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0144 DEBBIES LANE - Health
144 DEBBIES LANE, tc r 1A — A=027.125 I I�^ o No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for Mizpanl *pztem Construction Permit Application for a Permit to Construct( pair( )Upgrade( )Abandon( ) El Complete System IJ Individual Components Location Address or Lot No. I S/y Owner's Name,Address and Tel.No. Assessor's Map/Parcel pa 7 114, r _9WS Installer's Name,Address,and Tel.No_c 41 JJ—01 4?1 Designer's Name,Address and Tel.No. J.5e1.l O-c ral^/�t✓s JEzs �1, !�� l ��r,��S , Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil: 4Z Nature of Repairs or Alterations(Answer when applicable) 2 - 3 nP 6",/ 1,T/-511f Gr/i Tl Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this BoaFd of Health. Signed ry Date .s-: C, Ua Application Approved by ® Date Application Disapproved for the following reasons Permit No. Date Issued No. _ Fee `f I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Zigpogat *pgtem Congtruction j3ermit Application for a Permit to Construct(4o<epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. l q/l DEd 6 $5 �'�c Owner's Name,Address and Tel.No. Assessor's Map/Parcel W1//S -° 'Installer's Name,Address,and Tel.Nq 1117_�411� Designer's Name,Address and Tel.No. ./o e-A4 V-t (�•gr�os ✓cts�� (�� L�.�r,�oS r )"2j A s Type of Building: Dwelling No.of Bedrooms ^3. Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. ,Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ;"E=��,tW// t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signe Date !f-2"4 —On Application Approved by r a, Date Application Disapproved for the following reasons Permit No. "` Date Issued ————————————— ------------------------- THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(4,)-Repaired( )Upgraded( ) Abandoned( )by J , 5 4 0 4 4—42 5 at /��, iz= t � .�iZ�iarabs c l�l�/,�� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer es et eo4 Z).e_ stk,2 S Designer Io s-ela4 The issuance of this permit shall r/°'t be construed as a guarantee that the system will function as/resigned, Date �/ .= ,!+;r. Inspector ------------------------------------- No. r 2 2_ Fee1>:- � &7 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS '113igpogal *pgtem Congtructton`permit Permission is hereby granted to Construct( G.}Repair( )Upgrade( )Abandon( ) System located at -e and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction/ust be. ompleted within three years of.the date of thi t. Date: C / Approved by f' TOWN OF BARNSTABLE t� LOCATION SEWAGE # e0 ,9�7 VILLAGE l�.s?/?QVII-1 !�i%ls ASSESSOR'S MAP & LOT d 2 7- /LL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /DOD LEACHING FACILITY: (type) °1-,00-(o'i���i crJj�1Y (size) ' �°S X 1-5 NO. OF BEDROOMS �3 /� // BUILDER OR OWNER C��i 5 Tr�/�l PERMIT DATE: `24' G� COMPLIANCE DATE: 3-?/-00 Separation Distance Between the: f 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 �*tito7 �^ 1 �, r r 1/6/99 NOTICE: 'This Form Is To Be Used For the Repair Of Failed 'Septic Systems Only. CERTMCATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, �• �e /3raHr�s . hereby certify that the application for disposal works construction perrnit signed by me dated f— 16 — Go concerning the property located at /y./ ��hd�r� ��„�_'�,dyed/� meets all of the following criteria: The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. 4�ere are no wetlands within 100 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system v There is no°increase in flow and/or change in use proposed �Thcrere no isriances requested or needed fit/ e1h bottom of'the proposed leaching facility will not be located less than five feet above the l� maximum adjl=cd groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] A.S. toll be located with 250 feet of any vegetated wetlands, the bottom of the Proposed leaching faciL:ry will nZ be located less than fourteen(14) feet above the ma.-timum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface evation(using GIS information)i � D) G.W. Elevation +the MAX. High G.W. Adjustment DIFFERFrICE BETWEEN A and B � o SIGNED : _ (Sketch proper plan of DATE: qu folder� system on back]. f 0'2 a a O07"-✓Z ao Q i r TOWN OF BARNSTABLE LOCATION �4'S' yh�� ��ti.2 SEWAGE # 29 -1 G 7 VILLAGE ASSESSOR'S MAP &LOT D 2 7- INSTALLER'S NAME&PHONE NO. 5177 o3Y4 JSc al►�a� ! e SEPTIC TANK CAPACITY /DOD LEACHING FACILITY: (type)�° SGo-(olal�jv/4 l7flIS' (size)• - s X l-5 NO.OF BEDROOMS BUILDER OR OWNER C���5 T1144 �o�D�l0 PERMITDATE: 5 ` 20- 0 COMPLIANCE DATE: 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 f et of leaching facility) Feet . Furnished by i j I 53// "y4 �� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS John Graci DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 144 DEBBIES LANE MARSTONS MILLS Name of Owner CHRISTINE BONOLLO ^"� Address of Owner: SAME Date of IJA �,�{rr//00 Name of Inspector:(Please/Pr',/nt)JOHN GRACI EIVI am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) N 2 8 2000 �' Company Name: nla � : Mailing Address: n/a Os BAR�,"�� Telephone Number: n/a