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Barnstable, MA 02630 Property Address ; Ryan Jones PO Box 875 Owner Owner's Name information is Barnstable MA 02630 4/7/2015 required for 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. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Paul Martin use the return Name of Inspector key. Neighborhood Waste Water, ' �y Company Name 350 Main St Company Address F�M -W.Yarmouth MA 02673 Cityrrown State Zip Code 508-775-2820 S15016 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 CIVIR 15.000).The system: ® Passes ❑ Conditionally Passes ❑' Fails ❑ Needs Further Evaluation by the Local Approving Authority �- -- 4/10/2015 Inspector's Signature Date The system,inspector shall submit a copy of this inspection report to the Approving.Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow,of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving 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. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owners Name information is Bamstable MA 02630 4/7/2015 required for every City/town page. State Zip Code Date of Inspection B. Certification (coat.) 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 in working condition. 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. Check the box for"yes","no"or"not determined"(Y,N, ND)for-the following statements.. If"not determined,"please explain. The septic tank is metal and over20.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 than20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins.3N 3 Tide 5 official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 CT tr) -3 CIO IN k W U -4 "Ji ti CL, C4, Q CU I- r %," A.4 04 oj (D 0 cl C� z n =L M 01 r ul > =L CU v ZL Z) of crx 7-1 C- Ma ro tjv Nix fj cn -3 PI =0 Cj co "�vl 4 up AJ 0 ZL C) 9T kv M 4.x o t lu, CI, -rT zj ED 17 14 C) C. IrO 0) 0 B > Er f Commonwealth of-Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owner's Name information is required for every Barnstable MA 02630 4/7/2015 page. Citylrown State Zip Code Date of Inspection B. Certification (cunt.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): , ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction:is removed ❑ :Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): [] obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 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 t5ins-3113 Tile 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 r 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Notfor Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owner's Flame information is required for every Bamstable MA 02630 4/7/2015 page. Cityrrown State Zip Code Date of Inspection B. Certification (cunt.) 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 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 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 ED 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 Y2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Tithe 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carnage Ln. Barnstable, MA 026.30 Property Address. Ryan Jones PO Box 875 Owner Owner's Name information is required for every Barnstable MA 02630 4/7/2015 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form-Not for Voluntary Assessments "< 54 Carriage Ln. Bamstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owner's Name information is required for every Barnstable MA 02630 4/7/2015 page. Cityfrown 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 Z ❑ 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 waterbeen introduced to the system recently or as part of this inspection? ® Ell 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. ❑ Z 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)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 110x3= 330gpd t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owner's Name information is required for every Barnstable MA 02630 4/7/2015 page. City/Town State Zip Code Date of Inspection D.-System Information Description: Number of current residents: 3 Does residence have a garbage grinder? 0 Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection El Yes 0 No information in this report.) Laundry system inspected? 0 Yes E] No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? E Yes 0 No Last date of occupancy: Current Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? El Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments. '< 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owners Name information is required for every Barnstable MA 02630 4/7/2015 page. City/Town state Zip Code Date of Inspection D. System Information (coot.) Last date of occupancy/use: pa Other(describe below): General Information Pumping Records: p 9 Source of information: No Records Was system pumped as part of the inspection? ® Yes ❑ No If yes,volume pumped: 1;000 gallons How was quantity pumped determined? Truck site glass Reason for pumping: Maintenance Type of System: 0 Septic tank, distribution box,soil'absorption system ❑ Single cesspool 11 Overflow cesspool ❑ Privy ° ❑ Shared system(yes or no)(if yes,attach previous inspection records, if any) ❑ Innovative/Aitemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract Tight tank.Attach a copy of.the DEP approval. ❑ Other(describe): t5hs-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owner's Name information is required-for.every Barnstable MA 02630 4/7/2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed.(if known)and source.of information: 2009 per BOH records_ Were sewage odors detected when arriving at the site? ❑ Yes Z No Building.Sewer(locate on site plan): 3' Depth below grade: feet Material of construction: ❑cast iron ®40 PVC 0 other(explain):. Distance from private water supply well or suction line: +10' feet Comments(on condition of joints, venting, evidence of leakage, etc.): Line checked with sewer camera and was found to be clean, properly pitched with no sign of root intrusion. Septic Tank(locate on site plan): 2'4" Depth below grade: feet Material of construction: 0.concrete ❑metal ❑fiberglass ❑polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) 0 Yes'❑ No Dimensions: 1,000 Gal H-10 Sludge depth: 6-8" t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owners Name information is Barnstable MA 02630 4/7/2015 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Septic Tank(cont) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness • 3-4" 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? Estimated Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1,000Gal tank in good condition. PVC tees in place and clean. Tank at normal operating level. Inlet cover-4 below-grade with outlet cover 18"below grade. 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 t5ins-W13 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 f Commonwealth of Massachusetts • Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan JonesPO Box 875 Owner Owner's Name information is required for every Barnstable MA 02630 4/7f2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cons.) 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): 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 t5ins-3/13 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal;System.Form-Not for Voluntary Assessments °( 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO'Box-875 Owner Owner's Flame information. required fo r-every Barnstable MA 02630 4/7/2015 .. page. CitffTown State Zip Code _ Date of Inspection D. System Information (cunt.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box,etc.): H-10 DB-3 with 1 line in and 1 line out in good condition. Box is clean and solid with minimal solids carryover. No sign of overloading or hydraulic failure. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No' Alarms.in working order ❑ Yes ❑ No" Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System(SAS).(locate on site plan, excavation not required): If SAS not located, explain why t5ins-3113 Title 5 Official inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °`. 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owner's Name information is required for every Barnstable MA 02630 4/7/2015 page: City/Town State Zip Code Date of Inspection D. System Information (cunt.) Type: ❑ leaching pits number. ® leaching chambers number: 16-4x4 ❑ 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.): 16-4x4.leach Lhambers were.found.dry_at time of inspection.-Inside of chamberfs clean with no staining. No sign of overloading or hydraulic failure. Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration - Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool ` Materials of construction f . Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13, Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts ' Title 5 Official .Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owner's Name informatifor_every on is required Barnstable MA 02630 4/7f2015 page. Cityrrown State Zip.Code Date of Inspection D. System Information (cont.) 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.): t5ins-3/13 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 N Commonwealth of Massachusetts Title 5 Official .Inspection Form Subsurface Sewage Disposal System.Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 Property Address Ryan Jones PO Box 875 Owner Owner's Name information is Barnstable MA 02630 4/7/2015 required for every page_ CitylTown State Zip Code Date of Inspedion D. System Information (cost.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 -Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630. Property Address Ryan Jones PO Box 875 Owner Owner's Name information is Barnstable MA 02630 4/7/2015 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells +14' Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record If checked, date of design plan reviewed: 2009 Date ❑ Observed site(abutting property/observation hole within 1.50 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: Test hole data per plan on file at BOH. No water encountered at 14'. Bottom of leaching at 7'. Minimum of 7'separation. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins-3178 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 54 Carriage Ln. Barnstable, MA 02630 s Property Address Ryan Jones PO Box 875 Owner Owner's Name information is Barnstable MA 02630 4/7/2015 required for.every City/Town page. State Zip Code Date of Inspection E. Report Completeness Checklist Z Inspection Summary:A, B, C, D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 ,j i V TOWN OF BARNSTABLE � LOCATION e-1'10LT_t CGJ'e SEWAGE# 2 0 oc,_ 4>c VILLAGE LA_ ASSESSOR'S MAP&PARCEL ,'t9$ - 0(ld INSTALLER'S NAME&PHONE NO: /99- `/Oa f SEPTIC TANK CAPACITY /000 cx,4"1 v LEACHING FACILITY:(type)(/4 /-/,e ap lZ,o !�,(-T (size) //,Z X 2b NO.OF BEDROOMS _ OWNER Alt e � I- a h ('ta.. PERMIT DATE: 11 'i o COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility wo // 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 L,aching Facility(if any wetlands exist within 300 feet of leaching:facility). .