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HomeMy WebLinkAbout1750 MAIN ST./RTE 6A(W.BARN.) - Health LW Main Street/Rte 6A (W.Barn) table u 7 037• 0 1 1 it a • 1 i N v No. w 6 Fee BOARD OF HEALTH TOWN OF BARNSTABLE Yicatiou lor Y��), Alter ougtructiou Permit Application is hereby made for a permit to Construct ( ), or Repair( an individual well at: Location"-Address Assessors Map and Parcel caner ( / Address c,. �b C ���yc3✓ �l Installer-Driller Address �ZCv 7 Type of Building Dwelling Other-TypCe�of Buildin No. of Persons Type of Well 1 Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described 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 a Certificate of C pli ce a c y tie Board of Health. Signed -"..s(/6 Date Application Approved By Vwt��\ ��• Date Application Disapproved for the following reasons: p (p Date Permit No. W�I � —00-S Issued ( �Ogg ( ` Date --------------------------- -------------------------------------------------i BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructedt(l%-�Altered( ), or Repaired( ) by ou e �&)ll` -Z��l k k ivy c Installer at ; SV A-Ac,\Y\ Zk re e_� M S\ 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_/0016 —626 Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector 06 Fee y 4 BOARD OF HEALTH TOWN OF BARNSTABLE 01pplication ,for Yell ou5truction Permit Application is hereby made for a permit to Construct ), Alter( ), or Repair( ) an individual well at: \:3 so Ici`1 03 `7 Location-Address Assessors Map and Parcel p Owner Address , Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described 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 a Certificate of C pli e a y e Board of Health. Signed 9���-G6 U` Date Applicat n Approved By JAA i�,A �• Date Application Disapproved for the following reasons: r� a �j Date Permit No. W P-6 io c6-3 Issued ky Date BOARD OF HEALTH 1"i TOWN OF BARNSTABLE Certificate of Compliance IS IS TO CERTIFY,that the individual well Constructedt( -Altered( ), or Repaired( ) by Q.� C-C 0 ��►t l�Y\ 11 . 6 Installer 61 . i )j t has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection s Regulation as described in the application for Well Construction Permit No. 1,10016 ' S Dated 9-.77 l f� THE ISSUANCE OF THIS CERTIFICATE SHAUt NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFAC�T'ORII�Y.. Date N Inspector BOARD OF HEALTH TOWN OF BARNSTABLE ',�) 90( 6 _ O'5 Yell Construction Permit No. `�" Fee Permission is hereby grante o CA- . C �_ Q Q-` ter, Installer to Construct(�, Alter( ), or Repair( an individual well at: Street as shown on the application for a Well Construction Permit No. Dated Date Approved By �� No. Fee --- ------ BOARD OF HEALTH �(bf TOWN OF BARNSTABLE AV Application for lVell Con5truct ion Permit AlElicS n is her by made for a permit to z,� , eruct or Repair ( )an individual Well at: Location Address Assessors Map and Parcel �wner Address Installer —Addles70't Type of Building Dwelling Other - Type of Building ------- No. of Persons-------------- ——------ ,I? Type of Well e (e Capacity 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 W 11 Protection Regulation — The undersigned further agrees not to place the well in operation until rtific to nce has been issued by the Board of Health Signed. -4 date Application Approved By date Application Disapproved for the reaa— date Permit Nkt� .11/0 Issued ——------- ate BOARD OF HEALTH TOWN OF BARNSTABLE Certif irate 0f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed Altered or Repaired by---- Installer 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 Wes``-- /Mated —-------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector ' k r No. 70 ----- -- Fee— ------------------ BOARD OF HEALTH �. 0� TOWN OF BARNSTABLE to Ctcat ion orefr Con5tructconerrnit ArKation is hereby} t de fora permi� o ruct (v), Alter ( ), or Repair ( )an individual Well at: — —— — Location — Address _ Assessors Map and Parcel ' r Address/wner __ ___ J`�U�o-X �/3G S a �yy,l•r'v� J� /'yy�s "` ----- ---- - ----- - ------------ Installer — Driller Address' --�_— Type of Building Dwelling ------ -- ------------- Other - Type of Building-------------- No. of Persons----- Typesof Well COsc" 06�z gee- lycly Capacity- 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 a Cerlificate f 7, pl' nce has been issued by the Board of Health. Signed _ ,2 -_ _/!/ j — date Application Approved By /y�' (/_ ---- �� T date Application Disapproved for the following rea s: ----—------ - ----------- date v! �` p — Issued Permit N / -- / O - ----------- ate i BOARD OF HEALTH � �--Y— TOWN OF BARNSTABLE F Certifitatc ®f Compliance THIS IS TO CERTIFY, That the Individual`Well Constructed ( ), Altered ( ), or Repaired ( ) by--- — -_— _- -------— ----— -- -------- Installer at__- _—_------_ -- -- ------ -----has been installed in accordance with the provisions of the Town of Barnstable Board of Healt vate Well Protection i Regulation as described in the application for Well Construction Permit No -Dated-- ----------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY- DATE--- - Inspector------— - ----- —------ BOARD OF HEALTH TOWN OF BARNSTABLE Ivell ConfStruct ion Permit ee- ----- --- No. a Permission is hereby granted to Cons ! t Alte ), r Repair a ndiyrlual Wel a�c A Street as sho o the application f v r a"Well Construction Permit ` 1c — No.- -—�— - Dated-. - -1 j"� `� -- -- - t/ I — I -- --- - - - ; Board of Health DATE — —_ ,a „ 92.1 W PROPOSED WATER SERVICE ASSES, MAP 197 OW EXISTING OVERHEAD WIRES LET 37 4_1 52,019'+S.F. GO GENERAL NOTES:' o. d 1. ALL CHANGES TO THIS PLAN MUS [ EXIST. OPEN WELL BOARD OF HEALTH AND THE DES] i 88,62 (not potable) 2. ALL WORK AND MATERIALS SHALL OF THE STATE ENVIRONMENTAL C, RULES AND REGULATIONS. 4__ t i i r - 3:�THE SEWAGE DISPOSAL SYSTEM S �� ' 00, TO INSPECTION AND APPROVAL B) 28.44' DESIGN ENGINEER. - �`� PORCH i EXIST. WELL (approx.) 4. ANY CONDITIONS ENCOUNTERED D 21.10' (disconnect & abandon) - V — . 2 g1.16 I I +{ FROM THOSE SHOWN HEREON SHf EXISTING 3—BEDROOM l ENGINEER BEFORE CONSTRUCTION HOUSE <#1750> �l i EXIS T, SEP TIC 84.15 35, 2-CAR 7.0-F, 94.53 r TANK. & SA,S. 5. ALL ELEVATIONS BASED ON ASSUty (FULL CELLAR) ' (TO BE PUMPED & 6. THE DESIGN ENGINEER IS NOT RE: (D GP.RAGE 10 i rrl f ) i THE CONTRACTOR OR OWNER TO I (SLAB) PORCH r , LLED W/ SANDS 9�55 0 (CRAWL SPACE) t, ( 86 HEALTH FOR PROPER INSPECTION; EXIST. S.A.S. PER r,� os E PICITIN, 7. WATER SUPPLY PROVIDED BY PRIV RECORDED AS—BUILT 1 i �5,64 ; r .PR6P�'3 rr ' '� 'i B. THERE ARE NO PRIVATE WELLS LG 81q �\ i a k1 D-B❑ r ' 9. SEPTIC SYSTEM COMPONENTS SHAI 4 \ r o i �:, :•:* .:`: '' 1' \ m� IN 310 CMR 15.000 SUBPART C. 6,27 �96, ;l 10. ALL AREAS CLEARED FOR CONSTRL 57 i` k" ; i2b' 9 ��� SEEDED UPON COMPLETION OF CC �� 94.D7 ZP/PEkC ;: } ` 150' FROM EXIS . BENCHMARK _ ,• . _ 11. IT SHALL BE THE RESPONSIBILITY �\\ \ 3 EL...91.96 �, y �- 1 a PROP �`� WELL—LOT 4 THE LOCATION OF ALL UNDERGROL _S TOP LEFT CORNER 96,85 �`� �, t:: S.A.S. - MAP ?17 CONSTRUCTION. OF BRICK STEP �� y �, `25' \\ i 72 ' L 0 T 4 12. IF ENCOUNTERED, CONTRACTOR SH EL:94.97(Assumed) / ��` `` IN THE AREA BENEATH AND FOR 5 �` 1 f ,� , , 91.94 SEE NpTE 12 ���, AND REPLACE WITH CLEAN FILL AS 97.3 i 1 1 93.99 �` i I 9780 , 95.93 i 43 `, \` f ° `a `; DEED REFERENCE: Bk.% 00 q ;' 93.731 �2.15 rn PLAN REFERENCE: Bk.9 g9.70 l ZEXIST. S.A.S. FLOOD PLAIN DATA PER RECORDED FIRM PANEL #250001 0003 1 MAP 197 � ' o o AS—BUILT ZONE "C" LDT 36 98.40 24g•96 x P��� °r M9fsq SEPTIC SYSTEM REP/ TER T. 1750 ROUTE 6A, WEST 7.72 a o= PE 94.96 McENTEE i � � ROUTE 6A CIVIL Prepared for: Robert Syvanen, !750 R; SCALE, 1'=,30� No, 35109 Engineering by: Surveying by: — 97,2a / 3 0� �'FC�SfER�O � ( Engineering works Hood Survey - OF 23 Deer Hollow Road 10 Bosuns Passage p 30 60 F�/(XNL EN�� �C � Forestdale, MA 02644 East Sandwich, MA 02537 ���UUU (508) 477-5313 (508) 533-4883 s , � - COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AF i DEPARTMENT OF ENVIRONMENTAL RO�L�'A D .