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Home My WebLink About0268 PINE STREET - Health (2) 268 Pine Street._ �N. Barnstable P A:: �153 017 a p u ' O TOWN OF BARNSTABLE. LOCATION� & St— SEWAGE# zZ4Oi/ VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. Hick, SEPTIC TANK CAPACITY j SbO LEACHING FACILITY:(type) (size)' /L'3 y3 NO.OF BEDROOMS crA OWNER PERMIT DATE: d 1 COMPLIANCE DATEAN/11 Separation Distance.Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility n 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 _ rl � ., � � � a� ` `, i ' IR t� Z � y 1� f�I�'� 3.� u� l �`�2 (� . 3�4;r �,g Q' �� `G'' 3�� .- .. � {i � 6 � �► -_, No. 1 1 2-6 I Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSIABLE, MASSACHUSETTS Yes RpPlication for Vspo at 6pstem Construction Vermit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) VIComplete System ❑Individual Components Location Address or Lot No.oU8 Pike— b 7YCe Owner's Name,Address,and Tel.No. 7,3 7— 655 Assessor's Map/Parcel .3SP l !L(- CI- Q C�L; Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Budding: Dwelling No.of Bedrooms Lot Size 9 On—sq.ft. Garbage Grinder( Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) SSA gpd Design flow provided its 8 gpd Plan Date ek3.� ►0 ZO l Number of sheets Revision Date NJ14 Title Size of Septic Tank l k(KM Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) C-eL 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 Certificate of Compliance has been issued by this Board of Health. Signe Date o� Application Approved by Date o Application Disapproved by Date for the following reasons Permit No. ZO I I^ZS`I Date Issued 81312010 - r. Ij t77 No. I' L74 A s ' Fee THE COMMONWEALTH OF MASSACHUS'ETT$ Entered in computer: THE HEALTH CAI SIO'. TOWNOF BARNSTABL'MASSACHUSETTS Yes �4prication for �fispa at *pstem Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. ~e' TIC Owner's Name,Address,and Tel.No. �OD 7— .w, l�,arv�STcpb�'e. Assessor'sMap/Parcel VV\ ( 53 `C / C H/R2(,E1 L%L (ZtQFG Installer's Name,.Address,and Tel.No. Designer's Name,Address,and Tel.No. 14-,x owsq-- 4 s-of-6v8-990X- d �3bZ- yp4 Type of Building: p Dwelling No.of Bedrooms t� Lot Size sq.ft. Garbage Grinder Other , Type of Building S H q I@ • --rt No.of Persons Showers( ) Cafeteria( ) Other Fixtures V Design Flow(min.required) Ss-0 gpd Design flow provided 5-60 gpd Plan Date '�� k 0% Number of sheets ' Revision Date 4� Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) '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 Certificate of Compliance has been issued by this Board Health. Si Date ad Application Approved by Date 4� Application"Disapproved by Date for the following reasons Permit No. 201 — 7-59 Date Issued 06 3/Z0 1 1 HE COMMONWEALTH OF MASSACHUSETTS ; 'B� STABLE,MASSACHUSETTS Certificate of Compliance�' THIS IS TO CE T FY,that the On-site Se IT. ge Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned( )by �°�� /J Sa- at Z 6 s \ti.9— 7v'a e,,;�— has been constructed in accordance with the provisions of Title 5,and the for Disposal System Construction Permit No!�Ot I- dated re( Installer `L-ey `btV Designer #bedrooms S f Approved design flow .S6 gpd The issuance of this permit s 11�q of b construed as a guarantee that the systj� will tid`n�adsinedDate r / ) ) Inspectar�'ti--�� 2 - --------------- - ----- ------------------- - ----------- No. � Fee 5 ------ w(1 -2 fl�a0 .d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Vsposat *pstem Construction Vrr,mtt Permission is hereby granted to Construct( ) Repair( ) U IQ '� grade(� Abandon( ) System located at 0- 6-& e- �— LZ 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 613/Z0/1 Approved by T FROM :down cape engineering inc FAX NO. :15083629880 Oct. 13 2011 O9:57AM P1 aru r=i',`{. TlIiv1m<Ps T. dacalo:aY;raa��ee�.a�r ros,raiN,ht. �.;�d��yd�kd�_�'� •�;8431�ep91,'1�h'.�R,�la� d)1.Il'�a'.dib)i' IYJ Ll�siaiu�a}n': �J d b� (�.ot�d Q. n 1 Fitt!! Iica�it�ARma: G•�C¢ I�'1rJl'�l �lc9r caps: /�a'- Addrem 3 "lL ® N1 a. �®1 C)n _ _ �r��ti issu.rri�a Peni�it to iust�ll hitsrA an,a design cl.ra u by Aid �ja 1 PL- 1 :fated T (:crt.ify fill LLc. SL-ptic sysLer.1 ;Z�:uC.c:c� obw!was instill-e�1 nillsu:7T[iailly rarrn•ding tU lhr ,lesion, which Laq it?rhidc niin{�r aipprUe�c�cl cban?vs su::L �'3s .lntaral Teluc<itiUz3. Of 'i:l{ :.i iiaibrdiUn.box aLTa`1L'vr•septic tallk. T ch.:rtit'- that thc: septic sy rein. Te-IXrcuOcCl. Llbo've v7aq in;,laIlcd wit).). major chailps (i...e, re�LLc-r than.10' lai.Lr-al tole c—rviml.of the Sr'1S car<a:ay'YeCticaLi reloc'.i�t10Q{1f S7ty Cliria)a?'D.'Fz't of t�P. 5epk S Sft-Tl)lliaL Ili aU.o_r-Ia.une wit'i.