HiAtTHO�"'T^atF 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 The inpection is based on criteria defined in Title V Conditionally Passes node 310 CMR 15.303.My findings are of how the system is _ Needs Further Evaluat' n By the Local Approving Authority performing at the time of the Inspection.My Inspection does X Fails not Imply any warranty or guarantee of the longgevity of the septic system and any of Its components useful life. Inspector's Signature: Date:1/21/00 The System Inspector shall ubmit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS THE SYSTEM FAILS TITLE V INSPECTION.THE LEACH PIT IS FULL OVER INVERT,THE LIQUID IS UP INTO THE RISERS.THE LEACH PIT HAS NO EFFECTIVE LEACHING LEFT. revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20100 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: 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: n/a B. SYSTEM CONDITIONALLY PASSES: n1a 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. Wa 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. n(a 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 nla 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 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20/00 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 16.303(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 nLa_(approximation not valid). 3) OTHER nLa revised 9/2/98 Page 3 of 11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20/00 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: X 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 X Backup of sewage into facility or system component due to an 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 1/2 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 nLa. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a 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 I 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.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,is In Hydraulic Failure. E. LARGE SYSTEM FAILS: You 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 X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. I revised 9/2198 Page 4 of 11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20/00 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined.Note if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X 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: X Existing information,For example,Plan at B4O,H, X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) (1 5.302(3)(b)) X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal Systems. I revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20100 FLOW CONDITIONS RESIDENTIAL: Design flow:-M g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual):$ Total DESIGN flow: 3.39. Number of current residents:A Garbage grinder(yes or no):NQ Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):JLQ Seasonal use(yes or no):M Water meter readings,if available(last two year's usage(gpd): n1a Sump Pump(yes or no): MQ Last date of occupancy: n/a COMMERCIALZINDUSTRIAL Type of establishment: n& Design flow: n&gpd(Based on 15.203) Basis of design flow: n& Grease trap present:(yes or no):�IQ Industrial Waste Holding Tank present:(yes or no): MQ Non-sanitary waste discharged to the Title 5 system:(yes or no):MQ Water meter readings.if available:n& Last date of occupancy: n& OTHER: (Describe) n(a Last date of occupancy: n(a GENERAL INFORMATION PUMPING RECORDS and source of information: THE SYSTEM WAS LAST PUMPED TWO YEARS AGO System pumped as part of inspection:(yes or no):MQ If yes,volume pumped nt& gallons Reason for pumping: n/a TYPE OF SYSTEM X 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: nta APPROXIMATE AGE of all components,date installed(if known)and source of information: THE SYSTEM IS 10 YEARS OLD Sewage odors detected when arriving at the site:(yes or.no) NO revised 9/2/98 Page 6 of 11 ' J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20/00 BUILDING SEWER: (Locate on site plan) Depth below grade: 14" Material of construction:_ cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: TOWN Diameter: n& Comments: (condition of joints,venting,evidence of leakage,etc.) Wa SEPTIC TANK: X (locate on site plan) Depth below grade: L Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) nLa If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): MQ n& Dimensions: L 8'6"H 6'7"W 4'10" Sludge depth: I Distance from top of sludge to bottom of outlet tee or baffle: 3" Scum thickness:-a Distance from top of scum to top of outlet tee or baffle:G Distance from bottom of scum to bottom of outlet tee or baffle: Q How dimensions were determined: MEASURED 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.