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HomeMy WebLinkAbout1629 RACE LANE - Health 1629 RACE LANE MARSTONS MILLS O47-010-006 r I Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ;= 1629 Race Ln. <� Property Address raj Tom Gavin Owner Owner's Name a, information is Mars Mills required for every MA 02648 7/25/2019 page. Cityrrown State Zip Code Date of:Inspection t� Inspection results must be submitted on this form. Inspection forms may not be altered In any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information on the computer, use only the tab Douglas Brown key to move your Name of Inspector cursor-do not Cape Cod Septic Services Inc. use the return key. Company Name 350 Main St. ue Company Address West Yarmouth MA 02673 City/Town State Zip Code rB 508-775-2825 S14297 Telephone Number License Number B. Certification I certify that:I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate.and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 8/1/2019 Ins or's Signa ure Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: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. . 15insp.doc-rev.7126/2018 Title 6 Officlal Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: System in working condition. 2) 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. Check the box for"yes", "no" or"not determined" (Y, N, ND) 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. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form la Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i4 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. pP Y rY ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. .Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems:. You must indicate "Yes" or"No"to each of the following for all inspections: - Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form. to Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 'h 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 — I Commonwealth of Massachusetts �r ,�,p Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. CityrTown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 110x3= 330gpd Description: Number of current residents: 4 I Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2017=148gpd 9 ( Y 9 (9P )) 2018230gpd Detail: Sump pump? ❑ Yes. ❑ No Last date of occupancy: Current Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 I Commonwealth of Massachusetts ,? Title 5 Official Inspection Form i . Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. Rroperty Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of EstaMshment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: No Records Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.712512018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form i� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1992 Per BOH Records Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 23"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: +10' feet Comments (on condition of joints, venting, evidence of leakage, etc.): Line was checked with sewer camera and found to be clean, properly pitched with no sign of root intrusion. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 AN Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. City(rown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 12"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑.other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ® No Dimensions: 1500Ga1 Sludge depth: 4-6" Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 2-3 11 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Estimated Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500Gal tank in good structural condition. Concrete baffles in place are solid. Tank at normal operating level. Covers 12" below grade. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 f Commonwealth of Massachusetts �x Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. V Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts �x =. Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. u Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" 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.): H-10 DB-3 with 1 line in and 1 lined out in good condition. Box is clean and level with minimal solids carryover. No sign of overloading or hydraulic failure. Cover 2' below grade. