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HomeMy WebLinkAbout0129 HARBOR POINT ROAD - Health l.,k 129 HARBOR POINT RD., BARNSTABLE i r U ,A u 1 `"a 56 TOWN OF BARNSTABLE LOCATION ���`I Nam-✓�� P6 a f- /�� • SEWAGE # VILLAGE ,1`� ✓ti S ASSESSOR'S MAP & LOTq f' "8 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 16 o J ��h LEACHING FACILITY: (type) r" ,(-;l (size) /y93q1X1 NO.OF BEDROOMS BUILDER OR OWNER L/ L . 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 -�LJ : 1: N o•. sa'��I �o ` Suer✓ool�, 1 � c TOWN OF BARNSTABLE LsOCATION 8 E t IDYL SEWAGE # ®6— VILLAGE ` P �C�-ASSESSOR'S MAP & LOT 35-2_N 1 INSTALLER'S NAME&PHONE NO.� SEPTIC TANK CAPACITY I I � + (size) 1 301 33 5, Y �— LEACHING F,ACII:ITY: (type) �ItBrmc'�. �, NO. OF BEDROOMS BUII,DER O PERMITDATE: 10 13106 COMPLIANCE DATE: G Separation Distance Between the: f 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 leachi facili ) Feet Furnished by Mdf � oi J 9 5 t�, Fee No. i v ���✓j��,� —� THE COMMONWEALTH OF MASSACHUSETTS Entcred.in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ` ZippYicattou for Bigozal *p5tem Cougtruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade V) Abandon( ) 14omplete System ❑Individual Components Location Address or Lot No. �� hwlK.� �• Owner's Name, ddress nd Tgl. o. s® GA, �n 1a01 Mo ,6 Assessor's Map/Parcel _ `+✓I�fro"�F , e Installer's Name,Address,and Tel.No. • 0 Designer's Name>Address and Tel.No. LVJbA t l � a Q u JX-��� ���Is a8 7,I- ® �3s Type of Building: Dwelling No.of Bedrooms Lot Size W)aO O sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(mint.required)_ '3"S0 gpd Design flow provided ���•� gpd Plan Date 6 l, 166 Number of sheets l' Revision Date Title i Size of Septic Tank 1500��__ Type of S.A.S. ] Sd 3� Description of Soil �dIR�C(6l/ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' d V �' Date a ,Application Approved by 1 Date Application-Disapproved by: _ Date for the,following reasons Permit No. Date Issued 4 u , V(f No. l � 00 V, _; �� 11� (/ ,. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes - a application for Mi5pogal �§p!gtem Construction Permit f Applicaiion•for a Permit to Construct( ) Repair(*) 'Upgrade�/) Abandon O ✓Complete System ❑Individual Components , ocatiornO 1�C1•tl�Address or Lot No. 'a� k�✓ �, Ow�ne�r's Name,Qddress(,��and Tel No. for, GR, Assessor'sMap/Parcel S a u �jl�!/tT�7 U . + Y t Installer's Name,Address,and Tel.No. , �• (I Designer's Name,Address and Tel.No.� Q� t&,vg�. vu>�eQ .fit ti y3A_57do Type of Building: Dwelling No.of Bedrooms 3 Lot Size 30)00 0 sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Q t Design Flow(min.required) J 3 gpd Design flow provided 4��• ( gpd Plan Date �� D� Number of sheets Revision Date Title Size of Septic Tank 1�560 Type of S.A.S._r 3 33. J X O� Description of Soil .iwz_496 _ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: ; The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board �of_Health. Y /� Signed //'/G'I[� 11�z r t. Date �— Application Approved by / t �/ i 'i�1 .1� Date —P Application Disapproved by: Date z r for the following reasons Permit No. ti ;7 ' "rDate Issued r r R� (� �� THE COMMONWEALTH OF MASSACHUSETTS p a BARNSTABLE, MASSACHUSETTS k3 Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (V ) Repaired ( ) Upgraded (V) Abandoned( )by at i a9 has been const c d' i cordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �� � dated r Installer , C .a�X�Vw Ct�AA,C.: Designer �L,C=Y�t/\ + l:taaa, #bedrooms - Approved design flow �{ f• -! gpd The issuance of this permit shall not Pe construed construed as a guarantee that the system will-functio a designed. --Date 'go/� Inspecto�, `^� . ram,. � ---No. ----°--------- --------- --t—. z��_39 Fee Z, , THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Di!gpozat �&pztem Con$truction Permit Permission is hereby granted to Construct (✓n) Rep 'r (n ). Upgrade (� ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Co sttrru�cgonust be completed within three years of the date of thi �erm, , Date ( / Approved'by 10/03/2006 16:23 5087750754 WELLER ASSOC PAGE 02 DOWN CAPE ENGINEERING, INC. SOIL ANALYSIS JUNE 15,2006 SAMPLE DRY: 412.5 Teat Hole 03 (25.5'-29') 1NT RET % RET ° PAS 3/414 - - - 1/2" _ _ - 3/8" - - - #4 0.6 ' 0 100 #10 1.5 0 100 #20 2.2 0 100 #40 33.2 0 100 #80 375.6 91 9 #200 406.4 99 1 BOTTOM 412.5 100 0 10/03/2006 16:23 5087750754 WELLER ASSOC PAGE 03 t F DOWN CAPE EN INEERING INC. SOIL ANALYSIS 129 HARBOR POINT ROAD, CUMMAQUID, MA June 15, 2008 SAMPLE DRY: 361.5 Test Hole 01 0 V-22) V11� RET % RET 9Ya PASS 1" 0 - W4" 18.0 5 95 1/2" 22.0 6 94 3/811 27.9 8 92 #4 33.1 9 91 #10 37.0 10 90 #20 39.8 11 89 #40 49.5 14 86 #80 253.6 70 30 #200 353.1 98 2 BOTTOM 361.5 - - 10/03/2006 16:23 5087750754 WELLER ASSOC PAGE 04 DOWN CAPE ENGINEERING, INC. SOIL ANALYSIS 129 HARBOR POINT ROAD, CUMMAQUID, MA JUNE 15, 2006 SAMPLE DRY: 407.0 Test Hole 02 (18'-22') Wr RET % RET PASS 1" - - - 3/4" - - - 1/2" - - - 3/8" #4 - - #10 0.5 0 100 020 1.4 0 100 #40 4.2 1 99 #80 312.1 77 23 #200 401.5 99 1 BOTTOM 407.0 - - Town of Barnstable P# Department of.Regulatory Services Public Health Division Date- xnr8 �,bfp4 tee$ 200 Main Street.Hyannis MA 02601" �ffD MA'l a Date Scheduled Time /® Fee Pd. `oil Suitability Assessment for wage D' osal t �3 Performed By: Witnessed By: ° LOCATION&GENERAL INFORMATION Location Address, . Owner's Name Address Assessor's Map/Patcel: 3 Z Engineer's Name NEW CONSTRUE I ION REPAIR Telephone# 5' Land Use 66Ap p� Slopes(�Yo)_' A' Surface Stones Distances from: Open Water Body I v /J ft Possible Wet Area `v ft Drinking Water Well ft Drainage Way ft Property Line Q ft µ Other ft . v SKETCH:(street name,dimensions of lot,exact locations of tdst holes&perc tests,locate wetlands in proximity to holes) Z I O A q�� tic7yo—J- , AF i i Parent material(geologic) Apnc� i Depth to Bedrock ' Depth to Groundwater. Standing Water in Hole: 01® ! Weeping from Pit Face i Estimated Seasonal i fth Groundwater i DtTERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth observed standing;in obs.hole: _ in, Depth to 5p11 mottles: f A In. Depth toweeping from side of obs.hole: in. Otoundwnter Adjustment f[• Index well# __ Reading Date: index Well level AdJ-Actor. . Adj.(Imundwatee Leval,,, • i PERCOLATION TEST '�>n'�---�--- Observation t?.. MWATQ> Tinte et 9" Hole# " Depth of Perc Time at&' j Time(9"•6") Start Pre-soak Time.