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND RECOMMEND PUMPING SYSTEM EVERY TWO YEARS GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain) nLa Dimensions: n& Scum thickness: nLa Distance from top of scum to top of outlet tee or baffle:-a& Distance from bottom of scum to bottom of outlet tee or baffle n& Date of last pumping: n(a 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.) nLa revised.9/2/98 Page 7 of 11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20100 TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: nLa Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain) Iva Dimensions: nLa Capacity: n/A gallons Design flow: Wa gallons/day Alarm present: NQ Alarm level:.n/a. Alarm in working order:Yes_No_ NQ Date of previous pumping: WA Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nLa DISTRIBUTION BOX: _ (locate on site plan) Depth of liquid level above outlet invert:nLa Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) D& PUMP CHAMBER: NQ (locate on site plan) Pumps in working order:(Yes or No): NQ Alarms in working order(Yes or No): NQ Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) Wa revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20/00 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: D& Type: leaching pits,number: 1000 GALLON LEACH PIT ,leaching chambers,number: ..nLa (leaching galleries,number: Jo/a leaching trenches,number,length: 13& leaching fields,number,dimensions: j3& overflow cesspool,number: n& Alternative system: n& Name of Technology: _nLa Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS PAST THE EFFECTIVE DEPTH OF LEACHING THE LIQUID LEVEL IS OVER PIPE IN THE PIT,NO LEACHING LEFT. CESSPOOLS: _ (locate on site plan) Number and configuration: n& Depth-top of liquid to inlet invert: n& Depth of solids layer: n& Depth of scum layer. n& Dimensions of cesspool: n& Materials of construction: Wa Indication of groundwater: n& inflow(cesspool must be pumped as part of inspection)n/A Comments: (note condition of soil,signs of hydraulic failure;level of ponding,condition of vegetation,etc.) n& PRIVY: _ (locate on site plan) Materials of construction:Wa Dimensions:n& Depth of solids: n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nLa I revised 912/98 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20/00 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) n/a pP-4 6 6 revised 912/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 144 DEBBIES LANE MARSTONS MILLS Owner: CHRISTINE BONOLLO Date of Inspection:1/20/00 NRCS Report name: Wa Soil Type: Wa Typical depth to groundwater: n& USGS Date website visited: WA Observation Wells checked: NQ Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water _ Check Cellar _ Shallow wells Estimated Depth to Groundwater 12 Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record _ Observed Site(Abutting 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 X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS revised 9/2/98 Page 11 of 11 TOWN OF BARNSTABLE i)CATIONZC r 9'0,1. T if 4,4 SEWAGE # I'ILLAGE ASSESSOR'S MAP & LOTa? /�>✓ n INSTALLER'S NAME & PHONE NO L` Jo SEPTIC TANK CAPACITY A .LEACHING FACILITY:(type) (size) (�d NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER Ce 0 k-�6 DATE PERMIT ISSUED: S G DATE .COLiPLIANCE ISSUED. Z 7 7 VARIANCE GRANTED: Yes No ✓~ . .: -Al` s� Nel- �tL No..2../.=11? THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTHS `-bW.` .. ..............OF......-.,.1.. ........... I-L'...... Applira#ion for Bi-spnuttl Marks Tonstrnrtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ....LAZf2 i... .... � or Location-Address W ot To.(- ---------------------------- --l _.__ :..M!yt^ ----31...---•-f�y vij....---------... W r f� �� _ py✓ner ` �``` Address 1Z /- '' Installer Address UType of Building Size Lot-__ems-�4-� �_ -_Sq. feet Dwelling—No. of Bedrooms.........a.............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures - ----------------------------- - W Design Flow.................................... 5_.gallons per person per day. Total daily flow.......... Z�........................gallons. 04 Septic Tank—Liquid capacity 10,"__gallons Length._.•__. ". Width.4"".`... Diameter..... ....._. Depth..s.' °r Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------------ ------- Diameter.._..... `...... Depth below inlet...3 4 Total leaching area_Z5 ......sq. ft. Z Other Distribution box (✓f Dosing tank ( ) `" Percolation Test Results Performed by._.r .L4... P / '✓ %�'% C.............. Date..... _"Z -..__ ............ Test Pit No. l4Ar$;..Z_minutes per inch Depth of Test Pit..... Depth to ground water........................ rZ4 Test Pit No. 2...............minutes per inch Depth of Test Pit.... d._ __ Depth to ground water.....:---=........ M --•••••••-••-----------------•••-••-•-•-•-••••-•-•--•........--•--•............... •--•-•-•-•----•--•------------••---•----•- ----•--------- 0 Description of Soil..... S4-to--..........�—A ! . � �� !Y9-Z--4/j d.�t_ x W -----------------------------------------------------------------------------------------------•-•-----•---------------....---------------------------------------------------------•--•-•--•--•-•--•-- U Nature of Repairs or Alterations—Answer when applicable__________________________________________________________________________•___•_----_-_-----__. •----------------------------------••------•-----------------------•----------------........-----------•----....