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0121 GREAT MARSH ROAD - Health
121 Great Marsh Road W. Barnstable A = 089 004003 x G i Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 121 Great Marsh Rd. Property Address HOLNIGREN, JOHN &JEANNE L Owner Owner's Name information is required for West Barnstable MA 02668 8/3-5/2010 every 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: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Anthony A. Esposito cursor-do not Name of Inspector use the return key. same Company Name 31 Hopkins Rd. Company Address -P-lymouth -- _ _._ __ _ .. _ .._ .. ___ _ -MA _._. •02360 _ . . Cityrrown State Zip Code 508-3694783 2340 Telephone Number License Number B. Certification 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 16.340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspector's gn ure Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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•C9108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 1 of 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments aY 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name Information is required for West Barnstable MA 02668 8/3-5/2010 every 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: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System required pumping 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. Cheek 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): Oirs•09108 Title 6 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owners Name information is required for West Barnstable MA 02668 8/3-5/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) 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 with 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•09108 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 121 Great Marsh Rd. Property Address HOLMGREN, JOHN&JEANNE L Owner Owner's Name information is West Barnstable MA 02668 8/3-5/2010 required.or every 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 121 Great Marsh Rd. Property Address HOLMGREN,JOHN &JEANNE L Owner Owner's Name information is required for West Barnstable MA 02668 813-512010 every page. City/-rown 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: once. ❑ ® 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. A ny poir--tion of a-cess ool 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 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name requinform r d,on is West Barnstable MA 02668 8/3-5/2010 requires for every 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? - 1Z -- ❑. 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 [sack 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): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•09108 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 r 121 Great Marsh Rd. Property Address HOLMGREN, JOHN&JEANNE L Owner Owner's Name information is West Barnstable MA 02668 8/3-5/2010 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 1,500 gal tank w/2-outlet d-box and 3-500 gal. gallley system. 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 Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail Sump pump? ❑ Yes ® No Last date of occupancy: Current Date CommerciaUlndustrial 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 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owners Name requir don is for West Barnstable MA 02668 813-5/2010 required every page. Cityfrown 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: Owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1,500 gallons How was quantity pumped determined? Pump truck meter Reason for pumping: High scum and sludge content 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 Forth:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts ugTitle 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name information is required for West Barnstable MA 02668 813-512010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 