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HomeMy WebLinkAbout0114 PERCIVAL DRIVE - Health 114 PERCIVAL DRIVE WEST BARNSTABLE / A { Q � � c f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments vyy� 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is required for WEST BARNSTABLE MA 4/21/09 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. `ant When fJling out A. General Information When ' I �� r forms on the 7- computer,use 1. only the tab key f to move your cursor-do not DOUGLAS A. BROWN Name of Inspector rZ use the return ; key. DOUGLAS A. BROWN INC - ; ',=, Company Name � P.O. BOX 145 ; Company Address tz� CENTERVILLE MA 02632 co City/Town State Zip Code 508420-4534 S 14297 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 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 4/21/09 n e s Sign re Date e 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. �/D1 Title V Inspection Fono.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Dis posal sposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is required WEST BARNSTABLE MA re uired for 4/21/09 every page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM MEETS MINIMUM PASSING REQUIREMENTS AT THIS TIME 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. Answer yes, no or not determined (Y, N, ND) in the❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed Title V Inspection Form.doc•06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 114 PERCIVAL DR Properly Address TILTON Owner Owner's Name information is required for WEST BARNSTABLE MA 4/21/09 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: 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. Title V Inspection Form.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is required WEST BARNSTABLE MA re wired for 4/21/09 every page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a'DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 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 ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Title V Inspection Form.doc•08/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is required for WEST BARNSTABLE MA every page. City/Town 4/21/09 State Zip Code Date of Inspection B. Certification (cunt.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Title V Inspection Form.dac•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is equ WEST BARNSTABLE MA re wired for 4/21/09 every page. cltylrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] Title V Inspection Form.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y^ 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is WEST BARNSTABLE MA required for 4/21/09 every page. Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 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)): WELL Sump pump? ❑ Yes ® No Last date of occupancy: CURRENT Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): Title V Inspection Form.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments '( 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is required WEST BARNSTABLE MA re wired for 4/21/09 every page. Cltyrrown State Zip Code Date of Inspection D. System Information (cunt.) General Information Pumping Records: Source of information: OWNER PUMPED IN FEB OF 09 FOR MAINTENANCE Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1994 OFF ASBUILT CARD SEWAGE#94 425 Were sewage odors detected when arriving at the site? ❑ Yes ® No Title V Inspection Form.doc-08M Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is WEST BARNSTABLE MA required for 4/21/09 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No ---------------------------------------------------------- ---------------------------------------- -------- Dimensions: 1500 GALLON Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Title V Inspection Form.