------------------------------------------------------------------------...---.....----- Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of i T';i..L p 5 of the State Sanitary Code—The unders' ned furti e rees not to place the system in operation until a rti" to of Compliance has been issued by the d oJjeao. t!,,/e �/,, fgned---------- ------ Date Application Approved By........... Date Application Disapproved for the following reasons:-----•--------•-----------------------------•-----------------•---------------------................--........-- ------------------------------------------------------------•------------....--------........------....---•---•--•-•-•••-----••••-•••-•----............................................................ Qp Date PermitNo------6.7- 1-91---------------------- Issued-....................................................... Date t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ........ ................OF....................................... Allphration for UiipooFal Works Tonfitrur#ion Prrani# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .. __.. ................................................. ................................... Address Q. ' d� , or t No. A. Owne Addres a .. '................................. ................. �►�1r~?�V� __... Installer Address PQ U Type of Building Size Lot_3 ;_ !©._..Sq. feet Dwelling—No. of Bedrooms_________ ______________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ________________________ ___ ---•-•-•------------------••••-----------------------------------------------------------------•--•-•-------------------- W Design Flow___________________________________`:_S..gallons per person per day. Total daily flow......... Z __________. ___.____.___gallons. WSeptic Tank—Liquid"capacityl_- © .gallons Length__"_S®.::__ Width_' '"'o .__ Diameter------------- Depth_5_". " x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No-----------�------- Diameter......... Depth below inlet...B:.S......... Total leaching areal-:o.......sq. ft. Z Other Distribution box (✓) Dosing tank ( ) '-' Percolation Test Results Performed by.. L�_._. �'.:-.. ✓ x_r 1................................. a r-----------••• Date Test Pit No. 1 =`zs. __minutes per inch Depth of Test Pit----- :_: Depth to ground water.......... ............ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.... Depth to ground water-------~-_-........ �+ -------------------------------•--------•--•----......----------...-•-•--•-------------------•-••-•-......................................................... O Description of Soil--- f' '`='•-•••-•-• .................5•- ��„�_� f -�---- U. .--------------------------•-----------•--•---------•-----------•----------.........---------•-----------•-•-•---------------------------•--•........................................................... W UNature of Repairs or Alterations—Answer when applicable. ------------------------------------------------------------------------••-._...-------•--__--•-•_•-----.....•----•-••----•-----•--•••-•••--•-•••••-•-••---••----•-•-•-•••---•••---••--....------••--•-. Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of'T'i°. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Gerti te of Compliance has been issued by the board of health. ! / 4gned...................................................................................... ................................ Date Application Approved By......... -=J~ '`'` =-----------------------------•---•--•-------- Date Application Disapproved for the following reasons:-------•---------------•-------------------------------------•--•-----------------------•-............••---•-- ------------------------------------•-------------••---•-•---------------------------- -------•----------------------------------------------------------•---------------------------------------- ..................... -------------- ---- Date Permit No..... -•-. -- ._ IssuecL._•----------------- ------- - Date ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... G r.::✓fa.........OF.... .�'r�.,, a:.: + . ..................................... %Trdif iratr of ToutpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( } by. LC - ....... --------------------------------------------------------------------------------------------------------------------------------------------•••_..._ Installer at.......17,.,q....__._.-� ?zd5t,�. ----------------- ---- has been installed in accordance with the provisions of TILTIZ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No_________________________________________ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ -....f.. .-....��----7............................ Inspector--••-0 .... -------------- THE COMMONWEALTH OF MASSACHUSETTS BoA\R. D OF HEALTH - r -7 j r fit. ......... . O......... F......... . .....____....._._...__.. FEE. e......... No._ ..i....... Ehap i al Works Tonotratrtion rrntit Permission is hereby granted......... c= ---- ____________________________________ __ _ ______ to Construct �<) or Repair ( )" an Individual Sewage Disposal System at No.... -•---_•__-----••••---.