�� APR 0 12004 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Q IMP � l Property Address: 1750 Main Street PARCEL West Barnstable MA 02668 Owner's Name: Robert Raylove COT Owner's Address: Same Date of Inspection: March 14,2004 Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Teleplj one Number: 508-428-1779 CERTIFICATION STATEMENT I certif, that I have personally inspected the sewage disposal system at this address and that the information reported below i true,accurate and complete as of the time of the inspection.The inspection was performed based on my p��utrrrgq traininpi and experience in the proper function and maintenance of on site sewage disposal systems. I am a�i '"tH OF M yip approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ����t�,P�'..•••••••q ,9����� y . _X_ Passes AT ••: Conditionally Passes Needs Further Evaluation by the Local Approving Authority NEI.L ;c� Fails :� ••*�: Inspector's Signature: Date: _3/14/04^ The sy:;tem inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)v.ithin 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or Beater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. I he original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authori y. Notes t nd Comments: System shows no evidence of failure. ****Tliis report only describes conditions at th p y e time of inspection and under the conditions of use at that time.I his inspection does not address how the system will perform in the future Hinder the same or different conditi ins of use. Title 5 nspection Form 6/15/2000 page I Page 2 3f I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Prope,ty Address: 1750 Main Street,West Barnstable Owner: Robert Raylove Date al'Inspection: March 14,2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. S3 r;tem Passes: _XX 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. Comm ants: B. S3!item Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explair 'he 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 existin;:,tank is replaced with a complying septic tank as approved by the Board of Health. *A mei:il septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicat i rig that the tank is less than 20 years old is available. ND exl lain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstruc:ed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approv it of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND exl lain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass in:pection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND exI lain: Page i ff 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1750 Main Street,West Barnstable Owner; Robert Raylove Date of Inspection: March 14,2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ 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 and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: Page L. 3f l 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM FART-A CERTIFICATION(continued) Property Address: 1750 Main Street,West Barnstable Owner: Robert Raylove Date of Inspection: March 14,2004 D. System Failure Criteria applicable to all systems: You m iist indicate"yes"or"no"to each of the following for all inspections: Yes No X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool -_X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool - X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow -X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped - X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _-X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _ X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. X_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] No_ (Yes/No)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. La rge 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. You mi ist indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes n 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" it i Section D above the large system has failed.The owner or operator of any large system considered a signific int 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. A Page' :)f 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1750 Main Street Owneir: Robert Raylove Date a1'Inspection: March 14,2004 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes '�io _X_ _ 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? X_ _ 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'.) _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out ? _X_ _ Were all system components,excluding the SAS, located on site? _X_ _ Were the septic tank manholes uncovered, opened,and the interior of the tank inspected for the conditi�)n of the baffles or tees,material of construction, dimensions,depth of liquid,depth of sludge and depth of scum? _X_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintei lance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes r o _X_ __ Existing information. For example,a plan at the Board of Health. _X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distant;,is unacceptable)[310 CMR 15.302(3)(b)] f Page 6 3f 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1750 Main Street,West Barnstable Owner; Robert Raylove Date o f'Inspection: March 14,2004 FLOW CONDITIONS RESIDENTIAL Numbe-of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIC v flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):440 Numb( -of current residents:4 Does residence have a garbage grinder(yes or no):No Is laun-Iry on a separate sewage system(yes or no): No [if yes separate inspection required] Launch y system inspected(yes or no): Seasonal use:(yes or no):No Water j neter readings, if available(last 2 years usage(gpd)): N/A well water Sump Bump(yes or no): No Last da:e of occupancy: Currently Occupied COMP IERCIALANDUSTRIAL Type or establishment: Design flow(based on 310 CMR 15.203): gpd Basis o'design flow(seats/persons/sgft,etc.): — Grease trap present(yes or no):_ Industr al waste holding tank present(yes or no): Non-sa iitary waste discharged to the Title 5 system(yes or no):_ Water r neter readings,if available: Last da:e of occupancy/use: OTHE R(describe): GENERAL INFORMATION Pumping Records: None Source of information: - Was sy item pumped as part of the inspection(yes or no): No If yes, volume pumped:^gallons--How was quantity pumped determined? Reason for pumping: TYPE,:)F SYSTEM _X_Se)tic tank,distribution box,soil absorption system _Single cesspool Ov:rflow cesspool _�Pri ry —Sh,.red system(yes or no)(if yes,attach previous inspection records, if any) _Inn 3vative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtain i from system owner) —Tip ht tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed December 2000. Were st:wage odors detected when arriving at the site(yes or no): No Pagel :)f l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prop(rty Address: 1750 Main Street,West Barnstable Owner: Robert Raylove Date of Inspection: March 14,2004 BUILDING SEWER: X (locate on site plan) Depth below grade: 2' Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line: 20' Cotntr.ants(on condition of joints,venting,evidence of leakage,etc.): SEPT 1C-TANK: X (locate on site plan) Depth below grade: I' Material of construction:—X—concrete_metal_fiberglass_polyethylene _oth or(explain) If tank s metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) Dimens ions: 10.5' long x 5.8'wide—1500 