@ — y End Pre-soak I Rate Min./inch Site Suitability Assessment: Site Passed MJQ� Site Failed- Additional Testing Needed(Y/N) Original: Public H41th Division Observation Hole Data To Be Completed on Back---- ***If.percol0ion test is to be conducted within 100' of wetland,you must first notifhy the •DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil f Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i Consistenc %Gravel O -- t 3 R �.L. • • .`30 - o C, 5/6 DEEP OBSERVATION HOLE LOG. Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel (�_ 6 fo g - 120 G L. DEEP OBSERVATION"HOLE LOG SNmeAlole# 3 Depth from Soil Horizon Soil Texture Soil Color Wil Other Surface(in.) {USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel 14,'22 e . AI DEEP OBSERVATION HOLE LOG Hole# .. Depth from Soil Horizon Soil Texture Soil Color Soil Lather Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yeses.a Within 100 year flood boundary No— Yeses Depth of Natutally Occurrin Pervious Material Does at least fo feet of naturally occurring pervious material exist in all areas observed throughout the area proposed f�r the soil absorption system? If not,what is the depth of naturally occurring pe vibes material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of environmental Protection and that the above analysis was performed by tree consistent with the required training,expertise and experience described in 310 CUR 15.017.. Signature Date Q MPTIMERCI4ORM.DOC • � ;lam. '►u.!s ,'. •v �1.. Alm +' �� •'I R •:1 1 ) •Illy'• "1' L TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive South Dennis,MA 02660 COPY COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFA_I_RS a " f'* DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON.MA 02108 (617) 292 500 v Tp T.RUDY CORE 4r` p� � Secretary �ARGEO PAUL CELLUCCI ` �'"r ?000 DAVID B. STRUHS Governor � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM' ` Commissioner PART A 0r CERTIFICATION Property Address: y Nµ✓S" fZ�t • Name of Owner ,Sj Sr,.v, .Y O✓b.�c N j ✓✓i S aTi-b Q- Address of Owner: '�� F� Lj `L 1 a G.+ /2, c w. f• Date of Inspection:a////GO S R 3 M a., Sf. Name of Inspector:(Please Print) Troy Williams mo,r r..o, ff, o,-•- 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: Troy Williams Se tiR c Inspections Mating Address: 19 Hummel Drive, So. Dennis, MA 02660 Telephone Number: (508) 385-1300 CERTIRCATION STATEMENT 1 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 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: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails n , �/� ' kupectoes Signature:.` J it�sr� G+/.c eC Date: oZ /I/40 The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)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. NOTES AND COMMENTS Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. ravi ccri o /7 /ao _ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARVA CERTIFICAT)ON(continued) Property Address: ►.1 y N�-6,- Pam.., �� Owner: Date of Inspection: .2,11( 1,200.0 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES:114 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 NO). Describe basis of determination in all instances. If "not determined",explain why not. 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 complying septic tank as approved by the Board of Health. Sewage backup or breakout or.high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). 