-••-•-••--...•---•-••-•--••-•---•-•••-••-•---•-•-••------•-•-•--••---•-•-••••.................. y,. Street as shown on the application for Disposal Works Construction Permit No .:�: =:_ ___ Dated......a.`-....:_:_��.. :!r-7 ..._.. y -. Board of Health DATE r / FORM 1255 HOBBS & WARREN. INC., PUBLISHERS " 277 i'i epartment of Environmental Management/Division of ter Resources % � WATER WELL COMPLETION RLtT IP; / WELL LOCATION Address +t; !):y City/Town—lah,c -477►, J21 Ws' G.S.Quadrangle Map Grid Location Owne C-G:`"� HC)M Address l/)f1 r"r14A) e(j H- 4NN Jt 1 11.3ln5 f w j WELL USE CONSOLIDATED WELL Domestic Ef Public ❑ industrial ❑ Type of Water-bearing Rock Other Water-bearing Zones 1) From To Method Drilled- • Alaen f J 2) From To Date Drilled .F 3 _. j- .87 3) From To 4) From To CASING Depth to Bedrock Length �6 I Diameter_ Type P)O.S UNCONSOLIDATED WELL — STATIC WATER LEVEL Water-bearing Materials Feet below land surface Sand: fine medium coarse❑ Date measured ��1?3— Gravel: fine❑ medium❑ coarse❑ .Screen: GRAVEL PACK WELL / Slot length ��/from to Yes ❑ No ,L—.�/ Split Screen (or 2nd screen) WATER QUALITY TESTS MADE Sloth length from—to- Chemical .- Biological'❑ Depth To Bedrock PUMP TEST Drawdown d feet after pumping days '� hours at GPM. How measured, 011 f7A e rn ih Recovery feet after hours. x LOG of FORMATIONS COMMENTS: (On well or water) Materials From To Tn m DRILLER y l Yv�-- 1 m l� Firm MRJ - ._;4ki14 1�Q1l 1 1AI�a Address i�Ca_ G rw `X'n ) \ City 1�--- ,—rOA l.._.t Registration No. �4 015erators ignature Please pant irm y BOARD OF HEALTH COPY 25M 10-85.807101 N ,17" Pot 94 °, _ h V:E i — _ — S ! --• 40 tin I600. ; J y� 6To"AC 34 O O i r Q.s L 5 3. Ce' to � � �nL__J �,�.�:: --• i4'�r�; - -- r ' Itl��•, rpr � At u���e ►nateAi.a.0 -ice to be �temoved . _. . 10.. _cvio and.psi t-cul d t,.ced::iwi th c.Cecu2 JiU WOW �ei�,i cg is each / .tan .o i X and in C'a No. bed-2oonm, 2 . . got, l'aut />. h��' ( bacer� Ror,,.e6) CClaab e did.. no l5 e i tD t.99 ".shown on a tan o '.Jakeb at. to tc�Cw 220 Goc, arcd;�ceeo�uled•rn .I ��vr.�.tahCe_.' �c�t�.t�ry i;fz, it £teuatiopz4 cvt'e baa n ed on an add ed cjatm. C'apaci ty 301 �pd i -- -- t -, Td e :7,tTi y L_ i t ' I- " i gust pit #;P-5807 j A;'a d}}e 5-29 86 n id No- watt encouwv R"r d i _ .l ess- thcwc 2 .W.4 p a r_ — - - - - -- - - T P. 1 H. MILNE �1 ' FAME. y; -- boner boner No.32490 �c � p No. 995 GIST[9 p eac. �tiat �allo s�0 NO.Xwk---1-L=- Fee---"�--- ------ BOARD OF HEALTH TOWN OF BARNSTABLE - AppricationArVeCC Cootructionpermit Application is hereby made for a permit to Construct (t/), Alter ( ), or R it ( ---)a ividual Well at: -----—------------------------------ ----------------------------------- Location — Add ess. Assessors Map and Parcel - - -_� - -----_- -- - Owner Address i Installer — Driller Address Type of Building Dwelling---------------------------------------------------------- Other = Type of Building No. of Persons------------------------------ Ty e of Well------ -- - Capacity -- — P - --- - - - ----- - -- = — ----— Purpose of Well-- --- ----— —---- -- -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until ertificate of Compliance has been issued by the Board of Health. Signed-- - -- ---�—G�� ____--- ------ date Application Approved By------- / — —— date Application Disapproved for the following reasons:------------------------------------------- -- -------------------------------------------------------------------------------------------------- --- ---- date Permit No.- ---- —` - - --- - - ------- Issued —-- --—--—= ---- --- —-- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance - THIS IS TO CERTIFY, That the Individual Well Constructed,>c), Altered ( ), or Repaired ( ) bY---------Aa- te--------- - - = - - —- ------- — Installer ----------------------------------------------------- ---------- has been installed in accordance with the provisions of the Town bf Barnstable Board of Health Private Well Protection 1 Regulation as described in the application for Well Constructipn Permit No. Dated---------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C NS UED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE -- ---- --___ - --- -----—— Inspec r--- -- ------------------------------------------------- Na. ---- Fee— BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r Well Cootruction Permit Application is hereby made for a permit to Construct (V/ , Alter ( ), or Re , it ( )an ' dividual Well at: -j-i!4__-T�_ _bhyP,,s-Lana,, mars ms, h2�js r r —f — — -- — --- — --------------— -- - p —_— Location — Address Assessors Ma and Parcel --- --�- —�f--a- -- -�----------------- -----------------------— —- -----____--_-_ Owner ' Address a b)r A �0 ' 5_ 1�m U-) Installer — Driller Address ' Type of Building Dwelling Y Other - Type of Building------_=_-- " No. of Persons------- — — Type of Well -- -- ———— 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-ertificate of Compliance has been issued by the Board of Health. - Signed— — date Application Approved BY---------- + . _/L `/- 91 date Application Disapproved for the following reasons:----------- - -------______— -- __ —__ --------------—-------—--—---------—------------—----------------------- date. Permit No.