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle:30" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 13" How x,ere dimensions determined: STICK WITH HINGE FLAP. Comm,:nts(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as relatl;d to outlet invert,evidence of leakage,etc.): Tees intact and clear.Tank in _ood condition GREA'3E TRAP: No (locate on site plan) Depth I,elow grade:_ Materit 1 of construction:_concrete metal_fiberglass_polyethylene_other (explain): Dimew ions: Scum tl sickness: 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as relat,A to outlet invert,evidence of leakage, etc.): Page 8 A 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1750 Main Street,West Barnstable Owner:Robert Raylove Date at'Inspection: March 14,2004 TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan) Depth ,elow grade: Materi.j 1 of construction: concrete metal fiberglass polyethylene__other(explain): Dimen;ions: Capacily: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date o. last pumping: Comm,.nts(condition of alarm and float switches,etc.): DISTF.IBUTION BOX: X (if present must be opened) (locate on site plan) Depth of liquid level above outlet invert: 0" Comm(nts(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.): Flow equal at all 3 outlets.No solids or high stains PUMP CHAMBER: No (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comme nts(note condition of pump chamber,condition of pumps and appurtenances, etc.): Page,1 A 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Propurty Address: 1750 Main Street,West Barnstable Owntr: Robert Raylove Date of Inspection: March 14,2004 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: _X_teaching chambers,number: 12"Contractor 75" Infiltrator-type units. I e aching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: i iinovative/alternative system Type/name of technology: Comm ents(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): Perforated pine running through center of infiltrators no access to interior.Observed no standing water in perforated pipe. CESSPOOLS: No (cesspool must be pumped as part of inspection) (locate on site plan) Numb:•and configuration: Depth - top of liquid to inlet invert: Depth A solids layer: Depth :,f scum layer: Dimen;ions of cesspool: Mated;i Is of construction: Indication of groundwater inflow(yes or no): Comm:nts(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVI : No (locate on site plan) Mated,is of construction: Dimen,ions: Depth t,f solids: Commt nts(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Page .0 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1750 Main Street,West Barnstable Owner; Robert Raylove Date of Inspection: March 14,2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchirarks.Locate all wells within 100 feet. Locate where public water supply enters the building. r-- Maim Street (Rt. 6A) 2z l� z� 1� 1�5(� r Page I I of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1750 Main Street,West Barnstable Owner: Robert Raylove Date o1'Inspection: March 14,2004 SITE EXAM Slope None Surfac.- water None Check cellar Dry Shallow wells None Estimated depth to ground water: More than 8 feet Please indicate(check)all methods used to determine the high ground water elevation: _X_(:1btained from system design plans on record-If checked,date of design plan reviewed: Clbserved site(abutting property/observation hole within 150 feet of SAS) C iecked with local Board of Health-explain: C iecked with local excavators,installers-(attach documentation) A.cessed USGS database-explain: You m ust describe how you established the high ground water elevation: Soil profiles from perc test performed on 9/14100 show adjusted groundwater at 96"(El.83.96). Design plans show bottom of SAS at El.87.96. TOWN OF BARNSTABLE �''c" LOG; 'ION f j,f� SEWAGE # VILLAGE GJ &1-4 ASSESSOR'S MAP& LOTnr/ I INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACIIITY: (ty ) /��/�sYG C11e W, ',VS" (size) NO. OF BEDROOMS BUILDER OR OWNER 3 PERMITDATE: COMPLIANCE DATE: 0 ``Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 7, 4 o' O ® No. ,z FEE COMMONWEALTH OF MASSAC14US ETTS Y" o PETERT• G� Board of Health, MA. t r-lITEr. —+ CD �:�;iL LIGATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT .35i09 m' to Construct( ) Repair( Upgrade(( Abandon( (4Complete System U Individual Components �` S/r'irk'4r•S�� Location Owner's Name �v ��- �/qne•� •Map/Parcel# /97 Address Rov,L�e k1, 51,j-, le /mil/¢ Lot# 14' 3 .7 Telephone#(sue,)s%-ZZo c ���+► Ol'p� Ij{.{r Installer's Name Designer's Name P w Address Address N / / � � MR 23 d�c- ullo�u i�l %; a Telephone# Telephone# 77 7_S-3 13 AM Type of Building Lot Size sq.ft. Dwelling-No.of Bedrooms 4 Garbage grinder ( ) Other-Type of Building Ad J 44 No.of persons Showers ( ),Cafeteria ( ) Other Fixtures N)A- Design Flow (min.required) 440 gpd Calculated design flow 440 Design flow provided 450-s gpd Plan: Date 16 1-6 O d Number of sheets 7- Revision Date N JA Title A4-em 4Zej2C%1.- Upg%ceLa . 17 5-6 �2auA-4 &A , UO4.5 t- !Sa/'sts4vLLa\e. tA#4 Description of Soil(s) A% 1 S : 6 L Cl," 4 Z °��4o C Z+ 'IG "-150 ,p i Soil Evaluator Form No. ct�n 1-4t Le Name of Soil Evaluator /0ek-- /ICC40C Date of Evaluation /4 0c, /-'784 5J DESCRIPTION OF REPAIRS OR ALTERATIONS t ` eo me le k Ta-I-t ��t,��-��,sL-ce►� � /n s �/1 �lc� ��.c/I lb.� e �✓S 1 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a to not to place the sy5tem in=ti until a Certificate of C mp'ance has been issued by the Board of HeW1019 Signed Date ARb 6 Inspe / Ze '(, FEE C'®MMONWFA1LT14 Of MASSAC14US ETTS Board of Health, F,41 /iJ Q L MA. ` PETER g WE PPLICATION"FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT v GIVIL rn Na c ''a f a rmit to Construct( Repair( Upgrade(Abandon( XComplete System ❑Individual Components T d t �''S0 /�a�� N , l ✓ �G Owner's Name A/[r / S. S/Gz►e✓i Map/Parcel# G 9 Address /7 6 ie o 4 61 VJ, te Lot# o Telephone/ " p%"` ZU �rfFr��C/ ✓ �i,t-(j i Pe � s r Installer's Name Designer lime lCAel" na-e-'n ,� / Address Address + Per, � /1e,�Ao-V )C-^ j Vd4 ie M4 Telephone# Telephone# �i Type of Building lee 116LC pr c, Lot Size SZ G I q sq.ft. Dwelling-No.of Bedrooms 4- Garbage grinder ( ) Other-Type of Building N/14 No.of persons Showors ( ),Cafeteria ( ) Other Fixtures n Design Flow (min.required) 49 Q gpd Calculated design flow 440 Design flow provided 950,-5- gpd Plan: Date 16 13 0 d Number of sheets - Revision Date N JA Title—See t,rc S v .c�� �t�+L.��f��� 17�� 12c v-►-C &A 1A).E.S r 'a G!n S+c Lj\e . 1At Description of Soil(s) Af 1 5 i Sl. C i 4 Z Soil Evaluator Form No. o+rrn-5 A-A Le Name of Soil Evaluator 'Pem' PICC✓/WAC Date of Evaluatio IL Z /� DESCRIPTION OF REPAIRS OR ALTERATIONS 4 7_ � CD eli#e Le The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed '? Date A k7 VARO Inspe 'o / 1 No. l� FEE COMMONWLALT14 Of �'ASSAC14USETTS w Board of Health, a n.s 4 MA. CIPITIFICA OF COMPLIANC E Description of Work: ❑Individual Component(s)onent(s) om lete System P P P Ys The undersigned hereby certify that the Sewage Disposal System; Constructed ( Repaired ( ),Upgraded ( ),Abandoned ( ) by:�: iA e� Cl � I Y at 17 TO �+t t6 K has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow ( d) Ao Installer f A 1 v Designer: Inspector: ate: The issuance of this permit shall not be construed as a guarantee that the system will`function as designed. No. l r FEE COMMONWEALTH OF MASSAC14US ETTS Board of Health, R C,/n 3 I-el MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( )P epa—ire( ) Upgrade( ) Abandon( ) an individual sewage disposal system at (, as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed wit in t ree years of the date of er�t. Aklocal condition ust be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date oard of Health r 7 c 37 -TROY WILLIAMS i r SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection 41jG /I`F (508) 385-1300 19 Hummel Drive South Dennis, MA 02660 PgoR ?