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0031 STEERE WAY - Health
31. Steer,e Way_ Marstohsz Mills 14 -T59 1 I i i P Town of BA-nstabie P# Department of Rekalatory Services / Public Health Division Date iz / , ¢ tee$ 200 Main Street;Hyannis MA 02601 3 �rfD!M't F i _�`— Fee Pd. Date Scheduled i Time > • I _ `oil ,Suitability Assessmient fop ,Se e Disposal Uv� Performed By: '`''`—� ' Witnessed By: - i LOCATION & GENERAL INFORMATION Location Address j Ste r_ /1 �/� � Owner's Name P-W l.A' NIA Address � /y Assessor's Maple reel: 1 / j I Engineer's Name �'( ✓L i +�a + NEW CONS1RUtI�.I'ION REPAIR Telephone# b—V-06-0- �try,� Land Use 1\ ��1�Llwea �—� Slopes Surface Stones Distances from: Open Water Body 2'� ft Possible Wee Area 2 0 ft Drinking Water Well /SD ft i Drainage Way > d�� ft Property Linc 7 ft Other ft SKETCH:(Street name,dimensiods of lot,exact locations of test holes&perc tests,locate wetlands in proxitnity to holes) c�1 t-.',0 ; I A t I - Parent material(geologic) Depth t0 Bedrock Depth to Groundwater. Standing Water in Hole: /V i Weeping from Pit Face Estimated Seasonal'i High Groundwater DtTERMINATION FOR SEASONAL HIGE�WATE T I' Method Used: in. Depth Cjbperved standing in obs.hole: _in. Depth td s0II mottles: Depth toiweeping from side of obs.hole: I in. ©roundwnter Adjustment Index Well# _ Reading Date: Index Well level .. Adj.faetoC.._�. Adj.Groundwater level.,,,,s, I PERCOLATION TEST Date ��� Observation I Time at 9" -- Hole i Time at G" Depth of Perc Time(9"-6") Start Pre-soak Time.@ �' End Pre-soak � I Rate MinJInch Additional Testing Needed(YIN) Site Suitability Assessment• Site Passed _ Site Failed: Original:.Public%-Tc4ith Division Observation Hole Data To Be Completed on Back— I wetland,.-You must first notify the ***If percolOi0n test is to be condracted within 100' of rto Barnstable Conservation Division at least one (1) week prior to beginning. DEEP OBSERVATION ROLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel 041 Co o v'vl t DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel) >:4 I'Q t , •Il C t 1v °6 C l� 2. '/ DEEP OBSERVATION HOLE LOG Hole# '� 7 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEP OBSERVATION HOLE LOG Hole# f� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ra 1 .r \ Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No V Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? �_ If not, what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environl6rititl Protection and that the above analysis was performed by me consistent with the required 'nin ,expertise and experience described in 3,10 CUR 15.017. Signature Date Q:\.SEPTIC\PERCFORM.DOC down cape engineering, inc. SIEVE SOILS ANALYSIS 31 STEERE WAY MARSTONS MILLS, MA DATE OF REPORT:4/9/13 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 31 STEERE WAY MARSTONS MILLS, MA LOCATION: DARREN MEYER TEST HOLE SIEVE ANALYSIS Weight Sample(Grams): 277.0 SIZE :WEIGHT RETAINED % RETAINED : % PASSED (sum ) 1" 0.0: 0.0% 100.0% -------------......................................................>--------------------->------------------ 3/4" 0.0i 0.0% 100.0% -------------:.....................................................------ ---------------------------------- 1/2" € .�:�.>--------------0.0-0-;_ ------100_0% --------------h........................................ 3/8" ..............................................0:0.-------------- ..0%=--------- ---:0% #4 0.0: 0.0%: 100.0% -------------h.....................................................y--------------------:..................................... #10 21.7: 7.8% 92.2% #20--------- ..........................................83.3 -------------30 1% .....................69.9% ------ -h....................................... ..y------------ -------------------------6.6 93.9: 33.9%: 66.1% -------------:.......................................................---------------------...................................... #50 239.4: 86.4%: 13.6% -_--__ _i..................................... ..y----'-'---__ .........I.,........ #80 258.6 93.4%s 6.6% -------------:......................................................:--------------------_..................................... #100 263.7: 95.2%: 4.8% #200 269.4: 97.3%: 2.7% ------------ ...................................................... ---------------------------------------- PAN: ----- SAMPLE: s 277.0€ NOTE:TEST ON PASSING#4 ONLY, 8.0% RETAINED ON#4<45% Q.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (FINE SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING #4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK #100 0%-20% OK #200 0%-5% OK SAMPLE MEETS TITLE 5 FILL SPECIFICATION >97%SAND RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MIN./IN. MATERIAL-, . L5HOF� ss�= _ NONCOMPACTED SOIL DESCRIPTION: SAND .µme DOJALJA�A. CIVIC_ o No.46502 phi r T E�i�yv �'. N L V �: J Ll 4141 A s ru IO # S � � CO Postage $ ru I I Certified Fee !Q 0 2 6 r I O Return stmark--� Receipt Fee Hee e p (Endorsement Required) b/ Ong � Restricted Delivery Fee r �.� (Endorsement Required) O frp Total Postage&Fees $ n Paula Jean Murphy IF, 31 Steere Way Marstons Mills, MA 02648 Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece a A record of delivery kept by the Postal S%rvice for two years Important Reminders: o. Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. n If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. '� PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,,and 3.Also complete atu I item 4 if Restricted Delivery Is desired. )&dn�(�❑Agent ■ Print your name and address on the reverse ``�� O❑Addressee so that we can return the card to you. B. Receive by(Printed Name) C.Date of Delivery ■ Attach this card to the back.of the mailpiece, I or on the front If space permits. D. Is delivery address different from Item 1? ❑Yes I 1. Article Addressed to: If YES,enter delivery address below: ❑No I r�: Pa�7a Jean Murphy 34—oSteere Way 3. Service Type Marstons Mills, MA 02648 ...- ❑Certified Mail ❑Express Mail I ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Ektra Fee) ❑Y I _ I 2. Article Number(Transfer from service label) %%7 0 7;2` 10,10 0'0 2 5'0 z 7626 I Ps Form 3811,February 2004 Domestic Retum,Receipt 102595-02-M-1540 UNITED S TAT I sPf 1 :' 'ivss. ail�""�•` . et "Paid • Sender: Please print your name, address, and ZIP+4Tin this box • Town of Barnstable Public Health Division ' 200 Main Street Hyannis, MA 02601 � ���!'It�"�li`ij����''��lli'tlr�a?;��#3•'•Iiil,�tii}It1�Iil��Ili'7�� I '?/T W 3dW G N OF BARNSTABLE LOCATION ,/pi s/QEof Ly=4T SEWAGE #—Y—E-31� VILLAGE�r, /D�s �,��s ASSESSOR'S MAP & LOT / ��'- � 9 INSTALLER'S NAME & PHONE NO. Jd4.- RaiIto SEPTIC TANK CAPACITY /000 LEACHING FACILITY:(type) /000 (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER, BUILDER OR OWNER �ohB�- Cut1461,4 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ VARIANCE GRANTED: Yes No `t { (kAv �/ �t r Town of Barnstable Barn�stabblle Regulatory Services Department a ' MASS. Public Health Division IIf �. j f. e, � 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2850 7626 April 3, 2013 Paula Jean Murphy 31 Steere Way Marstons Mills, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 • The septic system located at 31 Steere Way, Marstons Mills, MA was last inspected on 3/09/2013 by Frank Nunes III a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: I I The system is in hydraulic failure You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH omas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\31 Steere Way MM Mar2013.doc Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Steere Way Property Address Murphy Owner's Name am A/t I ble � tt(s' q lV 11 S MA 02648 3/9/13 Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 Cityrrown State Zip Code 508.272.6433 Telephone Number B. Certification =M`' �•.,, tip, I certify that I have personally inspected the sewage disposal system at this addre s and that the information reported below is true, accurate and complete as of the time of the insl lection.Thee inspection was performed based on my training and experience in the proper function and maintenance f orx s)te sewage disposal systems. I am a DEP approved system inspector pursuant to�Section 15.340u'Uf Title 5 310 CMR 16.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 3/9/13 Inspecto igna Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 31 Steere Way•03108 Title 5 Off' I I ion Form:Subsurface Sewage Disposal System•Page 1 of 15 t 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System"Fails"due to backup in all components 13) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: n/a ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed 31 Steere way•03/08 Title 5 Official Inspection Farm:Subsurface Sewage Disposal System-Page 2 of 15 f N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: n/a C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier, if any) - " determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 31 Steers Way•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 31 Steere Way Property Address Murphy Owners Name Barnstable MA 02648 3/9/13 City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: n/a D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y 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. 31 Steere Way•03f08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y� 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 31 Steere Way•03/08 Title 5 Official Inspection Fond:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w, 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ 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)] 31 Steere Way•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 31 Steere Way Property Address Murphy Owners Name Barnstable MA 02648 3/9/13 Cityrrown State Zip Code Date of Inspection D. System Information 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): 330 Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commercial/Industrial Flow Conditions: Type of Establishment: n/a Design flow(based on 310 CMR 15203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): n/a 31 Steere Way•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 Cityfrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: yearly pumping per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® 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: 6/21/88 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No 31 Steere Way•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 416"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.): Septic Tank(locate on site plan): Depth below grade: 4'feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) Observed backup up and into the riser If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 1000g Sludge depth: undetermined Distance from top of sludge to bottom of outlet tee or baffle ti Scum thickness undetermined Distance from top of scum to top of outlet tee or baffle f Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? 