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0059 CHURCH STREET - Health
_-,/;59tiChurch,'Street A*= 153 -004-002 W.'Barnstabie ,I II, SMEAD No.2-153LBE UPC 12034 amead.com • Made In USA 75 I f' TOWN OF BARNSTABLE LOCATION C1 SEWAGE# VILLAGE WC-5T 0AkN5TA(NJ5 ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. w? ,60& t'•tA a N SEPTIC TANK CAPACITY Ca) 11660 GAGLa&J 5C-Fyicc_T*UKS caY GC LEACHING FACILITY:(type)C 14-ab 500g 64A#066 (size) 50.f> c NO.OF BEDROOMS 4 OWNER ZCo-ri MEUSSA PERMIT DATE: 3 4ak—P-O i COMPLIANCE DATE: Separation Distance Between the: // Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N/A Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) �rJ e3t Feet Edge of Wetland and Leaching Facility(If any wetlands exist within / 300 feet of leaching facility) N/A Feet FURNISHED BY 0-4p c?J6' E Ttt_APkL:5 ECIJ� S ' tS U y ) - j o , p O � C y o 2 1 Ln W _ o i rJ No. 1 i 1 3 Fee z THE COMMONWEALTH OF MASSACHUSETTS Entered in comp ter: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpf ration for Disposal .pstrm Construction 3permlt Application for a Permit to Construct( ) Repair 00 Upgrade( ) Abandon( ) ❑Complete System idividual Components Location Address or Lot No. 5 q Utc44- 5-r Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 153 160k4laog W�5 51 CmOiJ 4 S'T LIVE r�$-NST�4 Installer's Name,Address,and Tel.No.So 8-`f-t?- 77 Designer's Name,Address,and Tel.No.J 6% -off--13-0 3 Z 7 CAPC-W,At E0G-taJGeA_4JCX--T.JC. 1153 A-c- S-*- tnta8 N ce> C•GJ 4�-t Type of Building: ,Gp la 3, ,, Dwelling No.of Bedrooms Lot Size 6 O q r sq.ft. Garbage Grinder( ) Other Type of Building P_ESe'bI7V'b'_1.-L No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 4q L7 gpd Design flow provided (3,J gpd Plan Date `J- 3--1 JC>19 Number of sheets l Revision Date Title S3 (','9QQCL-F S'T W 6_2 ( aAM 511A924 C-- Size of Septic Tank(A) I .Ono C04c, -r*9)[!;5_ Type of S.A.S. p D AL W-Ad Description of Soil L-6aQ,M�-/�b (i)- �jC`? SEE PC.41J Nature of Repairs or Alterations(Answer when applicable) IJSg � EYlszllJ Cz �T�BC-ykLL.D1� S�tfG -t,*dV_S -to N aet) i-1-�o -t?��_u� t�( ) Soo Cz4U aKj N-Aa uj L76j 44 Fce^ o-r- A-GfxQ-Eca4 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He SiC Date 3 Application Approved by _14 C2 Date R Application Disapproved by " Date for the following reasons Permit No. ,� Date Issued `l - ------------------------------------------------------------ X. � No. 0 ` t t. # Fee 1 r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: . }.� Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Nplication for bisposaf*,stpm Construction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ©d dividual Components Location Address or,Lot No. 57,9 eg u 5--r Owner's Name,Address,and Tel.No. 1C07 i F MC-LIj1q-,A LCOOE' Assessor's Map/Parcel 1:53 160q ,6oq W' j 40,LCF0 S T 1/)e57 e-,ALNS-r-4(3( Installer's Name,Address,and Tel.No.'0 ``f��' 6'ls'7'7 Designer's Name,Address,and Tel.No.J 0$r -.X 13-O 3 71 rLt'als s /A.Z'(D ?4. er,)Gw E4jt,)C.,=wC_ f S 3 ('OV k& _(9 4(_ S-r r-r t D - S c;Q rN S/, 1 y [ u)Y Cr _J P_C7g4 of Type of Building: f t � °'^ f Y�'`.'i 0, •/ ,a Dwelling No.of Bedrooms T Lot Size ,�1 At 3 sq.ft. Garbage Grinder( ) Other TypeofBuilding 1S1��N7"Ir4C. No.of Persons Showers( ) Cafeteria( ) -' Other Fixtures ,, rr� ' Design Flow(min.required) `f gpd Design flow provided �T i gpd Plan Date �J' a-1 - 1c,19 f Number of sheets ( Revision Date Title 59 e,14up-cO ST" W66 Size of Septic Tank`Ate! —r*Q)1C< Type of S.A.S.(S) U p A(_ u -a c1 C4A-1 1i Description of Soil t-LMA4-/ SA t Jb 04e _1�0 i Nature of.Repairs or Alterations(Answer when applicable) U S C 1�nT L4 G YJ"T l!J Ex 1 60 6 4"L N .5 t-FT L " ,j1/_s -TO NcLv 1-l-a0 n -(-;("u -t-7) 5G© (rALLO►u N-ao C' L!) IT,4 14 F E6�'T' or Ar6 uAG C:A-T- 6 x. e:-`]uT� S e4-�� � ; �`rT" C"M 51'De Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. t Signed A .� Date Application Approved by r 4 WV 7 1 p p � N Date 3,/)`'// S Application Disapproved by' V t '� _ Date for the following reasons r /J Permit No. 1 �,/! 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 lam.A P E ka 1 D is lyT� �aZ15rt�S I I��C at- 59 C N U ell 5-r W+ has been constructed in accordance // l with the pp�rppovisions of Title 5 and the for Disposal System Construction Permit No.?t'1?"11,? dated Installer CAPE W(Or- E W I�A4I<c- : J2>/� Designer #bedrooms `t Approved design flow, A 44 gpd The.issuance of��th((is permit shall not be construed as a guarantee that the system will funs do ash!designed. �)e Date Inspector - -----------f----y-------------------------- ------------- r No. i "! 1 1 � Fee too-- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit -- -_ Permission is hereby granted to Construct struct( " ) Repair X) Upgrade( ) ^]Abandon( ) System located at ;,9 S-7&La;"Y Ujr= 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 jmust be completed within three years of the date of this permit. 1 �. Date 3b // Approved by �- Apr. 2. 2019 3; 11PM No, 3102 P. 1 Town of Barnstable Regulatory Services Richard V. Scali,Interim Director ! BABD1sRABIZ, f7 MAN. Public Health Division 16i'0�enig, Thomas McKeon, Director 200 Main Street,Hyannis,MA 02601 Office- 508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: A21q Sewage Permit# �,o M-. 113 Assessor's Map\Parcel 53 Y-Y Designer: S C Co gto ce-to • o c. Installer: Ga�4wicle Gn E�r Pt l s� Address: 205Y Grar,berty V j6way Address: 153 CommecC(ol 5-4( tj Ca5k Wareham. HA o253 8 Hoshpce-, HA- 0 z. 6 y 9 On ae1 —i `� Ca�ewicae � r�r1s�S was issued a permit to install a (date) (installer) septic system at 51 c iou-ro i S�f ee f _ based on a design drawn by (address) -37G E����cecin , fir►(,, dated NcrA 21 201� (designer-) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box-and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State Si Local Regulations. Plan revision or certified as-built by designer to follow, Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was construc nce with the terms of the M approval letters(if applicable) o���` ' 1P. JOHN L a� i U CHUA ltl JR. Vll (Ins I 's Sig t A N .41 Y 9� Q PL7igne s nature) (Affix 1 igne s S mp Here) ASER TO BAYtNSTA)I3LE PUBLIC HEA kI A YS N. CERTIFICATE OJECOM&UANCE WILL NOT BE ISSUED UNTIL, BOTH S FORM AND AS- B1 ILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU, QASeptic\Designer Certification Form Rev 8-14-13.doe Town of Barnstable ' Department of Regulatory Services 6 Public Health Division Date 1184h 1U., . � rejp.� 200 M61a Stroct; MA Hyannis 02601 f AtE(t MKl ram,. Date Scheduled � Time Fee Pd._ t)� Soil Surtabilt Assessment for S e Disposal Performed By: t Ems%'► l J I . Witnessed By: LOCATION&.GENERAL INFORMATION , Location Address Owner's Name St oT-r s j°tC—Li%t C&:21V S7- �11I� 59 Address 3 Assessor's Map/Parcel: ` 153 106K.1/o0c Engineer's Name f G E& —•t1(�� f �' NEW CONSTRUCTION REPAIR /\ Telephone 1t gips oZ 73 7 7 ro ti� Land Use �ctnCk3 1t �n \( Slopes(96) �'J�G Surface Stones Distances from: Open Water Body ���� ft Posslble,WetArea ilo ft Drinking Water Well -ft Dmlhnge Way T ft Property Line /G ft Other ft SKETCH:(Stroct name,dimensions of lot,exact locations of test holes&Pero tests,locate wetlands-In proximity to holes) see- qt\ Parent material(geologic) v T Depth to Bedrock > /�� '-�• ��: J. Depth to Groundwater. Standing Water In Hole: . � (•^J weeping from Pit Pnoa Estimated Seasonal High Oroundwatcr D T VAT'.TON FOR BE AS ONAL'MGI1 WATER TABLE Method Used: to Depth Observed standing in obs.hole; �� In. Depth to Sall ttloillesl Depth to weeping from side of obs.hole: 111, Ornundwator Adjustment / ft, Index Wall-4 r^ Reading Data: index Wall ieYoi __ Ad).•fhctor, r- ,_ Adj.0rvundwater•-Level.;, PERCOLATION TEST DalvIG42 Time L G0 r.,j Observation I Hole ft c- Tlntm at A" a-2/ _ Depth of Peru {' S�' Timm at 6" � Start Pro-soak Time @ I�•`/ a/1� - Time(9"-6") �n. End Pro-soak r ' — Rate Min./Inch ' Site Sul tabillty Assessment: S►to Passed Site Palled: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back-------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (i) week prior to beginning. Q:ISEPTfC\PHRCPORM.DOC 'DEEP-OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Soil Texture Shcl Color Sall• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucturc,Stanei;Boulders, Consistency,96,Oravel) � r+ A 19-3C), — Fav w-1 g" — (oaM. Sa �aSY /ro ' — 1 DEEP OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o sl on DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soli Other Surface(In.) (USDA) (Munsell) Motding (Structure,Stones,Boulders, Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sall Texture Sall Color 81311 Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Siopes;Boulders. Consis Flood Insurance Rate Map: Above 500 year Mood boundary No,_ yes-.Z Within 500 year boundary No Y' Yes ' Within t00 year flood boundary No..�_ Yes Denth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed thrpughout the area proposed for the sail absorption system? . If not,what is the depth of naturally occurring pervious material?,.___._.__..... Ceftifleationr I certify tha t on �a 7).iC/0/ (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with ; the required training,expertise a experience described in�10 CMR 15.017. 