° °° COPY COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 i TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERMCATION c Property Address: 17SO Name of Owner /2c�,. J�VCG NLh w Q cam-0z,6 I tZ Address of Owner Date of Inspection: 8 //6/a r, (,J Name of Inspector:(Please Print) Trnw Willi„ma 1 I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: Troy Williams SeplUe Inspections Maing Address: 19 Hummel'Drive So. Dennis MA 02660 Telephone Number: (508) 385-1300 CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspectors Signature: Date: 6 /Ca The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty 130)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to ttte system owner and copies sent to the buyer,if applicable, and the approving authority. NOTES AND COMMENTS Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. revised 9/2/9$ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 1750 Main Street, West Barnstabl& PART A Bob Syvanen TIFICATION(condrn,ed) Property Awe": August 16,2000 Owner: Date of Inspection: INSPECTION SUMMARY: Check A, B, C, of D: A. SYSTEM PASSES: N119 I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any.failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: N119 One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health, will pass. Indicate yes, no,or not determined(Y, N, or ND). Describe basis of determination In all instances. If "not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20) years prior to the date of the inspection;or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the.Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s)• The system will pass Inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 1750 Main Street, West Barnstable,MA Property Address: Bob Syvanen Owner: Date of Inspection: August 16,2000 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: NIA Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing public health, safetyand the Y g to protect the e environ ment. 11 SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH,AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised. 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 1750 Main Street, West Barnstable,MA Bob Syvanen Property operty Address: August 16,2000 Date of Inspection: D. SYSTEM FAILS: You indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No S .h 1.aC3 v1s b11 _ Backup of sewage into facility or system component due to an 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 liquidlevel in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Vi S IJ I- $ ." I - ,. S/ t//� " e— L crs "—.� ",l- q.} +isi, Q `'l ihI pc, 46 . _ 6i tuW depth in eeespeal is less than 6" below invert or available volume is less than 112 day flow. I« tip.+. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). / Number of times pumped_ v Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. v Any portion of a 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 I of a public well I// 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: N�iq Ybu must indicate either "Yes" or "No" to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No 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 11 of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2)• Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4of 11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART 8 CHECKLIST Property Address: 1750 Main Street, West Barnstable,MA OWE: Bob Syvanen Date of Inspection: August 16,2000 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No _ Pumping information was provided by the owner, occupant, or Board of Health. �L lz� None of the system components have been pumped-for-at least two weeks and the `S GG��p K h�7 system has been•receivingmormaI flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this / inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. _ The system does not.receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: _ Existing information. For example, Plan at B.O.H. _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable► (15.302(3)(b)] - _ The facility owner(and occupants,if different from owner) were.provided with information on the Subsurface Disposal Systems. proparmaintenaace�f r revised 9/2/98 Page 5ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1750 Main Street, West Barnstable,MA Owner: Date of Inspection: Bob Syvanen August 16, 2000 FLOW CONDITIONS RESIDENTIAL: Design flow: i Iv g.p.d./bedroom. Number of bedrooms(design): 3 Number of bedrooms(actual): J Total DESIGN now 330 Number of current residents: U Garbage grinder(yes or no): A16 Laundry(separate system) (yes or no):/Yv; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use(yes or no): Ato Water meter readings,if available(last two year's usage(gpd): P,,.,'fs (( i /n�O Sump Pump(yes or no): N0 Last date of occupancy: y fi' �,� vsc c( w. �. ✓1chl s.cP�� �.1S.c)H . COMMERCIAL/INDUSTRIAL: Aq j I} A. '^ 4"k• Type of establishment: Design flow: apd ( Based on 15.203) Basis of design flow Grease trap present:(yes or no)_ Industrial Waste Holding Tank present:(yes or no)— Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumpe as part o spection: (yes or no) Alo If yes,.volume pumped: gallons Reason for pumping: TYPE OF SYSTEM _1 Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed Of known)and source of information: c I l t - /o? P-r o.S- 6'. 4- /O y �99 Sewage odors detected when arriving at the site: (yes or no)ZVO revised 9/2/98 Page 6ofI SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1750 Main Street, West Barnstable,MA OwDat Bob Syvanen ��: August 16, 2000 BUILDING SEWER: (Locate on site plan) Depth below grade: 181'f Material of construction: cast iron_y/40 PVC_other(explain) Distance from private water supply well or suction line Al Diameter All, Comments:(condition of joints, venting, evidence of leakage,etc.) SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction: ✓concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age— ls.age confirmed by Certificate of Compliance_(Yes/No) Dimensions: Sludge depth: y': Distance from top of sludge to bottom of outlet tee or baffle: -2 8 Scum thickness: Alc Al Distance from top of scum to top of outlet tee or baffleytia Distance from bottom of scum to bottom of outlet tee or baffle:_N" 3 cam.., How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural-integrity, evidence of leakage,etc.) -1 PV i•' . Loh 4- ' C p en (+lyf '�(�J•�� - —Tay... ✓� [+J.f.._C N O -J- /N H<i � p lC' .�✓rbs i N Si GREASE TRAP: N (locate on site plan) Depth below grade:_ 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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1750 Main Street,West Barnstable,MA Owe: Bob Syvanen Date of Inspection: August 16, 2000 TIGHT OR HOLDING TANK:M4 (Tank must be pumped prior to, or 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/day Alarm present Alarm level: Alarm in working order:Yes_ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches,etc.) i DISTRIBUTION BOX:__V/ (locate on site plan) Depth of liquid level above outlet invert: Comments: (no .if level and distribution is equal,evidence of solids carryover, evidence of leakage into or out of box, etc.) ��c r/ PUMP CHAMBER.__ !