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is WEST BARNSTABLE required for MA 4/21/09 every page. Cdy/Town 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.): TANK WAS RECENTLY PUMPED ACCORDING TO OWNER Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): � Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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): Title V Inspection Form.doc•08/06 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner information i Owner's Name s required for WEST BARNSTABLE MA 4/21/09 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): BOX LEVEL NO LEAKAGE LOOKS TYPICAL OF AGE Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Title V Inspection Form.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Dis g posal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is, WEST BARNSTABLE MA required'for 4/21/09 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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: DID NOT OPEN DUE TO DEPTH AND LOCATION Type: ® leaching pits number: 2 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): DID NOT OPEN DUE TO DEPTH AND LOCATION NO SIGNS OF FAILURE AT THE SURFACE Title V Inspection Form.doc-08/06 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is WEST BARNSTABLE MA required for 4/21/09 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Title V Inspection Form.doc•OS/OS Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is WEST BARNSTABLE MA re wired for 4/21/09 every page. Cdylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. ask Ov -e i Title V Inspection Form.doc•08106 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 114 PERCIVAL DR Property Address TILTON Owner Owner's Name information is WEST BARNSTABLE required for MA 4/21/09 every page. 4/Town State Zip Code Date of Inspection D. System Information (cunt.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Tide V Inspection Fonn.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 J elor ,�/ 40rr X' TOWN OF BARNSTABLE r LOCATION 11 SEWAGE # VILLAGE MAP & LOT � INSTALLER'S NAME PHONE NO. (�� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) i NO. OF BEDROOMS_—l' PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER_ 1. ,t 77 Aez DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Now Ho�sP �\ � �` � �� n i \ `� ` � 8 9 � 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bhipasal Works Tomitrnrtinrt runfit Application is hereby made for a Permit to Construct ( L, or Repair ( ) an Individual Sewage Disposal System at 1 -- -------•-_... ....................................�....................................................Lo.atlon- �. -- n. fin../ 5�ddryO ner .. �a ---l-_ t.t} s a J. In taller �--eTwp�J � � t��� Address �-� 2 UType of Building L 1° Size Lot�a�____.3._......Sq. feet �., Dwelling—No. of Bedrooms_......... ..............................Expansion Attic ( ) Garbage Grinder (-41 Other— Type of Building ---------------------------- No. of persons............................ Showers Cafeteria a Other fixtures -------------------------------- ---------...----------------•- •--------------- •(----)-- 'W Design Flow............./b2.....................gallons pei omn J}erl fir. Total ;y 4ow____.._._____.._.-5�'�` ................ ..�`-.. -------- Disposal Trench—No. .................... Width....._......._...... Total Length Total leaching area......•._A P g g -----------sq. ft. Seepage Pit No.___...._..I........ iameter......./42..... Depth below inlet........,�Q........ Total leaching area..... 6.7sq. ft. Z Other Distribution box ( Dosing to �,,,) '-' Percolation Test Results Performed by... ........ ... _ l�_..._ r�� Date �o �g ,aa Test Pit No. 1.CG�_ minutes per inch Depth of Test Pit..../ 'T�� Depth to ground water.__. .. ,-. ci P 7,1 .--�/ f14 Test Pit No. 2................minutes per inch Depth of.Test Pit...lrur..... Depth to ground water.'-..'7/'._jg�..... 04 .............t•-•--•----. f � .._C..'. ,......... es ripton o Soil-- .