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HomeMy WebLinkAbout0080 OLD FALMOUTH ROAD #A - Health Marston,Milis -- -- - - - - --- ---- - - 100 006 005 1 -M-- TOWN OFBARNSTABLE p I O--CATTON old �1 n U- SEWAGE# I{ r 33d tea ., VILLAGE MaI'S'f'�11.S 1[S ASSESSOR'S MAP&PARCEL I(5b-00b' INSTALLER'S NAME&PHONE NO. Y I n K ��VAII O� (1 1W q2-6 SEPTIC TANK CAPACITY T LEACHING FACILITY:(type) (size) C Iq C-F cJ\amkv7 NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: bI 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 Fac' 'ty(If any wetlands exist within 300 feet of leac in cility Feet FURNISHED BY 9 s e All- I ` _ No.o t il /� I Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes appfication for disposal 6pstrm Construction 3permit Application for a Permit to Construct( ) Repair(_Kupgrade(VI"Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 1?6 61 IA 61y('I . Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Vo) qJ1 -5313 Type of Building: j Dwelling No.of Bedrooms '� t Size sq.ft. Garbage Grinder( ) Other Type of Building jo•bIASt 4- &VA 11 .of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 's gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank IAN I2 Type of S.A.S. I Description of Soil - LNU d r Nature of Repairs or Alterations(Answer when applicable) 3 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 ofIthri ironmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo d oth. . Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. (" Q '' Date Issued Fee rn THE"COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS kP ZfppYitation fof -Misposar 6pstetn Construction 3permit Application fora Permit to Construct(fi ) Repair(Upgrade(Vf'*A bandon( ) ❑Complete System DIndividual Components Location Address or Lot No. Q'� I/, (�6 C( Owner's Name,Address,and Tel.No. v `'1 Assessor's Map/Parcel I�Aw dn'MIlk,Y1 1 04 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. l Type of Building: d j Dwelling No.of Bedrooms 3 of Size sq.ft. Garbage Grinder( ) Other Type of Building ftAA .,-- tN a r"-h-Ao.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ( gpd Design flow provided gpd Plan Date Number of sheets r I(� Revision Date f v Title Size of Septic Tank Z I ou Type of S.A.S. Description of Soil - IN AM Nature of Repairs or Alterations(Answer when applicable) Date fast inspected:/ i t M Agreement: t 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 th ironmental Code and not to place the system in operation until a Certificate of q Compliance has been issued by this Bold d of th. s r / Signed pr _._• ! Date t Application Approved by c Date ' i Application Disapproved by ; ' }' '` Date for the following reasons ` Permit No. Date Issued K It G1 --------------------------------------------------------------------------------------------------------------------------------------- T E COMMONWEALTH OF MASSACHUSETTS— BARNSTABLE,MASSACHUSETTS Certificate of Complianfe - THIS IS TO CERTIFY,that the, n-site Sewage Disposal system Constructed( ) Repaired Upgraded Abandoned( )by at ��1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N dated Installer hl 'C 1(m k Designer #bedrooms I~� Approved desi flow c-, gpd The issuance of th rmit shall not be construed as a guarantee that the system wil fun i as desi ed. Date Jis p Inspector --------------------------------------------------------------------------------------------------------------------------------------- No., A„'7) ��/ Fee .. &,? THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *psteln Construction i9ermit Permission is hereby granted to Construct( ) Repair( � Upgrade(� Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date 1�3 1 Approved by Town of Barnstable _ Regulatory Services Richard V.Scali,.Interint Director MRSTABM 9� 039. ��� Public .Health Division r'�ectttta Thomas McKean,Director 100 Main Street,Hyannis,MA 02601 Office: 508-902-4644 ax: S(1 790-0304 Installer&Designer Certification Form Date: j6 IzLli Sewage Permit# Assessor's Map\Parcel 1a Q(e-6C I}esiguer: r,¢�t�: 1v-l<, Installer: t.5 Address: 1 Z .W Cc qs,, ld tz�l Address: ` r ,e rCSS' �---t-- ---►��� -'. ��.� 1-nt�es ralcc r M A, G z 64V y _Ma On (date mil`` issued a pernut to install a ) (installer) septic system at U (-tt 40 caA based on a design drawn by :(address) ...��..:. 1' J�...:( . dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor, )roved changes such as lateral relocation,of the distribution box and/or septic tank. _Strip out (if.required) Was inspected.and the soils ,were found satisfactory. I certify that the septic system referenced above was installed with major changes (i:e. greater than 10' lateral relocation of the SAS or any vertical.rel.ocation of any component of the septic system)but in accordance with State & to Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. =I certify that the system referenced above was constructed 1n,9. with the term; of the AA approval letters(if applicable) �1M _ (,nstaller's Signature) - iCNIL l40.g51rig .g �fGIsSER�Q (Designer's Signature) (Affix Designe ere) PLEASE, RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICA I'F. OF COlv1hLIANCE WILL t\U'I' BE ISSUED UNTIL BOTH THIS kOR;vx Ai�TD AS BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC .HEALTH DIVISION. TIIANK YOU: tj'Sepu.,,,��esigner'Cert►fication Fonn Rev 3-r�-ia.doi; Engineers.note:This codification is limited to an as•built inspection of system components as insWled Prior to backfili.The engineer did rot supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfilling tol specified grades with proper compaction and setting riserslcovers as shown on the design plan. Date L Physical Street Address- Check database to ensure it exists Working Phone Number Z Actual Amounts -( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials-no blanks) �—Storage Information - location of storage, how long is storage for? If none, note that. L-- Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask _cZ Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it Attach the Business Certificate with your sign off and comments **The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. ;-1- L.. --4,_­ Cb.. 6 r V r� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St.,Hyannis. Take the completed form to the Town Clerk's Office, 1st FI.,367 Main St., Hyannis,MA 02601 (Town Hall)and get the Business Certificate that is required by law. 1 DATE: ZI 1 5 Fill in please: APPLICANT'S YOUR •-NAME/S: hn S '�i� " 6MkcLvr ,ate BUSINESS YOUR HOME ADDRESS: 1 LunC�E4 iZ NEW 9 .:. €:,r� 5"Cr5 3`35 1513N M0.is{r,,,s �n�i►s,m� �2i<�l ' TELEPHONE # Home Telephone Number 50R-q l9—Lr I V1 NAME OF CORPORATION:; NAME OF NEW BUSINESS &YVAVM 1-"SCUQLJ Nn LLG TYPE OF;BUSINESS „ IS THIS A HOME'.00CUPATION? YES• NOS_ ADDRESS OF BUSINESS ' ' -AA,N1' MAP/PARCEL NUMBER ssing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.-(corner of Yarmouth Rd.&Main Street] to sure you have the appropriate permits and licenses required to legally operate our busines t ' MUST COMPL� WITH 960t BwdCUPATION 1. BUILDING MI 10 R'SOFFICE '' IIII ��'q' .(�D PEGULATIONS. FAILURE TO This indi dual h e informed f a y r i re u' e n that ertain to this tyAWbiysin ss. COMPLY MAY RESULT IN FINES. Aut orized tur JU COMMEN ;✓7''1 J'l t�� 2. BOARD OF H LTH r�G` f This individual ed of th qu' a is t in to this type of bud "T COMF Y WITH ALL v. Authorized Sign re** .HA7ARDOU$MATERIALS RECULATI 0II4) COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business.. Authorized Signature* COMMENTS: Date: 1 /` 1 / 15 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: LX BUSINESS LOCATION: VENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: Chf is GYAlali'1/1 EMERGENCY CONTACT TELEPHONE NUMBER: ly �.7, �5$"�3 MSDS ON SITE? TYPE OF BUSINESS: S INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum p Antifreeze (for gasoline or coolant systems) 0 ® Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ® Q ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas O Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil C) ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil O ❑ NEW ❑ USED - Degreasers for engines and metal f Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) fl (? ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials 02-28-2008 -a 01 =34v DEED ..RESTRICTION J WHEREAS, C, of ( es n me) 5 . Wk k\S MA Yw, (add ) is.the owner of 90 Q\f\ 1�,6 'Vh *YdM m i tS located (address) at MA(hereinafter referred to as and being shown on a plan entitled "Subdivision of Land in MA, Property of et at, ' duty recorded In Barnstable County Registry Of Deeds in Plan Book �1� , Page Or on Land Court Plan Number WHEREAS,.� p1r as the,owner of said lot has (owners name) agreed with the Town of Barnstable Board of.Health to a restriction as to the number,of bedrooms which can be included in any home built on said lot as a pre-condition to'obtaining a disposal works construction permit in compliance. with 310 CMR 15.000 State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS,the Town of Barnstable Board of Health, as a pre-condition'to granting a disposal works construction permit far a septic system in compliance with 310 CMR 15.200, State Environmental Code, Tittle V, Minimum Requirements-for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building;permiit for the construction of a•single family home on this property,,Is requiring that the agreement for the'restriction on tlie'number of bedrooms In any house constructed on the lot be put on record w(th the Barnstable County Registry of Deeds by recording this document, deedr . • I w Bk 22708 Pg 105 #10346 t NOW, THEREFORE, irl !(does hereby place the ( e s name) following restriction on his above-referenced land in accordance with his agm =ment with the itiof Ba. QUOILIenrshall run with the land and be binding upon all.successors in title: 9. RD Olct -_&\Mc W4i 9,c , Laxskk A);,ft may have constructed (address) upon the lot a house containing no more than; ( ) bedrooms. (owner's name) agrees that this shall be.peninanent deed ' restriction affecting located on MA, and . being shown on the plan recorded in Plan Book Paged/�2 , Or on Land Court Plan J For title of seethe following deed: Bookc9z , Page 3,:;� . Or Land Court Certificate of Title Number Ex: d as a sealed instrument �_ day of Owner's signature Q Orunees signature Owner's signature COMMONWEALTH OF MASSACHUSETTS ss 240 Then personally appeared the above-named known to me to.be the person who executed the foregoing instrument-and acknowledged the same to be' .s free act and deed, before me, JOHN F. MEADE NOTARY PUBLIC l e commonwealth of Massachusetts My commission Expires August!8, 2013 Public BARNSTABLE COUNTY REGISTRY Of DEEDS. A TRUE COPY,ATTEST My commisslo expires: %6 t3 dAp F,MAID € IBTER (date) deedr . BARNSTABLE REGISTRY OF DEEDS =\ CO-MMONWEALTH OF•MASS.ACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS. u� .DEPARTMENT OF.ENVIRONMENTAL PROTECTION C TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address:IWO (,% Y/ Owner's Name. " I l Owner's Address: r o i,.2a✓ ' ���^ C VA Date of inspection: _ " " Name of lnspecto pleaa Tint . , 4 p'�c ®Y�1 v-: Company Name(./ 3 , Mailing Address-,- ,) •,cam y �^, co Telephone Number:CERTIFICATION STATEMENT STATEMENT _ ? I certify that I have personally inspected the sewage disposal system at this address and that the nformatibn rep'arted 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 DE.P approved system inspector pursuant Rto�Section 15.340 of Title 5(310 CMR 15.000). The system: �✓ Passes Conditionally Passes eds Further Evaluation by the Local Approving Authority F-ils Inspector's Signature: �--_ Date: , The system.inspector shall submit:a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving- au th ority. Notes and Comment ****This report only describes conditions at the time of inspection,and under the conditions of use at that time.Thi"s inspection does not address how the system will perform in the future under the same or different conditions of use. Title.5 Inspection Form ,6/I5/2000 page 1 Page 2 of I 1 OFFICIAL INSPECTION FORM—NOT FOR YOI;UNTrRY ASSESSMENTS. SUBSURFACE SEWAGE'DISPOSAL SYSTEM INSPECTION]FORM PART A. CERTIFICATION (continued) Property Address: �Q, �rt/lC Ui:ce0l) Owner:. ; Date of Inspection: Inspection Summary: Check A,B,C,D or E./ALWAYS complete all of Section.D A. System,Passes:. e I have not found any information which indicates that any of the failure criteria� described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria.not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section.need to be replaced or repaired.The system, upon completion of the replacement or repair; as approved by the Board of Health,will pass. 