/`,9 (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc.) revised 9/2/98 Page 8ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(condmied) Property Address: 1750 Main Street, West Barnstable,MA Owner: Dace of Inspection: Bob Syvanen August 16, 2000 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan, if possible: excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits, number: X6 '�Z-C' leaching chambers,number:_ leaching galleries,number:_ leaching trenches,number, length: leaching fields, number, dimensions: overflow cesspool,number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding,.damp soil, condition of vegetation, etc.) I. Ley w4 �� �.,J w -1'!, / ' orl' w�4 I '- ti d I " ; � . u �s off' CESSPOOLS.�V�rg (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(cesspool must be pumped as part of inspection) 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.) revised 9/2/98 Page 9of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(corrdnued) Property Address: 1750 Main Street,West Barnstable,MA Owner: Bob Syvanen Date of Inspection: August 16,2000 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) / 750 M A' Sf. 3� s7 /000 � t ;,,; r►, 3'S&ham . revised 9/2/98 Page 10ofII -- I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEPA INFORMATION(corrtirvm4 Property Address: 1750 Main Street, West Barnstable,MA owner. Bob Syvanen Date of Inspection: August 16, 2000 NRCS Report name All 9 Soil Type_ Typical depth to groundwater USGS Date wabsite visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater Io kFeet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed SiteiAbutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) J. I �C�S J H r /�(Ur� i h✓c-S �J f Q�j�-� '.5 7� �isS✓,.....,< <...J�-�c..,i N�h J ✓I v �- d�,o�.< 4M / 7 �+ f- GI-L�../ 1 Gc�.��.. L,g �a� / W c, S y a c /moo L fZ y �a r �o.n R ���.�✓ revised 9/2/98 Page 11 of 11 I TOWN OF BARNSTABLE LOCATIONOelv SEWAGE # &66 VILLAGE 4), Bs)m ASSESSOR'S MAP.& LOT INSTALLER'S NAME&PHONE N0. ' firs e�c�Cr�st' SEPTIC TANK CAPACITY /•%�'d LEACHING FACILITY: (ty �'X-ew eWS (size) r e 3 3e NO:OF BEDROOMS BUILDER OR OWh(ER Led fKIU669�: PERMTrDATE: COMPLIANCE DATE: Iq Inc ''-Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching.Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Pe Vs ar d .M1 ' INVIROTECHLABORATORIE INC. MA CERT.NO.:M MA 063 8 Jan Sebastian Drive Unit 12 Sandwleh,MA 02563 (508)888-6460 1.800-339-6460 - FAX(508)888-6446 Men'Name P00ITectiOn LoCation Capewinds Address David Stevenson Hyannis,MA E Dennis MA 02641 Sample Date 02120115 Collected By Pooltection Sample Tlme NA Sample Type Swimming Water bate Received o2/20/18 Lab Order Number PS-150041 �w L{ arlan►'RNIOB i. ''.:;.. Date Colle �.}}���ne CoJleca[ed KA Analysis Requested VMS Recommended Limits Analysts Result Method jDateAnalyzedl Analyzed Dy Total Goliform /100 ml 0 0 9222 B 2/20/2016 MG Standard Plate Count /i mt 200 NT 9215 B 2/20/2016 me Pseud0MWa3 Aeruginosa — A00 ml_ 0 0 9213 E 2/20/2015 MC Comments: Yes-Mter is saitable forawimming for parameters fasted. -•_-_ __.... Date_ 2/24/2015 Ronald J.Saari Laboratory Dl,�ecto BRL=Below Reportable Lima page 1 of 1 "See Afrached io Page: 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory r'SAC.3iLtiSt'-� Report Dated: 6/14/2004 Report Prepared For: John Miller ioAP Order No.: G0425474 Cranberry Real Estate PARCEL � 31 P O Box 581 West Dennis, MA 02670 �'® --®- I Laboratory ID#: 0425474-01 Description: Water-Drinking Water Sample#: 25474 Sampling Location 1750 Route 6A West Barnstable MA Collected: 6/8/2004 Collected by: T O'Hearn Received: 6/8/2004 Routine j ITEM RESULT UNITS RL MCL Method# Tested LAB: IC Lab Nitrates 0.2 mg/L 0.1 10 EPA 300.0 6/9/2004 I LAB: Metals Copper 0.3 mg/L 0.1 1.3 SM 3111 B 6/14/2004 0.3 mg/L 0.1 0.3 SM 3111B 6/14/2004 Sodium 24 mg/L 1.0 20 SM 3111B 6/14/2004 LAB: Microbiology Total Coliform Absent P/A 0 Absent 307 6/8/2004 LAB: Physical Chemistry Conductance 290 umohs/cm 1 EPA 120.1 6/8/2004 pH 6.6 pH-units 0 EPA 150.1 6/8/2004 Sodium level above the average.Those on a low sodium diet may wish to contact a physician. <� Approved By: ''`' Director) RL.='Reporting Limit -" MCL=-,Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 01' Barnstable fill 1)c1l:rrtrncnt of llcnllb,Snfcty,nn(( ['snviru Ill t ell Ill l Set-riccs ---- ----- /fzru�/ Public Ile.'lltll Dtvlslotl I)ssic � ( � 167 I+tain Strcrl,)iynunis MA('i2(gl f i rl 1,lntrrn�nr.r Mnaq. �i, onM%iJ Date 5 !try I e ll �. .... .._... _el '� �U •fimc '60 Pcc I'll` �1U Soil Suitabi1ilp Assessinelr.t. or Sewage Disposal • � t'crlirrrrtcrlll;: � ✓� i �,��y e LOCATION eat (;I!,NEitAL It'r'IFCl1tMA'l'If)N , � �.1 Loaalinn A Idress 75-6 r p Ownei's Nnlix, R6.>� V � v i'3�1,fC lQ A I r � CA h�-1 Andress ,7�� {` �/�1 ► ��/� �� 1 sC.SSl+r S Alaltll'nICCI' �P L-9- v �-' I I.ng.iltccr's I<lV COW,I ICi1(,I ION � � 1 � y --------------_ ---�-- i(i:i';\:It 1 cicirirrn+c/r ��1VI,Lt'l.{/Lgrrg�Yl,}®�wS Land ike ) c :iln res 3 �J .'.-{�,(,-It "1)Ilrlkilig'Mitcr 14C11> 150 It 1?isU+nccs liunr Open\Vnlcr Ilndy����--It 1'oscihlc\\'c;nrl,a' r I1lninauc\Vny ®Q Il 1'ur rcrt•I,inc 36 t 11 (rtlrCi -- -- SI<1I.I C I I: (Sheet mm�c,dimensions or Im,exact loc;dians of(cst hrlcs fi perc Icsts.Iocnic rcCllnnrls Irr trt+xintit to holes I ) I -75�O eGA Tp . O ,I'm ma terial aterial(geologic)-^����� yi r Ucplh In l)cdmc.k / r Ucpill Ig(.iruundrvalcr Sl,uld'ujg Walcr in I Ivic: IVccping from I'il Face _ ---- _.. f•stitsmaled Scnsonal Ifigh 001111dwalcr lil!;I'EltNIINATION FOR SEASONAL 111GII IVA'1 EAE .t'A11LE Method Used _ _ _ �t Oehlh Observed alanding in obs,hglc: tnlrics: Depth to weeping frmtt side of abs. hole: _ - in (,rnunihvafer Adjuslnrcur Il-index Svctl ry ncnding Date: - In+ice 1Vell Icvel -_ - Add. I%vor _ -- Adj.t]rouml,rn(er Level - PERCOLATION r� t)ntF.9—I'1 fluie A�(x��� �l�9 i el l..4r » I`/) I rt it CZ at Obscrvn(iolt I inrc:nl Dupih of Perc r J W o o IA I iort at G' 1 J� 2 i .Simi I'M ,roak fil Ic r (r ®Z j j icy (fnlll'rc•sonk 1 RIT -Jf.L14 LItm hlin./bleb I��a3 q Site$tlitabilily nssessnrcnC Sile 1'nssed Y. Site Pnilcd; — _ ndditimml'1•cMine Necdcd(V/N)A Originni; Pn(tlic IIcn1Ar 1.)ivisinn Obscr'i'ntioll 11ole Untn Tu Be Complocll (Ill 11nClt � Copy: Applicant DEEP BSERVATION,11OLE LOG hole to T-e Depth from Soil)lonizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling. (Structurc,Stoacs,llonlderes. onsistcncY.% 4/4 DEER;OBSERVATION HOLE LOG 1401e # Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.)— --^`� -- --(t)SpA) I (Munsell) Mottling ! (Structurc,Stones,t3eulderes. rgislcncv.%Gravcll -- I ULEV.0BSEIt,VATION HOLE LOG Hole# — Depllr from Soil Horizon Soil Texturc Soil Color Soil Other Surface.(in.) (USDA) (Munsell) Mottling (Structure,Slones,Boulderes. Cullsistency.1/0 CjrjkYCD1- DEEP:,0B.011VATION.HOLE LOG Depth from Soil horizon Soil Tcxlure Soil Color Soil Other Surface(in.) (USDA) (Munsell) Molding (Structurc,Stones,Uoulderes. I Flo)d Insurance Rate Map.;, . Abave.500 year flnrhi ht,undan, Nk) v,.,. Within 500 year boundary No Yes Within 100 year flood boundary No Yes l2ypW9_[Naturally Occurring Eervious-Material hges at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? _ _ _ If not, what is the depth of naturally occurring pervious material? Certification � 1`certify that on-- (date) 1 have passed the suit evaluator examination approved by the IF Department of Environmental Protection and that the above analysis was performed by me consistent wi(h the required training, expertis•s and experience described in 310 CMR 15.017. Signature _���-� late _ 1_1 I_� dv s /k, 7 ? LOCATION SEWAGE' PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS • U I L 0 E R OR OWNER DATE PERMIT ISSUED /0 c>25�- 79 DAT E COMPLIANCE ISSUED S U N Elul N y i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �U)n...oF....... C.� n -r , 1.. .