=_ :rp---..7 ?�D ... ...�.---- ---r- ! �� cD .. ............... -t--1------ _-f..f.i --J F�' ............ ;- -------------------------------------------------------------------------------------------------------------------------------" -- -------- N-/► 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 ' de—The undersigned further agrees not t pla the .¢ r system in operation until a Certificate of Complianc 'a b en issued by t `�board lth. Sined ........ --- ............ . .......... ---...... ......--. -- --- -- ..... .. .---- ..te Approved By --....... - ...... ------------- Application - - ..-.. Dace Application,Disapproved for the following rearonr:. ...........:_.-_----...........--...--.--........--.---.. ------ --------------- ----- -". .. .......---.---.--..-----.--.......---..--... ....... ..--..---.----... .--.....................---.--.----------....--.. ......................................... � � e Permit No. ...................... ....... Issued . �,7-.-•-'..-- -- .. Dace No.? THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Uiupuual Marko Tonutriirtiun frrutit Application is hereby made for a Permit to Construct ( L-)o Repair ( ) an Individual Sewage Disposal System at: " crr/ L. ,j Location-Ad or Lot No: 72) O ner Addre s ¢ •.... ..._.._ -in-P Sf .nf) 1- 4,6 Ipstor CIf/1 7C 7:F Address Type of Building /4' Size Lot., .-j-�2 _:=Sq. feet U Dwelling—No. of Bedrooms......._....�...........................Expansion Attic ( ) Garbage Grinder '14 Other—Type of Building ............ No. of persons............................ Showers — Cafeteria Otherfixtures ----------------------------------- ic Y� 7 -------------------------------------------------•--•-`---------•-•----------- W Design Flow................... ...................gallons per er n ppr�dlay. Total daily flow............................ _..........gallons,' WSeptic Tank—Liquid capacity_� ,.-)gallons Length.-X... Width._.�.2 ... Diameter................ Depth-_�.-�a-l... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......-----./-.------ Diameter......../-0..... Depth below inlet......... ...... Total leaching area..... /_5q,. ft. Z Other Distribution box ( Dosing tank ) �-- Percolation Test Results Z Performed by....a ...._ ._ �r .? �............... Date....��Z 3,hY....�� It Test Pit No. 1._4---.----minutes per inch Depth of Test Pit-----1.�.`�_..._e Depth to ground water.....?� .���... 0 fs, Test Pit No. 2._.G........minutes per inch Depth of, Test Pit.../ 25'_. Depth to ground water..?1�_v. .............`,.......................................... r= ._............., ....... o.................. O Description of Soil---�-,I14n. ,7�_ Z� :24•.S�cJ�a`�d/4.; 2� �� � �� � ��F_/SZSZ ---.------------ ...... ----- .nu�/ xFi'✓.................. - - - ---------------------------------------------------------------------------------------------------j--•------•--------...........------------..... U Nature of Repairs or Alterations—Answer when applicatle........................................................................... .........:_._.._.__.. •••••••••-••••••••-•---n...l..I......................... •-•---•... . _..l Agreement: ( I l;7 The undersigned agrees to install the afore esc ibed Indivl�t�al Se age Disposa, System in �'clor?nce with the provisions of TITLE 5 of the State Environmen Code—The undersigned further agrees not to plac the in operation until a Certificate of Com li ce been issued b t board hea th.systemp c p y - Signed „'• ..t to � Application Approved By .-. -- ....'�✓ T _ Date f Application Disapproved for the following reasons- ----------------------------------------------------- -- -- ------ -------- ----------------------------------------- ............................................- v . Permit No. 7 e ------------ ----------------- Issued 1� Date THE COMMONWEALTH OF MASSACHUSETTS 6 BOARD OF HEALTH r ti TOWN OF BARNSTABLE l Certifi>rate of Tontylian e TH��ss IS 0 TIFY, That e Individual Se e Dis saLS ste constructed ( ) or Repaired ( ) by..