�sA ute & Loc:al,KeguilullonL, Plan revi°,,icrra or eeiILLnda.-.-1)LulLbyje&.{,iterto follow. �,CY OF lUps,.�c CAN1.L.A ; U OJALA (IJ"ts�.Ll.e,�':; CIVIL No,4650P e Es9/CNAL C•r1C' ��2:d1 SSC''f'; i1L7rrriLLLIt =r'T�F'`il'e�Ta{S''S StaTnp g i�1L! � Ut,f J'YA 4r( lrt:0"-";7��.1<3;1L,Ee a'I ib'LLl6.: jT.U'�,�I.Q:I'{FV_ dAA Af�O@111�. _E$'A'.[�n€,'A Y'1✓_ _Q�{ -- — - — - - ti,a ul'ar�"rTJ~-A,:[da�F ',Td i9,Ju; 1'da-D 7 BE i JJ y R.V L. H4)T11:1__r'lLI:S . t21F�r�R�:L"G� :VT �,;I1li'YT�&Y.1f�'Y��.�I ]<BAdAAV'J.�.Le.D1�T•- V3�AI�1J(S:'�49V7. Q7 C:r,itifiraIJOU Fmui 3 2.6 04 Hor. Town of Barnstable, iRE ro 1Departmwit of Regulatory Services y BAMUMHL : Public Health Division )Date �D ld MABS. 200 Main Street,Hyanuis MA 02601 Date Scheduled_ Timer,ee f°d U D Soil Suitability Assessnientfo ° Sewage � sposal Perfonned By- " 44 A 0/6f J Witnessed By: (n+� l ' �/- ✓ ]LOCATION & GE NEI RA]L l[1V 4 ORIVIIA TION Location Address C 660 pi nU_ _&7- Owner's Name Address \ v" Assessor's Map/Parcel: Ai3 Engineer's Naute �L1 d vt� e NEW CONSTRUCTION X_ REPAIR Telephone It 6 oe A T Land Use /�l7�1�! Slopes(°/n) U Surface Stones Distances from: Open Water Body ft Possible Wet.Areq ft Drinking Water Well � ft Drainage Wayft Property Line ft Other it l .. j SJt£E,TCH: (Street name,dimension of lot,exact locauo test holes&perc tests,locate wetlands'in proxinuly to hales) ;V V � 1 w �. P,A_J1Z sr- Parent material(geologic)_ Depth to Bodrock Depth to Groundwater: Standing Water in 1-tole: /V OW L. Weeping I'I'olil I'll Nor Estimated Seasonal High Groundwater A DE TERAIINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Depda It)s411!tl�lllgY: lu, Depth to weeping from side of obs.hole: Adjuslhlent Index Well IF Reading Dale: Index Well level _, Adi,ftletor _ Atli,Oroundwuter IAvel s IP ERCOJLATION FEET DIAN lllanu / . Observation pp,� y Holc 11 d 7 Tinle at 9" Depth of Perc _ —�_--- Tlmp at 6" S1att Pre-soak Time @ J��0� �l s`�� Time(9"-6") End Pre-soak �'/ Rate Min./Inch A/ Site Suitability Assessment: Site Passed _ Sibe-Failed: Additional Testing Needed(Y/1\I) 'V Original: Public Health Division Observation Hole Data To Be Completed on Back---- *-**If percolation testis to be coiaducted witlliil 100' of wet4and,you midst first UoUry thine. � Barnstable Conserv;ltlon D9vIS1o11 at least olle (1) Weelc prior to begulll➢ing. QAS EPTfC\PEIZC�ORM.DOC f ]D11ElEP.®BSIrrtVATr®N t rr®r,E LOG r Depth from Soil Horizon Soil Texlure; ��®l�# � `' Surface(in.) Soil Color Soil• Other •(USDA).. '(Munsell) Mottlin g (Strje(ure,Slones;Boulders. —t0 SL /UV2 Z Con istenc %' ravel DEEP OBSERVATION HOLE'LOG Depth from Soil Horizon Hole �} Z Surface(in.) Soil Texture Soil Color ---- (USDA) Soil Other (Munsell) Mottling (Structure,Stones, Boulders. �O Z/ Consis enc %Cravel `4Z . Z-s �o yam/ --_-__— ZZ G �� Z ' - 1t/G DE lip®raS RVATrO�r E r�®� ®G Depth from Soil Horizon r�®��# • Surface(jn:} Soil Texture - 5oj1 Color Soil (USDA) (Munsell Other Mottling (Structure,Stones,Boulders. Consistency,T,unveil s 1..� /G i� 1/' _ • - - ------------- DE EP OBSERVATION HOLE LOG Depth from Soil Horizon Hole 9_ Surface(in.) Soil Texture Soil Color Soil (USDA) ., (Munsell) Mgttlln !liar g (Structure,Stones;Boulders, Consi ten °k arav�• Imo^ -lam Flood Insurance Rate IVpaW Above 500 year flood boundary No Yes%\ Within 500 year boundary No Yes ' Within 100year flood boundary No— yes Death orNaturally 0c�g]Ebeirvi� 'ous Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the ' area proposed for the soil absorption system. If not, what is the depth of naturally ncrurrinly 1)8rvio•us Ce>ct>I$�cat>lan I certify that on �C (date)I have passed the soil evaluator examination approved by the Department of Environmental.Protection and that the above analy.