-— 0// ------—- - -------- Issued date BOARD OFtHEALTH TOWN ,., OF BARNSTABLE (Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (>c), Altered ( ), or Repaired ( ) b - - - =� ► if> � ? -�'�.'y`"'�^' -------- -----------------------___-_ ------ Installer at---------I�_�a ��.1 (37-1a¢�4 - -�-- — -- - - -- — - -Ik = -�------------------------------------------------------------ —--- -- - --- 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. 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 Well Con5truct ion Permit i No.VYl-__70__-- Fee—2n-<_------ Permission is hereby granted--- 4�*---u! `—` ----- ----------- to Construct (,C), Alter ( ), or Repair ( ) an Individual Well at: No. - - - y - —Y7 P.QQste. -- -------------------------------------------------------------------—----------------------------- Street as shown on the application for a Well Construction Permit �i No.___—_ ----- -- - —- ---- ------------- Dated--------— - —---�---� -----— --- - -------------------�—� — — -- -- -— -- - �$oard of Health DATE - 1� ` -- - � ----- •i' ZD Atlantic o Letter of Transmittal DESIGN ENGINEERS,INC. P.O.Box 1051 •Sandwich,MA 02563 ENGINEERS&ENVIRONMENTAL SCIENTISTS 508-888-9282 To 61)r1111;14 I l� 1� Date j We are sending you Project No. 7 2t Enclosed ❑ Under separate cover Project 66i�S C_/► via ❑ Direct from printer ❑ Taxi Messenger ❑ Other the following items Shop Original /�Prints ❑ Sepias ❑ Tracings ❑ Reports ❑ Drawings ❑ Drawings ❑ Mylar ❑ Linen ❑ Specifications ❑ Samples ❑ Other Description �//11 / C O T [uq ❑ For your information ❑ Final Plans ❑ Resubmit copies for approval ❑ Unchecked ❑ Returned for corrections .0 Return corrected prints ❑ Preliminary ❑ For your review and comment ❑ Submit copies for distribution ❑ Revised ❑ For your approval/signature Remarks �D e Signed ! Copy to IIf enclosures are not as noted,please contact us immediately. ' - i o_b''•a' ^ER I i:'5...3'�z" _--_— , 2-4 _ I ' I O ' : all I SCOT. t !, - d + � t f N r -+ O Tt S ,„. c r c . I.G- `ab� lO..n�.�.. t.�= -��c_ef�crbal-'l__ moo' j ��.o- �--- s'.o- � G-o' i _Y&"/i—rt�F—,•��.avn rzr,r�_,>1_f-�v�hnTc�si4'.d•-,1'0-) .. 4b" _g.o• 3c5%i'' Q.3' 1 I � �J_ � � •, O II i I 1 +0 S � I 11el ._" _ 6 0 - + 01 1 I II I � � � �• Uz.- �-- �� -..3ro=Cic i�s:���� .._ ._ _ - 'S.. —___ b I N - _ i— - l t lot I ' i 1 � . p 1 - ....._.�.. .. p - - - q. kSywC 1 C, J -' I I I - � IC� -FZC7-C34Z. lttV /, ow-c` -ems -CQIRC yl.c.. �"GF-"� ' I j `A•4>n*>�!'Tld '�'-'3- i 14 5_ o � Bruce Devlin Design® Q 774.23"773 _ �rn0.br-<Oe.iS'/-•btu-5i �'�• �2oc�1 ci • ?+eS • l_Gfi•�•c,aaac<-,:i0.-d0 _ �2.:8 fLFT�YS -- -- . .4 .• �_'_ l C1f...JG D--- iL su E�T�iG�1C. _ �3a:G�a, _..- '�{ c_s_v sET : S-G P i l:J btunPP••.C• IT W O., ' J J _ -T slCnst.4::2=F�ocZR-}�]RmAIbtT Fc: i - C1� T J'Ty �1 II - j I : ii i _. _ ��aR Fct�sty�_—E�uc,,re•i�sc„�� r PUK N AnVTMi ~a >oN"5 d Bruce Devlin Design®, '- 774-23"773 h t«e�TGba.7C a 1 U<, — J $-_n\i•�;_.enn-tayxJ_:_ eat - tPel;rt:T To C�._L[Tc a SV30lii JTtg ?ERigt are L:Cal'ECI; rt aGtacbus tts Coecktiion inf/Laar1wbldia 110 am ITal-Zone ,l a Caide u f tts Che Checklist ;L rai;;:1>;Ill a ice ril rrrr,r,5,rre z lIt Masachusett,Checklist for Compliance;so c,.le;;uLz.1.O' a afaian in fff Ante.{...a; A r,..r:r.:;:::r•,:,;,�,, .rr.:ri„n i;e,.f:;;r.F3:r:r:Ore:r..-:r:o„t,,e l ar z,n:' Massachusetts Id f C 0t N[assachtlszttsCheciclistfu7Coutllliance(tanelaRs3nl.l.Llf r11f'CGaidetowoadCo �1:+JsachtlaE[s C:hi;ClEiisE I'or C�ImpGancc(7gnc,,r_psy�1,3J.t1.` L cwmeaa�.+4'. ...: -.. < a. - ut or ompiiance('ync�caR'Jrin�.�)t •>a JxariOg w,R ........... :.t2•s=aJ__t�>,4@f3._.........L BNas raDbs!0 and t i antl lo:abon Pl:raa sroaNin9 ane.3uR4^9 4svetl Rado,ememite?arc_-ry FuaHeg'N e� canvlia•x Noe l.whbasrirq Wall Connections ........._. Tin Nail Spaa:y ngaantn6 wood 3bupu is shall ae.isirimum Ihltixss of 7116'and be^stallaa as fDilays: 11J.a>, _ _ a.im;wM - - installed drag:i ads pamiai to-a. ... ....... ''a:ea OPanx,gS(rob-C Ia:gast ap 3 b .i+ack xR PP a:.n s P ' _'91 Panalc H�a..arS h14'T4. 3'9_.9<.Tl'.M1 9;.(Ta;Ae g:.ti P.S: (1 . �Z'. SI1' i .LI 1as;. pans ....... ... .. ..... ...... .. .3 a e •a :,ap oa with S'II. S'Pdns ....... !• �.. .. T Me 9j. <'r.:J ��i'6' m S f t' �I� ul. �n01¢o,W aNf LIdY Omr n>aM x haled b RamNg '." .fP cl,yCsi...... (T ma Ji y v °'g T xns::UGion PanNs snap be aaached 7 Mtbm]sat d aF ilCer pf:he dDUJiP 'S mitIJ zua< .+n mna.Je-aC actor ] t2 star-s - :v. _ . -'Y<.=a<a.Tin Ir1>.. L[2tE _vr ;o Paaa c� .. t ap a-em t •` rue s - a D plate .. .,_ a'O L./srcl_•a•'d 6 D7.6 3)4Mn-M yf]cG� Afpq� E of ... iF'S'I i t i�� �[ 3.v Plate 3 1.:.-<n-Q 9 "..., a(fad �rJTkN 2_6. s 121 �j 4 Ewa a. -hiasae bxvrt pate aIDPv sa�man• ower , . ao.. ,� - D 6 .. r q J4Xdid........ = two(nu.of stoma) 6.,. Dla ...... ..... - _✓ rforzar••al n i xi eol.'aa. da1�,sand octs a 9 lets:n n c douaava of 3tl nPstt .v.