--------CT--- n- - US` m tpC�e -- ------------------------------ c`�vc� t1 J (��s b Mfg Inu Iler (��,� atC!' .... C ..... .---. �---�JtJ--- �.... .................................-------............ has been installed in accordance with the provisions of TITL of The State Environmental o,e aA scri edd ii the application for Disposal Works Construction Permit No.r�,��^'. 1 dated -.- `.���".... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU D AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION 7O S5"!77 ACT4dR� �� DATE......f........' .................----- ------------....../ -------------------- Inspectors -.... THE COMMONWEALTH OF MASSACHUSETTS `BOARD OF HEALTH //� TOWN OF BARNSTABLE No...... ............ FEE........................ DiupuuidTol�kljl (9unu(( ,r, n' dion �ernt Permissio�Ae ' hereby granted' ` ----- nC.jr WS m.� . -•---•-- ........................................... to Constr t or,Re air n Individual Sew e Dis, osal-Sys tyc� � g Y at No.--II-------- �4. ........... •--••••-'.-:.J (�JP5 � 1 $trid2� as shown on the application for Disposal Works Constructio Perrri t. Yo.-_r............... Dat'e � .� .. --------------------•------------ - ------ ..._._ i, Board of Health 1 DATE.......------- --- ..... - FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 . Sandwich, MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508)888-6446 CLIENT: G.C. Inc. LOCATION: /41 52 Percival Way ADDRESS: 259 Great Western Ave. Barnstable, MA So. Dennis, MA SAMPLE DATE: 7-14-94 COLLECTED BY: D.A. Scannell DATE RECEIVED: 7-14-94 TIME: 2:0OPM SAMPLE I.D. : 6052 JOB TYPE: New well WELL DEPTH: 70' r v RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100ml (MF Method) 0 0 pH pH units 6.0-8.5 5.87 Conductance umhos/cm 500 101 Sodium mg/L 28.0 12.1 Nitrate-N mg/L 10.0 0.18 Iron mg/L 0.3 0.33 Volatile Organics EPA 601/602 Chloroform * ug/L 2 COMMENTS: Low pH indicates high corrosive characteristics. * See report attached. Yes No WATER IS SUITABLE FOR DRINKING URPOSE OR PARAMETERS TES - Xxx Date RoAald J. aari Laborator Director LT = Less Than GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: 52P Lab ID: 8322-01 Project: GC Const/52 Percival Batch ID: VG2-0428-W Client: Envirotech Sampled: 07-26-94 Cont/Prsv: 40mL VOA Vial/NaHSO4 Cool Received: 07-27-94 Matrix: Aqueous Analyzed: 08-01-94 PARAMETER CONCENTRATION REPORTING LIMIT lug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL B Chloroethane BRL 5 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform 2 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 '1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 1 2-Chloroethyl Vinyl Ether BRL 5 cis-1,3-Dichloropropene BRL 1 Toluene BRL 1 trans-1,3-Dichloropropene BRL 1 1,1 ,2-Trichloroethane BRL 1 Tetrachloroethene - BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 meta-and Para-Xylene * BRL 1 ortho-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 28 94 % 87 - 113 % 1,2-Dichloroethane-d4 30 31 103 % 83 - 117 % BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). ��- BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion-for Vell Con6truction3permit Application is hereby made for a permit to Construct (t/), Alter ( ), or Repair ( )an individual Well at: ----------------------------------------------------------- location — Address Assessors Map and Parcel 17 Owner j / Address LJ:L_l_6/r ---- ,< =- O oX 6a `3/- �_�atJQv!^�S ��- `� Installer — Driller 1 Address M G � Type of Building o 0 Dwelling-----Lo 4-S e - Other - Type of Building ------------------ No. of Persons------------------------------------------------ Type of Well Pv_� - -- ---- - - - Capacity--------------------—--- - - --— Purpose of Well--�onnesl�� - a-P�------------------ 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 Certificate .of Compliance has been issued by the Board of Health. 