( feet FURNISHED BY Lao.gwicie ?2 �� ►3z a3s 35- 33 3;L•s �s ro No. pp Eee'' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpf Cation for Misposal *pstrm Construttion Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System individual Components Location ddress or Lggt No. Owner's N Address,and Tel.No. $ 8arrra 0 CQac a°rn5/�ylt_ �"� Assessor's Map/Parcel C29 C)4 J-J W .I Q-f- �atK[a:. Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. C�e&,ic� �,�evpvrsPs s"o& YaP yva8 3a�c�er IVj( f:,Jrr, tfi y� J-of-77/-'7soa '7 8• Nor t�t S a Type of Building: ,,'' Dwelling No.of Bedrooms c� Lot Size ;d tO , SS7 sq.ft. Garbage Grinder(✓Av) Other Type of Building 2Q 5 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �O gpd Design flow provided 5.O 1 gpd Plan Date 4 ( 3 —Q�t Number of sheets % Revision Date — Title j f Size of Septic Tank /0&) a o. Type of S.A.S. 8-d e J)"r-1 P �craJ ern, s fz;1c ( s S Description of Soil 0a 1,, > oo rjr Nature of Repairs or Alterations(Answer when applicable) j j s U kL w P 60 'i 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. Signed \ Date Application Approved by �-� ,, Date �(" 7 _Ljc1 � Application Disapproved by Date for the following reasons Permit No. ZGa0j— C2 ' Date Issued /7 266 -- ------------- -- ------------- -.'"'rr.. '^++-.�i F :vls�y��Mf1MR �'.:.1r.F •a%.rv. .. `"',,�".-�.-,a ._.-_ .y ,n ,. .»__,m...... .,.rr7...; .. .r, ". - - d - !No. 200 CA Fee. /DU THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Sisposai *Pstem Construction permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ( Individual Components t Location ddress or L t No. Owner's Nam. Address,and Tel.No. QJ- tat^ /g .a' Sfa/ n� c Assessor's Map/Parcel C298 ;r014 _ .-�,-- I7 s 'G/a"trtu "C7 4 )Pug lc. -T 7b Installer's Name,Address,and Tel No.` Designer`'s Name,Address,and Tel.No. �K�rvpr�sP.S Sv;S yap �!ua aK ,! NBC. IFNJin.ec((r^f f•-ai 77/-75-0a d .j ,, i ;yy}.j,e k, {. 1 S p trt` i ti Sf' /LL6 f rl tr. i �O /UUr i Type of Building: Dwelling No.of Bedrooms ; Lot Size o?.{!y SSF?, sq.ft. Garbage Grinder Other Type of Building .R..Q 5 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 315P 1 gpd Plan Date y- (f r 4 r Number of sheets /1 Revision Date — Title / Size of Septic Tank ()r)I o, I Type of S.A.S. f u r`4L r caw S'/u ku l e s f }' Description of Soil !' ,J - ! '� r / P GJc). f-.�.. S�`�a�. .• rnrdrtrrti �uorsc ';'• Nature of Repairs or Alterations(Answer when applicable) , ,1 -s f4 It "y -X),C,P 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 ealth. r Signed ;` °"' +•r Date E ~' /{APPlication roved bYAP Date 7 �C1 tApplication Disapproved by Date tk for the following reasons I S Permit No. 2 G C, - G Date Issued /`] 126,5 1; - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by N 1- L _4 eA-T t2-i C i►.. f-)V A N cL. at 6 K CA ga 1 LA r.j c- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoZ00G1-bAt 1 dated 41 - 17— 7-04 Installer C/A Designer 1>A C-T Cy #bedrooms Approved design flaw Z;U ��SO i N gpd The issuance of this permit shall not be construed as a guarantee that the system w 11ftirIc6on as/designed. . Date 2 311 Inspector p�--�-J( G!J� �. 1 V - - - - == -- -• - -- ----- No. Zoo�A -' aq � Fee foo THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION,T BARNSTABLE,MASSACHUSETTS Misposar *pstrm Construction 3permit Permission is hereby granted to Construct( ) Repair(� Upgrade( ) Abandon( ) System located at l (��, /.1,1?Q,/6}L,1� �Aly �jq2 N-, S-10, 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:Constrructio ust be completed within three years of the date of this permit. / f� Date `'z / 7 2 Q Approved by Town of Barnstable Reguilatory,.Say ices S Thomas F. Geiler .Director ^� Public Health Division t639. 1� A Thomas McKean Director 200 Main.Street, Hyannis,MA"02601 Office. 508-862+4644 Fax:=508-790-6304 Date 2 o Sewage Permit#7001 0C Assessor's Map/Parcel Z g Z Installer&Desianer-Certification Form Designer '. �: r ee e� , Installer: Address: . h'o1'r. ems`~ Address: D, ©2fo3 Z On was issued a permit to install a (date) (installer) septic system at fig{ ga I&cF LGIIW6 based on a design;drawn by (address) 2� 1�Re�2 dated yT 2,66 . .:':(desitner)_ I certify that the septic system referenced above was installed substantially according to -4- the design, which may include .minor approved changes such,as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was 'inspected and the soils were found satisfactory. I certify.that,the septic system:referenced above was installed with major changes (i.e. greater,�than .10' lateral relocation of the SAS.or any vertical.relocation of any component of the septic system) but in accordance.with State &.Local•R ions. Plan"-revision-or Cerhfred as-built by designer to follow. Stripout(if req ected and the soils ;were found satisfactory. y��cA�' ASsgo o� STEPHEN yGN D. v MATSON - CIVIL ( _ 'ller' Srgiia ) �o No assas:w �' �sS�QNAL.ENG\ resigner s Signature) (Affix Designe , tamp Here)' PLEASE MTURN TO BARNSTABLE PUBLICC..HEALTH.DIVISION." CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office forms\designercertification form.doc Town of Barnstable P# v O Department of Regulatory Services Public Health Division IMABM DateMUSKS O %639• 200 Main Street,Hyannis MA 02601 ED MA't Date Scheduled Time Fee Pd. —/O Soil Suitability Assessment for Sewage Disposal, Performed By: Witnessed By:�O r�i 0 7a I Q trod�K— ,rg+f LOCATION& GENERAL INFO. RNIATION Location Address Owner's Name jU e,( $ ✓ /tJTI{ Address 17 W�4/rJ�T �:ourtt /2o�Lc l�w+lt vvw- . Assessor's Map/Parcel: 2cJ g_ pc{1 Engineer's Name NEW CONSTRUCTION REPAIR ✓ Telephone'# �6 Z�' o?4,r"�``y Land Use e�� 6') L 1`t/�j-i— Slopes(%) Surface Stones ��-- Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft i Drainage Way ft Property Line. ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes). Parent material(geologic) �`�Li ��u �"` Depth to Bedrock Depth to.Groundwater. Standing Water in Hole: Weeping from Pit Face f % ` Estimated Seasonal High Groundwater 1 pal d2•}l ^/ hl y-0,o� S u-r-�tG 1 �) DETERNIINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _ In., Depth to soil mottles: in, Depth to weeping from side of ohs hole: in. Groundwater Adjustment f[. Index Well# I�WNI-Reading Date: Index Well level Adj.factor - Adj.Groundwater level,203' " PERCOLATION TEST hate Thne.� Observation Hole# S 1•�1�. 1-C L- r/ Time at 9"' Depth of Perc S t � � S l 5 Time at 6" Start Pre-soak Time @ - 'rime(9"-6") End Pre-soak Rate MinJlnch Site Suitability Assessment: Site Passed . Site Failed: Additional Testing Needed(Y/N) Original: Public Health DivisionObservation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must firit notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:k.S EPCI0PERCFORM.DOC 2aoy - o� • DEEP.OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% rave � o a�— b DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other 4 Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) l$ 62 �S>l0� Lonrr � j 3 t� / Cor�tiv, 0 M i1wc. DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. el Pro 1Dra�► % qj3 [3 6 Z a ou t a 0 161n�u�I�s� V -ent uN-- 43 2 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) . (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No—K 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? If not,what is the depth of naturally occurring pe ious material? Certification I certify that c (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 traf mint expertise and ex erience described in 310 CMR 15.017. S Date ignature Q:\S•EPTIC.PERCFORM.DOC r JBROO Briggs Engineering &c Testing A D1vivo+V or,PKASs'oci.vr.IA'C. April 6, 2009 Baxter Nye Engineering 78 North Street, 3rd Floor Hyannis, MA 02601 Attn: Mr. Stephen D. Matson Title V Soil Analysis Address: 54 Carriage Lane-Barnstable MA Briggs# 2461.7 Tested: 4-6-09 1 Lab Ref. No. Description Source M-17382 410 Fraction Site 2. Particle Size Analysis {ASTM D 4221 Sieve Size Results Standard Alternate {% Passing, by Wtj 2.0 mm #10 100 0.850 mm #20 63 0.425 mm #40 20 0.180 mm #80 3 0.150 mm #100 2 0.053 mm #270 2 0.0386 mm 2 0.0244 mm 2 0.0141 mm 2 0.0100 mm 2 0.0070 mm 2 0.0035 rnm 2 0.0014 mm I J. The above analysis was performed in accordance with D.E.P. policy# BRP/DWM/PeP-001-1, Appendix 2. Respectfully Submitted, BRIGGS ENGINEERING &c TESTING A Division of'PKAssociates, Inc. Sean Skorohod Director of Testing Services Construction Technology Division enclosures: graph ----------------------------------------_-___._.._.-----'-•-- �i'EV�'t'.13 f 1 C LTS f'.LI cF t i e G I'1!?�.f'fi[T4 ---------------------•---------------------- 100 Weymouth Street- Unit B-1 56 Roland Street-Suite 1024 100 Pound Road Rockland,MA 02370 Boston, MA 02129 Cumberland. Rl 02864 Phone(781)87)-6040 ^Fax(781.) 871-7982 Phone(617)666-6040 Phone (40.1)658-2990 Fax (401) 658-2977 �s Carriage Lanwarnstable MA No.: MTT382 r. HOME= 1 mumm ammum"dmmwmm NINE mummmmm=m mimummmummsmimm ®reMMr9SI® R®e�lAffi® ==WEBB IMMORa® mm®®oIB® �ABH®��ffi �®IA�AI<®Ai ®�rA$®AB�AI � ABBIBHIIQ ®BIA1 IHl�r�rll«IB • 1 H#0� fie! ®H38B®�®®AA H��Iffi(�r$�® to A ®SBA® A�a®ffi® SIBommmoilm ®®®a A@ � aaaM mum lux ®® INamm ® aaa aEB AIffi A®®Ir IMMU AHI HAM IAjlMIMMIMIUMMUM HUM IS 1011111 �r1A1ffi�®®�A11� IrAlfl� HH�AAH �SHIA ®®��� I onmoommmmm rffige" • 111A�1®lam®BAA��ffi AAr181221A00 IEEE mmmmi i®A� AI mBmAQffi® HI�IBIm AQ® • 1 rr � rra�®ffi ®AAH�®IAtI! 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I 1 / 1 Ii Ii 1 / • i • f • ' �• A r. w '11 •! No.... ........... _."�. Fizs................. ....... THE-COMMONWEALTH OF MASSACHUSETTS BOARD F HEA TH 4- !/ OF........ .. .......... ..--•----•------------- Zlisposal � Appliratiun for Mivoiia1 urkii Tomitrnrtiun amit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewag Syst t OQA ....... ..a -` ` ........:.............................:::.. -LP ofa -n- ess r t No.. Ck -- ----- n ................................Address Installer Address Type of Building ^ Size Lot............................Sq. feet V Dwelling 1 No. of Bedrooms....... ..................................Expansion Attic ( ) Garbage Grinder (�6) Other—T e of Building .............. No. of persons..........................._ Showers — Cafeteria Q' Other fixtures ------------------------------------------•••-----•-----••------•..................._..---•--------•••-•----••-.......•----........•----- --------------------------gallons. W Design Flow................................ . •• alllo ss PeLene Length per day�idthl da>ly floDiameter_______...__.:_. Depth___�_...__.. �� 210 � -W Septic Tank!—Liquid*capacity/!:FLg g x Disposal Trench—No. --_-_---_--_--- Width_....____._. ��j��Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..... ............. Diameter--�i�j` i epth below inlet .............. Total l�ac�x�rn area.........._.......sq. ft. Z Other Distribution box ( ) Dosing to ( ) lam�" �"2 �� ''" Percolation Test Results _ Performed by...... ---lt'1 ....( I.L 4�-- -=---------- Date... -...... .. /......._...__.. Test Pit No. 1... °:5.....minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit............... Depth to ground water........................ R+' .......................................-•-••• ......• f .......... ----------------------- - x Descnption.of Soil = .. _ ...fa 2 ------- =`-'r•....----------•--------------�..... .-••.....•-•��- --=------------------------------------------------------- ---- . .. ..... .. W -------------------------------••--------------------•------.--.---------.