-is was performed by me consistent with ilia required training, expertise and experience described in 10 CMR 15,017. Signature Datb Zaf r Q:1SHPTICIPERCFO RM.DOC yS No. -- l Fee-------------------- BOARD OF HEALTH TOWN OF BARNSTABLE 0[ppIication-*rVell Con5tructionpermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: lPlf�'_P_•st _ s�___fed % ��_— — ---- =-�' — ------ Location — Address Assessors Map and Parcel Owner Address � ��1g� �11� ------------------------------------------— -- -- —- -- - - Installer — Driller L,7 Address Type of Building Dwelling _—--- -- - --------- Other - Type of Building------------- - No. of Persons------------- - Type of Well— ------- - ------- Capacity---- - ---—---- --— Purpose of Well ------ Agreement: �" �. a �+� (1('-jt�� The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. - ----- - __/0 6>�o Signed - date Application Approved By ilyNlj: --- — --Lof— te/6 - -+� - date Application Disapproved for the following reasons:------------- - -—- ----- ------ ---------—--— — -- - — --- --- --- -- -- ----- date Permit No. U-q'- -�---- Issued—�--�- ------------------------ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compriance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (p}' by 414-1- Cl Installer at— Q�� ' °oeLg l�cO P —G(/�S ��L�l ----------—------ --- --- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well rot ction g Re ulation as described in the application for Well Construction Permit No. W 1u�-Y=�_Y_Zated G" THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- -- -— - -- Inspector--------------------------- --—---------- No. Fee----- -------- BOARD OF HEALTH TOWN OF BARNSTABLE Zipplication-*rVell Con0ructionpermit -a. Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at n, a— — —-- — ---� Map rs and Parcel ----- Location.= Address P Owner Address ---------/ ✓� ('.k?= ,JY"f/_/c/ �! rY/�(1 —— — -- -- ——--- — -- —— — — Installer — Driller Address Type of Building Dwelling Other - Type of Building--____—_____________ No. of Persons-------------------------- Type of Well— --_----- ——----— Capacity------------ --——--- --- Purpose of Well---- �' �'—---— Agreement: �� 5 UDR �s�y (Lcr'yt.t.,� . The undersigned agrees to install the aforedescribed individual w-ell:mo ,,in accordance with the provisions of The H- w, Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed /0 { ' —date Application Approved By �"�= ----t-`= -- —"'' — ? C-��---- date Application Disapproved for the following -- r ———------ date Permit No. Issued--� �G�'------- --- --- �--- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f COMPU nce f THIS IS TO CERTIFY, That the Individual/Well Constructed ( ), Altered ( ), or Repaired (v) by jJ Installer at__._ lah,�- ----- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private We722 rotection Regulation as described in the application for Well Construction Permit No. W y=dyZated 1 v2A y--- 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 Melt con5truct ion Permit No. Ac� d d y- 7 Fee----i = Permission is hereby granted --- -- ------------to Construct ( ), Alter ( ), or Repair v'fan Individual Well at: _ Street as shown on the application for a Well Construction Permit No.----- -- -------- Date � / Board of Health DATE— 1 0 -2 7_a L -- T- RECEIVED iL to CERTIFICATE OF ANALYSIS JUN 2 ipfN l n? Barnstable County Health Laboratory TOWN OF BARNSTABLE Report Dated: 6/16/2004 HEALTH DEPT. Report Prepared For: Kerrie Eldredge Order No.: G0425352 Eldredge Frame&Remodel 22 Westminster Rd. Centerville, MA 02632 Laboratory ID#: 0425352-01 Description: Water-Drinking Water Sample#: 25352 Sampling Location 268 Pine St West Barnstable MA Collected: 6/1/2004 Collected by: K Eldredge Received: 6/2/2004 Routine ITEM RESULT UNITS RL MCL Method# Tested i LAB: IC Lab Nitrates BRL mg/L 0.1 10 EPA 300.0 6/3/2004 LAB: Metals Copper 0.1 mg/L 0.1 1.3 SM 3111B 6/14/2004 Iron BRL mg/L 0.1 0.3 SM 3111B 6/14/2004 Sodium 110 mg/L 1.0 20 SM 311113 6/14/2004 LAB: Microbiology I Total Coliform Absent P/A 0 Absent 307 6/2/2004 LAB: Physical Chemistry I Conductance 560 umohs/cm 1 EPA 120.1 6/2/2004 pH 7.9 pH-units 0 EPA 150.1 6/2/2004 i Sodium level above the average.Those on a low sodium diet may wish to contact a physician. Approved By: ' ( Director) 0. ,.. - RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS l; DEPARTMENT OF ENVIRONMENTAL PROTECTION • I53 MAP PARCEL 1- ® f . ()T TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: o� 8 Owner's Name:_('4mavAg,.$ Owner's Address:_�� .��T„�„ -sTc nri RECEIVED • Date of Inspection: MAY,2 12004 Name of Inspector: (please print) Company Name: V, Comex xo TOWN OF BARNSTABLE Mailing Address: HEALTH DEPT. Telephone Number: 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 the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature:. 