its component's useful life."
THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL
LIFE.
revised 9/2198 Page 1 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.0 REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 3/6/00
INSPECTION SUMMARY: Check A, B, C, or D:
A. SYSTEM PASSES:
X I have not found any Information which indicates that any of the failure conditions described In 310 CMR 15.303 exist.Any failure criteria not evaluated
are Indicated below.
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.
Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all Instances.If"not determined",explain why not.
nLd The septic tank is metal,unless the owner or operator has provided the system Inspector with a copy of a Certificate of Compliance
attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,
whether or not metal,is cracked,structurally unsound,shows substantial Infiltration or exriltration,or tank failure is imminent.The
system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health.
n& 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
D& 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 pipes)are replaced
_obstruction is removed
revised 9/2198 Page 2 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 316100
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 IN ACCORDANCE WITH 310 CMR 16.303(1)(b)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 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 AND SAFETY AND THE 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 soil absorption system and the SAS Is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well,
_ The system has a septic tank and soil absorption system and the SAS 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 5 ppm,Method used to determine distance n1a(approximation not valid).
3) OTHER
n/a
revised 9/2/98 Page 3 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 316/00
D. SYSTEM FAILS:
You must indicate either"Yes"or"No"to each of the following:
I have determined that one or more of the following failure conditions exist as described 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.
Yes No
X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool.
_ X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
X Liquid depth In cesspool Is less than 6"below invert or available volume is less than 1/2 day flow,
X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped 0.
_ X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.
X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
X Any portion of a cesspool or privy is within a Zone I of a public well.
X Any portion of a cesspool or privy is within 50 feet of a private water supply well,
X 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:
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:
The system serves a facility with a design flow of 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:
Yes No
_ X the system Is within 400 feet of a surface drinking water supply
X the system is within 200 feet of a tributary to a surface drinking water supply
X 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 upgrade the system In accordance with 310 CMR 15.30412).Please consult the local regional office of the
Department for further information.
revised 9/2/98 Page 4 of 111
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner: ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 3/6100
Check if the following have been done:You must Indicate either`Yes"or"No"as to each of the following:
Yes No
X - Pumping information was provided by the owner,occupant,or Board of Health.
X - 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 volumes of water have not been introduced into the system recently or as part of this inspection.
X As built plans have been obtained and examined.Note if they are not available with N/A.
X - The facility or dwelling was inspected for signs of sewage back-up.
X _ The system does not receive non-sanitary or industrial waste(low.
X - The site was inspected for signs of breakout.
X - All system components,excluding the Soil Absorption System,have been located on the site.
X - 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:
X - Existing Information,For example,Plan at B4O,H,
X - Determined In the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b)]
X - The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal
Systems.
revised 9/2/98 Page 5 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.0 REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 316/00
FLOW CONDITIONS
RFSInFNTIAL:
Design flow: 110 g.p.d./bedroom
Number of bedrooms(design): 3 Number of bedrooms(actual):
Total DESIGN flow: 330 gpd
Number of current residents:0
Garbage grinder(yes or no):NO
Laundry(separate system)(yes or no): NO If yes,separate Inspection required
Laundry system inspected(yes or no): NO
Seasonal use(yes or no): NO
Water meter readings,if available(last two year's usage): n/a gpd
Sump Pump(yes or no): NO
Last date of occupancy: 2/20/00
COMMERCIAL/INDUSTRIAL
Type of establishment: n/a
Design flow: n/a gpd(Based on 15.203)
Basis of design flow.n/a
Grease trap present:(yes or no): NO
Industrial Waste Holding Tank present:(yes or no): NO
Non-sanitary waste discharged to the Title 5 system:(yes or no):NO
Water meter readings.if available: n/a
Last date of occupancy:n/a
OTHER: (Describe)
n/a
GENERAL INFORMATION
PUMPING RECORDS and source of information:
SUMMER 1999
System pumped as part of Inspection:(yes or no):NO
If yes,volume pumped n/a gallons
Reason for pumping:n/a
TYPE OF SYSTEM
X 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)
I/A Technology etc.Attach copy of up to date operation and maintenance contract
_ Tight Tank Copy of DEP Approval
Other:n/a
APPROXIMATE AGE of all components,date installed(if known)and source of information:
1988
Sewage odors detected when arriving at the site:(yes or no): NO
revised 9/2/98 Page 6 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner: ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 316100
Check if the following have been done:You must Indicate either"Yes"or"No"as to each of the following:
Yes No
X _ Pumping Information was provided by the owner,occupant,or Board of Health.