------------------------------------------------......-----------•------------............................................... VNature of Repairs or Alterations—Answer when applicable............................................................................................... •-•---------------------------------------------•------------------•----------------------------------------------------------------------------.....--•----------•----------------------...........•-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L ITLi, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beN issued b th and of ealth. Signe ---•-• . . ... . ..---- •. ..•--••� a�Kj� --•---........- Application Approved By....:. .,�.. . �. //_!sue_... ...--------•.•----- = --� 7�7 7 Date Application Disapproved for the following reasons: �.. ............................................... --•--.•...............•------•----....................--------------------••-----•--------•-•-------•-------•----•••--••---•--••----•-•••-•-•--•--•---••-•-----••---------------•----•••--•-••-••-.-•--- Date PermitNo......................................................... Issued_..................................... ................. Date i z. y � Y v No................»...... ............._............ s TH''E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA AvAration for Uiiposa1 Works Tonstrurtion Vautit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System _ `........ -Location Address •i . ^ ` ............or Lot No ......i.. ...._. n E c1 U tCp 4 Ir�I�S r l '.c)� �" _D . ')6 C� kf �r�r�e :C c st-0aG?ti (U ..................••-•.�......•••. ......••--•-....• --•--•••-••---••-•--•-••--•-•••--- . •. ... . =- ....... »_... ..._... .....i ..... O r Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling 6 No. of Bedrooms___..°__________________________________Expansion Attic ( ) Garbage Grinder p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures -----------------.................................... Design Flow..............___-------.---........_____gallons per person per day. Total daily flow.._...__._ .. ..` _•..................._gallons. WSeptic Tank L Liquid capacityb�✓.gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No. .................... Width......_.....'.. .. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...... Diameter./U` _j�=// Depth below inlet.................... Totat eacl�ang area..................sq. ft. Z Other Distribution box ( ) Dosing t �nk ( ) 7-�� l � '-' Percolation Test Results Performed b �. '... ...._...��' ...''� ... Date..------------------------------------- Test y - - aa Pit No. 1...�:..5......minutes per inch Depth of Test Pit................Depth to ground water........................ G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ------------------- -----------•---•--••-••-•-•--------_..... ----..-----.... .. .............. O Descriptiory of Soil-----------`� ..? ..�. _ L' v ��,c: - W ----••-•---•----------------•••---...................--•-•-•---•---•------•-•---•------•---•-•---•------•--•-•••---•...--•-----•----•----••----------••••-•----•---•---•-•--••••-•------------•-•_--•-- UNature of Repairs or Alterations—Answer when applicable............................................................................................... •-•--------------------•-•--•-........_.....--•-•-------•--•-----•------------------..........-•--•-•---.....-------------------•--------•-----•----•---------------------------•---•-••-•----••--•-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by-tthe`board � ofh .Sign d _:-iV ... ----•-..-�- ------------------- Date Application Approved By---- e: ------.... d `'���.................•-. -•-- ..--� ry-+--�-�------ Date Application Disapproved for the following reasons:................................................... ............................................................ --••-•--•-•----------•-------------•-----•--------------........--•------...--------------•-------------•---•-----•-----•---------•-------------•----•---------•---------•----•---•----------•----•-•--- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r Trrtifirabe of Toutphaurr Z.1� THI -IS TOICERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-•-•---•..6-k C�= ..................................... --------- -----�' -------------------•----------------------------------------...---------------......------. �/ Installer � at_..f/112✓ cC�i......1... ...-r ' �1��= �;=f ' �A C.iLx� has been installed in accordance with the provisions of TTT IZ `5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N .. -!....._U. :................. dated...... -._2_�-:--7-7..........._...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTE.W I L FUNCTION SATISFACTORY. , DATE .'.... ... ....7.2----_----•------------------- Inspector.... � ... - .......................... THE COMMONWEALTH OF MASSACHUSETTS L�J� BOARD OF HEALTH C 7 No..._.... FEE..............•---..... Disposal Vorkp TAInotrurtion rruti# Permissio i -hereby granted-----..........�' bni .....--------.-------•------------------•---------------•--- .......................................... to Construct F)or Repair ,( an InidiVdual Sewage Dispo al Sy gem �' ram" ;f i✓✓ �1 0 GL�Yv d at No....�.11.:. !.........:...... ...�. .......--•-•-•-----...........:.� r - Sttreet as shown on the application for Disposal Works Construction Permit`No.__,1.............:%Dated..2-_^_.7'...-.7_......_. Board of Health DATE...............................•.......----------...-----......-----•.....