6, L Date:- g 4. The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I 1 OFFICIAL INSPECTION FORM:—NOT FOR VOLUNTARY ASSESSMENTS 'SUBSURFACE SEWAGEROPOSAL SYSTEM INSPECTION FORM s. PART.A CERTIFICATION(continued) Property Address: 33`0c-<r owner: Date of Inspection: Inspection Summary: Check A,B,C,D or E!ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments:, 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. -1.1�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 exfibration 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: Nvi 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 ievelod 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 inspectionif(with approval roval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: F Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: c ST Owner: Date of Inspection: C. Further Evaluation is Required by the Board of Health: jk> 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. I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: — Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health,(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health',safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. — The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS.is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: Page 4 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY 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 afl inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.[This system passes if the well water analysis, performed at a DEP certified-laboratory,for conform 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 most be attached to this form.] _.,� (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"yes"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—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. V` 4 r r. Page 5 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: s Owner: Date of Inspection: Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No A. Pumping information was provided by the owner,occupant,or Board of Health _ J, Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? _ Have large volumes of water been introduced to the system recently or as part of this inspection? _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? _ Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site?. _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _ Was the facility owner(and occupants if different from owner)provided with information on the proper ath mtenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information.For example,a plan at the Board of Health. ' _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM `.:PART C SYSTEM EWdRMATION Property Address: c Owner: Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): t�- Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): �Q_ Number of current residents: O % Does residence have a garbage grinder(yes or no):_L? Is laundry on a separate sewage system(yes or no):g.,D (if yes separate inspection required] Laundry system inspected(yes or no): &po Seasonal use:(yes or no):A�O Water meter readings,if available(last 2 years usage(gpd)):— ih Sump Pump(yes or no):_ Last date of occupancy: COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CUR 15.203): god .. Basis of design flow(seats/persons/sg8,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 INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no):_.gyp If yes,volume pumped:_gallons—How was quantity pumped determined? Reason for pumping: 1 TYPE OF SYSTEM —Septic tank,distribution box,soil absorption system Single cesspool % b*A-r\0\0 C`e!aSPcx�L.. Overflow cesspool —ivy —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):�3 6 t Page 7 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: `1'[me ST • �s�Q n Owner: d lay Date of Inspection: �2o rT— BUILDING SEWER(locate on site plan) Depth below grade: Lj 1— Materials of construction: cast iron 40 PVC_other(explain): Distance from private water supply well or suction line: 't loo t Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction:_concrete metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of 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 bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP: locate on site plan) Depth below grade:_ Material of construction:_concrete metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 �_ I Page 8 of l l ; e OFFICIAL INSPECTION FORM-.