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments /1 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1-6x4 ❑ leaching chambers number: ❑ leaching galleries number: leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. u Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 1-6x4' leach pit with stone. No standing effluent in pit during inspection. No evident stain. No sign of overloading or hydraulic failure. Cover 28" below grade. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to Inlet Invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. ,u Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/2E/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 J Commonwealth of Massachusetts Title 5 Official Inspection Form �) Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1629 Race Ln. Av Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. City,Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: +10' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Hand auger did not encounter water at 10'. Max bottom of leaching is 6'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form In Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .� � 1629 Race Ln. Property Address Tom Gavin Owner Owner's Name information is required for every Marstons Mills MA 02648 7/25/2019 page. CityTTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached. For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/2E/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Assessing As-Built Cards Page 1 of 2 TOWN OF BARNSTABLE LOCATION Z o T 3 kpeG �/.� SEWAGE #j�— 3 8 VILLAGE1j�AG�S70wY /////� ASSESSOR'S MAP& LOT_D��—D/0-G INSTALLER'S NAME&'PHONE NO.AP-CH Ke r 5- / 3L Z SEPTIC TANK CAPACITY /S-Da ST y LEACHING FACILITYArype) size) // NO.OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER/U 4 BUILDER OR OWNER GU 7 7 / DATE PERMIT ISSUED: L-La=.' DATE COMPLIANCE ISSUED: 3 Ic7' VARIANCE GRANTED: Yes No 30 o05 i7ao% /o • �aoCt' { https://townofbarnstable.us/Departments/Assessing/Property_Values/HMdisplay.asp?mapp... 7/12/2019 r� a _ 7 . D 2 No. c)d 7 9 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Zigogal bpgtem Congtruction 3permit Application for a Permit to Construct( . )Repair( )�de( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. �(p Z9 !g �� Owner's Name,Address and Tel.No. ,.� �„ Assessor's Map/Parcel t S m� ri�►�iP VO 014? —®. l6Z C C_ o vh► )( Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 'Myyr o ufk m i"1 OL Type of Building: Dwelling No.of Bedrooms _ Lot Size 7 Garbage Grinder VV)i Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �►' gallons per day. Calculated daily flow �/ll Q gallons. Plan Date I Cj 2, D N Number of sheets Revision Date Title Size of Septic Tank 5 O U Type of S.A.S. ' p 6,1-1 Description of Soil ���r S ^' G +r►/� S Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. �_)4/ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by at has been constructed in acco dance with the provisions of Title 5 and the for Disposal System Construction Permit No.20Q1f 8 A dated v K 16 116 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS li5pogal *p5tem Cow5tructiou 3permit Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon( ) System located at - � _� �cGCQ Leno M' M i and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by / No. ' / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yicati0 . .f 0 tt or �tg gaY * gtettt Cottgtructtott Permit Application for a Permit to Construct( . )Repair(� )Upgrade( )Abandon( ) O Complete System 'O Individual Components Location Address or Lot No. /��D Z 9 !Z P,C Owner's Name,Address and Tel.No. Assessor's Map/Parcel m r r i Er' —�[YYl tq'U�G 1�- -sl�ll 0y0 -oio Z "C C" c, Install s Name,Address,and Tel.No. Designgr's Name,Address and Tel.No. dE G--//%S 13wi 0^t�lbcg7�A ) Dcs/g17 9ewtcc Type of Building: Dwelling No.of Bedrooms_ Lot Size ,7 5 ft Garbage Grinder V f)o Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures --+Design.Flow 'S gallons per day. Calculated daily flow 'y 4f 0 -gallons. ,. Plan Date /01/3 0 4 Number of sheets Revision Date Title�— Size of Septic Tank ! O Type of S.A.S. Description of Soil G'Y'Ye S�`'^' ►ate R�se k Nature of Repairs or.Alterations(Answer when applicable) f, ,01, Date last inspected: Agreement: The undersigned agrees to ensure