<n:?.:• .20 9)1 3rF i la; _y_. uR•resgnt T VI=i g 'oP nv gai ecsc.,;•,•: ''' .. (g]I r'/,au SheaTL,g to Rears:Uphh'and Shear S:nWta,a w+y staggcW ill 3:rcxs an cedar per Rg-baO v_rtiral and H ar Drzal Na drq br Panel 4eachme�n e...la,;•-, - .Z2 s_ y unlr.um suae:ng Gt ais3on,w _3- . :.9 J f•� .s arrest a. .. ...... ... _ _ or r uny'1'k -.•.. 'a:TaUe c:O _ .:�'g l `•'.: - Nomnsl H JP QTaA1rk/.2.6 P P.eJa 70 p.r n, .._.y-6......... snaad, r T 1 .._......._.-_._ =::,mir•:::-la;=• bt9 ypa._..........................._.........( k L........_._. '"f7:�:t ✓ - cdge.vaa Spar:^8..-u.::...................._........Tab:a to or n.a:a r i11.xsi.................._..:�.._n e :;1 .....tTaae2 _y. FiNd Nat Sparing.._.-..--._.._........__..-.......(Tabsn lol................................_......._.. trine- f m. •�r'<:r:c•rm�.er:<-.n:n::a.:.:,g •vans.... 1.. .. Shoe Canna<tion(m,-.lo-:cP.rman nalfV'TaJIa IJF. ... n/ - m! (TaEra IJj..,LO�.V<!'�.ca�,..._._..I-ciEl 'X _ Percent FUR-Flaiys[Sh+a r:g..................... i �~� Lyfor:VaR...n•Jpnni.^3`3'C':0<siG>wnceP6F.__ ..-...' . .Aavr, rSuitfw3apanenfion.l ... ....... ...................... Nominal HeightM Talln_:Ox.:ns'.(.11.Jv SheariType..........._.................-:........:_..-,.W. ._.-....._............_._.._.._.��LL�-s__ .. Cbee Nat SPacing__...-_........_......_........._raa<t or no.a ail se3sl._.-_....... 2._.:::Cn.:?.=rte:J FO::NDanJ•::.. la I tl..-......_.._.......-_ .............. • - _ ..:.,5 ddc3 a.ila"P:cxua.ry:!an.e:.i at axae:s as as altemativ;in mar la onN ✓ Fb Nad Spacr9_---------- -.......................(rob -..... ..j a,. e ._ shear Conrrec6on N 6.:.... I � .Gel._ .S- 41 w.---- nags Tadrn a�:;rr-,-.9-9n.,_rah......._....._.........-_- � - - FVM1Heigf,tShaad,in _ _rairHi - -'.. ton c.d:oin.�l ...-. ....... a ............................. >�.n. Y ::apx..:.9 I Pla' ._. _ 7 .,, i%MdiUw+at Sheathing for wa4viN Olsarure'3•a'd-.;Uazign CoroePts;... .._ ..... � < Y�te .:.a ................................_.... 2:n _ -inn_ ..................._............_..tF] )..... "Kc� in.z':� 3c wuU C::,ds,y [it _ i. _ 7 I J.::_-P--.. � a.od fur w:r•d SPaed"!................................................................................._............._..............._...... �< x¢ -�_-y+ min _ •nc - p - _ Gaunt a>u.ro.cwc Parr .. pe-79J Cy1R Cneptal.1 f �' ... 5.. .t m ens ua. .. - e a.rr.c,..n nl . 't.,f l mmy na.Dar sP Ptr >a 'n/r.o.Ran rs r see Peas m a JJ 9 F.g6)7E5't5-SG1fRa...t�U O di"_ !,,;,Ovxhang ..._ - (Fig•rra:91 rs. .. •s Ib:J2"vU3 P a 1 €a d I�I � . ae.ia 'm,s or RaRer CPra•xaons tL ace-annq waU. ..... ,rr artxv„I Pmpri,vuy Corns: t 1 ] y a i J ... -..... / :.: Ba rN Raosa 2. .. ... .. / ✓: Shad...... - - (Ta0! 12 .. _....- ...............S--L.nO -� / T �I ... ]dl -_r�-.'. _ .Na:,•.. ... 93) .... ..... _.. :ad. Snap Oullooker....asar Uaa ndusad Per pa(Fig Tat :]). _ T- pe . � ....... -s:� ..................- ... -.. (Figure i01 .. _Ai,5 sma1W.0/2+tJ'_ V •i--._. t\ .:,,i.a•.J .- -. ..Lxr 73J CM..Chap.a 651 - < -n...s P M LaaJW a 9 a..• .- - . •-,a S -a- -rr.•z• (pa-a9_ C'ie, Con�acmon: ,;r.;. ........i aGa<I..gtl,a:H at -:.ea'9 I�.n F-:f_ _.� roO.satary Can r�Ors �?4.D a LauaJ( _w 16e PPmmon ) it sw 3 - - .:_.L a. f9 and i Gina 51-C9:an t 5' ✓ - a I,iati i y Type ........- (p /do MR Gtaaws 5a yyf 59't Ilt6'w'S? ✓ Pea 0.+aA orl V^al Page T�V�c Tyr .TCH 7° 7a"• .✓� -ears aatlmg rda.n .. Y - "H rams i)cea'a. ... `-}y// : ^o,f.SheaNm9 Fastanv9-.- y.iarvaltnl\aSr. .._(.•uana raDle sl. 9 SCJLt rI-t5�..e-Ktt� . i ..O� _r,.=e.. No.,.nl,�yJ,.•ak�t m,�Da mat m its crra,•.=ryndmg r-=xav<.caeon nol-a a,z m mn•d.�iR,eh rn:drer.Kms or kr pa.0 - - !&)CaIR 5301 21,f Jtem l.V d.e PheckLs[is met:n:•s anMaly R•en d.n tM{p.aag.ttety-Osantl twld tlowni Pro not _ .. : iha WFCM 10 mph Gavle: - -. - _._...• _. __ -___- ' x-�x per Fig Peer t a v' S- J S4apa :_- I. 1..' .._ ...-. c--.O-i. _-T ?O eSbaPS Par Fig.-1.I t. _..it d uplifts S,Fi Iure I li 3 .. �r •:. Come StupdVHol Ocu •. - S: ... j.r Hold spar Figure:tla - .-. 9 ... �rcapUan:ODar'in`7 he.hats of up fP 8 rt.sl+a.:=e P Ms Cdad:r:he Pam.�,t rtraaxay^ r:_, Y _ -__ s._• g - P ^J f 3 1 - - C - yac:en'eres zhovm m Tablez to a,d t l S4rc ,,. L. ........ i.. r ha o�r>.n sID daL m c<lenor.+auz snarl Da r iu.vmum_in.narvny J,:xn_sa pra,>•rr•`vealatl i2�.a7� U _ -- s4D K' TGiZ : - kR l�:cap:.Jnr.r,r.,_. aaung�a,sPz�nJ andiJ• _ _ I :n a ( CK -a _ :.:g•J a:JTnala 6l..- .... V` -k f N. !L I s 110 VIPH EXPOSURE WIN#ZONE / \ •'?___, 'C -�' 'j 'c. -aJ a? .JOINT DESCRIPTION NiJMWr of Number of NailSpacing ICI I I I Co m4i Nails Box Nails 1 I III I:I 14 Roof Framing II DOUBLE SEGO-_R -Ijl l� 6!o- ng;J Rajar(T_,r ailed; Ad 2`CC each and Rirt 3oard O?aner(-nd,Plod, :Ise 1-let _ash mid IIII II pl7 � a I 1 •,l( t Wall Fram.ng 1 SLIM 11 l op iba:as at lr[a a.]Lt.On (-ata-na:red; '16d 5-16d a;Toms is I j i 1 I I.I Z�.IR_"=NTS~'__< �J O- D. R L SaidStud(F- i p) -16q -216d 2d"o_. I 1 HJGHT I; r1NU•1Vr"i i Had o Header iFa.2 nailed) - '6d- led 16'a C among 2dga,t -TUD H=AJER'I I I p I 1 H_AD7R SPAN I !:. ¢Or • i I I I I f i J i1PL' ' Floor Framing I S P1_-Fr Y_:1T I I IrA.'8LE J:1GK 3T11D�. r 1 TliD3 ;L51 !I „ i 1i to KING 311.O _ I to S' Top Plat aGader(Tee�aeab)jFig.l ai -6d a-l0d per prs:y I I i I� a y I-�• Sloc g to..o'.t(T .led) -8d 2 led each en^ -i l I I .I i J31NDow.SILL PLAT I I _ ?2Xq I •n I ',3a Ledye;Ship to B an Blocking to S;11 m Too Plate G� N r er -�"ad) 1 -16d 6-1 So each IAA FIFIFI I 2_?Xq 2 Joist On Ledger to Baarn(Tea a.ad) -ad 3-10,1 per lout( -I I 4 2-2X4 2 -� - -'y jI I I 7Jolg• oist(En alalieed)(Fgla) -16d 4,16d •'crash :'II 1 I' - I ----..