X - 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 volumes of water have not been introduced Into the system recently or as part of this Inspection.
X As built plans have been obtained and examined.Note if they are not available with N/A.
X - The facility or dwelling was inspected for signs of sewage back-up.
X _ The system does not receive non-sanitary or Industrial waste flow.
X - The site was Inspected for signs of breakout.
X - All system components,excluding the Soil Absorption System,have been located on the site.
X - 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:
X - Existing information,For example,Plan at B4O,H,
X - Determined in the field(if any of the failure criteria related to Part C is at Issue,approximation of distance is unacceptable)1 5.302(3)(b)]
X _ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal
Systems.
revised 9/2/98 Page 5 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 316100
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 110 g.p.d./bedroom
Number of bedrooms(design): 3 Number of bedrooms(actual):
Total DESIGN flow: 330 gpd
Number of current residents:0
Garbage grinder(yes or no):NO
Laundry(separate system)(yes or no): NO If yes,separate Inspection required
Laundry system Inspected(yes or no): NO
Seasonal use(yes or no): NO
Water meter readings,if available(last two year's usage): n/a gpd
Sump Pump(yes or no): NO
Last date of occupancy: 2120100
COM MERCIALNNDUSTRIAL
Type of establishment: n/a
Design flow: n/a gpd(Based on 15.203)
Basis of design flow:n/a
Grease trap present:(yes or no): NO
Industrial Waste Holding Tank present:(yes or no): NO
Non-sanitary waste discharged to the Title 5 system:(yes or no):NO
Water meter readings.If available: n/a
Last date of occupancy:n/a
OTHER: (Describe)
n/a
GENERAL INFORMATION
PUMPING RECORDS and source of Information:
SUMMER 1999
System pumped as part of inspection:(yes or no):NO
If yes,volume pumped n/a gallons
Reason for pumping:n/a
TYPE OF SYSTEM
X 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) 4
I/A Technology etc.Attach copy of up to date operation and maintenance contract
_ Tight Tank Copy of DEP Approval
Other:n/a
APPROXIMATE AGE of all components,date installed(if known)and source of information:
1988
Sewage odors detect@d when @diving it the site,(yes of no): NO
revised 9/2198 Page 6 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 3/6/00
BUILDING SEWER:X
(Locate on site plan)
Depth below grade: 18"
Material of construction: _ cast iron X 40 Pvc _ other(explain)
Distance from private water supply well or suction line: n/a
Diameter: n1a
Comments: (condition of joints,venting,evidence of leakage,etc.)
THE SYSTEM HAS TOWN WATER.
SEPTIC TANK: X
(locate on site plan)
Depth below grade: 12"
Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other
explain: n/a
If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO
Age: n/a
Dimensions: 1000G L 8'6"H 6'7"W 4'10""
Sludge depth: 1"
Distance from top of sludge to bottom of outlet tee or baffle: n/a
Scum thickness: n/a
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: n/a
How dimensions were determined: MEASURED
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,
etc.)
THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE
SYSTEM'S USEFULL LIFE.
GREASE TRAP: _
(locate on site plan)
Depth below grade: n/a
Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other
Explain: n/a
Dimensions:n/a
Scum thickness: n/a
Distance from top of scum to top of outlet tee or baffle: n/a
Distance from bottom of scum to bottom of outlet tee or baffle n/a
Date of last pumping: n/a
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural Integrity,evidence of leakage,
etc.)
n/a
revised 9/2198 Page 7 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 3/6100
TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of,inspection)
(locate on site plan)
Depth below grade: n/a
Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other
Explain: n/a
Dimensions: n/a
Capacity: n/a gallons
Design flow: n/a gallons/day
Alarm present: NO
Alarm level:n/a Alarm in working order:NO
Date of previous pumping: n/a
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
n/a
DISTRIBUTION BOX:_
(locate on site plan)
Depth of liquid level above outlet Invert: n/a
Comments:
(note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.)
