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0101 WILLOW STREET - Health
' Willow Street W. Barnstable ~ r A = 156 001002 y v u � - c v u o n r t TOWN OF BARNSTABLE LOCATION I ok �11��'`� �� SEWAGE# bI— OTT VILLAGE k-J'3- P� 1 t�S ASSESSOR'S(MAP&LOT INSTALLER'S NAME&PHONE NO..` �� CO6 `,-ibp -t C_ SEPTIC TANK CAPACITYSTI 4J�'fi LEACHING FACILITY:(type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 2—V- " M COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Z/'-M Feet Private Water Supply well and Leaching Facility (If any wells exist r on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin facility) Feet c Furnished by ���� /�� �ron4 Door Gwa ft A y� 131 16,G a✓ Q No. ✓(f� Fee v" THE COMMONWEALTH OF MASSACHUSETTS Entered incom'uter: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplitation for Disposal *pMem tonstCUttion permit Application for a Permit to Construct( ) Repair(f�Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /a !ram s/�o T Owner's Name,Address,and Tel.No. /l v w e Assessor's Map/Parcel 3 ,g5 _ Z ate— 73 7—-0 3;31 Install 's Name,Address,and Tel.No. ,y��o^ ems_? De*;ner's Name,Address,and Tel.No. 71 Type of Building: Dwelling No.of Bedrooms Lot Size _Fp, sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �!/f/cJ gpd Design flow provided �S`C/ gpd Plan Date l�7 Number of sheets Revision Date 'Title 2/a ssi = Ake Size of Septic Tank 4,5-op Type of S'.A.S. Description of Soil �_�Tc�i 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 of He". Sig,4d Date Application Approved by Date 7 Application Disapproved by Date for the following reasons Permit No. W17 0 Date Issued nn No. !? Fee THE COMMONWEALTH O MASSACHUSETTS Entered in com'uter: Yes PUBLIC HEALTH DIVISION - TOWN OF S'ARNSTABLE, MASSACHUSETTS Zipplicatlon for MispoSaY p' tQIiY`Construttion Permit -Application for a Permit to Construct( ) Repair Upgrade( Abandon p y ❑ p( ) ❑Com lete System Individual Components Location Address or Lot No. /a /r�4 110 w s T" Owner's Name,Address,and Tel.No. Ir 4si e- • r,U. i✓a�'rrf��,�/yc s G rat Assessor's Map/Parcel S6 / - Z ate— 73 7—D 3.31 Installer's Name,Address,and Tel.No. ,f��g 7�� a Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size -;Eo 4JG; sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) !�/f/O gpd Design flow provided gpd Plan Date 3�G�T Number of sheets }/ Revision Date Title Size of Septic Tank /J'DO Type of S.A.S. G Description sc tion of Soil P. i Nature of Repairs or Alterations(Answer when applicable) _7�s{fi// ,� e� f�/3d!( dy 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 Hea _ Date // /�' Application Approved by Date />3 Application Disapproved by Date for the following reasons Permit No. ,9017 G ? Date Issued `c) ------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS X BARNSTABLE,MASSACHUSETTS Certificate of Compliance TIES IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by i at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NAI7--()7& dated 3 �' i Installer �__ Designer #bedrooms 1 f Approved design flow b� gpd The issuance of this permit shall not be construed as a guarantee that the system will c i as designed. Date / "] Inspector S ---- ----------n--------------------------------------------------------------------------------------------- --------- - No. / / �C76- Fee---------- THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS -MispoBal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair(� Upgrade( ) Abandon( ) System located at s/G/ ze �'f/o� s�T e--. i i 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 complkted within three years of the date of this pe it. Date 3/c�3/!� Approved by Town of Barnstable P 9 ;De artment of Health,Safety,and Environmental Services Im Public Health Division Date 19, 367 Main Street,Hyannis MA 02601 HARMABLIC, MAM 16 9.00 Fee Pd. rri Date Scheduled Time 0&iPl F Soil Suitability Assessment for Serge Disposal Performed By: a f le 5 Witnessed BY: UMV i ef ........... xx .,X: x: ..........Wo .. . . .. ..................... ..................... .... .... . . ................. X . . ............................. Location Address /01 C4 1 J11-2 Owner's N11-m-c ,V- Address Assessor's Mapfflarcel-h-Z 001 an— Engineer's Name NEW CONSTRUCTION REPAIR Telephone# 3k YJJ Land Use Law 0 Slopes(VO) 0 Surface Stones. Fe Ix" Dislancesfrom: Open Water Body :(Oc/ —ft Possible Wet Area ft Drinking Water Well >/_Oft Drainage Way 11 Property Line ft. Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) \Well 41 50 L:CL) fie!(;� / � 3 Parent material(geologic) Depth toBedrock Depth to Groundwater: Standing Water In Hole: lulk Weeping from Pit Face �IA Estimated Seasonal High Groundwater &/_A__ T A.. 0 MON.... Method Used: Depth Observed standing in obs.hole: in. Depth to Soil mottles: in. Depth to weeping from side of obs.hole: in, Groundwater Adjustment R. Index Well# -Reading Date: Index Well level AtIj.factor Adj.Groundwater Level .......... . ....... ... q Observation Hole N t 91, Time a Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) X/ Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant ................... 1 -------- ------ :.;:. Depth from" Soil Horizon Soil Texture Soil Color S0'it Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes: Consistency.%Gravel) 3 H O C2 : t . OX3SEX2YATIQN::H.O►.LL:L!U.G:::,:.:::::::::.::.:<.:�;:.:Hol..e::.#;:.::.:.. .:.:::.;:.:::<.;:>:<.>;:..:.;::: ;::::,: Deptli from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling, (Structrre,Stones,Boulderes. r z,57y 7/ ........................ Dcplh from Soil Horizon Soil Texture Soil Color I Soil Cther Surface(in.) (USDA) (lvhinsell) Mottling (Structure,Stones,Boulderes. ConsistenU.%Gravel) LQG:;::>>:::::<:::<::;:::::>:Hoh. ..... :::::::::.::DEEP:::..:BER :...: :.:..:.::.:.::...:.:::::::::.::.:::, : :.:: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.