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 exfiltratiori 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 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 pipes) are replaced obstruction is removed ND explain: Paee 3 of 11 OFFICIAL INSPECTION FORM -.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIONFORM PART A CERTIFICATION(continued) Property_address: .CW'Lild Owner: Date of`Inspection: 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. L. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will.protect public health,safety and-the environment. _ Cesspool or privy is within 50 feet of a"surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water_Supplier, if any).determines that the system-is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system (SAS)and the SAS is.within 100 feet of a surface water supply or tributary to a surface water supply. . _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well"*. Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is.free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of. 11 OFFICIAL.INSPECTION FORM- NOT FOR VOLUNTARY1 ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: . -Owner: Date of Inspection:' 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 ciogged 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. . _ V/ Liquid depth in cesspool is less.than 6"below invert or available volume is less than %day flow )J Required pumping more than 4 times in.the last year NOT due to clogged or obstructed pipe(s).Number of times pumped V� Any portion of the SAS,cesspool or privy is below high ground water elevation. V .Any portion of cesspool or privy is within 1.00 feet of a surface water supply or tributary to a.surface water supply. Any.portion of a cesspool.or.privy is within a Zone I of a.public well. Any portion of a cesspool or privy is within 50 feet of a.private water supply well. _ Any portion of:a cesspool or-privyis:less than 100 feet but greater than.50 feet-from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that.facility and the presence_of ammonia. nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis:must be attached to this form.] " V U (Yes/No)The system fails. I have determined that one or more of the above failure criteria.exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine, what will be necessary to correct the failure. E. 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• You must indicate either"ves" or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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—I WPA) 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 an large system considered a p y o ys m 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. f Page S of I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: v �� Date of Inspection: U 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 V 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? y _ 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: Ye no Existing information. For e a � example, 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(3)(b)] f 5 Page 6 of 11 OFFICIAL INSPECTION.FORM NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL; SYSTEM INSPECTION FORM PART.C SYSTEM INFORMATION Property Address: WO ?F� �r L � 1A Owner:: Date of Inspection: s FLOW.CONDITIONS RESIDENTIAL+ Number of bedrooms. (design):—. ?—D Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 11.0 gpd x 4 of bedrooms): Number of current residents: IJ Does residence have a garbage grinder(yes or no): A410 Is laundry or a separate sewage system (yes Or n^): :[if yes separate inspect='on r equired; Laundry system.inspected(yes.or no):7mb Seasonal use: (yes or no.):Al(1 Water meter readings; if ava•lable (last 2 years usage (gpd)): Sump pump(yes or no): Last date of occupancy: COMMERCIAL/INDUSTRIAL. Type of establishment: Design flow (based on 310 CMR 15.203): gpd Basis of-desien flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present (yes or no): Non-sanitary waste discharged to the Title 5 system (yes or no):_ Water meter readings. if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATIONtV Pumping Records Source of information: / s- Was system pumped as part of the i spection(yes or no): b If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: SeptiOF SYSTEM c 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: Were sewage odors detected when arriving at the site(yes or no . 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION(continued) Property Address: (y.) Owner: - Date of Inspection: JV-94tg �• _ } BUILDING SEWER (locate on site plan) Depth below grade: Materials of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments (on condition of oints,venting, evidence of leakage, etc.): SEPTIC TANK: Z(locate on site plan) Depth below grade: O Material of construction::��oncrete_metal_fiberglass_polyethylene —other(explain) If.tank is metal list age:_ Is age confirmed by a Certificate of Compliance (yes or no):_(attach a copy o certificate) Dimensions: 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 bolt �pf outlet tee ax baffle: a How were dimensions determined: !