7 years Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑cast iron 40 PVC ❑other(explatn). Distance from private water supply well or suction line: >150 ft feet Comments(on condition of joints, venting, evidence of leakage, etc.): no apparent leakage Septic Tank(locate on site plan): Depth below grade: 1.67' 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: 10'6"X 5' Sludge depth: 8" t5ins-09108 Title 5 Official inspection Forth:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 121 Great Marsh Rd. ' Property Address HOLMGREN„ JOHN &JEANNE L Owner Owners Name information is required for West Barnstable MA 02668 8/3-5/2010 every 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 2'-11" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 1" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? on-site measurements ...... -Comments(on pumpirT recommendations; inlet-and outlet-tee or baffle condifion, sfrucfu�al-into�i 9 ry, liquid levels as related to outlet invert,,evidence of leakage, etc.): High scum and sludge level 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 "t 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name information is required for West Barnstable MA 02668 8/3-5/2010 every 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 Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: pate Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09106 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 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name information is West Barnstable MA 02668 8/3-512010 required for every 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.): none 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 117 f Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments i 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name information is required for West Barnstable MA 02668 8/3-5/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number. 3 ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ------ . -------- ---- ---- ---- --------- --------------------- --......---. ------- - ------ ---- --- ------...---- - ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: 500 gal. galleys Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): no breakout 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name information is required for West Barnstable MA 02668 8/3-5/2010 every page. City/Town 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 Forth:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owners Name information is required for West Barnstable MA 02668 8/3-512010 every page. City/rown 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 l t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name information is required for West Barnstable MA 02668 8/3-512010 every 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: >10 ft.feet ............ ... ............. Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 01/18/2001 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: Review previous perc data 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 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 121 Great Marsh Rd. Property Address HOLMGREN, JOHN &JEANNE L Owner Owner's Name information is required for West Barnstable MA 02668 813-512010 every 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 c t5ins-09108 Title 5 Official Inspection Form:Subsurfaoe Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION 0,, GJ SEWAGE # d C0'-S�'6 VILLAGE, &e AISESSOR'S MAP& LOT r3 INSTALLER'S NAME&PHONE NO. f� SEPTIC TANK CAPACITY &0 LEACHING FACILITY: (type) (size) c5 D C) n c.l NO.OF BEDROOMS BUILDER OR OWNER C`rIq o1 PERMITDATE: J03dil COMPLIANCE DATE: D Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility.) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by b . r 4J ,6 INS 6 313 i TOWN OF BARNSTABLE LOCATION Cro /hOeSh SEWAGE # 2001-,S% VILLAGE &)mf 3 Na A4'ho ? ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY of O C9 (. o _ LEACHING FACILITY: (type) n� (size) as ® 0 n c.1, NO,OF BEDROOMS BUILDER OR OWNER �a fAn a:11 C, PERMITDATE: 36 COMPLIANCE DATE: D Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist / on site or within 200 feet of leaching facility) /,�y Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by g S �' 3- 50� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE A 'rrt � t ��lirtttiuit for �#t,�� �a1 Wurlt6 Tuwitrurtiun ramit Application is hereby made for a Permit to Construct (61�or Repair ( ) an Individual Sewage Disposal System at: 121 ��y/� /-P..• <..��:. «"-----------------.yam. T7 .=� `-._ / .T�..l c:.{...J./:•_7f..1.....^_.�...T.--C1 D11 �d_r•___ _'............................... ....��-���...I............................. •V����:..... 7v..........__ W F-�� -._.(r� .fir. o �.. .� -f�� ► h ..6 -1---• e55a l�l.�/1/l�1„ n................. Installer Address Type of Building Size Lot__X3.:5D .....Sq. feet .� Dwelling—No. of Bedrooms........../----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building __------- -------_-_.___ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 4 Other fixtures --------------- ------------ ------------------------ ---------------- -------- w Design Flow......._. / ______________________gallons per person per day. Total daily flow....... � - gal---- lons. 1:4 Septic Tank—Liquid capacit/5Z>0_gallons Length,/.---_____ Width._Gam_... _ Diameter................ De th.... W p � �� x Disposal Trench—No. .....1------------ Width__/_3--- Total Length_.3..t_,S_._. Total leaching area....A,7!.P..4�-ft. 3 Seepage Pit No________ ____________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) a Percolation Test Results Performed b r�e._.1�1c3�s?!`-�.__C��. .... Date. � y.......- -,i - --- 1= ----- Test Pit No. 1---__.....minutes per inch Depth of Test Pit---/�.... Depth to ground water.As$.A��".--- 44 Test Pit No. 2.-_ - per inch Depth of Test Pit._l-zf�/_j...... Depth to ground water........`?............. x ----- ---------------------- ---------------------------......................................................... Descriptionof Soil------ �� .�--.-,QL e ----------------------------------------------------------------------------------------------------------------------- x w 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com ante has been issued hv the board of health. Signed . ........ -- -------- -------------------------- Application.Approved By ---- -- - - -------- -- ------- -- ---�----- Application.Disapproved for the following rea.to r: ----------------------------------------------..._------------------ --------------- ------------------------------ ... ................................. ------- -- - --------------------------------------- -------- ------------------ Dare Permit No. .. --------9. /................. . . - - ... Issued Dare _ a • THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Ditjip ial Mnrkii Totfstrnrtion amit Application is hereby made for a Permit to Construct "� ( r) or Repair(. ,),,an Individual Sewage'Disposal S/ysstem at:: 0 1 newt / y f +Location—Address or Lot No. Owner •-----•-- ress •-'--•.........-- r•== � Installer .. Address g Size Lot-__- 5c_ ...... feet U Type of Building � -.� Dwelling— No. of Bedrooms..........:........... :'___._._____.__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons-----.---------------------- Showers ( ) — Cafeteria ( ) A'I Other fixtures d W Design Flow_........ ✓6....'_._._.?.............gallons per person perfday. Total daily flow..._-___���.............................gallons. (: Septic Tank—Liquid capacityt5 galIons Length .!_' _..____ Width... ►.'_.___. Diameter---------------- Depth. Disposal Trench—No /:. Width__/_3_ - 'Total Length_.3.<?__r_ 15.___� Total leaching area Seepage Pit No..................... Diameter------------ ------- Depth,below inlet ................. Total leaching area..................sq. ft. Z Other Distribution box ( u Dosing tank ( ) a Percolation-Test Resultsfe 'Performed by..