°°Gravel) Blood Insurance Rate Man: Above 500 year flood boundary' No_ Yes - Within 500 year boundary No` "/ Yes Within 100 year flood boundary No`� Yes Depth of Naturally Occurring Pervious 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? P If not,what is the depth of naturally occurring pervious material? Certification I certify that on�j (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature ��"�'" J ��' — -- -- Date /�6// Town of Barnstable Regulatory Services $ $ Thomas F. Geller,Director MAM Public health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 568462-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel Designer; ��w /fuA�l Installer; a (:a J' Address: [c � /_i r Address: Gdn�wtou 0+ 4— On MarN,'-Pat L- was issued a permit to install a (date) (installer) septic system at KJ < Ito W based on a design drawn by (address) a�► e � a '�,(6L fE,PIS dated � ' (des er) , V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I cert4 that the septic system referenced above was installed with major changes (i,e. greater than 10' lateral relocation of the SAS or any vertical relocation,of any component of the septic system)but in accordance with State &Local Regulations. Plan revision or certified as=built by designer to follow. (Installer's Signature) 1:;I nJALA CIVIL N0.4t 502 N.�^ V {= (Designer's Signature) J (Affix,Designers Stamp Here) 1't.EASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION CERTIFICATE OF CO.MPLIANa w;LL NOT BE ISSUED UNTIL, BOTH THIS FORM AND.AS-BUILT C R ARE RECEIVEI)BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YQ1U Q Health/SWWt esigaer Certifie*n Form 3-26-04.doc m - , down cape engineering,inc. SIEVE SOILS ANALYSIS 101 WILLOW STREET BARNSTABLE,MA DATE OF REPORT: 3121/17 JOB . GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 101 Willow Street, Barnstable ' LOCATION: DCE Test Hole SIEVE ANALYSIS Weight Sample(Grams): 191.6 SIZE ;WEIGHT RETAINED %RETAINED %PASSED ----------- ......(sum)-------- ----------- ------- 1" .0.0: 0.0%: 100.0% 3i4" 0.0: 0.0%: 100.0% 1/2" 0.0: 0.0%: 100.0% _-----------I--------------••--------..v___------___---------r------------------ 3/8" 0.0: 0.0% 100.0% -------------:.......-•-----------------v--------------------- ------------------ #4 0.0: 0.0%: 100.0% ---------------------------------------b---------------------•------------------ #10 8.1: 4.2%: 95.8% __-_-_-- ..........................A---------------_____�..._-......--___.. #20 _29.0%� 71.0% #40---------1-------------------'141.8 ------------ 74.0%:--------- -26.0% _____________ ....-...-....-......-.....Y________________«--V.................. #50 173.6• 90.6%: 9.4% #80 186.7' 97.4%: #100 ---- -.........................._ ---------- 98=0%' ---------- 2.0% #200 ..-189.2' 98.7%: 1.3% ----------------- -._-.7-----------_�-----_-}.__�_______-___-� PAN: 198.4; 100.0% 0.0% SAMPLE': 191.6; NOTE:TEST ON PASSING#4 ONLY, 1.3%RETAINED ON#4<45%O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-1-b(GRAVEL&SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE: #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% CLOSE #100 0%-20% OK ' " " #200 0%-50/o OK SAMPLE IS CLOSE TO MEETING TITLE 5 FILL SPECIFICATION >98%SAND RESULTS: PERMEABLE MATERIAL-CLASS 1<2 MIN./IN.MATERIAL(0.74 GPM/SF) NONCOMPACTED �H OF 4fA SOIL DESCRIPTION: MEDIUM SAND �� SUK o DANIEL A �s o OJALA CIVIL r N¢i650 OT e'c3iS�.tP�'\t��ti FSS�ONAL kN i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is W BARNSTABLE MA required for 2/7/09 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. '"'p°l"` When filling out A. General Information forms on the p 511 computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not use the return Name of Inspector key. DOUGLAS A BROWN INC Company Name r� P.0 BOX 145 Company Address CENTERVILLE MA 02632 City[Town State Zip Code 508420-4534 S14297 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Faits ❑ Needs Further Evaluation by the Local Approving Authority 2/7/09 Ins t 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 authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. L4, c3/ DPI Title V Inspection Form.doc•08/06 Tide 5 Official Inspection orm:Subsurface Sewage Disposal System•Page 1 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is required for W BARNSTABLE MA 2/7/09 every page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 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: SYSTEM MEETS MINIMUM PASSING REQUIREMENTSAT THIS TIME B System y m Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed Title V Inspection Form.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 I Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 WILLOW ST Properly Address KANE Owner Owner's Name information is required for W BARNSTABLE MA every page. City/Town 2/7/09 State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: II ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. Title V Inspection Form.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form C Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is required for W BARNSTABLE every page. City/Town MA 2/7/09 State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Title V Inspection Form.doc•08l08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is required for W BARNSTABLE MA every page. City/Town 2/7/09 State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Title V Inspection Form.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 't 101 WILLOW ST Property Address KANE Owner Owner's Name information is W BARNSTABLE required for MA 2/7/09 every page. Clty/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)) Title V Inspection Form.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Disposal Sewage Dis 9 p System Form Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is required for W BARNSTABLE MA 2/7/09 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms 4 4 (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): WELL Sump pump? ❑ Yes ❑ No Last date of occupancy: UNKNOWN Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): Title V Inspection Form.doc•08106 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 7 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is W BARNSTABLE required for MA 2/7/09 every page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: RECENTLY BY OWNER Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1994 OFF PLAN AT B.O.H Were sewage odors detected when arriving at the site? ❑ Yes ® No Title V Inspection Form.doc•0&06 Tide 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 8 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name requirnformed is W BARNSTABLE MA 4 required for 2/7/09 every page. Clty/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1.5 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene y ❑ other(explain) 1500 If tank is metal, Dist age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No ----------------------------------------------------------------------------------------------- Dimensions: Sludge depth: 0 Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 0 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? Tide V Inspection Form.doc•08106 Title 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 9 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name informatior;is required for W BARNSTABLE MA 2/7/09 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TANK IS CLEAN DUE TO RECENT PUMPING, HOW EVER IT LOOKS LIKE SOME ONE HAS BEEN CLEANING PAINT BRUSHES IN THE SINK AND WASHING DOWN THE DRAIN Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)'(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Title V Inspection Form.