�•la ,�wP �. Appliration for Disposal Works Tonstrnr#inn Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (,X) an Individual Sewage Disposal System at: ..... .'1 ._.. ' ' "...................... ..........•••--•....-----.........._......-•------•---.....................---------.............. Location-Address or Lot No. wner ress._..................................................... Installer Address dType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons.........--..........--.---. Showers ( ) — Cafeteria ( ) Pa Other fixtures ----------------------------------------------- ..... ------ ----------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity............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.......................................................................... Date........................................ aTest 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.......--............... Ra' .............. 0 Description of Soil......... ,� '._ ,� W U ................................-....................................................................................................................................................................... W ••-•----------------------------•-----------------•------•-------------•-----•---------•---•........----••------•-----------------.... } UNature of Repairs or Alterations—Answer when applicable-.J_:� (�.nL�.lc. I ._.._-�1i���__ ! - -------------------------------•-••-----------------------------------------------.....---................----------------------------------•-------------------------------------- --_---•-•.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT .;,,. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has keW issued by the boar o health. w- Signed.. .......... .................................................................. Date ApplicationApproved By.................................................................................................. ....................................... Date Application Disapproved for the following reasons:................. • , 7�.Date Permit No......................................................... issued..... .. . .-- ............. Date • r ,a +`- No... ...��. :..... Fss.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 ... ..-----...•••............,�/ Appliration for Disposal Works Tonstrnrtiun fumit Application is hereby made for a Permit to Construct ( ) or Repair (, ) an Individual Sewage Disposal System at: .....1..7.. ..._ ?. 1fZZ1... .................... ..................................................................... ........................... Loc tion-Address or Lot No. J� -- OwnerAddress Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures ..........................••••............-••••••• . •- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.' WSeptic Tank—Liquid capacity............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•••••---•••••••-••.....................•••............---••...••--..•.... Date........................................ 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........................ a Y ••-••-•••• ............................................._......---...--•--•--.....-•-•-••---•---•---.......-- O Description of Soil � q.. 1jC----------------------------------------------------------------------------------•...............--- x i U -•--••••••••••••-•••.............••••••--•--•••-•-••••-•-••••-•----••-•--••......•-••••----•--•••••••--•••••••-----•••••....._...•••••••--•••••-•--•••••••-••........_..._...._....---•••............•-- 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 TIT;.1:;• 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the board of,health. x/ `J Signed F . ._. : Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:.............................................----------------•----------------...........................•--- ..........................•-•----.......-•----------------...........----••------•-------....-------------------------------------------------------------•----•-----------------.......---•------------ i Date PermitNo........................................ - .... Issued-...........:_:......................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................................... OF..................................................................................... �rrtifiratr of TompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .........-•••-.........••-•••--••-.....--•............................•••--•••-••••••-•-•-••--...._..-•••---•-•••....--•-•-----•--•---------•.......•---...-----•--•---------... aF Installer has been installed in accordance with.the-•prov`islons of T + D r of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._.s .._._....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT THE SYSTEM WII, FUNCTION SA ISFACTORY,-� ,, ; DATE..............��. ..........--•- ........................ ` Inspector THE COMMONWEALTH OF MASSACHUSETTS �T BOARD OF HEALTH ff : . / No........ .............._ FEE.........•.......... .. Disposal Works Construction frrnfit �_.. . Permission Is hereby granted ..................................._._,..............................:................................................ to Construct,( ) or Repair ( ,) an Individual Sewage Disposal System , , ; � , ;, at No...... ••••---•-••............................ .. a Street as shown on the application for Disposal Works Construction r it No__./. v .. .. , ated....U_.........`...... r ...•.... .... .. ._._f_ .G' ' .1�, ---- ......................... «,� � f Board" of Health �'� DATE•/•••••••• /.--.�-• �..................................•••---..--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS irk TCV' __.n. BARNS 1 t L ' :uI'iriiIAmus ��! OF A N..,.�.,: i. 'Printers satis!'actvey. :.3. . Auto Cody Shops BOARD. OF HEALTH 0 =a. Manufacturers Q unsati sfactory- (see"Orders") 5. X¢Retai.l Stores COMPANY �� r.t ` _ 6. Fuel Supriiers �,, ' #` 7. Miscellaneous ADDRESS _r' $;,: �.,§___ _=) z s. QUANTITIES AND STORAGE (I indoors. OUT=outdoor Case lots Drums AbdveTanks Undetground Tanks ' MAJOR MATERIALS IN 'r K 6'ge l Ions e rest Fuels: Gasoline, Jet Fuel (A) A Diesel, Kerosene, 02 (B) Heavy Oils: waste motor oil (C) f • r` new motor oil (C) , FA transmission/hydraulic ' Synthetic Organics: - degreasers F. Miscellaneous' ' �ll 4 DTSPOPOSAL RECU �KrION REWIRKS: f I.-Sanitary Sewage 2. Water Supply Town Sewer Public - OOn-site- Private _ .3. Indoor Floor Drains: YES NO igip° ` � ,`" 4 Holding tank: MDC OCatch basin/Dry well __ _ .......... e - On-site system 4. Outdoor Surface drains:YES _NC ; vsi C, ' O Holding tank: MUC _ . 0 Catch basin/Dry-well _ - -- - OOn-site system S. Waste Transporter • •• Licensed) beet na on - }�,1ste Product �•�me of Hauler_. 6. ' e1,41pCly 7 ' s .1 t.eviewe ers a u a 11 24-0• NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS Itr &DIMENSIONS IN THE FIELD Z T-It• 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, N 03 DETAILS,&FINISHES IN THE FIELD WITH OWNER '11 EXISTING WOOD DECK ANDERSEN W Q WINDOWS AT co N Co N 1.CD TO BEREMOVED — iwieiz EN 4.) ALL STOATE CONSTRUCTION OD O CO FORM TO 780 CMMENT S RC 009TTS a LU Q�� Nr ___ C335 _ _ 1 (n ON ------------------- ------------- m H g t ' r--- -- 1—� DW_- SINI( C 1 SINK 15 3D 24- 33• 24• 24 24 I 5.) 