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 will pass Inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed f revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 129 Harbor Point Road, Barnstable, MA Owner: Susan Kovatch Date of Inspection: February 11, 2000 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: N114 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and 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 THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH('AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 Page 3Of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 129 Harbor Point Road, Barnstable, MA Property Address: Susan Kovatch Owner: February 11,2000 " Date of Inspection: D. SYSTEM FAILS: / //r9 You must indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis 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 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 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 portion 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 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 60 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" 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 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. r revised 9/2/98 Page 4of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 129 Harbor Point Road, Barnstable, MA Owner: Susan Kovatch Dace of Inspection: February 11, 2000 Check if the following have been done: You must indicate either "Yes" or "No' as to each of the following: Yes No Y _ Pumping information was provided by the owner, occupant,or Board of Health. None of the system components have been pumped forat least two weeks an d-the system has been-receiving„v►�n►arflow 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, excluding the Soil Absorption System, have been located on the site. JC _ 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: Existing information. For example, Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is•at issue,approximation of distance Is unacceptablej 115.302(3)(b)1 _ The facility owner(and occupants,if different from owner)were.provided with information on the. Subsurface Disposal Systems. propermaintenaace of revised 9/2/98 page sorli SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARY C SYSTEM INFORMATION Propeny Address: Owner: 129 Harbor Point Road, Barnstable, MA Date of Inspection: Susan Kovatch February 11, 2000 RESIDENTIAL: FLOW CONDITIONS Design flow: //C+ g.p,d./bedroom. Number of bedrooms(design): Number of bedrooms(actual): 3 Total DESIGN flow 336 Number of current residents: 0 Garbage grinder(yes or no): NU Laundry(separate system) (yes or no)NV; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use(yes or no):—�IfS / q Water meter readings,if available(last two year's usage(gpd): / � / Sump Pump(yes or no):_� w o/j _ l3j Last date of occupancy: >�. 4 o c� COMMERCIAL/INDUSTRIAL Type of establishment: Design flow: qpd (Based on 15.203) Basis of design flow Grease trap present:(yes or no)_ Industrial Waste Holding Tank present:(yes or no)— Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: /✓O D�Jft,n/H 9 a TL wc► r A.ic� ��S(L System pumped as part of Inspection:(yes or no)Ala If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed Of known)and source of information: Or .S.