1 , Signed �y / y- - -- - ------ - L ' date _ Application Approved B ------------- ----- Application Disapproved for the following reasons:------------------- ---------------------------------------------- ------------------------------------------------------------------------- ----------------------------------------- - date Permit No. — r" G�-- ----- Issued--- - - — ----------------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS TO CERTIFY, Th the Individual Well Constructe (-), Altered ( ), or Repaired ( ) by- ---- —-�_A_ ------------------ -- - ---- nstaller 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 N '�"- ��- Dated- �----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------—-— — -------- ----- Inspector-----------------------------------—--- ------------- ��� .,�.4/�-,� � '•rt.� Est � - r� ....--�.�'��.�.:ro��� �. .. � i+ . .F.r.. . ..���....{`,�,;.#�..•)-i's�'.�: .. ' No._ '-!' <-r' / Fee--� - � �'� - , BOARD. OF HEALTH 1 - . TOWN OF BARNSTABLE Applicat ion-for Ve[C Con5truct ion Permit- Application is hereby made for at permit to Construct (v1, Alter ( ), or Repair ( )an individual Well at: 111 ---vP----r UU l D(- -- —— — ---- --- — ---— i Location — Address - Assessors Map and Parcel. [ ---PG-j------Su,Su v--------tdT°`-` M ---� -111 �i L _y�-/ -�=-- =Zc'i_o a - Owner — Address Installer — Dnller Address M enj Type of Building O Gys tiDwelling o!. S 2----------------------------------------------- Other - Type of Building----------' -------------- No. of Persons------------------------------— -- - Type of Well_`1_ __v_��_ -- - =---- - Capacity--------------------- -------- —--— Purpose of Well - 1 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 Certificate .of Com liance has been issued by the Board-of Health. Signed �__ �"" -- -- - -- -- -- �y -------- .date _� _-- —Application Approved B .� date Application Disapproved for the following reasons:-----=------------ —- --------------------------------------------=------- -------------=------------ -- ----------------------- date Permit No. � -� �-- ----- Issued--- T-'� -�- — --- -� --- - -- ----- date i ¢ I Itrr.srw.a�..w.e�.or.:�•u.r:�+..,.m:�.a.�o.+.r.r�o.�+.....y..��.00�.e...®.sor.sa..�.r.b�.w.�emsr�:e•r..�a...-...m...v...�.e.�a.er�a�.ar�,.sb-�ars..i j .. BOARD OF HEALTH k. . . TOWN Of B`A.RNSTA'BLE C ertf tcate'®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed -),-Altered ( ), or Repaired ( ) nn /by---- ----------------- li__ 4�a_ --^.c1- � /- �= ` -`-'I nstaller has been installed in accordance with the provisions of the Town of Barnstable JBBoard of�Heealth Private Well Protection Regulation as described in the application for Well Construction Permit NvA'�`----`-Yjj' -IIADated-- - ---- 1 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 Vell Con5truct ion Permit No. -�'b'- -�;'--` j Fee- n � h .#-v r Permission is hereby granted - -- ------------ - -—------------------------------ to Construct ( A„Alter, ), or Repair ( ) an Individual Well at: No. ——— street as shown on the a lication fo a Well Construction Permit 0. - -- Dated--- --, - - / -- - T Board of Health DATE -- r 24'-0'3 (,OSTING) (EXISTING) 7-0• 27d z (NEW SHED DORMER) C C/) O N 04 o co 0 x -coy A A4 w q' ANDERSEN ANDERSEN ANDERSEN W1m TW 7442 TW 2442 TW 2438 t EXIST. EXIST. EXIST. W Woo loo ONEW 12'ZI 13 EXIST. EXISTEXIST. iUgs�fBATEXPAND. BATH :O BATH / \ I W.LC.O BEDROOM#3 FO T-� EXPAN.O. OO FJOST. AND; NEW ^ O © EJOST. DUST. HALL ----i TY'2442 BEDROOM 94 - CLOS.