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0102 COBBLE STONE ROAD - Health
102 Cobblestone Road Barnstable A= 31.6-061 1 d l 4 a 0 r TOWN OF BARNSTABLE LOCATION P®`a. ( A6i�,jr SEWAGE# VILLAGE jar,r,,, a,G ASSESSOR'S MAP&PARCEL 31�W C64 INSTALLER'S NAME&PHONE NO.'_,J��jcjCpS A 7&M;,p N)C SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Wo arr 1�,,��% _fS (size) 2•Pj x N 2 \�� NO.OF BEDROOMS OWNER A&1g r_ °,e6 ',j PERMIT DATE: "7 —1 S^f T COMPLIANCE DATE: -7 Separation Distance Between the: t X>- e C, (� 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 � (0,_Jf J Ilk fly T"„ /Aml Or OUT d7 4 2..7 w° No.90 � Fee 1 v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for disposal 6pstrm Construction Permit Application for a Permit to Construct( ) Repair(-<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. i O,j-, C o So lo LPstcsroe IRC) Owner's Name,Address,and Tel.No. l3o f�S�ab1 C Gay �1 fl Me.c Icaro Assessor's Map/Parcel 31 1 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. J7p; \as F! ��Cj.v�3 N C cril Type of Building: Dwelling No.of Bedrooms . Lot Size 1/3 r70 sq.ft. Garbage Grinder( ) Other Type of Building r e S 1 C7 PN i a c No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) SSa gpd Design flow provided 5-6 0 gpd Plan Date ? —(> ^ / Number of sheets 2. Revision Date Title Size of Septic Tank i ti-OCd pn�v Type of S.A.S. .5-00 !b C )Io'ej n f S Description of Soil Nature of Repairs or Alterations(Answer when applicable) L- g cxa r n N c\v\1~m\6,-r �.,��+� '�l ' o S VON 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 Health. Signed Date -7 Application Approved by Date —� e Application Disapproved by Date for the following reasons Permit No. /"" to Issued y� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21pplicatlon for Bis' posal 6pstrm (Construction Permit Application for a Permit to Construct( ) Repair( -<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. l 0 z- <_ b b I r's1-G Nc- 90 Owner's Name,Address,and Tel.No. 20[^3�ZGb0 r 6C,_r Wit' ✓/ AA r- ec, j Assessors Map/Parcel 31& _ 061 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ,,I C.S A 1�cNC7.u�J 1 N C lc 5/i✓ai SO$-YM -7/S5 G� r�Of-ri r Type of Building: ; Dwelling No.of Bedrooms Lot Size y 5,TX'7O sq.ft. Garbage Grinder( ) - Other ,Type of Building r e s i C)c-N N- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1� So gpd Design flow provided S G D gpd Plan Date 7 `G - t S Number of sheets 2 Revision Date Title Size of Septic Tank 1 '00 Fo© Type of S.A.S. S 00 CA o C' �\o f A�n S Description of Soil Nature of Repairs or Alterations(Answer when applicable) \ SN C. N p L„j C 1oX Z. ) �- 5cnp 'b c-,t 1 c,r z c G r.%\o Pt S �.o 4 '-I O S a o ry )e 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 Boar of Health. Signed Date 7 Application Approved by 1011, Date - ! f 5 7 Application Disapproved by Date for the following reasons Permit No. �� `y• Date Issued r - THE COMMONWEALTH OF MASSACHUSETTS r'F BARNSTABLE,MASSACHUSETTS - (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by ` l ,G s /� �2 4 b rJ -T- N at % 0 2 C P has been constructed?i acco dance f with the provisions of Title 5 and the for Disposal System Construction Permit No. 0"O� ?� dated E ' Installer n Z)r C>w r,-� "L rJ C Designer I Iry < l7 0 C S #bedrooms Approved design flow S gpd IThe issuance of this permit shall not be construed as a guarantee that the system will nction de ' d. Date 7 - 1 _ I Inspector --- ----------------------------------------- ---------- No. c? O 15 — 1�-K Fee 't/V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS isposal lopstem (Construction permit Permission is hereby granted to Construct( ) Repair Upgrade( 1 Abandon( ) System located at (7 2 P o )0 t- 5 1-0"f- Z C) �O f A)q k c b k r 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 a completed within three years of the date of this permit. �'s Date - S � ' Approved by Town of Barnstable , Regulatory Services y Richard V. Scali,Interim Director HARNMABLE. �. MASS.. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Offi e: 508-862-4644 Fax: 508-790-6304 In-staller &-Desiz—ber Cer#i katibn Form Da Sewage Permit# 22 r&sessor's 1Map\Parcel 31 to �O l Des VA Installer: -Adkress,: Gn,sEf" Id aCA Address: �• coy IDS on. 5 / 5` T,fk ' 13 ra,aA.: `^L was issued a permit to install a (date) (installer) sep c system at I Z C b6�e S � 1�icM►�S �r� based on a design drawn by M c one (�C taddress)" 1 `. . �.ert . t�.►c,rl�1 �e dated 6 l designer) 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._ Strip out (if required) was inspected and the soils were found satisfactory. ' I,certify that the septic system referenced above was installed with major changes (i.e. greater than'1,0' lateral relocat on,of the S.AS or any vertical relocatioon of any component e-with State & Local.Reguh ions;. Ban revision or o£the septic system) but in accordance. ,�_ .. b certizred as-buill by designerto follow, Strip,out (if mquired5�was inspected an�i the soils , were found satisfactory, I certify that the system referenced above was constructed :ear aneye with the term. 6f the I\A approval letters (if applicable) ` i `�w� ti Jy rr (Designer's Signature) (Affix Desigi3er's Stamp leze) PL ASE RETURN TO.BARNSTABLE:PUBLIC BICALTH DWISION. .CERTIFICATE. -01 COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH TBS FORD ik—ND .A&- . B.. T CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HRALTRI D:.0 SION.. T YOU. Q;:1 eptic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable P# 9,8 Departinent of Regulatory Services Public Health Division Date t61A �� 200 Main Street,Hyannis MA o26o1 � � CE' OV G-p0 Date Scheduled��- �.ZU TimeI ,� A Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: ®/tJ (�.9 d,///�C , +� S Witoe§sed By y/�-i LOCATION& GENERAL INFORMATION Location Address Owner's Name -�vh.n G( Address Assessor's Map/Pascel: j W l` ltir Engineer's Name calk((1 C `Y NEW CONSTRUCTION REPAIR Telepho ne# rj DB— 77.5' Z00 Land Use 1't�DU�S t AtV4.1 Slopes(%) Surface Stones Distances from: Open Water.Body /0 ft Possible Wet Area i!! ft Drinking Water Well h0 ft � �r Drainage Way 7S ft Property Line ft Other ft f SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc.tests,locate wetlands in proximity to holes) f 1 , tom: T141 -.1v ! Parent material(geol)gic) lffk M, �'�A/. ��J�f/�'�^ Depth to Bedrock 2/ Depth to Groundwater. Standing Water in Hole: y !� Weeping from Pit Face Te�� y 1 �2'� / Estimated Seasonal High Groundwater ` Lt"�� `�2 6 1 S Z 7 �• ` DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment fr Index Well# Reading Date: Index Well level_ m-.e- Adj.f ctor _ Adj.Groundwater level i PERCOLATION TEST Date&jqj&5 Time y h, n Observation Time at 91, A 1 Hole# L � 1 e _ Depth of Pere u'CC� .72 tt ��JGZ) Time at V Start Pre-soak Time @ Time(9"-V) -- /3- �--Zp�t End Pre-soak �� 2 Rate Min./Inch L 4-'27"�Nctt Site Suitability Assessment Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conselrwation Division at least one(1)week prior to begi - g. Q:\SEPTICIPERCFORM.DOC rI DEEP.OBSERVATION HOLE LOG Hole# g Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Gravel)consistency,% G — y d /J S 10 r 212- "'ID 8'-6 0 ti 8 J, P �� 6 6 � s° "- 78'' C/ Me , 2,S . 6 G!D DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' en % DEEP OBSERVATION HOLE LOG 1101e# !. Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Srcturer Stones,Boulders. on i to 1 O vel 1 i DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil r,___,_ _Other p USDA) (Munsell) Mottling (Structure,Stones;Boulders. Surface(in.) ( ti.---�� -Co`si 1 Flood Insurance Rate Mae: Above 500 year flood boundary No_ Yes .. Within 500 year, ioundary No Yes Within 100.year flood boundary No— Yes Deeth 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 s-- If not,what is the depth of naturally occurring pervious material? - Certification I certify that on N°y (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 requi training, pertise d pe ' ce c"tted in 310 CIvIR 15.017.