3-17-1 Signature Datb Q;ISEPTIMERCPORM.DOC McKenzie, Marybeth From: McKenzie, Marybeth Sent: Wednesday, January 04, 2017 10:02 AM To: yarmolovichandr@yahoo.com' Subject: buiding Permit No:TB-16-3713, 59 Church St.WB Hello, My name is Marybeth McKenzie R.S., I am a health inspector for the Town of Barnstable and I am reviewing the building permit regarding adding a bedroom.At this time it cannot be approved until floor plans of the house, including the master bedroom addition, and the accessory apartment have been submitted to the health department.We do have plans of the accessory apartment on file and if it hasn't changed then those floor plans will suffice.Also if there is a change in the foot print of the house, due to the addition, then a site plan showing the existing septic system will also need to be submitted. If you have any questions please feel free to contact me, happy to help. Regards, Marybeth McKenzie R.S. Health Inspector Town of Barnstable 508-862-4644 1 L Page 1 of 1 McKean, Thomas From: Paula Kelley [paula@kelleylaw-Ilc.com] Sent: Wednesday, October 24, 2012 11:42 AM To: McKean,Thomas Cc: 'Nancy Buckley- Kelley Law' Subject: 59 Church Street,West Barnstable Dear Mr. McKean: Our office represents some potential buyers of 59 Church Street in West Barnstable which is currently the subject of an enforcement action. I am trying to gather enough information so the potential buyers can decide if they would like to purchase the property,in its existing condition. I have copies of the two septic permits for the property. Permit No.82-419 services the home or front building and appears to be adequate to serve a two bedroom home. Permit No. 89-510 services the workshop/barn, unauthorized family dwelling unit and appears to be adequate for a 1 bedroom dwelling. Copies of both permits are attached. I am also attaching copies of the two title 5 septic reports that have been provided to the potential l buyers. The report for the home or front building states that it is adequate to serve a three bedroom home and the report for the workshop/barn, unauthorized family dwelling unit is adequate to serve a two bedroom home. Please let me know if you have any additional records regarding the septic systems. Please also let me know if the systems are in fact designed to accommodate a 3 bedroom home and a 2 bedroom apartment(which I know there are enforcements issues regarding it). Buyers may want to add a first floor master bedroom to the house and would like to know if they will be required to do any septic work (I understand that the septic reports are only valid for 2 years)as the existing house has 2 bedrooms, but the existing septic seems to be adequate for three bedrooms. I also understand that the current owner applied for an accessory dwelling permit in October of 2011 that was denied by the Board of Health. Can you let me know why the permit was denied? Was it related to the adequacy of the existing systems or was it related to the zoning issues? I appreciate any information you provide me with. Paula Kelley Paula M. Kelley, Esquire Kelley Law, LLC 205 Worcester Court, Suite A-1 Falmouth, MA 02540 Phone: 774-255-1425 Fax: 774-255-1298 Email: paula@kelleylaw-Ilc.com This message may contain confidential or proprietary information intended only for the use of the addressee(s) named above or may contain information that is legally privileged. If you are not the intended addressee, or the person responsible for delivering it to the intended addressee,you are hereby notified that reading, disseminating, distributing or copying this message is strictly prohibited. If you have received this message by mistake, please immediately notify us by replying to the message and delete the original message and any copies immediately thereafter. Thank you.- 10/30/2012 Message Page 1 of 2 V McKean, Thomas From: McKean, Thomas Sent: Tuesday, October 30, 2012 4:38 PM To: 'Paula Kelley' Subject: RE: 59 Church Street, West Barnstable Dear Ms. Kelley, NITROGEN LOADING RESTRICTIONS This 1.58 acre property contains an onsite private well. Also, this site is located within a zone of contribution to public water supply wells (WP District) and is subject to nitrogen loading restrictions (i.e number of bedrooms) . In accordance with Section 232-5 of the Town of Barnstable Code, within zones of contribution to existing and proposed public supply wells, the maximum allowable wastewater discharge from individual on-site sewage disposal systems shall not exceed 330 gallons per acre per day. On a parcel of this size, no more than four bedrooms maximum would be allowed. Your request for five bedrooms is therefore disapproved. PERMITS The front house is currently permitted for no more than two bedrooms and the rear structure is permitted for no more than one one bedroom. Our files do not contain any other disposal works construction permits for this property. ENGINEERING According to the original engineered design plans, the front septic system is adequate for no more than three (3) bedrooms. I cannot find any engineering plans on file for the the rear septic system. Again, no more than four(4) bedrooms maximum would be allowed on this entire property. Any request for five bedrooms would be disapproved. Sincerely, Thomas McKean ----- Ori Original Message----- 9 From: Paula Kelley [mailto:paula@kelleylaw-llc.com] Sent: Wednesday, October 24, 2012 11:42 AM To: McKean, Thomas Cc: 'Nancy Buckley - Kelley Law' Subject: 59 Church Street, West Barnstable Dear Mr. McKean: Our office represents some potential buyers of 59 Church Street in West Barnstable which is currently the subject of an enforcement action. I am trying to gather enough information so the potential buyers can decide if they would like to purchase the property, in its existing condition. I have copies of the two septic permits for the property. Permit No. 82-419 services the home or front building and appears to be adequate to serve a two bedroom home. Permit No. 89-510 services the workshop/barn, unauthorized family dwelling unit and appears to be adequate for a 1 bedroom dwelling. Copies of both permits are attached. 10/30/2012 Message Page 2 of 2 z' I am also attaching copies of the two title 5 septic reports that have been provided to the potential buyers. The report for the home or front building states that it is adequate to serve a three bedroom home and the report for the workshop/barn, unauthorized family dwelling unit is adequate to serve a two bedroom home. Please let me know if you have any additional records regarding the septic systems. Please also let me know if the systems are in fact designed to accommodate a 3 bedroom home and a 2 bedroom apartment (which I know there are enforcements issues regarding it). Buyers may want to add a first floor master bedroom to the house and would like to know if they will be required to do any septic work(I understand that the septic reports are only valid for 2 years) as the existing house has 2 bedrooms, but the existing septic seems to be adequate for three bedrooms. I also understand that the current owner applied for an accessory dwelling permit in October of 2011 that was denied by the Board of Health. Can you let me know why the permit was denied? Was it related to the adequacy of the existing systems or was it related to the zoning issues? I appreciate any information you provide me with. Paula Kelley Paula M. Kelley, Esquire Kelley Law, LLC 205 Worcester Court, Suite A-1 Falmouth, MA 02540 Phone: 774-255-1425 Fax: 774-255-1298 Email: paula@kelleylaw-Ilc.com This message may contain confidential or proprietary information intended only for the use of the addressee(s) named above or may contain information that is legally privileged. If you are not the intended addressee, or the person responsible for delivering it to the intended addressee, you are hereby notified that reading, disseminating, distributing or copying this message is strictly prohibited. If you have received this message by mistake, please immediately notify us by replying to the message and delete the original message and any copies immediately thereafter. Thank you.- f 10/30/2012 Commonwealth of Massachusetts Title 5 official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W.Barnstable Ma 02637 3/8/12 page. City/Town 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)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 151ns•09f08 - 2 T lie 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 318/12 page. 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Crocker, Sharon From: Crocker, Sharon Sent: Thursday, February 16, 2012 2:14 PM To: McKean, Thomas Subject: 59 Church Street, WB Cindy Dabkowski stopped by checking on a couple Amnesty Properties. One which I couldn't answer was: 59 Church St, WB Apparently, it was originally denied as a 4 bedroom and she was told an inspector was going to go out and measure a small room they had to verify whether it was a bedroom. I'll put the file in your box in case you want to review. Please let me know if anyone went out to measure it. Thanks, Sharon 1 • r . Commonwealth of Massachusetts Title 5 Official Inspection Form -D /iz- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M10 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. City/Town State Zip Code Date of Inspection 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 A. General Information filling out forms i �— on the computer, use only the tab 1. Inspector: bbb key to move your cursor-do not Ricky L. Wright use the return Name of Inspector key. B& B Excavation, Inc. Q Company Name 14 Teaberry Lane . Company Address Sandwich MA W 02563 City/Town State ;' ,3Zip Code 508-477-0653 S 14595 w Telephone Number License Numbermj'. r J 3 ~..� B. Certification - I certify that I have personally inspected the sewage disposal system at this address and that tFie information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 3/8/12 Inspector's Signature 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. t5ins•09/08 Title 5 Official Inspection Form:Subs a ewage Disposal System•Page 1 of 17 r ' Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. 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: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. 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. P System will ass Y 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): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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): 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 I � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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. ❑ 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: 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 '/day flow t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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- 10,00gpd. ❑ ® 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. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Citylrown 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 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 ears usage d n/a 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: currentDate Commercial/industrial Flow Conditions: Type of Establishment: 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts 4 f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 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): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1987 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.5 feet Material of construction: ❑ cast iron H 40 PVC ❑ other(explain): Distance from private water supply well or suction line: >20feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in good shape no signs of leakage or blockage. Septic Tank(locate on site plan): Depth below grade: 2 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: 5.2x5.2x8.6 Sludge depth: 3" t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 36" Scum thickness 7" Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection tank appeared to be in good shape tees present no sign of back up. 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 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown 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.): 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 g I 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.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information's required for every W Barnstable Ma 02637 3/8/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): At time of inspection d-box appeared to be in working order.No sign of leakage or carryover. 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 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.): At time of inspection leaching appeared to be in working order.Water level was 2' below invert. 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 f ' Commonwealth of Massachusetts u Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 C Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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 O CI S"7 r 7 7y ' O t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM , 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. City/Town 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: >10feet 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: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 59 Church St. (front house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W.Barnstable Ma 02637 3/8/12 page. Cityf town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 f Commonwealth of Massachusetts f W Title 5 Official Inspection F Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Rem 46LL-4E� 7 M 59 Church St. (rear house) c2 �- Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. City/Town State Zip Code Date of Inspection 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. General Information i on the computer, ` use only the tab 1. Inspector: key to move your cursor-do not Ricky L. Wright use the return Name of Inspector key. B & B Excavation, Inc. rb Company Name 14 Teaberry Lane -� Company Address s � Sandwich MA 02563 City/Town State %Zip Code`` 508-477-0653 S14595 Telephone Number License Number 1 B. Certification r- rn I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority / 3/8/12 Insp tor's (gnat re 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. tsins 09/08 , Title 5 Official Inspection Form:Subs urface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments °M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W.Barnstable Ma 02637 3/8/12 page. Cityrrown 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: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are .indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. 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): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Bamstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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): 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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. ❑ 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: 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 1/2 day flow t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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. t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: o .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 Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d n/a 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Oct. 2011 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? El Yes El No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts u W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State .Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 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): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °�M ,••'°� 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1989 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1� feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >20feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in good shape no signs of leakage or blockage. Septic Tank(locate on site plan): Depth below grade: 3 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: 5.2x5.2x8.6 Sludge depth: 3" t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 36" Scum thickness 7" Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection tank appeared to be in good shape tees present no sign of back up. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: concrete metal fiberglass ❑ ❑ ❑ asspolyethylene other ex lain 9 ❑ (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 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. 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.): 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 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 t5ins 09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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.): At time of inspection d-box appeared to be in working order.No sign of leakage or carryover. 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 I i i Commonwealth of Massachusetts w u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): At time of inspection leaching appeared to be in working order.Leachpit was dry at time of inspection. 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 r ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not.for Voluntary Assessments ;M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W.Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.- Not for Voluntary Assessments 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's.Name information is required for every W Barnstable Ma 02637 3/8/12 page. City/Town State Zip Code Date.of Inspection D. System Information (cont.) 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 t \'o Lela 5,de- o 0 3�= t7 c� 43 3& B3 � 3a t5ins•09/08 Title 5 Official Inspection Form:Subsurfacesewage Disposal System•Page 15 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information is required for every W Barnstable Ma 02637 3/8/12 page. 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: >10feet 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: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 59 Church St. (rear house) Property Address George and Ruth Reynar Owner Owner's Name information i e required for every W Barnstable Ma 02637 3/8/12 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A,B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 AsBuilt • Page 1 of 1 Y �CI� I �L f�` • TOWN OF BARNSTABLE' vLOCATION g L� ��iff �YY Ls SEWAGE 4_EZ �O VlLLAGE *`J% � ASSESSOR'S :MAP & LOT C`iGy -Ql� INSTALLER'S NAME 6i PHONE NO. SEPTIC TANK CAPACITY O(1 LEACHING FACILITY:(type) (size) c 4�La NO. Ott BEDROOMS RIVATE WEL OR PUBLIC WATER BUILDER OR OWNER �� .DATE PERMIT ISSUED: DATE COUPLIANCE ISSUED: /�4/� e f VARIANCE GRANTED: Yes No j R f. 3a 36 � t( f http://issgl2/intranet/propdata/prebuilt.aspx?mappar=153004004&seq=1 10/4/2011 Town of Barnstable Health Inspector F'THE T Regulatory Services Office Hours g y 8:30—9:30 „ Thomas F.Geiler,Director 3:30—4:30 i BABNSTABLE, * Public Health Division 9 MASS. �A 1639. A�� Thomas McKean,Director rFD MA'S 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE Date:October 6,2011 1. General Information: Size of Property: 1.58 acres Address: 59 Church Street west Barnstable,MA Map/Parcel 153/004/004 Name: George J. and Ruth E.Reynar Phone#: 508-360-0796 2a. How many bedrooms exist at your property now?3 2b. Are you planning to add any bedrooms?NO If yes,how many? 0 2c. How many bedrooms total are proposed at this property(including the amnesty unit)?3 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room clearly. 3. Is the dwelling connected to public sewer? NO If the dwelling is connected to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is OUTSIDE a Saltwater Estuary Protection Zone 5 . Location of dwelling is INSIDE a Zone of Contribution to public supply wells WP 6. The dwelling is connected to an ONSITE WELL. 7. Is a disposal works construction permit on file? YES or NO CD J C1: 8. If yes'how many bedroo s were approved according to this permit? 2 in main house and 1 in detached structure. 9. Were any building permiis obtained for construction of additional bedrooms? YES or NO c- t 10. Is theme an Engineered septic system plan on file at the Health Division? YES or NO 11. Has the sept c'system be6h inspected by a DEP certified inspector within the last two years? YES or NO 6&i+t -r=----s=-----------;'------------------------------------------------------------------------------------- ------ "- "_'__� 1►s FOR OFFICE USE ONLY -SO The Public Health Division has no objection to bedrooms at this property. Special Conditions: 00/ -`0mr"fie' Sk.f nla4- 6K. LrVd -4/ -5 Signed: Date: 1t- I I ( �� ; � ( � ; l7 I •i� I I �v � j I ! I I i Gl ID v I � ( 's rlp l wr. i f4 L rt I ' ' te T a I PS VI :7i cv �. ► iv- hItoe ' r � y,AsBuilt ; Page 1 of l TOWN OF BARNSTABL;E LOCATION f SEWAGE ># PILLAGE Al � ASSESSOR'S,,liAP LOT 1'73— 60q -00 INSTALLER'S NAME 6i PHONE NEB. I SEPTIC TANK CAPACITY ,DLL .'