� Comments(on pumping recommen ations, • let and outlet tee or baffle condition, structural integrity, liquid levels elated to outlet invert, evide ce of leakage, etc.): Cie... % 'X90 GREASE TRAP: Zhiocate on site plan) Depth below grade: Material:of construction:—concrete—metal_fiberglass___polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to'bottom of outlet tee or baffle: Date oflast.pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Page 8 of 1.1 OFFICIAL.INSPECTION FORM—NOT FOR.YOLIJNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART C SYSTEM INFORMATION(continued) Property Address: Owner: . � •�.�— iZ� Date of Inspection: . TIGHT or HOLDING TANK: tank must be pumped at time of inspection)(loc.ate on.site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain);. Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of.last pumping: Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX: if present must be opened)(locate on site plan) Depth of liquid level above outlet invert, . � Comments (note if box is level and distribution to outlet, jual, any evidence of solids carryover, any evidence of A- age;into o out pf box, etc • e o[z PUMP CHAMBER:A(locate on site plan). Pumps in working order(yes or no): Alarms in workingorder(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): 'Page 9 of 1 I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL'SYSTElM INSPECTION FORM PART C . SYSTEM INFORMATION(continued) Property Address: C j Owner Al A WCd/L Date of Inspection: C r SOIL ABSORPTION SYST M (SAS): (locate on site plan, excavation no required) If SAS not located explain why: TYPeleaching pits,number: leaching chambers,number: leachin-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 ofhydraulic failure,level of ponding, damp soil, condition of vegetation; �. , nJ f Qom . • 6V .• 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 or no): Comments (note condition of soil signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY (locate on site plan) Materials of constriction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Pace 10 of l 1 OFFICIAL INSPECTION FORM"NOT FOR YOLUTNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner. . Date of Inspection:: 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 building30. �'� t Page i l of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: obi 'AAA Owner: .2 Cf- Altl Date of.Inspection: G (U/ SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water. I feet Please.indicate(check)all methods used to determine the high ground water elevation: Obtained l]rorn system design plans on record -If checked,date of design plan reviewed: 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 USES database-explain: You must describe how you established the high groundwater elevation: 11 /IW I:. Permit Number: Date: Completed by:. '"� HIGH GROUND-WATER LEVEL COMPUTATION. Site Location: rd;� eold 12,516 �1 Lot No. Owner: /;>. / :'��°6 ` Address: on r t`J �7 �`C t actor• �l�f ��7r,� � ,!��� Address: Notes: 11 STEP 1 Measure depth to water table to nearest 1/10 ft. ........................ .............................. .Date /�`�' month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map:locate site and determine OA ,Appropnate;mdex vvell '' OB Water level range zone .:................................... STEP 3 Using.monthly report"Current Water':Resources Conditions deterrriine current deptt:to '- �»,�� water ,level for..index.wel.l...........:...... ®� .... month/year STEP 4 Using Table;of-Water-level-Adjustments for index Well.-(STEP-:2A), current depth `to water:level for index vvelI (STEP 3), and water level zone (STEP 213) determine water-level adlustment ......................................................................................... s STEP 5 Estimate depth to high water by subtracting'.the water- level adjustment (STEP 4) from measured depth:to water levelat site (STEP 1) .......................................:..................................................................... ° Figure 13.-Reproducible computation form. 15 -6 TOWN OF BARNSTABi.E ` RbCATION Lo ICO O( � �I�,�� �. ,�. SEWAGE VILLAGE M&L 'HY15 V"Sl ASSESSOR'S MAP & LOT INSTALL9R'S NAME & PHONE NO. 0 SEPTIC TANK CAPACITY l(cx,.5 LEACHING FACILITY:(type) ����^ ��� (sue) I elk NO. OF BEDROOMS _PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER Go DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 5 J i yy, a. r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 15(g �® ..............._ ..V1�4J .....OF...... 1 fir.. ..: 066 A Iiratio ur D tt �� t f ��n� 1 Workii Cnonstrnr#uan 11rrntt# Application is hereby made for a Permit to Construct K) or Repair ( ) an Individual Sewage Disposal C System at: ................. T...l ..._....0 EI-( T d�L L(.5 ......._.. ........ .... --•..... ........... ............. r -LQocation1-,Address �t NN.- �)�[ ......... Zt Yst 5.� �%4�..�. ..L .................. .......�r =___= •=�•-•••-•--••••--•........ Owner Address a .............JJ. �.A.!- -------------------------------------•-------- Installer ............... Address Type of Building Size Lot...4 �.....Sq. feet ., Dwelling—No. of Bedrooms............ .........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ...............•--•.........--•---•-- Q �_...--•---------------------------------•-------.---.--._....._...... gn 1 (..Q. .....•-----•-------gallons per .�eFav p r day. Total ilyow...........3Q.............. W Desi Flow................ WSeptic Tank—Liquid capacitt.b00.,gallons Length......__._ Width....-. l .. Diameter ............. DepthJN . x Disposal Trench—No..................... Width....................Total Length.................... Total leaching area-----..------- sq. ft. 3 Seepage Pit No......J...............Diameter.....1.0...... Depth below inlet.......L........ Total leaching area .., sq. ft. Z Other Distribution box (\k Dosingtank Percolation Test Results Performed by.-- .. .V -U .E.-._..