31 Steere Way•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 CityrFown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested every 3 yrs to prolong the life of the system Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): n/a 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.): n/a 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): n/a 31 Steere Way•03108 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): n/a *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Box is full of effluent 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 31 Steers Way•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y( 31 Steere Way Property Address Murphy Owners Name Barnstable MA 02648 3/9/13 CityrFown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach Pit has effluent up and into the riser at this time. Homeowner also states history of backups 31 Steere Way•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Assessing As-Built Cards Page 1 of 1 4 ,F/ �. TOWN OF BARNSTABLE V LOCATION ,Cof 1 ,�Te��� W 17 A' SEWAGE #� VILLAGE£/>N, /�f�r ASSESSOR'S MAP& LOT INSTALLER'S NAME& PHONE NO. J04- f /}g�f L SEPTIC TANK CAPACITY /000 LEACHING FACILITY:(type) /020 - (size) NO.OF BEDROOMS 3 nPRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER i DATE.PERMIT ISSUED: 4 "2/- IVY DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 6G_ i i Ilk i � ya � l http://www.town.bamstable.ma.us/assessing/HMdisplay.asp?mappar=149159&seq=1 3/4/2013 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 31 Steere Way Property Address Murphy Owners Name Barnstable MA 02648 3/9/13 Citylrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): n/a I 31 Steere Way•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 31 Steere Way Property Address Murphy Owner's Name Barnstable MA 02648 3/9/13 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: undetermined 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: 31 Steere Way-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 ARNSTABLELOtATON SEWAGE # �— �/� .. VILLAGE ASSESSOR'S MAP LOT / ci — /3 INSTALLER'S NAME PHONE NO. c�Le.ti f SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO, OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER.OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED• VARIANCE GRANTED: Yes No / ------ ------ LL 1 0 I QQ_ ar 1 9 THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH TC7h..................OF........ ST BS @---------------------------------- Appl ration for Disposal Works Tonstrnrtion f rrmit Application is hereby made for a Permit to Construct (lg or Repair ( ) an Individual Sewage Disposal System_at: h s or Lot No. /; _ . ......—.......____—__ -- -----------------------•---....-.........-• Ow res, M Installer Address Type of Building,- Size Lot... S?_Sq. feet U Dwelling—No. of Bedrooms..................�-,-• E....................... xpansion Attic ( ) Garbage Grinder ( ) 04 Other—.Type of Building ............-_ No. of persons____________________________ Showers ( ) Cafeteria a' Other fixtures -________________________________ Design Flow_...______•-�__}_Z.....................gallons per person per day. Total daily flow------------------ .........gallons. G " u Septic Tank—Liquid capacity_.(___2�.._-.7_gallons Length__g��:__Width:.-4�_9_D:Diameter._-_._.__-_____Depth_��_ -- Disposal Trench—No---------------------Width...-...............Total Length....................Total leaching area____..._________._sq.ft. 3 Seepage Pit No.-O?� ----- Diameter--------lO__..__. Depth below inlet........ Total leaching area_ ,e7_ksq.ft. z Other Distribution box (A Dosing tank ) Percolation Test Results Performed b ----------- Date....... Test Pit No. 1.__.LZ___minutes per inch Depth of Test Pit..-.__... L._-__Depth to ground water________ . . 4. Test Pit No. 2_____ __minutes per inch Depth of Test Pit.......... �___. Depth to ground water........-__-............ 0 Description of Soil. l _.. �_..l..L?�r1 1.._ _��c.kls..._:.._�L2. G� _------•--- -- �-- -....__ M�==-shil�n.-r U ---•--------••--•--...._•------_.Z ?.....I.- rM..*----`.cA.P 1& _t---�°`-- UW •----•--•-••-----------------------------------------------------------------------------------------------------------------=-------•-----......._...--•-----.._..------•-•--•--•---...._.._.._....._ 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 TITL: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b iss ed y the bo o� Signed------- :S_�t� ,fir 7q 6 ::.Z/ I DaS.?Application Approved By ._ �J-G��F..1 .. t - to Application Disapproved for the following reasons:................................................................................................__.... ___ ......................•=................................................ --- -•---•---.._............................................-.................................. Date J Permit No.... _ /.__ Issued__-------.