/ -S LEACHING FACILITY:(type) (size) i NO. 017 BEDROOMS PRIVATE WEL OR PUBLIC WATER BUILDER OR OWNER .DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIA14CE GRANTED: Yes --- No Al1. R 1 3:L t �11 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=153004004&seq=1 10/4/2011 i a . TOWN OF BARNSTABLE � d . LOt ATI(7PJ �� L SEWAGE # � VILILAGE ASSESSOR'S,�btAP & LOT I"— 664 'W INSTALLER'S NAME & PHONE N6. SEPTIC TANK CAPACITY s LEACFIING FACILITY:(type) ol (size) low NO. OIl BErROObiS PRIVATE WEL OR PUBLIC WATER BUILDER OR OWNER r7 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: _ �O -le f _ VARIANCE GRANTED: Yes. ,�-' No t � v.; � I � t T i 4 41, ISO It Copy � Fps yrl.•.£�.7.v.:..�.�..% f i 0 O THE COMMONWEALTH OF MASSACHUSETTS '0 BOAR® O HEALTH ...............OF.... . .. ...... ...........:.... . .... .......................... Appliration for Uiipnsal Works T mitrurtion trruti# Application is hereby made for a Permit to Construct (//�or Repair ( ) an Individual Sewage Disposal System at .. - _1� ------- i/ . 91•• ---• ---•--•---•••-•--...... ation-Addre s or Lot No. �.�.• z.. -...-----•- ................ ... .._ -- .. ... ...-••--.... .. O r � •• ^' Addre ...... -•-•••. ...... =.......• . .................. .••••.�75- .....�-.. .. In aller ddress T p of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms-__....! --.--•---_-_------_--__-__.-Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ___._.... No. of persons............................ Showers W YP g ----------------- P ( ) — Cafeteria ( ) Other fixtures W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/400_.galIons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter......6......... Depth below inlet--- ............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date------------...... a --------------------- Test Pit No. 1................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........................ ------- ---•---- 0 Description of Soil....... . _ __. U ----•---•--••--••...---------•-----•--•--------•••-- x -----•-------------- ------------------------------•-----------------------•-!=------------ ----------- V 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 TITI1 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be4oissued by the boa of heap,. Signed-• ••. ... .• •---••--------------••-- ID. f�'...�... Date Application Approved BY / . _..._...• •. •. --•-•--•-------------------------------- Date Application Disapproved for the following reasons:------............ . •---------•--•----•----•-------•------•--••------------•-----------•-••-------.....•--•.•----- .........-•----•......-----•--------•-------------•-•----------••-------•••-------•-•---•....•---••••--•.I....-------•-----•--• --------•------•-•----•----••-----•- ................................... I a te Permit No.--Iff' ............... Issued.----- `' -----•--•-- Date . y r .. .. No.--•. .............. Fpsa.�....................... ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH .........................' Appliratiou for Disposal Works Toits#rur#iou "rrutit Application is hereby made.for a Permit to Construct ( V)or Repair ( ) an Individual Sewage Disposal System at• - ...........9....�--....... ..% :_ ✓� ...._`3 , .ter.. .._.. r atio -Addre s or Lot No. ....t.. ..._... .....--- ........................ ..........: = ..:.............._..... •.- ....... O r _ Addre�� a -•-•-- ....... ....... -- - .............. ......5!!7 5_.,Ie�� -ccL ✓- =_ ... -- I aller Address of Building / Size Lot............................Sq. feet Dwelling U elling—No. of Bedrooms..........J...............................Expansion Attic ( ) Garbage Grinder ( ) ............... No. f persons._..__________....__._...... Showers — a Other—Type of Building ............. p ( ) Cafeteria ( ) Otherfixtures ------------------------------------------------•-------------•-••......--•-•-----•----......•-- ................................................ Design Flow............................................gallons per person per day. Total daily flow-------.....................................gallons. WSeptic Tank—Liquid capacitylA'X__gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter......rn......... Depth below inlet.. :.............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................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------_................ . P4 --- �} .............................................................•------•--•--•------•-----•--......----...... D Description of Soil.......__ !% ...................! � IJ •---••-••-••-•--•-••---•••-----•---•-----...---••-----------•-•---------------------------------•-•-------•-•---••----•---••--•-----•----•-----••-•----•-••-----•-••-------------••--...--•----•------•- W UNature of Repairs or Alterations—Answer when applicable................................................................................................ --------•-------------------•------------------.....-------•---•---•----------------•--•------......--•---•-•-•---•--•--•------••-•--•----•••---••-•-----•---•--•-•-••-----•••••-•---•--..._......---•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by tht boa' •of healt)a. Signed-- f .�� - A,04 Jd r 5 _ �q---.......-- Application Approved By.. 'M'' - �....... .'' ---•--------------------- " -• Dace Date Application Disapproved for the following reasons:-----•- ---------------------------------------------------------------------------------------------------- ......................................--f- - ------•--------------...--------......------. Date Permit No.-- ------.----=-�-------------- ------- Issued....... 1-----.....----,=���`F='f---------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................OF ....y: .!` 1i' 4 r . ..................................... Grtifirair of Toutpliati-rr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed O or Repaired ( ) by--------------------------•----------------•-----..-.------------.--------.---------•------------- ---------------------.-.-----------.-----------------------------•----------------------------- Installer at............................................................................................................................. •--•••-•-•---•------••---•--•-•_....--•--•---••---------••--••--•------ has been installed in accordance with the provisions of TITIZ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....._41... ........�.. ' __- dated----------...................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. ,•r•r-- Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....�.�. ... No.............••-•-•......57- .v FsE..---' ':.....::. Disposal Works TNInstration Prrmit Permission is hereby granted..... -------•---------------------•-------------------------.................. to Construct (i ) or Repair ( ), an In�iivldualDisposal' Sewage r System at No........ ` � .t tf > .�vII +�✓ .. ` i 1`!'� '. Street as shown on the application for Disposal Works Construction ermit No.�.. y:__l41'Dated: � _ �, .::�-+`... Board o1Wealth DATE ,.._.�:.! .. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS j/ 10C -AT ION _ SEWAGE PERRIIT HO. VILLAGE - IItSTA LLER'S HACIE A00QESS 6ttILOf 0 OR 010 ER 1 0A T E FEI't III CT 1SS-1-E 0 DATE COMPLIANCE ISSUED �I �� �� � �,, i` � �' �, � �:, � i � a `� i � ,' �� � i' \ � � �� I �' � -60 - - �, a ����; � � j . ._ �� �� '� � - _ , c® �,��— �40 THE COMMONWEALTH OF MASSAC UFO SETTdS CP BOARD OF HEALTH �53 i �O.A a .......... on�S.T..>} — ' 5 Appl ralinn for lhapiwal Murky Cneznoh-urtinn Vamit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Lootioa-Addreae -�a�Lot No. er (� Iaetaller Q Addreea T of Building g - Size Lot_..._.__..._......Sq. feet Dwelling—No. of Bedrooms................ ......................Expansion Attic ( ) Garbage Grinder ( ) Pa. Other—Type of Building ............... i_._...... No. of persons........._ ...... Showers ( ) —Cafeteria ( ) Otherfixtures ..................._.----__-.------.._-_- _..._......................---------- --......_— — W Design Flow...........�.1_C7..............._.:....gallons per person per day. Total daily flow......._..aa 0......_ gallons. WSeptic Tank—Liquid'capacity.iU90-gallons Length................Width..._.._--__._Diameter......._.......Depth.—.-- Disposal Trench—No.._..__._.-_....Width.-._..._.._.....Total Length...--.......-..-....Total leaching arm-----------sq.ft. 3 Seepage Pit No...........L........ Diameter.................... Depth below inlet...................Total leaching area .-._.»_..sq.ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.R. �cLr&.LR.,s3.r-6a^K................ Date.-_.0_1�v y`S- -. Test Pit No. I...... --.._..minutes per inch Depth of Test Pit.._...............Depth to ground water...._-_--_..._.__.. k, Test Pit No. 2... ._....minutes per inch Depth of Test Pit.._.--------.--.Depth to ground water..............._...... x O Description of Soil............... W ......................................................................._............._..-.--.........................__..... _ V Nature of Repairs or Alterations—Answer when applicable....................................._................................._......-............. _.--....................................:...........—__......_-_....._.._. __� _ ....:___-- •....—........................_ . .... ___.. Agreement: The undersigned agrees to install the aforedescribed Individual.Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been t'psued by the board of h D Application Approved By. Date Application Disapproved for the following reasons:.............___ ._ ..........--.--......... ...._... ...._................_......._............. ._....._...._..._._-_....._......_........... ___.».._.....D�.----- Permit No.._......... _ _- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.............................................................................. Tertifiratr of Tuutpli=t THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ........ .: ...�-.-._._.._--....�_---_...-.__....:.._..____—.....—...._-......�___ _._..-----�-- / Iaatall at_�nR _�G?A an.... t�...l .t.d� I l_._-r—�_-. �i3don has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..._-ZL;.:...Y.!-.f.............. dated.......................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.__..... ....................... Inspector_--_._..--._....................-...............--------...-_.._....