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE W%POSAL SYSTEM INSPECTION FORM PART C . SYSTEM INFORMATION(continued) Property Address: tk , Urns Owner: 9 1,10- Date of Inspection: TIGHT or HOLDING TANK:VJQ(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: aallons/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:,O(if present must be opened)(loe on site plan) Depth of liq uid quid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any.evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): • pF p f , Page 9 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 24S C p t 1o( S� to , Owner: Date of Inspection: SOIL ABSORPTION SYSTEM(SAS):UP(- (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow,cesspool,number: i umovative%alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: l G X(5 Depth—top of liquid to inlet invert: 2— Depth of solids layer: All Depth of scum layer: �_t Dimensions of cesspool: Materials of construction: CAAX i lia-AX Indication of groundwater inflow(yes or no):_D Comments(note condition of soil,sign,I of hydraulic failure,level of pond ng,conditio of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of l l OFFICIAL INSPECTION FORM :-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM I19ORMATION(continued) Property Address: ��.�G t Owner:lip.n.l �t�— 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 building. Z Ott 10 Page l l of l l c, OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: I W 5'r I Owner: Date of Inspection: O SITE EXAM Slope 010 Surface water j�.* Check cellar Shallow wells l Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from 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 USGS database-explain: You must describe how you gstablished the high ground water elevation: 11 I Make application to local Fire Department. [i V Fire Department retains original application and issues duplicate as Permit. ' J l�2CYiG�f2 Q�L/(/GC?/14G�G12G(/l2L #9 9;,51' 1 0 Fee; APPLICATION and PERMIT , �$25 for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made.by: Tank Owner Name (please print) Burling X Signature(it ap ying orpermr( Address 96P Pine St West BArnstable,i MA 02669 Street city State Lio I t i I Company Name Adva nc--pr7 Fnvi rnnmR-n t a] _ Co. or Individual I Print Print Address P (LRnx 4J 2 rl 9 7rgreat W0 estern Rd Address Print i Signature (if ap I ingjermit) Signature (if applying for permit) i CI Certified Other O IFCI Certified ❑ LSP # Other Tank Location 268 Pine St . ,i West Barnstable,i MA Start Address city Tank Capacity (gallons) 1 rion Substance Last Stored #2 Tank Dimensions (diameter x length) Remarks: I I i i Firm transporting wasteAdvanced Environmental State Lic. # MV5083856100 • I Hazardous waste manifest# E.P.A. # i Approved tank disposal yard James G.Grant Co . , Inc Tank yard # 008 i Type of inert gas Tank yard address wn c t R e a dlr i l l e,• MA i City or Town WEST BARNSTABLE FIRE DEPARTMENT FDID# 01923 Permit# 99-51 _ Date of issue JUNE 24; 1999 Date of expiration JUNE 28, 1999 Dig safe approval number: 19992501091 Dig Safe Toll Free Tel. Number-800-322-4844 i Signature/Title of Officer granting permiAl f 19—E /N'S PP,vro Q- After removal(s) send Form FP-29OR signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02108-1618. 07-07-2000 10:40AM CENT OST FIREDEPT 508?5132385 P.04 -Z1E-M..RY=Y MM �� b SIBEET ADDRESS OF PROPERTY BEING SUD OWNER: - PHONE: ADDRESS: ! OCCUPANT: Burling PHONE:. ADDRESS' 268 pine Street ,�� PHONE- _ i pRE ANT FLMasLE_MW ED s.TQRa E AT PROPERTY: TANK SIZE PRODUCT LOCATION AGE CONSTRUCTION Our records indicate no underground storage tanks at this location ! ! TANK REAAOVED FROM PROPERTY: ! TANK SIZE PRODUCT CONSTRUCTION AGE DATE REMOVED Our records indicate no underground storage tanks removed from this location { I ! i t SPILLS/LEAKS AT PROPERTY: ! i DATE MATERIAL RELEASED APPROXIMATE SIZE OF RELEASE QUL_r=or" indicate no sP`1 a cx l ak4 at his location f II INFORMATION PROVIDED BY: F. L. Zarrelli Julg 7, 2000 C-O-AMM FIRE DEPARTMENT DATE 1876 ROUTE 28, CENTERVII-11, MA 02632 •' RECORDS OF UNDERGROUND TANKS ARE ALSO LOCATED AT -TOWN HALL, HYANNIS, IWA AND RARPIStAaLE COUNTY COURTHOUSE, ROUTE 6A, BARNSTABLE MA. C-"M FORM OM - ...