`gl Date Signature Q:\SEPTICIPERCFORM.DOC TOWN OF BA.RNSTA.BLE L" -)CATION (e8 SEWAGE #OS'' Wur ILLAGE ASSESSOR'S MAP & LOT ^-Ow INSTALLER'S NAME&PHONE NO. P it'LDR.GA SEPTIC TANK CAPACITY L LEACHING FACILITY: (type) e� 1N�-r-rr � (siaej NO. OF BEDROOMS X- BUILDER OR OWNER Z(, .9V "C��A✓1/'V� PERMITDATE: 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 .O C. e' 01 C No. l._J Fee THE CUMMONkALTH OF MASSACHUSETTS Entered in computer: • es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Rpprication for Mi000l *paem Conztruction Permit Application for a Permit to Construct(},�)Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. i 6�- 6bbles+ e R� F�4a ok k)4 CAST - 't <4 Assessor's Ma /Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. .s P M®Yz ,N Ed It,e fJ/ Type of Building: Dwelling No.of Bedrooms v Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Pers nd sf7 Showers( ) Cafeteria( ) Other Fixtures Design Flow t _ gallons per day. Calculated daily flow <,-4 gallons. Plan Date — S��'f�S Number of sheets Revision Date Title Size of Septic Tank I S db Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Y":S: . �4 Cei., DESIGNING ENGINEER M ST SUPERVISE Date last inspected: INSTALLATION AND CERTIFY IN WRITING Agreement: THE SYSTEM WASINSTALLED IN STRICT The undersigned agrees to ensure the construction and maintenance of the afore descfib��bn-sDitAe sewagee ddisposal system in accordance with the provisions f Title of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued thi B d of th Signed Date Application Approved by Date B` Application Disapproved for the following reasons Permit No. aco 5 ~Date Issued --------------------------------------- �• No. � - ., Fee �- THE COMMONWEALTH OF'MASSACHUSETTS. ; Entered in computer: f R • Yes ' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS 'o 1ZIpplication for �Di5pogar *pgtem Construction Permit Application for a Permit to Construct(V_ )Repair( )Upgrade( )Abandon( ) 1 Complete System ❑Individual Components Loc ti Ad ess ofF� of No. O er's ame,Address d Tel.No,. i�� b0 �a��U—t C�{2 Assessor's Installer's Name,Addbdrress,.and Tel.No. Designer's Name,Address and Tel.No. T P More ►nj k-f blley (4- k Q Type of Building: Dwelling No.of Bedrooms Lot Size q3 S70 sq.ft. Garbage Grinder( ) Othery Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow - �` gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. / N Description of Soil; �/?s Nature of Repairs or Alterations(Answer when applicable) _TA5fq l# s f• Date last inspected: Agreement: fi The undersigned agrees to ensure-the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions o Title 5 of the Environmental Code and not,to,place the system in operation until a Certifi- cate of Compliance has been issued thj B ar V,ea th. ` Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued b.. ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ' (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(-K)Upgraded( ) Abandoned(�' )by S Xj at 106 ,a Sf oel� has been constructe to ac r ante with the provisions of Ti e 5 and the for Disposal System Construction Permit Nc.-� 7J dated Installer P Ron IA.) Designer t `-' The issuance of this permit shad not be construed as a guarantee that the system ill f net on s dpsign Date w���� r Inspector _...ti -- —— . ----------------=— - No. `o_og5 N�55 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migoal *p5tem Con$truction Permit Permission is hereby granted to Constryct( �R`epa"ir( )U g ade( )Abandon( ) '/ System located at 1U2 �h Gj(e ST�Vflt�� a 2 K)S'�/-{ i and as described-in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Coonnst ction ust be completed within three years of the d to of this pet Date:_" \ Approved by Town of Barnstable the Regulatory Services Thomas F. Geiler,Director � � • .e�tu�sriteca. 3 • g Public Health Division . 161.9 �0 ° R Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification For}n Date: GCT io Zoo3 Designer: �`DWAi2 d C �!�zGcr 2/?L.S. Installer: �I , L Address: T�o)C �i Address 7-5- �4 � k On c-�-,r was issued a permit to install a (date) (installer) septic system at /bL .s ,,A 20 B,�izov,:rzg-ee� based on a design drawn by (address) 45; �c cjy /2R4_5• dated S'L iq Z oo.S (designer) 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. r I certify that the septic system referenced above wasl 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. a i 0 o s true) '�� sqc EDV"D E. -- KELLEY N �: • ; a ) (����gl Here) FRED S PLE BARNSTABLE PUBLIC HEALTH D SION. CERTIFICATE OF CONM &JAME WILL NOT BE ISSUED UNTIL BOTIR THIS FORM AND AS- BUILT-CARD ARE RECEIVED BY THE BARNSTABIX PU LIC HEALTH DIVISION. THANK YOU. Q:HealtWSeptic/Desiper Certification Form • o (/ D ATE : .1 /3 97 PROPERTY ADDRESS : •102 -C'bbl tone Road Barnstable,Mass/ 02630 On the above date, I Inspected the a-eptic system at the -above aCdreas. This system consists of the following: 1 . 1 -1 000 gallon• septic tank. 2 . 1 -Distribution box. 3 . 2-1000 gallon precast pits packed in stone. Baeed on my InPc�ectlon, I ceril(y the following conditions: 4 . This is a title five septic system:" ( ='78 Code ) 5 . One leaching pit was full and one was dry. 6 . Pumped tank• & pit as part of inspection. 7 . Installed one speed leveler in the distribution box. This now will distribute the waste water equally to each of the pits. 8 . The septic system is in proper working order i at the present time. 5I G N AT U R 7 • Name : J . P . Hacomber Jr.,. --•- ---- ----------- Company J . P . Macoa)ber & Son- -Inc . -------- ------- •J CencervilLe ,_Mass__02632 I E. N `5 1998 ---------- TOWN 0HFA(TH RTJSTAB(E Phone : _5Og_Z75-3338------- I afIT L � THIS CERTIFICATION DOES NOT CONSTfTUTE A GUARANTY OR WARRANTY .)OSEPH P, MACOMBER & SON, INC. T+nkt-C•upooh,-Le Khfleld i . PUMP+d L Inat.411rd Town Sower Connoctlont P.O. Box 66 • Centerville, MA 02632.0066 775-3338 775-6112 • i Gl COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON, MA 02108 617.292.5500 u ILLl.4N1 F 'A ELD TRL D1 CO\: Go%cmor Secretar ARGEO PAUL CELLUCCI DAVID B STRUH Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissionc PART A CERTIFICATION Property Address:1 02 Cobblestone Road Ba.-astablEAddress of Owner: Date of Inspection: 1 /3/97 (If different) Name of Inspector: jr)GPp h P_Macomber Jr. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.Macomber & Son Inc. Mailing Address: BOX 66 Centerville,Mass . 02632 Telephone Number: 508-775—I_I_I8 CERTIFICATION STATEMENT I cenify that I have personally inspected the sewage disposal system at this address and that the information reported below is Vue, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on•site sewage disposal systems. The system: asses _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: it : ' ,[f[r/r Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, of D: A) SYSTEM PASSES: 1 have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BJ SYSTEM CONDITIONALLY PASSES: 4212 One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not. 311� The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection, or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web: ht1p:1t ww.magnet.state.ma usJdep Printed on Recycled Paper . I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 102 Cobblestone Road Owner: Linda Call Date of Inspection: 1 /3/97 B) SYSTEM CONDITIONALLY PASSES (continued) LLB'' Sewage backup or breakout or high static water level observed in the distribution box is due to broken or oos:r_cec pipe(s) or due to a broken, sertled or uneven distribution box. The system will pass inspection if (with appro�a; o! :.ne Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system wih pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION 15 REQUIRED BY THE BOARD OF HEALTH: Ala Conditions exist which require further evaluation by the Board of Health in order to determine if the system is faii,ng !o oro!ec-. :ne public health, safety and the environment 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM 15 NOT FUNCTIONING IN A titANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: ,0,? Cesspool or privy is within 50 feet of a surface water t V 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 APPROPRIATE) DETERtisInES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: A'o The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water s ppi• o, tributary to a surface water supply. old The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public v.aier suppi. ^eli )� The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water suap . -e. The system has a septic tank and soil absorption system and the SAS is lessdhan 100 feet but 50 feet or more iro.m a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds Incicates !naj the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen s e.Q-a !o o• less than 5 ppm. Method used to determine distance ot;IA (approximation not valid) 3) OTHER &'2; Y (revlrred 04/25/97) Dap• 2 of 10 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A f CERTIFICATION (continued) Property Address: 102 Cobblestone Road Barnstable,Mass . Owner: Linda Call Date of Inspection:1 /3/9 7 D) SYSTEM FAILS: You must indicate ewer "Yes" or "No" as to each of the following: �JD I have determined that the system violates one or more of the following failure criteria as defined in 310 Ch1R 15.303. The bans for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No � Backup of sewage into facility or system component due to an 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 th distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. �eycl► s -41 Liquid depth in ce"Veo� is less than 6" below invert or available volume is less than 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any ponion of a 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 I of a public well. Any ponion 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No /114 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 11 of a public water supply well) i The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 102 Cobblestone Road Barnstable,Mass . Owner: Linda Call Date of Inspection: 1 /3/9 7 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. large volumes of water have not been introduced into the system recently or as part of this inspection.. _ As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components, eluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. / The size and location of the Soil Absorption System on the site has been determined based on: _ The facility owner land occupants, if djfferent from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. i Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Pan C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) i i 1 r (revised 04/25/97) Page 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 102 Cobblestone Road Barnstable,Mass . Owner: Linda Call Date of Inspection: 1 /3/c)7 FLOW CONDITIONS RESIDENTIAL: '.(low n Des. , g �y. g.p.d./bedroom for S.A.S. Number of bedrooms:' Number of current residents: Garbage grinder (yes or no):_&:Q Laundry connected to system (yes or no):, i Jgcl ia ,)ccoy CA) 33.15 G,p. �, Seasonal use (yes or no): Water meter readings, if available (last two (2) year usage (gpd): Sump Pump (yes or no): 40 Last date of occupancy: COMMERCIAUINDUSTRIAL: Type of establishment: �J Design Clow: lt;1,14 gallons/day Grease trap present: (yes or no)-,d—)4 Industrial Waste Holding Tank present: (yes or no)lfllh ,Non-sanitary waste discharged to the Title 5 system: (yes or no),IZ61 i 'dater meter readings, if available. .Ul�- }� lass date of occupancy: lv'�T OTHER: (Describe) Last date of occupancy: )i GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as pan of inspection: (yes or no) If yes, volume pumped: gallons Reason for pumping i 1 �.NY l-- GGJ�,j Lt L TYPE OF SxSTEM _Septic tank/distribution box/soil absorption system V6 Single cesspool 4/0 Overflow cesspool ,tO Privy 42) Shared system (yes or no) (if yes, anach previous inspection records, if any) /L) I/A Technology etc. Copy of up to date contract Chher /(14 APPROXIMATE AGE of all component , date installed (if known) and source of information: i Sewage odors detected when arriving at the site: (yes or no) 41�) (rwiiod 04/25/97) P49. 5 of 10 ! SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Properte Address: 102 Cobblestone Road Barnstable,Mass. o»ner: Linda Call Date of Inspection:1 /3/97 BUILDING SEWER: (locate on site plan) Depth below grade. Material of consuuctron _ cast iron Z40 PVC — other (explain) Distance irom private water supply well or suction line 4Mi J' • D ameter Comments (condition of joints, venting, evidence of leakage. etc. T — TJ T � '�r t< d SEPTIC TANK: ioca:e on sne plan) Depth below grade: 1 Material of construct on: oncrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age Is age confirmed by Certificate of Compliance &JA (Yes/No) Dimensions Sluage depth:_L J D.stance from top of sludge to bonom of outlet tee or baffler Scum thickness Distance irom top of scum to top of outlet tee or baffle- Distance Distance from bonom of scum to bonom of outlet tee or ba�ffv._4/ riow dimensions were determined, Comments trecommendation for pumping, conditipp of inlet nd outlet tees or baffles, depth of liquid level in relation to outlet invert, suucurai ntegril, evidence of leakage, etc.) N's "-7V �°"' GREASE TRAP:22, l._ Houle on site plan) Depth below grade: Material of con s(ruction&/�concrete N/inetall�AFiberglass4Z6_Pol yet hyleneN�o!her(explaln) ,4,1/1 Dimensions: /flees Scum thickness:{/ Distance from top of scum to top of outlet tee or baffle: ,1Z P Distance from bottom of scum to bonom of outlet tee or baffle: Date of last pumping: Comments trecommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, struCcra ,ntegriry. evidence of leakage, etc.) (r wised P&g• 6 of 10 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 102 Cobblestone Road Barnstable,Mass . Owner: Linda Call Date of Inspection: 1 /3/97 TIGHT OR HOLDING TANK:Ak ./(Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grader Material of construction:,Z4concrete�metal,/AFiberglass4APolyethylene,,g�.other(explain) Dimensions: J'N Capacity: A"Q gallons Design flow: A)A gallons/day Alarm level: Iij Alarm in working order Yes;�No Date of previous pumping: Comments. (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert:��_ Comments: (n to if level and distributl'�on' is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) t' PUMP CHAMBER:_A,�b��, (locate on site plan) Pumps in working order: (Yes or No),e_" Alarms in working order (Yes or No)-426' Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (z•vi••C 04/25/97) P„g• 7 of 10 f { r �y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 102 Cobblestone Road Barnstable,Mass . Owner: Linda Call Date of Inspection-1 /3/97 SOIL ABSORPTION SYSTEM (SAS):L�-6?2C,'/11r1 ;locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type leaching pits, number: leaching chambers, number: leaching galleries, number:_ leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, numb r: lr'�' Alternative system: Name of Technology: [y Comments: (not conditio of soil, signs of ydraulic failure, level f pon ing, condition of vegetation, etc.) CESSPOOLS: J&t/g_ (locate on site plan) 'umber and configuration: A)Y+ Deptn-(op of liquid to inlet inveri:_ 4)19 Depth of solids layer: A;,4 Depth of scum layer: 10,14 Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as pan of inspection) ;; fa •, r__ X4 7 27/- Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) a, S , wwt PRIVY: (locate on site plan) Materials of construction: A% Dimensions: Depth of solids: AA Comments: (note condition of soil, signs pf hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) ➢ag• 8 of 10 l I � M a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propeit) Addrew 102 Cobblestone Road Barnstable,Mass . O"ne' Linda Call Deie or Inspection: 1 /3/97 .... SKETCH OF SEWAGE DISPOSAL SYSTEM: -,Crude ties to at least two permanent references landmarks or benchmarks locate all wells within M* (locate where public water supply comes into house) 0 I � 4. • c t I�� N 1r•v1—: 6V29/97) D•g• 9 of 10 SUBSURFACE SEWAGE DISP. :. SYSTEM INSPECTION FORM i SYSTEM INFOI. ION (continued) Property Address: 102 Cobblestone Road Barnstable,Mass . Owner: Linda Call Date of Inspection:) /3/97 t Depth to Groundwater Feet r Please indicate all the methods used to determine High GroundwaW El&.a:ion: Obtained from Design Plans on record Observation of Site (Abuning property, observation hole, basenv-N-sjmp etc.) Determine it from local conditions Check with local Board of health Cneck FEMA Maps Check pijmping records /Check local excavators, installers Use USGS Data Describe in your own words how you established the High Grounol,/,rer'flevation. (Must be completed) Used groundwater contours map. . Gahrety & Miller Model 12/16/94 l lr•vl••C 01/15/97) Pic. o: 10 f rr.nr+.