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Dispnoal Works Tungkudintt rgrmit Permission is ereby granted.__-_.../.0...,�'..:1____ »___ _. _...__._.__.._ ....._......._. to Construct p�R air ( ) an Individual }� age Disposal System at No.._..7 ..._7—�_ ,G=��Xnc:.c.!� Street _ as shown on the application for Disposal Works Construction Permit No..—...___ Dated---..-----___ . L �•.�.i�....`.�/ e�of Health._........._._........-----........ DATE..... FORM 1255 HOBBS a WARREN. INC., PUBLISHERS ■ m c c� V /� c _ ,.,, �` � � 1 _ � '� __ _ 7 i � ' ;. _ '� i I� i i�F t` �' i .� �.-». y ` h _ ,� +, } _.. f, i • t 6' ®� THE COMMONWEALTH OF MASSACKUSE 00 BOARD OF HEALTH —77TBI AZ..--- OF....7S. lLM.TA:3 Applirattion for Disposal Works Tonstrnrtion Permit Application is hereby made for a Permit to Construct (-,e,) or Repair ( ) an Individual Sewage Disposal System at': 4x...P1al, ;ns....... U..I...... �.��� � �::t--- -------------------------------------------------------------------------------------------------- jj� ... Location-Address �—�Lot No. lr�.... �et�4 s�.�.tA Y.u�.................................... -•(1 u`�-=� :. d`n. ��ca�r D,S1 .�.(i 1 t'l�.............. er d._ Address r a ✓ ..Iff-------------------------------------------- ------------------------------------ ...------------.........------------------. Installer Address dType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.............. .__..Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons__-____-__-____._.-_.-____ Showers ( ) — Cafeteria ( ) / 0.1 Other fixtures -------------------------------- .._ . ----------------------------------•-----------.............------------------------ WDesign Flow............0........................gallons per person per day. Total daily flow_______---_-lao........__...........gallons. WSeptic Tank—Liquid capacity.1.00.gallons Length__`............. Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------[......... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.Vu'fJ oir_c4.__.�,.Y�ktla K ................ ........... aTest Pit No. I...... ........minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2...............minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------•----•........------.................---------------•---••-••-••-................................................................ 0 Description of Soil................ ---• ------------••----------------•-----------------------••-----------•-----------•-------------------••------------------•---••------------------ V ---•--------------------------------•----------- -------..pl n-------------------------------------------------------------•------•-•-----------------.........-------•---- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... . --------------------------------•--•-------•---------------•------------------------.....•---.-----••---•------------------•....•----------------------•-•--------••.....------------•--•••...........-- Agreement: The undersigned agrees to install the aforedescribed Individual,Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of hea Signed` .......................--- � .. �e Application Approved By.- ........-------�����e �., _.� �i'.,-------------- Date Application Disapproved for the following reasons:.............................................................................................................. ...................................•-•--...--•--......_..----------------....•--.....---•-----------••••----------------------------------------•-----•-----••---•----••---•........................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF................................... ................................................ Trrtif iratr of Tompliantrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ). or Repaired ( ) by--.-----•----------�-W__V--------•-------------------------------•---------------------------•----.....--••--•-•..........---•-----•-•------------......._..--•--•--............••-- ` IInnstalll has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... .?_-_ C..J.............. dated...........-.............._..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r e JDATE............................. ` ._.......................................... Inspector....--------•---------------.....-------••-------•---........._.........---...I-•-- � THE COMMONWEALTH OF MASSACHUSETTS --�-�--- ..` r _ ! BOARD OF HEALTH _ OF..................................................................................... NoR..1..._�ll f..... FEE-_ k.............. Disposal Works %1_141notrnrtion "permit Permissionis ereby granted............4..�'.,:1--..••T-----••--.--------------------------------------------•----------......------.....---....-----•--.....--- to Construct ( 1 Repair (� ) an Individual w age Disposal System atNo.----- �..... t1 .-V.....��---- -------- V--"--�s4- ........................................ Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... .,.�.. -- --••----------------------•-----......-------•---. DATE....................................... ,. v Board of Health oF FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 1{{ FEs.......s.................. THE COMMONWEALTH OF MASSACHUSEA7S BOARD OF HEALTH Q-W ..........OF.. l2..PS T A Appliration for Disposal Works Tonstrnr#inn Vami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --1.}�x...PI,ih.�.......- �e----�-......cl.V.=r•�----•-5--�r-P t_�.... --•----•-•.........................•-•------------•--•---..._.......--------------.........------. 1 .L\ocation-Address !i 1 Lot No. 0 V Y=`............ --.. LA1 ...................................... l�Y1�A,r C r ._... ........ ---......-•------I----------------••----..............._.......--------...------ Owner Address --•••-•--------•--•-••......--•-a �'SY3............................................. --•----...---••-••----••••-•-•...............••-•-•-•---••----•-•......_..__....._..........----•- 14 Installer Address VType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................c)........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------------•-----------•----- W Design Flow........... .......................gallons per person per day. Total daily flow------------ .V_._..._________._._._gallons. W Septic Tank—Liquid capacity.WN.gallons Length................ Width................ Diameter_---_____________ Depth--------- ______-- x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...........I......... Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `" Percolation Test Results Performed by.1Zu_rc9.__ �.:.._�U .._b k_________________ Date.__._4_?_'Of':_�'a. a .._...•--- 14 Test Pit No. 1_______________minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2_______________minutes per inch Depth of Test Pit.................... Depth to ground water.______.._.____.._.__..- - -•---•--•-••----------••-••--•---•-•-•-----•-•-•---•-•••.......---•-••..............•-••--------------------••-•-•---•-••-•-----•-••--------.._..---_...-- 0 Description of Soil................ .... ..................••••-----•••---•---•••----•-----•--••--••---•----------------•---•••••----•••-•-•••-•-••-•---•-•••-••--•••-•---------••••--- (xj ...........s s-c--•--•-•-.p is n------•---------------------------------------------•----•---•-------•---------...•----•-----•••-------•---•- W Z ------------------------•--------------------------•----------------------------•-------------------------------------._._...._._.-----•------------•-------•-----------------------------............_. 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 TIT1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board Ofheal Signed..... .3 �. sTvf� � - �f.... 5�Application Approved --- --_ ------•------ Date Application Disapproved for the following reasons:............................................................................................................... ......................................------------------•--•-•-------------------------....-------------..-------------------------------------------------------------------------------------...._..•- Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF........................... ................. ....... Trr#ifiratr of f�am��i�nrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------------------------------ ••--------•---------- - --------------------____---------------_____----------_________----••-•----------•-------------- Installer at................... ------------ fir= -• --•-•--._-______-__-_____--------_-_____----r-T---_---�------------------------- - has been installed in a dance wpiieiprop�kj oof The-`�S'tate m ary Code as described in the iapplication for ib4osal ks^Coction mit No....................................... dated_--............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT 135�t6NWRAIED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.....................................................................................No......---•............... FEE.................�l e 2 .9), Disposal Work$ ("Flonotrurtion Vamit Permissionis hereby granted...............•-------------------•---------•------------------------------•----•-----------•---.....-•----•._......•--•...._..------••----- to Construct ( ) or Repair ( ) an IndividualQ� geisposal System atNo.- -•----•-•----•------------------•--------____--_----------------------------------------------- as shown on the app on fo�Zw"1Tort"nsYruct l3ermit o_ ________ _ Dated................_.......................... DATE...................................................-•- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS I C A T '10N SEWAGE PERMIT NO. VILLAGEv IIt A LLER'S NAME i. ADDRESS i 541LDE R OR O - fEQ I ® ATE PERINfT ISS,V--ED DATE C 0 M P L I A N C I ISSUED f 3 ' -f F • r gtn.:a tree�4"T'�• '�.`-rt@ f;,€ � 1 l � M � 7 off t I T k V 3 _ 4ta t�� No 0 O THE COMMONWEALTH OF MASSACHUSETTS 3 ,,Do BOARD HEA TH 41 ./..( /yL...........-•---.OF.... ........... - -_ :Appl ration for Disposal Works Tons#rudiun Fermi# Application is hereby made for a Permit to Construct (ki/or Repair ( ) an Individual Sewage Disposal po -Ad/dy�s,' or Lot No. — , ... -... v '" �_[2....... .... _._ ........ ..... ._•— . —.-_____..._._ �.�.�{.