___._. > __ s ..) _� ------------- Date.,``__:� ........ de .,.a Test Pit No. L__. �_-_--minutes per inch Depth of Test Pit /` � ... Depth to ground water Ae). e�_157"`_... Gi, Test Pit No. � ....minutes per inch `"Depth of Te'St'-Pit._�... ..... Depth to ground water--------2'............. ' l x Description of Soil -- --i---•------- ..............................•-•--...................__.--•--•--_......--------•--s'-•--------------_._-_--_------ ,n.... ......................._-------+j-----'------------------...._------ U Nature of Repairs or Alterations—Answer when applicable.--- Y ........................................................................ ----------------------------------------------------------------------------------------- Agreement: 4 The undersigned agrees to install the aforedescribed I"dividual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environ ental,,6de—The undersigned further agrees not to place the system in operation until a Certificate of Comp ia�/nce��h�asl b(eeen�issu�ed�by the board of health. Signedv / ° Application.Approved BY j � 1 -1J` `� .. _� . l .. { Y .✓' _ - a V'V +...-�" L / Dare Application Disapproved for the following reason �- / ' --------------------------- ------------;,_,....,.-_...1 -------- -------------------..-..-....... __...... ' � /' ,a� - Dare Permit No. �(� �t. ... ---------- ------------- Issued ------R ' ... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CTlex#tftcttte:of Compliance THIS IS TO CERTIFY, That the Individual,SSewage Disposal System constructed ( ) or Repaired ( ) by ' .4G- 't✓�.. -k `!� :: a f --�-- ------ ------ -- ------------------ - InstaJer at .. --- -- -- ----- -- --- ------ --- ---------- has been installed in accordance with the provisions of TITLE 5 of The State Enu-rol mental Code as described in the application for Disposal Works Construction Permit No. _ •- dated _-- -- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT(BE'`CONSTRUEA AS A GUARANTEE THAT THE SYSTEM WILL� UNCTION SATISFACTORY., 'I DATE- --- t f-+! -' - Inspector ' ' + �1. --- ---- --- -- ---.. ........... THE COMMONWEALTH OF MASSACHUSETTS 3 BOARD OF HEALTH TOWN OF BARNSTABLE 1° No .. -_. fit. '__ .._ '~-' FEE.._....... �t��n�ii1 nrk� �nrn�tri$rttnn rrini� Permission is hereby granted....... 4 ..'.... ( :al l ---- ----- !__--)�`---�- ��----�-=--- -------------------------------- to Construct,(—.) or Repair_ ( )-an' Individual ,Sewage Disposal;System �� I /.( ` of _ �? 'r d-! �t + .x�t+ ,• i �iT at NO . a . , 7 .......... .............. 1 street !a i as shown on the application for'Disposal Works Construction Permit No.t i_+_,?__,_=___.'Dated._:........................................ . 1, t Board of Health DATE , FORM:36508 HOBBS 6 WARREN,INC.,PUBLISHERS 7� No.- ---- Fee---- -------- BOARD OF HEALTH TOWN OF BARNSTABLE i n uc �I��Cicat o ,�or�elY �Con�tr tionPertnit i b de for permit to Construct �Alter or Re air an individual Well at: I'dApplication s here ma p (� ( ), p ( ) l0 M tfP,16 Location — Address Assessors Map and Parcel Owner Address ��mo Installer — Driller Address Type of Building Dwelling------------------------------------------------------ Other - Type of Building-------------------------- No. of Persons----------------------------_---_____ Type of Well /—/_ do ---- - _—_ --- Capacity----- ----- - -- 7P-4-� -- Purpose of Well---- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until ertificate of Com liance has been issued by the Board of Health. (2� Signed - -- --- -- _�aa Df� �y dat Application Approved B 14A--------- 7 -Z'_``rz;z>_ ate Application Disapproved for the following reasons: --------------------------------------_—___—_ - - ----------- - — date C Permit No. Issued---- -=- --- ------ ------- -- ------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired ( ) Installer t jq- at— -------- -- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.