- ---- IN. sQ a (VAULTED CEMING) X � � CLOS. I � � CLOS. 1 EXIST. � EXIST. Q J O 5 BEDROOM#'I 6 ACCESS �-I 4 I PANEL ACCESS P1 a PAPANEL0-11 BEDROOM#2 I 0-� ANDERSEN ANDERSEN DERSEN I W A 251 I AN IA251 I A251 - 1�'1 UP U) A . Aa . EXIST. EXIST. EXIST. EXIST. .. EXIST. � M 3'-2• 2'-1cr z-,0' 3'-7 M\-9 5'd iz 5'-0' _ O (NEW SHED DORMER) (EXISTING} (E)OSTING) !VOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS SECOND F L O O R P LAN &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, LEGEND: DETAILS,&FINISHES IN THE FIELD WITH OWNER U 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT EXISTING WALLS FIRST FLOOR TO BE 6'-B"ABOVE SUBFLOOR �__ CONSTRUCTION TO BE REMOVED dS 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS NEW CONSTRUCTION ,� W STATE BUILDING CODE,SEVENTH EDITION 6.) 110 MPH EXPOSURE B WIND ZONE,1.00 ASPECT RATIO FOR NEW ADDITION ONLY 7.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY O.SMOKE DETECTOR ^, 8.) THE NAILING SCHEDULE ON SHEET A5 TO BE FOLLOWED WITH NO EXCEPTIONS. OO CARBON MONOXIDE DETECTOR 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL a SCALE: SIMPSON C:OMPONFNTS TOTAL NEW AREA=478 S.F. 1/4"= 1'-0" 10.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE DURING FRAMING CONSTRUCTION DATE: 11.)ALL SINGLE WINDOW&DOOR ROUGH OPENING HEADERS TO BE 2-2 x 8's. THE DESIGNER SHALL BE NOTIFIED IF ANY 7/1/2009 -( ERRORS OR OMISSIONS ARE FOUND ON IZ)THIS ADDITION DESIGNED TO CHAPTER 93 OF THE MASSACHUSETTS STATE BUILDING CODE THESE DRAWINGS PRIOR TO START OF CONSTRUCTION.THE BUILDING CONTRACTOR FOR ONE&TWO FAMILY DWELLINGS SECTION 9305.8.1.IN ADDITION,COMPONENTS OF THE } WILL BE RESPONSIBLE FOR THE CONTENT DRAWING NO.: AF&PA WOOD FRAME CONSTRUCTION MANUAL FOR 110 MPH EXPOSURE B ARE INSTALLED IN THESE DRAWINGS IFCONMLICTION WHERE APPLICABLE COM ENCES WITHOUT NOTIFYING THE DESI ERRORS OR OMISSIONS. 13.)INSTALL PANASONIC WHISPER QUIET FAN IN BATH,EXHAUST TO EXTERIOR THESE DRAWINGS ARE SOLELY FOR THE USE _ ON THE PROPERTY NOTED.ANY OTHER USE OF. THESE DRAWINGS REQUIRES THE WRITTEN CONSENT OF THE DESIGNER THESE DRAWINGS ARE PROTECTED UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF IBM TYP. ROOF CONST. 2t�* U -2 x 12 ROOF RAFTERS Q 18•or- (E)aSTING) -5V COX PLYWOOD ROOF SHEATHING -ASPHALT ROOF SHINGLES z 15LEL FELT PAPER r-C' 27-0' -IV HI-R BATT INSULATION CONT.RIDGE VENT (NEW SHED DORMER) 0 SLOPED CEILINGS(R-0) SOLID 2 x 8 BLOCKING IN THE OUTSIDE � -11•BATT INSULATION SIMPSON LSTA24 STRAP TWO RAFTER 6 CEIUNG JOIST BAYS W T AT EACH RAFTER C 43`o_ALLOW SPACE FOR AIR x FLAT GE BOAR(Re98) FLOW ON THE UNDERSIDE OF ROOF A Q p N -2 x 12 RIDGE BOARD SHEATHING 00 IMPSON H 2.5 HURRICANE CUPSICEf WATER 2-1 3/4•x 14'LVL RH7GEBEAM � D:,' �p st• -AlAT ALL RAFTER ENDS 4 ` S'6.OF ROOF SHIELD AT BOTTOM - -PROP-A VENT BETWEEN RAFTERS - - ---�— __ — ti U-3 -WIND WASH BARRIER BETWEEN RAFTERS t2 x Bb®t o. 12 , U { I �.� Lt7 N-50 BOTTOM OF �`\ � n ��/`�\/ -/ E•"' q u CERINGJOISTS TYRWALL CONST. ` 1.2 x 8 STUDS®16'o.a b 4 x 4 POST IN WALL 3 �BYwoo�SNW �T ra NEW R.µ� FROM STEEL BBE "4.10GYPSUMBOARDBE®ROOtJ(TP'4LITW.C.SHINGLE SIDING 12TYVEK VAPOR BARRIER NEW&4•PLYWOOD12 - SECOND FLOOR SUBFLODR SUBFLOOR F 2-1 9/4•x 14'LVL RIDGEBEAM _ NEW ar BATT I -�— �INSULATION(R,09) T �VER1FY 53'TYPE•X•OYP.SD. i 2'RIGID INSULATION �T' J ON/x 3 STRAPPING®16' STEEL BEAM o.a IN GARAGE I II� I i Pam/ 4x4POSTINWALL FROM TO EEL BEAM GARAGE --- W I " SECTION 0. NEW GARAGE _-- - -- - -- A4 A H - Aa L_ ea tr-0' s-0• (NEW SHED DORMER) SIMPSON SPH 4 FROM _ O STUD TO OVERTOP PLATE 2(E 44rt) DOUBLE TOP PLATE Z 2-2x8HEADER ROOF FRAMING PLAN o SIMPSON SPH 4 FROM JACK STUD TO OVER HEADER - NOTES: z . 1.) ALL ROOF RAFTERS TO BE 2 x 1 O's 0-0 <� ,,a UNLESS OTHERWISE NOTED c/3 d 2.) USE(2)SIMPSON H2.5 HURRICANE CUPS � TrJriE TULL HT.eTuDe i AT ALL RAFTER ENDS Fed > I 3.)VERIFY GUTTER TYPE/LAYOUT ,,,x JACK sTvO W!OWNERS W WINDOW SILL PLATE W CRIPPLE STUDS 4 . H I 1 SCALE. BOTTOM PLATE ' 1/4"= Y-0" SIMPEON CS78 STRAP F DATE: �-SIMPSON AM k 7/1/2009 R.O. DETAIL ' DRAWING NO.: SCALE:1/2"= 1'-0" "a. F 20 FT. MINIMUM _ SOIL TEST TOP OF FOUNDATION _ f - ;- DATE OF SOIL TEST 11 10 F7. MINIMUM CLEAN SAND L l�f `"gyp ELEV. = WITNESSED BY _ CONCRETE PERCOLATION RATE t '___ .MIN./INCH. COVERS 4" SCHEDULE 40 PVC PIPE 2" LAYER of OBSERVATION HOLE 1 s OBSERVATION HOLE 2 MIN. PITCH 1/8" PER FT. _ _ 1/8 TO 1/2- 2. ELEV. -_y ELEV CONCRETE WASHED STONE 0" 12" MAX. COVERS TOP AND .. 