-------------- •-- --- Date THE COMMONWEALTH OF MASSACHUSETTS, ' - OARD F HEA TH (9rrtiftrab of. Tomplimr T S I TO CE TI Y That t dividylal,Sewa Diis o�System constructed ( or'Repaued by l� - T _I���l.Z_ � 1_ll-USX? ---^ at ...................•••-_..._.. .__ has.,been installed in accordance with the provisions of TIT t 5 of l} tate Sanitary�od7l, demob the _application for Disposal Works Construction Permit No____ __________ _ .... /. -_ __. ....... dated dated_.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE-THAT.THE SYSTEM WILL FUNCTION SATISFACTORY. _ - ••--•-•-- DATE __ __.:_ Inspector- --- -v - —......... -- . THE COMMONWEALTH OF MASSACHUSETTS - - BOARD/OF REALTH l ..... 0F.... ��T----a-1�J v L.... ..-•--: Disposal, k��ons#r�tr�i�in ��rput� j Permission'is hereby granted. ...... to Construct or Repair ( an Individual SewaVispo,� yst it No...... 7 ����:Ip,C 0 ):/! Y l -r- _ i -- 7Street � hown on the application for Disposal VVoil Construction Permit No(J f�y ate /1 �------ -�' /lam Z/ � U Y� (x J, #S'. u Q2 S .` �1 - 77- oa)a`-r e � lnccrinq l/7G OJ n9 3 o f a G1/Il .E IIFE�S +2TE G1e '(eeMoUT4l t 1eSS AOir PF F�. olatl� ,` :�h.iPE. 9A kPPf[� c :. Y '9! Z Io Lo r-v f t iF Gt�tiFf �i�, n 4 DaTu*e �t5 sr�igA�E�I F2oM -{ rf`��nI.SG?v�c £- -, Z " g MuastUPe •W�.TEfZ LS 6va1i1.8t,E: * ISoi L c. 3,PfPE p17G ��4..�F7 Ut1lK1� OT1s1 OT6D. 4;D hC>11 Lan ltab KLL ClaSr uwr x�"' � r-Ir✓ 74¢ c ..1o11:LTS�7v4bLL 1=JE NIOC �.16"t5g,&44�r.. Co:cap tST;Zuc,T-tot-1 E:TWLG7o'� ��t kYIC»2Da 1 E Wi � rtnx.EnIVtRONt�tENa4A,GOB fITI:ESL, t.TNtsY 1 Foe��osEo t zeet1a7 �}��, doT To s a I.S -I0,a V r C�9 5 !E':�/DS r �r - - �G4L. Yam' `� (4�,70 c a•- . f :� � c� �.c�1c.1C i�d�t„\tom.� '7 '—.^-i- :✓3•�X�+'GLL - .: +-.: 'p. Z ? � „�t'z 1pS LcD 5for1F Et_ GS-7 �lCst�. GALG�l.A7lo�I-S `z �fTc. auc�.�1Jt�C� r�r•� u 1�`rKi'�St L1tylS I - l.rdtT� zi - �o8��-T iG�T1ktS�C� 1 `�T.��� Dom;��`try3� ;j"� ;•� - � - 'Sca�.E; �"- L{✓, �°s' �t>"LE� `J111.1c+5.�i9- ccXd r��r�s 1 a2L�Mp„ ..x No..... i ' ' Fins..... ... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tc>uJa`l.................OF............ ,�r—t,1SB� �. Appliration for Disposal lVorkg 19onstrurthin Prrmi# Application is hereby made for a Permit to Construct (l4 or Repair ( ) an Individual Sewage Disposal System at: �------•---- .............•---..........--•-••......... or d ... .-•tio. Lot No ............. .......__............ ............ Installer Address Type of Building Size Lot....-��.�.17.0.Sq. feet aDwelling—No. of Bedrooms.................. —S_.............._.._..Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ---•--.----..;.. W Design Flow.............L C�.....................gallons per person per day. Total daily flow...................M .--......gallons. WSeptic Tank—Liquid capacity.1,__..--..gallons Length... Width:... ..'l.Q_ Diameter................ Depth..it. 5..... x Disposal Trench—No..................... Width.................... Total Length....................Total leaching area.....................sq. ft. 3 Seepage Pit No..�� ..... Diameter........tO....... Depth below inlet.......Ce.. _. Total leaching area._ 10.sq. ft. Z Other Distribution box (A Dosing tank ) a Percolation Test Results Performed'by..... K..,.. J! :........... Date........t�� Test Pit No,. 1....Z....minutes per inch Depth of Test Pit.........rz ..........� �... Depth to ground water..... ......... Lj. Test Pit No. 2................minutes per inch Depth of Test Pit.........l�.._. Depth to ground water.......=-............ P4 •--i•----•--•------------------••---••---------.....---•-•-•--•-•• G----...------••-------------•-•---------••------y...........-----..�.......... O Description of Soil. 1..... -..Sc.SF ...'M�_._ b-.._..SIBMe7y v ---...2-._... -•--1. UW -----••-----------------•---------..._...------......----------------------------------•••-------------------...-----•-----•-------......-•--------...-----------•------------..............._......... 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 not to place the system in operation until a Certificate of Compliance has bee iss ed y the b� of alth. Signed-.--_-.. . . ...................... ..... ........ 01 6 D/te Application Approved By-- ............ ............... �cfD ... ..... Application Disapproved for the following reasons:............................................................................................................ ...............................................•-.....------..... .... ..------........---------------------•----------------------------••--.....----------------.................� Date Permit No....,? ?__---- 1-.. Issued-........................ - Date • a No !1..4�..�`.�� / �1 / y►3 a, FEs............ r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................OF............ ---------------- �"�A Appliration for DispIIiittl Works Towitrurtiun Permit ti Application is hereby made for a Permit to Construct ( ',4) or Repair ( ) an Individual Sewage Disposal System at: •-- '` t-c �................................................................. or Lot No. ............... i.:... '' ,. o........................... '-----------------......------------ ........._............•.._ ..._._-•--- �j�y ` r... G S1ie I.F. Address Type of Building Size Lot... -'y-�..�-7 _Sq. feet Dwelling—No. of Bedrooms__________________ ........