� —4a 14 o�/ppra�c. u.rl'7 70 S . ►ti Sewage odors detected when arriving at the site:(yes or no) No revised 9/2/98 Poge6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(cm tirxied) Property Address: 129 Harbor Point Road, Barnstable MA Owner: > Date of Inspect«,: Susan Kovatch BUILDING SEWER: February 11, 2000 ' (Locate on site plan) Depth below grade: 3 > "� c'^A` Material of construction: cast iron�40 PVC other(explain) Distance from private water supply well or suction /ine Al 714 Diameter- y„ Comments:(condition of'tints,ve7ting, evidence of leakage,etc.)) YO nC_ 411 SEPTIC TANK: j, Syr c o✓ 6t o {' (locate on site plan) Depth below grade: .3 /Ao s Material of construction:-Zconcrete_metal_Fiberglass _Polyethylene_other(explain) If tank Is metal,list age ls.age confirmed by Certificate of Compliance—(Yes/No) Dimensions:_ $ 'X_9 ".)c C / o 0 0 C. Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle:a/Y Scum thickness: NoNe Distance from top of scum to top of outlet tee or baffle: IV, S Distance from bottom of scum to bottom of outlet tee or baffle: A/o c. kti How dimensions were determined: Comments: (recommendation for pumping,condition of inlet d outlet tees or baffles,depth of liquid level in relation to outlet invert,structur"tegrity,evidence of leakage,etc.) ,, - r r c o G` } Jc 41 0 � G�-s C, T H tJ,y, of G G EASE P:LIV (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) Dimensions Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) revised 9/2/98 Pap 7ortl SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARt C SYSTEM INFORMATION(continued) Prop"Address: 129 Harbor Point Road, arns Btable>MA Owner: Date of inspection: Susan Kovatch February 11, 2000 TIGHT OR HOLDING TANK:/( 9 (Tank must be pumped prior to, or 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/day Alarm present Alarm level: Alarm in working order:Yes_ No Date of previous pumping: Comments:' (condition bf inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX:_V (locate on site plan) Depth of liquid level above outlet invert: Ae-✓v� Comments: (n e.if level and distribution is a al,evidence,of solids carryover,evidence of leakage into or out of box; . ,h etc) J H �.c.✓v( w; .c_ A. l _a s.� -G-f F/i✓ v ( (� i .— trt ✓ d i d ts, ct C- r r V c. o r-- a -6oA PUMP CHAMBER:_//�,g (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) revised 9/2/98 Page 9 ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PAF1T C SYSTEM INFORMATION(continued) Property Adores:: �owner: 129 Harbor Point Road, Barnstable MA Date of Inspection: Susan Kovatch February 11, 2UUq SOIL ABSORPTION SYSTEM(SAS1. (locate on site plan, if possible; excavation not required, location may be approximated by non-intrusive methods) If not located,explain: Type: leaching pits, number:_ leaching chambers,number:_ leaching galleries,number:_ leaching trenches,number,length: leaching fields,number,dimensions:�h /g 'x 3 y'X overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydr ulic failure, level of ponding, damp soil, condition of vegetation, etc.) I- ¢ P 'J ( : L. (u G Ji^eI /.t r �+ - ';.A. CESSP)OLS•_N ;� (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer- Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) 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.) revised 9/2/98 Page 9of11 I� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: 129 Harbor Point Road,Barnstable, MA Data of Inspection: Susan Kovatch ' February 11,2000 SKETCH OF SEWAGE DISPOSAL.SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) I L) &-L-k. 5 L, °�`�' 3 bb 0 1 ^ a \� 1 1 1 a r • a �! 1 1 a revised 9/2/98 Page 10ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARY C SYSTEM INFORMATION(corrtirxm4 Prop"aAddress:O 129 Harbor Point Road, Barnstable, MA Date of Inspection: Susan Kovatch February 11, 2000 NRCS Report name Soil Type_ Typical depth to groundwater L, USGS Date website visited Observation Wells checked Z6,V,57 4 sr Groundwater depth: Shallow Moderate Deep ------------- SITE EXAM Slope V Surface water Check Cellar Shallow wells Estimated Depth to Groundwater/15t Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site 1Abutting property,observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High(Groundwater Elevation. (Must be completed) ✓N J` lw�0.7 G� C-C.N1 4V Y, N1 '/ V✓ L7 O�✓'Ml�lr,,,, (ar-P%aa rL S howc A d1'c,,fj -/" /.'7 -F,.�4-0 . h c1-r<e. T� �c 16 �ba"�aN.. o,�' /t p �f/,, H Q L.J GS �. 0 / G-h dl &../o. ca�4' �-�y /� /� c 7t�c _ Y r revised 9/2/98 Pav 11 of 11 _ d _ - DptT1NG DWELLING NEW ADDITION . _ . SOl/OTLed, T1T. I ----— -------------- • M1 i '. �'x4�i0' Cafe W'e'�L i I _ . . � � f� 04 DRILL DDOWELS 0 2" O.C. _ I S 1 CONC. FILLED , I s LALLY cOLurol oN T1T. W is F IL BM PK7-TYP. I . BREAK OVT - S 1/2' COLIC. *LAB OVER Full. DitG. I. EXISTING SUN RM- Ex. FNO YIW 6 ML POLY VAPOR BARRIER i FOUNDATION OIL TANK ORWIIDEE66 OVER 6' COMPACT_SD GRAVEL AC TO NgH BAaEmENT 2ii no eRW M • 12'so.c.' � I - 4x�6 P.T. IMLL M.ATEMILL INBUL. ^ • —————— uVllr DIA CAW. A.D. •6'-O' O.C. FLUX' W - EXISTING BASEMENT A I DRILL t scour -- --- ---- -- ----4----- +--- ---- --�————----——— 2-"DOWELS• w O.C. BREAK ottT ex. FND F1AL L - NN �y Y CONG. DUET COVER 241)361 ACG986 GIRT—Y r—, • I i TO NEW SPACE : L J 6Cpxt4r-O'WOW. WALL Cx. LER AREA CELLAR VCNT. PTG. O C- ��rr ----------- DIA. CCIIC. A GONOTUM ON p p� p� pT�C P { 245Q4'Sd AL 2' CO . FTG: 4 . x1 ADD ALTKRNATE NO. ONE TSR TO DE TED- A C,V Q SUN ROOM ADDITION 'I-' H Gs• C- NEW ADDITION EXISTING DWELLING rl FOUNDATION PLAN -GALE if DATE oe/ro/oo eEvlsals � owLwN L;r �s o1wHlND No. A2 D(ISTING DECK .. DN H-O't EMvt r^ BOA EXISTING KITCHEN 14'-T'X t2-6• TILE FLOORVN - dd . EXISTING DWdUN4 NEN ADVVnCN TO - -------- GRAD! - O . EXISTING DN. C) 0_ FIRST FLOOR PLAN DECK BASE BID / twl MAHOr.AW DECKM66-4 U cGsnNG oacoc i�� _ M. BATH Elm •• LA al tIN - _ M. BEDROOM ADD ALTERNATE NO. CNE - SUN ROOM ADDITI011 j ROQ1VAN CL _ - ..z.