�;vr .s. ''' � •,,,r.,,r�r,....i*r r4c5tr .-'r `r"w.•.r• .3. TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION 5 M P NO. �•: PARCEL NO. �` ADDRESS OF TANI�C:%_ lt ``. VILLAGE: `, 1IL: t � MAILING ADDRESS CIF DIFFERENTFROM ABOVE) : 4 OWNER NAME: !Il ,t� _t.r!_t"�11 i � f� .,i j PHONE: 4 � INSTALLATION DATE: I ` f ` 7 - BY: n INSTALLER ADDRESS: -CERT.No. *TANK LOCATION: (mamovR I OM TANK ILOQAT=ON W S TH PYmamwCT TOE au S L I,NO) 4,4' CAPACITY If- TYPE OF TANK '—C .l AGE k D YRS. FUEL/CHEM I CAL t TESTING CERTIFICATION 11 ] PASS C ']---FAIL DATE. == f F._ LEAK DETECTION,". EA CHECK IF N/A TYPE/BRAND ' r ZONE OF CONTRIBUTION, [ ]' YES..[ ] NO DATE TO BE REMOVED . E FLRE >DEPT. PERMIT ISSUED [ I 'YES., [ .] NO DATE", y CONSERVATION [ ] CHECK iF'N/.A a3 ` DATE. , r If r BOARD OF HEALTH TAG NO. [ ' f ] DATE PLEASE PROVIDE A SKETCH- SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD Lj ac` ' S G � C E � • I :3 /!?4 Fee------ BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVell Con$tructionPermit A 1ication i ejeby made for a pe rmit to Construct ()<), Alter ( ), or Repair ( )an individual Well at: - --- :=--- -- -- - ------ --- -- ----— -- ---- Location — Address Assessors Map and Parcel t -------------3- ° L;-="- --— —° (- -`S -- -- e1 —-- — — Address m� _ 3 3 ----- Installer — Driller Addre,.( Type of Building Dwelling-----—-----—------------------- - - Other - Type of Building --------= No. of Persons------------------------------------------------ YP g-----------�-T-,-GG�y� Type of Well— C�-��—`_-�-- - ---•�-/— --�-�' Capacity------------------- — -- —- ——— — Purpose of Well---- -0- ---------- 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 uyrtfijl a.- 1 ica ' m iance has been issued by the Board of Heal h. Signed ----- --- --------------------------- �-- date Application A Proved P date Application Disapproved for the following reasons:-------------------------------------------------- --- -----------— -- - ____ --- --- — ---—- - - - - ----------------------------------------------- - �.�-, date Permit No. -— � 1��j- -- Issued-- ----- --- — -------------- date C .t.4 Fee BOARD OF HEALTH F �.BAR:NSTABLE r TOWN _ -0� Apptication,for e'll CongtructionPermit -_ Application�,ereby made fQr a pe4it to Construct (k), Alter ( ), or Repair ( )an individual Well at: Location Address Assessors Map and Parcel -- �� - - ----- - ------------ ----- ° Awner Address G/ w A-1 - - - Installer — Driller Addrex Type of Building Dwelling Other - Type of Building---------- No. of Persons - - ---— --- C',Type of Well--- .,...�------ --�-- - Capacity---------------------------------- ----------------�-- Purpose of Well - ' Agreem nt: \� -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 u i a C ifca ' mpliance has been issued by the Board of Health. _ Y , d Signed � -- ---- -------------------__---- -�^ - --- �--------- ,` date --—— - — --------------- Application Approved Br - .� date Application Disapproved t' pp pproved for-the following reasons i' ----------- -- - —=---------- - ---- - - - -}- - - -- ---------------—- ._ date u Permit No. ---� �=-- �- ` _ Issued--- - - :-- — --- y date r..wa.�.ME— BOARD dF HEALTH TOWN OF BARNSyTABLE ` t Certificate Of Compiianrr THIS IS-10 CERTIFY, Tbat.the Individu 1 Well Constructed ( Altered ( ), or Repaired ( ) --------------- Installer at- � - �`t'�— "T� GcJ ��2sYS -- ------------ --------- 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 PermiC N41-95--='`•Dated_�'-r` +� If THE ISSUANCE OF T1iIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. , '•, F DATE .�-' '`- �-� f- ---- — Inspect r'- - - f - BOARD OF HEALTH TOWN OF BARNSTABLE rr Well Cootruct ion Permit -- -- "" No. -----�� Fee----------=- j , Permission is hereby granted- - ------=--------------------------- to Construct Alter ( ), or Repair ) an Individual Well at NO. -� - - ��jig __`__ --l''J---f--7--/------- - ..- - - -- - -- street as shown on the ap •cation for a Well Construction Permit Dated-- - -<_'—G✓___-- ----------- -------- jl 1 `- Board of Health DATE---- - -- ---=— INt 1 STAMP: EXTENDED DECK TOVJIN OF NEW DECK ^o EX. DECK 1 Q.T e T_T° I SHOWER 3'-ID° 10'-5° l0'-5° EX. 5UN ROOM _,d, O I � ® HALF A p SLIDER TO iD WALL •9 TO BE REPLACED m C O 42'r42' - LD q O M BATH C LD ..w/GL.4. -N ENCLOS RE W O q O O M. BEDROOM O �> � J O O CATW CLG. o TUB W LLJn N 31 I 9' V) M Z EX, MUD ENTRY QO Z n Z I FIELD L0.