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ...._....-•----•-•------•-•......................................----...........-•-•-----.._..-----------....-•------------.............••........_... WW Design Flow............A._I.?.....................gallons per person per day. Total daily flow.............. 7 C-._ .......gallons. ' T W Septic.Tank—Liquid capacity.!�2.gallons Length....S.. ?:_'.. Width_..4'.1.O."Diameter.___.' x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 . , Seepage Pit No..U1-A.�___-. Diameter........ Depth below inlet........ � Total leaching area._.�Psq. ft. Z Other Distribution box ( >4) Dosing tank ( ) Percolation TestResults Performed by__...�.._r"-A%C.,-.—.l;...-�:�Z....... Date........ �?_... 1 ;? Test Pit No. I....; .__minutes per inch Depth of Test Pit.......... �... Depth to ground water..... '44 Test Pit No. 2----------------minutes per inch Depth of Test Pit.......... _.... Depth to ground water....._.:- .......... --------------------------------------••---------------- --.--------•------------:---•---.-_----.----.................._..-------•---••••'------ O Description of Soil_ � ..��1_._L t -F ..... � �15�..:; f �..C-�-, G� ........._`V_41� :---�-�--'- hl r c-:�-a.� --------•------- w VNature 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 TAI TALE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been; i*ss,ed liy the boar,. of health. 64"1-042, Signed � ..-......_-_ --5-- ........... 1� ri 6 (/ p Date• Application Approved By. J/ _-•-• --...�.....................•-••. -----------•-- to Application Disapproved for the following reasons-----------------------••------------------------------•------------------------•----------------........._.. .................................."--•-•--•--._......_..✓_...L.. .../y ------------- .--------• ................ - -.-..........Date.....-........ ................ Permit No..... : ................ Issued................................•--.........ate.••--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F AL� � . /A�!1 C, ............a....VV......Y......OF...... .. .. �.. (Irrtifirate of (Soutplialarr r- T IS TO CE .TIF That Ch 41 bdividual Sewage Dis offal System constructed ( or Repaired ( ) by .....� �ry ---�w~ f ps.' f F, ��' JTa,• ......... at.......... V '_ ._ � -Y �1QS/-lt has been installed in accordance with the provisions of TIT E 5 o �}�tate Sanitary ,Code; de 1crib n the application for Disposal Works Construction Permit No.._ "'.. 1.._1-___._ dated--- � ._ .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE-THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................... `.. ._'. ............................... Inspector..................01--- -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 61�........... No ._..._...�.(.. .......... OF ..................� FEE... ................ �tn�rIIs�l Permission is hereby granted-.. ...... to Construct ( )9 or Repair ( ) an .Individual Sewa e/Dispo yst V / �- -- - Str"t as shown on the application for Disposal \'oils Constructi n Permit No. .__._._f: -/Date A- __ ?.!..... .._� ..�. .:.... / UA. .. ......... ..................... llu rad of Health , DATE--------------�;�--��•-�---v..__......-•-----•------•-•--------•----'Y /V/ TOWN OF-BARN_STABLE LOCATION e.K".0 SEWAGE# ® 13 — VILLAGEgle,�'' ; ;.�1% ASSESSOR'S MAP&PARCEL!/t JIB j. INSTALLER'S NAME&PHONE NO. 120,1� ��,® -SEPTIC TANK CAPACITY 0 LEACHING FACILITY.(type) /*7:fZ f,'1)x s- (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /0 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) �J4 Feet FURNISHED BY r � No. Fee ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: - Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitatlon for VspoBal 6pstem ConttUttlon VPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 9 1 Srt Ie-e r*e C a(4 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 'L4q — I �5_ryq tA M p r � Installer's Name,Address,and Tel.No. Designer's Name,Address,and TA.No. ,� ��� ^�G 01 e s a� 5 L Type of Building: -�4 , Dwelling No.of Bedrooms Lot Size i � /sgrfk- Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided E!f(;il gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil !q�„n V e en� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainte cc of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C d not to plac e system' eration until a Certificate of Compliance has been issued by this Board ea / Date Z71-1 — Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 0 Date Issued L ------_-------------------------------------------------------- ---- No. Fee 'J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:Y s PUBLIC H,,EALTHDIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS t ZWpYitati6n-for Bisposk 6pstem Construction permit _ Application for a Penni\Gonstruct Repair Upgrade Abandon ❑Complete System ❑Individual Components PP � ( ) P ( ) Pg ( ) ( ) P Y P Location Address or Lot No.\�3 S-t Yo-e Ye WO(4 Owner's Name,Address,and Tel.No. t Assessor's Map/Parcel — SS— M f ` (M ' Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms _E� Lot Size l-sq! - Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required)- gpd Design flow provided gpd Plan Date / Number of sheets Revision Date Title r' 1 -'Size of Septic Tank 1 Type of S.A.S. 