the construction.and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Application Approved by — Date v Application Disapproved for the following reasons k Permit No. 4� 'S j 4/ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed'( )Repaired ( )Upgraded( ) Abandoned( )by at has been constructed 'n accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.2004/ 3`T dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector - - ---------------------------------------- No — Fee SO d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligogal *pgtem Congtruction permit Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon( ) System located at )�o�:2 a ecicl L cne- M, fn jj and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by TOWN OF BARNSTABLE LO,_:ATiON o 7- 3 z,.., SEWAGE #Q,?-- 3 VILLAGE,Z))Aa2,!7`C,,i1S A )(r ASSESSOR'S MAP & LOT —D Q INSTALLER'S NAME & PHONE NO.�2�t/ �.�s i ��A / �4 Z SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER ' J_e- BUILDER OR OWNER CCU d IleT DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Li 30 aox io. GboLt' /y OwN 006e__ ICUi ;( NaD (V 14...... A,- o4* 010-oc)5 ' THE COWMAOXVEALTH OF MASSACHUSETTS _ BOARD OF HEALTH .±s.......OF...............�--�... ................ Appliratinn for 0iipu, al Morks Tonstrurtiun Ilrrmit Application is hereby made for a Permit to Construct ()e,) or •IZ�a ( ) an Individual Sewage Disposal System at: j b 2q ................__.'.:oT...':�_ .p`•-.......--....��.t,� �Q 1 I)......-----------------..--... ---------..........---................... Location-Address or Lot No. W Owner Address Installer Address Type of Building Size Lot.. ...5_.....��4:...Sq. feet .-� Dwelling—No. of Bedrooms............3..........................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g -•---•--•------•--•-•---•-•- P ( ) — Cafeteria ( ) QOther fixtures ....................•--............------.................------.........------------------------------....-•--•---...............---................. W Design Flow.............. t'� .....gallons per person per day. Total daily flow..........._....__-'�3.0....•.......gallons. WSeptic Tank—Liquid capacity_.�.�o.gallons Length...$�_ Width:..i k._Va.. Diameter................ Depth--- '15 7 x Disposal Trench—No. .................... Width......... Total Length..................... Total leaching area....................sq. ft. 3 Seepage Pit No.......4.--...... Diameter`k4�.!.Z!. Depth below inlet....P:'Ist,... Total leaching area..-.�35_.sq. ft. Z Other Distribution box (jr) Dosing tank ( ) Percolation Test Results Performed by----��:.rrhl9-��.................................... Date....... _:.z8- 8......... Test Pit No. 1.......:A.....minutes per inch Depth of Test Pit........ Depth to ground water..........-tJ/A.... 44 Test Pit No. 2........Z....minutes per inch Depth of Test Pit........ Depth to ground water........... �a.. a --••----•--••-•----------•.....•--•-•--•--•-•••............................................... ..•-......................................................... 0 Description of Soil T..IL.A.1......._ : z"_: ..• ---- v '►z.:..!�?�% cd aG..+.. ^' a,._.5•. �v.:......T,.±1,.2t_. r------P-2 "....-A?Ae,4_S,}.�5 !`..}............... > .......................... 5 [1� -� '�Z1' �5�".;...G. !:0.....-..�' 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 LI'L: 5 of the State Sanitary Code— The undersigned fu a gr of to place the system in operation until a Certificate of Compliance has bee issu y th e>oard of I/ Sig ... .. .............. ........ -................... .... .. .......... ....... at Application Approved By..- -• -- -- -- . .. ---•- ....... ---- -•--- - ---- �J ------- ---•--- g �d Application Disapproved for the following reason ........................•--........----------......----------...--------------------------------............._.. ................................................. .._� ------------ --•--------------- ......... ------------- -••-------•-----.---Date ............ Permit No...... ----------------------- - ----------------- Issued .. -•- ..............Date NC Ir THE COt*'ivi&EALTH OF MASSACHUSETTS - BOARD OF HEALTH - ---... .. 1 s A.a,..l.......OF.............. !`L !