n/a
PUMP CHAMBER: _
(locate on site plan)
Pumps in working order:(Yes or No): NO
Alarms in working order(Yes or No): NO
Comments:
(note condition of pump chamber,condition of pumps and appurtenances.etc.)
n/a
revised 9/2198 Page 8 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02635
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 3/6100
SOIL ABSORPTION SYSTEM(SAS): X
(locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods)
If not located,explain:
n/a
Type:
leaching pits,number:(n/a)1000 GAL 6 X 6
leaching chambers,number: (n/a)n1a
leaching galleries,number: (n/a)n/a
leaching trenches,number,length: (n/a)n/a
leaching fields,number,dimensions: (n/a)n/a
overflow cesspool,number: (n/a)n/a
Aftemative system: n/a
Name of Technology: n/a
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.)
THE LEACH PIT IS STRUCTURALLY SOUND AND APPEARS TO BE FUNCTIONING PROPERLY.THE PIT WAS EMPTY AT THE TIME OF THE
INSPECTION.
CESSPOOLS: _
(locate on site plan)
Number and configuration: n/a
Depth-top of liquid to inlet invert: n/a
Depth of solids layer: n/a
Depth of scum layer. n/a
Dimensions of cesspool: n/a
Materials of construction: nla
Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)NO
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
n/a
PRIVY:
(locate on site plan)
Materials of construction: n/a Dimensions: n/a
Depth of solids: n/a
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
n/a
revised 9/2198 Page 9 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02636
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 310100
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Include ties to at least two permanent reference landmarks or benchmarks
locate all wells within 100'(Locate where public water supply comes Into house)
its
6 �
AA
48 a 1
revised 9/2/98 Page 10 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 1081 OLD PUTNAM RD. COTUIT, MA MAP 057 PAR 05-04 02636
Name of Owner ROZEN C.O REMAX LIBERTY ATT.LEIGH ANN SHIPMAN
Date of Inspection: 3/6/00
NRCS Report name: n/a
Soil Type: n/a
Typical depth to groundwater: nla
USGS Date website visited: n/a '
Observation Wells checked: NO
Groundwater depth: Shallow_ Moderate_ Deep_
SITE EXAM _ Slope
_ Surface water
_ Check Cellar
Shallow wells
Estimated Depth to Groundwater 12 Feet+
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
Observed Site(Abutting property,observation hole,basement sump etc.)
Determined from local conditions
Checked with local Board of health
Checked FEMA Maps
Checked pumping records
Checked local excavators,Installers
X Used USGS Data
Describe how you established the High Groundwater Elevation.(Must be completed)
USGS MAPS AND CHARTS-12+FEET
revised 9/2/98 Page 11 of 11
/ WN OF BARN E