4" CAST IRON PIPE -- � `SUBSOIL (OR EQUAL) MINIMUM PITCH 1/4" PER FT. M. ti " FLOW LINE >. r 10" ELEV. = MIN. " ° I J 19 ELEV. - / 200--'i o ° 1 ° ° ELEV. - '_�_ 1 LEVEL ° _ ELEV. - _�__ ° Q. 0 °°, r { ELEV. _ __- --- a o o WATER AT ` EL WATER AT__ EL.=_x_ DISTRIBUTIONELEv. _ �_.�j _ ° O 3/4" TO 1 1/2" { ° ° DESIGN CALCULATIONS o v BOX WASHED STONE 0 0 � o o ° NUMBER OF BEDROOMS " -�-j t . '00 GALLON TO BE WATER TESTED ° °a ° o ELEV. = _ _; __ GARBAGE DISPOSAL UNIT lF MORE THAN ONE OUTLET -- - TOTAL ESTIMATED FLOW SEPTIC TANK �, j I F, ( £ -�' . GAL./HRYDAY X �..,_ BR } `��"LL`' GAL/DAY PRECAST LEACHING-_,i' 6' DIA. _ ! WELL REQUIRED SEPTIC TANK CAPACITY. GAL. I BASIN OR EQUIV. z ACTUAL SIZE OF SEPTIC TANK �t GAL. _.�____ 1 g ZONE LEACHING AREA REQUIREMENTS Rs' INDEX__^___ I SIDEWALL AREA -� GAL./S.F. ' ADJUST___...-__ I SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM AREA == _ GAL/S.F. > NOT TO SCALE REACHING CAPACITY (BOTTOM + SIDEWALL) _ �^ GAL./DAY Jc _ RESERVE LEACHING CAPACITY GAL/DAY k BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. = '-_-1 OBSERVED WATER TABLE ( / / ELEV. r NOTES 'K 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF '° `' RULES AND LEGEND: REGULATIONS FOR THE"SUBSURFACE DISPOSAL OF SEWAGE. ' EXISTING SPOT ELEVATION OOxO ti- 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO EXISTING CONTOUR ----QQ-- yMy __ WITHIN 12" OF FINISHED GRADE. r �{N Ai SPOT` F"I,.I�V�A TION , t EXISTING AND MINA', GRAD S $HALLL REMAIN ESSENTIALLY THE SAME. FINAL COtsl:OUI~ 4. ALL COUPONENTS OF T44E ITARY SYSTEM- .Sk4ALL SE CAPABLE OF t7+ t:�,x, !! *ffrHSTANDING ��..^.10 L-. UNLESS TW Y' Aft UNDER OR _�'04* � , JTILITN' POLE -�?- : f 4 10 FT. OF DRIVES OR PAR G AREAS. H-20 LOADING SHALL BE _ TOWN WATER W .. ---W USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. CATCH BASIN \®� 5. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL 4 BE MORTARED IN PLACE. . NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH - / DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION APPROPRIATE AUTHORITY. OB C DE TER 10 FROM ROPRIATE , a4 � t ' S n 7 4 t i , i. , k� t IL r . f APPROVED: BOARD 0 HEALTH r, I 1 , x - I DATE AGENT PROPOSED PLOT PLAN w t X FOR lie Y PROJECT LOCATigIJ -= - - _ y � 'S II lJJ.I TSiJR iiL\ial� A 1 r , C 235 G 7 Rf�AD ""'-- VI. 13 l 398-3822 460TH DENNIS, MASS.SCAU p ,Q M - l REVISED REWSE© j LOCATION MAP "o � " ` i :� SHEET OF L Ea r.n»_.r . u. r; ! r+.�+.... .. _ ....a 1p ■r1411M9gr`. �. _. �.. .-y.y. e,,-,. y Yam:: ..v-.:_.. :' ,;,R,,. e.•s. ..•:".: A 20 FT. MINIMUM S Oi L TEST TOP OF FOUNDATION �` Y 10 FT. MINIMUM DATE OF SOIL TEST"' ELEV. = CLEAN SAND WITNESSED BY = CONCRETE PERCOLATION RATE IN./INCH. COVERS 4" SCHEDULE 40 PVC PIPE MIN. PITCH 1/8" PER FT. 2" LAYER of OBSERVATION HOLE 1 OBSERVATION HOLE 2 " 1/8 TO 1/2- ELEV. f yT! CONCRETE ELEV =_ COVERS -- WASHED STONE 0" r r 12" MAX. TOP AND 4" CAST IRON PIPE SUBSOIL (OR EQUAL) MINIMUMr !° PITCH 1/4" PER FT. I } . ,.. ,. r- FLOW LINEELEV. .- E 10* r MIN. 19 ELEV. = 2 O o ° o ELEV. ELEV. LEVEL o 00 f, _ o ° Q O ., ELEV. o - , p_ - f r o o WATER AT_ EL.—� �_ WATER AT—_ - EL = DISTRIBUTION ELEV. _ __�:�.._ , � ° O 3/4" TO 1 1/2" o W DESIGN CALCULATIONS B O X WASHED STONE 00 � o ° ° NUMBER OF BEDROOMS S Y lµ.1, 1 O0 GALLON TO BE WATER TESTED o co 4' ° o ELEV. = �fr, GARBAGE DISPOSAL UNIT t IF MORE THAN ONE OUTLET TOTAL ESTIMATED FLOW SEPTIC TANK GAL./BR./DAY X BR.) GAL./DAY PRECAST LEACHING 6' DIA. J � `+: REQUIRED SEPTIC TANK CAPACITY - GAL. T '^'` ZON -- -=-- ACTUAL SIZE OF SEPTIC TANK 7 `-- GAL. BASIN OR EQUIV. ? ZONE —_-_ _ LEACHING AREA REQUIREMENTS i 1 INDEX - SIDEWALL AREA `r GAL./S.F. j SEWAGE DISPOSAL SYSTEM PROFILEADJUS T--_-- BOTTOM AREA) GAL./S.F.'