-� t-Ak 1. .................. AVIAirtttiou for Dispsal Works Tonstrurtion Vrrmit Application is hereby made for a Permit to Construct (}C) orb Re'p�air ( ) an Individual Sewage Disposal System at: ---- .... f62q - - ' ...... t<a 3 � A L.,�,�1� O N .... .... ••-•--. ---•••--•--••••........................... Location.Address or Lot No. ................_... :�. I:._......f..:� .�..�................................. --.......----�=�....F U.r.... `�� � 1 tF�2�t Owner Address M Installer Address Q7i Type of Building - Size Lot.. ....�.. '. :...Sq. feet ����•- U Dwelling'—No, of Bedrooms.............�--�..........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons.............�.......... Showers — a YP g -----•--•------••----------• P ( ) Cafeteria ( ) QOther fixtures •••••-•••--...--•--•--••-••--••---•-•-••----•-----........----•------•----••--••••---•••-••--•-------------•-------•-••--•---•......--•-••......------ W Design Flow............... .............................gallons per person per day. Total daily flow...................'� ...Q............gallons. WSeptic Tank—Liquid capacity..�P!�v.gallons Length.... .. :_. Width__..`'f_1. Diameter................ Depth.._.-!:;�.'57 x Disposal Trench—No. ................ ... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.......:�..._..... Diameter.'`�'�."-.�.�-�. Depth below inlet.... ?_.`�� Total leaching area...`'?...sq. ft'.- Z Other Distribution box (k) Dosing tank ( ) Percolation Test Results Performed by.... :.................................. Date....... .........' Test Pit No. I.......�.....minutes,perinch Depth of Test Pit........ Depth to ground water........... 44 Test Pit No. 2.._......?�:....minutes per inch Depth/of Test Pit......... (-. Depth to ground water........,_..`.`�! _. .....:........ .....i �.................................................................. 0 Description of Soil.�.a�:.- 1.. ...... _�'o�^_�_.`7!_4 3±'_p_:.z.`!:....._." ` = 'n ..__... , a.,`l ! c�7^QsE% '5A.,&.tr: Can7�C- d AIe07. �a-rl✓ Ta�,. /7 p-7 .j L67A,NA s S1/!afx?r` t U ----------- ......:.. W Z ..... '�z" C, a,� a �:L s<�E �5,��i 9 , or .................. tom, ---------------------------•-----•---t --- . ...........-••••-•-•_.... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ............. .•••-•---•••••-----•--••---•••-•-•----••--•----••.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:I':L: 5 of the State Sanitary Code— The undersigned further-agrees of to place the system in -- operation until a Certificate of Compliance has d-by t/�board of�hr� / .._ Signed ---........ - ....... . .................. ............ ' /-•• Dat Application Approved By•... ,•_ � r! 1 a-' Dater . Application Disapproved for the following reasons7. .....................................41... ' .................................................... '----..__:-------- -•-------.....---•-...._...........••-•---•-••......••-----•-`----.•••---•---------•-......--•._.................. . c� Datex Permit No.......r ------------------------ _. Issued..................... ................ .........*..4444.4. .....r..I.+............. if!•..4•`ems•!.-: .......... ............. t THE COMMONWEALTH OF MASSACHUSETTS JI'BOARD F •H ALT r ....OF.............. � :..L.�!..!:.,. ... Trrtif irke of Tintplitture. THIS IS' TO CERTIFY, That the Individual Sewage Disposals System constructed ( ) or Repaired ( ) by......... � ......... -- ---.....--------•--•---•----------•---••----•--------..---.--------.............---....-----.- / ��•�,,�.�"" (' / Installer at........ Lc�rr�s.(........ -----.......` ...e-----5 .y // . --- ----- ------ has been installed in accordance with the provisions oikI'i , ,5 of The Stake.Sanitary Code as described in the application for Disposal Works Construction Permit No.__....r..,.•.�_.>......... dated................_.__ .......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA JRA' NTEE THAT THEN SYSTEM WILL FUNCTION SATISFACTORY. DATE..........................................M_-�.. �. .....�._.::_- Inspector ........ . --- V-Ir _i.4.aRV T�Jl.RPl.T.>----i'l�L�4c+._•xAPR.*..nn -- w----�\_A!�!w--------w'4-tlY MI -wo.....T1!".w n.7 R•wwe s .. !?9451'O POF14.•O.s....-.w l THE COMMONWEALTH OF MASSACHUSETTS /) }BOARD OF /H� E� T, /� �...,�1�./�/. .V..OF....... �..�1, /� ......_J�....... Disposal Works Tonstruction Permit Permission is'hereby granted--------�..1 ?............ ................................. ............................ to Construct ( )�or,.-Repair ( ) anrindividual Sewage Disposal System at No. ice.:. - = °�� .._.... �. � ......�±..... --��.: ! ` .......................j......... _ street as shown on the application for Disposal 1uor1: Construction Permit No -_...._ Dated.__._1. ................ ................................ I y`. ......................................................_..._............................. DATE...................... VIoard o Health .. e� w � o � o CONT. RIDGE VENT ' CANT. RIDGE VENT ARCHITECTURAL NEW ARCHITECTURAL ASPHALT ROOF SHINGLES. ASPHALT ROOF SHINGLES j GONT. RIDGE VENT LEAD.. - /�� .--=CHIMN AT _ _.-- —"-"""_ NEW SHED DORMER _- ARCHITECTURAL_ �--=-' J _ — ASPHALT ROOP SHINGLES W I x B RAKE BOARD -- .. i(— , i.�F F1 a_ = iElEl ~___.- - - .. ZL _ SECOND PL_ F WN SINGE PAINE BARN -_. � �jI Ix 6 CORNER `wz BOARDS— ITI L L I JN__ I - E _1-4 - f —-—-— - -_ FIRST pL1Y J - RFCZDAR LAP TOMATCHGEXISTIN - W �m V Q tLI PROPOSED - EXISTING FRONT ELEVATION Q ° SCALE, I/4" 1'-0" CD rT, a W l.0 1 a z ., _- �^���_���1�, - �'--,-i��I, `{ .s} I�'� _-r-Y.,`ir: �+'--'� I�i.�1 .s"_.I i �I 1 l��_� �-- 7r•t �` � ���Ij-�H" �` :. _T . t' ` .}� 'rr=?:F III��.tr,, ,.._ .� ,.>x`�+ I__Jr 'fir.-4_ 'L .�'.I t:�t. -� r><`t•;t�';N-;. + ,,� ;- t ;III•I J :,.�. iz't-_`r4 ...r. __' .. r•� T� t?�',- . 'rt �. ,-. +-' -: IkI�.$- ..;fin"�" _ rt.I� - rrJ III 1� i. w c�i . i. lrt �_ n --_I L :-,•,,},r't� .r ' L`_�_- j ` Yry,. '1� SECOND PLgh -r r 5..L t � I_— J i'it.i;';- �t Y_-ry_, l ' L','-.'�- I� III._ I � �' �-� i I f_�_I' �• r r ' �.�i'' � '„}YJ�� c`v .,..�1t'-t +3 _; 5 PIRBT PLR. � 21 C�t Pam. ' - - EXTEND EXISTING DECK AS SHOWN WHITE CEDAR SHINGLES — REAR ELEVATION •g" T.W. SCALE, 1/4" I'-O" --- i rs� � G'�.�. ..: ... 1 x B RAKE BO�RD�- rr yam„ - - �-� � 24-O° IP 12'-O" W/ x 2 DR , - - S"CONCRETE FOUNDATION WALL IB" z 10" CONTINUOUS CONCRETE 10' BONOTUBE FILLED W/ FOOTINGS TYP. CONCRETE (TYP.)' --- -- ---- -------------------- W fl.Nt I--i� k. -t '41 hY� _ - I ' r-----------=------ ---------- SE . r P I NDOW -$ COND PLR - � ��sRT� '-ir7 ..'�� �� y�;,.4 1, -- — --i '---- i I 11�_q" 11�_q" �. I • N O r-I--1 i b o V O 2 x 1W. I I n Q J W J1 I I— IN K J 7 �,� �."'�.., � ,J J '�' ICI � i�, � �tt=t �.�� ���-�'- j �-I•,-+-�I, �-r�2 7 'ol I '". I a I � I �. I I. CRAWL SPACE x m I N L i rr � � w r� I N FIRST FLR, r� �'tYa''!-r t � I I I liil I I -- ----------- O O til -- 09 DOWEL O 12"O-C. I Q 26'-0" .flc I `9 20" z 90" M W IN. VERT. �-� SPACES TO CRA O t O U --- ---- ---- --- --- -----, >L RIGHT SIDE ELEVATION � - - o "a m >r SCALE: 1/4" . 1'-o" o ''" --- --- --------- ---- --- .: i GRAWL SPACE F w ,. Z —EXISTING FOUNDATION Q Q Q 2 x Io',i i ®I6" o.c. GARAGE b I 4" CONCRETE SLAB I W/W.W,M_PITCH TO w I DOORS ' Ci GONT, RIDGE VENT p I._� I " I U ARCHITECTURAL ASPHALT ROOF SHINGLES I i o - ------------ I I I r a9 Dow@L® 12" o.c. VERT, ld1 a QZ - - _ _ _ ALL O DROP WALL OVERHEAD DOORS OVERHEAD O I 1 h DOORS I —— ———'—® — __ L --------------------------- J �.✓ W -_- ----------- -- ----------- -- ri CONCRETE APRON 10' SONOTUBE FILLED W/ CONCRETE (TYP.) $ECOND FLR. �l 61_o° rr t i vvu1 k f-r " I u�+ 24W_0" 2_0, ,• -+���'�t�'t r'`�- '` ��11 r � t� '`IJ�.-trr ' I �"�`SM71", l: "c'Y�`[' FIRST FLR. 'i4�,lyi ,�-'`+ T`r�f.' r2 .1`r1T'-1_ +�''�{ T , _ - _—_— FOUNDATION PLAN w '" SCALE, I/4" . i'_Cn M O WHITE CEDAR SHINGLES O 9"T.W. LEFT SIDE ELEVATION SCALE, I/4" i'_O° - Ili ----- � o � o 24'-0" q�_6n 7'_6° 7i_6n gi_6n 6'-O.' 6'_On w N J N N � IHO x ILL Iz P Q N w F. Q Q DECK DEN AND. FWG6068L p __ ZQ Q (CARPET) b'-O" x 6'-B" iv V/' y _ Ul N lY o QIZ - _ _ KJ Cl ACCe99 ;0 3Ill h o CRAWL SPACE zIX 7'-O 1/4" _ (p Q Z Q� I'I DESK �0 ® w➢C a wr�E w Lr;�AT 6 a u 9 KITGI-I EN ® BEDROOM z _ (TILE) ® ® Q G o ! 