'Description of Soil C Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainten ce of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C �not to plac e system'xf peration until a Certificate of Compliance has been issued by this Board o a -Signed- Date -lj�'�/ Application Approved by Date Application Disapproved by Date for the following reasons Permit No. a o 1 Date Issued L f` TIC E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERT Y,that the On-site Sewa a Disposal system Constructed( ) Repaired( ) Upgraded( ) I Abandoned( )by op) C x r d at '3 Lj� has been constructed in 3 a icdance / ! with the provisions of Title 5 and the for Dispo al System Construction Permit No. ff dated L I Installer Designer #bedrooms Approved desiign�flow/.\ (� gpd The issuance of this permifshiall not be construed as a guarantee that the system wil'1 tuncckio/n as desig ed. J t r/ c Date Li1 b t t! Inspector /C� �nf J 1 -------------- -- -------------------------------------- No. ' J~ `� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construttion permit Permission is hereby granted to Constnzc Repair( ) Upgrade( ) Abandon( ) System located at 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 permi. 1 Date '-t—1 I i Approved by i Town of Barnstable '"E' i.� Regulatory Services I f2AEN87'ABLE. Thomas F. Geiler, Director' � Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-3644, Fa.-,,: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel Designer: \O' " ' ' "°� installer: Address: V Address: On was issued a permit to install a (date) (installer) pp,�, septic system at 1 S peeve �� i�11 �5 based on a design drawn by j� (address I Q, 3 _ dated 13 ( esigner) 1 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. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or anv 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. OF MAss9�ti DAROP • M. M E�` (Installer's Signature) 114Q__ REGISTE�E� n 3_(((e�signer's Signanire) (Affix Designer's Stamp Here) PLEASE 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 BARNST ABLE PUBLIC HEALTH DIVISION. THANK YOU. 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Dy t: � .1 :. , . -. _ _ _ y- r , .. _ .. .. :.:.. - - r $:. 1-- . .: . . . t . ,. 1 ::. : ... bifl4 I € f \� - R ;, - 3E 09C34d - pq rr{�yy �p 4 ! ,W K��1 j , ,:.. 1 _ , , .::.: Y fda jkg, 1 P q5 SQT.. .... .. Y ,! .. „.. _., 1 �t►,:. ,_. . , t - 1 . . } Ft Gr :. . . r . :... -f '. ./ - , . I , : :. e . I n: . - Boa y -.:.__ 1 .., " } ... _ .. - - - .. . 4 1 �'-.9 8'-3s. 1 �„ `i _ _., 'R !' . "GAL }'`fix j:D MARS TONS MILLS EX15T. 1 ,000 GAL �. SEPTIC TANK PARCEL ID: 149/159 OLD STAGE ROAD �j AREA=1.24ACRES PARCEL ID: N �C9 / 149/042 �`` `' LOCUS: 31 STEERE WAY � Q� o 2"0 ,2"0 #31 �P� 0 0 o NOT TO SCALE /18"0 .'/ LOCUS MAP TBM=TOF=73.00;' \� ,G� LOCUS INFORMATION '/' O \ 1�'� i i, ���� ` \��i j PLAN REF: 424/40 TRI PROP. 1 ,500 GAL 1 " i \ TITLE REF: 10467/291 �' ��\ PARCEL ID: MAP 149 PAR. 159 (H20) SEPTIC TANK ' ZONING: "RF" FLOOD ZONE: "C" COMMUNITY PANEL: 250001-OQ15-C DATED:08/19/85 /\ TREE EX15T. LEACH PIT SEPTIC SYSTEM G�` I REPAIR PLAN (5EE NOTE 10) ;�� ` ; t'F� LOCATED AT: 31 STEERE WAY MARSTONS MILLS, MA. 12"Q PREPARED FOR Insp Ports\ ' ���;\ T H—1 P A U L A JEAN M U R P H Y 8- GENERAL NOTES: \' 12"0 APRIL- \\ __- ' �1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 2013 'TL BOARD OF HEALTH AND THE DESIGN ENGINEER. 8, 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS `TH-2 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS NOTED BELOW: OF MqS -310CMR15.405(1)(b): 1) A 0.35 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW I DAIR N M 12"0 12"0 �% � LEACHING TO BE 3.35 FT. BELOW GRADE VS. REQ'D 3 FT. (H20/VENT PROV.) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE O. 114 DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING S1E FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN �l ENGINEER BEFORE CONSTRUCTION CONTINUES. rANITW l�+i 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 1, HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. I� /��/ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 9 SCALE: 1"=20' 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED MEYER & SONS, INC. LEGEND ! TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE P.O. B 0/� 9 81 _ LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK. PROPOSED CONTOUR ; 10, EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE V. 9® PROPOSED SPOT GRADE 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION EAST SANDWICH, M A. 0'2 5 3 7 _ 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY —— 98 —— EXISTING CONTOUR AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY+ 96.52 EXISTING SPOT GRADE (5 0 8)3 6 2-2 9 2 2 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING - 14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. ) W— EXISTING WATER SERVICE 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER ® TEST PIT 16. NO WETLANDS WITHIN 150 FT. OF PROPOSED LEACHING SHEET 1 OF 2 J#1524 ON 149/042 `'�,, N 12"0! Q' .' 0 Go c� cV 0 NOT To SCALE 70 TBM=TOF=73.00 ,/ `�`, \w,G� �' LOCUS If • ti. ��. TRI 12" O ��7� /! C PLAN REF: 424/ PROP. 1 ,500 GAL p '9 TITLE REF: 1046 f r i �\ r - s (t120) SEPTIC TANK j PARCEL ID: MAP ZONING: "RF" 6� 6 - \ I I ; FLOOD ZONE: C J ; ; ram,' .,COMMUNITY PA r \ /\ TREE `�l S E EXIST. LEACH PIT �- ,� ► �� (SEE NOTE 10) 12,,,Q .,,��, o f'r�(`,V\ ;�' MAR`. u �1 Insp Ports i T H- 1 ,, P A U L pA 6> (ii !r GENERAL NOTES: IN/ a � 12Cj / -_- ' ft. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. _ r 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS TH-2 ,.'� OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS NOTED BELOW: 310CMR15.405(1)(b): ! 1) A 0.35 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW r 12"0 12"0 : LEACHING TO BE 3.35 FT. BELOW GRADE VS. REQ'D 3 FT. (H20/VENT PROV.) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN j ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF % THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF `/ ' HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. it /�'V 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. SCALE: 1"=20� 8, ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED ME LEGEND TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK. --f_ PROPOSED CONTOUR 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE V. 09-18-1 PROPOSED SPOT GRADE 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION EAST S, 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY —— 98 —— EXISTING CONTOUR AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY + .96.52 EXISTING SPOT GRADE 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING \ 14. ALL PIPING. TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. ) W EXISTING WATER SERVICE 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER ® TEST PIT 16. NO WETLANDS WITHIN 150 FT. OF PROPOSED LEACHING SHEET IIILI SLOPE SAME SLOPE SAME HOUSE AS V11 HIT If [I Tin JIT"11= TO TCH E1RO e-0 MIN.ABOVE F.F. Eli F.F. ELV QQQ QQQ --ZWWM* EXRT TO� FMR QQQ]1 I QQQ QQQ F.F.ELV 17-1 I i I II OF „a ii ii � it I I I BUT NOT LESS THAN - - - - - - - - - - - - - - - -L1 1-1 _ _ — _ _ �• E _ _ _ _ i - L1� - - - - - - - - - - - - - - - - - - - - - - - - - FRONT ELEVATION REAR ELEVATION rrnF.F. V - /;� V `� ' ffn I EM NOTES: I I I I I I FOR GENERAL NOTES SEE DRAWING NO. 7 I � Il - - — — —� C- - - - -- - - - - - - - - - - - - - - - - - - - - - - � RIGHT ELEVATION A 08/14/06 FOR BUILDING DEPARTMENT REVIEW & PERMIT REV. I OATS: DESCRIPnON Peacott Carpentry Hanover, Manaohusette Murphy Rome Addition scom 1/8^=1'-0° 31 STEERE RAY : S. Shemais MARSTON MILLS, MASSACKUSETTS K'D. ELEVATIONS Dm- 1 Of 7 rL 27'-6"x21'-6" ADDITION 13'-0" 14'-6" O 00 sNwR Eln 0 iA BATH �� sruvs KITCHEN CLOSET 12'-6"x9'-3" ADD O BEDROOM 14'-0"x12'-6" ;. LIVING ROOM 12'-6"x11'-8" + + + + + + N t t + t + + 'j FARMER'S PORCH 't o GARAGE c M 24'-0"x2O'-O" N c 24'-0" FLOOR PLAN ROOF PLAN NOTES: FOR GENERAL NOTES SEE DRAWING NO. 7 A 08/14/06 FOR BUILDING DEPARTMENT REVIEW & PERMIT REV. DATE: DESCWPWN Peacott Carpentry Hanover, Massachusetts Murphy Home Addition SCALE: 1/8"=1'-0" 31 STEERE WAY GN: S. Shemais INARSTON MILLS, MASSACHUSETTS K'D: PLANS D 2 of 7 27'-6" 8'-0" FND. 18"00"D MIN. �. TOP OF FND TO MATCH EXISTING If EXISTING (TyPj /FOUNDATION OD i 1 DOWELS #4 012 ILL & GROUT I M � i 1 n C I � N C 24'-0" FOUNDATION PLAN NOTES: FOR GENERAL NOTES SEE DRAWING NO. 7 A 08/14/06 FOR BUILDING DEPARTMENT REVIEW & PERMIT REV. OATS: OESCRIPnON Peacott Carnentry ftnover, Massachusetts Murphy Home Addition SCALE., 1/8"=1'-O" 31 STEERE WAY ON: S. Shemais MARSTON MILLS, MASSACHUSETTS K'D. FOUNDATION PLAN owG.3 Of 7 r— — — — — ——— — — — —— — — — — 8 � lI —i#'r7H•LVL I tOl0 18'i OVER FRMO 1�j'a7/f'Wl - - - - -- - - 4'CONCRETE SLAB ON Qum FARMER'S PORCH � m 8 e m � p FLOOR FRAMING PLAN ROOF FRAMING PLAN NOTES: FOR GENERAL NOTES SEE DRAWING NO. 7 A 08/14/O6 FOR BUILDING DEPARTMENT REVIEW & PERMIT REV. DATE: DESCRFrION Peacott Carpentry Hanover, Massachusetts Murphy Home Addition SCALE: 1/8"=1'-0° 31 STEERE WAY : S. Shemais MARSTON MMS, MASSACHUSETTS N'D: FRAMING PLANS om•4 Of 7 Hill SLOPE SAME AS EXT HOUSE 1 11 H 1 11 J=H U U 9 U , U __�_ --- I- - - - - - -- - - - �---- - - — — — — — — — — — — — — — -- --- - — -� NOTES: SECTION AT PORCH FOR GENERAL NOTES SEE DRAWING NO. 7 A 08/14/06 IFOR BUILDING DEPARTMENT REVIEW & PERMIT REV. DATE DESCRIPTION Peacott Carpentry Hanover, Massachusetts Murphy Home Addition scAm 1/4"=1'-0" 31 STEERE RAY DESIGN: S. Shemais MARSTON MILLS, MASSACHUSETT3 K'D: SECTION AT PORTCH Dn. 5 Of 7 SLOPE SAME AS EXTG HOUSE 2x8 COLLER TIES /-4" CONCRETE SLAB � I NOTES: FOR GENERAL NOTES SEE DRAWING NO. 7 SECTION AT GARAGE A 08/14/06 FOR BUILDING DEPARTMENT REVIEW & PERMIT REV. DATE: DESCRIPMN Peacott Carpentry Eaaoves, Kassaohusetts Murphy Home Addition SCALE: 1/4"=1'-D" 31 STEERE WAY : S. Shemois MARSTON MILLS, MASSACHUSETTS K'D: SECTION AT GARAGE 6 Of 7 General Notes 1. The design shall be in accordance with the State Building Wood Construction FLOOR NOTES: Code of the Commonwealth of Massachusetts, sixth edition. 