LOCATION `� SEWAGE #
VILLAGE t / ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size) `00
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE: '
f
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility , Feet
Furnished by - Lt :t
v
e
[ &`'V-
a ,
)-7
' UP�'35
:7
POd
P UTNAM AVENUE _ .,
_
l
C' #, PROPOSED SOIL °
a�
G MB 108c�rR.. \ v asr
ABSORPTION SYSTEM
2 - 500 GAL, PRECAST
N61 09' i CONCRETE CHAMBERS f
+ (25'X13') �,y%
PROPOSED 4" DIA t y- / i L=124.58' ��• %� 1 %Q`' k� A"1 \NE ,%y
i
R=1029.05'
SCH 40 PVC PIPES
f / Y3 ,, �„ a �.——.�._,,,,•.,,�,�..,�,,,, -- r��y am\\``yy.�,!'ti�,�<. t--- r�('\\' rk"'..'�i j
'(P LENGTH VARIES
i 24 . cCdSLOPE O.5o COVERO:ff V1
GRADE
3-OUTLET SITE LOCUS
tee s
DBOX f " NOT TO SCALE _,3"
1 f / ^� 1 o � o1.go m<
�� ,f �' T.P.#2 , BENCHMARK ,—
N., . x y;ay�� s
1 �� MAG SET GENERAL SITE INFORMATION
PUMP AND 35.2 D f Pp1 ( - EL - 95.62 ✓� U)
ABANDON EXISTING rf 1. PARCEL ID 057/005/004.OWNER OF RECORD:LEE,FAT H
PIU&KWAI LAN TRS U-1
�.. _.. LEACH PIT IN PLACE f r l s\ EXISTING PAVED r , _.. ^O� h� ADDRESS: 1081 PUTNAM AVE,MARSTONS MILLS 07
O DRIVE \ f f 2. LOT SIZE: 1 ACRES+/ D� W =
10, 1 3. EXISTING DWELLING LEACH PIT IS FAILED. Q U
1 PROPOSED UPGRADE LEACHFIELD TO TITLE 5 W W Q
I ' STANDARDS. 0� > CO
4. NO KNOWN POTABLE WATER WELLS WITHIN 100 FEET Q Q
"� ,' • a I �� OF THE PROPOSED SANITARY ABSORPTION FIELD LLJW 2i Z
- PROPOSED 4 DIA / 23, 1 , (SAS). Z J
J
SCH 40 PVC PIPE / J
LU
LENGTH = 24.0' / 1I I- a
SLOPE = 2.00% - �' ` ' < 0 0
SOIL TEST PIT DATA 0
EXISTING CATV j / _ I ( f' �. / 1tP-1 7P-2 W
LINE OVER TANK 1081 PUTMAN AVE/ / w o° 6.0 o° s.o Q
/ 1 \ / FILL FILL
EXISTING ` Q / SHED�r I / 22 4.2 22' a.2
EXISTING 1000 3 BEDROOM FORMER FORMERA
a Q I l 10 YR 3/3 10 YR 3/3
GALLON TANK fl HOUSE CD /
TO REMAIN / \ f , 24, LOAMY SAND LOAMY SAND
4.0 24' 4.0
FORMER B FORMER B
I ' 1 10 YR 5/6 10 YR 5/6 R s
LOAMY SAND LOAMY SAND =E
�2
90
32' 3.3 32' 3.3 $3:�u_ I
C C
7
/ 2.5 Y 4/4 2.5 Y 4/4 a
MED SAND MED SAND `c
PERC@48" m� M20
<2 MIN/IN d 922
120' 6.0 120' 6.0 d � g�
NO GW OBSERVED NO GW OBSERVED ;s
GRAPHIC SCALE�� '— / / / / / o�� 0 PERFORMED BY: ELIZABETH KITTILA, HORSLEY WITTEN GROUP, INC
WITNESSED BY: DAVID STANTON, HEALTH DEPARTMENT
20 0 10 20 40 ML C DATE: APRIL 1, 2021
►ro.4ZB24
hb - 1 certify that I am currently approved by the Department of Environmental Protection pursuant to 310
CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me
n feet Proj°n NumE°r.
(�I ) ,—„ ,./ / /ryry0 JdL ,�yrDs-F�?{ consistent with the required training,expertise and experience described in 310 CMR 15.017. I further xLee
1 INCH / certify accurate and in accordance with 310 CMR 15.100 through 15.107.that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are