4POST,TYP. n DINING AT o � ui - o h I (TILE) 0 Q f- `>' PROVIDE 9/q' TYPE'X' '-b 1/6"x W-5 1/4" - BD. ON CEIL GS 6 ANDER9EN TW2442 WALL 2 S N Q Q ADJACENT TO LIVING SPAC i I I1 GAjZAGE _ N 4" REINFORCEdd"CONCRETE SLAB " --__-__ P 2-5" 7'-4 5/4" 2'-3 I/ __rl i -"-E� —A z N Imi o m LIVING ROOM LL I sal aEa in i6 i REMOVE EXISTING HALF-WALL BEDROOM - 2'-b I/B"x 4'-5 I/4" W ^ram, C AT STAIRS INSTALL NEW RED m OAK TREAlj9 W/CLEAR PINE RISERS O ANDERSEN TW2442 I = AND NEW OAK RAILING W/TURNED W' BALUSTERS. VERIFY STYLE W/OWNER U w N 'ram'\ C4 � F / O I � v � q x b O POR H x I' I POST,TYP. OPTIONAL ? RAILING 1 - OV HEAD 9070 OVERHEAD W/ - 0 E M W N90 LITE /0 TRANSOM LITE I W CONCRETE APRON m ` oo IL N m Frei C"7 4'-0. W-6" W-b" LL W 24'-1" 12'-O" rT� O FIRST FLOOR PLAN ~ SCALE, I/4" I'-O" W A D w N Pa. 1 - I it � o �. ei_On - 14i_an 5�_2n 401_6n 1 ;_1Ou 6i_6n ry V 1 \ lV - m Q m z ! a < W F Z Z O m q E9 W a UI W2442 i6 TO STORAGE I III Il, �'111 iI Z x Z x W x F' x IN j Ijj W �i ANDERSEN T 0 2'-6 I/B" x W-B 1/4" 1IIIijiI i� z _QN ; I I I'liil a 'v a n a c QZ Z HALF WALL .. W I 7-4 1/2' 5'- '1/2" 5'-7" 7 S=4 I/2' 12'-9 3/4" - - =Q O H�2'- 1 . HAT L 14R �o 0 COMPUTE R� CTILE) Z 13 U 7 T AREA w a (CARPET) " m v d t p Q HALF WALL -> r -- -- f- W 0 o ANDERSEN TW2442 Q J W 3 m 2666 g m 2'-6 1/B"x 4'-5 1/4" N A HALL 2666 S M E D I A (CARPET) ROOM SEDROO"n S BEDRER 2Z o �r (CARPET) +. (CARPET) ,O I SHELVE DIT BEDROOM z p _ 5 (CARPET) N K- 'r iv v m I '� I✓,i �� W E Q v .l I� eGLA��GD�oo�xgA�� � ci '. IB'-4 1/4" ❑ ❑ I �.{ W ��. � a ANDERSEN TW2442 ACCESSTO STORAGE L OPEN TO BELO 2'-6 1/,8"x 4'-5 I/4" KNEEWALL a w j II II 1 �;u I l0 1 �II• III I � j, - -- -- -_ _- � � a .�' kill lllji 11 I i nl 11 I� II lI I, i'l 11 1ll I I +I I,1� � o env 'ov K r K r P D Q D Q D Q HI a C/ a (x a t1 v 2-4" 2-W 2-B" 2-4 ( 1 zW�I _ I"�1 p y a iv i4'-0" co m 7i_On 7�_Ou Ch m O 24'-0" SECOND FLOOR PLAN W m SCALE: 1/4" I'-O° H O L/1 O I� Q S TYPICAL ROOF CONSTRUCTIONO DORMER, TYPICAL ROOF CONSTRUCTION* DORMER. ASPHALT ROOF SHINGLES/15# PELT PAPER/ ASPHALT ROOF SHINGLES/IB#FELT PAPER/ 5/0" SHEATHING/2 x B RAFTERS AT 16"O.G. 5/0" SHEATHING/2 x 0 RAFTERS AT 16"O.C. cV " CONTINUOUS RIDGE VENT Lc CONTINUOUS RIDGE VENT PROVIDE RIGID INSULATION �1 O SLOPED MIN. CEILINGS TO MAINTAIN 9" FIBERGLASS INSUL. R-30MIN, � 9S a4 SOFFIT SYSTEM TO j' SOFFIT'SYBTEM TO Bt� MATCH EXISTING PROVIDE RIGID INSULATION MATCH EY.I$TING ' O SLOPED CEILINGS TO MAINTAIN R-50 MIN. 12 X B e 0 16' 0. ,1 Z 1 ` II u g� g CONTINUOUS SCREEN VENT TYP..WALL FRAMING, CONTINUOUS SCREEN VEN 1BK!M_UGT.D' I x 5 FRIEZE BOARD ry �i I � q RED CEDAR GLAPPSOARDS 0 4" T.W./ 1 x 5 FRIEZE BOARD / N ASTeR S m _ TYVEK BUILDING PAPER/ 1/2" COX PLYWOOD _ TYP. WALL FRAMING' m r� m\ SHEATHING/2 x 4 STUDS AT 16°O.C./ BEDROOM 1,/ O I 3 TYP.WALL FRAMING: m SHEATHING/2 xs416TUDB AT I6°O. EK EXISTING �' ^ 3 I/2° FIBERGLASS INSULATION - WHITE CEDAR SHINGLES O 5"T.W./TYVEK WHITE CE / _ BUILDING PAPER/1/2"COX PLYWOOD ''� -- ---- }} `� \' B I/2" PIBERGLABs INSULATION ROOF LL Z SHEATH NP/A'aPxR4 STUDS AT 6'WO.GD./ FRAMING BEYOND k B I/2" FIBERGLASS INSV LATIO secoNDG FLR. q T�. LIVING SECOND EXISTING IX TIN4 Y IlilI ILL,�11j EXISTING ! W�(II l� EXISTING SOFFIT TO REMAIN EXISTING SOFFIT TO REMAI ----- ILI N S� 'L II ll�, � IILL�L.I I 1 EXISTING WALL FRAMING BEDROOM BEDROOM EXISTING WALL FRAMING KITCHEN � �{�II� pp� � I �I � Z m (CABINETS NOT SHOWN) elf III j� 1 L W U1 O 0 F �L . FIRST FLR. __ _` I FIRST FLR. U lYyd- tn tLI W N O aj s N� EXISTING FOUNDATION WALL BASEMENT EXISTING FOUNDATION WALL _ NZ O QI Z K 24 On 8'-0' W Q EXISTING EXISTING F w H O F. Z p U In d O Q m I SECTION a � u 3 5 _ 2 SECTION A5 SCALE: 1/4° . 1'-0° Q N [� p w w A v v TYPICAL ROOF CONSTRUCTIONO DORMER: TYPICAL ROOF CONSTRUCTION*DORMER: � ASPHALT ROOF SHINGLE$/15#PELT PAPER/ ASPHALT ROOF SH x 10 PELT PAPER/ CONTINUOUS RIDGE VENT 5/5" SHEATHING/2 x 10 RAFTERS AT 16"O.C. 5/8" SHEATHING/2 x 10 RAFTERS AT 16"D.C. r CONT NUOU3 RIDGE VENT PROVIDE°PROPERVENT" OR EQUAL l./L STYRAFOAM INSULATION TO '1 TYPICAL ROOF CONSTRUCTION*DORMER: MAINTAIN VENTING AT EAVES AND 4�' ASPHALT ROOF SHINGLES/19#PELT PAPER/ a SLOPED INSULATED CEILINGS - 9/e" 5HEATHIN0/2 x 10 RAFTERS AT IW O.C. n i SOFFIT SYSTEM TO 12 MATCH EXISTING / W q" FIBERGLASS INSUL N'.}_�10 / 2 z 0'e 016" O.C. r 2 CONTINUOS SCREEN VEN ///� 12 U Tom\ BEDROOM 1 x 6 FRIEZE SOAR O L/1 m r / I S T G PLYWOOD m / �3/4"T 1,G PLYWOOD 9UHFLOOR, GLUED 6 NAI ED v / SUBFLOOR, GLUED!NAILED SOFFIT SYSTEM TO SOFFIT SYSTEM TO MATCH METINGa 2 R 10 ® 6" MATCH EXiL•TING .C. , 2—I 9/4" x q f/4" L.V.L. I x B FRIEZE BOARD I 4 BEAD BOARD I x B FRIEZE BOARD y IWj16 x g4 OR iv ON 2 x 6 JOISTS STEEL H 5/B" P.C. GYP. DIN I NG ROOM * 16^ o.c. BOARD ADJACENT TYP. WALL FRAMING: m II TYP. WALL FRAMING: m K - TO ALL LIVING SPACES RED CEDAR CLAPBOARDS 04" T.W. FRONT RED CEDAR tAPBOARD9 O4"T.W. FRONT 2 x 4 BLOCKING ELEV.