�./.,.,....... Addre 1�2 11 tq _ Ia r ddresa UT of Buildin .-.-.-...-----g Size Lot_ —_--Sq. feet ., Dwelling..—No, of Bedrooms......... _. .. _. ..._..Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type T e of Building No. of ersons......_......_. _.. Showers f� yP g ..........__-•--•----- P .. ..... ( ) — Cafeteria ( ) QI Other fixtures ............................ W Design Flow._.._........... _ ....gallons per person per day. Total daily flow__—.—...__..._. ..gallons. R: Septic Tank—Liquid'capacitylQQ-gallons Length................Width_.-............Diameter.._-__....Depth_........_..... xDisposal Trench—No....................Width............ Total Length.---.._Total leaching area q.ft. 3 Seepage Pit No...__.............Diameter__.......... Depth below inlet._t .__._.._.Total leaching area_._-___—sq.ft. z Other Distribution box ( ) Dosing tank ( ) - Percolation Test Results Performed by......_........... Date... �-•__--. MTest Pit No. 1...............minutes per inch Depth of Test Pit...................Depth to ground water.._.........._.._... 4. Test Pit No. 2................minutes per inch Depth of Test Pit__... Depth to ground water........................ 04 O Description of Soil-..... - ..Q11G`-.._ .. ._. V ....................._.._..__ .._..� —_____ _ ............_._................................. UNature of Repairs or Alterations—Answer when applicable..................._.......-..-..........-.---...-------..........._.___.._ _... __... ...._._..._........ Agreement: ___.._ __.... _.._........ .._.__ _.._.�.—__... —._.._.._.........._..... ... The undersigned agrees to install the aforedescribed Individual Sewage Disposal.System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued y the boa of health. �SignecL. _ _ .. ,__-- --- /�1 /�.�._ Application Approved By_L.J_ .... '. _. ......_._.._ _..__. Due ' •.�Date� Application Disapproved for the following rea•irons:....... ...___—___ ____._.---_._._......... _...._...__......_....._......__._......---................_._.........._.._. _ •---------------............ � a __......_.. _..._-- Permit No.....t0_pp..,�J_.�..�.___T Issued___���-5 ..� ....... ny _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF....�lr«:..1 7 :::1�. :.`........_......._..._......_. (Entifixtt#P of ( olnpli=jr THIS IS TO CERTIFY,That the Individual Sewage Disposal System constructed or Repaired ( ) —._........_--- ................................ ,1, Ioswllc aL_.._... .._. _.....__..............._.— ._............-_.............................._..----..._......... _.._.. ..._..--- has been instilled in accordance with the provisions of Tl=, ..5 of The State Sanitvey Code as described in the application for Disposal Works Construction Permit No.— THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....._...........__......................_....... -- - --.- Inspector ......._......__.__.._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH FF,zr..r._:...._......._ Disposal Works Tons:trudiun rrrmit Permission is hereby granted.--...,,Z.rr. %... .: .:.::.:.::.................................................................... to Construct (A or Repair ( . anlIgdivi�Sewage Dispos�!/%'System . �__... at No._....W �i e1tL• � .,at% r� l�� dl ..i ._—v ../.. " -- Street / as shown on the application for Disposal Works Construction Permit _-`'Dated_/ /s, •.• Hoard oMEilth DATE....._...... �... __._.......__.___...�..__. FORM 1255 HOBBS&WARREN, INC., PUBLISHERS - a -- -- ---- - _- Aso -4- N;t a >. k t ti. } I 4 I . . i r N O O U Utility RoomEl C Bath 0 0 t Furnace ( � Closet Closet Porch 1st Floor (Existing) 77 Bath 0 Porch 4�A Kitchen 70 2nd Floor (Existing) w KiIA- �� U � Bath O Furnace G . Home Office Closet Bedroom Closet Porch 1 st Floor (Pro-posed) O0 Bath Q Porch 2nd Floor (Proposed) � 1 i (1 1 r CAAAA4 W ��� � �r SU � f90�1 i I L I� 5 q G�twff4 3F Grp Gl�as- I II � a��� AREA CALCULATIONS: 4'-0" 1 1 T-0" EXISTING AREA: 10 1 ST FLOOR: 1150 SF r;�.y;:,., stir..;.r•.. .� '.40. t• •,F•':r a.,fir.�.;A4;��!�'• _ 2ND FLOOR: 590 SF TOTAL: 1740 SF Go PROPOSED ADDITION: R BEDROOM: 2 N MASTER OM: 6 0 SF W o REVISED TOTAL: 2360 SF z i I WJQ � W I� U- N � . I z = z , I µY. cd Li LIST OF DRAWINGS: a. I Q n I u Z W 01Lu A1.0 FOUNDATION PLAN a' ;4 A1.1 FIRST FLOOR PLAN A1.2 SECOND FLOOR PLAN TITLE: 9." A2.0 ELEVATIONS FOUND. A2.1 ELEVATIONS A3.0 SECTION PLAN EXISTING S1.1 1ST FLOOR FRAMING NEW BASEMENT s1.2 2ND FLOOR FRAMING 4' I BASEMENT c EX1 EXISTING PLANS ED "'�_NEW ACCESS IN y C EXISTING ° CONC.WALL 060 w0� u4 Z 47 V F oggR z r 20'-6" "CONCRETE RETAINING WALL,FIELD VERIFY EXACT LOCATION AND SIZE Date: SD: 06.01.2016 PRICING:07.15.2016 RED,4f? PERMIT: 12.21.2016 n ` �ZOZ6 to HYANNI5 Al o O �o M J� 1 FOUNDATION PLANgrn`1'0F a1P n3.o NOTES 1 4'-0" 17'-01' 1.DIMENSIONS ARE TO CENTERLINE OF INTERIOR WALLS AND OUTSIDE FACE OF STUD OF EXTERIOR WALLS, UNLESS OTHERWISE NOTED. 2.CONTACT ARCHITECT IF THERE ARE ANY DISCREPANCIES IN THE DRAWINGS. 3.ALL NAILING AND CONNECTIONS SHALL BE IN ACCORDANCE WITH WFCM GUIDE TO WOOD FRAME P , CONSTRUCTION IN11 O MPH ZONE. rr,f 4.ALL HEADERS TO BE(3)2X6s UNLESS NOTED OTHERWISEui N �/,j �°' ;. 5. XK,XJ=#OF KING AND JACK STUDS @ OPENING. USE 2K, 1J UNLESS NOTED OTHERWISE. Z o cp / m 3K1J /p / / i,,+ i //�`/ (rO 0 t- a bt Z (=n Z p ✓ ,✓r r- i O oe U ui 3KiJ r y i '� ///' c® /f,;. 'f, ✓ .%� 2 51-411TITLE: lst p ���//;;i�'A,/i �� O PLAN R C7 All / / ' / /' r iK I!/ �r/ ' I ,i Lr y / ;/' , /i'' OFFICE DINING o s o c , �/ � 8'-4"x 14'-0" 12'-6"x 14'-0" //( / u p Z ol rr— oo lo / f Y tl l v / V C ' A � _g 0 LIVING ROOM m so 24'-0"x 14'-0" " i n uo 0 4-7 10-0 oc C 2o'-s EXTG HOUSE Date: SD: 06.01.2016 tERED ARC PRICING:07.15.2016 — J2ETAINING WALL PERMIT: 12.21.2016 zz No..20269 HYANNIS A- 1 . 1 M o MPS /11 FIRST FLOOR PLAN 4'-0" 17'-0" NOTES LOWER PROPOSED MAIN GABLE 1. DIMENSIONS ARE TO CENTERLINE OF INTERIOR WALLS AND OUTSIDE FACE OF STUD OF EXTERIOR ROOF WALLS,UNLESS OTHERWISE NOTED. 2.CONTACT ARCHITECT IF THERE ARE ANY DISCREPANCIES IN THE DRAWINGS. 3.ALL NAILING AND CONNECTIONS SHALL BE IN ACCORDANCE WITH WFCM GUIDE TO WOOD FRAME CONSTRUCTION IN110 MPH ZONE. 4.ALL HEADERS TO BE(3)2X6s UNLESS NOTED OTHERWISE `O w o 5. XK,XJ=#OF KING AND JACK STUDS Q OPENING. USE 2K, 1J UNLESS NOTED OTHERWISE. oZ w _� Lu m �- 0 s ROO F OF PITCH Q - - o c3: IR � t RIDGE LINE 0 25'-4" Z g UJI Q a 24X48" -------- -- ------------------ TITLE: SKYLIGHT — — I ROOF O ap 10:P ROOF 10:12 ROOF PITCH 4 - - I PLAN ch +I I I 1 I s o� 48"X48" SKYLIGHT 4:12 ROOF PITCH i EXISTING ROOF80 ; °D s y 1 Z 1 � _ -------- Vu LEADERS&DOWNSPOUTS TO I EXISTING ROOF I 1 I A! iu$ DRYWELL IN BACK I „ I I I I W: IL------- Date: I SD: 06.01.2016 ew�5�_ U AR 0 7.15.2016 V PERMIT: 12.21.2016 on 0.20269 cn 1- HYANNIS o MA J �q NoMAsgp A- 1 .2 1 ROOF PLAN w o Z Q 0 LU J U- N tl7 0 Z, p dS V OG a LU Ln TITLE: - _ ELEVS. ARCH.ASHPHALT SHINGLES, MATCH EXISTING co 0 — NEW ANDERSEN ' WINDOWS/DOORS ^• r - 5o CZ, g — NEW FIBERCEMENT V o 12 SIDING, PAINTED TO 011=111IN MATCH EXISTING L4,, CLAPBOARD Z 5 •L 12"MAXLLU a► EXPOSED • E I I CONCRETE E I o � i I I Vu _ i '" 254"EXISTING HOUSE I 21'-0"ADDITION I I o I I I Date: SD: 06,01.2016 _=_=_----- I L _ __rI Ll PRICING:07.15.2016 - L J J J PERMIT: 12.21.2016 .,ElkED NORTH ELEVATION (CHURCH S . ��`� pN A.' no �NP.2Q2S.9 �n HYANNIS A-2 . 0MA J • , � '��h'i OF 0psgP EXISTING DH WINDOW TO MOVE wQQ Np ,4 SKYLIGHTS O Q " z = Z O cid u12 �. ARCH.ASHPHALT 10� 1 110 0 = SHINGLES,MATCH Q U EXISTING z''10Yi' z w rn w .gym Q ELn � TITLE: I�$ I ELEVS. NEW ANDERSON 12 WINDOWS �..;l( —�4 W.C.SHINGLES, NATURAL, MATCH � E EXISTING I I I I I I I I L 0 1 1 A fL EXPOSURE �m mo'n a 12"MAX I i EXPOSED I ,,� .. ..�. i CONCRETE 'T' I i II I d 4 •�N > N I -fi-�---------------------fit 11'-0"EXISTING HOUSE I I I I I I I I �u I I I J W-0"ADDITION J 18'-0"ADDITION C 33'-0" � (0jo56 Date: SD: 06.01.2016 PRICING:07.15.2016 D AM PERMIT: 12.21.2016 / IN WEST ELEVATION ���`5 pN A.41F�rE`�,� C No. 259 HYANNIS MA A-2 . 1 q( OF Mass 0 L1J CD fV z L Q o Q ,L ° � . O aIsVW p N m ....,�.......,.......dF Q U a LU 2: °n � SKYLIGHT TITLE: ARCH.ASHPHALT SHINGLES, MATCH ELEVATION EXISTING I 12 12� ARCH.ASHPHALT 101 10 SHINGLES, MATCH NEW SKYLIGHTS At I I I I 1 11 1 11 EXISTING s a co C —NEWNEW ANDERSSN ANDERSEN �s^, WINDOWS/DOORS WINDOWS/DOORS Va W.C. SHINGLES, •�N NATURAL, MATCH W.C.SHINGLES, NATURAL, MATCH EXISTING Z EXPOSURE EXISTING EXPOSURE da E G� Vu RETAINING WALL 12"MAX Ili IIH III "I'll, EXPOSED CONCRETE a) I I oC < I I 21'-0"ADDITION I 30'-0"EXISTING HOUSE If-0"ADDITION Date: SD: 06.01.2016 I I I I I PRICING:07.15.2016 ———— -------------------------� ————————————=.i1 r----------- --� ��gtERE ARCM PERMIT: 12.21.2016 -------------- F a 0. 259 ' 14YANNIS A29 �iA 1 SOUTH ELEVATIONBACKYARD 2 EAST ELEVATION q( OF MPSSP 00 kD � o • � o a t 11'-8"V.I.F. t 7'-8"V.I.F. 1 '-8" w Lu (2) 1 t'X 11 j"LVL RIDGE BEAM ���`��\ (3) 1 "X 14"LVL RIDGE BEAM Y }% k 2'-10y2' �'°� 0 Q u .E`%',ti Nizx 9Y d'.'Y:•'SNL;. J U tn TYPICAL ROOF CONSTRUCTION:R:40 u��1: M��, _ ��• ARCH.ASPHALT ROOF LU v 1.. 1/2"PLYWOOD SHEATHING, ,�,,?� r......- �'- •�w�;e.�, a Ln TAPE ALL SEAMS ' ' *,; TITLE: 2x10 ROOF RAFTERS, ; u.; N 16 OC W/2X10 COLLAR TIES, h0. _ k, 3 z SECTION OPEN CELL SPRAY FOAM 12 INSUL. (RAO)1/2"DRYWALL '">"�� MASTER / / ` �_�� 74 � WEST WALL WINDOWS SHOWN ON BEDROOM SECTION FOR HEAD HEIGHT _ / LOCATIONS ONLY .wJ' C9w;�d; " W 5 a •, d= _ :. • 6 I co TYP. NEW EXT.WALL CONST:R:20 % I�., . 1 w .. . NATURAL W.C. SHINGLES, 5"TW. 1/2"PLYWOOD SHEATHING, _ MASTER 1 BATHROOM �" I ❑� f 2X6 LOAD BEARING WALL, ;; w T-0"FLOATING WALL BATHROOM rr o Lm 16"OC 5 1/2"SPRAY u o � 1/2"DRYWALL Oz' ul L R -aio LIGN Z T.O. 1ST SUBFL "' 16 EL MATCH EXTG 77r � wu xr nsu Ian a rrwn u s a u.� a ua � ' J f,9 u ? 1 1,3 NJ U C 5/8"X 8"ANCHOR TYP. NEW FLOOR CONSTRUCTION : f''' "'; BOLT( 32"O.C.MIN. 3/4 T&G ADVANTECH SUBFLR, g 3"x3"x4"PLATE WASHER. ++ GLUED&NAILED ' 61-0"ACCES TO ;:'. LOCATE MIN. 9-1I s NEW 11 "TJI FLOOR JOISTS, NEW BASEMENT XISTING BASEMENT - ;" FROM END OF JOINT PLATE. , s ,, VERIFY PROPOSED WALL HEIGHT WITH GRADE I HE 1 V-0"EXISTING HOUSE �^ DROP CONC. N 6'-0" `� FOUNDATION AS REQ'D FIELD. EXISTING SLABS SHOULD ALIGN,EXISTIN LIGN FIRST FLOORS SHOULD ALIGN. DROP PROPOSE VYALL, T.O. SLAB ` . FOR DEEPER FRAMING. i 1• . •• •'•• , .