= 20 FEET / ® ///a °m°°`
_ ^ Cn / 1 of 3
SURVEY NOTES
s
1. THE TOPOGRAPHY AND EXISTING SITE CONDITIONS DEPICTED HEREON ARE THE RESULT OF AN ON THE ,
GROUND FIELD SURVEY CONDUCTED BY THE HORSLEY WITTEN GROUP, INC ON MARCH 24,2021. 4
2. THE ELEVATIONS DEPICTED HEREON WERE BASED ON AN ASSUMED DATUM. PUTNAM AVENUE
3. THE PROPERTY LINES AND RIGHTS OF WAYS DEPICTED ARE APPROXIMATE ONLY.
C
4. THE ACCURACY OF MEASURED PIPE INVERTS AND PIPE SIZES IS SUBJECT TO FIELD CONDITIONS,THE o j 2 a
ABILITY TO MAKE VISUAL OBSERVATIONS, DIRECT ACCESS TO THE VARIOUS ELEMENTS AND OTHER
CONDITIONS. N61° 09' 37"E) .-N61° 09' 37"E 4
41.14' — L=124.58'
5. THE LOCATION AND/OR ELEVATION OF EXISTING UTILITIES AND STRUCTURES AS SHOWN ON THESE PLANS 150.00 R=1029.05
ARE BASED ON RECORDS OF VARIOUS UTILITY COMPANIES,AND WHEREVER POSSIBLE,MEASUREMENTS /•�
TAKEN IN THE FIELD. THIS INFORMATION IS NOT TO BE RELIED UPON AS BEING EXACT OR COMPLETE. THE
LOCATION OF ALL UNDERGROUND UTILITIES AND STRUCTURES SHALL BE VERIFIED IN THE FIELD PRIOR TO c o
THE START OF ANY CONSTRUCTION. THE CONTRACTOR MUST CONTACT THE APPROPRIATE UTILITY
COMPANY,ANY GOVERNING PERMITTING AUTHORITY IN THE TOWN OF BARNSTABLE,AND"DIGSAFE" '
0
(1-888-344-7233)AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION WORK IN ANY AREAS TO REQUEST EXACT �'~ �� O c7 m E
FIELD LOCATION OF UTILITIES. - ^per h0 d o mw
_ `>�
O C` W
W� QOO
sago
6. THE PROPERTY IS LOCATED WITHIN F.LR.M ZONE X AS SHOWN ON COMMUNITY PANEL NO,25001C0543J
a, r�
DATED JULY 14,2014. w =t
o �
'rc
7. REFERENCE PLANS: LAND COURT PLAN 39483-B. y a a
—
# 1081 t�„r� m
TREATMENT SYSTEM DESIGN CRITERIA / it rrrr r / r fn
mow =
USE: SINGLE FAMILY f w w U
lrrr U)
l M Q
NUMBER OF BEDROOMS DESIG 3
Q
Q
I—
�
TITLE 5 DESIGN FLOW 110 GPD/BEDROOM o w o
� Q
Q
TOTAL DAILY DESIGN FLOW 330 GPD U)z ors�
GARBAGE DISPOSAL NO c,60 a w
O cn O
00
SEPTIC TANK �^ `Vry o oz z
200% OF DESIGN FLOW. 660 GALLON o vo so
n USE EXISTING 1,000 GALLON SEPTIC TANK _ �SO0 <
LEACHING SYSTEM DESIGN CRITERG4 NOF
SO►L ABSORPTION SYSTEM asLEE
$
i CIVIL E a'
i No.42824 o m o
LEACHING SYSTEM USED. CONCRETE CHAMBERS
d a' omI
NAL
DESIGN PERCOLATION RATE: 2 MIN./IN.
SOIL CLASS: / �1
- LONG TERM ACCEPTANCE R,4 TE(LIAR): 0.74 GPD/S.F. -' 5/ �
TOTAL AREA REQUIRED-LOCAL CODE: 446 S.F. z _$s
TOTAL AREA REQUIRED- TITLE 5: 446 S.F. a
GRAPHIC SCALE zad l
TOTAL AREA PROPOSED:
I 40 0 20 40 80 Na9,tra„o
123.00'
A(sideviall): (2 x 25.0'+ 2 x 12.9)x 2. 151 S.F. S62°45' 50"W
A(bottom): 25.0'x 12.9: 323 S.F. J
TOTAL AREA: 474 S-F: (in feet)
TOTAL ALLOWABLE FLOW: 350 GPD 1 INCH — 40 FEET "
3 XLee
USE 2-500 GALLON CHAMBERS SURROUNDED IN 4-FT OF STONE NB�o Sh-N"�,:
3 �
2 of 3
i
}
RISER TO WITHIN 3"OF
( 3/4"TO 1-1/2"DOUBLE WASHED RISER AND COVER TO !1 FINISHED GRADE b
z 4"SCHEDULE 40 PVC STONE TO CROWN OF PIPE GRADE AT LOCATIONS - - _
MIN SLOPE 1% SHOWN IN PLAN VIEW = _ I;LOAM AND SEED
TOP OF SYSTEM - _ _ _ _ _ _
CLEAN = - - - - - - s
9"MIN. BREAKOUT FILTER FABRIC -_-BACKFILL-_
36"MAX. :. -_- - - - _ -___- I �=
ra!,..: C '"'�y,,.i x•Nu %a., w•,MMw. - +fin.`' :i' Y �. a - - - - - - - - - - - - w
_s. .f•'Sit A"_ .I' !� t` A tu�'w �_r".br Dui ';ff+ »1' 4k d� r^ , i'r. ..T•as. a _. FLOW
- _ ® FLOW - _ -
- - - - _ I 6"OF 3/4"
- - - - - - ' COMPACTED
CRUSHED
2 :i:" :
,e ,N�'•+�iK •� ii:.'*'. �y,•^ t,.i. •- a'r .1 ,$. �" v � �' S i ONE BASE �
• <.a'.:.. L^ s 'Z'+n. f .7r;1, S .t t -i:..S .Sn' :Li ,'i.r.^•. ,,.(!=' b• 'L S7Y I I I I I I I I- I I I I I I p €W
4.0' �- 8:5'(TYP) �4.0' 4.0' 4.0' °
4.9'(TYP) NOTES: 0 e
f- 25.0 - 1. PROVIDE 3 OUTLET DISTRIBUTION BOX INSTALLED ON LEVEL d
5'MIN.