(2--/-�� Dated�?' Z-q UT-z> THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- Inspector--- ---------- ___ Department of Environmental Management/Division of Water Resources WELL COMPLETION REPORT WELL LOCATION � C .IPT10N Address Lot- 10 Greo_4 Marsh Rd "� Rf N S E W of (feet) (circle) City/Town W. Go Yyns k a b1e. !. b 2001 Well owner L.O O S(Lrn%rirt'a Cra n5tr (road) Address p•O OX 1 19 TOWN OW%NWAWE O Board of Health permit obtained: yes 19' no ❑ intersect. w/ (road) s WELL USE WELL DATA Domestic[9"Public❑ Industrial ❑ Total well depth 103 ft• Monitoring❑ Other Depth to bedrock ft. Water-bearing rock/unconsolidated material: Method drilled H S 'S 0.n Q Description Date drilled a_7_O 1 Water-bearing zones: , CASING 1) From `7 r To 103 Type .Sch yO PYC —2) From To ` Length _�ft. Dia(I.D.)�in. 3) From To � ?� Length into bedrock ft. Gravel pack well: dia. Protective well seal: dia. Screen: t Grout El Other Slot#�length�from q rl to 1 STATIC WATER LEVEL(all wells) * ., s Static water level below land surface ft. Date { WELL TEST (production wells) s p 6 ti Drawdown 15 ft. ` after pumping h ._� IS_gpm :l How measured 7c(pe Recovery rnrn2ci ft. after_ r. � min i LOG of FORMATIONS COMMENTS !- -, 1 ,6 ZOO o Materials Froml To nc4'"fir Ct►.� .�O' 30 f �'` EALT T ,., BLE o F-Sari 30' �0 Driller rn F.5,a .S.no 70' 40 FirmSJesrlond WCO Q'rohil!! '.Try- F-14-ZTC CGQ for 1JS t Address 5 Rod her .'Road City/Town 0(-IeCir)S Sup 'sing Driller Reg.# (,?G Q a Signature of supervising registered well driller t Please print firmly BOARD OF HEALTH COPY No.-------------------- Fee- BOARD OF HEALTH TOWN OF BARNSTABLE ApplicationArvell Con0ructionperm t ItiI Application is hereby made for permit to Construct ( , Alter ( ), or Repair( . )an.individual Well at: 03 %° r 4.Loca'hon Address Assessors Map and Parcel+ "" -�-�--5 GPM L IJ_�4 - ------ _�-- ` X_ - �C- _� ' �lll ►'�_p �O Owner Address D2/k-L�'_y_ & -THE' -a g ©IL�Ef},uS- -11 oa�s3 Installer Driller Address Type of Building Dwelling----------------------------------------------------- Other Type of Building No. of Persons---- —----------------- -------- Type of Well �v C`=---------- Capacity-- Purpose of Well---- UL��--- -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable-Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operati�n until Aertificate .of Com liance has been issued by the Board of Health. Signed dac Ap?lic-!ion Approved By L/Z �- `: ate Application Disapproved for the following reasons:-----------------------------________—__—__—__—_ --- date Permit No.— f'eJ__-� - -- Issued -- date !2T,if�S�Si'1�3!i9v11'�ili¢i!�!i$iTi!'GYi!i4i!illiSM�@iP�@w9�7�!e2e'Yw!i!i!iKli@64HTii@G�'ei9�i fti@i@i!AK'ltlTbli0i4iSilSRiLT12'�;'fGTS�11Y26@e'vl,AT6T494TidipY.liidl6til'i9MlfiTi'N!i!O'!i!ilalwr2 BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired _ ( ) Installer 0 --__--- -- i at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -1 Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector----------------__—_ —_-- .eadlL!i rit.sr�?L+1R3Hi�rartrac`iiaisiba3!i'i;in2atiya!sfYa9YJ6z.69i4a¢i0YQi3i9L!d@GoalBQo@eTes6l3T2.Sd@b%vi@Plri@i4d�f49(]9 ifiTa4�¢p¢m!u?a!41IrViRvesTrYa!afeV►48N2T?.ZiTaEYYi+�r Y..Q.` BOARD OF HEALTH TOWN OF BARNSTABLE Veil Con5truction3permit No.w 24,-P-d Fee ------ Permission is hereby granted j 1V to Construct ( Alter ( ), or Re a' ( ) an Individ'al Wel at: „ C 1 street as shown on the a lication-for,a Wel1�C'onstruction Permit , NO.- Dated— - -—— — —___--3- - ` i - �7 r- �,/ •�;�� -- Bo aid of HeIrl h DATE i I %%/; 0 b4` 2��z' is 121 Great Marsh Road,W.Bamstable,MA O John Holmgren 12t Great Mesh Road,W.namsmbl%MA Phone O Septic AS•bWlt. J.K.HOLMGREN ENGHOUNG,INC. Re®need Pmfadmd Bsgiome and lead Sumryan ..942W.i Cb mu[Sax%B..bm,M••^^M�02701 Pb--(5M5512591 Pa-(509)5M7515 OAIE 10, 0 10, 20' IN FEET —SCALE EE • 1c oz— cM1 2aox-1oo1 ENWIROTECHLABORATORIES,INC. MA CERT.NO.:M-MA 063, 449 Rte.130 Sandwicb, MA 02963. 