-f> ,- LEACHING CAPACITY BOTTQ + SIDEWA> GAL./DAY NOT TO SCALE � BOTTOM OF TEST HOLE OR US PROBABLE WATER TABLE ELEV. _ ��' _ RESERVE LEACHING CAPACITY GAL./DAY `OBSERVED WATER TABLE ( / / > ELEV. = I r ' NOTES: f, 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. LEGEND: TITLE 5 AND THE TOWN OF ' _ RULES AND REGULATIONS FOR THE SUBSURFACt DISPOSAL OF SEWAGE. i EXISTING SPOT ELEVATION OOXO 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO EXISTING CONTOUR ----0+0----- _ WITHIN 12" OF FINISHED GRADE. .. rINAL SPOT F,I<_FVATION LL {. EXISTt,PfG AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME. FINAL CE3tV,If?Ir1R.-� r_._�.�_ .____ 4, A CtJb+tPC3NENT8 4Ir t}fE SANITARY,5kASHALL BE CAPABLE UE h S_ 5T 4ATI JTILI TY POLE -' 10 FT. OF DRIVES OR P/� IN 2aG AREAS. H-- LOA3#NG SHALLI TOWN WATER W---1. 1�---W USED UNDER OR WITHIN 16 FT. OF DRIVES-,OR PARKING AREAS. CATCH BASIN `NJ 5. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE.'y R ��\_ 6. NO DETERMINATION HAS N MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. Ai . •._ a; z. APPROVED: BOARD F HEALTH T. V O LT 4I�ipF•}+ x� �, x h { �.r DATE AGENT L i _ �rf. PROPOSED PLOT PLAN FOR p y.' t Y _ s r e t _ f ! r J - PROJECT LOCATION ' 1 ,k t • , ..... SWEETSER E`NGINKERNG 235 EAT ROAD . 0. �� JY R SOUTH DENNIS, MASS. r 398-3922 Q2660 a , DATE REVISED REMSE D y LOCATION MAP No. SHEET / OF 0 t" 04T I : TOP OF FOUNDATION 20 FT. MINIMUMJA SOIL TEST 10 FT. MINIMUM T" �• ^Z. f ---'f tom` DATE OF SOIL TEST w I ELEV. _ �_ CLEAN SAND WITNESSED BY _ � _ CONCRETE PERCOLATION RATE '_— _MIN./INCH. COVERS 4" SCHEDULE 40 PVC PIPE 2" LAYER of OBSERVATION HOLE 1 OBSERVATION HOLE 2 MIN. PITCH 1/8" PER FT. 1/8" TO 1/2" ELEV.=__My'�y ELEV• ` CONCRETE WASHED STONE 0" COVERS — TOP AND � . 4" CAST IRON PIPE 12" MAX. SUBSOIL (OR EQUAL) MINIMUM PITCH 1/4" PER FT. FLOW LINE iv ; 100 ELEV. _ ----- -'MIN. 19" ELEV. _ j, i 2*0" i 0 ° ELEV. _ ° ----- - ELEV. _ %'` LEVEL 0 0 ELEV. _ w ° o — 0 0 0 WATER AT EL.= WATER AT__.�__ EL.- ELEV. _ `` -- ° �' ° 0 DISTRIBUTION 3 4" TO 1 , 2 ° ° DESIGN CALCULATIONS BOX WASHED STONE o o Lo Jo „> NUMBER OF BEDROOMS 1000 GALLON TO BE WATER TESTED 0 00 w ELEV. _ =__ GARBAGE DISPOSAL UNIT _ IF MORE THAN ONE OUTLET TOTALESTIMATED FLOW SEPTIC TANK ( L _GAL./BR./DAY X =__ BR.) GAL./DAY PRECAST LEACHING 6' DIA. = / ;' ' REQUIRED SEPTIC TANK CAPACITY _ ' GAL. BASIN OR EQUIV.CHNz WELL _ _� ACTUAL SIZE OF SEPTIC TANK GAL. ZONE __ LEACHING AREA REQUIREMENTS INDEX_ SIDEWALL AREA f GAL./S.F. SEWAGE DISPOSAL SYSTEM PROFILE �* ADJUST----- BOTTOM AREA GAL./S.F. NOT TO SCALE LEACHING CAPACITY OTTOM + SIDEWA�L) `i ` GAL./DAY RESERVE LEACHING CAPACITY GAL./DAY BOTTOM OF TEST HO-E OR USGS PROBABLE WATER TABLE ELEV. _ _« OBSERVED WATER TABLE ( / / ) ELEV. NO 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. LEGEND: TITLE 5 AND THE TOWN OF RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. EXISTING SPOT ELEVATION OOxO 2. ALL `COVERS TO SANITARY UNITS SHALL BE BROUGHT TO - EXISTING CONTOUR ----00---- WITHIN 12" OF FINISHED GRADE. FINAL SPOT ELEVATION 1�0 Q 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME. _ FfNAInl1R SOIL - --�--� Ofl G----- ^ _ COf(`(� WITW U STANDING HJ 10� LOADING UNLESS THEY ARE yUNDER OR �1VITNIN r L TEST LOCATION ' TILITY POLE - - 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE TOWN WATER =W--al�;----W t N USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. CATCH BASIN 5. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. - 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT 1S TO w OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. OF CIVI it i i P r , , l f. APPROVED: BOARD OF HEALTH 6 it I DATE AGENT PROPOSED PLOT PLAN FOR t \l\ tr \ .�. r._.._ PROJECT LOCATION ,Y` r IF f - Y SWEETSER ENGINEERING ' - ✓ �'` 235 G FEAT 1 �� 1�ROAD D398 02660 _3922SOUTH . t SCAU ,�� -. � f AIS REVISED REVISED O LOCATION MAP No. _s' ?,? - SHEET l OF 0 1"4 SWEET3ER ENGINEERING