—nrs—�-+—irn.—nr.•n*s+rra—r+r.ain.rr..r,:-.r•*-ra.r:•nr.r.-rm rra-r�-u*•rar.ra.m•+ . TOWN OF Barnstable BOARD OF HEALTH j 1� SUBHUFACF ,SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION `- 1`•••-•••.T••.-•.. -�.tl'�.�.••T,.T.�1•R.'T.�TTFTt:1TT'T'•'•.•1"tITr1 T.'tTRr•'T.'RRRL9T�'i'TTTiTf . J•iflill•TTiTTT*/'[iT�TTTTrn•.•.�.r•r1'-••�. .�..� -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRES$ 102 Cobblestone Road Barnstable,Mass . ASSESSORS MAP , BLOCK AND PARCEL # OWNER' s NAME Linda Call' PART D - CERTIFICATION r NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Scnf 'Inc. COMPANY ADDRESS Box 66 Centerville,Mass . d2632 Street Town Or City Stat• LlP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508 ) 790 - 1 578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of .inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check ne : System PASSED The inspection which I have conducted has not found any information . which indicates that the system fails to adequately protect public hea1Lh or Lhe. environment as defined in 310 CMR 16 , 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have con�Ucted has found that the system fails to Protect the 'public health and the environment in accordance with Title 5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , Inspector Signature 2Date One copy of this certification must be provided to the OWNER, the BUYER ( Where applicable ) and the BOARD OF HEAL1'1I, * If the inspection FAILED, the owner or ` Perator shall upgrade ' the ayatem within one year of the date of the inspection , unless allowed or required otherwise as provided in 3.10 ChJR 16 , 305 . partd . doc w V y THE CON MONWEALTH OF MA.SSACHUSETTS DEPARTNMNT OF ENVERONMENTAL PROTECTION BE IT KN O WN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualificatigns as required and is hereby authorized to use the title CERTHiU D TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15_340 and Section 13 of Chapter 21A of the General Laws_ Issued by The Department of Environmental Protection. )unc 8, 1995 *Actirigrcctor of the i ron of Witcr Pollution Control t�l.� Uw- TOWN OF $ARNSTABLE4� [!(�-/-'ATION /U Z G®/3/✓',L e. S"7y � SEWAGE # ` VILLAGE A 9 Al L0*14 ,C4 a ASSESSOR'S MAP & LOT AP, _14— ,6011 INSTALLER'S NAME & PHONE NO. ,T /0 4 c o1V i e C t so41 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) O o NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BJ4bUg.OR OWNER ,,Rt�t e-Pds .� _a04 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �' � -� VARIANCE GRANTED: Yes No . � M� � O r� �� ,i .:• - . .. + -- �eo ?'� i .�.. r ��o. �' � _ �' �'c 0 i � �� " a zf LSO C A T ION sr�� j07, SEWAGE PERMIT N0. �- 5 VILLAGE I N S T A LLER'S NAME i ADDRESS l3 7 T-fk/2 I-G 2 8,4 ® U I L D E R OR OWNER DATE PERMIT ISSUED DAT E C 0 M P L I A N C E ISSUED 3 r IT aS / do� No...��. !-_�.�1.. Fss.....$....3 0:0 0 APPROVED THE COMMONWEALTH OF MASSACHUSETTS Barnstable Conservation Department BOARD OF HEALTH ,9 TOWN OF BARNSTABLE 3 9gn� Apptira t for Di�pwint Wurlai Tomitrnrtiun �ramit a Application is hereby made for a Permit to Construct ( ) or Repair jgj an Individual Sewage Disposal System at: 102 Cobblestone Road Cummacuid 85 ..... ..................................... .---•--...._...� .... ... Location-Address or Lot No. Call ......................_.......................................................................... -------•----•-•---•--------•-•••-••---•---•••••-------..........--•--•---•-•-••--..........•--••-. Owner Address W -J-v-P-:ManEm-ber•--rT-r--•=..................................................... Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—X No. of Bedrooms------------3------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.------_.--_----__----_--- Showers ( ) — Cafeteria ( ) Other fixtures ------------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width---------------- Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------_--------- Diameter........... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by----------_---- -------------------••----------•-----•-•----------------- Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.-.................. Depth to ground water........................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water........................ P4 ------------------------------------•---••---------------•-•-------••--------•--•••..._.........•--•......................................................... 0 Description of Soil........................................................................................................................................................................ xSand.....�ray�l-------------•----------------....-----------------------------------•---••--•------------ rJ - W ;?� UNature of Repairs or Alterations—Answer when applicable--Ex--Exist ng tank .. pit . 1_.. 0 0 a 11-on... .leaching pit . �_....---•--------------------- ------------------------------------•----- .................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia e has b nJsued by the board o ealth. Signed - --- - --- �. � �............;v ../2 0/9 Dace y Application Approved BY J .. .... ----------------------------------------------- -------------- -- -�D�ace..^..1.... .. Application Disapproved for the following reasons: ------------------------------------------------------------------------------------------------......--------------------------- ......... . .................................................... .... ..... ... ... . .................... -- ......--................. -----...-------------------------------- Dace PermitNo. .............. /" ....- (X............. Issued ......................................................... Dace �� a No... =- - FEa..... ....3 0:0 0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / ;-,),o q/VTOWN OF BARNSTABLE o < Appliration for Diopoottl Works Tonotrurtion rrmit Application is herebyrmade for a Permit to Construct ( ) or Repair �CXX an Individual Sewage Disposal System at:.' 102 Cobblestone Road_. Cummaquid . . : ..... ............................ ..... . ..... ... Location-Address or Lot No. I Call ......................_...................................................................------ .................................................................................................. Owner Address •J-v-P n e='-•- --••••-••---......-•------•-------------- .............................................................-•--•--••-----•--------............. .�•�-_sue-��::b...a J-�-�----------- Installer Address UType of Building Size Lot----'........... Sq. feet ~`........ . Dwelling-XNo. of Bedrooms------------3------------------------------Expansion Attic ( ) Garbage Grinder ( ) 44 Other—Type of Building ............................ No. of persons.-.--..--------------------- Showers ,( ) — Cafeteria ( ) 04 Other fixtures ------------------------•-•---------------------•-•----------•---------------------------------------••== W Design Flow--------------------------- ---`--.---....gallons per person per day. Total daily flow....--_-..--......----.---------------------gallons. W' Septic Tank—Liquid capacity--..........gallons Length................ Width---------------- Diameter---------------- Depth.....------..... x Disposal Trench ry._No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit,,No---------------------- Diameter..------------------ Depth below inlet..--......---....... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date....------------------. Test Pit No. I----------------minutes per inch Depth of Test Pit..........---....... Depth to ground water......................... L14 Test Pit No. 2................minutes per inch Depth of Test Pit............----.... Depth to ground water.........--............. P4 •-••----••-------------•----••-••-•----•-•-•-•••----•-•-••••---•-•------•-•••-•----••--.......•-----•--•--...................•.............................. 0 Description of Soil....................................................................................................................................................................... x Sand & Gravel U •••--•---•-•-•--•••--------•-•-••-••-•---••••--•-•••-•--••-•--•---••-•-•--•-----•••••--•-...••------•------•••-••-------•----------••-•----••---•------••--•-------•---••...............•-•-•-••........ W --------------------••--------------• ----:- V---------- ---------------... •--•---••-••----•-•-----------•-----•-- EX----ting tank & .pit . U Nature of Repairs or Alterations—Answer when applicable-- 1-10 0 0....q a 1..on--..-•--•-•------••••....ch i ng•--pit'------------------------------------------------------------------------------------------------------------•--............. • Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has been`i9sued by the boarXh ealth. Signed ------ 6.✓ �1-°��yL ............ 1/2 0/94 Dare Application Approved By ............. n �.... .......,. �,.�-� =� F Dare Application Disapproved for the following reasons- --------------------------------- --------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------- --------------------------------------- C� Dace PermitNo. ............1...�-/-- -'a - (X------ ---- Issued -------------------------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cger#ifira e of C�omplianrE THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired7,(xx ) J P.Macomber Jr. by ---------------------------- -------- ------------------------------------------------------------------------------- t�,�aue 102 Cobblestone Road Cummaquid at ................................................_--------------------------------------------------._.._ .. .._...... .. .. ....................... .......... ........................... .. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........./... -_.. ..` _.... dated .-....___------.....__---------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.... ..-- . -_- ------- ...._-- ---------------- -- Inspector .--- -z—----- :t._..._...... ` ✓�! "Y'�` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE $ 30.00 No. = FEE........................ �i��ro��il ork� C��un�tr�ti�tilan �rrmit J P Macomber Jr. Permission is hereby granted. l- -----------------------------•---------- to Construtu(Z �obble�stone Ro3ndlvCumItaqudDisposal System atNo...•-•--•••--•••-•.........--••••-------•-•-•......-•--•............ .•--••--•----••---...•••--.------------ ---------•---•--•-•----•••---•••------••-•---...-•-•----------•-••••.............. Street / as shown on the application for Disposal Works Construction Permit No......�.,............... Dated....... ---1 Q �G/.......... . 1 G Board of Health DATE-----------------............................ ................................. FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS n PEB.....2 f....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �o�r mar n5-�-a�\E ..............OF........................................... --..........------.................._... Appliratiun for i uuttl- urk Chun irixr#iun Prrutit Application is hereby made for a Permit,to Construct (x) or Repair ( ) an Individual Sewage Disposal System at• ' R'�A. - L -vP.. -Location-Address or Lot No. W Owner Address .. --•-^----••---------------------------------------•--............................_..........--••- Installer i Address } Type of Building Size Lot.43�5`1.3 -Sq. feet .-� Dwelling—No. of Bedrooms... ....:...........•----•---..........Expansion Attic ( ) Garbage Grinder ( ) 04 Other—T e of Building a —Type g ....................:....... No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ..................... -•-------------------•--•--•.--...-........----....-.-.----..._....------------- ....... -..-........ .......... W Design Flow..........a.5.........................gallons per person pe>;lld�y. Total daily flow.._...._... 3 30..................gallons. WSeptic Tank—Liquid capacity!©!2.gallons Length......RX;.:.. Width;...4.IZ. Diameter................ Depth.... ........ x Disposal Trench—No. .................... Width..... . ......... Total Length.......t..... Total leaching area..._................sq. ft. 3 Seepage Pit No.......I............. Diameter...l ..� : Depth below inlet. ._. :. Total leaching area..5 `�:•�sq-fF G,D z Other Distribution box (X) Dosintank ( ) Percolation Test Results Performed b .__ .._.... .�irbO``^� e- 5�11 �2 a ; Y --. . .....-•-•--•---•--}- ---------=--•-••----••-=---- Date...---- ---.. Test Pit No. 1..........�-.minutes per inch Depth of Test Pit....-. ..1.... Depth to ground water.. !�'r e....... f� Test Pit No. 2................minutes per inch Depth of Test Pit.... ...... Depth to ground water.... ? W ............... - -- --------•-•••---••-•-.............. .......... ----------- -......... ..... O Description of Soil.----SC-'--...E �` ...�- e- F? �`n...---•------ -•---•---•--•................... V ............••-••----•-•--•••-•...••-••......••...............•••-----•••-••...........-------••••-.........•--•-•--....••-•......-•----......................--•.....-•-• --••••.....•-- -•-••- W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...........................................•---------------•----....------....--•---...............---------......--------------------••----•-•-----...................................•••••........•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of .5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b�sued by the boa of health. Signed.;�..r'� ............................... 2 .�. /a.,;,e �. ...._.... 1� ApplicationApproved BY--- ....-�'. ... ............................................. ........................................ Date Application Disapproved for the following r asons:................................................................................................................. ..............................................................................................................._.......................-•...••••........•..•.....--..........Date............ PermitNo...................................... --- Issued....................................................... Date RIC.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Y,\................OF..... r n 4111 \1�-_ ............... ..................................................................................... i Appliration far-Uhipasal Works Tontitrurtion ramit o Application 'is hereby made for a Permit to Construct (X) or Repair an Individual Sewage Disposal System at: -1-01 R—A. �_Oi iBls __T_ ..................................................... ..............................................................................4............. tm-A.. I N C_Location-Address or Lot No. k 4A -------------------------------- ..... .U.(_ ....4. 14 Owner Address ----------------------------------------------- -----*------.................................... .................................................................................................. fns;aller Address Type of Building Size Lot.:!"2��:��Sq. feet U Dwell ing—No. of Bedr ooms._. ...................................Expansion Attic Garbage Grinder Other—Type of Building ---------------------------- No. of persons:........................... Showers Cafeteria Other fixtures ......................... < ------------------- ...............