508(888-6460) 11�800-339-6460. FAX(908)888-6446 CLIENT. Seminara Const. LOCATION: Lot 10, Great Marsh Rd. ADDRESS: c/o Lou Seminara W. Barnstable, MA PO Box 1219 Map 089, Pcl. 4-3 S. Dennis, MA 02660 COLLECTED BY. T. Desmond/Desmond Wells SAMPLE DATE: 2/8/2001 SAMPLE TIME: 11:30 WATER SAMPLE TYPE: New Well DATE RECEIVED: 2/8/2001 LAB I.D. #: 0102072 WELL SPECS.: 1037 76' RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria A 00ml 0 0 9222 B 2/8/2001 pH pH units 6.5-8.5 5.86 4500 H+ 2/8/2001 Conductance umhos/cm 500 120 120.1 2/8/2001 Nitrate-N mg/L 10.0 1.07 300.0 2/8/2001 Nitrite-N mg/L 1.00 < 0.003 300.0 2/8/2001 Sodium mg/L 28.0 11.4 200.7 2/9/2001 Iron mg/L 0.3 0.014 200.7 2/9/2001 Manganese mg/L 0.05 0.008 200.7 2/9/2001 Volatile Organics Chloroform ug/L 100 1.6 EPA 524.2 2/14/01 Toluene ug/L 1,000 0.5 EPA 524.2 2/14/01 Xylene ug/L '10,000 0.9 EPA 524.2 2/14/01 COMMENTS: Low pH indicates high corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING.PURPOSES FOR PARAMETERS TESTED. <=less than - Date ZZ/6. >=greater than Ro a/d J..Saari TNTC=too numerous to count Labbratory Di or Town of Barnstable P# Department of Health,Safety,and Environmental Services Public Health Division Date f~ 367 Main Street,Hyannis MA 02601 �•�1AR119MILE, x•'1 - MA99.� Date Scheduled l �e Time r/Oc>L Fee'Pd. 4•: .Soil. Suitability Assessment foY Sewage Disposal `,`. � �. . - . 1 , 1 Performed By: ' �', ,_ • Witnessed By: ;,_ i ..:. - LOCATION & GENERAL INFORMATION Location Address —�G ?��l �f �� Owner's Name 4�;ZC'4-35T094aC Address Assessor's Map/Parcel:S 8� j Engineer's Name NEW CONSTRUCTION REPAIR Telephone# Land Use Slopes(%) �1V Surface Stones Distances from: Open Water Body_ R ,Possible Wet Area R Drinking Water Well+_�R ` 1 Drainage Way P,Property Line +-10It Other 1 , R SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) All F Parent material(geologic) Depth to Bedrock +1� Depth to Groundwater: Standing Water in Hol W Weeping from Pit Face Estimated Seasonal High Groundwater nE NATYN E(I:R SASbNAI,HYTI'Vt�ATEITtlt «.. .. Method Used. Depth bsery d standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment R. Index Well#__._-.._. Reading Date:____ "_ Index Well level_. -__ _ Adj.factor __ i oundwater Level PERCOLATIOI .TEST ' nata. :.1 Turn Observation Hole# Time at 9'.',. Depth of Perc r Time at 6" Start Pre-soak Time @ I Time(9"-6") End Pre-soak Rate Min./Inch t/ t Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hc!e Data To Be Completed or. Back >` Copy: Applicant DEEP OBRVATIOM1... L�lGIo1�#;. ,> .. Xq+� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. ow ir Consistency, ravel A . a r a EEP OBSERVATION HOLE LOG Depth • .> , p ;Soil Soil Texture Soil Color Soil Other / Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,°o ravel � 7 04 Z� .6 'C low Vff D»EP OBSRATION HOLD LOG Hoe# ...•. ..... .. . _..... .. Depth from Soil Horizon Soil Texture Soil Color ',.,,!'Soil Other Surface(in.) (USDA) "� 4. ..(Munsell) Mottling (Structure,Stones,Boulderes. Consistencv.°o ravel v DEEP;.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(iri.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.°o gravel) r •i r r i• s%. Flood Insurance Rate Man Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No ZYes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio material exist in"all-neas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification n': •I ac I certify that on (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was performed by me consistent with the required training, ex pe e an xp ri c described in 310 CMR 15.0 7. Signature Date �� o TEST HOLE LOG yS�► I ` DATE: JANUARY 18, 2001 P-9918 ; l SOIL EVALUATOR: D. MASON, CSE WITNESS: D. MIORANDI, BHD 0 �'_ / PERC RATE: 5 MIN./IN. OpimmiC 51, OpAaHIC 7" ~ A = SANDY LOAM A - SANDY LOAM _ 10YF3/3 10YR9/3 16" 15" * - ` Bw = LOAMY SAND Ba = SANDY LOAM _ \ 7.5YR4/6 10YR6/0 Cl = LOAMY SAND C F]NS LOB►mC 92" -gam C2 = LOAMY SAND 2.5Y6/4 7- 2.5Y6/6 `� ✓ ( ,�,3 140" �/L 144" / 7 i a NO WATER ENCOUNTERED DESIGN DATA DAILY FLOW: (4) BDRMS. x 110 GPD = 440 GPD ~- t►�\ n) �\ J\` SEPTIC TANK: 440 GPD x 200% = 880 GPD ^N. oo \. �/ti USE: 1500 GALLON PRECAST SEPTIC TANK LEACHING FACILITY: USE: (3) 5' x 9.5' 500 GAL. PRECAST DRYWELLS W r� LINED w/4' OF DOUBLE WASHED STONE U CAPACITY: ' o h SIDEWALL: 93 x 2 x 0.74 = 1,37.6 BOTTOM: 13 x 33.5 x 0.74 = 322.3 A ( TOTAL: 459.9 GPD N o / so , o IL aWA:T NNW Ao s p'� ROOM 10 ���. Z I C671AR putslctr SIRILT PATH P01A OF�yq � �` 9� LOCATION MAP NOTES: rr DAr, 1. ALL PIPE TO BE 4" DIA. SCH 40 PVC. BRAN y 2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION f o C111t BOX. V No.32686C OF 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN 6" OF FINISH GRADE. . .