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disp osal posal System•Page 10 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is W BARNSTABLE required for MA 2/7/09 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): SLIGHT SOLID CARRY OVER ALONG WITH PAINTING CLEAN UP RESIDUE Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Title V Inspection Form.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments y< 101 WILLOW ST Property Address KANE Owner Owner's Name information is W BARNSTABLE required for MA 2/7/09 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: NOT OPENED DUE TO DEPTH Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): NOT OPENED DUE TO DEPTH COULD NOT DETERMINE LEVEL OF PONDING, NO CLEAR EVIDENCE OF HYDRAULIC FAILURE Title V Inspection Form.dbc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is required for W BARNSTABLE MA 2/7/09 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top o`liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Title V Inspection Fonn.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal 9 P System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 101 WILLOW ST Property Address KANE Owner Owner's Name information is required for W BARNSTABLE MA 2/7/09 every page. Ctty/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Al -36 � - lam 1- c` ) 23 3 w 5- I 2 a Title V Inspection Form.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 s Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments '( 101 WILLOW ST Property Address KANE Owner Owner's Name requmation is W BARNSTABLE MA required for 2/7/09 every page. Clty/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to ground water: AT LEAST 4 FT feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: 2/4/09 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: OFF PLAN AT B.O.H Tide V Inspection Forrn.do:•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 FLOORPLAN Borrower.Ste hen,Karr File No-: 210221 Property Add :101 wllow Street Case No.: City.West B siabl� " State.MA Zip.02668-1316 Lender.Wells Fa"o Bank NOTTOSCAM V In-Law Vartment (lima: 98 A v. . tr office F�e living2GecAttat3led j,drodCla I dr�m FirstFlo(w x �--t Second Flo" °? ( ?s• is [Area:1192 t1`t is D� Ki[6hen c �r c cam Bedroom Bed s_Thar. K®� r`1 .. Family Hvy� ' sar-.. Living Bedroom 4 WM loft. —t FirstFlow 10640'Fist Moor x1.00=1a641 . . 'ccond Flaot; 17921F.:4._:.. Seumil Fleur _ 695 frG 42R: Tx 1Tx C50 F 3hIrG:Floa :.. ,, .. .;_ ... ....::: ...�..._:..�•..;. :..:.'.`;-Zfi61P.6 '. ._ ._�,_.Z;z".:;....:...�:19'x -. p•.*�.�S.u.>t_4 2x - 049 140f ar 2 C A0oched 750INL ......... ,x .-..a. .2'x _ ...^fii_" G.. Cx ..:'2bx. 0.50- - 40 Ff G 2045Cx 14x 049 .1 Y'x,: .2U1:X"x D1$.;ia z ,�, -T. G - 6'x 6'x 0:50= .32 ft, A.. 12'1:S'x -lei 0.49- %tF 6 .184. s G lux 3rx 6.k. 256 fF G 20'k kswx O:A6'- 2691E Second:Ffoor %.1.00=1197 ff. G`... '•• 29'z�;,':' G -16'13:x" 29'x 0.46 11T..SW-- 44, :.:"r{sx x;;.• Six _. 092:i- 18}, A_ 2T555'z 44'x 0.42- 06 IF Seeone'Fladr =1:00�89aR L 16 1,b"x Yx 060 -16.11P ' G ..... �' 2'K •:. a..-!.1S'% ,�:�:Y': frDSQ�.:1's'I 4`.`r_'`&S14' G15'3?<'x Tx' DA7= 631E • E., >a•z . ... G 21'.3'x '. •,• 1•rx 0.3a-..•- v 112 tP' :5-w' .::18'X. ,..r" D.W is.::af+tr12._ a .2r3.x 14'x 0.76= 112fF • - - G 16x 18'x _ 0.50- 144T Third Floor to x. .167x: - 0.50= 12S'R' Boston,MA 02116 B-8/204 TOWN OF BARNSTABLE LOCATION 10l itao»c _`jr� SEWAGE# VILLAGE . ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY. (type) (size) , NO.OF BEDROOMS !J OWNER ILA A) PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY N �t TOWN OF ARNSTABLE LOCATION SEWAGE # VILLAGE ZU ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 3. SEPTIC TANK CAPACITY ( LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of teaching ng Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet o leaching fa 'llty) Feet ri Furnished by b 44 'R N. �} . f � P„fir b. �.E.; r1..i i�..' r r.: } �' 4 �<� > •;4.- tt& At t., .� t :f f } i y.,rvos. ±�4� a•�/e 1�.r f i {d'3,�' �� 7 4 k �..h� �• �t;. q +keg :•{ f. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiutt for Di-wipuutti Wor1w Tomitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ! - Gzli' M..... . ------------•----•---- n c do,,,,- r or Lot No. o ........•------•.......... ............•.... ..................................................Addre ........ c........ . ......... �- Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms_ ._. Expansion Attic ( Garbage Grinder V10) a Other—T ype of $uildin g .. ._�.......... No. of persons____________________________ Showers ( ) — Cafeteria ( ) ...._ dOther fixtures •-------------- ---------- ----_---------------------------------------------------- ----._..-------------------------------------------•--------- WDesign Flow......-SEJ _____________________________gallons per person per day. Total daily flow........... .3-................... ons. W Septic Tank—Liquid capacitv.1500gallons Length-—0,__'_ p 0 �__ �'Vidth..5'_O_.__ Diameter................ De th.. _.r_..._.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--- .. ..__....sq. ft. Seepage Pit No _.OP�-- .• Diameter-_- ®_F!Q.._. Depth below inlet___�<---...... Total leaching area.....i.. Z Other Distribution box Dosing =k ' -sq. ft. �I ~' Percolation Test Results Performed b eJ--- ..4....................................... Date..-..z/hv 4t:�-------_.. a Test Pit No. I......A......minutes per inch Depth of Test Pit...ZA:.O..... Depth to ground water.../.��11........... Li, Test Pit No. 2..._..' _---_minutes per inch Depth of Test Pit__/A.e_ca---- Depth to ground water..44-__..._-_--. a •-•--------------------------------••------•--••••-------•-•-------••••-•••-•--.....---------•------........................................... 0 Description of Soil........................................................................................................................................................................ x U ....................