__..... Date.... A �•.._. -. Test Pit No. 1................mmutes per inch Depth of Test Pit... Depth to ground water.- U .. fs. Test Pit No. 2.......:........minutes per inch Depth of Test Pit.................... Depth to ground water...... p4 --------- `L....... .E ................. ........... . O Description of Soil..O.� .. ` I.Q �.�.__ i- ( � x �` .-..� --- ems s �! x -- ..........................................................•-----............-•--------•-----------•.-•--.....----------.....------......--..... U Nature of Repairs or Alteratio s—Answer when applicable................................................................................................ ...----•----------------------------------------------------------------------•-----•--.......------•-----..................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:I':U 5 of the Stat Sanitary Code— The undersigned further agrees not to place the system in op 'er on until a erti to of Com a has been i sued by the board off health. Signed ...: Gl"y E% ! /����� Date Ap •cation Approved By.......... f -�..�� .. .........".g- AY..... Date Application Disapproved for the following reasons:...........................................................................................................-- ----•-•--•--•-••....................................................................•...---•------------•............................---------------.....-----------.........._.... . ............ Date . PermitNo....... ................................ Issued--------------......--•-•---•-•-••----•--.............. Date ---------------------------- — J No. .. THE COMMONWEALTH OF MASSACHUSETTS s - '/�� _.....•. BOARD, OF HEALTH.- ,_.0660 f -....... ....... .....OF...... S.tv .l; .1 ......................... �� Appliration for Uiupoual Works Tonstrurtiori V.errA t Application is hereby made for a Permit to Construct '(�) or Repair ( ) an Individual Sewage Disposal System at• " , (,> U-)T i c) .....C�?L2 t`-�(kT 41 t20. Kt to 0 S ICAO5 �- t 1 L S ........ .....__.. ... .. ----• ---.-... -------- ........------------....--.........----------------------•---------------...--•- ......... Location-Address or Lot No. ��: r,�-.cil VI..�f c� ( ( It.`� F.. � ..................................' l i c. .............. • -- _ ..•---• --••--••••• ------------------•-----. .......... Address a •------•---- :a2 t r© � Installer Address - Type of Building Size Lot..Q:?_ _.-4L.I.....Sq. feet .. Dwelling—No. of Bedrooms...........::............................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers �W 4 YP g -----•.....................• P ( ) — Cafeteria ( ) Other fixtures ..--••--•-•---••--•------•---•••-- Q =1_;-�:----•--.•---------------------------------------------------- --;�--- -----------------.......... W Design Flow.............�.._�.n..........____....gallons per-per-somper day. Total daily flow............ "�=__ i ..............gallons. WSeptic Tank—Liquid capacity.(._'�().(,gallons Length__h___. WidthQ- Diameter:............... Depth.._,______.... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area___......___.jj Sq. ft. 3 Seepage Pit No...................� Diameter.....!. :!. ..... Depth below inlet......K-:......... Total leaching area..... ?.:..1...sq:ft. Z Other Distribution box Dosing tank 1 Percolation Test Results Performed by..__ ...k.�:��._rc �.��-_. r_G. _: u ��-f a -•---------- Date...... .....- Test Pit No. 1--- ..minutes per inches Depth of Test Pit...- A(...... Depth to ground water.. tr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ OG 0 Description of Soil..�a: — L �?+C � ....U±.)..-W) C•(Wi"U* CD�4? _ t.v {< 2 .U�'Z W •----------•-- ................ ..................... U Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. ................... ......•••-•------•------•-••-•-•--••-••---••--•-••... ------••-••-----•--•----.............•--••---•---•-•-•••----•-••-------•••-•••••••-••---------••-------•...---------......... Agreement: ° The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL:T 5 of the State Sanitary Code— The undersigned further agrees not to place the system in 14 o eration until a Certificate of Com--fiance has been issued b the board of health. P P Y Signed-------------•-----.._............_......-•--•-•�••---...-------•--•---------......._ .._.f!.-.�.�.�........ Date Application Approved BY--------... x,,,. , ... .jr-- ="=`= .........I - Ss' Date Application Disapproved for the following reasons:.............................................................................................................. ....................•----•-•-•--•------------------------------•--------•--......---•---------•----.......---•--•-------•-----------•------------••-----•--------•----•_...--•••--••-•-............._.._ Date Permit No....... - .. Issued........................................................�? :,,�D . ---------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...... .................. �................................... (Iertifirate o Toutphat rr THIS.IS•TO CERTIFY, That the Individual Sewage Disposal System constructed (r/) or Repaired ( ) by....11Z....../)t-� ........---•----•---... ....... ..... ---•-•-•............................................................••-----•--.............-•-- Installer at...../-0.7.. �U--•••_.(�, rJ_ it ..................... (. ht/1 I 1' ° has been installed in accordance with the Provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__._-�6_'.3........ _*'� dated........... ................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A,GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..----- t (A- .... Inspector......,._/!Lt� r' ^h .» ...1nM6♦Nwrr.l l.ww J,sw+ww.W....... .....•••••.••.•.••►...................ww MM -.....,.........»w.rr.»-A........Ra.0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I tJT1l.......OF..... �� -Qa Q ........................ - NO... !s_...!....... FEE....... ..... : Disposal Works Tonutrudiurt lirrutit Permission is hereby granted...... :T_1_.1)_ 469_c � •-------•-----••---•-----•-•----•.....--•................••••••-•-.....---•-•------•............................. to Construct (+ ) or Repair (� ) an Individual Sewage Disposal System at No... �+ r f t} ,i� rt p��a�t.'zG f"//f )'1� � 2l�va7i:� -----------•---•--------=--------------•---.......----..._.._............_.... ---------------••••........__...••--.....-•-....----•--•-•••••--•...._......_........... Street as shown on the application for Disposal Works Construction Permit No. ,_,.-Dated.......................................... •----•-•--------------•-••--••---... ---- .------•-•-•....-•-••-------•-----•---.......... DATE. ....................................................... V Board of Health a Cr X N LOCUS - 97--EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE ® Old Falmouth Rd 102 PROPOSED CONTOUR W EXISTING WATER SERVICE G EXISTING GAS SERVICE ^o, ---JdG*-UNDERGROUND WATER TEST PIT a °� O3S c c BENCHMARK LEGEND CB / 97.47 U / °++ 96.73 LOCUS MAP NOT TO SCALE ti 135.g7 / Sz> v'- � CB � o / 96 96.56 LOST 10 f 43, 61 f SF EXISTING LEACH PIT CONTRACTOR SHALL PUMP, FILL W/SAND & ABANDON I TENT \ 99.72 +. . . . . , Dv �3 99.18+ .' \ edge hpµ n + ' �0 12.8' w� •' lA n cly SAND BOX: TP-1 x: (A ^ � Z 99.67 +• �198.38 M p EXISTING SEPTIC TANK _ +99.50 TOP OF TANK, EL.=98.84 O � INV.(OUT)=97.5f " e x f1,67 35 100.33 BENCHMARK o BULKHEAD CORNER 1oo.3a +97.86 EL.=100.81 1 - / 100.36 BM 100.81 tl 100.43 �00.12 �h x �C PROPOSED. SEPTIC TANK 8H PA T�o 1000 GALLON CAPACITY 99.7s /EXl$TING INS I (IN SERIES W/EXIST. TANK) + 100. 1 HOUSE(#80) T.O.F.=101.5E x 100.29 GARAGE S� I x 98.04 9 .99 101.21 x 100.19 J.16',: 100.0E +1. . ( 100.49 +yyq�K 100J4' 1 100 1 99.80 10 .04 99.67 99.15 ...�`r :+ 4.14 R L_45.'49' + DRIVEWAY.1 99.98 z 3 V- .3 0 4 100.06 99.08 :c� N 51 1101 �� OF 414p PK SE - 79*32'10.. / 99.36 EMETER 87 w o PETER T. G� 99.44 ed 0 99,12 McENTEE N CIVIL 9e Of Aov ( No. 35109 Oe�enf T jl T 99.14 •V,(� /y•�� PK SET ' 10K 96.84. RO / / 97.89 - �� [J OWNER OF RECORD GRAHAM, CHRISTOPHER M & TARA J & HAROLD PARCEL ID: 100-006-005 80 OLD TH ROAD MARSTONS M MILLILLS MA 02648 Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. 1"=30' P.T.M. 224-19 80 OLD FALMOUTH ROAD, MARSTONS MILLS, MA 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 8/9/19 P.T.M. 1 of 2 Prepared for: Christopher Graham, 80 Old Falmouth Rd, Marstons Mills, MA IS NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:96.00 r SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE INSTALL RISERS & COVERS OVER INLET PERIMETER OF THE S.A.S. AND SET TO 6" OF FINISH GRADE. PROPOSED D-BOX PROPOSED S.A.S. INSTALL WATERTIGHT RISER & PROVIDE ONE ACCESS MANHOLE TO WITHIN 3" COVER SET TO 6" GRADE OF FINISH GRADE FOR INSPECTION PURPOSES F.G. EL.=100.3t F.G. EL.=100.0t F.G. EL.=98.8t F.G. EL.=98.3f �l�l MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 10' L = 44' L = 25' ® S=1% (MIN.) ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC • 4"SCH40 PVC 4"SCH40 PVC il IF6" 10"1 " as as 14" Ll4" 6 BBBa6BB INV.=97.25 48" LIO aaaaaaa ADD LEVE INV.=96.17 PROPOSED INV.=96.00 4' 4.8GAS eI►FFl E EFFECTIVE WIDTH = 12.8' EXI NG INV.=97.00 D-BOX INV.=95.50 SEPTIC PROPOSED SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS TANK SURROUNDED WITH STONE AS SHOWN INV.=97.50t (EXISTING) H-10 RATED NOTES: TOP CONC. ELEV.= 96.3t AL BREAKOUT ELEV.=96.00 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=95.50 mama amom INVERTS, PRIOR TO INSTALLATION. Maaaaa Baaaa mama mamma 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE BOTTOM ELEV.=93.50 n, TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED 4' 3 x 8.5' = 25.5' 4' STONE BASE, AS SPECIFIED IN 310 CMR 15.221 4' MIN. OF NATURALLY OCCURRING ( ) PERVIOUS MATERIAL 2 . EFFECTIVE LENGTH = 33.5' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' MIN. ABOVE GROUNDWATER LEACHING SYSTEM SECTION 4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON THE OUTLET TEE. BOTT. OF TP-1, EL.=87.0 - 3/4" TO 1-1,1 DOUBLE WASHED STONE 3" LAYER OF 1/8" TO 1/2" SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE (OR APPROVED FlLTER.FABRIC) SOIL LOGS DATE: AUGUST 8, 2019 (REF#TPT-19-105) i SOIL EVALUATOR: PETER McENTEE PE(SE#1542) $ w WITNESS: DAVID STANTON R.S. HEALTH AGENT m. j ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 98.8 A 0 98.5 A 0 in _-- _. ..LOAMY.-SAND _ - _. _LOAMY SAND - 98.3 10YR 4/2 6" 98.0 10YR 4/2 6" B B LOAMY SAND LOAMY SAND fig. 10YR 5/6 10YR 5/6 95.8 36" 95.7 34" C1 C1 PERC PERC BH M-C SAND 42"/60" M-C SAND 42"/60" 2.5Y 6/4 2.5Y 6/4 /EXISTING INS 5% GRAVEL 5% GRAVEL 92 8 C2 72" 92.5 C2 70' SEPTIC LAYOUT MED. SAND MED. SAND 2.5Y 6/6 2.5Y 6/6 87.3 138" 87.0 138" GENERAL NOTES: (ENO GROUNDWATER, PERC RATE: <2 MIN./IN. 1, ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. REFERENCE PERC P-125, JAN 14, 1981 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. DESIGN CRITERIA 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE NUMBER OF BEDROOMS: 3, 2 (HOUSE) + 1 (APARTMENT) DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN DESIGN PERCOLATION RATE: <2 MIN/IN ENGINEER BEFORE CONSTRUCTION CONTINUES. DAILY FLOW: 330 GPD 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. DESIGN FLOW: 330 GPD 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF GARBAGE GRINDER: NO-not allowed with design HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 7. WATER SUPPLIED BY TOWN WATER SERVICE. .74 GPD/SF 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. EXISTIN SEPTIC TANK: 1000 GALLON CAPACITY 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS PROPOSED SEPTIC TANK: 1000 GALLON CAPACITY (IN SERIES) AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY USE 3-500 GALLON LEACHING CHAMBERS IN SERIES THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SIDEWALL AREA: 2(12.8' + 335) X 2 = 185.2 S.F. IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). BOTTOM AREA: 12.8' x 33.5' = 428.8 S.F. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE TOTAL AREA:.............................................................. 614.0 S.F. INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. N.T.S. P.T.M. 224-19 80 OLD FALMOUTH ROAD, MARSTONS MILLS, MA 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEEr No. (508) 477-5313 8/9/19 P.T.M. 2 Of 2 Prepared for: Christopher Graham, 80 Old Falmouth Rd, Marstons Mills, MA I I I I I . I -- — — — — — — — — — — — UP — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - -► - - - - - - - - - - - - - - - - - - - - - -- — — — — — — — — I I I I O I I I I I Septic Line I I I I Gas Meter o .m ocm xn 0 0 } d o z UP I I I I ;s� 5Water Mainl - - - - - - - - - - -�- 100 AMP Service ad E z 07 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I I � � ; - f c6 I- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I mc Date: 2/11/2008 c Scale: AS NOTED- . Existing Foundation Plan Scale 1/4"=1 p Issued For Construction ii ti CD BATH 5'-7"x 4'-11" i ° KITCHEN 14'-9"x 11'-0" DINING Powder Room 13'-5"x 11'-0" 5'-9" x 5'-9" GARAGE 13'-7"x 21'-5" . CLOSET '-2"x T-2" LIVING I I CO 15_10 x 114 -aBEDROOM a N vn ac o 12'-4"x 11'-4" UP o oaf CLOSET I I Q g w 2'-2"xT-9" - - - - - - - - - - -p %n _o (Q +a- i- � L . � a Q To the best of MH knowledge these platys are drawn,to compLtj with owner's anal/or builders speci fi.cations awd awl changes Date: 2/13/2008 on.then+.a fE:erpriwts are made WELL be done at the owner's and/or bud.dev's ex?z e and responsibility.The conkractor shaLL - - veri f aLL din,emsions anal enoLosed drawing.oLd Harbor Scale: AS NOTED gu0.ders Uz.Ls vwt"bLe for errors once construction has Existing First Floor Plan - begun.white ever of fort has been.made Ln the preparation of thEspLawtoa�oLdmLstalzes,themaleevcannotguarantee agaLwst human error.The cowtractor o f the job nu st check aLL Scale 1/4"_�'�° dLmewsLons and other detaUs prior to construction and be soLeld responsible thereafter. Al . - Issued For Conshuchm i r— — — — — — — — — — — — — — — — — — — — — — — — — — I i I I I BATHo 0 8'-6"x T-2" I I I I CLOSET 2'-3"x 2'-1" C BE DR � OOM ALL MASTER BDRM 12'-0"x 17'-5" T-2"x 9'-11" 13'-4"x 17'-5" — — — — — — — — — — — — - - — — — — — — — — — — DN - - - - - - - - - - ATTIC CLOSET CLOSET 13'-7"x 21'-5" 2'-5"x 6'-3" 2'-2"x 6'-3" S - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I I I I s V 00 } O0 N ATTIC o 34'-7"x 4'-10" I I 4- +s O- � rn Q C: — — — — — — — — — — — — - 1 _} 9 � n � :*in x o (� Co L � � � i Existing Second Floor Plan Scale 1/4" Date: 2/11/2008 =1'0" Scale: AS NOTED . A -2 Issued For Construction - 6 -24'-3 1/2" + 12'-1 3/4" 12'-1 3/4" — — — — — — — — — — — — — — — — — — — — - - - - - - - - - N c 1 I 1 O — N - - - - - - � UP (- - - - - - - - - - - - DRILL #5 REBAR INTO cttc EXISTING FOUNDATION ° ° IM - -� — — — — — — — — — - AT CONNECTION AS I — — �� — z ( I `i' REQUIRED. I, REMOVE EXISTING I I EXISTING SEPTIC LINE CELLAR SASH AND ENLARGE OPENING TO 36" WIDE ACCESS TO 1 I EXISTING FOUNDATION - - - -, NEW STORAGE SPACE- - -, r _ _ 1 c� I - - + I I - -TRIPLE 2X10 GIRT W/ 3 LEALLY'S 6'-0" O.C. o I I � I 2X6 P.T. SILL W/ co �"Q� ANCHOR BOLTS RELOCATE EXISTING @ 6-0rlO.C. � GAS METER FD70 v 00 8" CONC. FOUNDATION I I t o N z WALL ON 20X12 CONC. o s ci g FOOTING W/ KEY +.UP- - - - - - - - - - - - - - -*- - - - - - 1 I RELOCATE ELEC. METER �s Q Q - - I� AND UPDATE 100 AMP -0 Tn Z - - - - - - - - - - - -24'-011 - -� I SERVICE ��� O o Z - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 4- 1 CU t 73'-4 3/8" Date: 2/13/2008 SCale:•_ AS NOTED FOUNDATION PLAN SCALE: 1/4"= IV' A 3 A . - Issued For Construction - tA-6wico Co iB CO in 00 N co X X X O b O 10 O 24'-3 3/4" it Lo � ON p N Ei N QO Q Q Of 4'-4 11/ 6" 4'-8 9/16" '-3 1/2" 6'-4 3/4" 6-6 1/4" r _ - CLOSET o ti BATH OBEDROOM I I EXISTING BATH I I J56-1 )1,x -10" I I - EXISTING KITCHEN I I -1 - it _ 1 14'-9"x 11'-0" II m _ _ EXISTING M / 0 0POWDER ROOM I CV REF. I — 6-9" x 5'-9" ly I cV � I DE SO N 3 KITCHEN I 3'1/2"X T 5 1/4" Co r I V NEW KITCHEN i 2LIVING REMOVE EXISTING WINDOW $ O DESIGN BY OTHERS , _� - " =_,„„�; ;a_o �_,—�;, CLOSET o •� s d � 3- "X 296 G� b� enc"-etl owing -2"x Z'-2" a) = U r 3'0"X 6' - �Cie - - - - - ¢ ci * ��C 12'-7"x 11'-3" ad i2 N P l ��� izo o�n - � L ca CLOSET Q cobo co N 024'-0'9 I - - - - - - - - - - - - - - - - - - - - - - - - - - Z - X Date: 2/11/2008 60 Z, aD U) in O in W u) U) to Scale: AS NOTED C FIRST FLOOR PLAN a a A ///���Scale: 1/4"=TO" , _l issued.For Conshudion . 24-3 1/2" = Uo 0 EXISTING BATH O 81-6"x 7'-311 EXISTING BEDROOM 12-4 x 17-6 CLOSET 3"x 2'-1 (o DERSPN TW2446 t.2'5 5JWX 4'8 7/8" ATTIC EXISTING H REMOVE EXISTING WINDOW O '- - < AND INSTALL NEW T-0"x 6'-8" 3'-2"X 9'-11" 6 PANEL DOOR FOR NEW ACCESS N ON CLOSET CLOSET 2'-5"x 6'-3" 2'-2"x 6'-3" O (V / 4 Nr } � cN 00 o to -- � °- Q O 0 L O N O EXISTING ATTIC Q U 34'-11"x 4'-11" °3 0 C 0 o - can 24'-0" tQ 0 Q i 73'-4 5/8" Date: 2/13/2008 Scale: AS NOTED SECOND FLOOR PLAN Scale: 1/4" = 1'0" A- 4 .Issued.For Construction 3-TAB ASPHALT SHINGLES IV 11(2 �oMys ra n .`A, 3\`M,� _ 1 X 2/1 X 10 FRIEZE-(MATCH EXISTING) i+ #2 KNOTTY PINE(ALUMINUM WRAPPED) '_— a; 1 x 4/1 x 5#2 KNOTTY PINE USED FOR CORNER BOARDS (ALUMINUM WRAPPED) MATCH EXISTING WINDOW HEIGHT (TO BE DETERMINED ON SITE) �❑ Y11osyQ Uf aXGhrCt(�(tP� 1 X 4 WINDOW TRIM #2 KNOTTY PINE FP ®®®®ALUMINUM WRAPPED-(MATCH EXISTING) m FROM TOP OF FOUNDATION ®®®® F TO BOTTOM OF SOFFIT VINYL CLAPBOARD-(MATCH EXISTING) Eo t3®®® I I I I ' I I � ' I I I I I I I I I 1 I I I I I I ._I I I_______________________________________II_______-_-______________________________________-_____-____1_______________________L. ----------------------------------------I - --------------------------------------------------------------_______________________, FRONT ELEVATION Scab va=1v 12 12 5 J\14Q �e'�L�� �7CI�M �LL1Li1J F— /J / 91T1fd tIJ�, 3�u�r 11xG1�tkQi. �tna1PS aU I ail".0al Iloa W.C.SHINGLES 1111 .,pfla hwi4iniq 12 ® - W MATCH FRONT SLOPE