-. 5' ?-[X4 3-� [o 4 I .l ti 1 11 Bard Joi,tin S R or Top Plate(Toe-na'Ied)(Fig.14) -t6d 3-16d per foot I I�1�}} 14{ c I i n I I'- '093 1 330 .� jII Y( III �n IIII Ii I I 'e 2?Xo _ 3 I g3 3ao Roof Shea[hnag _ _ - u41\oP Wood Sa'u r 1 Pa.,als ] P- - Y/ Rafte"s r Tusses spaced uo to I S">c 6'edgy o i eJC = V.`-15CHEVs`- O =-=D3i Ltt'_ ] •fk1 a-etl 4't .. a j .• a_rs C"YJsses spec over/o-OC ga field __- ./ -_ ..rg .. .._-.._(� IIti' i 2 2Xg 3 i_ aXl2 3 �,3 v-ROJ5-'bd 3aole aahvaR take o raka 5.155 who gab,a-'an; J IUC •edSM1 6'f.ld I A. '.S. l l 9' 3-2XIG I 3 =3 1 Gab1e erdv.all rake orake ou%'a•I slrucural o:rt b0<er5 7 Iod 5-saga field I 1 fable a-dv-'31 rails O"'"aRa T11S5 W/JOx>ul oiocks J Iod a'edge;a•field ;>a '•J- d 'D a '9 n 00 4-2X10 N 11 Cerbag SheaO ing :5d miens 7'e, ,10 aeti > TABLE 9. WALL OP 3d 159.4 Gyp W il-d _ -ga ^_ 3 ,.. '�;°• ENINGS - HEADERS Io 3 z_. I �Ci40R 30=s I.-1 ` _•'� AI.C.,OR BOL a AID l I 3'X3'Pl>rc W rZi i OF -- Wait Sheathing '°• '• a- 3"%3'X'/d' r I*A- ER °• S—lr ral pa,el; d a .>°�b °�; _ , IN LOADBEA�ING- WALLS -snartad,Ip 1>2a'o c- 1 too a'edge':2 field ' - a � _ .------ and -77 1 _ i �. na 25/32'F•Oenooard Panels 1('Ij 3"edge/S'field _ °• n. l j J I I t 'Gypsum w3lboyrc '5d oilers 7'edge1 l0 felt f, lade•.°'0 a•>°9 I- Jo Floor Sheathing :I •<..z,. �, s : r �'%.:Od trcwral Panel: 'd•. '4a .'.dz .'J> .'3c 'Ja .aJ, °/ ;1 '\� • „. _ -, 7'or lass al lob '"edge/12 fialc . ` I n>il:.._cl> 1 i ('1}va ._31 .zits and 16 slop fi =heck IBC for addit-,nal Co:ro;:., "s!an:n gage gays Ls afe rni7ad; Naf:. U:tl>ss o:henvfsa s:a4ed,si`+s g.er.far' are comr Ott.,ihl siEes.Box avid pneomaJc r.a:: 01 equv:zl-:n1 1 oiarn=_:a:antl=_goal or greater length✓J the specie0 oaes may be suSsthured:h:-s oBl-a i A PA Bruce Devli t �. 6— 77423 73 I NOTES ZONING SUMMARY 1. DATUM IS NAVD88 ZONING DISTRICT: RF DISTRICT 4_ ` ,a� 2. THIS PLAN IS FOR PROPOSED WORK.ONLY AND NOT TO � '1 � - rah g`a Long � BE USED FOR LOT LINE STAKING OR ANY OTHER MIN. LOT SIZE 87,120 S.F. " PURPOSE. MIN. LOT FRONTAGE 150' ! tea tr 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING MIN. FRONT SETBACK 30' - ' VERIFYING R EAD UTILITIES MIN SIDE SETBACK 15' LOCATION OF ALL UNDERGROUND �yo�6 - PRIOR TO COMMENCEMENT OF WORK. MIN. REAR SETBACK 15' MAX. BUILDING HEIGHT 30'- 4. EXISTING SEPTIC LOCATION PER TIE—CARD ON FILE t WITH A � Q TH TOWN, SITE IS LOCATED WITHIN THE RESOURCE P- ' PROTECTION OVERLAY DISTRICT �4 • pur m SITE IS LOCATED WITHIN THE GROUNDWATER ° PROTECTION OVERLAY DISTRICT a e Pondon - 00i �Ao ` M �. (( } LOCUS MAP C� SCALE 1"=2000't AP 7 . ASSESSORS MAP 27 PARCEL 125 AP 27 PARCEL 124 79. 66 $ DO• \ OWNER OF RECORD b� m HAROLD T & ANDREA M MARCZELY w m 144 DEBBIES LANE 0 54 MARSTONS MILLS, MA o _ - 62 MAP 27 / 11.9 e PARCEL 122 ( � \ PROPOSED �\ ' REFERENCES o � \ GARAGE `�' '66 ., PLAN BOOK 272 PAGE DEED BOOK 16299 92 56 CRAW d EXIS GRAVEL ORI� EXISTING 3 BEDROOM DWELLING yam x m PROPOSED 3 BEDROOM DWELLING 11 11 4C� 1 A ao _ LS1.3M 27 t� l EL 12 _• i 0. 7 AC. m ONF, 0 tm� \ N oN MAP 27 s �o PARCEL 120 00 m h 41 ONE E 68 v 66 0 O : 10 C) PLAN OF LAND 0 OF r^ ON EXIST. TREE LINE .) 72 � m 74 76 #144 DEBBIES LANE ° o M 27 MARSTONS MILLS, MA 3 PA EL 1-1 PREPARED FOR HAL MARCZELY M P 7 1 tN°Fnu PA CE 6 oy DANIEL 1�t e4 s DATE: SEPTEMBER 14, 2016 � DANI EI_A. OJALA OJALA -+ off 508-362-4541 No.40980 N �I CIVIL NI I fax 508-362-9880 o,r y PFa 4G502o g, downcope.com p gNDSUR�Ey°� °Fs�'S`E�s�� down cope engineering,Me. S,am Scale:1"=20' , /` civil engineers )1-16 land surveyors 939 Main Street ( Rte 6A) DICE #>6-098 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 16-098 77 7 IPL.BK272,PG.92 IILOT �#96�A U_R IES' LA NE 15 . '10 A tO #99 - #1 0 0'-IOT , , #97 T LOT to, P,WOSED .4 DcAT I 0,15 Lp 11 I 1,APPROX.E IIST. VELL X n 50'OT #98 U-) IS!.__C BASINS 0--D LOT #1 02#1 LOT_ 03 150 - NOTES 1 . PROPERTY LINES AND RIGHTS OF, WAY AS SHOWN ' HEREON ARE BASED ON THE SUBDIVISION PLAN OF 'WAKEBY ESTATES , FILED IN REGISTRY OF DEEDS PLAN BOOK 272, PAGE 92.2. EXISTING BUILDINGS AS *SHOWN ARE BASEDON FIELD SURVEY,CUPATION AND MONUMENTATION FOUND AND THEIR POSITIONS ARE APPROXXIMATE IN NATURE.3�_ EXISTING SEPTIC SYSTEMS AS SHOWN HEREON ARE BASED ON ASBUILT INFORMATION AS PROVIDED BY THE TOWN OF BARNSTABLE BOARD OF HEALTH DEPARTMENT. RLE 978WELL Sheet of PREPARED FOR WELL LOCATION PLAN Designed by SCALE,., FOR IDrawn by-: LOT _� 99 DEBBIES LANE S ALE 40 Checked by VINELAND STREET , JOB NUMBER 0 0 '40 2p , 1991-MASSACHUSETTS Field BRICHTON MASSACHUSETTS D E S I G W:::E N GIN E ER-S INC�- N surv,ey chk.' 'by 978. 0 NO. MARSTONS � MILLS, m Appro'O 5 6 3'� 0 :88 ved by ATE, DATE --�OEVISION a !,dWith P.O.' ' ox 1051 A� 2 �'(5 8)