110 MPH EXPOSURE B WIND ZONE I— W�-D- ' RELOCATED 36 RANGE 2K•xer I 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, W a0� {. PI(T.DOOR OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING I'— _�`-' 1 KITCHEN 3,0' 1 ANDERSEN m(n NDERSEN (VERIFY KITCHEN NEW i TW2432 T) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD (� NEW 1G191ME11< LAYOUT W/OWNER) WALL P1TRY I 8.) SEE CERTIFIED PLOT PUN FOR ALL EXISTING&PROPOSED DETAILS SLIDING DOOR OVEN 6 PATIO A Mw 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF a A SLAND I A ALL SIMPSON COMPONENTS '" 3'-s• 9 4 10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS 8 SLABSit ———————— I b TO BE3000PSI 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE I1L—/JI1 6> i DURING FRAMING CONSTRUCTION 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE Hl Ii ' in e tl 3•,5- iii , 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED ' ANDERSEN )�;, Az, 14.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY EF hi piEFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION r• ANDERSEN INSTALLER/CONTRACTOR. Q 4% W i i a Az1 15.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED I B M B IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS P,T.6x6POST3 W/ I . x_ ____ _ _ 4 CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES ORRESCHECK CALCULATION I'1 LiJ :. I ;PVC CASINGSB' -�---- - _ § HIGH BASE te'<' M - TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION B FENESTRATION REQUIREMENTS j J NEW 6.,• r.,,• III RELOCAT o b a o` x 4 &vP�PA mN o m COVERED w LIVING b GAS NOTES1 0 I' F.P. 2 15/19LMEANSR 15 CONTINUOUS INSULATED SHEATHING BEAM ABOVE . ON THE INTERIOR OR EXTERIOR • '` _ - OF THE HOME OR R=191NBULATION CAVITY AT THE INTERIOR OF THE BASEMEN?WALL ANDERSEN TW1846 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION 6 ENERGY REQUIREMENTS 0 -ex 'I r II`l 4.13+5 MEANS RS CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR II LL tl ANDERSEN &R13 CAVITY INSULATIONLL yy;, exe CASED II POST II I I N l ANDERSEN C m INING ED N T IN WALL L-------- I A2, II a >e II 1 FROM RSOEDOWN F__VyE®$il 4'Q F ■4 J ( I I TO BASEMENT W II6.6 CASED ' _ I § POST —-0 r Q L li F ANDERSEN w TW1846 3 O II ! UP ON � cc 5 BATH G W EXIST.BEAM ro ABOVE W f` II �l Lu NEW Q uj II __ ____ b _-3E===�_ _ 6 s--_ L_ _r—OYJERED------------ ______ 7 O\ 111 P -- ,_ 4 © Z W L `E%I STING GARAGE PORCH 3T`x6'8' L -- CLOSET LINEN __CLOSET—_— 4-0 TO BE REMOVED ' CUBBIE58 HOOKS SHELF `O 1 v/ ^ C © Q Q LU C� b Q O BEDROOM BEDROOM J III') LU _J NAILING SCHEDULE Z 0 110 MPH EXPOSURE B WIND ZONE a w JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING o D ROOF FRAMING: w O ZZ V RIM BOARD TO RAFTER NAILED 2-168 Ow $ F BLOCKING TO RAFTER(TOE NAILED) 2-m 2-tm EACH END F 2 8-i 0 24'-0' ) }Im EACH END zlOq�O �LLrc>���jn ) WALL PPLATEING: w �9"cZ ZO. wHi T PTO STU INTERSECTIONS(FACE NAILED) 2-1m 5-1m 2T—.TS ..g111 KK O UUT 3' FIRST FLOOR PLAN HEADER TO STUD FACENAILED) 2-164 2-1m 24'o.c. yi4�Ww_ Km2P HEADER TO HEADER(FACE NAILED) 1m 1m 1B'P.c.ALONG EDGES 24 on o3w FLOOR FRAMING: H.,-..I JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4-m 4-Im PER JOIST rn 0 z z0 8 BLOCKING TO JOISTS(TOE NAILED ZA4 w F 2-1m EACH END WOj�dt�¢Q LEGEND. BLOCKING TO SILL OR TOP PLATE(TOE NAILED) }tm q.1m EACH BLOCK 1 LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) aim 4-tm EACH JOIST z K w w'o W�w w w�12, U12 a y�B, JOIST ON LEDGER TO BEAM(TOE NAILED) 3AE 3-tm PER JOIST H rc w2 ��O w w w OIO K Ire' ( Q EXISTING WALLS BAND JOIST TO JOIST(ENDNAILED) 3-tm 4-1m PER JOIST wFUsi SUOiF OFU< r" -- CONSTRUCTION TO BE REMOVED / BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDU 2-16E 3.Im PER FOOT I --J ROOF SHEATHING: I� ` NEW CONSTRUCTION WOOD STRUCTURAL PANELS(PLYWOD) SCALE RAFTERS OR TRUSSES SPACED UP TO IB'o.c m 1m WEDGEW FIELD RAFTERS OR TRUSSES SPACED OVER,6'o.c. m 100 4-EDGEJ4-FIELD ',TS (DSMOKE DETECTOR GAS LE END WALLRAKE OR RAKETRUSSWA)OVERHANG m tm 6'EDGE16'FIELD 1/411 GABLE END WALL RAKE OR RAKE TRUSS m 1m 8'EDSEN•FIELD I +' ©CARBON MONOXIDE DETECTOR Wl STRUCTURAL OUTLOKERSGABLE END WALL RAKE OR RAKE TRUSS W/LOKOUT BLOCKS m tW.- 4•EDGEM MELD Mx•�!,, ` CEILING SHEATHING: DATE : Fri: GYPSUM WALLBOARD m — T'EDGEItO'FIELD_ g/g/2017 WALL SHEATHING: k' STUDS SPACED UP TO 24'0 c. m ,m WEDGV12-FIELD _ 12'8 25132•FIBERBOARD PANELS m -- 3'EDGEAI•FIELD 112'UYPSUM WALLBUAHU m -- T"EDGE110•FIELD DRAWING NO. I+W FLOOR SHEATHING: � WOOD STRUCTURAL PANELS(PLYWOOD) ,•OR TER THAN THICKNESS m Im 6-EDGE/12•F FIELD JS' GREATER THAN THICKNHICKNESS w tm WEDGE41'FIELD 24'- 24'O' a )a; J FASTEN HIPWI SIMPSON 0) HCP2 HIP CORNER PLATE U) 0 O000 mH�nM of L wN ?�� ,y+ 2 x 8 RAFTERS ~�j LLI�� ROOF AT,B n.c. W 13- a DECK ¢ �m�R I`p N o a= • - ANDERSEN 71. FRENCHWOOD OUTSWING 12.4]• 4 4x8POST FROM RIDG DOWN TO HEADER W/ 23'C' 23'4• UNDER EACH END DO TO -�. BEAM BELOW IJ i'.f 2.1 3/4"x 9 1/2•LVL HEADER ns EXPANDED LIN § AS MASTER f` P.T. x 6 POSTSW/PVC ANDERSEN BEDROOM O 10 CASING B B"HIGH I BASE g ® L_ "'TW24310 USE SIMPSON AC6 OR Sr (VAULTED CEILING) }� 1 CE4 POST CAPS m 1 rt (VAULTED CEILING) In 4'11• 11'-r' 1'4' r-]• NEW-3• AT1"MD1431"SEN - - C B PRT.DOOR MASTER B e b G A B O w n 'S I :, ^S f�- b THIS WALL TO REMAIN ILED SHEATHELTAS B S R' "a 1 OVER BASEMENT �. ANDERSEN r------- '4 g TW24310 -4 On$ I I PKTkDOOR IWI W O ANDERSEN m LL I r o-6•a D a a l i a 10'-tP I' T-B• P I DOOR6'3 14¢per¢¢ C '^G.LOS. I I I I I a p (STING RIDGE BELOW S Q - o I q Z m , r o L ter— LIN ro xs' n o sx5' w - ry I J 13 -- © / \ --------- 1 -- iI 1- azePos owN W ANDERSEN - --I11\\ 1/ I TO BASEMENT o ON Lu r6• PRT x POOR DOOR O l k in N c W k • CLOJ. \�\ N is 111 I _ � 4 I W W m 3-P.T.2 x 6 BEAM C c EXISTING cI As 2T- BEDROOM A 23'< 1 RI Q W Z FASTEN 2-2 x 10 HIP TO BEAM L_EXIST.FLAT w SIMPSON HCP2 HIP CORNER Q Q PLATE (� CEIUNG- 1 \�� J O Y J_ ul) 1 Lu Z. 0 EXIST. y t.U ��11 p h.-b fl; lHfl �j 24'-0" 24'-0" U7ZOOu �00 Iy. SECOND FLOOR PLAN ROOF FRAMING PLAN m .Aogw Dq NOTES: 1. ALL ROOF RAFTERS TO BE 2 x 10's PIPE -o UNLESS OTHERWISE NOTED oyoS �°�o 2.)USE SIMPSON H2.5A HURRICANE CLIPS �oyNJy��Bq ,wnia AT ALL RAFTERS ENDS w z w TYPICAL ASPHALT 3.)VERIFY GUTTER TYPE/LAYOUT ROOF SHINGLES (. 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W n.Q� I 1 78'x6' I 31 314•x91/4'LVL BE L�=vim VERIFY GRADE a RETAINING WALL r a_ DETAILS IN THE FIELD FOR NEW O m ca= DOUBLE DOORS FROM THE BASEMENT Uv2a� INSTALL DRAIN TO DRYWELL 6 CURB A I I A § TO PREVENT WATER INTRUSION KITCHEN PANTRY 4 A P.T 2 z 10 LEDGER BOARD SCREWED TO FIRST FLOOR v SOUD BLOCKING Wl(2)LEDGERLOK SCREWS m I 4"6POST SUSFLOOR IT o.c.W/ZMAX LU210 JOISTS HANGERS I ON F.F. INSTALL SIMPSON DTTIZ 31 314"x9114"LVL NEW 2x t0s@16'o.c NEW 2x 10's@16'o,c. TENSION TIES AT(2)LOCATIONS FROM HOUSE TO DECK JOIST I I I �11•: (1)EACH END Y b I NEW 4-1 3l4"x 1B'LVL BEAM m T-0' 8'-0' O SI EXISTING 12"DIA.CONCRETE SONOTUBES F� "' I BASEMENT .I.., C I BASEMENT I I WINDOW TO WO"BELOW ABU fib POST BASEADE.USE SIMPSON As I ®m w I I FULL o� 4•CONC.SLAB-10 MIL § BASEMENT Q � 3P. 2xB's � - Y q1Q,a I I w3 IT a I I ---------I I W ; 4 a I I I r Ira' I REMOVE EXIST. I L1 FOUND,WALLS I k'A SECTION @ KITCHEN/PANTRY Q I II I A4 . . A NEW P.T.I2 x B'e@ IT 15'CONC.FOOTING O o.c. 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WELL <y 1501 � RELOCATION TEST PIT z• VACANT LAND 92:13 W PROPOSED WATER SERVICE ° ILA ,y a ASSES, MAP 197 OW EXISTING OVERHEAD WIRES LOCUS MAP N.T.S. 00 LOT 37 M' 52,019'+S.F, w GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL o BOARD OF HEALTH AND THE DESIGN ENGINEER. 91,et1 EXIST. OPEN WELL r i re8�2 (not potable) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ( OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY LOCAL I !., RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 00 0 28.44' DESIGN ENGINEER. I 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING t (appRCH EXIST. WELL (ap ba X.) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ^� (disconnect & abandon) 2 �31,16 I f I 84.15 ENGINEER BEFORE CONSTRUCTION CONTINUES. 