t OD MATCH EXISTING 3-TAB ASPHALT ROOFING 4- 15 LB FELT 1 X 8 FASCIA/1 X 8 SOFFIT 1 X 3/1 X 8#2 KNOTTY PINE W C3 Co #2 KNOTTY PINE-(VINYL SOFFIT) z_PIECE RAKE WHITE ALUMINUM DRIP EDGE o N .. (ALUMINUM WRAPPED FASCIA) (NOT VENTED) a O MATCH EXISTING WINDOW HEIGHT MATCH EXISTING DOOR HEIGHT #2 KNOTTY PINE 2x8 RAFTERS 16"O.C. o �� s Ci (TO BE DETERMINED ON SITE) LLL I I I I I I I I I I I (TO BE DETERMINED ON SITE) (ALUMINUM WRAPPED) o 1 x 4/1 x 5#2 KNOTTY PINE �-8 &_ fn USED FOR CORNER BOARDS W.C.SHINGLES VINYL SIDING VENT 1/2"BLUE BOARD — (ALUMINUM WRAPPED) VINYL SIDING/W.C.SHINGLES 1 X 3 WINDOW/DOOR TRIM 1/2"CDX PLYWOOD U o i 1 X 8 KICK PLATE R-13 IN w (ALL#2 KNOTTY PINE) _ Co 7- FTfl (ALUMINUM WRAPPED) 0 CU O t > O I I I TT}11 cc ry\ 5CL W C I I I I I I 1 I SOFFIT DETAIL 1 I I I I I I I Scale: 1"= 1'0" L_______________________________________L__J_ ----------------------------------------- Date: 2/11/2008 Scale: AS NOTED LEFT ELEVATION A- 5 Issued For Construction •• . 3-TAB ASPHALT SHINGLES j �Yt'n ! Y�'rDfaL f'N_US�I n� �n111��Ji nri' ® F ® M EE 1 X 2/1 X 10 FRIEZE-(MATCH EXISTING) FSH . . . . . .. . . . . .29 MATCH EXISTING WINDOW HEIGHT ® ® ® EI�i W (TO BE DETERMINED ON SITE) a 1 X 4 WINDOW TRIM#2 KNOTTY PINE (ALUMINUM WRAPPED)(MATCH EXISTING) 1 x4/1 x5#2 KNOTTY PINE USED FOR CORNER BOARDS (ALUMINUM WRAPPED)-(MATCH EXISTING) I I I 1 I I I I I I I 1 1 I I I-- --- --------- _L_______________________.___________-____________-_____-1--------L----------------L___ _--____________-__-_____________1 I -------------------------------------- ---------------------------`--------------'--------------- -------------------------� REAR ELEVATION How c�Orrne�s o�n aImaq bpi Ia00 s N 0 o o � � c 1 X 8 FASCIA/1 X 8 SOFFIT N 0 to ��— #2 KNOTTY PINE(ALUMINUM WRAPPED) (p W.C.SHINGLES Q LL N Vl W 1 x 4/1 x 5#2 KNOTTY PINE USED FOR CORNER BOARDS rO C 0 } Lill (ALUMINUM WRAPPED)(MATCH EXISTING) 00 L � � a I Q L 1 I I I 1 1 I I I 1 I I I I I I I I I I I I I I ' I I Date: 2/11/2008 .1 ____________________________________L-_________-I_. I I --'---------------------`- -------------`-----------' Scale: AS NOTED RIGHT ELEVATION �s Issued For Construes - i I I I I — — — — — — — — — — — — -- - - - - - - - - - - - = = - - , 4 I I I I - - - - - - - - - — - I I I - - - - - -v a � I I - - - - - D o o - - — — — — — — — — — — — — — to °O Co x N N I I Fu- II IF — — I I TRIPLE 2X10 GIRT W/ 3 LALLY'S 6'-0" O.C. 77 - I EXISTING BASEMENT I d I I - O o U) co 000 CoCo N I I o N N � DC O a . ■� o � E - - - - - - — — — — } � � `� ,L � I Q LL- * L -� V) o o ca o } L - - D _ D- - v— — _ — — — — — — — — — — — — —D Cu — — — — — — — — — — — — — — — — — — — — — — — — — — — — — V Date: 2/11/2008 Scale: AS NOTED FIRST FLOOR FRAMING PLAN SCALE:1/4"=TO" A 7. . . - - Issued ForConshuclion U � 0 co CO ao x N Li U 0 (o ao x w C� N o � aa (M a oC E - LL Q U- o 0 �f 0 u- I o O -i O +_ o 00 U Co Cf) Date: 2/11/2008 SECOND FLOOR FRAMING PLAN Scale: AS NOTED Scale: 1/4" A8 . - - Issued For ConsWction. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - U U O O cm U) U) 0o ao X X N N 2 x 10 RIDGE U U O O C Co U ao 00 X X N N s Co W Q N � 0 Cc d a } _ L } L o C } — — — — — — — — — — — — — — — — — — — 00 ROOF FRAMING PLAN Scale: 1/4" = 1'-0" Date: 2/11/2008 Scale: AS NOTED - A- 9 .. - .Issued For Construction - CONTINOUS RIDGE VENT 2 X 10 RIDGE 12 MATCH EXISTING 3-TAB SHINGLES (ASPHALT) 1/2 CDX PLYWOOD COLLAR TIES 2 X 6' S 48" O.C. 2 X 8'S 16" O.C. 2X8'S 16" O.C. R-30 F.G. INSULATION 1 X 3 / 1 X 8 #2 KNOTTY PINE USED FOR ALUMINUM WRAP 1/2 GYP BOARD I ON 1 X 3 STRAPPING VINYL SIDING (CLAPBOARDS) 1/2" CDX PLYWOOD co N 2X4' S16" O.C. R-13 F.G. INSULATION �' r 60 3/4 T.G. PLYWOOD , W.C. SHINGLES 4� 2 X 8' S 16" O.C. 1/2" CDX PLYWOOD s V ao 2X4' S16" O.C. ON o R-13 F.G. INSULATION o Q R-19 F.G. INSULATION 10 o P.T. 2 X 6 SILL W/ L o Z) (3) 2 X 10'S " ANCHOR BOLTS o USED FOR GIRT BASEMENT u- M (3) 3 1/2" LALLY COLUMNS p o } �4" CONC. SLAB ao cs w Cu g 8" CONCRETE WALL ON 20" X 12" (3) 30" X 30" X 12" CONC. FOOTING W/ KEY CONC. FOOTINGS Date: 2/11/2008 t Scale: AS NOTED SECTION k. Scale:1/4"=1'0" A A- !sS..d Rw cm.0,.g. ' 0:D SECTION - SEWAGE .r • _ c �oI � � �- I Z- -SEPTIC TANK- �j - "O"BOX- Cp - LEACH TOP OF VON \ \ -•-77 c' , / '� ..117.:IMSLJ* 2. OF IA TO W \ \\ lOX WASHED STONE 1.i7 III , �; MIN• lI COJE�' ^7 TF t OUT 1 IN• OUT• G R' i`£ - k \ D0OG v S,a 0i OD TANK �1.�Jl "1. ELEV. ELEV. ELEV. ELEV. -•� �O " �\ �35td, \ - - DEPTFI 6F FI.DW q F"( (LO-T ELEV. ELEV. 693 / 9 '- (►.11.E7 TEE' l l,'r 1,°LtP to tDow►�� 1� � _ O41 W 1 T LUtl��04u� 14p1�Wh11 T �T Z pee Z I / ClUT OF C)eOY• C ;LZi+ED STONF T TEST HOLE LOG TEST By WITNESS M / TEST OATS DESIGN BEDROOM HOUSE T.H. • 1 T.H. • 2 r� ' (Lo-r I I •K ELEV.�I,a ELEV._ / PERC RATE -Z'_MIN/IN. ftPO�S OIS POSER N i SUPS Col.0 FLOW RATE I l 0 IGAL/DAY i/$Qi3 SEPTIC TANK �'✓p Ili)- i ' N REO-D SEPTIC TANK SIZE 64�0+ i '� ; ro seraric- I \ Cv3.0 LEACH FACILITY w f / _ EL Z- 1z S ) - G/D. �y SIDE KAL}E �p BOTTOt11 �! TOTAL Z( &,-7 5F 425.1.I G/p i� USE: LEACHING 1p IT _WATER ENCOUNTERED 3S 9 4 � �� �l.o tS, S �s MAP ► �-3^I k� It f' NOTES (UNLESS OTHERWISE NOTED( pr p \ $Ok QUADRANGLE MAP ` OF r, A. DATUM(MSL)_TAKEN M & I S �j AVAILABLE (s \ �JFi�FJd Cs 2.MVNICIPAL WATER c f a.RIPE BITCH.Ir• PER Fool 4.IDESIGN LOADING FOR ALL PRE<AST UNITS:AASMO- -�� `�� - �'•-� ���_ / , S.pAIN.GaovND COVER OVER ALL SEWAGE FACILITIES:III FT. S.PIPE JOIN Nf,TS SMALL SE MADE WATER TIGHT ( 1'} TO RE ACCORDANCE WI COMM-OF MASS. G�'I SITE PLAN 7.CONSTRUCTION OE TAILS STATE ENVIRONMENTAL CODE TITLE S � �' "07 O ? � r Lr l • � NAY Amp spt:>.J��pp LOCUS: -U f7 I,D F ALM o t�ITN-�df� oRopejkrys -"`�-`` ' --- � . M A25ToI�1S M t l -S REG.P WEER Pi s,t.� P�c�1LD i�1C- I S ARNE REF: Q down cope engineering �� OJH. ALA PREPARED FOR: VbY�✓I� � - CIVIL ENGINEERS ip #26348 gr j A LAND SURVEYORS F r v oa II I 60ARD OF HEALTH 02O �1n$L TING) APPROVED _ DATE G✓-TAISLIe /IA Ya•��6 V" ` „•_ SCALE— 0-- lJ I - -J47 CONTOURS (ppopOSED) —0-