12.9, STABLE BASE. 'z
mQ f o
f 2. BLOCK ONE OUTLET.
+I d mom .
3. INSTALL FIRST 2 FEET OF OUTLET PIPES LEVEL. t,=3
CHAMBER END VIEW 4. INSTALL SPEED LEVELERS(OR EQUAL)ON OUTLET PIPES.
sa
PROPOSED H-10 500 GALLON CHAMBERS PROPOSED H-10 DISTRIBUTION BOX DETAIL
NOT TO SCALE ACME PRECAST OR EQUIVALENT
WIGGINS PRECAST OR APPROVED EQUAL NOT TO SCALE
W
WASTEWATER NOTES Q N
WASTEWATER NOTES (CONTINUED) w w < U)
1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS SHALL BE IN ACCORDANCE WITH
THE STATE ENVIRONMENTAL CODE AND THE RULES AND REGULATIONS OF THE LOCAL BOARD OF HEALTH. 15. ALL SEPTIC COMPONENTS SHALL BE INSTALLED WITH MAGNETIC WARNING TAPE. W < W
2. THIS PLAN IS INTENDED TO ADEQUATELY PROVIDE THE INFORMATION NECESSARY TO LAYOUT AND CONSTRUCT THE 0
16. THE CONTRACTOR SHALL RESTORE ALL SURFACES EQUAL TO THEIR ORIGINAL CONDITION AFTER CONSTRUCTION IS Q Z U) 06
PROPOSED SEWAGE DISPOSAL SYSTEM REPRESENTED ON IT. ? J U)
COMPLETE. AREAS NOT DISTURBED BY CONSTRUCTION SHALL BE LEFT NATURAL.THE CONTRACTOR SHALL TAKE
uj
3. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE ENGINEER AND/OR THE LOCAL BOARD OF HEALTH(BOH)STAFF. CARE TO PREVENT DAMAGE TO SHRUBS,TREES,OTHER LANDSCAPING AND/OR NATURAL FEATURES. WHEREAS a H
THE PLANS DO NOT SHOW ALL LANDSCAPE FEATURES, EXISTING CONDITIONS MUST BE VERIFIED BY THE U) - p
4. PRIOR TO CONSTRUCTION,THE CONTRACTOR SHALL COORDINATE WITH THE PROPERTY OWNER AND ENGINEER ON THE CONTRACTOR IN ADVANCE OF THE WORK. o O Z
CONSTRUCTION SITE ACCESS AND MATERIAL STOCK PILE AREAS. 17. EXISTING SEPTIC TO BE ABANDONED PER TITLE 5 REQUIREMENTS.(310 CMR 15.354(3)). �j
5. TRENCH SAFETY SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR INCLUDING ANY LOCAL AND/OR STATE PERMITS <
n REQUIRED FOR THE TRENCH WORK. THIS WORK MAY BE REQUIRED TO TAKE PLACE OUTSIDE OF NORMAL HOURS OF
? OPERATION FOR THE FACILITY.THE CONTRACTOR SHALL PLAN ACCORDINGLY. -
F
A 9
6. THE CONTRACTOR SHALL REPORT ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN ON THE PLAN
TO THE DESIGN ENGINEER.