^AME NEW s'-W STOVE ON II DININ pj w m r /' I BRICK WEAdtW a O S O CL II II I DR. J I LIVING RM, II II OVEN O II I v II OVEN Lam' II II r--- I W - 'T--I I II II I O,OOQ U Q IX.WDw O N - I 11 I COOK CJO Z TO BE 5 REPLACED EXPOSED II II OPEN TOP rr� LLJ ` O BEAM TIE5=1 _ I CUPOLA—L——_—J 1— Ex F/P .. II 4_2° 11 ARh I EX.'GARAGE LLJ KI CH N , cn LLJ ^\ DE5K 11 REF DW v' W W J --- - m IX.wow O DEN J- =====t TO BE Q REPLACED �DN. u READING II N W (� LI 2 6° NTRYQ0 �, W._.........._............_cL' `o COV R DO OOLLJ a IX s' _ z Q ' DOOR ULi P /� O m IX. WDW A 4'-0° TTP. T 4'-O° W TO BE N V) S REPLACED o W EX.y�pylLi EX,HVLKNEAD NEW 16'WIDE TO BE < OVERHEAD DOOR REPLACE D �� z _ EX.WOW C TO Be REPLAGf02° 3'-2° I, 7'-4• TITLE: 1_21'_0 4,_B° FIRST FLOOR EX. D.TO EX.WOW TO - REMAIN REMAIN LAN ±24'-0° - bl_B. DATE ISSUED: 06/01/11 � FIRST FLOOR PLAN REVISIONS: INDICATES IX.WALL5 INDICATES NEW WALL CONSTRUCTION DRAWN BY: NOTFa - r PROJECT #. . THESE DRAWINGS AS 514OWN ARE FOR ILLUSTRATIVE PURPOSES ONLY. CONTRACTOR IS TO SITE VERIFY ALL EXISTING VS.PROPOSED CONDITIONS PRIOR TO AND DURING DRAWING NO.: CONSTRUCTION AND TO MAKE ALTERATIONS AND/OR ADJUSTMENTS TO WORK AS IT _ PROGRESSES TO PROVIDE FORA COMPLETED PROJECT W COMPLIANCE WITH DESIGN :$ PARAMETERS AND MINIMUM STANDARDS SET FORT"IN MA STATE BUILDING CODE AND _. sE APPLICABLE TOWN CODES/ORDINANCE5. CONTRACTOR TO VERIFY ALL DIMENSIONS PRIOR TO BEGINNING OF CONSTRUCTION. Al RG =55= Leu > STAMP: 0 3 N I O I DOOR .SCHEDULE iF 4-o' O B B° SYMBOL Monufocturer Model DOOR SIZE NOTES WIDTH HEIGHT o 01 ANDERSEN FWH3168 3-0° b'-8° 04 -- 02 TO MATCH EXISTING -- 4'-0' b'-8° -- N W 03 ANDERSEN FWGBObB W-O° 6'-8° -- U Q (/ J 04 ANDERSEN FWG606B 0-O° W-8' -- J X LI Uj r\Ln 05 ANDERSEN FWG606B 6'-O° 6'-8" -- 2 V) n Z 06 TO BE DETERMINED 6'-e° -- Z O� xp o 07 TO MATCH EXISTING -- 2'-6" O $ OB TO MATCH EXISTING -- 2'-4' 6'-8° -- LLJ m N 0 N .L OPEN TO M.BEDR'M. STORAGE _- -_ ATTIC a Oq TO HATCH EXISTING 2'-6" b'-8" - L12 TO MATCH EXISTING -- 2'-1' 6'-8" TO MATCH EX15TING TO HATCH EXISTING -- 2'-4' -- 4'-4° I3 2'_q• TO MATCH EXISTING - 2'-6" 6'-8" -- 11J TO MATCH EXISTING 2'-4° 6'-8° U - TO MATCH EXISTING -- 4'-0' 6'-8° -- zOLIN N TO MATCH EXISTING -- 4'-0° 6'-B' -- LIJ { v A 14 - Q LLJ cn Fn W LLJ 3' LOFT F O O faf LL W q ® SHOWER > - ^' Q N- V I BATH Q WINDOW SCHEDULE > o Z z m /y NEW WLLDOINN r----� O - SIZE O LJ n L� sra"S SYMBOL Monufocturer Model TYPE NOTES z LL Q WIDTH R.O. HEIGHT R.O_ L J 00 m o :v __ /\° NEW RAILING m CL iv O A ANDER55EN TW2442 DBL HUNG 2'-6 1/8' 4'-4 7/e' J C_0 AT IX.STAIRS u B ANDERSEN C235 CASEMENT 4'-0 1/2' V-5 3/5' -- LLJ N � C ANDER55EN TW20210 DBL HUNG 2'-I I/B' 3'-0 7/8°- LLJ W 'a D ANDER55EN A21 AWNING 2'-0 5/8' 2'-0 5/8' -- � O _4, NOTES: o I o BEDROOI"i 1.2 GRILLE PATTERNS ARE A5 SHOWN WITH 4VINYL400 SNAP IN GRILLES 12'-2° `B CL in / 3 IN ALL WINDOWS ARE ANDERSEN,TILT WASH 400 SERIES -WHITE W/ PRE FINISHED . ALL 14 �y 3. ALL WINDOWS TO HAVE (I) - STANDARD SASH LOCK• KEEPER WHITE FINISH O BEDROOI'1 o O c 4. ALL WINDOWS TO HAVE (I)- CONTEMPORARY 5ASH LIFT WHITE FINISH TITLE: 5. CONTRACTOR TO VERIFY ROUGH OPENING ON WINDOW SCHEDULE PRIOR TO ROUGH FRAMING. 6. PROVIDE'TRUSCREEN° INSECT SCREEN (FULL HEIGHT)@EACH OPERABLE WINDOW. SECOND FLOOR PLAN/ SCHEDULES 0 0 2_10, 6'_nn •— 12 DATE ISSUED: 06/01/11 REVISIONS: SECOND FLOOR PLAN • SCALE"/4 '-O I DRAWN BY: PROJECT #: DRAWING NO.: �r A2 . 3� e� Lcq a �i SYSTEM DESIGN: ALL SYSTEM LEGEND I D SYSTEM PROFILE MAR ED WTHCMAGNETICTTAPEAOR LL BE NOTES C I y GARBAGE DISPOSER IS NOT ALLOWED •(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. Porker Poo 1. DATUM IS. APPROX. NGVD 99 - EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE DESIGN FLOW: 5 BEDROOMS ® 110 GPD = 550 GPD 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS NOT AVAILABLE X 99.1 EXIST. SPOT ELEV. - TOP FOUND. EL. 71.3' - FILTER FABRIC OVER STONE �''�.� cu USE A 550 GPD DESIGN FLOW \ 69 5' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 99 PROPOSED CONTOUR MINIMUM .75 OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 67.0 PRECAST H-10 8" MIN. DIAM. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS 198.4 PROPOSED SPOT EL. SEPTIC TANK: 550 GPD (2) = 1100 RISERS (TYP.) COVER BLOCKS OR IS2'0 PRECAST RISERS TO BE AASHO H-10 Qo �fP �`�''�• LPIPE '.) PVC MORTAR ALL TH1 USE (1) H-10 1500 GAL. SEPTIC TANK .'JEL 1ST 2' 4' COMPONENTS H-10 5. PIPE JOINTS TO BE MADE WATERTIGHT. TEST HOLE ENDS (TYP.) INV S EL. 63.7 SIDES 64.5' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH LEACHING: *69.3 Pee�o^moo=moo 10„ t4•• o°°°o°o° ,00000000 310 CMR 15.000 TITLE 5. 22 SLOPE OF GROUND - ' 1500 GAL H-10 , o 0 0 o t� o 0 0 o 0 0 0 o o >°o°o°o°o ( ) SIDES: 2 (42 + 12.83) 2 (.74) - 162 GPD 67.50 TEE SEPTIC TANK TEE 67.25 o 0 0 0 00�0 �00� �Daa O -O�DO ° y ofo " o 0 0 0 0 0"0° >o°o°o°o° o000000a000 aaoaaa�aooa �o°o°�o°o° G0� 6' ° ° ° ° o ° ° ° 6" Mlr; SUMP o > o ° ° ° ° ° ° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO tt�4' LIO. LEVEL o o°o°o°o°o°o° °c °o°o°o°o oaaoa�o�oo� a�ooaaaooao o°o°coo°° CU e GAS BAFFLE 0 00°000000000 oc 12" M d. INT. DIM. N ,°o°o°o°o ,o°o°co°o° Lane UTILITY POLE BOTTOM 42 x 12.83 (.74) = 398 GPD ACME oR EQUAL o°o a��O�DOa000 ��aaa�C��a�a °°° °°°° BE USED FOR LOT LINE STAKING OR ANY OTHER filer L FIRE HYDRANT 64.17' 64.0' o 0 0 0 0000c000a 61.7' PURPOSE. d Y TOTAL: 756 S.F. 60 GPD °°°°°°°° ° ° ° ° 50 __'� NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING o 0 0 .o 0 0 o 0 0 0 o c 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. _ 0 0 0 0 0 0 0 0 0 0 0 0 H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST IOR EQUAL. USE (4) 500 GAL. H-10 LEACHING CHAMBERS (ACME OR EQUAL) o 0 0 0 0 0 0 0 0 0 o c 0 0-0-0-0-0 0 0 0 0 0 0 3/4"�-1-1/2" DOUBLE WASHED STONE 4' MIN. (4) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED " � � � � � r ALL AROUND PRECAST STRUCTURES C� I WITH 4' STONE ALL AROUND 6" CRUSHED STONE OR MECHANICAL OVERF• L DIMENSIONS TO OUTSIDE OF STONE: 42.00' X 12.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND r7ak Stree COMPACTION. (15.221 [2]) N PERMISSION OBTAINED FROM BOARD OF HEALTH. *THE INSTALLER SHALL VERIFY THE 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS MAP ELEVATIONS PRIOR TO INSTALLING ANY LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES ( 3.6 SLOPE) 1 56.5' BOTTOM TH--3 & 4 PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE ( 9'S% SLOPE) ( % SLOPE) NO GROUNDWATEM FOUND PORTION OF SEPTIC SYSTEM 51 MIN. 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5'.: BENEATH AND AROUND THE PROPOSED ASSESSORS MAP 153 PARCEL 17 APPROVED DATE BOARD OF HEALTH MA FOUNDATION LEACHING 19' SEPTIC TANK 85' D' BOX 17' LEACHING FACILITY. FACILITY , I 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. h� I TEST HOLE LOGS ENGINEER: ARNE H. OJALA, PE, SE o^ � 56.o5 65 6 WITNESS: DAVID W. STANTON, IRS �. 5 g6.45 APPROX. LOCATION DATE: 1/6/11 OF ANIMAL PENS + z. 56.s3 66.78 s7.5e, PERC. RATE _ < 2 MIN/INCH 1 / CLASS I SOILS h� 5g NO POTABLE WELLS WITHIN 150' OF NEW LEACHING FACILITY J I 54 ELEV. ELEV. 54.13 h� s .3s 60:3 „ � 67.0 � 67.0' � � 66.5' » 66.5 • 4 55 5 .57 GARDEN A A „ FILL FI LL SL SL 6 6" o o 56 .56 CAP 59 n _ \ 1 OYR 2/1 1 OYR 2/1 A 613 619 LS LS 5 .44 B B _ 10YR 2/1 1 OYR 2 l 1 63 _ 2 5 „ „ ! x . 8 8 �$ x 6 e3 SHED LS LS / .62.91 r; (Na FNDN) s B B 29 C8 FND. 24„ 1OYR 5/6 1OYR 5/6 X, 49 s�, 65.0' 24" LS �S 4 98 p r 24 1OYR 5/6 1OYR 5/6 6 •63.33 o 0 5 64.5' 24" 64.5' 40 •63.83 PERC C ,,.61.91 4" C C C j .99 \ 6a& 4 PERC 19 x 6.8 3 _Y9 x 56.82 FS FS FS FS 17 68.65 / ./ 8.5 1T ? 4 3s 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 6 7F S 4 ° • 8.2 \JF . 59.84 \ 13 .9 6. » , �r , t� , �� ' o.� � 120 57.0 120 57.0 120 56.5 120 56.5 I DECK \ 6$ j�6 39 NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED o85 7.95 INVERT EL.69.3' 1�Q.5 7.20 \ I PAVED BENCH MARK - CORNER CONC. \ O DRIVE \ APRON AT GARAGE EL. = 70.2 EXIST. DWELL. 70. O 66.91 T.F. 71.3' 69. 0 7 TITLE` 5 SITE PLAN 70.64 x 8.4 \ v 6618 1 � + � Or I>>2 2O 70.47 i 6� 1 LOT AREA / °6 .83 �� 268 PINE STREET 99.039 f SF / WEST BARNSTABLE 6 .28 PREPARED FOR CHARLES & KER RIE ELDREDGE 15 •64.6, JAN UARY 10, 20111 / EXIST. WELL / Scale: 1"= 30' i 0 15 30 45 60 75 FEET •6 .84bbt 1 v� I a�HOFrn 9c� �AOF Sc off 508-362-4541 C ovate Asa fax. 508-362-9880 .6 .02 f$� DANIEL �� o� DANIELA. �� downcope.com S m Q N OJALA c OJALA Town Cope ea %neer%ap, Inc. ti 0 P pNo.46502 e `� ess TeR civil engineers .� land u �ti .,,..SugvE.� S NH � s rveyo�s lcg- \1 - 1 939 Main Street Rto 6A DATE DANIEL A. OJALA, P.E., P.L.S. YARMOurHPORT MA 02575 I i > 0-291