**"*-----------------------------------------"-------*-------- --------- Design Flow...........C75.5............................gallons per person ..................... ,d�y. Total daily flow...............S39 gallons. Septic Tank—Liquid capacity�.92R.gallons Length..........:9t.. Width;.AIKI. Diameter................ Depth._�n........ Disposal Trench—No. .................... Width_,................. Total Length....._.......-;._.. Total leaching area....................sq. f t Seepage Pit No.._.... Diameter.. Depth below inlet.5;�... Total leaching area.._�_,:.Isq7. ft�.' G C) Z Other Distribution box O Dosing tank Percolation Test Res Performed by.......................................... 0.4 P, . ........ Date..15,1.......�1...................... Test Pit No. 17!� to ground water.........��..minutes per inch I�qpth of Test Pit.. 14 Test Pit Na. 2................minutes per inch Depth of Test Pit._.. ...... Depth to ground water..._�.............. P4 = 4.................................... .......-------------*..........*-------*.......... ............ 0 Description ofsoil......qS................................ .......... ...........po...................................................................................... W ------------- .................... ...................................................................................................................... ..... ......................................I................................................................................................................................................................. U Nature of Repairs or Alterations—Answer when applicable................................... ........................................................... A% ..................................................................................................!�V..................................................................................................... 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 sued b the boa of health. Signed./ .........................: ....... i .. ........ -?Ja e ApplicationApproved By.......... ... .... ... .............................................. ........................................ Date Appli6ation Disapproved for the following�r asons................................................................................................................. ......................................................................................................................................................................................................T Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF"HEALTH ..........................................OF............... ...................................................................... Trrfifirate of Tomphaw THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by..............7............................................................................................f..................................................................................... 5 r4Z Installer ller at........... . ae-=111t,............................................................................. has been installed in accordance with the provisions of TITPT"�' 5 of The State Sanitary Code as described in the .application for Disposal Works Construction'Permit No.__...._.. .......... dated.......... ..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ........................................... ........... DATE....................................................... Inspecto r.......A-k..... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD. OF HEALTH FFx... . ......................................... ...........................w................................................... ................. atoposal Workii Tanstricdialt, frrutit PermissiovAereby granted.................................. ............................... ............................................................................ to Constrw�or.,,�ena-ir ( ),Ap Individual Sewage Di System atNo...........................S.............. ...... ..................... -I.....................................*---------*...........*........ Street as shown on the application for Disposal Works Construction PgVnit No..................... Dated........................................... .............................................................................. Board of Health DATE........................................................... ................... Y �r • �r --101-- EXISTING CONTOUR Ra N ___ �-PROPOSED CONTOUR x 100.98 EXISTING SPOT GRADE Rol>rE W EXISTING WATER SERVICE a -$•H.W.-OVERHEAD WIRES TEST PIT pg 367�pG 74 RAILRO p BENCHMARK . . . I LEGEND Granite m Ln F ° o v 0 A i a F w BENCHMARK-2 o a a TOP L T. RR 77E STEP EL.=88.56 c 5 ° a LOCUS c > ° ° 85.83 o n 87.89 BENCHMARK-1 x \ x 90.82 SPIKE SET IN TREE EL.=90.99 LOCUS MAP \ \ NOT TO SCALE x 87. 4 \� N 16'24'28" E Ve x 91.9 . 90.00 171.52' N III I \ \\ 0 7.86 I I� I-92, ' R' LOT 85 . 9 6 OD _"' 90.20 43,570 ±SF 7 00 t1 ` 1 / � �Ia TP-, MOL 316-061 OD ; INSTALL CLEANOU( EXISTING S.A.S.0 x 93.6 I . 0 ` - (PER RECORD AS-BUILT) x 94.1 TO BE ABANDONED 69 / i = ..j.. x 91.06� .\y - • \ EXISTING SEP77C TANK ( lx 92. 6 \ INV.(OUT)=89.6f SWING SET x a\ 91.9 (FIELD VERIFY) x 91.18 92.00 x 95.38 / 90.46 92.35 i e x 95.22 \ 119 N Ij 88.73 x 92.58 �O//� 95 9 J . W - x I 34 (_) 4 st O } O x - I O - 92.76_ \ QL 92.61 N N I BB.56 93.87 ) x 96.41 I m I. . i N I / / x 91.1 92.82 AEXISTING a. I ae.2a+ `'.'.•' :` HOUSE(#102) o c / I 88.16 .. Kos i'; T.O.F.=94.0f' \89.92. .. w 92.22 ° i' 92.54 92.48 / � '92 64 x 3.04 x 93.17 x O). / 88.52\ ell x - x B4.5 _ x89.1 \ 8 87.53 ;7 . 88.23 `\ 00.. � x 89.82 90.58 8.21 93.98 w x ash- DRl Ali 84.53 8 .73 X "` 80.2 4 L=205.82'� \ - x . _ - e :w 7B.52 ledge of pavement 82.00 82.92 _ COBBLE STONE , LOAD Mgss9��G ' o PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN o McEN CIVIL N 102 COBBLE STONE ROAD, BARNSTABLE, MA No. 35109 R£GI Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 SfER�� 9p XR- En ineerin by: SCALE DRAWN JOB. NO. SSIO E��� OWNER OF RECORD 9 9 MACLEAN, CHRISTINA M Engineering Works, Inc. 1"=30' P.T.M. 159-15 102 COBBLE STONE ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. -7 1 I BARNSTABLE, MA 02630 (508) 477-5313 7/6/15 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:85.5 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-80X PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET &OUTLET AND SET TO 6' OF FINISH GRADE INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6 OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=94.0t SET TO 3' OF F.G. TO SERVE AS INSPECTION PORTS F.G. EL.=93.Ot F.G. EL.=92.6t F.G. EL.=89.3t F.G. EL.=89.0t VENT L = 80' L = 23. ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" 6"^ DOUBLE WASHED STONE 10"I " g aaa0aaa (OR APPROVED FILTER FABRIC) 14" 6a6aaa9 aaaaaaa -3/4" TO 1-1/2" DOUBLE EXISTING 48" LIQUID WASHED STONE LEVEL ADD .GAS BAFFLE PROPOSED 4' 4.8' 4' INV.=85.40 INV.=85.23 D-BOX EFFECTIVE WIDTH = 12.8' INV.=89.6f 3 OUTLETS EXISTING(verily) INV.=85.00 EXISTING SEPTIC TANK 4-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED TOP CONC. ELEV.= 86.1 t NOTES: BREAKOUT ELEV.=85.50 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=85.00 aaaa INVERTS, PRIOR TO INSTALLATION. eaaaa Baaaa 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.=83.00 GRADE ON A MECHANICALLY COMPACTED SIX 4' 4' 4 x 8.5=34.0' INCH CRUSHED STONE BASE, AS SPECIFIED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 42.0' IN 310 CMR 15.221(2). PERVIOUS MATERIAL - 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM OF TP, EL.