\WHITE CEDAR SHINGLES O 9°T.W. SIDES I ELEVAWHITE CEDAR SHINGLES O S" T.W. SIDES m Q MID-SPAN p REAR ELEVA TYVEK BUILDING PAPER/ 9/4" T 4 G PLYWOOD C REAR ELEV.\TYVEK BVILDING PAPER/ F- GARAGE 1/2" COX P.W. SHEATHING/2 x 4 STUDS ` I 9UBPLOOR, GLUED 6 NAILED I/2" CDX r'.W. BREATHING/2 x 4 STUDS 16" O.C.\S 1/2" FIBERGLASS INSUATION I x 4 MAHOGANY DECKING 16°O.C.\9 1/2" FIBERGLASS IN9VLATION o co Ix -411 W/W WN MR ETE SLAB DOORS PITCH TO C J 2-P.T. 2 x e'e �q" FIBERGLASS INSUL. x 4 P.T.P ' TPOST 2 x b P.T. SILL 2 x b P.T. SILL. �6" CRUSHED STONE CRAWL SPACE a �AMCHO N�„�B_ w d B°CONCRETE WALL j _ _ e°CONCRETE WALL e O c Y 10' SONOTUBE FILLED W/ IS"x 10" CONT. 1B° x 10"CONT. CONCRETE FOOTING CONCRETE (TYP.) CONCRETEPOOTIN G 2" DUST SA6 �.___._..__.__. N 21'-01, 24'_0" I 3 SECTION A5 SCALE. 1/4" . 1'-O" 4 SECTION 5 SCALE= 1/4" - P-0" 1 n , ScaL,E I �, / i / I I• (?pTU " S L -12�E 1JQ_oti1 �C — 0 Q{TcA- ;/4,'/FT �aI.ESS OT�EE'r�!SF t�OT6D 4-, ,��r.l ' -44.. A)/ _LTS L_L pJE ,�"SOE. W d TE 2Ti.Cry T r,. �orJ� : RUG"Tio�l pETatLs- �• ~' f" ,'E ITL "TE , '�� ,�1i��il�rl �E t�Q�'O�,•D UJoEk_o*��-`f dr1P <ol-�b�1�C rlo�' \\/ , \ `T � \ '".g �.J �, �-��_ ---- - --- -_' % �:C�-t �KJ ��L `rJ �'E ,-.1'��t?�>�►'.Dt.J��7ss.t �'��%'fE►� 9 IR VC p J \ \ Lj Low = :o;s�.'� ` \ � \ \ 1 ! �rl i�: �:� ,�•� fr cRS gin, D'14' - I'iz" wnsa�o sr�lE —J / '-�A )f FH' ;-:L•Ski I oo G-&L LP,J Ar.1 K G',�G awe ���; �� P�L�►.l -- A ►_JL r'�J CJ".; 1� _mac., ��t L- _ Deis Ilk OF ANNE H 4. '� ) All zt,119i.;)_ r � l..D.it D St:�l� o� �.,• - .. . _�"` _y t _ _ =- ,.' -- —--- -- ----- - — %.r.�r�rt�-T a�>�.E (�14, �w �- I Z q • K-� �,e �r.E��o�:'11, r�toSS n ;�,(� t�. c�sa� �.t_- ,�. I r �-- �-'AT� A'r � '.%��lEG' ;, �7� __ SYSTEM PROFILE TEST HOLE LOGS TOP FNDN. AT EL. 69.7' NOT TO SCALE) .., ACCESS COVER TO WITHIN 6" OF FIN. GRADE ( PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: A.H. OJALA, PE MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM � DAVID STANTON, RS Locus 65.5 WITNESS. S 2" DOUBLE WASHED PEASTONE DATE: 10/12/04 2- •�. ELEV. 66.58' RUN PIPE LEVEL �/ I 4r FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH RACE LANE EXISTING 1500 GALLON SEPTIC ! 65.1't* 63.16' CLASS I SOILS P TANK (H- 10 ) GAS Q 0 000 0 0 O 0 ONES ROAD (EXISTING) BAFFLE ��4� 0 62.3' p p p O 0 Allo 6" CRUSHED STONE OR MECHANICAL 0 � 0 4 ELEV.COMPACTION. (15.221 [2]) �F� 2' 0 0 Q0 60.3' 65.3' a 8 , A S DEPTH OF FLOW = 4 ( % SLOPE) ( % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE SL TEE SIZES: INLET DEPTH = 10" 10YR 3/2 7„ OUTLET DEPTH = 14" E LOCATION MAP NTS ' LEACHING FLS FOUNDATION- EXIST. SEPTIC TANK 16' D' BOX 20 FACILITY R� Z8 5' 10" 1 OYR 6/1 ASSESSORS MAP 47 PARCEL 10-5 84' FLOODZONE: C *THE INSTALLER SHALL VERIFY THE EXIST WELL I �14.9' Rgce LOCATIONS OF ALL UTILITIES AND ALL CgNF B ZONING SETBACKS: BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF �44 26. LS W GRAVEL FRONT: .. SEPTIC SYSTEM UTIL / SIDE & REAR: 15' POLE *67.66 10YR 5/6 27 7.00 55.3' i 32" 62.6' LOT 3 67. / C M/C SAND W 1 I 75,664 SFt �/ 87 -p - PERC W/GRAVEL CK 6776 EXIST WELL & STONES 2.5Y 6/6 G / / 6 . 0 120" 55.3' / 65.78 ,� B.06 NGWE NOTES: 6s + 6.28 gas meter W o EXIST. 1500 GAL. SEPTIC TANK ^ '791 NOT ALLOWED(RE-USE) ss EXIST. G �� .14 SEPTIC DESIGN: (GARBAGE DISPOSER IS ) oN � ASSUMED 5.8 + .6a DWELL. /� 63.20 TOP FNDN-69.7'., .60 DESIGN FLOW: _4' BEDROOMS ( 110 GPD) = 440 GPD 1. DATUM IS, , �F USE A 440 GPD DESIGN FLOW 2. MUNICIPAL WATER IS EXIS1"ING 2 �.79 3. MINIMUM PIPE PITCH TO BE 1 8" PER FOOT. + 3.75 + .5$.' '� .57 SEPTIC TANK: 440 GPD ( 4.5) = 8BO / 67.48 - 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 sa sl o \��-� SS USE A 1500_ GALLON SEPTIC TANK (RE-USE EXIST) 5. PIPE JOINTS TO BE MADE WATERTIGHT. + .69 c, LEACHING: 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ��o S8S9 60.1 IL P +67. ���� BENCHMARK: USE TOP 2(39 + 10.83) 2 (.74) = 147 SIDES: ENVIRONMENTAL CODE TITLE V. 67 FNDN AT ELEV. 69.7' 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT + .7a + BOTTOM: 6 02 39 x 10.83 (.74) = 312 TO BE USED FOR ANY OTHER PURPOSE. s � s s g 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. s � �6 PROP. ADDITION TOTAL: 621 S.F. 459 GPD 56.0 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT S4\ + 5 + 3.92 6s USE-(4) 500 GAL. LEACHING CHAMBERS WITH 3' 2. 6 1 \ +64.3 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED +5 . 