-•---• FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS TOWN OF,tBARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER .AND. INSTALLER INFORMATION ✓ y. P ADD ESS: F's 1 l PARCEL NO. 4 �¢MAP NO. '� ,T17 _...OWNER NAME: '/ VILLAGE: x N INSTALLATION DATE: BY: ADDRESS': r �ii �_ -'#` �;3 �aE = -CERT. NO. Q/V6o-� . "`TANK INFORMATION LOCATION OF TANK: ° " r; ;7t'✓� �[E r t'. fr%�' L rf'f1+ .. CAPACITY 5 T,YPE; a AGE FUEL/CHEMICAL TESTING CERTIFICATION C •] 'PASS LEAK DETECTION C CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES C NO DATE TO'. BED REMOVED V4 C/CJ FIRE DEPT. PERMIT ISSUED C YES C ] NO DATE UUNSERVAiION CY7 CHECK IF N/A `x DATE , BOARD OF HEALTH TAG NO. 4&3 ]C � ]:C ]C ] DATE PLEASE PROVIDE A SKETCH. SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD ' 1 govo -h7 ho use -740 m per/v�u�ay . . , ctAp O oX. 3 ah6 ve 9 ro vI7c1. y _ ROBERT R. OCUDO[tR xt vI`ci 4 - AND - r. RICHARD M. ©CUDDER r.= Oil p Cust. N OIL" ®URNER'SALES & SERVICE o. 027809 FUEL. OIL. - - KEROSENE p:Ii t: $398 a 89 36 OCEAN STREET P,Ot.' BOX 1210 HYANNIS, MASS. 02601 • September 2 , 77 >» Mr. William Babbitt C/o Daco Realty `Trust Ocean Street Docks CODE Hyannis , MA 02601 ,. KERO 1 TEL. 775-0474 2. FUEL OIL u 3. SE • TERMS: NET 30 DAYS PLEASE DETACH AND SEND WITH YOUR REMITTANCE - t DATE I REFERENCE NO. ICODEI CHARGES I PAYMENTS. .FOLD BALANCE FORWARD i ,,...#, . 8/25/77 Install'atizIn { 1., of undergr un .' tank $398.89 $398`.89 ' .':'�-+t-'�yl�'""^=-�'"oF-{�''^ -T�.r�a=.a,.� `-`�y"'t r ----��t..rr as•i.�!y�^•i...:t v.�,�.-.s..- ��•�°'�r '�.-t- � '/ �r�.:I!:'� , ,, :ems P i' p k,}•._ s {I ; s. �. L,$i } ' �} .a ✓t,r-� � � if� G� '1 •� :c j; 1� F r LAST AMOUNT IN -r #"a "� .THIS COLUMN SCUDDER-TAYLOR OIL COMPANY ,INC.f� ° BAL'ANCE'DUE Y t r,4 sat }f ,}� •' a: `i ,,q � _ �' '+ +, i #�" }a i,7�Y� � 'i'.0 s 1 31� �v� ,�. y. rl s{ ¢ f t* ; t Y A`o'f t g •��• r9, '� � �}• � c d 1., ..� J r{ ik 1� 1r 4; lv! f,. 5:4� �y f,` ���eTz" �r z <#i+• {Fs ?„' ia�`'° � �€} +fix k iy t i 1. {, 5 7, n^---�-r-'^t-r=r�-t'� 'tom ..t:.:t 1^c-•: BARNSTABLE!FIR MISTRICT'} ` " #APPLICATION s, T0,tINSTALL� _ ALTER FUEL' OIL'BURNING�EQUIPMENT �To the.Head ofahe Fit , �.pN;Lori ,� rrcr cuy�utaG'e tr�a�wrucuce wtrn me pr�ovistons of°l,hap;14>i,li'L 3 µ�egulat►ons?made under authority thereof by the undersigned fortperm�it=to install, alterfo I , ;the person or,persons,agd at tl a location namedt herein, certain equipment for the keeping, r storage or use of fuel or�other lammab1eAD-quid,produ�,. ed for fuel asdescnledbelow�= ,_`_�'_ "'FNAMh�- c S ADDRES"�..�_ Descriptton Ell EBurner, Es r �TYpe a f ti` ;Model�orrSize r-;z„xr , �_s - -- Location xsur�:w.,y rr Iv►ass Approved No ,E ^_ > t `Storage,Tank:t Type /-�a-ypacly 0 6 gals (or) 'S�zer - �r`'' ;Amount of fuel,requi[ed for testtng-purpose �gs ,..� Y Tliislapplcation �s made}with full knowledge�of� tie current regmPementsof regulations�governmgsuchT�nstallat�on, w,htch_will{be_made m�comohance the`rewit �-- ---�� 097 NotC ti li this.applicanonnvolves�a1terat�ons to existing egwp�nent,{ � c r _,- ''� J Y :n ��, descritie�fullY•son:reverse�side� L�'� � t°'' i""� - �'-' ��'' "' `f'r ° I _ U EXISTING HOUSE #. EXISTING HOUSE NO CHANGE NO CHANGE ¢ 3 - - � B .g E 9 8 F CC �i NN CUT 3•WIDE 2xs JOISTS E?16"OC f ACCESS DOOR FOR SHOWER FLOOR a 'r FROM EXIST.TO NEW BSAAPJT FLUSH TO BOTTOM OF ... . 2x10's W/3/2x1O'sG? c ; 9. -CONFIRM LOCATION RETAINING WALL PERIMETER ........_....._ ... ....._.._- 7 W/OWNER BY OTHERS _.. - _ U1b. EXISTING j! NO CHANGE DECK REPAIR/REPLACE EXIST. r T1 - - . DECKCASNEEDEDFOR 13 e '. _ !i NEW ADDITION K RE-USE EXIST. ® "S s: 6 SLIDER I DIPIING uLu • . - - S to .a. x -- TW24210 29,KNEE WALL 7a 7— Fp .� k i [ 3/2x10 DROPPED _ 2x10 FLOOR JOISTS 6IRTS TYP. @ 16'OC W/2x10 RIAA ', TW24210 if 3/2xID INSUL 1 PT 2x10 JOISTS _ (� 16"OC W/PT 2x10 — - HEADERS TYP, I s D6ER-@-H0ti5E----- &BSAANT LEVEL 15:4. ;.: 3' ... it iSCOW. 1/4" ..I'T I *- i - Date, 4 6-Il8— DROPPED 3/PT 2x10 ;. Aju I - ��� , 6•s sl4^ I GIRT OVER PT 6.6 POSTS �- i r. 10"SONOTUDES ON x _... ---.... _. f RrETAINING WALL 10 29l38 24°BIGFOOT W/SIAAP j............_ .._.._.6 6 _ _ - iQJEE WALL BY OTHERS 3. POST BASES @ MIN.4'! S BELOW GRADE TYP. 1 - _. f . ._.21.6• _...__ . .._.._..---- - PRICING PERMIT PLANS Page. 2OF5 i S 4 d 7 7 c � � o • g r qj lo�J °tom EXIST, g - BEDROOM 0 EXYSTYP76 NOOSE NO CHANGE $ EXIST EXIST, BEDROOM BATH i5 8 a REMOVE EXIST. ?a 9 SLIDER 8 TRIMFOR �• . rT 5 Sv EXIST CASED OPENING J"l i . .. ..: i ... . ...........__..__.,.13'11/2__..,......._..__.__. 2.I8" O I 1-913/16" )� I 6 31/2" e',8" �_ __,.....e g°._,:,_..�_.�,E: ( REPAIR/REPLACE 2 a^ EXISTING M.1-� 1z 61 DINING - 3 6 B;TM.,r._...,._.._...7 _ AN�51 DECK TO REMAINE)CIST.DECK ¢io 3/e^ r y �. 13 DECKING AS _ ROOM - NEEDED' W61 SLYtiE& I HALL - O 7'11/1' 7'11/2" 642 TW26422.e CLOSET z CLOSET 4 AW31 _. Y.K 3 0S/B. 3 15/B":k3 313/1',e'".. .... .• IP' ti �_..,._. ._B�..._.. ....._.w - 4'41/2" 29' '.. 4'111/b• :�'._.-.3.._._..�r ® i 15'101/2"._ a- 6 . .. .-. AW31 I ® u GAS B!b s F.P. Is 4^ COVERED s GAS 5.9 5/16 PORCH pq BEDROOM '� { .. pP., xg ul2' 9'.97/16" sc ak IN'a I'(DO bate. 4 as AW31 -- - - TW 646 TW2846 2-715/16• 6'11 7/18'_,..,_.I:_3'9 1/2"_1.._3'9 IW.j--------1-11 9/18°-_- i FLOOR PLAN i r i 1 j 1 Yi t PpacI 0 PEPMIT PLAN 0� - 3 y - o a. Q 00 9: m col an `� ea a I o ..... ---- __..._.....__-... ._-....... 0.6 G tr rs g / \ 2x12 VALLEY NAILER y _ a - a .OPI THE FLAT i s t ,s 2.12 VALLEY MAILER ON THE FLAT 2x8 OVERFAe 4 RAFTERS z + ``"5r • — �• �16 oC wi2xlo saDGE BRa 17} � �=T -,� OF 3 g --. .------ RAFTERS OVER BEARn4G WALL U U=p- ' - 2x10 PORCH RAFTER 016"OC (64 s — 2 - - --- -----.._ BELOW - -6 . PORCH ROOF BEAM SPLICE PORCH s 1 TO BE SIZED BY SUPPLIER RAFTERS OVER - EARYP7f-4fF --...BELOW :f.. .