=77.5 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. (NO GROUNDWATER) SEPTIC SYSTEM PROFILE SOIL LOG I DATE: MAY 29, 2015 (REF#14,692) t-12, ' SOIL EVALUATOR: PETER McENTEE PE(SE#1542) r- WITNESS: DAVID STANTON R.S. HEALTH AGENT ELEv. TP-1 DEPTH ELEv. TP-2 DEPTH vi 89.0 A 0" 89.9 A 0" a � SANDY LOAM SANDY LOAM o 5 88 10YR 4/2 89.4 10YR 4/2 w 6n 6,.B B o SANDY LOAM SANDY LOAM a v 85.5 10YR 5/6 42" 86.4 10YR 5/6 42" - - - L� C PERC --_ C MED. SAND MED. SAND 2.5Y 6/6 2.5Y 6/6 z - c� J Q 77.5 138" 78.4 138" PERC RATE <2 MIN/IN. - NO GROUNDWATER ENCOUNTERED. HORIZON SOILS ARE PERFORMED 6/9/05ENT W REF.ITH REFERENCE P#10 PERC 0 GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS •EXISTING LLOF OCALERULES AD ENVIRONMENTAL GUATS ODE, TITLE V, AND ANY APPLICABLE HOUSE(#102) 3, THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR T.O.F.=94.Of' To INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5_ ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF S.A.S. LAYOUT THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. DESIGN CRITERIA 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS NUMBER OF BEDROOMS: 5 BEDROOMS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY DESIGN PERCOLATION RATE: <2 MIN/IN THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. DAILY FLOW: 550 GPD 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS ; DESIGN FLOW: 550 GPD IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND GARBAGE GRINDER: NO-not allowed with design REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). LEACHING AREA REQUIRED: 550 GPD = 743.2 SF 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE ( ) INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. .74 GPD/SF 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND EXISTING SEPTIC TANK: 1500 GALLON CAPACITY (PLASTIC) NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. PROPOSED D=BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 4-500 GALLON LEACHING CHAMBERS IN SERIES 102 COBBLE STONE ROAD, BARNSTABLE, MA SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES SIDEWALL AREA: 2(12.8' + 42.0') X 2 219.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 42.0' = 537.6 S.F. Engineering by: SCALE DRAWN JOB. NO. 756.8 S.F. Engineering Works, Inc. N.T.S. P.T.M. 159-15 TOTAL AREA:..................................................... 9 9 12 West Crossfield Rood, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(576.8 SF) = 560.0 GPD (508) 477-5313 7/6/15 P.T.M. 2 of 2 \ 24 (ADDITION) ., .•t� 10-10- 7.IT G]ABOVE ©ABOVE FAME FOR V F F MR UNDER IN O W zI-� y UNDER WINDOW - f-I Q �I �a� a '' r_NEW W � cD NRCO A F I W.I.C. A z q � A5 e s z'6 x sa 1 16-r F A5 b - T--'I F rr A ��NEW W 2 OWEh BEDROOM b w F a 2'B-x 66 i (VAULTED CEILING) F ~ 00 H NEW to C ,4 O BATH S (AD0_nON) g A 4 6 P 6-0 - LINEN O . CABINET b 0 �o r- O.g F _ $ 1 x�1 x 6 CASI POSTS W/ 6 A5 SHED DORMER 1 III - F Lf NEW - N F A13OVE�II . {II b SCREENED qo FRAME FOR NEW 1 PORCH b AIR CONDITIONER LIVING _ 111 F I fs UNDER WINDOW III (TSGFIR (VAULTED CEILING) III DECKING) - I I1�IJI I r3V J1 R l (VERIFY KITCHEN HALF ems- 3'� I NEW LAYOUT W/OWNER) PATIO 4 H E E NEW 4P.T.POSTSWI . 1x511 x6CASIN�G ON. r4 0 NEW ENTRY/ ! �e iZdN II s 11 � N MUDHALL ---. SITTING §o m NEW — — trs 1------ AREA J IV COVERED 4 PORCH C STAR D I 1 I N K .� 3Vx a A5 I I svx A5 svxy-Ip. �' ti .L___J BFOD BIFO J 3.�.� ------- � - lIEWPARR/1 .Q- 1 SIZED BY OTHERS tv D ---f -= .----J ®1 1 i L—I F NEW Q W.I.C. EXIST. I s.r rs -XIST. KITCHEN O - O O -----� x68 I;I DINING h � i EXIBT.'r-h rxs S EXISTIL SHO © T 4 BATH;- - N BIw Ulm INEW 76' es* ____ EXIST. MASTER ON. -- - 4 F BEDROOM J S I—I O NE 6T I IVAULTEDCEIUNG) p F a I (WAS EXIsnNG GARAGE) MASTE m `---- BATH I EXIST. H ' SHED OOfEMER ABOVE Q 1 Q orHNDD EXIST. CLQS. EXIST. B W A A T -E_= =E==� LIVING I BEDROOM �J• F FRAME FORS AIR CO OMONE C UNDER WINDOW "11 O UP A I _ ICE I I z N D----------- --- e e r A5 8 B gUROLASTN _ . - =R BAP O ' WOOD DOOR SCALE 1/4" = 1`0" 10'-O' 19'.0't 19.Pt 13'-ITt (A)DITION) (EXISTING) . (E%ISTING) (EXISTING) DATE FIRST FLOOR PLAN 8/23/2005 - EXIST.FIRST FLOOR = 806 S.F. ©NEW SMOKE DETECTOR LEGEND:. JAB NO.EXIST.SECOND FLOOR = 4'70 S.F. EXIST.GARAGE = 308 S.F. 0 EXISTING WALLS FIRST FLOOR ADDITION = 376 S.F. CONSTRUCTION TO BE REMOVED GARNER .. NEW w=LAW APT. = 788 S.F. EM NEW CONSTRUCTION GENERAL NOTES.. THE DESIGNER SHALL BE NO DWG. NO. f - ERRORS OR OMISSIONS ARE FOUND ON - 1.) CONTRACTOR IS TO VERIFY EXISTING CONDITIONS AND DIMENSIONS CONSTRU TIONGTHE BUILDING CONTTRACTOR At IN THE FIELD PRIOR TO THE START OF WORK IN T 6E RESPONSIBLE FORTHE NGS IF ONSTRCONTENT2.) CONTRACTOR TO REMOVE EXISTING DOORS,WINDOWS, CO M ENCESSE WITHOUTNOTIFYINCTHE COMMENCES ANYERRORSORO THE WALLS,&ROOFING AS REQUIRED FOR NEW CONSTRUCTION. THESEDESIG ER WI ANY E ERRORS OR OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE USE 3J ALL NEW CONSTRUCTION TO MATCH EXISTING IN MATERIAL, OF THE OWNER NOTED.ANY OTHER USE OF THESE DRAWINGS REQUIRES THE WRRTEN ' DETAIL,AND FINISH. CONSENT OF THE DESIGNER. s i1 0 ZQ 1 J W W!Y+ O CO F I OONT.RIDGE VENT. Q ` r, ul 24-G i' Irjl Y-1 (ADDITION) _ w E—I W W . E—I M� U) co O - NEW ARCH. NEW ARCH. W O 4') LO GRADE ASPHALT ,'ROOF SHINGLESALA U d' ' ROOF SHINGLES . I I I I A5 I A5 NEW FASCIA BFRIEZE N E\� BOARDS TO MATCH EXIST. BEDROOM BELOW g TOP OF PLATE TNEW 4,4 P.T.POST W/ iX5/1 x8CASING 1 tTV I (ADDITION) - hEMI V FIRST FLOOR BUBFLGOR . Fr - r, $4 I 1 I IMI HEWGDRNERBGAR05 TO MA T EXIST. FRONT ELEVATION I I it CH NEW 6 K NEW CLAPBOARDS E-�/� A5 LIVING N ¢S B TO MATCH EXISTING BELOV� i As p S LINE� W WALLS BELOW o i I ..- - • • PPP���"-�II 20 P T� �L WINDOW SCHEDULE v T�tR Z-B' I fi'A' Z-1P � - � O 1 LINE OF WALL , NEW 1 _____ _____ . ----- ----, --- - TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS ry BELOW—� ATTIC 1 _____ ____ ____ ______ _____ fy1 I p i i A ANDERSEN WOODWRIGHT WDH 2446 2'-6 1/8"x 4'-9 1/4" DOUBLEHUNG ANDERSEN WOODWRIGHT CUSTOM (VERIFY IN FIELD,4'-9"LENGTH) DOUBLEHUNG 1 i FF C ANDERSEN WOODWRIGHT CUSTOM (VERIFY IN FIELD) DOUBLEHUNG I 1 II 1 1 D ANDERSEN CUSTOM (VERIFY IN FIELD) CASEMENT O E ANDERSEN TW 21052 3'-0 1/8"x 5--5 1/4" DOUBLEHUNG _ I CLOS.I EXIST. F ANDERSEN TW 2446 2'-6 1/6"x 4'-9 1/4" DOUBLEHUNG I'� C EXIST. BATH G ANDERSEN DHT 2415 2'-6 1/8"x V-7 7/8" DOUBLEHUNG TRANSOM E{ I F L H ANDERSEN TW 24310 2'-6 1/8"x 4%1 1/4" DOUBLEHUNG BEDROOM I EXIST. i ANDERSEN A251 2'-4 7/8"x2'-0 518" AWNING MEW / EXIST. I 0• BEDROOM - K ANDERSEN WOODWRIGHT CUSTOM (VERIFY IN FIELD) DOUBLEHUNG C L ANDERSEN WOODWRIGHT CUSTOM (VERIFY IN FIELD) DOUBLEHUNG W -I MASTER N _________________``\- % BEDROOM = EXIST. M ANDERSEN AR251 2'-4 7/8"x1'-5 1/2" AWNING NEW i BELOW S HALL ExlsT. Q N ANDERSEN A21 2'-0 5/8"x2'-0 5/8" AWNING rH. ATTIC __ w Exlsr. al NOTE:CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS Cr�� O ON. I Exlsr. g WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS. r��./1 - I �XI SCALE b BELOW 1/4" = 1'-0" D DATE - - 8/23/2005 r-r z'-tm T-r ---- ----- . a•-s r-m s'-s• q JOB NO, SHED DDRMER) GARNER DWG. N0. ( to•.P t4'O'z 1B-0'z t3'-0"z, , i (ADDITION) (EXISTING) (EXISTING) (EXISTING) SECOND FLOOR PLAN 24-0 . (ADDITION! - 1 24a y V+ T-O• lo-1 T-7 -.(gDGITION) NEW 8'CONC. -4 rW BASEMEN BASEMENT - FOUNO.WALL. - EASEME WINDOW W/20.5 BARS -U]�Q ----- ------ ----- AT TOP OF WALL W � Z �l CO i —------ - - 1-1 . I Q I 12'O' TYP. 17a I CONC.FOOTING ; -� I BEAM I A A5 r A9 A Ul A 's vKT. w HaC\2 a I P.T.2 x 10 LEDGER BOARD BOLTEDTO ---I-- I I SOLID BLOCKING W/&4'S.S.LAG BOLTS 4 \� III 0' r�-I E�,,,I w U) co 16'0.4.STAGGERED,USE PLASTIC SPACERS j (n Q TYPICAL3 12'DIA. I JOIST HANGERS ON BOTH ENDS OF JOISTS 1 aco Lo M1 I I STEEL LALLY COLUMN y�I TYPICAL 00'x BlT x 1r I NEW 1r CIA.SONOTUBES w UU 14 TO 4T BELOW GRADE W/ j I CONCRETE FGDnNG I _ SIMPSON ABU 65 BASE 1 1 I iz4T ! (ADDITION) 2 (ADDITION) ry U I I 2-P.T,2.1- ----- Z a >r I I ® W � o BASEMENT I § 4F t $ Cl"CONC.sln I o .a) ~ - �5 B ! v ! B B 1 1 I B A5 a" A5 A5 I I c g A5 4 0 .. ir w 16 E 31 2/4'x 11 TIT 1.9 E LVL GIRT I 9E I I I I I BEAM I Ta fPKT P I I I I I P T CONC.WALL ^- 2-P.T.2x W. I BASEMENT gNDOW1- ! - 2:.2 - - - x I O LIT OOP JOISTS I O.C. I C D b U � — zd.vLACRAWLS i 3/4"x 11 i/B".9EL1 GIRT! .2xSs Q TYP. I I NEW tr DIA.SONOTUBES I I PKT. I I I 2.8 RAFTERS® - -- TO 4'P BELOW GRADE I I I I I - EXIST.FOUND.WALLS O TO REMAIN CRICKET,(vFRIFY NEW CRICKET I O ' I NEW INFIELD) 4, CRAWLSPACE (VERIFY IN FIELD) I 6 P. i i I EXIST.CONC.SLAB) r BUILD NEW ROOF OVER O .. I PKT. ) , EXIST. RAFTERS@tdEXJST ROOF /o.c.2.B O I }1 S/4'x 11 T/B'1.9 E LVL GIRT 4 1� fn 1 �'. b BASEMENT _ N x12 R1 RD - NEW PARALLAM RIOGESEAM 6g5EMENi! !