• Date: rNEWS SD. 06.01.2016 -�F1r MATCH ExrG • .. PRICING:07.15.2016 _. 15'-0"ADDITION •-- 18'-0"ADDITION Lo PERMIT: 12.21.2016 44 33'-Oii . HYANNIS J.: A3 , 0 o M J ,. 1 SECTION {��a ��N OF N►PS� A3A 1 NOTES 1.DIMENSIONS ARE TO CENTERLINE OF INTERIOR WALLS AND OUTSIDE FACE OF STUD OF EXTERIOR WALLS, UNLESS OTHERWISE NOTED. 2.CONTACT ARCHITECT IF THERE ARE ANY DISCREPANCIES IN THE DRAWINGS. 3.ALL NAILING AND CONNECTIONS SHALL BE IN ACCORDANCE WITH WFCM 00 I GUIDE TO WOOD FRAME CONSTRUCTION IN110 MPH ZONE. w o I 4.ALL HEADERS TO BE(3)2X6s UNLESS NOTED OTHERWISE ZO Q NEW 11 "TJIs 360s 16'oc 5. XK,XJ=#OF KING AND JACK STUDS @ OPENING. USE 2K, 1J UNLESS w NOTED OTHERWISE. J FJ J I co O O cd U 0 H = m a C> NEW 11 "TJIs 360E 16'OC Q Q 2 l3n, 3 TITLE: 0 EXISTING FLOOR 11 F-m JOISTS.16"Or, 2XlOs EXISTIbIGFLOOR J 16"OC 1 ST FLOOR FRAMING co (3)1 fX7 f NEW 11 J'TJIS 360S i6'OC LVL HFAnFR 2X1 Os EXISTING FL60R JOISTS,16' b co 0 `g • } 3 a � L � :. Z t �r NEW 11 'TJIS 360E 16'OC •i E a Ll c ��a FA 0 �W 2 Y RETAINING WALL Date: SD: 06.01,2016 PRICING:07.15,2016 A�C�jrE` PERMIT: 12.21.2016 0 0.20259 HYANNIS OF 1 1 ST FLOOR FRAMI �� MP NOTES 1. DIMENSIONS ARE TO CENTERLINE OF INTERIOR'WALLS AND OUTSIDE FACE OF STUD OF EXTERIOR WALLS,UNLESS OTHERWISE NOTED.. % — — — — — 2.CONTACT ARCHITECT IF THERE ARE ANY DISCREPANCIES IN THE DRAWINGS. 3.ALL NAILING AND CONNECTIONS SHALL BE IN ACCORDANCE WITH WFCM � p UO GUIDE TO WOOD FRAME CONSTRUCTION IN110 MPH ZONE, Lu CDifl 4.ALL HEADERS TO BE(3)2X6s UNLESS NOTED OTHERWISE Q Q r 5. XK,XJ=#OF KING AND JACK STUDS @ OPENING. USE 2K, 1J UNLESS LH < w w NOTED OTHERWISE. J CO bo a p LL 0 < � 0 ZO � V O OJ p0 _ N c x X� a � °n � N N TITLE: ST UC URA RID E: (4 1 '1" 11 J"LVL ROOF FRAMING L- ------------ -------------- ------� n I o0 Io aa � co ST CT L IDG BEM: 1 14" VL AM ( m I I � a`► o z z 0 I z Z zca w w w a a uL w O O I a a C=7 C=7 I � u J J I c } �bu e- O O Q Q J J I C " c o o co G I :2'v E X X T N S N N IN � I I Date: SD: 06.01.2016 I LED ARCh'/ PRICING:07.15.2016 — — �d\`a N A q T�,� PERMIT: 12.21.2016 No.20259 1 HYANNIS ey , � I ROOF FRAMING PLAN I OF 1. �/4•.r-o• I I o SD co EXISTING o BASEMENT uj 0 � a o Q 0 co NEW ACCESS IN Z O °d U EXISTING (From Elevation A.1.0) CONC.WALL m d Q W V W a � L � TITLE: EXISTING sD PLANS 59 Church St-2nd Floor(Actual) Existing Hardwired SD in main house SD in bottom of 1st floor stairwell n SD SD in 2nd floor hall at top of stairs co E OFFICE DINING O -Note configuration of upstairs hall e a^x1a'A" 12'-6"xIN-D^ and bedroom walls r Please add SDs and COs to existing KITCHEN house plans as appropriate for permit Z-F e 00 12'-6"x 14'-V' . L F LIVING ROOM 24'•o"x 1,W-o^ Sp id sD co ��, _ E JC E SD CO U 0 4W Y Date: SD: 06.01,2016 PRICING:07.15.2016 PERMIT: 12.21.2016 y ri-'� FIRST FLOOR PLAN \' I/"j�,/,'�' \ ^.\ •,1'.. \ ) 1 \\`I L \ <_r• "` LEGEND NOTES >��\ 1 DATUM IS NAVD BB j (/ 93- rX'CTiNr,ffH1i(IIR C/' 1 i . -� \ fXIS7RA'C NEGL \ } 2.MUNICIPAL WATER 6 VUI AJNLAtlLE -• -\\ r�.\ jnm9 •'� ., i i f I 1 - \ lL 1 r ,/ ` '� X Y9.J EX:SI SPOT ELEY, \ / �' , �� �\ !�.��,,,,,,•_„^ ].THIS PLAN IS FOR PROPOSED NORM ONLY AND NOT TO \ ry /, \ % '. //, 1'f ( I -,, \ \._! +99}-- PROPOSED CONTOUR 6E USED FOR LOT LNE STAKING OR ANY OTHER j'`s r \ t PURPOSE. '-J r PROPOSED SPOT EL. 4.CONTRACTOR SMALL BE RESPONSULE FOR CALLING V / / '/' ll./''J � )/t )/1l1 1, ( 1 •` /' J. �� 'Hi O,OSAFE'1-888-344-703)AND VERIFYING THE LOCATION OF ALL UNDERGROUND B OVERHEAD ununES TEST MOLE PR rR TO COMMENCEMENT OF WORK. sLDrc Dr c9Duen uTlurr PnE NEW u' I rpc IIYDRANr •\ I /f 1` i/ / ` 4 UAP'153 ` J r \ \ j \ PARCEL 4-2 1_'C.. '', ,v/ / ^, �\ •\\ `.\ 1 IG,Q \ \.*�.�� �;.\1 ro'oRd wERc � � \ \\� ` `''".� LOCUS MAP NO1 'IO SCALE ASSESSORS MAP 153 PARCEL 4-4 pvisetl ^M , / 11 ll J p r ti k yl / \ :a; p ZONING SUMMARY (f n�% \ •� +-1 \\ c(. r.V�i �•0 +� - t ZONING DISTRIC-: RF RESIDENTIAL DISTRICT !! ` OAFlftvr 1 <,y � ,.d ,j : MIN. LOT SIZE 43,560 5-F. ! Fmsr 700R f PAVE-D D/Ml£�'-„ 1. ST, ! I,y.� MIN. LOT FRONTAGE 150, EG.71.27 / J ;r` �Y� MIN. FRONT SETBACK 30, • MIN. SIDE SET13ACK 15' MIN. REAR SETBACK 15' MAX euaDING H6u:Ml 3N' - r/' ` OWNER OF RECORD f / / / r .�. ••- / 1 '' S "t j •�°�\ �"i \^,'� ` ,1 \\r.. SCOl 1 1.CH M4 ISS A.LEOVE EET (1 '- ^: WEST BARNSTABLE,MA 02668 '--�• `� '> REFERENCES DEED BOOK 26998 PAGE 57 PLAN BOOK 407 PAGE 26 neE rrr < L 1 f IJ r MAP 153 rI r" \ , \ PARCEL 4. 4 \ U > f . r, �_194 'Il till' \ SITE PLAN - /, ( \j '`\ f � l rF f ,� J f' r• ,. 9 '- � Gt t;{j�t 11�'= � 59 CHURCH STREET P R EL f4-11'I 1 � WEST BARNSTABLE MA i ! �, PREPARED rOR A COTT LEONE \.r"• 1 ,.r� '>> ? �/ / •: �/�f r,.. /. j h f^./ J- ...-•t f I � r. y ( f / j G,( \ � t , !. , I,. T \,..t �/, / !'Jr. r / r- `\ `\j \� j! , 1 J.(r�'• C-.� \1<.`h~�i��� Y _ DATE: MAY 27, 2016 ,' '' � A]/-✓�'% - ,'�"'1�rf tier`/�/ �\`� ice/ 0 5 <u o u1 r c jr-,� J I •, \.. \. „,.,.:... ._ .E' ✓ ' " .. �- r r �' _ '',��f�r j� \�,, rr -s 2-angR4ri , ) ) f ., �%, .._.. - ; 9 .• �, ''". l,. . r/'_,L/. /'' /%' t4` 1` , +\� 14+SM-M2- , m r -,r -: "\)T � / _i< r s,/� � r�'.,� � �/ l � \ \.�,. 1 •, �R�,{�� )I �.e°w,�APD�Rm o `!5 r ~ r •` 17 t t .',. / . /� l r.. �� 1 V t \1 . )owe tape engineering,%/1C. i. �"+, r 1 •'` l-- ., �', _'' " ;J ..`/� ( l wr,�j�� � �' � ,{ ` \l r f V civil engineers � land surve}mrS ^ 939.Mofr. Street(pt. 6A) DATE DANIEL A. OJALA, 'A P.E.,P.L.S. RLICUTPPORT MA 02675 DCE 6-1z7 . - :O-12s LEONE DWC 1 i i SECTION - SEWAGE 1 ' � , � = i by ��' z, -TOP OF FDN SEPTIC TANK - - "D"BOX - - LEACH t 1 -� AG,,, `(•.t•!.'fr'Z \ ���` ' • (MSL)# "2"OF 118TO Ib" WASHED STONE �i �---- + ^ ,rlt ho IN I 7 � OUT- IN �•OUT- .� SEPTIC ! TANK CPS."-i' j r .. •' , >� �\��/ - I�aG' ,....-- -.-M.. . ELEV. ELEV. ELEV. /e`' (a'YJ i 1 `t"C?'�Gevti� fHy+ ,LJMT. ELEV. (104 / y t ELEV. ELEV. OF 3/n••-14Z•. .� � � \•• � \ WASHED STONE . . TEST HOLE LOG t TEST BY.;�Y',N WTRAI"J Z?'E. R.GIF [71�3.3 ram: .ram, . _ta.+4. 1\14 TEST DATE Jv'.v q 19 TL' WITNESS Z \ T DESIGN BEDROOM HOUSE �`� T.H. ar 1 �r1 T.H. # 2 ELEV. c�t�' ELEV. NO �Q .•••` \ l-{Z Lo^w-A r,11 {,ca�i,. Lgr�nil a-14"l-1- 5o;a . LZ DISPOSER DISPOSER PERC RATE Y________MIN/IN. Z1S" C�'l.b ZA" FLOW RATE 2 2l (GAL./DAY) P�vr4 c5 v��. CCU y 4 v�L SEPTIC TANK Z2.o (I.S)- REQ'D SEPTIC TANK SIZE LEACH FACILITY 'I'- - C�z.S SIDE WALL S" <° ' ISa.& (a.; G/D. \ BOTTOM �+-< _,� ti Sa.� ( t.ra ) _ SG>.T_ G/D. \ TOTAL -�o►.n x�Tn wtLS Sa w>��s. .� _ l4-4!_ USE: e7,,1• LEACHING __—WATER ENCOUNTERED NOTES: (UNLE$S .OTHERWISE NOTED) 1. DATUM(MSL) +TAKEN FROM, •✓ � _l`4 _QUADRANGLE MAP __ ) 2.MUNICIPAL WATER........ (� ;;Z'LA BLE 3. PIPE PITCH: 44"PER FOOT 1 �r7fr 4. DESIGN LOADING FOR ALL PRECAST UNITS: AA5'HQ- .44 a,I'� �� �,,�• 1�, �( S. MIN.GROUNDCOVER OVERALL SEWAGE FACILITIES: (1) FT. ~--(}--DISTANCE AS CERTIFIED c!• f ,sue 6. PIPE JOINTS SMALL BEMAOE S WATER TIGHT SS� 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM,.OF MASS- t� SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 - p 0 MAN u+ n. 1 HEREBY CERTIFY THAT THE BUILDING .02l - SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON &THAT IT LOCUS: CONFORM TO THE ZONING BY LAWS OF THE E - " {,y�l - s i� A _. (,..r TOWN OF REG. P 1,Q GIroEHR� WHEN CONSTRUCTED. DATE *�� l REF: F�l-_�+"s✓~ . E�;'� w ,/ jOd'✓II CdPe @aftArl I@@llllg PREPARED FOR: .4 �� Wo 'L_^'i=-'.� CIVIL ENGINEERS - — ---- LAND SURVEYOnG BOARD OF HEALTH REG. LAND SURVEYOR— CONTOURS (E<15TING)--+•--•---.-- (PROPOSED)-^O—U—O--O— APPROVED DATE MA Yarmouth&Orleans,MA SCALE +y DATE ![a.Z--A"Sj SECTION - SEWAGE 17> - W t "4--1 ± r4 LEACH c �. �. - 614- SEPTIC TANK - - "D"BOX -- 'r.*4, -4- c-L._._ t►--7- TO?O FONN Z.,OF IISTO 4t" (MSL) WASHED STONE IN- OUT ^ IN TANK IN- Fa+t ! v �'� \` ��`� �. ! t \ `~, ^� Cad 4 �4 y �taCa�a3 t TANK � +� iCc# ELEV. ELEV. ELEV. ELEV. �vri"�:•ISO '{s�. �.� \� yRc�'�x � a� ...�(r[ ELEV. ELEV. WASHED STONE TEST HOLE LOG TEST BY _._ ,----- •r s wliNEss '� r ��Y \ TEST DATE " + I -- DESIGN -- BEDROOM HOUSE \ T.H. # 1 � T.H. 2 "`I1.7- • S `ELEV. NO ?C3 "�„••"ti, \ ELEV. G3cz, > L DISPOSER DISPOSER ct,m►rc r 'tyiataat._ LaR..n:� 44'�ScalI— PERC RATE __ _ _._.._.MIN/IN. �' . �1.�. -�. !r/ t� G►q.a,. FLOW RATE 2c> (GAL./DAY) 2Zc� SEPTIC TANK (• ) t�,cani =R« fir' �' "`"�`�'- REQ'D SEPTIC TANK SIZE LEACH"FACILITY S7r4z t50-! ' 3 �� G/D. SIDE WALL .5 ? s \ _ BOTTOM �_�-�4 ��Q.Z �l �<+� I _ _.�C'�� G/D. ua az Tra ~Hers. _ TOTAL ; 05A O Aw 1-7- USE: LEACHING ...._.....� _ __._ - .. ____WATER ENCOUNTERED k� NOTES: (UNLESS .OTHERWISE NOTED) >iSa�Y Gvv f�C-0 QUADRANGLE MAP 1. DATUM(MSL)''__TAKEN FROM _�..--.. »--------- s hiG. -_AVAILABLE_ ' �.. ... 2.MUNICIPAL WATER--.-•---4�^".�____...-._.•_..._--'-. � V' t ; ,.•--•.. ��,� 3.PIPE PITCH: 4e•'PER FOOT 4 1^ 14:> .44 .r ---- ---- DISTANCE AS CERTIFIED '" 4. DESIGN LOADING FOR ALL PRE-CAST UNITS.AASHO- �� �• !i .. 5.MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT- !� 6. PIPE JOINTS SMALL BE MADE WATER TIGHT (* O r.�x�iv -'' I HEREBY CERTIFY THAT THE BUILDING SITE PLAN 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. { �+ STATE ENVIRONMENTAL CODE TITLE 5 �#2 � SHOWN ON THIS PLAN IS LOCATED ON THE' LOCUS; —� GROUND AS SHOWN HEREON&THAT IT _ tc:,*" 7� `�,�5'' CONFORM TO THE ZONING BY LAWS OF THE � »'�� DFY- _ lh,^xrr(1 ` -'� _— TOWN OF REG pR - GINEER WHEN CONSTRUCTED. DATEtr• a REF-. _ -,••-..•- kdoW# Cape eiIgmee"ill PREPARED FOR: CIVIL ENGINEERS LANO SUR V EYORS ——————— ————BOARD OF HEALTHREG. LAND SURVEYOR SCALE __ MA Yarmouth&Orleans,MA DATE. �.� APPROVED _[)ATE CONTOURS (EXISTING}--------•--- . . _ (PROPOSED) -O-O--O-O- I FINISH GRADE OVER D-BOX= 73.5'± - PROP. VENT WITH CHARCOAL FILTER TO ABOVE GRADE GENERAL NOTES T.O.F. EL.= VARIES FINISH GRADE OVER CHAMBERS= 73.5� - 74.1' _ „ PROVIDE EXTENSION RISER SLOPE @ 2% MIN. OVER SYSTEM 3/4 TO 1 1/2 DOUBLE WASHED 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION REMOVABLE WATER-TIGHT COVER OVER STONE TO CROWN OF PIPE. WITH COVER OVER INLET& F.G. OVER TANK"A"EL. = 72,5� - RISER TO WITHIN 6"OF FINISHED GRADE „ METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE OUTLET TO WITHIN 6"OF F.G. 4 SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS „ ,„ „ CODE AND ANY APPLICABLE LOCAL RULES. MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) 2 OF "I/8 TO 1/2 DOUBLE WASHED @ FND. EL:= VARIES F.G. OVER TANK"B" EL. = 73.5�-1- 5" DIA. OUTLET(S) 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE STONE OR;GEOTEXTILE FILTER FABRIC DESIGN ENGINEER. i , PLACE RISERS ON ALL 3.. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROPOSED 4" 4.0' MAX. 5.0'MAX. TOP OF SAS 69.10 CHAMBERS WITH SYSTEM UNLESS OTHERWISE NOTED. EXISTING 4" SCH. 40 PVC 4" PVC TEE SEE NOTE 22 „ SEWER PIPE 68.1 SEE NOTE 22 BREAKOUT EL- 6$.60' INLET PIPES TO 6 OF 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN SEWER PIPE L=25�+- (A) - FINISHED GRADE ELEVATION =68.60' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A --- - ----- „ 3"-DROP MAX _ , 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 6 3 2" DROP MIN 3 9 L=23 ± (B) PROVIDE WATERTIGHT nniN.s�ope@�io � � THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 13" 4" PVC IN FROM JOINTS(TYP.) o - 14" I ® * '{- SEPTIC TANK 4" PVC OUT TO 0 O 0 0 0 0 0 0 0 0 O 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. A 68.8 _ CONTRACTOR TO PROVIDE e * ,� O LEACHING FACILITY oa 00 ( 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SPECIFIED DROP BETWEEN Ba -- 72.2 ® o = 0 0 0 ,0 0 0 L ) 0 0 12" 6" o0 00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL T TEE 68.50' MIN. 68.33' 2' o 0 0 0 o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS SHALL VERIFY SIZE 48" VERIFY CONDITION OFNI OUTLET 0 0 0 0 oo u ao NOT T BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH AND CONDITION OF EXISTING TEES - o 0 000 0o O O B OU IN -GAS BAFFLE 6"CRUSHED STONE AND DESIGNENGINEER. EXISTING SEPTIC AND REPLACE AS o 0 0 0 0 0 0 o 0 0 0 o OVER MECHANICALLY o - 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 75.00, TANK NECESSARY COMPACTED BASE _ 3 4.0' I 4.0' ESTABLISHED ON A NAIL IN A TREE AS SHOWN ON THE PLAN. 8.5' (TYP) - 3.0' 4.83' 3.0' INLET DISTRIBUTION BOX -I YP) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION TO BE INSTALLED ON A LEVEL STABLE 50.5' BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV.= < 62.001 THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT PIPES FIRST S LAID LEVEL. 66. O 10.83' 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES 4' MIN. TO THE DESIGN ENGINEER. EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANKS VIEW 5 500 H-20 GALLON CHAMBERS CHAMBER END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. CROSS SECTION V { TYPICAL CHAMBER PROFILE *CONTRACTOR TO VERIFY EXISTING SEPTIC TANK PROFILE H-�Q DISTRIBUTION © DETAIL L H-2 0 CHAMBER DETAILS 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING ELEVATION PRIOR TO ANY WORK& HB REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOT TO SCALE NOT TO SCALE NOT TO SCALE NOTIFY ENGINEER IF DIFFERENT. APPROPRIATE AUTHORITY. SWING-TIES • ® _ TEST PIT DATA 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED u� WELL , ,.' + • 15901 UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES,OR {.,,1� DESCRIPTION HC-1 HC-2 HC-3 HC-4 n • • �$ a l��J e PERC NO. w , . + INSPECTOR: Donald Desmarais, R.S. TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. F FALL DIRT DUST AND FINES. #5g ~ CORNER OF STONE 1 - - 19.4' 26.4' \ �; , .,� ;: 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE O EXISTING O ; '"""'`1 EVALUATOR: Michael Pimentel,EIT,CSE ' i z a ---f' _"` 14. WHERE REQUIRED CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE 3-BEDROOM CORNER OF STONE 2 _ 17.0' 30.0' \ +•' Oct. 1999 O O t , 1 C.S.E. APPROVAL DATE. MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. DWELLING \ \ ' I o + ( L i _, 3 FebFebrua 6 2019 N REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY ►-- . _ _ _ o ., `�` . .. , DATE. ry RE C SU a \ CORNER,OF STONE 3 25.8 _-22.3 , \ ...� .. ,,,.-. . s 2 V s , �. FINES OR OTHER.UNSUITABLE MATERIAL 1N ACCORDANCE E WITH 1 MR 1 2 HC 2 r G {'" TEST PIT#. 1 U SU CCOR C 3 0 C 5. 55 3 . - - N CORNER F STONE 4 36.3 26.3 . CO O S O O II .- \ WELL 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN ,:�:.. , ; - ELEV TOP 76.00 \ i *10 . w r, N O �, (v � ; SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. \ l_ + ELEV WATER- <63.00 16. PROPOSED PROJECT IS LOCATED WITHIN: HC-1 � 4 .�- � t ''��� • (3) 10.8 O 33.4 - - -� O 'A *, / PERC RATE 11 min./inch ASSESSOR'S MAP 153 LOT 4-4 o l 'L G N r - -•-:: -- SHED \ c� a o OWNE O RECO SCOTT T. &MELISSA A. LEONE DEPTH OF PERC- 30 -56 ADDRESS: 59 CHURCH STREET LOCUS 10 0' ,.� p, o a ti TEXTURAL CLASS: iI - g`� f ,ry O + WEST BARNSTABLE, MA 02668 - MAP 153 ® oo (oilh a ,` FEMA FLOOD ZONE X LOT 4-4 .;,. ` \ / ° h MA COMMUNITY PANEL# 25001 C0534J 3e b oil 76.00 68,993± S.F. o O ,�. 5 0 o .`^. `� Fill 17. 1�. DEED REFERENCE. DEED BOOK 26998, PAGE 57 I -f - 1' �� o / + 18. PLAN REFERENCE. PLAN BOOK 407 PAGE 26 � � py) ##, --�,_,. ;, '.,.•.'. �� � + ,� B Sandy.Loam � 1ffl \ d -y fir" ,a• - -- �/1 M �!?} °" 10Yr 5/8 IT MAP 153 1 �, \ A ''� 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. \ k -r�I�;. 18" 74.50 ® :.. LOT 4-2 ` \_ \ o .� --� �; E3 .. � 9 � - 20. PROPERTY.LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY �4;jFine Loamy Sand \ \ FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY • / "i 1 \ / ° -31- 5Y 6/4 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. (2) � � � ) ( .��'' p Q � �,✓. ;. ,; ��,•,�.r /. ' . .. POSITION T A s / E ��4 S \.. - s'•• 21. A 4 PERFORATED SCH: 40 PVC PIPE SHALL BE PLACED IN A VERTICALO U.P. tS t o a Perc s�. , �'� ° _ a ` �� � DEPTH OF THE.BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A I >�, °h � } E p -,,� `�� �.� REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS.. I 4 - .4 THE FOLLOWING LOCAL UPGRADE 22. IN ACCORDANCE WITH 310 CMR 15. 01 15 05, O i - � GUY ,. � . :: � _. ..... � is-' > S�� .. `" � APPROVALS ARE REQUESTED FROM 310 CMR 15.221(7). I HC-4 7 .\ I / *_ € �� '- ~� COVER OVER THE SAS. SO- #59 WIRE .r 1 i3 (,Lparny-band (1.) A 2.0 WAIVER (3.0 5.0) FOR THE MAXIMUMCO S �M `2 / BIT. DRIVEWAY 1 C-2 2. A 1.0'WAIVER 0'-4.0' FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. q� F \ /I ALL 2.5Y 6/6 ( ) A (3 ) M S EXISTING �. TOF- I \ 3-BEDROOM �•. 75.4'+ / 23. THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM THE TOWN OF BARNSTABLE'S GO O� ���FT \ DWELLING \� FFE=76.2'± \ ' / CHAPTER 397: WELLS REGULATIONS; SECTION 397-2: g LOCUS PLAN-�- / (1.) A 27.3'VARIANCE (150.0' -122.T) FOR THE SETBACK FROM THE PROPOSED LEACHING ' / - i - FACILITY TO THE EXISTING ON WELL LOCATED AT MAP 153, LOT 4-4. SCALE: 1"= 1000' PROPOSED SEPTIC SETBACKS PATIO 156" 63.00' �, LEGEND SCALE: 1"=20' PROPOSED WATERLINE TO BE \ \ - 1 No Mottling, Standing or Weeping Observed 10' MIN. AWAY FROM NEW SAS \ \ �, x50.0 EXISTING SPOT GRADE DESIGN DATA TEST PIT DATA / � SHED --' �. - - 50 - - EXISTING CONTOUR NOTES: EXISTING WATERLINE TO BE �LP� I / PERC NO. 15901 ` RELOCATED AS SHOWN A� O 0 INSPECTOR: Donald Desmarais, R.S. 50 PROPOSED CONTOUR 1.) MAGNETIC MARKING TAPE SHALL tih op / / . :.- \ try NUMBER OF BEDROOMS (DESIGN) 4 F �� 6_ / EVALUATOR: Michael Pimentel, EIT, CSE 50 PROPOSED SPOT GRADE BE PLACED ALONG THE TOP EDGE O rn 3 A Q EACH SEPTIC SYSTEM COMPONENT. PROPOSED 5-500 GALLON IN CHAMBERS / �' I �J� DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E. APPROVAL DATE: g p a Oct. 1999 H-20 LEACHING C a \ `� TOTAL DESIGN FLOW 440 GAUDAY GAS EXISTING GAS LINE WITH AGGREGATE 2. CONTRACTOR SHALL VERIFY SOIL DATE: February 6; 2019 O X. 1 GALLON o 880 CONDITIONS IN THE LOCATION OF THE ^ / - .. E 000 GA LO DESIGN FLOW x 200 /o - GAUDAY 1 2 0 H W EXISTING OVERHEAD WIRES „ TEST PIT#. � I .�. SEPTIC TANK A TO LP PROPOSE D LEACHING FACILITY TO APPROX. LOCATION OF �, i - D I :. ?. E EXISTING 1 000 GALLON SEPTIC TANKS = ' ENSURE CONSISTENCY WITH TEST PIT EXISTING CABLE SERVICE LINE N I w .� 3 _ ® .- i BE UTILIZED IN THIS U$ ELEV TOP 75.00 E E EXISTING UNDERGROUND ELECTRIC �. DESIGN SHOWN N THIS PLAN. REPORT / I v - _ <62.00' I DATA SHO O LP ELEV WATER APPROX. LOCATION OF I I Q-• C C EXISTING UNDERGROUND CABLE TO ENGINEER AND LOCAL BOARD OF ` . PROPOSED H-20 - EXISTING GAS SERVICE LINE / c� <v Q `� PERC RATE_ HEALTH IF SOILS ARE NOT / `�n � \ •-. „� DISTRIBUTION BOX CONSISTENT WITH TEST PIT DATA. W W EXISTING WATER LINE INSTALL 5 500 GALLON H-20 CHAMBERS �_ DEPTH OF PERC= l EXISTING LEACHING PIT TO BE W/ AGGREGATE PROPOSED WATER LINE 3.) LOCUS PROPERTY IS LOCATED PROPOSED 4" PVC VENT PIPE; / �, /14 PUMPED AND FILLED Vi�1TH CLEAN TEXTURAL CLASS: II WITHIN THE WELLHEAD PROTECTION - - EXACT LOCATION PER OWNER �N / TP 2 ` SAND&ABANDONED (TYP OF 2} SIDEWALL CAPACITY p O EXISTING 1,000 GALLON SEPTIC TANK OVERLAY DISTRICT AND THE / , ESTUARINE WATERSHEDS. � �--. Benchmark (LENGTH + WIDTH) (2 SIDES) (2 HIGH) (0.56 GPD/S.F.) GAUDAY 75x0 i ,� r (50.5' + 10.83') (2 ) (2' ) (0.56 GPD/S.F.) = 137.4 GAUDAY „ 75.00' TEST PIT LOCATION Nail in Tree 0 4.) LOCATIONS OF EXISTING CABLE, I - TO 1 $ p Elevation =75.00' FIII PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE GAS, AND ELECTRIC LINES SERVICING / \\� FFE= Approx. M.S.L- BOTTOM CAPACITY 4,, 74.6T THE COTTAGE ARE CONSIDERED qs 77.0'± = Sand Loam PROXIMATE ONLY. - / 76)(b \ I tv ,; (LENGTH x WIDTH) (0.56 GPD/S.F.) GAUDAY y p PROPOSED H-20 DISTRIBUTION BOX AP \ � O tS EX. 1000 GALLON SEPTIC TANK B , MAP 153 , / �l 00 TO BE UTILIZED IN THIS DESIGN (50.5 x 10.83) (0.56 GPD/S.F.) = 306.3 GAUDAY B 10Yr 5/8 5.) LOCATION OF EXISTING ELECTRIC LOT 4-4 / O��Q 18 73.50 O PROPOSED 500 GALLON H-20 LEACHING CHAMBER LINE SERVICING THE SHED IS 68,993±S.F. / / V� --___ PROPOSED INSPECTION PORT Fine Loamy Sand CONSIDERED APPROXIMATE ONLY. C / TOTALS: C-1 2.5Y 6/4 TOTAL NUMBER OF CHAMBERS 5 30" 72.50' REV. DATE BY APP'D. DESCRIPTION �+ �+ �-+ �C / \ TOTAL LEACHING AREA 792.3 SQ.FT. PROPOSED SEPTIC SYSTEM UPGRADE OFFS!3l 1� TOTAL LEACHING CAPACITY 443.7 GAL./DAY Q� 'C I CJ PREPARED FOR: NosPQ - tiv � CAPEWIDE ENTERPRISES MAP 153 - �� LOT 4-3 C-2 °amy Sand 2.5Y 6/6 LOCATED AT n I 59 CHURCH STREET do / I WEST BARNSTABLE MA 02668 4„W „ SCALE: 1 INCH = 20 FT. DATE: MARCH 27, 2019 �n ^^ g79 19 2� �• � / � 156 62.00' = U, 23 OF 0 10 20 40 80 FEET I I No Mottling, Standing or Weeping Observed at i JOHN L. s� PREPARED BY: RESERVED FOR BOARD OF HEALTH USE CHURCHILL R. _, .JC ENGINEERING, INC. NO.CIVIL on 2854 CRANBERRY HIGHWAY 0 0 _ EAST WAREHAM MA 02538 C LAN 508.273.0377 .� SITE P m ` SCALE: 1"=20' Drawn By: SJI Designed By:SJI Checked By: MCP JOB No.4540 i