� ®400 e Il�®oo y.. 2x1O MAIN ROOF � DDQ�PGo 4-6- Affi RAFTER a Ia"oc n CEIILIPIG t WOOD FRAME 2x8 PORCH I��NIO�UO JOISTS 16"OC M PAFP1IN.-2-- MAINTAINMAINTAINTAYN-EEEARAP _ ....TO STOVE PIPE _ # REFER TO CROSS SECTIONS FOR POST RIDGE BEAM TO BE £. FOR FALSE RAFTERS BELOW TO SIZED BY SUPPLIER . . - CATHEDRALCEILIPIGS HEADER . x CEILING 0 ROOF Fr°��,G�L N OVERFRAME AREA PRICING/PERMIT PLANS o 4 OIL 5 o r x r C� �. J,4.t Ar y A ' q y `� 1 p , M. QQTHODrNING SECTrON VC ERIOR FINISH Z �. € -ALL TRIM TO BE FAINTED WOOD O < 3v CERIN6/ROOF SYSTEM (OPTION-FOR PVC) - -2x10 RAFTERS 0 WOC.W/PERPENDICULAR -L6/6 CORNER BROS. DLOCM46 4'OC 2 DAYS IN FROM GABLES -0x4 WINDOW/DOOR.TRIA1 - 1-3/Px_•LVL .STRUSTURAL RIDGE 44 FASCIA/ FRIEZE W/BED ALLDG. i BOARD SIZED BY SUPPLIER dxB/3 RAKES/Ld2 SOFFITS -2x4 COLLAR TIES @ 16'OC @ UNDERSIDE -fx6 T&G @ WIDE.SOFF.IT/CE UNG @ PORCH _ . OF RIDGE BOARD HOUSE OVER 15N FELT W WATER @� T. -UY SHEATF4N5 . - -W CEILING JOISTS @ 16.00 W/PERPEMICULAR 6 ALUMN.DRIP EDGE ,5)n BLOCK046 4'OC 2 BAYS IN FROM GABLES WC SHU46LE SIDING TO MATCH MST.OVER Lx3 STRAPPING 0 WOC 0 FLAT&511LOPED TYPAR HOU_SEWRAP:W/ALL SEAMS TAPED _ CEILINSS, . -MIN.RdB INSUL.W/VAPOR BARRIER W/ . - ur GYPSUM �. 12 3�. @3 ® Q�! FLOOR SYSTEM •. s 440 JOISTS @ 16.00 W/PERPENDICULAR BLOCONG 4'OC 2 BAYS IN FROM SABLES - • -DOUBLE 2x MEMBERS @ STAIR PERIMETER a SSCGW 1/4"� 1'W -3/4'AOVANTECH SUBFLOOR GLUED 6 NAILED -1x3 5TRAPPING @ 16'OC @ BSMNT.CEILpJbg�q •MM R-30 INSUL W/VAPOR MOM � Date.e 4 6 18 . Revisions. EL M. FOUNDATION SYSTEM -MdO CONC.FOOTING W/KEYWAY @ PA, CLOG SET//WING SECTrON -'CO.FFOUWN�wN WALL G'y/�.,BEDR00AMPORCH SECTION 5/8'x10'ANCHOR BOLTS SPACED®_. WOC W/MITE 7'EMBEWMENT 6 - �- 6.12'FROM END OF PLATES -0T 2.6 STLL/SEAL W/3'x3'xL1'PLATE 1 . - WASHERS @ ANCHOR BOLTS - -CCONC.SLAB . . W/6x6 WWM OVER - - .- VAPOR BARRIER OVER COMPACTED FILL _ -TAR SEALANT OVER EXTERIOR OF WALL j ((��f(i��qq���ryp+ppR�L,pp�� ((������pp 9q�F p /��pc� (� �n 2 t V"U32LlyggQp6y/®P1SU3MrT PLANS u 3.OF!5'_� �.. st.xw. ohl �r : , P t n ••. GENERAL NOTES ChPrn d � • _ .o � ,a •� �! •.I. .'�: � {t /� I � . n'�- \ � ••,. 1) THE NIFM Of TM PIMI IS 1b DESIGN A SEPTIC S15TE]I REPAIR AT LOCUS. NHS PLAN S NOT Ti) BE CONSTRUED AS A PROPERTY LIE OR D3S'ING CONDITIONS 904Y - • ystable .• , , \ 2 Loals AREA CaPRISED OF. `s ZONE RF-2 OVERLAY OISTRICL AP n o �•'_ •r` N � •• ASSESSOR'S MAP 296 PARCEL 042 _,' ._' �E..v any 71!`• - -..i � T Q` �^ PER THE DEED RECORDED A THE BAWIAB1E COUNN REGSIRY • N' ~ OF DEEDS N DEED BOOK 17423 PAGE 207 THE PROPERTY LIE INFORMATION S AS SHOWN 3) DINNER NU F. a PATRICM B. DtW{E �!' .• W '�1f T A� _ � � • r �� �� p17yyM�1l�JuA�lf COURT �71r1 • e H. :. , • � . '� u: 4) PROJEI:'T BENCHMARK a ! 1 '4 .1 WG MAIL SET N PAVEMENT OF CARRIAGE LANE o �c, R as ,• N -' ,� • } �::' S) EXSING CONDITION NFORYAl10N S FROM AN ON 11E GROUND StIRVEI'. PERFORMED BY EW(TFR-ME Na- -�'�'. . ;_ Q' • ��; L OIGI� ON MARCH 23. 2009 AND FROM GS NFORWTION OBTANED FROM THE TOWN OF BIRNSTABLE CIS \ a '�- j�° !}r'�) • ' H I i �J IF ANY OEM INFUWATION SHOIIIN IS DIETERNINIED TO BE INACCURATE OR N CONFLICT WITH THE DESIGN, THET}E�CONTRACTOR SHALL CONTACT THE 90NEE 2 MEDIATEL FOR - �� REVEW AND POSSIBLE REDESIGN. 6) CO MMTY PANEL NUMBER: 25WO1 0005 C OF THE FLOOD INSURANCE RATE MAP DUNES THIS AREA AS ZONE C, AREA OF Wftk FLOODING. a LOCUS MAP Scale: 1' = 2000' Iro r' W •SITE IS NOT WITHIN AN AC.EC. (AREA OF CRITICAL ENVIRONMDNTAL CONCERN). Z • SITE S NOT OM AN AREA OF ESIYATW HABITAT OF RARE NIDUF'E PER - -- NFESP MAP OCTOBERR 1. 2= 1ESTIMA ED HABITATS OF RATE WIDLFE'' BARNSTABLE BON -----..-- _ FOR USE WITH THE NIA IIEITANDS PROTECTION ACT REGULATIONS (310 CUR 10)." DONNA L MIORMIDI, RS •SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP WP OCIOBIER 1. 2008 'CERTFED VERNAL POOLS`' \ PE •SITE S NOT ILA M A PRIORITY MWAT PER NHESP MAP WMBERR 1, 2000 'PRIORITY �m TEST PIT 1 TEST PIT 2 TEST PIT 3 ITS OF RARE��EDES'FOR TIONS (321 U� LOW THE SETTS ENDANGERED ' G.S.E. = 40.7 l G.S.E. = 40.7 • _G.S.E. = 38.8 Ap ; 1OYR 4/3 ; SANDY LOAM Ap ; 10YR 4/3 ; SANDY LOAM Ap ; 1OYR 2/2 ; SANDY LOAM SITE S NOT WHIM A ZONE I (MFILIEAD ZONE OF CONTRIBUTION) .� •T Ulm waffimt ct B ; I OYR 5/6; SILT LOAM B ; I OYR 5/6; SILT LOAM 91; I OYR 6/6, SILT LOAM 8) I -0051NG SEPTIC S1'SIEY INFORMATION OBTJIIED FROM AN ON THE GROUND SURVEI'. PERFORIED B1' Lw11(TER-AYE 96" ELEV 327 144' ETJ:II 28. 48' (ELEV 34.8) ENGINEERING ON MARCH 23, 2009 AND THE TOWN OF BARNSDABIF AS CARD /77-4A NO LATE VNO WATER OBSERVED NO WATER OBSERVED �: 10YR 6/2; FINE -INTER LINE SHOWN IRIS VM FROM A MAP PROVIDED BY THE BARNSTABLE INVITER DEPARTMENT ON MARCH 26. M 96' (ELEV 32 7) TO 144" (ELEV.-28.7) SANDY LOAM 2009. 60' (EI.EV 33.8) C1; 1 OYR 6/4; MEDIUM _ COURSE SAND SEPTIC SYSTEM CONSTRUCTION MUTE$: 144' ELEV 26.8 M i C2; 10YR B/2; MEDIUM 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED N ACCORDANCE WITH TITLE V OF THE STATE SANITARY r COURSE �� CODE DATED 4/21/06. AS AMENDED THROIGH THE DATE OF TM PLAN. & ANY LOCH. RUILES O - i 168' (ELEV` 24.8) WGULAUIONS APPLICABLE. 2. ANY CHWNGE TO THE PLAN MUST BE APPROVED N WRITING BY THE ENGINEER. ELEVATION INFORMATION WATER �� MUST NOT BE CHANGED WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. AT 168' (ELEV.-24.8) 3. WHEN CONSTRUCTION S COMPLETED, PRIOR TO BACKFILLIK NOTIFY THE BOARD OF HEALTH AGEM AND DESIGN ENGINEER AT LEAST 24 HOURS PRIOR TO COMPLETION FOR INSPECTION. NOTE SAMPLE TAKEN FROM TEST PR /3. C1 HORIZON. TIRE V SEVE ANALYSE PERFORMED B1' 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHED 40 PVC. UNLESS OTHERWISE NOTED HEREIN. BRIGGS ENGINEERING AND TESTING APRIL 6. 