2 1• All lumber used shall conform to the following specification: . The Contractor is responsible to follow all Local, State, and applicable national codes. a. All other SAWN lumber shall be Spruce-Pine-Fir as follows: 1. General Contractor Note: Refer to the roof framing and second 1. Studs - No.1 /lumber or better floor framing plans for location of posts and jack studs. Posts 3. The Contractor is responsible to visit the site to review - or better and jacks shall extend down continuously from the roof 2. Joists & Girders No.1 /better all existing conditions and report any variations on 3. Beams & Girders - No.1 or better and second floor to the foundation wall unless interrupted the. drawings to the architect for clarification. by a beam or jack studs. At all jack stud and post locations b. Laminated Veneer Lumber (LVL) Beams & Headers provide matching blocking studs below the first floor sheathing 4. The Contractor is responsible to verify all dimensions in the field 2.0E 1 3/4" Lam LVL Allowable Design Properties down to the foundation wall or LVL beams. and to report any discrepancies to the architect for clarification. Product by Georgia-Pacific or Engineer-approved equal. 5. Unless indicated on the drawing as Not In Contract E= 2,000 ksi 2. R=... Indicates Hanger Reaction. (N.I.C.) or as existing, all items, materials and installations Fb= 2,950 psi 50 of same are a part of the contract defined by construction F„= 50 psi 3. 1 1 Indicates flush framing, Hangers Required. documents. The contractor shall provide and install all Fc1 = 7 psi T i accessories, components and assemblies required for the FcII =2,750 psi 4. Indicates structural members continuous work as shown. c. Parallams (LAM) Columns over a bearing wall with a header Design Loads 1.8E Parallom PSL Column Allowable Design Properties Product by Truss Joist® or Engineer-approved equal. 1. The building shall be designed to conform to the E= 1,800 ksi Electrical Notes: Massachusetts State Building Code 6th Edition, Fb = 2,400 psi and to resist the following loads: Fql= 2,500 psi Electrical contractor shall install electrical outlets, Wind: P=21 psf (Zone 3, Exposure C) Snow: P=30 psf (Zone 2) d. Wood I Beams for Floor Joists or Roof Rafters: wall switches, telephone jacks and cable jacks. Size and manufacturer shall be as specified on the The contractor shall be responsible for design-build of design drawing or Engineer-approved equal. the electrical work in connection with this project, Foundations 2. All hangers, caps, and straps shall be by the contractor based including verification of sufficient service for expansion. on the design loads shown on the design drawing. 1. Foundations shall bear on compacted granular fill or 3. All exterior walls shall be 2x4's (UNO) ® 16" OC and shall be HVAC_Notes: natural undisturbed soils having a minimum bearing sheathed with 1/2" APA exterior grade, exposure 1 plywood. capacity of 2 tons per square foot - verified by Nailing Pattern: 6d nails ® 6" at edges and 8" The HVAC sub-contractor shall be responsible for the the contractor. at the interior (in field), unless otherwise noted. design-build of the heating and cooling systems expansion 2. All exterior foundations shall be a minimum of 4'-0" for this project. below finished grade, to provide adequate frost W/tyvek paper and vinyl siding. protection to footings. The wall cavity shall have 3 1/2" bott insulation, covered W/1/2" drywall coated in plaster. 3. Provide 5/8" dia. anchor bolts at 4'-0" OC embedded into 4. All floor sheathing shall be 3/4" AdvanTecho T&G glued and top of the foundation wall and into the sill. nailed to floor members. 4. All structural concrete shall be normal weight, stone 5. All roof sheathing shall be 5/8" APA Exposure 1 aggregate concrete, and shall be proportioned, plywood or with plywood edge clips. With mixed and placed under the supervision of a control asphalt shingles on 15# felt paper. engineer in accordance with ACI 315, 318 and 301 standards, latest editions. Concrete shall develop 6. All ceilings shall be with 6" batt insulation the following 28 day strengths: covered W/ 1/2" blue board, "coated in plaster". a. Concrete Flotwork exposed to weather 4000 psi 7. All wood in contact with concrete shall be pressure treated. (6% air entrained) b. Exterior: walls, footings, piers and slabs 8. At all interior load bearing walls and all non-load exposed to weather 3500 psi (6% air entrained) bearing walls over 8' in height, provide one row of c. All other concrete: 3500 psi wood blocking at mid-height of studs. 5. Reinforcing bars including stirrups shall conform to 9. All headers shall be 2-2x8's. ASTM A615 with 60,000 psi yield strength with minimum anchorage and splice requirements for reinforcing in 10. Place an additional floor joist uner each partition wall. accordance with ACI 318, latest edition. Welded wire A 08/14/06 FOR BUILDING DEPARTMENT REVIEW & PERMIT fabric shall conform to ASTM A185. REV. DATE: DESCRMON 6. Slabs on grade shall be placed in strips in accordance Peacott CarBentry with the latest ACI recommendations. Slabs shall be Hanover, Mansehueette placed on graded granular material compacted to 95% of maximum dry density. Slabs shall be 4" thick min & reinforced Murphy Home Addition SCAM. 1/8"=V-0° W/WWF 6x6xW2.9xW2.9 and 6 mil polyethylene vapor 31 STEERE WAY DESIGN: S. Shemais barrier. MARSTON MHT , MASSACHUSETT3 CHWD. NOTES Dm•7 Of 7 '` .i; r.t '1• ��CJ�� C � �Rb�►T6I Mi��i�iGH 7o.-► MUKAtC-lP&L 4 h - - = 44 � P I� �i r`1TS SLk��-�- ¢✓E ? i DOE ,,:L7 E QTI!s+�? .��..4z;7. U.f;7 i.ors! p \ �, Max En:v���M�^ +dL GC�'E "CtTI.E • lapsic ,=fleeTy t►. slaw . �. doT To Sc E r i -ToF o�Foy��vaTiorl ti. --- ----- _ 40P � • ,, rx. / Y J {7(ttFLC�w 4'�� 1 cam_.. OF �� '?aJ Co : . l it„£';7le 0U , i Z 7 -- -�qd 'j, L TdAI K N.o � SQo�.:E.E� Y. 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