•-••------- w UNature of Repairs or Alterations—Answer when applicable............................................................................................... ---•------•----------•-•-----••....................••-••••-•---•---•-••••-•--••-----------•-•-•--•---••-----•--•--------••------•...---•••-••--•------••-----• ......................................... Agreement: The undersigned agrees to install the aforedescri d Individu 1 Sewage osal System in accordance with the provisions of TITLE 5 of the State Environmen o e— . urther agrees not to place the system in operation until a Certificate of Com . ' ce e a of health. Signed .. ... ..... ------ ------------- ----------5.:0.`.... Dare Application Approved . Due Application Disapproved for the following reasons: ... . ... .............................................................. . . . ................ --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ........................................ �f re Permit No. ------- ..`..� ------.... Issued ...... .... .._� -------------------------- ---------- Dare � No....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bt u ttl orko C�o�t trnrtion rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / ,vI ' 1 = ...•-- ........................--=- ---...------------------------........... ----------- ------ fL catim \ddre or Lot No. ,J-!N` ..........--Jll --........ . .. A.. .... Installer ��Addre d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.. _ p (� g,..,, ... .............. ............Ea Expansion Attic Garbage Grinder !10) aOther—Type of Building _-.&S------------- No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fixtures --------------- ---------------------------------------------------------------------- -------------------------------•--•------•-----•.---.----•-•- W Design Flow......IS5.............................gallons per person per day. Total daily flow............ n...................gallons. WSeptic Tank—Liquid capacity_!'�PP.galIons Length.1_0-_Q_- Width-_ 7.d--_- Diameter---------------- Depth__ . ®.. x Disposal Trench—No_ ____________________ Width.................... Total Length.................--- Total leaching area ... ft. Seepage Pit No....0,.�.�--- Diameter..... . .0_... Depth below inlet---irP:.0..... Total leaching area.._;__._..__...sq. ft. Z Other Distribution box (4 Dosingjpk ) /L Percolation Test Results Performed by. �__ I..... Date.. "� f!........................ W Test Pit No. 1....... _......minutes per inch Depth of Test Pit--- ----- Depth to ground water.._,-U0h........... 44 Test Pit No. 2.....A------minutes per inch Depth of Test Pit__fi 0._.. Depth to ground water..'M/e-__--_--__-. 9 ----•---•----------------------------------••-•---•------••----••-•-•-•-----•--..............---..............---.........------••.......-----.....--.------ 0 Description of Soil..................-...................................................................................................................................................... U ---•----•----------------------•---•----••--..---------------•---•----------------------------------------------------------------------------•-------•----•------------•-•----•--......--------...... W ------------------------- ------------------------------------------------------------------------------------------------------•------------------------------•--------------••-••-••--------......... VNature of Repairs or Alterations—Answer when applicable............................................................................................... -----•-•••-•--...--•-•••••••-•-•-----••------•---•-•-------•-•-•--••----•------••--•--------------•--•-•-•-•----•--•---.•--••---•--•-----•-•---••••--•••....--•-•••---•-••-••-......-•........--.---•-- Agreement: The undersigned agrees to install the aforedescrib d Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environments Code—The�yu�d��gh'egyfurther agrees not to place the system in operation until a Certificate of Comp',' ce has,b en iss, e�, t,e b a of health. Signed ----- .: 7'...:5.. ..... ...... ,,�/ .. .m._., % Dale Application Approved B ....................................................1-------------------...__-. :... /�'......... �/ / Da Application Disapproved for the following reasons: ........................ -- ......... .. ce................................................... ..-...... ......... --------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------ ---------------------------------------- Permit No. Issued -.. ............ _---- ......... � ............ .......... . Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE THIS IS TO CEFR`TIFY_, That the Indtividual Sewage Disposal System-constructed ( V ) or Repaired ( ) L�.by :� 'fit-------- :.. '- ....... at ----------1 t �.�. a -------� ` --------.. � �._...... � ------------------------- , .. . has been installed in accordance with the provisions of TI'I'I.E 5 of The State_Environmental Code as described in the application for Disposal Works Construction Permit No. �1 __. dated PP ... P -...... Ir THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. -/s --- ,`r'�---------- --- ------ Inspector......_.............//_....... '""2.1I' j...._------------------ ---------------------- --------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS + BOARD OF HEALTH TOWN OF BARNSTABLE No.. ........... ....................... Rio ros tl' orb Tonotrurtion rrrntit Permission is hereby granted--------- �- ._, `d .5` � . Z'( .................... to Construct (1/) or Repair ( ) an Individual Sewage Disposal System ,� /. at No.. �� ------... tom,"�:vf t,�� �?- - t � ! `( �1``fT� S. ?1, ........ Street as shown on the application for Disposal Works Constructio/n�Per�m�ttlNo:_..__.___s__._____%__ Board of Health f DATE - y� J/-- --�-------------•-•--••.... FORM 36508 HOBBS Q WARREN.INC..PUBLISHERS He No.Case#6gg5K09T7P�aae#1 Building Sketch Borrower Kane Ste hen J&HoW A Address 101 willow Street City Bamstable County Barnstable State Ma Do Code 02668 toiler Patriot Community Bank 1e.V'. i GreeoFiouse' - . . - o. 2Car Garage ' l—dry _. .. .. .. 1Deck. I A5A �- .. .. IGtrhen 5.V' .._.._.leek-I . - H 14.0' 14.0' I . i U�hg R. w. ... .. lialf.Bath.. . .. .. b Bedroom i b p- Fan*Room living Room ti - _ .. i t0tehen Full Bash .a._._-.._. ... ._ ..-.. ..__._...... .... _.._.