3 7. FAILING TO PROPERLY INSPECT OR PUMP THE SEPTIC TANKS AND TREATMENT SYSTEM OR CHANGES TO EFFLUENT SCHEDULE OF ELEVA TIONS
FLOW,GRADING,OR LANDSCAPING, EITHER ON-SITE OR ADJACENT TO THE SITE,MAY RESULT IN IMPROPER FUNCTIONING
EL ;
. _a i OF THE SEPTIC AND LEACHING SYSTEM(S).
SEPTIC TANK-INLET 94.00 LL o 5 .
g
8. CALL"DIGSAFE"AT LEAST 72 HOURS,PRIOR TO COMMENCING CONSTRUCTION AT 1-888-DIG-SAFE AND ANY OTHER SEPTIC TANK-OUTLET 93.75Nory
APPLICABLE AGENCIES TO FIELD VERIFY LOCATIONS OF EXISTING UTILITIES. DISTRIBUTION BOX-INLET 93.31 � FATRU
DISTRIBUTION BOX-OUTLET 93.14
9. THIS ON-SITE WASTEWATER TREATMENT SYSTEM IS NOT DESIGNED FOR USE WITH A GARBAGE GRINDER. d
CHAMBER INLET 93.02 INO ® r=
10. THE OWNER SHALL INSPECT AND PUMP THE SEPTIC TANK ONCE EVERY YEAR. BREAKOUT 93.10 rorruv�y E o
BOTTOM OF SYSTEM 91.02 a
11. PROVIDE WATERTIGHT SEALS BY USE OF NON-SHRINK GROUT AT ALL POINTS WHERE PIPES ENTER OR LEAVE ANY J .f0 s'm
CONCRETE STRUCTURES. e MIN COVER OVER SYSTEM 94.60
G.WWELEVATION < 86
/ POBistratlon:
12. USE SCHEDULE 40 PVC PIPING WITH WATERTIGHT JOINTS UNLESS OTHERWISE NOTED ON PLAN. ALL PIPE SHALL BE MIN SEPARATION TO G.W. 5.02
i PLACED ON A COMPACTED FIRM BASE.
1
'• 13. THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING OPERATIONS AND MAINTENANCE INFORMATION FOR THE SEPTIC
SYSTEM TO THE ENGINEER, IF NECESSARY.
' ProjoR Numbor:
t 14. UNSUITABLE SOIL MUST BE REPLACED WITH TITLE 5 SAND AS SPECIFIED IN 310 CMR 15.255(3). ANY ADDITIONAL AREAS XLee
THAT ARE FOUND TO HAVE UNSUITABLE MATERIAL SHALL BE REPORTED TO THE ENGINEER.
SM1oet NumEAr:
i 3 of 3
I C EXISTING HOUSE A
EXISTING HOUSE _
D I D
I
6' 6'
1 �
CRAWL SPACE VENT O O
PER CODE W/
CORROSION-RESISTANT PROPOSED
WIRE MESH LESS 8' 6., DECK
THAN 1/8 _ ;
A
C 10,
O SMOKE ALARM
10'
8"FOUNDATION WALL 30"x 30"x 10"CONC.
W/16"X 8"CONCRETE PAD W/4"METAL POST T-3 5'
FOOTING(TYP)4'MIN.
BELOW GRADE 28 0 i
ANCHOR BOLT 3-2 x 12 GIRT 8,'6„ i
PER CODE I 8"CONCRETE COLUMN 4'
IN GROUND(FOR DECK)
2x8s@16"OC 2x8s@16"OC 51
A l 4'-6"
I
DAMP PROOF
BELOW GRADE
y'
I 5'-3'
� A
B
C
B
B
PROPOSED HOUSE EXTENSION
FOUNDATION PLAN SCALE: 1/4"= 1'-0" House Address: 1081�O*Id Putnam Ave,Marstons Mills
SCALE: 1/4"=F-0"
Plan Reference: LC: 39483 B Lot 4
Home Owners: Fat Piu Lee&Kwai Lan Lee