2009. SAMPLE NWATES THAT SOIL IS 87% SAND - I CLASS 1 SOIL LIAR-0.74 GPO/SF 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE "C HORIZON' . FOR A HORIZ. DISTANCE OF 5' I CERTIFY THAT ON JULY 7, 2007 1 HAVE PASSED THE SOIL EVALUATOR EXAMWTION APPROVED SURROINDNG THE LEACHING FEND. AND RE UCE WITH CLEAN SAND PER 310 CMR 15.255 TO THE TOP BY THE: DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE ANALYSE WAS ELEVATION OF THE SAS NOTIFY DESIGN FOR INSPECTION OF OVER DIG. AT LEAST 24 HOURS PERFORMED BY ME CONSETDNT WITH THE REQUIRED TRANNG, DMTTSE AND EXPERIENCE PRIOT TO COMPLETION OF REMOVAL OF UNSUITABLE MATERIAL. • OE9CRIBED 31 CMR 15.017 A cn 6. NSUTATE ALL PIPES AGAINST FREEING AS REQUIRED WHEN LESS THAN 3' OF COVER. SIGNATURE '�^ DATE �5�0 7. THE SEPTIC SYSTEM DESIGN �1 INCLUDE GARBAGE GRINDER DISPOSALS. �o LEACHING AREA REQI EMS a WM THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-•888-DIG-SAFE) AND UTILITY COMPANIES TO I `�' NITROGEN LOADING LIMITATION: NA LOCATE ALL DOSING UTUTIES, AT LEAST 72 HOURS BEFORE THE START OF THE ----- DOSING 1000 GALLON SEPTIC TANK TO REMAIN BENCHMARK: RESIDENTIAL. 2 BEDROOMS CONTRACTOR SHALL DETERMINE THE EXACT LOCATION, BOTH HORIZONTALLY AND VEIMALLY. OF ALL MAG. NAIL SET EXISTING UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF OWING UNDERGROUND UTILITIES ` EL 44.17' x 110 GPD/BEDROOM ARE SHOWN IN AN APPROXWMTE WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND HIVE TOTAL DESIGN FLOW - 220 GPD (330 MINIMUM) NOT BEEN NIJEEPEENDOVTLY VERIFIED BY THE OWNER OR ITS REPRESWATNE THE CONTRACTOR AXREES TO GARBAGE GRINDER (NOT INCLUDED) = N/A BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MOW BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE UTILITIES EXACTLY. F ELEVATION INF`ORWTKXN DIFFERS FROM PLAN INFORMATION. F � � 25.32' PERC RATE - <5 MIN. f INCH (CLASS 1)� __� LIAR 0.74 GPDABLE. THE CONTRACTOR SwIIJ. NOTIFY THE ENCNEERR IMMEDIATELY FOR Po6SN8lE REDESIGN. AT UTILITY 31 -T CROSSN6'S. VERIFY N F91D THE LOCATION / INVERTS OF ELECTRIC GAS, TELEPHONE O DATA/COMM AND RELOCATE F CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR 1• MIN. LEACHING AREA OF SAS. REQUIRED -- SHALL PRESERVE ALL UDERGROIND UTILITIES AS REQUIRED. I 7.5 LF. 4' SCHUEDLILE 40 PVC O S-2.0% 330 GPO/ 0.74 GPDABLE. 446 S.F. MIN. RESERVE AREA N D-BOX \`, / 9. THE PROPOSED UTIUTY OONNNlECT10NE SHOWN HEREON ARE SOJEMATIC. FINAL LAYOUT SHALL BE AS 36 EXISTING CESSPOOL M BE PUMPED. ASADONED. - \ DETERMINED BY THE APPROPRIATE UTILITY COMPANY. I REMOVED AND PROPERLY DISPOSED OF OFF SITE 4 42.G � LEACHING BED CONFIGURATION, 4 CHAMBERS X 4 CNAMSM N EFFECTIVE AREA: 1.67( .$)y(4x6.33) 474 SF 5' OVERDIG (SEPTIC SYSTEM CONSTRUCTION NOTE: 05) ,� � I SITE LOCATION: TOTAL EFFECTIVE LEACHING AREA = 474 SF 54 Carriage Lane, Barnstable, MA. - SYSTEM DESIGN WAM = 474 SF x 0.74 GPD/SF - 350.1 GPO m r SEPTIC TANK SIZING: 330 GPO x 200% - 66C GAL USE EXISTING 1000 GALLON TANK PREPARED FOR GROUNDWATER ADJUSTMENT CAPEWIDE ENTERPRISES ME71S� uREn DIPT}+ To WATER TABLE (3/-4/09) t4.o' P.O. BOX 7631 CEWMRVILLE, MA 02632 INDEX WELL- Al w 247 508-428-4028 DEPTH: 3/9/09 23.7' �9 INDEX WELL WATER ADJUSTMENT B 3.0' TITLE 40 ESTIMATED DO" TO H.W. REPAIR PLAN FOR TYPICAL SYSTEM PROFILE ON-SITE SEWAGE DISPOSAL SYSTEM NOT TO SCALE FINISHED GRADE NO1. S: MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS IF PLACED 36"MAX•-9"MI /�/�/�/�/�/�/�coMPACTED FILL/�j���j�j�j��� �n BAXTER NYE ENGINEERING & SURVEYING WITHIN 10 FT OF A ROADWAY OR DRNEWAY. - - - / / / / / / / / / / / / / TOP OF CHAMBER 2 LAYER DOUBLE WASHED STONE 1/8 To 1/2 O O O O PIPE INVERT Registered Professional Engineers and Land Surveyors OR GEOTIDMLE FABRIC PER 310 CMR 15.247 g g y SET FRAME d: COINER TO WITHIN 6' OF CLEAN SAND m E:FFECPTM 78 North Street - 3rd Floor, Hyannis, Massachusetts 02601 SET FRAMES & COVERS TO WITHIN 6" OF FRWSH GRADE RISERS E COVERS SHALL FINISH GRADE. RISERS & COVERS SHALL BE WATERTIGHT PER 310 CMR BE WATERTIGHT t s.255 Phone - (508) 771-7502 Fax - (508) 771-7622 FINISHED GRADE OVER D. BOX = 39.0 FINISHED GRADE OVER LEACHING BED = 39.0 TO 37.028' ,F,of M� ; TYP. o T IXISTIMG GRADE OVER TANK = 39.0 TO 40.0 10 0 10 20 T COMPACTED FULL 9' (min) Cover (R�) C;oVw CIVIL N CONNECT TO EXISTING SEPTIC TANK - INSTALL ONE INSPECTION PORT IN n SON s> INSTALL NEW TEE & GAS BAFFLE. WITH MANUFACTURERS 14 L F-4' SCH 40 PVC OS-2.0x 1% MIN. RECOMMENDATIONS ( ) 2' LAYER DOUBLE POSITED STONE 1/8' ALE IN FEET � 9 No.46345 0 2 n 7.5 LF-e SCH 40 PVC OS-2.0% (1X MIN.) 12" FIRST 2' (TO BE LEVEL) TIO 1/2' OR GEOTDUTILE FABRIC PER 4 N 810DIFFUSER 1100BD (OR EQUAL) 1"-10' °��cs`' sTE ,�` MIN. 4" SCH. 40 PVC CHAMBER TOP 310 CMR 15.247 LEAC" SI O N A L E� ING CHAMBERS NV OIIT 36.17 2 • INV IN- 36.03 :► ELEV-36.0 (ASSUMED INVERT OUT) ' SUMP . NV OUT- 35.86 4 SCH 40 PVC O p CHAMBER NV N- 35.58 1 CONTRACTOR TO VERIFY IN FIELD , 2.8 U, PRIOR TO CONSTRUCTION. NOTIFY DESIGN ENGINEER IF DIFFERENT FOR r�•:�; ••• •; ;; ••Y{'•. • +.:.' D E10 POSSIBLE REDESIGN. BOR X � DATE 04/13/09 <„ L •04 4 » BIOOFFU6I:lt 1100eo (OR EAIIAL) C. GAS BAFFLE 6" CRUSHED UI� C A I1WtS C`! STONE BASE DI8TRBUTION BOX 5' MIN ;1l UNSUITABLE SOILS, BELOW THE PEASTONE ELEV (TOP EXISTING t000 GALLON SEPTIC TANG To BE INSTALLED ON REQU�RED� BASE OF SAS), SHALL BE REMOVED TO THE 'C HORIZON' DIST. UNE IN (TYP.) - SEE CONSTRICTION INDITE /5 HEREON. ESTIMATED HIGH WATER ELEV. 27.8 N0. EIl' DATE REMARKS SOL ABSORPTION SYSTEM ISAS) 2 8, r 25.32 DRAWN ETV: SDM DESIGNED EIY: SDM NECKED BY:_ DRAWING NUMBER LEACHM THEN ITYPm 11 Nrs PION VIEW 0:\2009\2009-010\CNIL\PLOT\ 2009-010-sP.DwG NOT TO SCALE JOB #2009-010 cn c 1 qj 20 GAC. SEPTNG I O f� �O�M:•V. 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