__....... .... ........._._... .14.0i 14.0' ,.. ta.V i t i r .. ._......_.._..,.._. .. ............. ._.._.�..._ .._:__..... .. 40. ...... .. .t...... � .o' r .. i 20.V .. Fun Bath Fun Bath i Smrage N. b . Bedroom - - . Bedroom t---.-----------} .. 20.V 40.0'. - Comments: Dimensions are approximate and based on exterior measurements. Interior roam placement is approximate and not intended to be an exact representation of the subject interior floor plan.- APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION ��� !� GZ/LLB ft/ _S NO. VILLAGE t'�- � �'S� � '� DATE APPLICANT ? O v �%�— FEE ADDRESS /Srz G�%o%�Si�JG— ,�!' TELEPHONE NO. (Non-refundable ENGINEER /��'%� � �G L G' TELEPHONE NO �Sdl J/ .-- DATE SCHEDULED (Applicant' s signature • • • • O O O O O O O • O • O 0,0 O O O O O O • • • O O O • O O O • • • • • • O • • • O • • . O • • . • O O O O . • • • • • •C • O • • • O O • O . . • • • • ASSESSOR' MAP & L T NO: � � SOIL LOG SUB-DIVIEION •NAM/E" DATE -� '� TIME EXPANSION AREA: YES XNO ^��C,9aa�a/3,L _ ENGINEER: :: TOWN WATER PRIVATE WELL BOARD ,OF HEALTH EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: I tP L' '• 30 1 K PERCOLATION- RATE: /<�,s .2 ..��.�.n _ - p Z. �• . TEST HOLE NO: ��' ELEVATION: TEST HOLE NO: ELEVATION: foxo 1 1 2 2 . 4 ' . 4 5 1f 5 6 8 30 8 9 - -- 9 10 10 11 ' ' � 11 'o _ /.2.0• Fir/�'S.�o 12 --- 13 13. ` 14 14 ' 15 16 16 , SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD / LEACHING PITS LEACHING: WRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASON�3 ,, NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY-B.`r P E AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT �`� SOIL INVESTIGATIONS / FIELD `v;, DESCRIBED BY: '/ f�✓ �,9 c.o,,3r ,�, ram-- C:fo��.r✓r;� Tn.� REQUESTED BY: SITE LOCATION: DATE , y° TIME 1 7WEATHER LAND USE �T �-,,� LANDFORM SLOPE 0 VEGETATION ��p,q�S �j e�w� STONINESS �/ ,9 SOIL TYPE SOIL CLASSIFICATION PARENT MATERIAL S�NJ DEPTH BEDROCK DRAINAGE CLASS o ,gTc2y �,✓� _�, / A/e/ HYDRIC SOIL �p DEPTH MOTTLES EPTH WATER TABLE � O � w SOIL PROFILE DESCRIPTION N COLOR SOIL SOIL O o z DRY/MOIST TEXTURE MOTTLING � -13 Tr/ /v AF � >i9T.C'/Y .viri/ Fc �a„�.fB'TieNt ._SA vv y �r�.C/.CouNvii/e C.P/�Ut•c f,•ei?GiJ t�r/TS S6� / /�T LoR/7 Jul iC �C� TPucTdEt3 S//vr� /�c oiivrai� i Y R 7/ F,✓E~ .�„- /c/ �, /t,,•,,_s,�yr ,�� .,�J,—F��a� NOTES: .e�:� Sv . r � c��%s:, ,�:;�. o X,2,-14� Gr.ST ../F. )`/!//� ...� .C/�'"„ (✓�T�•X /S _,_,sr"�S o/✓AL. ASSESSORS MAP NO: � I No.-� � y PARCELNO: ® Fee-----��------------ BOARD OF HEALTH TOWN OF BARNSTABLE Z.ppiicat ion_*rVell Con5truct ion Permit plication is hereby made for a permit to Construct (K Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel 140 _ - GL-- - —- - -- -- ---- --- _—__— --- --- -- Owner Address Installer - Driller Address Type of Building an Address Dwelling----- --------------- Other - Type of Building----------------------------- No. of Persons---------------------------- Type of Well-- - - " Capacity-------___ Purpose of Well «—- Agreement: G �'G� �`7`' ✓�" 6L�`C �2 4� -�G� The undersigned agrees to install the afore escribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a ertificate of Compliance has been issued by the Board of Health. Q / � Signed- _ -- ___—_—_we&�. o , T�.l t.v v: ate Application Approved By-------- -- -- __-- _-- - - —-- -- -- - date Application Disapproved for the following reasons:--______ date Permit No. ---6Y-=- ,C � -=�-�---- ------------ Issued----------,J_—� z' - -—— - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (/,)-/, Altered ( ), or Repaired ( ) Instal er at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Dated THE ISSUANCE'OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --------------------------- --------------- Inspector- - --- -- --- — -- - -------- BOARD OF HEALTH r7C L7/�� Yi���� VnWlr d,-Qfpj OFF .s TOWN OF BARN Velt �truction�tCon Permit No- --------------------- _ Fee------ : Permission is hereby ranted ------------- to Construct ( ltltelr, ( r Repair ( a Individ a Well at: S et as shown on the application for a Well Construction,Permit -- Dated - — -� - ------------- ------------- Board of Health DATE------- —----_ —------— - r' '5 No.- -- �l`-�" Gt of a 4 l3 4 Fee— =""�- --f----- BOARD OF HEALTH TOWN OF BARNSTABLE �,� R.oprication for Verr Con�tr-uctionvermit Application is�f hereby made for a permit to Construct (k , Alter ( ), or Repair ( )an individual Well at: —----------------------------------------------P--------------------------------------------- Location — Address Assessors Ma and Parcel `----- - P'/. ---------- �=`r``-'--- --------------- -------- - -------------------------------------------------- ----- -------------------------------------------------- Owner Address ' � J r /tom. Installer — Driller `Je�>_+� o2r� Address Type of Building , Dwelling ---------------------------------- <, . Other - Type of Building----------------------------------- No. of Persons------------------- ------------------------- TypeE/ �__ of Well- - --—= Q--(GAP - Capacit — -- - - Purpose of Well---- Viz'',=`---- ^--Y= �p Agreement: ,C��Ir/ll �D� " ,A`j,t'' '���,yf/ 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. Q Signed.-'---�----------�.----- r- ------------------ date r-------� Application A roved B ------------- ------------------ PP Y- - - -- - - - ..�•" date Application Disapproved for the following re reasons:---- y'' -------------------------------------- ---------------- -------------------------------------------- -' -- -� ------------------------------------------------------------------------------------------------------------------- n---- ------- r ri' date Permit No.------ �'�=- Issued--------F '/ � ` �.' date l BOARD OF HEALTHY . TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (k/, Altered ( ), or Repaired (Y— ) - i - ' ------------------------=------------------------------------------------------ ---------- ------------ Installer ----------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board oat -f Health Private Well Protection Regulation as described in the application-for Well Construction Perrn,4- o.�^ 111--�M- ---Dated THE ISSUANCE,OF THIS CERTIFICATE SHALL'rNOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------------------- --------------------------------------------------'` Inspector----------------------------------------------------------------------------------- BOARD OF HEALTH , Z7t�49t� eat ,df4�r C�•JPFEC , r,h TOWN OF BARNSTABLE Yell Con5truct ion Permit 5/1 1h_`_ No.