�� I I I SNZED BY OTTMINEGR RIDGE BOARD �°^) O Li - NANDOW I FASTEN NEW JOISTS - -�-- -1-- -- !NEW I I I ONTO 2x10LEOGER --_- EXISTING RIDGE BOARD- 4F !� BOARD W/HANGERS I I BASEMENT! I I LAG BOLTED TOTOBE z EXISTINGRIDGEBOPR LAG BOLTED TO EX ST. G - ---- i , I(4'CONC.SUB I I T T WALL STUDS I I I II ! ( I I TOIREMAINND.WALLS L— — — V\[ I r c D 4 F ------------- ----- REMOVE CONO.APRON SCALE a INFILL O.H.DOOR OPENING 3'Q T-0" TV .WI B-CONC.BLOCK SEAL - (SHED DORMER) PROPERLY FOR WVE ATHER (ADDITION) STRIG) .DATE FOUNDATION PLAN N SIN ISTIN 8/23/2005(ADDITION! (EXISTING). (EXISTING) (E%!STING) ROOF FRAMING PLAN JOB No. NOTES: GARNER - 1.) ALL ROOF RAFTERS TO BE 2 x 10's UNLESS OTHERVNSE NOTED 2.) USE SIMPSON H 2.5 HURRICANE CLIPS D WG. N O. AT ALL RAFTERS - 3.)VERIFY GUTTER TYPE/LAYOUT - A 4WlOWNERS • ,r • r ' -• COT.RIDGE VENT • ' r CONT.RIDGE VENT NEW ROOF CONST. 1 x 6's 32 o.c 1 x 6§®37 o.e. L VJ T • � cp C7 CONST NEW ROOF' Q CQ U) 12 a 1.2 x 10 RAFTERS 1H'o.c. .. � Li•I O T9 —1 W z.1rz cox PLYwooD sHEATHINc \ TOP OF PLATE NEW 3.ASPHALTROOFSHINGIES z QN 2x Bk 16'o.c. 12 a.15PFELT PAPER rW, �•,( 12 MATCH ATTIC 6.9•(R•30)BATT,INSULATION@FLAT CEILINGS Qt' W MATCH \ \ EXIST. 6.6(R�30)HIGH DENS.INSULATION@SLOPEDCEIUNGS E—I EXIST. \ \ 7.PARALIAM RIDGE BEAM(SIZED BY OTHERS) 04 I RAVEN\\ \ ROOF VENT 2xR@1 0. B.SIMPSON H 2.5 HURRICANE CLIPS®RAFTER ENDS A ��r_, r \ m Ca W W C�2 �,� w a, 2x 1pe�Te•o.� Z =x/ o OP Of PLATE -- TOP OF PLATE TOP OF Q>��PLATE � 1/J C) x s o. 2-2x8§ _ 9 W > n BEAD BOARDc NEW L — CONT.ALUM, Ga L)�F-I`�w 2 1z3 STRAPPING@16'o.c ' - STUDS SOFFIT VET ""?V.P.GYP.8D. a E ' F —NEW WALL CONST. NEW F NEW NEW NEW 1.2x 4 STUDS @.1S c.c. WALL LIVING SCREENED W.I.C. BEDROOM Z Ia'PLYWOOD SHEATHING H CONST. - 3.3, PSU j BAIT.INSUMTION PORCH e. 'GYPSUM Y GYPSMBOARD r NEW 31P T fl G FIL 1 6.W.C.SHINGLE SIDING FIRST FLOOR - - I 6UBLOOR-GLUED6 NAILED 6.RAINDROP VAPOR BARRIER FIRST FLOOR FIRST FLOOR 1 x e MAHOGANY SUBFLDOR 1 6UOFLOOR FIRSTSUBF FOR NEW 2,10 FLOOR JOISTS@16'— NEW2x 10 FLOOR JOISTS@IT,.,. PT2z tOe@,8'oa &P.T.2x tOs W/ NEW 2.10 FLOOR JOISTS 16•o.c. NEW2z10 FLOOR J015T9@i6'ox. 1 x 10 FASCIA NEW 9'SATT. —3 13W.9 1?LVL GIRT /+ �+ INSULATION(R•3M NEW WALL CONST• 7 - SIMPSON POST BASE �-3.1?DIASTEEL _ NEWS@46'ANCHOR LALLY COLUMN BOLTS @ 4B'o c. • � -;fY PLYWOOD SHEATHING �FULL - � � FULL NEW B"CONC. m -W.C.SHINGLE SIDING t• BASEMENT FOUND.WALL BASEMENT W/205 BANS -TYVEI(' AT TOP OF WALL - 12 DIA SONOTUBES TO NEW e'CONC.SLAB DAMPPROOF ALL WALLS P.T.2x 10 LEDGER BOARD BOLTED TO BELOW GRADE r l TOP OF BIAS SOLID S IDc BLOCKING O%USE P L "TIT C OLLACERS BELOW GRADE TOP OF SLAB I T I JOIST HANGERS ON BOTH ENDS OF JOISTS NEW e'x 18'. _ q . B .BUILDING SECTION @NEW W.I.C./BEDROOM � A BUILDING SECTION @ NEW LIVING/SCREENED PORCH A5 A5 W V NEW PARALLAM BEAM N UNDER EXIST.RIDGE BOARD(SIZED BY OTHERS) 1 x 6§@ 32—. NEW ROOF CONST.-\ o O �- NEW ROOF CONST. 1 12 / �I Q L- TOP OF PLATE 2x Bs tG c ��J-I l�J� )) C/�� 12 MATCH EXIST. / NEW ATTIC EXIST, 12 TOP OF PLATE 1 ° E TOP OF PIA1E' O 17 NEWNEW rT� NEW NEW NEW NEW WALL CONST. MASTER NEW F-)--I WALL BATH W.I.C. MUDHALL � BEDROOM coos. HALL CONST.- I FIT ,. FIft6T FLOOR - 'SIUBFLOOR FLOOR I SE S C A L E NEW 1x tTfs@16'o.c. NE_W 2x 10 FLOOR JOISTS@16'o.c. NEW 2x 10c i6'o.c REMOVE CONC.APRON fl INFILL O.H.DOOR OPENING W/B'CONC.BLOCK SEAL - 1/4" = 1'-0" PROPERLY FOR WEATHER EXIST.CONC.6LABfl ' FOUNN D.WALLB TO DATE REMAI FULL m BASEMENT p BUILDING SECTION @ NEW MASTER BEDROOM 8/23/2005 JOB N 0. TOP OF SLAB - L--- i L--- GARNER BUILDING SECTION @ NEW W.I.C./BEDROOM DWG. N0. A5 . A5 SECTION - SEWAGE, -SEPTIC TANK - - "D"BOX - - LEACH PIT '/ TOP OF FON T H. (MSQ "2"OF 118TO V2" SzE Mav F ANY u IJsV ITA B>+E WASHED STONE MATER-►AL FRoM W ITHm) 1o' of Q ar L_EAC H I►.)G FAc ll_17Y A►� L) REPLACE o • �. W IT H GL.EA � GogRSE SAf•�p nV � �,.%' ~ f 40 IN- OUT IN• OUT• IN- SEPTIC / �/ S4.GZ TANK 84 37 83.5o j ,/, ELEV. ELEV. ELEV. ELEV. �j [dJ g 83 9'7 83 8 7 7.5 ` ELEV. ELEV. ELEV 10 C) �.. ..��. OF Ah"-1VV2"1.. /Q �" WASHED STONE 0 ckf •� IOi a TEST HOLE LOG ��' +1 s► Q� ���Q �.Fo`►rb�r.4t e. Sc• G� o� H.�. `,I �tA TEST BY TEST GATE S�i t 92- WITNESS m / ` DESIGN 3 BEDROOM HOUSE 0- Q? a� T.H. 1 T.H. 2 `� N �rC ELEV. ELEV. el, / /f '-' � q (oprn Q2,r7 lowtn Sr.S Z I NO r l ``- _- 01 2 , � PERC RATE MIN/IN. DISPOSER DISPOSER O � +/ Lc)-T- 85 � , Z4 5;t+� go.o 3o s�6• 84.0 FLOW RATE 3 30(GAL./DAY ) 3 3 o yZ_ U >� stilty / c� 4 SEPTIC TANK 33ox (IS)= 5 ha � REO'D SEPTIC TANK SIZE ? clean 84 wn ?9•S I �\ clet.n LEACH FACILITY s4nd med. SIDE WALL l0 1t'(�)=188.5 (2.5 ) = 411•? G/D. ,< Sand S BOTTOM to '1Y 8.5( 1•o ) - ` -5 G/D. tave Wi'fl� so.,tie TO T A L ZG''].o s-�. = 5412..2 G'D ---_ _� 156— —'73.5 USE: ONE LEACHING PIT � EFFEcT. SJEPTK -A 10 EFFEcT. CIA• CLOf \ _ NO WATER ENCOUNTERED � - 1�, # �� \ �• • �p NOTES: (UNLESS OTHERWISE NOTED) - �.1 , 1.. DATUM (MSL)�TAKEN FROM___-H !_I NNIS....__.__-gUADRAN.GLE 1�B�MAP .��L +' 2.MUNICIPAL WATER----------_-J.'a.........._...............AVAILABLE .a 3. PIPE PITCH: V."PER FOOT ARNE H. ��� • . 4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO - 12 -44 OJALA 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. -�-DISTANCE AS CERTIFIED 6.PIPE JOINTS SHALL BE MADE WATER TIGHT �� CIVIL coo7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. O. 30T82 STATE ENVIRONMENTAL CODE TITLE 5 SITE PLAN / 0F LOCUS: LOT SS �- COBBLE STONE IAA _ - BAR.WSTABL & MASS. REG.PROFES I rAL NGIN£ER /sue ARNI G� dpJAIA c"�i REF: PLAN ro ak• 3 '7 '7 PG• 4- oe�n cafe �ngin���ing263 PREPARED FOR: P E A LTIF-, G - CIVIL ENGINEERSIs BOARD OF HEALgH 9� ��$�. LAND SURVEYORS Aja � �Q - V Jv�` vO u_ . ). CONTOURS (EXISTING)------------- APPROVED DATE ZAP- PROPOSED) ( -O-O-O-O- --'' SCALE ' 4 `i 2 8 O C ) DATE $4 J I i j EL. 94:O R.. . TOP OF FOUNDATION l �Tt. G� i l I CONCRETE COVERS INSPECTION f %'I P0R7 77 )7T�7T� 74CAST�IWO�;o .. �%^�C,c ! 5 SCHEDULE 40 4+SCHEDULE 40 P-V.C_ (ONLY) .� /aDEs-_ 9Z So 2�1'L .<'.nNL: rS� P.V.C.PIPE Min. � PIPE - MIN_ PITCH `" • � PITCH I/4-PERFT. 1/4' PER, CLEAN SAND 2 �L •mot. BACKFILL ti / CQ' Mrr Z.C B INVERT o i GAS BAFFLE' S,� cL 8q 8 z I y s, 1_4"! EL. 1..?.... INNER? INVERT 1 SEPTIC TAN •sroN �L v, Locc.s :•1 INVERT o K a- 90-_ 6`- �'�:��.. i •� gp:� GAL. IN / - `�' ? 18 ti �;� EL. .. INVERT D1ST INVERT ./ z �� I` - j + �, EL 9• 7. BOX B �6 B Pam, recFrvc�1 �z, B8,48 i n - CHAMBERS PROFI LE OF �.--_toc.us #-iAP sc,��� ; �� Lteo ' _ / SOf L L�JG SEWAGE DISPOSAL SYSTEM ADJ. GROUND WATER EL.^!�N�:.• rNco�.,�TLrL�-t> %1-SS- SSG/ S /�'�/-)�7 1/� —L �0 1 DATE .`/• 9�'P;.. TIVE ..... ....... .... NO SCALE TEST HOLE / TEST HOLE ..Z. ... f-//S/ i f Al<'�'C L. ELEV. ..��O.Bo_ ELEV. .8 ':°.a... S/rOR`: DESIGN DATA , VEGETATIVE COVER s�,oy �.9,s - 8tl T 7o, /vy22/y /0140.1 9, NUMBER OF BEDROOMS i t S141JOY ZOAPI e i 07AL =S71MA7Z0 FLOW ��� GALLONS/DAY B0770M LEACHING AREA zGD. .Y.Z... SOFT./TRENCH S E 7IOC LEACHING AREA , G (, . . .!-`•� SOFT./TRENCH -- '7j S.A-�✓D GARBAGE DISPOSAL. - !�p 1J� - .•(50% AREA INCREASE) L'/ TOTAL LEACHING ARC _ �JJ�, -•; SO.FT. z CLcn�� PERCOLATION RATr . LESS 71/A,v Lev/N PER. INCH LEACHING G1vGf/ 8�L Penc. LEACHING AREA PER PERCOLATION RATE / Z0,9" ADJ. GROUND WATER EL..Negf.. -N o •. • WATER ENCOUNTERED WITNESSED BY : �oNAZjj• Z>�SN<!2<J/ ,S . BOARD OF HEALTH ��G_ !-ob'BLE �TD/t/C onlU .P_o/t/ . .. /2.5: . ENGINEER Tl�/S%� y PETITIONERA/�/ CL/1�/S?i�J� GPI/zn/L� Lo 7- ¢3 c,s� sue, - - 10 _ / r- qs I000 - 0 SN OF Mq C ,j`/ gcti ;ram, C_ L A-f�/-a 47 FALL cn EOVI1$0 f '?do.527 Q E. 10' a z 74, KELLEY EDS 40 \��Q vl r-`No. ze,00 ti- APN EVAL\3N\ �61$T /UOT q�4` — C✓Cw Yr�'T�,�h f= L/"�' 4 7r / / �r � 6 i'9l ,• n' ..e /�l' �•Lc �% r1' !' — !