21.10_I EXISTING 4-BEDRUGM r ' EXIST, SEPTIC 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. i I i ^�o HOUSE <#1750) ' ' TANK & S.A.S, T.O.F. 94.53 r ' (TO BE PUMPED & 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF y� �53� 2-CAR (FULL CELLAR) / �`' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF GARAGE 10' , , e `8sf,1LLED W/ SAND) HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. cO (SLAB) PDOZCH 95.55 (CRawL SPACE) P. r15pp PL: i 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. EXIST. S.A.S. PER '0 I 08 ' E TI TANK` i RECORDED AS—BUILT / \�� r 3 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150, OF THE S.A.S. 1 J �19 5.64 I i �' r �, 67 9. SEPTIC SYSTEM COMPONENTS SHALL BE INSTALLED AS DESCRIBED 4, �` i r �oBO ; , ^ IN 310 CMR 15.000 SUBPART C. 48- i o ';:'<. ='.�. :.•r i 10. ALL AREAS CLEARED FOR CONSTRUCTION ARE TO BE LOAMED AND 6.27 '96, i y2 57 i',. SEEDED UPON COMPLETION OF CONSTRUCTION. r.:. :5: ;:;+ . 9 V`' 150' FROM EXIS 11. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY ~- I BENCHMARK \� `��� �9a D7 E `;:. g3 PROP ���` \ WELL—LOT 4 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING S.A.S. - /96,85 MAP 217 CONSTRUCTION. TOP LEFT CORNER t ;� �.` r 72" LOT 4 12. IF ENCOUNTERED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS OF BRICK STEP ��� '� t, ::�`� \���-�, IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. EL:94.97(Assumed) �� � ` ,� -}-25;?_=.1 ` � , AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 91,94 ,75' ° ` o 97.3 9593 93'99 ;� `SEE NOTE IEQ f °` 1 DEED REFERENCE' Bk.739/Pg.68 N R 97•80 ' ' �2.15 ,' PLAN REFERENCE: Bk.90/F'g.107 ZEXIST.00 1 1 , . 93,73(35' ` FLOOD PLAIN DATA 99.70 Ii S.A.S. W ' a 4 r o. PER RECORDED FIRM PANEL #250001 0003D (Revised July 2, 1992) r / AS—BUILT ZONE "C" MAP 197 994 1 249:96 � ��� of Mgff SEPTIC SYSTEM REPAIR/UPGRADE LOT 36 P PETER T. �� 1750 ROUTE 6A, WEST BARNSTABLE, MA 7,72 94.96 o MCENTEE Prepared for: Robert Syvanen, 1750 Route 6A, West Barnstable, MA ,96� ROUTE 6A " CIVIL Engineering by: Surveying by: SCALE DRAWN JOB. NO. No, 35109 - • 97.2o SCALE 1'-30' � Englneering Workv Hood Survey 1"-30' P.T.M. f 5-00 °p �FG/SjE�^ �F 23 Deer Hollow Road 10 Bo ns Passage DATE CHECKED SHEET NO. �`- Fareatdale, MA 02644 East Sandwich, MA 02537 0 30 60 / io�3 UU (508) 477-5313 (508) 833-4883 10/3/00 P.T.M. 1 of 2 v ELEV. TOP NOTE: TO PREVENT BREAKOUT, THE PROPOSED FOUNDATION ` FINISH GRADE SHALL NOT BE < EL.89.0' (Existing) MAINTAIN 2% MIN SLOPE OVER LEACHING AREA FOR A DISTANCE OF 15' AROUND THE =94.53 FINISH GRADE RANGES FROM 91.0 TO 92.0 PERIMETER OF THE S.A.S. EL92.5 EL.91.5 EL.91.5 ' •e• MAX. COVER OVER S.A.S. = 36RAM DISCONNECT/PLUG°. now EXISTING OUTLET ;•,' INSTALL RISERS OVER INLET & OUTLET ' ARROWS STAMPED ON UNITS MUST POINT TOWARD D—BOX. PROVIDE NEW ! TO WITHIN 6" OF FINISH GRADE OUTLET FROM L = 10' = 13' ' HOUSE AT INV. 'A 4" L SCH 40 PVC , - 4" SCH 40 PVC L = e' (MAX.) EL=89.29 (MIN) 4" SCH 40 PVC @ S= 2% (MIN.) 10' 14, @ S= 1% (MIN,) 8 (CRAWL SPACE) S= 1 % (MIN.) !' PROPOSED 1500 GALLON INV. EL.= 88.84 INV. EL.=88.54 , o o " " o o " o 0 0 0 0 0 0 0 o a o 0 0 SEPTIC TANK INV. EL.=88.71 INV. EL.= 88.46 1' 3 ROWS OF 5 "CONTACTOR-75" UNITS (TOTAL OF 15) = 32' 1' INV. EL.= 89.09 GAS BAFFLE TO BE INSTSALLED ON OUTLET TEE AS MANUFACTURED BY TUF—TITE, ZABEL, OR EQUAL EFFECTIVE LENGTH=34' t 2' LAYER OF B D-BOX SEPTIC SYSTEM PROFILE �DOUBLE WASHED STONE KIN& BREAKOUT EL.= 88.96 (3) 5" DIA.OUTLETS N.T.S. PIIPE INV. EL,= 88,46 O -�—3/4'-1 1/2' 15,5• �6'��2• EFF. DEPTH = 6 IN. SOIL LOG DOUBLE WASHED STONE BOTTOM S.A,S, EL.= 87.96 3 5" 2 5 5.a5' 2.5' 5.25' 2.5' 3.5' 1 '1 4' MIN, ABOVE BOTTOM OF 15,5• ' ' �- 1: e, >2' DATE: SEPTEMBER 14, 2000 (REF# P9845) T,P. EXCAVATI❑N OR G.W, EFFECTIVE WIDTH = 25' SOIL EVALUATOR: PETER MCENTEE y INSPECTOR: DONNA MIORANDI, BOARD OF HEALTH EST, HIGH G.W. ELi 83.96 2• EXCAVATOR: HICKY CONSTRUCTION SOIL ABSORPTION SYSTEM SECTION WEATHER: SUNNY 60' N.T.& CHAMBERS ELEV. TP- 1 DEPTH DESIGN CRITERIA P��� of M9�fq�y KTA 91.96 0" = ER T. GJ, SAND NUMBER OF BEDROOMS: 4 BEDROOMS £ PET CONTACTOR CHAMBERS HAVE A 2�"4/3 SEPTIC TANK SOIL TEXTURAL CLASS: CLASS Il q McENTEE OVERLAPPING INTERLOCKING RIBS. + i 91.29 8" CIVIL N PLACE THE FIRST RIB OF THE B ITS' DESIGN PERCOLATION RATE: 20 MIN./IN. No. 35109 ADDITIONAL UNITS OVER THE SMALLER SANDY LOAM 1500 GALLON CAPACITY, H-10 LOADING RIB AT THE END OF THE PRECEDING 2.5Y 4/4 DAILY FLOW: 440 G.P.D. �� R C/S1FR`������ CONTACTOR UNIT. 88.46 C1 42" 10'-6" DESIGN FLOW: 440 G.P.D. FSS/o EN CONTACTOR CHAMBERS HAVE SANDY LOAM GARBAGE GRINDER: NO HOMOGENOUSLY STRUCTURED 2.5Y 5/4 " SEPTIC TANK REQUIRED: 1500 GAL. CAPACITY 6 INTERGRATED SUPPORT WALLS FRIABLE 83.96 MOTTLING 72 96" PERC 3 — 20" Dia. Covers ` Ov ON EVERY UNIT. LEACHING AREA REQUIRED: (440) = 830.2 S.F. �01 = NOTE: CONTRACTOR MUST BE CERTIFIED BY CULTEC TO INSTALL THESE C2 .53 UNITS. INSTALLATION SHALL BE CARRIED OUT IN STRICT CONFORMANCE LOAMY SAND 5'-8" I USE 3 ROWS OF 5 "CONTACTOR-75" UNITS WITH MANUFACTURERS RECOMMENDATIONS. 5/6 0 IN 25' BY 34' FIELD CONFIGURATION FRIABLE TO 120" PERC LOOSE I. SIDEWALL AREA: NOT APPLICABLE 79.46 150" BOTTOM AREA: 25' x 34' = 850 S.F. G.W. WEEPING 149", HIGH G.W. 96- TOTAL AREA: 650 S.F. 12.5"6" PERC RATE=15.3 MIN/IN (Cl) 6" Dia. Inlets 4" 6" Dia. Outlets DESIGN FLOW PROVIDED: 0.53(850 S.F.) = 450.5 G.P.D. PERC RATE=9 MIN/IN (C2) 30 7.17' :O " SEPTIC SYSTEM REPAIR UPGRADE " 6.25' LAY UP LENGTH STARTING UNIT ADDITIONAL UNITS 1 750 ROUTE 6A, WEST BARNSTABLE, MA 5'-8" 4'-7 n4" 4'-4" Prepared for: Robert Syvanen, 1750 Route 6A, West Barnstable, MA Engineering by: Surveying by: SCALE DRAWN JOB. NO. Engineering Works Hood Survey NTS P.T.M. 65-00 13.17—LENGTH FlRST 2 UNITS 6.25 EACH ADDITIONAL UNIT+I 23 Deer Hollow Road 10 Bosuns Passage Forestdole. MA 02644 East Sandwich, MA 02537 DATE CHECKED SHEET NO. CHAMBERS ARE TO BE LAID LEVEL ON A SAND BASE 1 (508) 477-5313 (508) 833-4883 10/3/00 P.T.M. 2 Of 2 I v � a ._ r f S III all, v\r 11i, Railroad o � \I1. — Locu� Cope Cod 111 Community #3 Garrett, Col%qe 1I1, Pond 1IL VEGETATED ...�•. B RDERIN #2 i— #1 J LOCUS MAP 24 O i SCALE 1"=2000'f ASSESSORS MAP 197 PARCEL 037 2� o LOCUS IS WITHIN F'EMA FLOOD ZONE X co _ - ... �d 28 �2i z 29 o N .30 0 ZONING SUMMARY 37 ZONING DISTRICT: RF DISTRICT MIN. LOT SIZE 87,120 S.F. 100' oFF�ewv � ( MIN. LOT FRONTAGE 150' 34 I MIN. FRONT SETBACK 30' MIN. SIDE SETBACK 15' 35 \\ MIN. REAR SETBACK 15' MAX. BUILDING HEIGHT 30' STONE STONE WA L 9 SITE IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT EXISTING WELL SITE IS LOCATED WITHIN THE AQUIFER � PROTECTION OVERLAY DISTRICT C4 0 � o 2 .6'm OWNER OF RECORD MATTHEW AND CATHERINE DILLON O GREENH SE I 00 1750 MAIN STREET I WEST BARNSTABLE 02668 N -D v r REFERENCES -n �� �� 6, DEED BOOK 18955 PAGE 51 0 0. DEED BOOK 28178 PAGE 126 3— m _ 2$ r'Lriitix`tuVlh w F'i.G[ if)7 39 PR Pcs PLAN BOOK 653 PIG. 78 (PARCEL "A") 40 DEI-,K AD ITIO � �2 ED GARAGE 40 AT10 G, ��� NOTES �1 0 N 1. DATUM IS NAV EIST. 150 o S PTI TA K 2. THIS PLAN IS FOR; PROPOSED WORK ONLY o AND NOT TO BE USED FOR LOT LINE STAKING y p OR ANY OTHER PURPOSE. 40v 3. CONTRACTOR SHALL BE RESPONSIBLE FOR f \ CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR o TO COMMENCEMENT OF WORK. ROP SED EXIST�� RICH 3g SAS �� 4. EXISTING SEPTIC LOCATION PER TIE—CARD ON U p FILE WITH TOWN. C5 10 J 17 c GRAVE DRIVE oy 'J S1R C�? / 0y1 SITE PLAN OF 1750 ROUTE 6A WEST BARNSTABLE PREPARED FOR off 508-362-4541 MATTHEW & CATHERINE DILLON fox 508-362-9880 ESN 0F I MAS&downcope.com © o`' DANIEL <m APRIL 28, 2017 down cape engiaeering, 1nC. O �LA u, REV.: JUNE 2, 2017 (HOUSE FOOTPRINT) civil en ineers No 40060� Scale:1"= 30' land surveyors 939 Main Street ( Rte 6A) 0 15 30 45 60 75 FEET YARMOUTHPORT MA 02675 DATE DANIEL A. OJALA, P.L.S. OKH LICE ## 17-046