---------------------- Fee------------------- Permission is hereby granted--- - l__ - = - ` ? - — - to Construct ( Alter ( or Repair ( ) an IndividuaVWell at: .� � No. — - -- _ � � ' :- -�- �.� -?Z. ----------------------------------------------- Street t as shown on the application for a_ �1 Construction Permit No.--------� --�--- ---- Dated----- - - - -A - - - --- -- =- -- -- Board of Health DATE-------------------------------------------------------------------------------. i r ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 • Sandwich, MA 02563 (508)888-6460 • 1-800-339-6460 FAX(508) 888-6446 CLIENT: Maine Post & Beam LOCATION: Lot 2 ADDRESS: Willow Street W Barnstable SAMPLE DATE: 5-5-94 COLLECTED BY: Pilgrim P & W DATE RECEIVED: 5-5-94 TIME: 4:40pm SAMPLE ID: Z217 JOB #: `VVI LI, DEPTH: N/A. RESULTS OF ANALYSIS: Parameters Units Recommended Result Limit Coliform bacteria/100ml (MF Method) 0 0 pH pH units 6.0-8.5 5.55 Conductance umhos/cm 500 229 Sodium mg/L 28.0 13.7 Nitrate-N mg/L . 10.0 2.03 Iron mg/L 0.3 0.22 Manganese mg/L 0.05 0.011 Hardness mg/L as CaCO3 500 69.7 Sulfate mg/L 250 26.8 Potassium mg/L 20.0 2.16 Alkalinity mg/L 200 18.0 Chloride mg/L 250 40.2 Turbidity NTU 5.0 2.8 Color APC units 15.0 LT 1.0 Volatile Organic Comp. EPA 601/602 * ug/L None detected COMMENTS: Low pH indicates high corrosive characteristics. * See report attached. Yes No WATER IS SUITABLE FOR DRINKING SES F PARAMFfERS TESTED. 5 . dA -- Date S Ron ld J. S ri IT = Less Than Laboratory girector G 5-11-94 11:=u =.1 GF.-__ ID'WATEP. ANAL'-'TICAL ENVIROTECH 5O8 759 4475:4 _/ - it y GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: Z217 Lab ID: 7651-01 Project: Maine Post & Beam/Lot 2 Willow Batch ID: VG3-0376-W Client: Envirotech Sampled: 05-05-94 Cont/Prsv: 40mL VOA Vial/NaHSO4 Cool Received: 05-06-94 Matrix: Aqueous Analyzed: 05-09-94 PARAMETER CONCENTRATION REPORTING LIMIT (u9/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloraethane BRL 5 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL Methylene Chloride BRL I trans-1 ,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL I 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL I 1,2-Dichloroethane BRL Trichloroethene BRL 1 1,2-Dichloropropane BRL I Bromodichloromethane BRL 1 2-Chloroethyyl Vinyl Ether BRL 5 cis-1,3-Dichloropropene BRL I Toluene BRL 1 trans-1,3-Dichloropropene BRL 1 1, 1 ,2-Trichloroethane BRL 1 Tetrachloroethene BRL I Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 meta-and para-Xylene * BRL I ortho-Xylene * BRL 1 Bromoform BRL I 1, 1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL I QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 31 104 % 87 - 113 % 1,2-Dichloroethane-d4 30 27 90 % 83 - 117 % BRL = Below Reporting Limit. * Non-target compound. 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Eki;C a1129 �� Qltti ltilnlZ`Y f._ _J1t1c1. - - 4.: A... T:t -e. ems. ..' ., ^. •`: t . .r .}: , ' """ `,Tt?I 11k RIt4iVi Q,S2yVG.{,tp. . YF _ �4. r: - 712' T Gi�`iT t NOTES LEGENDSYSTEM DESIGN: SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR 1. DATUM IS NAVD 88 69 e0a 99- EXISTING CONTOUR (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS NOT AVAILABLE X 99•1 EXIST. SPOT ELEV. 2" PEASTONE OR GEOTEXTILE TOP FOUND. EL. 42.9' FILTER FABRIC OVER STONE 3. MINIMUM PIPE PITCH TO BE 1 8" PER FOOT. 99 PROPOSED CONTOUR DESIGN FLOW: 4 BEDROOMS © 110 GPD = 440 GPD \ 42 6' / -[ ]- - MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 41.4 USE A 440 GPD DESIGN FLOW WATERTEST D'BOX FOR LEVELNESS BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS eoa Locus 198•41 PROPOSED SPOT EL. PRECAST RISERS PRECAST H-10 TO BE AASHO H-12 � RISERS (TrP.) , MIN. 2" CKNESS o TH 1 �, 41.45 4"OSCH40 PVC MORTAR ALL g SEPTIC TANK: 440 GPD (2) = 880 PIPES LEVEL 1ST 2' COMPONENTS INVERT IN 37.56' S. PIPE JOINTS TO BE MADE WATERTIGHT. free Mi ,.: 4DS 4. TEST HOLE USE EXISTING 1000 GAL. SEPTIC TANK** ENDS (rP•) qm SIDES 38.4" Po° ° ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH EXISTING ° ° ° °°° ° °p°°°DODO 10" ss 14" y 40.Of o o'o 0 0 6" h,N SUMP °8 ° ®®®�®®®®®®® ®®®®®®®®®® °°°° °° 31Q CMR 15.000 (TITLE 5.) Wille2� SLOPE OF GROUND LEACHING: TEE SEPTIC TANK TEE * „ °°°° 00°°°°°o� o°o°000°000° Q000. ' °o° ° o•°o°°° ° 12" MIN. INT. DIM. ° ° ° o ®®®®®®®®®®® ��®®®®®®®® ;°0°00° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TOUTILITY POLE SIDES: 2 (33.5 + 12.8) 2 (.74) = 137 GPD GAS BAFFLE 00000000 ®®®®®®®®®®® ®®®®®®®®®® ;a0o1o000 , BOTTOM 33.5 x 12.8 (.74) 317 GPD 37.84' 37.67' °°°°°°°0 35.56 BE USED FOR LOT LINE STAKING OR ANY OTHER FIRE HYDRANT PURPOSE. Y `H-10 500 GAL. LEACHING CHAMBERS BY ACME PRECAST OR EQUAL 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING TOTAL: 614 S.F. 454 GPD 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN' (3) UNITS REQUIRED 'Qo ALL AROUND PRECAST STRUCTURES �� 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.5' X 12.83' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 6' boo USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) COMPACTION. (15.221 [21) WITHOUT INSPECTION BY BOARD OF HEALTH AND WITH 4' STONE ALL AROUND Ln PERMISSION OBTAINED FROM BOARD OF HEALTH. (4.3% SLOPE) ( 1 % SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LEACHING DIGSAFE (1-888-344-7233) AND VERIFYING THE FOUNDATION- EXIST. SEPTIC TANK 50' D' BOX 13' FACILITY 29.9' BOTTOM TH-1 LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES NO GROUNDWATER FOUND PRIOR TO COMMENCEMENT OF WORK. *THE INSTALLER SHALL VERIFY THE **INSTALLER SHALL CONFIRM MINIMUM 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE LOCUS MAP LOCATIONS OF ALL UTILITIES AND ALL SEPTIC TANK SIZE AT 1000 GALLONS REMOVED 5' BENEATH AND AROUND THE PROPOSED BUILDING SEWER OUTLETS AND AND ITS SUITABILITY FOR RE-USE. LEACHING FACILITY. NOT TO SCALE ELEVATIONS PRIOR TO INSTALLING ANY REPLACE WITH 1500 GALLON SEPTIC 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND PORTION OF SEPTIC SYSTEM TANK APPROPRIATE TO SITE REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. ASSESSORS MAP 156 PARCEL 1-2 CONDITIONS IF NOT SUITABLE o p \ \J \ a , 0 J, TEST HOLE LOGS o � DEL E. GONSALVES, SE 13587 N \ ENGINEER: DANIEL # WITNESS: DAVID STANTON, R'S DATE: 3/6/17 ^h �O PERC. RATE _ < 5 MIN/INCH 10 \ CLASS I SOILS P# 15287 40 ELEV. ELEV. s 0" 4 41.4' 0" 4 41.4' _ N 36 FILL FILL N 18 16,,, . 