3 + + 69 y\+64.14+ 5.40 STONE AT SIDES AND 2.5' AT ENDS FROM BOARD OF HEALTH. 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LEACH PIT ti`L� sN + .a3 REMOVE ANY CONTAMINATED SOIL WITHIN 5' OF NEW SAS 52.80 60 3.29 s9 F2,79 LEGEND TITLE 5 SITE PLAN 40 CF` 53.35 100.0 PROPOSED SPOT ELEVATION OF a; 't53.66 9.51 1629 RACE LANE 9tio 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: ts2.17 � 100 PROPOSED CONTOUR (MARSTONS MILLS) BARNSTABLE hh _ 100 EXISTING CONTOUR PREPARED FOR: PETER ATSALIS 452.47 40 0 40 80 120 ` BOARD OF HEALTH ' �-52. APPROVED DATE MA SCALE: 1" = 40' DATE: OCTOBER 12, 2004 off 508-362-4541 fox 508 362-9880 ��ZN OF A14 �s2 down cape engineering, Inc. ARNE H, c�cNtl A OJALA CIVIL ENGINEERS CIVIL. �.>�► LAND SURVEYORS 04-314 939 main st. yarmouth, ma 02675 AR ALA, P.E., DATE -- ----- _ - -- _w.. , .- w.n _, .._._m . ... TOP FNDN. AT EL. 69.7' SYSTEM STEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN A.H. OJALA, PE ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: F MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM Q 65.5 WITNESS: DAVID STANTON, RS LOCUS s� 1 •+ 2" DOUBLE WASHED PEASTONE 1 O 12 04 ELEV. 66.58' RUN PIPE LEVEL DATE: / / FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH 4 EXISTING 1500 RACE LANE GALLON SEPTIC 6j l f* //� IT ' 63.16' CLASS I SOILS P# 10,(0?'25 TANK (H- 10 ) GAS (EXISTING) BAFFLE 0 00 0 00 0 0 62.3 0a00 0 0000 JONES ROAD 6" CRUSHED STONE OR MECHANICAL `r3o 0 0 0 0 0 0 0 0 0 Ep ELEV. COMPACTION. (15.221 [2�) �$$ 2 0 0 0 0 0 0 0 0 0 0 60.3' ©" 65.3' a a DEPTH OF FLOW = 4 ( % SLOPE) ( SLOPE) 3/4., TO 1 1/2» o DOUBLE WASHED STONE SL 0 TEE SIZES: INLET DEPTH = 10" 7„ 1OYR 3/2 r OUTLET DEPTH = 14" E LOCATION MAP NTS LEACHING FOUNDATION EXIST. SEPTIC TANK 16' D' BOX 20' FACILITY FLS � 8 5, „10 1OYR 6/1 ASSESSORS MAP 47 PARCEL 10-5 C FLOODZONE: C *THE INSTALLER SHALL VERIFY THE EXIST WELL I 14.97 R,gCe C LOCATIONS OF ALL UTILITIES AND ALL SETBACKS: B ZONING SE BUILDING SEWER OUTLETS AND ELEVATIONS FRONT: SE PRIOR TO INSTALLING ANY PORTION OF 1�4 ' SEPTIC SYSTEM 2g LS W/GRAVEL SIDE & REAR: 15' U11L POLE *67.66 10YR 5/6 27 7.00 55.3' i t 32" 62.6' I, /67. / LOT 3 / I C 75,664 sFt � ,/ 87 -Q _ M/C SAND PERC I W/GRAVEL �F67,76 EXIST WELL & STONES 2.5Y 6/6 6 0 120" 1 55.3' 65J8 / 66 + 628 gas W 8'06 NGWE EXIST. 1500 GAL. SEPTIC TANK / meter s ° NOTES: (RE-USE) 6 ^ , .91 NOT ALLOWED s EXIST. G 14 ti� SEPTIC DESIGN: (GARBAGE DISPOSER IS ) 5.8 + .68 DWELL. , o� 1 1. DATUM IS_ ASSUMED 63.20 TOP FNDNa69.7' ,� .60 DESIGN FLOW: 4 BEDROOMS ( 110 GPD) = 440 GPD ,9.79 •� USE A 440, GPD DESIGN FLOW 2 MUNICIPAL WATER IS EXISTING + 3.75 + s�' 2 s7 SEPTIC TANK: 440 GPD ( 4.5) = 880 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 61 �� 67.48 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AA.SHO H- 10 6 0 USE A 1500- GALLON SEPTIC TANK (RE-USE EXIST) 5. PIPE ,JOINTS TO BE MADE WATERTIGHT. �r0 S Sy 60.1 + .69 i�p +67 � LEACHING: _ 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE A 5. a• & BENCHMARK: USE TOP SIDES: 2(39 + 10.83) 2 (.74) - 147 ENVIRONMENTAL CODE TITLE V. 67 6 02 FNDN AT ELEV. 69.7' 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT s6 0 + .74 + 3 SA BOTTOM: 39 x 10.83 (.74) = 312 TO BE USED FOR ANY OTHER PURPOSE. ss s6.o + TOTAL: 621 S.F. 459 GPO�i 6 PROP. ADDITION 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 6 s4 + . s s , 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT + 3.82 6 2. 6 1 + +64.3 USE (4) 500 GAL. LEACHING CHAMBERS WITH 3 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED +5 . 3 + 69\ A\+64.14+ 5.40 STONE AT SIDES AND 2.5' AT ENDS FROM BOARD OF HEALTH. �Z�,• aN + .43 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LEACH PIT -- - 52.80 REMOVE ANY CONTAMINATED SOIL WITHIN 5 OF NEW SAS 60 3,29 F2,79 LEGEND TITLE 5 SITE PLAN C'F•Q\k53.35 100.0 PROPOSED SPOT ELEVATION OF w 9� 53.66 9.51 1629 RACE LANE 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: I tsz.n cb�O 100 PROPOSED CONTOUR (MARSTONS MILLS) BARNSTABLE AL 1 100 EXISTING CONTOUR PREPARED FOR: PETER ATSALIS �52.47 ' 40 0 40 80 120 �-sz. BOARD OF HEALTH APPROVED DATE MA SCALE: 1" = 40' DATE: OCTOBER 12, 2004 off 508-362-4541 fox 508 362-9880 ��Stl OF gays down cape engineering, inc. � ARNE H. LLA CIVIL ENGINEERS �' LAND SURVEYORS ' 04-314 939 main st. yarmouth, ma 02675 AR ALA P.E.' DATEr , H