- Ix•. -. - BATH. _ A, 8UNROOM ;DN. e •. .. - New HARDWOOD ' —_ I , O V - �' - 'b (DASC BID) FLOOR , - Q co wA Rer+wt: u a PROVIDE HARDWOOD KAI I a�J FLCGpNG IN KRGH[tl CL NON OR -� REMOVE EX. WALL_ HAIf WALL w/ WOOD CAP ,, - MOVEAE+LE ISLAND - LT P _ Heet1 co c �7 Iwo DB']CI _ - y i� to O w LIVIN4 ROOM CL BEDROOM 4c/P . rve ,. WX t2'-T' IS'-2'X 12'-6. w tx („) CATH CLC.. - M. - � (�W4 ry up ADD ALTERNATE NO. ONE CL � � - , SUN ROOD 1 ADDITION - I41�0 R ` PROPOSED ADDf710N ------------ A7 ' - n__F I RST FLOOR PLAN aca E va' ,,-0. BBE9 M. aeDRcon Aao1T1oN oRAMN �y 1ST FLOOR 5" S.F. DRAWING No. INDICATES NEW WALL CONE.TRtX"rM - 2M FLWR 46 S.F. _ - REMOVED CXISTI - MM ROOM ADDITION 154 S.F. / \/'� INDICATES NG WALLS TO BE -V{1 # emir IN4 DWELLING NEW ADC4TION U Q o 46 . _ ADD WOW TO - IXIOTING .ATTIC STORAGE Gwz1 T,ar ' • TI •. C1, ------------------R1LL HT CL4_-- � - EX18rING OI .. TO REMAINNEN ROOF"DECK � ��-y1 mr1+ u M�De�1ae�.r 4'-0° a+ee HALL z - O OO BEDROOM ----------------� _ --- J W a A -L�OF IX--- ON 1y -- a 6OrNTLR ON GI161.0 ,i - q p" t DVMw4 Anr-1 ---------------- -- U � a' o W.MATCW 9X18T1 ,c • closer A i �< m � A. a Orm TO LIVING RM. O U" W ADD ALTERNATE NO. ow ! c W. 8UN ROOM ADDIT ION - - ALIGN wl EXISTING - .' — EXI8T1 ADVrrsON at' SECOND FLOOR PLAN BCALe v,�•r-o� J DATE wko/oo REbIS10N.S - DRAWN BY �y I. ' • - DRAWING No. j I s. N TEST f 10LE LOG N NOTE: EXTEND COVERS OF DATE: SEPTIC TANK TO WITHIN N u PIPE TO BE LAID LEVEL TEST BY O GO vu� GSA 6 OF IFIN15H GRADE WITNESS -..� C Syi9ie/.� i25 w I FOR 2' OUT Of D15TRIBLITION i U P E R C RATE: .r- 0. ,,.✓//N�,►�i� Cp�.� S/ U O m i BOX 2" LAYER OF 3/8' PEA5TONE �(! 4"5CH 40 PVC PIPE OVER 3/4" - I 1/2" DOUBLE TEST HOLE #3 Y TEST BOLE # 2 30•C old V � WASHED STONE ALL AROUND � �• o� T.O.F. TOP EL.Z5, Q � lo, � 0 to _ ZB.S z � •.,Za Q4.e4 BOTTOM e EL. Z3, c� U uC � ��/5� INSTALL GA5 BAFFLE 1 /�7.�.TE.�/AL Z.G�'v 0 IN OUTLET TEE— z$*1 37 / 4 ©Cw s Zi& s 32K lu : I Gm (n /5ofl GALLON PRECAST SroNE BAse— ,vlzia,� T irUS.�'9c c,q�'io.c.! 2,sy/a `t U SEPTIC TANK �=.� z'/r4� Tr-�5; �G.L/vv�' r . /*,a G �qGG �,�-1� rc��'/vc�5�/�?� r,9G Z�y z 3's Z.S" G LOCATION MAP 5cE- ry / � Q z. St 3 SEPTIC SYSTEM PROFILE o ' 3b" 2, 5y 1 ` , Ca , �� .�i�7,CCU?s,,/' .r u.�r�-�,c -x✓�r �j DESIGN DATA • �""`�y r"+�Ci ` "� DAILY FLOW: (3 ) BEDROOMS x 110 GPD GPD �t 1,,J4 5EPTIC TANK: 3 3c > GPD x 200% GPD U5E:/S'�� GALLON PRECAST 5EPTIC TANK DISTKI5t,ITlrlt,4t SCI�Y ----- _ �\ USE: - 501L ABSORPTION 5Y5TEM: lit ,��,,, 30.o -- t-- Gv/y'c�,� s"�—�.,•.✓�. . �n/�' = ZS•b _. E�C/STi�/l�. .5�yJ/G CAPACITY: SIDEWALL AREA /.3?7.< ' .r.B 'F�LG ��5h' +/+�°'• BOTTOM AREA: 3 Z Z, OY p GENERAL NOTES 2� T//-f 1 . CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL UTILITIES, ABOVE * UNDERGROUND, PRIOR TO ANY EXCAVATION OR CONSTRUCTION. _ 2. SEPTIC SYSTEM 15 TO BE INSTALLED IN COMPLIANCE WITH 3 10 CMR 15.00: TITLE V. 2� 3. TH15 PLAN IS NOT TO BE USED FOR PROPERTY LINE -- ' DETERMINATION. 4. ALL D15TURBED AREAS ARE TO BE LOAMED * SEEDED. 5. CONTRACTOR TO PROVIDE 46 HOUR NOTICE FOR ANY REQUIRED INSPECTIONS*. G. THIS 5Y5TEM 15 NOT DESIGNED FOR THE USE OF A GARBAGE D15PO5AL. __--' 5ITE 5EWAGE PLAN LOCATION:./,Z .4. `,B©,�'` i0a/wT .G , CLIENT: EP�C v l/faTG".f� )F /� ���," SCALE: DATE: � 200� DRAWN .^� 11 << EN BRAlAAN —4 JOB NUMBER: REVISION: 5t1EET NUMBER: MBA m GJVjI`. v' � . "G`.�C%y /G7—✓�• v< WELLER A550CIATE5 / -0. > ZO ��/Ii "ESSIp �� s�ONAL �� 1645 FALMOU2t1 WINDY WAY, #232 h CKET, MA 0255 P.O. 0A N� 14 E, MA 02632 . 0(0 TEL: (506) 775-0735 -- FAX: (506) 775-0735 EMAIL: tmwellerecomca5t.net 'Vv PKOFE55IONAL ENGINEERS LAND SURVEYORS E'