1 SLj ,- S �. OT 2 /� NON � 0, 62 �o I 36 38.4 34„ 38.6 10YR 5/6 10YR 5/6 , �2 C1 UNSUITABLE /SiL /SiL SOIL 90„ 2.5Y 6/3/ 33.9' 90" 2.5Y 6/3 33.9' W\ h `36' / C2 C2 3g GARAGE �� ROVI 2 OF 40 MIL LINER AT 5 0 SA IN EA SHOWN. TOP AT / SIEVE MS MS E 38. ', BO OM AT EL. 34.4't W/ SILT W/ SILT PAVED `s 2.5Y 7/3 2.5Y 7/3 � DRIVE FLAGPOLE � � 4� 138" 29.9' 138" 29.9' / ,TH1 NO GROUNDWATER ENCOUNTERED / \ T \ 1 \ O 1\\ 8 � EXISTING / \ � TITLE 5 SITE PLAN IDWELLING \\ / OF 37 101 WILLOW STREET o WEST BARNSTABLE, MA \ 42 I RE AINING / PREPARED FOR ° W L 40 v CAPE COD SEPTIC/KANE - -- - 0 0R DATE: MARCH 6, 2017 Scale: 1"= 20' W 0 10 20 30 40 50 FEET BENCH MARK CORNER OF / GRANITE STOOP. L. = 43.0 / \ Mq�� ���N OF MgSS9 off 508-362-4541 �ZN OF / � � ( fax 508-362-9880 DANIEL N DANIELA. �� A. a downcape.com OCIVIL 0) o A Na 40I 80 down code engineering, /nc. .46502 °��ss\ civil engineers engineers S IF / TES G�� qN0 ' R C IO land surveyors 3-6-1 70 L EN � y _W r 939 Main Street ( Rte 6A) DATE DANIEL A. 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ALL I -10' I N CH ' - 40 PI PEs - - - I . . . 0 1 . .,,,,"1� , � , . . I I 'V , � I L ' . I . I I � �'', ,:'., , I �, I . I . . , V, \ . 1. . y,6. - I � � . .1. . .. . I I � .I � . I - I � I , I . ,. . � � �� -1------- / I I I - I I I -, I "i-I / I NOTES , �:, � I ,", I — - Ir . � I " � . I I . �' ", � 11. - I ,\ ��\ 113--5, ) . � I -11 , I � . I I . - I I OR C.I. PIPE.- ' , I i . 1�,,w - "� '_'_�,,� . - � � I I .. . I I I N j - * � i - _.$01�11 . I I . ffift.0% 11 I I . I I L � I % Al ,/ A /. . . , - . 1� I . � I T . I - . 21111 � " 1, I - . I .1. I . 0g, . � ,/ 1:��*!� EXISTiNG C01,4i ,)�JR 11 I L I . I I . C . straw"matting laid parallel to . I ri � --C ' I I i`��!",.7- -, - � . , , I I . I / 1� , . G_�j ,. I I . . MOW � -� " � - . I � L. / i 4- r.. .1 � � � rA " ,, ��, I I I � I �") )ACKFI'L ING TH -6�9 A r - I ;",-� I 11 _ 1\ It , 11 ) � // , , 'O . I I . . � � . , .; - I I I 1 . . � � 1. t, , I I I I I i . C 0�4' "ti-CJ R ; I I :- � � ' ., held , in' place by avetal. staples � � I . 9 . i, I -,�- ',4t, I L I � I -I� I � � I v� 10 11 � 1. 1�� � - / /I . . I I - ��� / t I I I PROPOSEDC � I I � , -1 " , � - BOARD OF HEALTH SHALL- FIED. I , I - I- 1�r�- � I . , . I 11 I I I � % I e .?I I : / � I I -. � � ' � ' '.-d. Lawn mixture to be spread , roll ad,, 1. , Be NOTI . - � _ .! I I I : I . . I I �1 . I __ I - , � i - � I . � I � �, . � / 1� : '. I 'I , � - L," ,:� , - - 11 I I � / �, 11 I � ., I I �. I r � , I , ,,::L"; ", - I � I / . I I ,�,,_, - I ,11 _ - 11 1 � 11 ., . . I I � I / �, I I - . V I I . � i i I � . r ,, , . , 1�I I �"L, I � . 1. ,�� I 1. - I ,I 11 I I iy .1 I / - � '..-, � . . � ; . watered', -,and covered by, either a -or- �c. '- ,,', , �D- WATER SUPPLY PROVIDED ' BY,� _� I ,,,, � ,.;-, � '._. I � I � . I � . - . .. I , I .: I � . . ; I jkl �e,z_ - I A""', .1�' � " �." 11 I I � I I I . I I I __-, I f / , / � 1. - � �. .,e- ", 1, I . - . I � I I - , on all bare and denuded soil with , . � I . 1% - .. I .. - . - i . ",,1 , ,-� � .ole / ( . - 156-4 4�,j . I . I i I � �, .. I i 11 I ., ST I I �,,� I, . ' ' I I � � � I � _ � I ,�; �,2) _ ,During constructi ' . I Ile I-, I, I , 'I , I . ,. � I . I -1 I I I'll, , � I - I � I t- . � . I . . , I � I , - I \ ALL Df ANCES TO BE MAtNTAINED. I :. _, ,L - . I I I � . I . I , I L slope grades .in EXCESS of 5% . shal I ,be p ion. ! I I - � ", I I . �. I � . I I � .1, I I .1 I I I �� �_ i � , 11, 7. _� I � � I � � . I � � I I I -L \ -i-.1'r I,_11, I I - I , -1 - ! ,- / /I , . I I . , 11 j_r, ., . . 11 , 1 . I . j I � , I /_ �, �* 11 � . I I � � . . . I y / - / ,. / � . I - � 11 ''. ." . �� - I . . . . i I I , � I I % � . � I I . I � . 4 , . _� I , . * . - . i , , . . �:�,,, �� -� , - . I , 4011 owing.-� " , ,,� TER Anj \ ,-'..'_ 1�,�l . . . - I d . I ,/ r "' � � I /'"; � -, �.--, � , I I ! I A I.Lby ,the A I , ' __: _1�'I -�� , �. . � . . I I . 1 I '. . 1 � I I t t . I . , f I.- IF I � 1. I I I I I I . � I I . / 11 1, I - � I I -, I "'.' 11 - , � �I 1_1 � 11. V._1 � I I I . I.:". �,��; �� I )� / ,/�-, / � I . -./' - /7J 1-11, I �, I I � I . - I 1. � . .. � E. . WA USTMENTS BASED ON t,LS.GI.S , .1 , 2.`_ 1�, .1.. _ - - � � * I � I L' I I , . I . 1 . � . I ;�_ 11- �-- " ____ i . , , � . . - , - - . : . _ 1 . . . . . I/ I � I -.-- _ , :_. � I . ,-,:, -�, '. , - . I 1 � . 4W 1 , ,� ..., _ _ . � .. . . I " , ' ' I ual - rye� grass�'. 2OX , i I - I -_ ____ Al " I - . � I I :1, . _.., - . . � - I � � I � I . 1 . . I I . I_ _ . � I I I I � . � -I � ., t - , ---a ; � I . .11, I , �_ . . . . I � � '. .- 11 , . .. ." � I ,"�_� 34 , ! I I fescuej and �20%,,b I ue' grass 'shal 1, *be "I aid over a minimum . 3 , _ . - 1 I i , - ,� . I I I . ,_�_/Ir .. w . 1'� ,� . _. ` ", I . � I _L . . I I -Z , � . ,.f 'I, ,. _e��,,,.. , . / I / Is , !� - � . I . - I -m - ;7 � � .1 I 1. I , 41- .*'� . Z�,A_/ 1 a.",Lawn , 11 :, , / . �11, ,.-�' I., � -I � . I I I I I . 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NV 1 STONE FOR .. g 7p 0 2 P � ASSUMED DATUM.E SEDONANA E FiDUNDA nON DRAIN ELE VA 110NS ARE BA Project Title. O AND ROOF RUNOFF J 1� , DWELLINGS 0 A nON OF ADJACENT_ S/Z LOC ,5 (IN VERT EZ. 91.0 E do C+O ae AR E APPROXIMATE: D 1 v tT► ,� _ p a 3 'r _ r P. 4 CONNECTED TD 4 P.V.C.S 0 BE CONN L w ROOF DRAINS T ,� L C� T 2 G DE 2R RA� LL S . y TO DRYWE O F 5 100 �1! t O V 0 a 99 24 DESIIOUsWILLOW D 0 A/N TREE TO REM V � 7R . . . n s_P R.R. R E p/ 0 l r 2 LUIW.1 A 0 s RETAINING WALL y ti 8 LEGEND CUL VFRT LE T _ � S TREE 4 '/ EL. 101 0 6 0 GA _ l � E O O Q D B 8 98 UTILITY POLE ACHI G .�.— UT � .6- : WALL EX/S71NG ELEVA nON , f 04 . . ITS 2 100 .4) F C UR EX/S NG ONTO n .- WESSTON , O CO CRETE BOUND RILL H LE CBH T _ N_ o o 100 0 STAKE do TACK SdtT Z a a looxo, EI��A noN PRO POSED Pnc BARNSTABLE .` D_ CONTOUR TANK � PROPOSE w ti ry EXlS71NG TREES a O � MA 101 • t 4 .V.�P 10 05 \ 2 99 V e G O D \PROP SE P FW TURF >. . PORCH a r � GA RAGE v 0 99 `PR O , G AP A SE Y . - S_ LA6 O ...... 2 S ._ . STORY a _ Q 6 r 2� A h _ i�W£LLIN _ _ a n 0_ • 0 .0 , D 0 2 F.F. EL 1 3 m P / , z _ P f a' I.. o I , ;P 10Ci v r c, OSED_ ROP 100 �R�sED , 1 0 DECK PNEPMED FOi�a IV' WELL� WE 8 N DRAIN � ; - 105 , : O s EL FOUNDA n0 <. r w , GRAVEL_ f a loe 103.0 18 X 18 CLEAN , 5 V � PERFORATED . INI TH 4 P a PLASn C PIPE G FUTURE PHILLIP SCUDDER _ ra NGROOM a . 8 , t LOT 2 a a ar 1.17 AC. #1-a , os 1 _ 101 8 ate- 9 9 _. -- 108 � 108 l _ � 105 , / • _ 2 102 104 1 03 ® �O 101 .h A.M. VUlilson `�2 2 � 1 A 103. OClat@3 _ , h I h Inc. 1 100 1 I ' 2 _ 7 6 ., 911 Mob Street 8 40 6V 1 02 9 .: 5 02655 OsteMge 1 03 508-428- 450 1 1� : TP DrawingTitle �i - PRELIMINARY E Sl T } PLAN OF �! r P 1 n p � . R G , A E x RY, { I v �12Z7 O i o�96 1 I� S ; . A�dT r t w P.: • .: Scale. 