• 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A S'T1 AI ENS ,. GARBAGE DISPOSAL. 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6" LAYER OF STONE. R® X�' 6. INSTALL GAS BAFFLE IN OUTLET TEE. ' '3 t 2" LAYEA OF 3/8" PEASTONE OVER , DOUBLE MASHED STONE - I ALL AROUND $"•L �O, . TOP OF FOUND. @ ELEV./O/•o l3sw7 87.3a B /3� -- ay'. � - .�,e 9�° -------- B7•�s � -------- ------ BJ. � � __•tee=.�':_e�,c_�����o��-`�85�; SEPTIC SYSTEM PROFILE � - �_..$.95..�.�+�7 � _• GENERAL NOTES SITE SEWAGE PLAN f 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION ' FOR OF ALL UTILITIES, ABOVE AND UNDERGROUND, PRIOR { TO ANY EXCAVATION OR CONSTRUCTION. y LOT 10 GREAT MARSH RD. , WEST BARNSTABLE, MA ASSESSORS MAP 89 PARCEL 4-3 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITS: 310 CUR 15. 00: TITLE V. j i PREPARED FOR 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE 1 �; DRTIRMINATI ON. ` SEMINARA CONST . CORP . 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. DATE: AUGUST 27 , 2001 SCALE: 1" = 40' 5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS. 6. REMOVE ANY IMPERVIOUS MATERIAL FOR A 5' RADIUSf � � - ' AROUND THE LEACHING AREA AND REPLACE WITH CLEAN WELLER & ASSOCIATES MEDIUM SAM 1645 FALMOUTH RD. - SUITE 4C P.O. BOX 417 CENTERVILLE, MA 02632 TEL: (508) 775-0735 FAX: (508) 775-0754 APPROVED BY: I i , x3 T-5' 4'-9 3/4 b'-4 1/2' 4'-9 G65 G65 16'X 14' DECK ; O "V PTIONAL SUNROOM —; SEE BUILDER ; ; Z 11 11 11 D II 11 11 11 11 m ® 11 K� �-4'-0" i 1 4'µ I I 4'-0. ' I 41 M cTs� I I I I 11 1 I �/ ^ - S II 11 11 g�TO BE =�'✓9Y OTHERS i- o ;; IF"ROOM IS NOT TO BE BUST G.O.WILL BE A 6W SLIDER SOFFIT OVER 1 SINK/TOILET C235 I I f I I I I �1310 , DHP5646 0 I ' I < 606BCO. Ic18 1 I ,,---- - - --� I I `� T i I O O ID V V 1�CONCRETE ® 4 � I I — — — / !`Y SOU MN PAD - - --- — - - — - EAT IN °' m sKYLK,HT vEi tac �l I cn BATH 1 _ ------ , F- - =__- ------- rE _ m KITGHEN BREAKFAST -- - _ 1 t.7 CON 1 A.1ED5T-1;ALY REF. - - - AREA 1 —_ —_ __. .. ..I .I- - G..JMN ®p sn 3 b` z LNEN 1 Q 4 I I o o I_ • 4 I m SOFFT GaR 5LAN0 7068 2669 _ Jc m I I 50rFTT IN KITCHEN 7-T OVEN -RA!5®COUNTERTOP Y G, 1 OUT FUF'I WALL + �—b' 11'�I @S 3 GAR GARAGE '' FAMILY ROOM 2'-4"�'�z--4'-2" 3%6 12-2" 13 VAULTEDGeuNG- - G I I SEE CR056 SECTION C 606E C.O. �"'"�""'� ie6g 21W G.O. I � LIMIT, THE HEADER MUST 6E 7-0 ,2'I• 12'-2• DINING ROOM sox OR SAT UP AND � I W FROM CORNER TO --------------------- -- -------- m m I I m CORNER I v ,3'_b• DEN /STUDY 2400 2At10 I I - i I I 1 2"10 2"10 ENTRANCE FOYER in 74di0 26t1D 24410 7at10 q n h B 1'-6" lk 6'-6" 2'-9" V-01" fC 2'-012-0"L 3'0' 2-1 6'-6' 3'-4' 4'-6' T'-Or - O I 17-4' 16'-0" - - - 10'-7" 1'-7 1'-7` 10'-T - 3-3•- -- _.7-6' ET6 ABOVE - w6w6sp) BEI (UN � � 1 WALK i WA N �. GLOSET 7 MUWON 74310 24310 4a6 WALK IN gj BATH = 2'-b• LO5ET n BEDROOM # 3 d:V ,47 v. G leBATH q 9 • 50FR E T OVER ° •' o SOFT VANITY- X 49 MASTER BEDROOM 4 So�To R W'CDUNG-SEE °� VANrrY-27 X 43" CROSS SEC10N ; m W �1 Z �668 1668 7668 2668 v I tn 1 ca OPEN RAIUNG TO BF1 M , �^ L ' '------ -- -- --- - --- - ---- - --- - - - - - ---- `� . 4e CD �'v • 5 SHOWER _ Z668 / - DN BOLT UP R115H CDUNG GIRDER m 28'X 30` -(2)13w X 91?LVL'S q MINIMUM ATTIC, ` Tu � ACCESS � MASTER BATH -- - - - - g g BEDROOM # 1 W W O O5 2'-1''I • >1 z Al 1IC EWES -0" BEDROOM # 2 200, 24310 OPEN TO BELOW 2"6 2"6 ; 2446 ; W46 1"s Cfl r 1 I I I 4'•6" b'-8' 6'-q' 3'-q' b'-6' 4'-2' f 60'�• I