1 0 2 x G _ E L/N STING DWELLING j EXISTING WELL E�CIST 0 20 0 50 -FEET IC SEPT _yS 1 - —90 Date. .S" /y Dw No. 9 Desig n: . C • Check. Drawn: ,S , f/ ---- of Job No Sheet 2.0407.0 1 2 w MANHOLE COVER BROUGHT To FINISH GRADE BRICK LEVELOG COWRSE NOTES: Revisions. a/ AS REQUIRED FDR GRAM DATA - SOIL TEST PIT � � ISTRIBU?ION sox o wlTHsr D - a►h oe:�IPiION —!/_r l N� � T AN H 10 -AOJUS'r1ENT (2 Itrtl. S 11AX. • LOADING UNLESS UNDER PAVEMENT, DRIVES.. 12 MIN 4- _I J/- 7 — 3 OR TRAVELED WAYS WHEREBY H 20 LOADING COVER FRAME AND COVER L INDICATES SHALL APPLY. 1ND INDICATES OBSERVED t , • t T FRAME TO BE SET M , PERC . GROUNDWATER r � ,t 4 IN S 2�ROVIDE INLET TEE AS SHOWN WHERE � FULL OED OF MORTAR TEST TEE SLOPE OF INLET PIPE EXCEEDS 0.08 FT/FT PEASL'ONE FLIER • LAI�Jt _ � OR IN A PUMPED S7S'TEM. P7 3 � 3 3 FEET OF PIPE OUT OF THE rn TWO t �► � )FIRST _ .,,.,_. . . ._ . •.- � . . -.. ,:«. 6 .. . . . . . .-r ... . . ... ... A. TP NO. TP N0. .r PRECAST,. STEEL: - � ,. f. S 8 DISTRIBUTION Box To BE LAID LEVEL. ._. f. . • •..:-• . . 5 , 24 Obl • • 99•b /O/, / REINFORCED , � S 4 ECo61MENDEO MANUFACTURER— I'vc v , GRO. Q. GRD. EL _ _ _ PLAN VIEW � .. • (, TLET ROTUNDO OR APPROVED EQUAL • • • SEPTIC TANK 4 INLET 4—o MIN. ou .. . .. • No WATER W No wA'fER .• . . . . . .GW. EL G EL TEE TEE • • UQUID DEPTH ••. • ., ToPSo�L I 6 MIN. 3 4 TO 1-1/2-STONE . REMOVEABLE COVER • • • L_ J •. so r ._oIAM. .�. • 1 • � . 5 DIA. OUTLETS 5 DIA. INLET CRUSFIED s,cT • 1 .. t • a5 SA•r DYrrF STONE • PROVIDE 3 2 w i rH To P MANHOLE COVER .P ASFIED • 2 24 DIA. BOTTOM ON .LEVEL STABLE BASE . • .. . , .,.1 WA TIGHT .(WASHED) � SANDS, 5 A S _ JOINTS (TYP) 3 AND (,Q AVf:L 3 Sv3So i L PLAN VIEW L r IN 'j 4 GUM-ET • References- 4 — . i .► CROSS SECTION VIEW . .. 4 NOTES 2 - J 5 1) SEPTIC TANK TO WITHSTAND H 10 LOADING 3) INLET AND OUTLET TEES TO BE CAST IRON, , , .,, in 5 . . f.. BOTTOM ON - UNLESS UNDER PAVEMENT, DRIVES, OR TRAVELED SCHEDULE 40 PVC OR CAST—IN—PLACE CONCRETE. WT a LEVEL., STABLE o. e (a 6 - G SHALL J a a 6 WAYS, WHERE BY H 20 LOADING H LL APPLY TEES TO BE CENTERED UNDER MANHOLE COVER. �, ,�R•'�11�+'� B,� � 6 MIN. 3/4 TO LAJ _ CROSS SECTION VIEW /D 7 cogaSE YEcc 2 ALL PIPE CONNECTIONS AND CONCRETE CON 7 � 1-1 2 STONE N wM- / sA DS ED STRUCTION TO BE WATERTIGHT. 8 8 M CoqaSss DISTRIBUTIONSEPTIC TANK DETAIL No. OF GALLONS: o BOX DETAIL PRECAST CONCRETE LEACHING PIT - LOCUS MA - NOT TO SCALE - SANb`i SILTS NOT TO SCALE , ._ 9 g NOT. TO SCALE SCALE. 1 -2083 _ 0 1 COARSE L,6,47 10 NG �. DESIGN ANALYSIS SA 11 11 13c 0 fA r DESIGN FLOW: 12 , r3 / BEt� 00 / 0 .1? t) 5 R MS C� G 3 / Ail DA TE: DATE. SSo 6. P. P. Id,- 3o s� /� 3 8 P n1 nl ,�. Mlkf Do ovA , TESTBY. TESTBY. o N PIE, Project Title: M, 1�f� VR SEPTIC TANK REQUIREMENTS. SD - - WITNESSED BY. WITNESSED BY. P �a33 G,', P,5 0, X 150 �o a L,8 SSA G. DyNN u , �i PERC RATE. PERC RATE. St /-5- o GL MIN./INCH MIN./INCH LOT 2 TP NO. is/ TP No. o w LEACHING FACILITY REQUIREMENTS: WILL GRD. EL oo,3 GRD. EL oAlGW. EL GW. EL , P, : 550 � D, S TREE T 0 p Oo L. PIT 6 prA 3,5' 6:`FP 1 2 ST n1 t WES T 2s�a so L 2 _� I wALL AR LA 3.5 a r � R-:A � sal .5= /8 D Ss FF BARNSTABLE 3 3 Tv—I LA 4 g8 4 MA . 5 5 FACILITY LE s � LEACHING I TY PROVIDED. 6 o 67 ►TS r o, 7 a o P t.� a S M //0 x 2,5- ----- MCD v �,DEt,vA1L S F G Pl]/SF Z7S<sPL� ,. g FOR PLAN I//E �!/ _ RSL- . 30 oM 78SF x/o b.DD•/SF 7901) 9 CoR 5kN� 9 o AC 3 3 06 G� 35 SEE SHOE T _ 1 OF 2 T / 5 a � !� 10 10 11 11 706 6-Pb > Sao G.A b, o Q ,3 PREPARED FOR: r5 12 DATE: DATE: - _ o- la 3 8� PHIL LIP SCUD • DER M TESTBY. M. br,"ika �.F. TESTBY WITNESSED BY: WITNESSED BY: PER PERC RATE: C RATE MIN./INCH MIN./INCH NOTES M ELEVATIONS ARE BASED ON AN ASSUMED DATUM A. • Wilson MANHOLE AND COVER BROUGHT Associates _UNLESS OTHERWISE MANHOLE AND COVER BROUGHT TH RWISE NOTED, ALL CONSTRUCTION Inc. INVERT ELEVATIONS TO FINISHED GRADE METHODS AND MATERIA A CO 0 TO FINISHED GRADE FINISH GRADE LS SH LL NFORM T TITLE 5 OF THE STATE ENVIRONMENTAL CODE 4 PVC-2 /o GRADE(TYP. AND ANY APPUCABLE LOCAL REGULATIONS. 1 FIRST TWO FEET TO w BE LAID LEVEL2 LAYER OF PEASTONE GROUT AND SEALS TO BE USED AT ALL POINTS 911 Fain Street EAL 4 INVERT AT BUILDING D D PROPOSED • , WHERE PIPES ENTER OR LEAVE ALL CONCRETE OsterWle/MA 02655 96,S - ,D cj(,� •_ STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT 508-428-1450 DWELLING y , `1 0'- 3 4 1 1 2 WASHED STONE SEAL a INVERT AT SEPTIC TANK IN 96 S p 4 R 3.S Drawing Title. SEPTIC .TANK PRECAST CONCRETE'SEPTIC TANK DISTRIBUTION BOX 9 AND LEACHING ACID TO WITHSTAND 0 LOADING 96 . 6 CH G FACILITY THSTAN H 1 C N OUT 3 TO BE STALLED ON A 4 INVERT AT SEPTIC TANK (OUT) IN UNLESS UNDER PAVEMENT, DRIVES, OR TRAVELLED 7111111 LEVEL do STABLE BASE _ - BOTTOM EL `1 l D WAYS WHERE H 20 LOADING SHALL APPLY. q 4 INVERT AT DIST. BOX IN 96, a 3 ALL SHIPLAP-JOINTS IN SEPTIC TANK SHALL BE ..LEACHING PIT SUBSURFACE SEALED NEOPRENE GASKETS OR WITH N ASK ASPHALT 9�O O al CEMENT PROVIDE A WATERTIGHT 4 INVERT AT DIST BOX OUT EM NT To PR SEAL SEWAGE SYSTEM PROFILE ALL PIPES IN THE SYSTEM SHALL BE SCHEDULE 40 EQUAL OR QU DISPOSAL DESIGN_ _ E IGN • NOT TO SCALE , INVERTS AT LEACHING FACILITY. WASH CRUSHED ONES WASHED R STONES SHALL BE FREE OF ALL N - 4 INVERT. AT BEGINNING OF DIRT DUST AND FINES 9 , S LEACHING FACILITY HEAVEY<EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE DISPOSAL SYSTEM DURING THE COUR SE OF CONSTRUCTION. H 4 IN VERT AT END OF O FIELD�A N FlE MODIFICATIONS TO THE SEWAGE DISPOSAL FACILITY LEACHING NOTE• TOP AND SUBSOIL TO BE REMOVED /o' SYSTEM SHALL 8E MADE WITHOUT PRIOR R OR WRITTEN AROUND LEACHING AREA /F ENCOUNTERED APPROVAL OF THE ENGINEER AND THE LOCAL BELOW EL. 95.5 AND REPLACED. WITH BOARD OF HEALTH. AN COARSE SAND CLE . !s SYSTEM 4 INVERT AT BOTTOM THIS SHALL BE .INSPECTED AS REQUIRED OF LEACHING FACILITY 9A . 00 BY SECTION 2.10 OF TITLE 5. Of — �b Scale. 1 AS NOTED �� A CERTIFICA TE OF COMPLIANCE AS REQUIRED BY P ti y SECTION 2.8 OF TITLE 5 MUST BE OBTAINED BY.THE O MQRGAREI CONTRACTOR UPON COMPLETION OF THE ABOVE WORK. rgvoNE ., - 0 FEET OBSERVED GROUND WATER N� w AlrR SE .� ,Fnrvozzl .,, IF AN ASBUILT" PLAN IS REQUIRED DUE TO CONTRACTOR 1 v - 864 / ELEVATION EN�nu Ar1ERl'� ,�-� „ � DEVIATING FROM THESE PLANS, WORK FOR SUCH FS PLANS SHALL BE COMPENSATED — SATED BY THE. CONTRACTOR. Date. 4-18 90 ' Dw9 No, P C.P.J.Design:�trt Check : D J.V.B.rawn.• Job No: 2.0407.0 Sheet 2 of 2